International Medical Journal

Abstract : Laparoscopic and open surgeries have been compared with conflicting results regarding their clinical outcome and systemic responses. The Alterations in serum levels of certain biochemical markers correlate directly with extent of tissue damage and inflammatory reaction. This study compares the intensity of tissue injury by assessing plasma C-reactive protein (CRP), lactic dehydrogenase (LDH), and cortisol in patients undergoing laparoscopic hysterectomy compared to abdominal hysterectomy. This study was conducted at Ain Shams University Maternity Hospital from May 2018 to February 2020. 80 women candidates for hysterectomy were recruited and randomized into two groups; group (A) included 40 cases who underwent abdominal hysterectomy, and group (B): included 40 cases that underwent laparoscopic hysterectomy. laparoscopic hysterectomy group has a significantly better postoperative recovery compared to the laparotomy group. However, the mean operation time was longer, but the duration of hospital stay was shorter and postoperative Hb drop was lower in the laparoscopy group compared with the laparotomy group. Regarding inflammatory response and tissue damage, CRP and LDH significantly increased postoperatively in both groups. Postoperative mean serum CRP and LDH were significantly higher in the laparotomy group (11.62±4.32, 272.21±76.67 respectively) compared to laparoscopy group (8.12±3.25, 153.53±40.46) (p<0.05). There were no significant differences in cortisol level. TLH is associated with less tissue trauma as assessed by lower postoperative CRP and LDH values, it also offers significant clinical benefits, including less blood loss and shorter hospital stay, it should be considered in women with benign gynecologic conditions, especially in experienced centers..
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Abstract : Unfortunately, the risk of polio virus importation and spread remains high in Sudan, due to previous history of WPV importation to HOA from Nigeria and persistently low RI coverage. [67]. The knowledge of parents about immunization is a public health intervention that has greatly reduced mortality and morbidity globally [16]. o assesses the impact of awareness and health education on determinants of parent’s decision to vaccinated their children against poliovirus, the parent’s knowledge and attitude were also assessed pre-and post-intervention for those who received the health education (information sheet) about poliovirus disease and vaccine. A quasi-experimental pre- and post-facility-based study, the present study was conducted in three Sudanese cities (Khartoum City, Omdurman City, and Khartoum North city). total coverage of all parent’s during the period of data collection the number of participants in this study was 426. The data were collected by using the quantitative method through questionnaire to measure the score of knowledge regarding polio disease and vaccine, attitude of parents and vaccination status of their children based on construct of the theoretical model. The collected data was coded, organized, tabulated and analyzed. descriptive data was presented in table, pie and column. Chi-square was used for correlation between deferent variables, t-test was used for comparison between groups and pre- and post-intervention. For all tests, the significance level was set at p ≤ 0.05 In comparison between total parent’s knowledge among pre-and post, it was noticed that there is statistically significant difference between parent’s knowledge after post -test. P < 0.05 parent’s general attitude among pre-and post, it was also noticed there is statistical significant difference between parent’s general attitude to vaccine after post- test. P < 0.05. The internal reliability of the five constructs pertaining to the theoretical model was strong. Cronbach’s alpha was > 0.70. Chi-Square shows there is no statistically significant relationship between the five constructs pertaining to the theoretical model pre- and post-intervention P value = 0.859> a = 0.05. In a question on parental sources of information about vaccination, most parents cited their doctor (62.2%), for parents of vaccinated children compared with (52.4%) for parents of unvaccinated children. Chi-Square shows there was slightly increase in score of knowledge about poliovirus disease. (post- intervention) P < 0. 005 A small percentage of the parents had a knowledge deficiency regarding poliovirus disease However parents had not vaccinated their children against poliovirus in all cities ، and that because they believed their children was receiving enough vaccines, acceptability of a vaccine and successful implementation of immunization programs are critically dependent on parental knowledge, attitudes and beliefs regarding the disease and the vaccine. By raising awareness of parents، Parents decided to vaccinate their children. Activation the health care provider’s roles in awareness and health education parent’s awareness toward vaccination should be implemented as routine in vaccination days. Use of civil society and community leader’s efforts to increase the parent’s awareness about the importance of vaccination in reducing morbidity and mortality..
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Abstract : Since the nurses' attitude towards research influence their willingness to engage in research and apply research findings in clinical settings to promote optimum care for patients through evidence‑based nursing practice; nurses need to possess updated knowledge of recent researches and have the ability to refine their acquired knowledge and services to improve the quality of healthcare. However, studies on this topic in Palestine are lacking. This study was aimed to examine nurses’ attitudes and perceptions towards nursing research. A quantitative, cross-sectional design was conducted among randomly selected nurses (n=310) at four Palestinian hospitals. With informed, voluntary consent, data were collected utilizing a self‑administered questionnaire at their workplace. This study results revealed that nurses held a neutral to slightly positive attitude towards nursing research. Breakdown of individual items shows attitudes toward research are positive when looking at the payoff and benefits of research. Nurses showed a slightly positive attitude towards nursing research. Therefore, there is an urgent need to improve research training in our hospital in terms of carrying out and promote the use of nursing research..
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Abstract : Workplace bullying has increased lately. Interests to study the prevalence of workplace bullying and its associated factors have been steadily growing recently. 437 Bahraini female workers, aged 18 years or more responded. Our sample was collected through a convenient sample of HCWs working in 15 randomly chosen health centres. A NAQ-R questionnaire was sent to them. In this study, 76.2% of the participating Bahraini female HCW’s subjectively reported that they had not been bullied in the past six months. The mean score on the NAQ-R was M31.59+-SD10.90 with a range from 22 to 108.There was a significant relationship between the type of work and the work system. The number of sick leaves increased by those who experience bullying. Half of the HCWs respondents didn’t know about the presence of any support system. Violence against female HCWs in Bahrain is a prevalent problem. Enforcing the rules and regulations is a great way to avoid conflict and therefore bullying. Educating the female workers about the available support system is highly recommended..
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Abstract : The present study was to evaluate the role of Galactin-3 in Schizophrenia Disease and the relationship of Oxidative Stress and Inflammation. A total A total of 66 patients, 33 Schizophrenia and 33 normal, who were not diagnosed with acute or chronic infection that have been shown to affect galectin-3 levels, were included in the study. Categorical fluency tests have been carried out using different scales and ELISA method was used to measure galectin-3 level. The findings of the study showed that Galectin-3 level of the Schizophrenia’s group was found higher than the control group (Schizophrenia 7.52 [2.22-16.19], control 7.02 [1.87-20]. However, it was not statistically significant (p = 0.211). According to the results, galectin-3 levels of Schizophrenia’s patients according to SAPS score; the galectin-3 levels of patients in the moderate-severe Schizophrenia (stage 6) group were found to be statistically significantly higher (moderate-severe stage 10.34 [4.83-11.99], mild-moderate stage 8.54 [2.82-15.63], control 6.71 [2.67-32]; p= 0.012). These findings support the existence of galectin-3, which is thought to have an important place in the pathogenesis of Schizophrenia Disease in the literature..
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