Journal of Current Medical Research and Opinion

Measures of treatment success in schizophrenia, with a focus on brexpiprazole: a narrative review

2024-04-17T18:23:23+00:00

Antipsychotic treatment for patients with schizophrenia is effective, but unmet needs remain. Main areas in which needs are present and treatment success can be measured are efficacy, tolerability, adherence, response, remission, life engagement, and recovery. Brexpiprazole is an atypical antipsychotic, which acts as a partial agonist on dopamine D2 receptors.

This narrative review will discuss brexpiprazole in the light of measures of treatment success. Specifically, available data on efficacy, tolerability, adherence, and response are explored. Recovery is currently not very well defined and seems hard to achieve for patients with schizophrenia with current treatments. Functional outcomes and life engagement are essential on the way to recovery. Life engagement is discussed in more detail, with an outlook of how this measure may make recovery a more concrete, tenable, and measurable process, potentially employed as an outcome in clinical trials and in clinical care.

The Impact of Exacerbations COPD on Respiratory Function and Quality of Life

2024-04-23T02:15:10+00:00

Introduction

Exacerbations of COPD are serious complications occurring at all stages of disease severity. according to COPD severity

Patients and methods

This is a prospective and observational study of a cohort of COPD patients confirmed by spirometry according to GOLD recommendations, in whom the frequency of exacerbations and its impact on respiratory function and quality of life during a period of 3 consecutive years

Results

Our study population is composed mainly of men, one hundred and thirty-two against three women with an average age of 61 years. These are 05% stage I COPD, 63.7% stage II, 27.4% stage III and 03% very severe stage. The average frequency of exacerbations in our COPD patients is 2.41 exacerbations per year and it is closely correlated with the stages of severity of the disease ( p : < 0.05). The mean annual decline in FEV1 in frequent exacerbators is 44.41 mL vs 34.22 mL in subjects with rare exacerbations (T: 2.61, p : 0.008). The quality of life attributed by the CAT questionnaire shows a higher score in subjects with frequent exacerbationscompared to those with little known exacerbations with a significant difference ( p : 0.000).

Conclusion

Exacerbations weigh heavily on the course of the disease: they accelerate the decline in lung function and contribute to the deterioration of quality of life. It is necessary to reduce the frequency and severity of these episodes by smoking cessation and influenza and pneumococcal vaccine therapy.

Health Status among End Stage Kidney Disease on Hemodialysis and non-Hemodialysis Patients in Kirkuk city: Comparative Study

2024-04-28T20:17:58+00:00

Abstract

Background

Hemodialysis is a treatment for end-stage renal disease (ESRD) in which a machine filters waste and excess fluids from the blood for patients whose kidneys can no longer perform this function on their own. The health status of a hemodialysis patient can vary depending on several factors, including the underlying cause of their kidney disease, their overall health and medical history, the effectiveness of their dialysis treatments, and their adherence to their treatment plan..This study aims to compare the health status among end stage kidney disease on hemodialysis and non-hemodialysis patients at Kirkuk city .

Methodology : a cross –sectional study design was used in their study to assessment health status among end stage kidney disease on hemodialysis and non-hemodialysis patients in Kirkuk city: comparative study during the period from 10/10/2023 to22/2/2024. Instrument of the study were consists of from three main domain includes demographic data, medical data and health status domine and four sub domain which includes (independency, daily physical activity, psychosocial, and life adaptation, health status measurement were by mean of score , if mean of score less than 1.8 refers to low significant while between 1.8 to 2.39 refers to moderate significant and between 2.4 to 3 high significant. Prior to actual collection of data, a formal administrative approval was obtained from the scientific committee at college of nursing and Kirkuk Directorate of Health to conduct the study .The data were prepared, organized and entered into the computer file; Statistical Package for Social Science (SPSS) (23 version) At (P. value equal or less than 0.05), was employed for data analysis. The descriptive data analysis (frequencies, percentages, and inferential by use Anova and T, test.

Results: 1. The results shows the male more than female and constitute 60 (60.0%), and 67 (67.0%) in the hemo and non-hemodialysis patients respectively, and most of "Age Groups", between (50-59) years and constitute 35.0% in the dialysis patients while non hemodialysis patients between (50-59) years and represent32.0% .

