Outcomes of transobturator tape surgery with safyre T slings for female stress urinary incontinence after 96 months of follow-up

Authors conducted a clinical follow–up study of 153 patients diagnosed with SUI between January 2005 and December 2014.

Patients were provided with detailed a priori information pertaining to the TOT procedure and were invited to attend follow–up visits at 1, 3, 12, 24, 48, 72 and 96 months.

Follow–up visits included physical examination involving sling palpation, checking of the vaginal mucosa for erosion, cough test, as well as validated Urinary Distress Inventory–6 (UDI–6) and Incontinence Impact Questionnaire–7 (IIQ–7) questionnaires.

Website: http://www.arjonline.org/medicine-and-health-care/american-research-journal-of-gynecology/

Hemoperitoneum Caused by Spontaneous Uterine Varicose Vein Rupture in the Third Trimester of Pregnancy-A Case Report

Spontaneous rupture of uterine varicose veins is a rare and poorly understood complication during pregnancy. Its clinical presentation is misleading and non-specific. Due to the high maternal and fetal mortality, the diagnosis of a hemoperitoneum must be done quickly.

We report a case of spontaneous rupture of uterine varicose veins revealed by an abundant hemoperitoneum that occurred in a 35 year-old pregnant patient at 32 weeks of gestation. A laparotomy enabled the diagnosis and the treatment of this complication in addition to the extraction through a cesarean section of a healthy newborn.

Website: http://www.arjonline.org/medicine-and-health-care/american-research-journal-of-gynecology/

Retroperitoneal Endometriotic Cyst Mimicking a Tumor

Ectopic endometrial tissues are rarely observed on the serosal surfaces of bowel and laparotomy incisions, in the lungs, bones and in the urinary tract. Recto-sigmoid junction is the most common site of extra-genital endometriosis,with less frequent sites being the rectovaginal septum, small intestine, cecum and appendix. Endometriotic cyst in a retroperitoneal location mimicking a retroperitoneal tumor through the mesentery of sigmoid colon is an extremely

rare presentation. Only few cases of retroperitoneal presentation of endometriotic cyst have been reported in the English literature. Retroperitoneal endometriotic cyst may mimic a retroperitoneal tumor in view of the location.

Website: http://www.arjonline.org/medicine-and-health-care/american-research-journal-of-gynecology/

Cognitive Recovery and its Correlation with Functional Status One Year After Traumatic Brain Injury

To examine the impact of multi faceted rehabilitation services on functional outcomes after traumatic brain injury (TBI) for individuals with moderate and severe TBI. Design: Cohort, non-randomized, interventional study, pre-test, post-test design. Setting: Community integrated post acute rehabilitation centre. Main outcome measures: Galvenston Orientation and Amnesia Test (GOAT), Mini Mental Status Examination (MMSE), Functional Independence Measure (FIM), Glasgow outcome scale extended (GOSE). Results: Mean change in MMSE scores from admission to twelve months was 23.48 in moderate injury group and 21.26 in severe injury group. This change was significant in both the severity groups.  Mean change in GOAT scores from admission to twelve months was 74.85 in moderate injury group and 70.71 in the severe injury group which also was significant. Predictors such as Length of stay (LOS) in acute care (B=-0.913), GCS at the time of acute admission (B=0.402), FIM at the time of discharge (B=.241), injury severity (B=0.221) and LOS in rehabilitation (B=0.168) explained 85.7% of the variation in the value of FIM at 12 months after injury. Conclusion: Impairment of cognitive function and its socio-economic impact is vast such that it affects the socio economic status of a community and country as a whole. Cognitive rehabilitation remains central to the management of persons with TBI.

Website:  http://www.arjonline.org/medicine-and-health-care/american-research-journal-of-nursing/

The Effect of Healthy Nutritional Program on Cognitive and Physical Function Among Fast Food Addict Students