Conclusions: The findings are based on the results of data analysis. the conclusions are health status of patients with hemodialysis and non-dialysis patients different according to independency, daily physical activities, psycho- social aspects, and adaptation of life. Mean score for hemodialysis patients were high and moderate in most items while low in most of items of non- hemodialysis patients ,Health status of hemodialysis patients were poor in compare with non- hemodialysis were good health status , also the result appear significant effect for socio-demographic characteristics of hemodialysis patients such as age, gender , marital status and occupation while non- significant for non -hemodialysis patients

Assessment of Diabetic Self-Management among Patients with Diabetic Type II

2024-04-30T23:23:32+00:00

Abstract.

Background: Diabetes mellitus (DM) is a chronic progressive metabolic disorder characterized by hyperglycemia mainly due to absolute (Type 1 DM) or relative (Type 2 DM) deficiency of insulin hormone. The study objective to assess the daily living activities don by patient to management diabetic include diet, exercise, blood-glucose testing.

Methodology: A descriptive study design was used to adopted current study. The study extended from (10/11/2023) to (15/4/2024). Non-probability sampling method purposive sample was used to select (190) male and female patients with diabetic type II from Al Wafaa specialized health center. Data were collected through face-to-face interview by questionnaire was developed based on the previous study related to the research problem. A deceptive analyses method was used to find the study results through SPSS program version 26.

Results: the study revealed that the diabetic self-management regarding all aspect were accepted includes, glucose monitoring (54.21%), and regarding diet (70%), (81.05%) regarding Medication adherence, (44.73%) about Physical activity, and (52.10%) about physician visit.

Conclusions: the researchers concluded that the majority of participants demonstrate acceptable levels of self-management across various aspects. These findings highlight the need for tailored interventions to enhance self-management practices among individuals with diabetes, particularly in areas such as physical activity promotion and regular physician follow-ups.

Preparatory Students' Knowledge Regarding Drug abuse in Mosul City

2024-05-02T09:56:43+00:00

Background and objective: The utilization of illicit substances by adolescents places a significant strain on individuals, families, and communities. Furthermore, there exists a correlation between drug consumption and other forms of violence, such as adolescent homicides and victimization within relationships. Hence, the primary objective of this study is to assess the level of students' understanding pertaining to Drug Abuse in Mosul City.

Method: From October 16, 2023, until December 11, 2023, a descriptive study was undertaken at a Governmental Preparatory School for males located in Mosul City. A method known as purposeful sampling was utilized in the study to select a sample of 60 students who had been accepted at a Preparatory school for boys. A questionnaire comprising two sections was employed, encompassing demographic data and students' understanding of drug abuse (comprising five sections).

Results: The findings related to students' comprehension of drug abuse revealed that 73.3% (22) of the participants had a poor level of knowledge in relation to drug abuse. There was a lack of statistically significant associations observed between knowledge outcomes and demographic factors, including age and parental educational attainment.

Conclusion: The typical conclusion drawn by the researcher is that students studying at the preparatory school in Mosul city lack sufficient and comprehensive understanding pertaining to drug abuse. Insufficient evidence exists to establish a significant association between students' knowledge and demographic variables.

A Myeloproliferative Syndrome Revealed by An Eosinophilic Lung

2024-04-04T03:47:09+00:00

Hypereosinophilic syndrome (HES) is defined by eosinophilia greater than 1.5 G/L persisting for more than six months and associated with specific visceral damage (cardiac, neurological, pulmonary, etc.), after elimination of the “classic” causes of hypereosinophilia. .

We report the case of a 25-year-old man who presented to the emergency room for acute-onset febrile dyspnea, transferred to the pulmonology department for suspected Covid, an FNS performed as part of a routine check-up. reveals a leukocytosis of more than 65 G/L including 80% eosinophils, an etiological search launched, first eliminated the secondary causes and firstly the allergies, led to a cytogenetic analysis which came back positive in favor of an eosinophilic myeloproliferative syndrome with the demonstration of a FLIPI-PDGFRA transcript, he benefited from targeted therapy with a total regression of the symptoms followed by recurrent cytogenetics.

Adolescents’ Attitudes Towards Viral Hepatitis Transmission at Secondary Schools

2024-05-10T12:12:32+00:00

Objective(s): The study's objective is to assess the students' attitudes regarding the prevention of viral hepatitis transmission.