Fast foods are easy available and their delicious taste help students especially the teenagers, get hooked on to it. Fast foods are addictive, and are the silent killer. Aim of the study: Evaluating the effectiveness of healthy nutritional program on cognitive and physical function among fast food addict students. Setting: - Faculty of Nursing Minutia University. Design: - quiz experimental design (one group pre post test) was utilized. Sample: a purposeful sample of 183 first year female nursing students. Data were collected using structured interviewing questionnaire schedule, it consisted of two parts: Part one: socio demographic data as age, sex, marital status, and education. Part two: assessment of student's knowledge about balanced diet and their state of cognitive and physical function. The collected data were organized, tabulated and statistically analyzed using soft ware statistical computer package version 13. Descriptive statistic for quantitative data using mean and stander deviation while for qualitative data using frequency and percentage for comparison before and after the program using chi-square for qualitative data. Significance adopted at P<0.05 for interpretation of the results of tests of significance. Result: - there were statistical significant improvements of students' knowledge, level of performance, cognitive and physical function also student's perception about dangerous of fast food 3 months post program than pre program. Conclusion:-It is concluded that: the program about healthy nutrition had a positive effect on student's knowledge, cognitive and physical function. Recommendation: - based on this study it was recommended that: special attention should be given regarding teaching students family members about the importance of balanced diet and healthy food to minimize fast food addiction and improve students' cognitive and physical function.

Website:  http://www.arjonline.org/medicine-and-health-care/american-research-journal-of-nursing/

Improving the Quality of Nursing Care for Patients with Leukemia in Day Care Units through Nursing Education

Quality of nursing care is a vital element in the treatment of the patient with leukemia in day care units. The aim of study was to test the effect of nursing education for quality of nursing care for patients with leukemia in day care units. Design: A quasi-experimental design was used in this study. Setting: The study was conducted at Day Care Unit Clinic for patients with leukemia at University Hospital and the Clinic Oncology Department (Cobalt unit) .Sample: A sample of purposive of all nurses is (n=50 ) and 10% of  patients is (n=50) with leukemia were recruited for the study. Tools: Data was collected through: (1) An interviewing questionnaire to assess nurse's knowledge and patient's satisfaction regarding the quality of nursing care. (2) An observational checklist to assess day care units and nursing performance. Results: the majority of nurses had poor knowledge about leukemia. Besides, they don’t follow a standard of quality of nursing care related to the disease of leukemia. Furthermore, most of the facilities were unavailable in the day care units and about three quarters of patients were not satisfied with the quality of nursing care. The implementation of the nursing education program has improved nurse's knowledge, performance and patient's satisfaction with statistically significant differences (p=<0.001) . The study has concluded that the nursing education program has improved nurses’ knowledge and performance concerning the disease of leukemia, and patients were also satisfied with the quality of nursing care. Recommendations: Continuing educational program to keep nurses updated in their knowledge and performance regarding the quality of care, a simple Arabic illustrated booklet for discharge instructions should be available in hematology units as a reference for patients. And additional research is needed to assess the long–term effects of such educational program.

Website: http://www.arjonline.org/medicine-and-health-care/american-research-journal-of-nursing/

The Beliefs Scale for Mental Illness (BSMI)

BSMI used to assess beliefs about mental illness in Arabic cultureconsisted of 19 items and classified into 5 subscales. The first subscale was used to measure the nature of mental illness (9 items). The second subscale consisted of 8- items and used to measure causes of mental illness as perceived by the studied sample. The third subscale deals with methods of treatment of mental illness as perceived by the studied sample (2 items). Responses were measured on three points likert scale: 1) Disagree, 2) Agree, and 3) Unsure (23,24).

Website:  http://www.arjonline.org/medicine-and-health-care/american-research-journal-of-nursing/

The Attitudes Scale for Mental Illness (ASMI)

ASMI is a valid and reliable self-report scale that measures respondents’ attitude to mental illness. It was developed by Ng & Chan (19) and tested in several studies worldwide (14, 20; 21; 22). ASMI was revised to reflect the socio-cultural aspects of Saudi society. It uses 25 items divided into six broad conceptual sub-scales:

·         Separatism or attitude to discrimination which identified by items, that emphasize the uniqueness of people with mental illness and keeping them away at safe distance.

·         Stereotyping which includes items that define people with mental illness in a certain behavioral pattern and mental ability.

·         Benevolence which includes items related to kindness towards people with a mental illness.

·         Pessimistic prediction which composed of items identified as the view that people with mental illness are unlikely to improve and how society treats them is not optimistic.

·         Stigmatization which includes that people perceives mental illness as shameful and it should be hidden.

·         Restrictiveness which composed of items that hold an uncertain view on the rights of people with mental illness (19).

·         Respondents are given the choice of 5 Likert scale responses (strongly disagree = 1, disagree = 2, unsure = 3, agree = 4, strongly agree = 5) based on their feelings towards each of the 25 items.

Website: http://www.arjonline.org/medicine-and-health-care/american-research-journal-of-nursing/