Methodology: A descriptive quantitative study was used to assess adolescents’ attitudes towards viral hepatitis transmission at Al Diwaniyah secondary schools. The period of the study started from (24^th December 2023 to 20^th May 2024). The study has been carried out on adolescents in secondary schools at AL-Diwaniyah center, in 8 schools, The study applied a non-probability (purposive) sample of 400 students were selected randomly to conduct the study.

Results: The results showed that less than two third of students are in the age between 14 and 16 and female equal male in the study sample. In addition, this study showed that more than half of students had poor attitudes related to prevention of viral hepatitis transmission.

Conclusion: The current study showed significant correlation between students’ attitudes towards prevention of viral hepatitis transmission and age, father's educational level, and housing data at P < 0.05.

Recommendation:

Promoting the role of school health in educating students about viral hepatitis.
Encouraging health education initiatives aimed at families and students that emphasize transmission methods, prevention, and consequences.
3. Increased collaboration between the Ministry of Education, the Ministry of Health, and parents, with a focus on immunization and vaccination programs to prevent viral hepatitis.

Comparing Different Training Methods in Cardiopulmonary Resuscitation CPR: A Narrative Review

2024-05-08T18:06:06+00:00

Background: Cardiac arrest is one of the major health issues around the world. It’s important to train professional and non-professional individuals in cardiopulmonary resuscitation (CPR). Traditional methods of teaching CPR are not effective, as skill retention does not last for a long time, which may translate to a poor outcome with CPR. A variety of ways have been adopted to provide optimal, effective, and attractive CPR teaching.

Objectives: study aims to review studies that compare the effectiveness of different CPR training methods.

Methods: The authors carried out searches on the available databases, such as Google Scholar, Research Gate, Semantic Scholar, Elsiver, and PubMed, and included studies published between the periods 2018 and 2023. The targeted sample of the chosen study was staff of different health fields and students from any category of health-related colleges and institutions. the study should also include a comparison between two or more CPR training methods, 30 studies were included after screening 600 studies, and the data was extracted, categorized, and summarized depending on the PICO model. (P) For population, (I) for Intervention, (C) for Comparison, (O) for Outcome

Results: Thirty studies met the inclusion criteria; all studies included comparisons of two or three CPR training methods that tested the effect of such methods on CPR quality, skills, knowledge, performance, and awareness.

Conclusion: This review highlights the fact that adopting new methods in teaching CPR is more effective than the old traditional approaches in terms of knowledge, skills, and performance. This review outlines a step for further research on adopting a standardized CPR training method.

Knowledge and Attitude of University Students Regarding Rhinoplasty

2024-04-30T23:33:43+00:00

Abstract:

Background: The most common kind of plastic surgery is called rhinoplasty, which essentially reshapes the nose to improve facial beauty or to restore function after a physical defect, such as a tumor, infection, burn, developmental abnormality, birth disorder, trauma, or self-choice.

Objective:To assess the Knowledge and attitude of university students regarding Rhinoplasty.

Methods: a descriptive cross-sectional study carried out at the University of Mosul in the Nineveh Governorate between January 1, 2024, and January 3, 2024. Chance A multi-stage sample was chosen for this investigation. 100 students make up the sample of students at Mosul University. They were split up into four colleges: science, medicine, engineering, and hospitality. A specific consent form was used to obtain the subject's consent to participate in the study.

Results: The results of this study indicate that the majority of the sample, which consisted of 100 nursing students, was between the ages of 18 and 20 (65%). The male sample was larger than the female sample by 66%, and 79% of the sample lived in an urban area. Additionally, a high percentage of the sample—81%) was single.

Conclusion: The study came to the conclusion that one of its shortcomings is that it only included nursing students from one university and a relatively small sample size, which limits how broadly the research's conclusions can be applied. A larger sample size, however, might yield better results in the future. The findings also show that nursing students in Mosul City, Iraq, have little awareness of the negative effects of older adults.

Assessment of Sleep Habits among Nursing Students in Mosul City/Iraq

2024-04-30T23:40:02+00:00

Background: University students report significantly worse sleep quality than the general population. Sleep problems are related to increased health concerns, irritability, depression, fatigue, attention and concentration difficulties, along with poor academic performance. The study objectives to assess sleeping habit among nursing students.

Methodology: A cross-sectional study design was used to adopted current study. The study extended from (10/11/2023) to (15/4/2024). Convenience sample method was used to select (359) male and female students from all study stages morning and evening studies at college of nursing, university of Mosul. A questionnaire was developed based on the previous study related to the research problem. The data were collected through internet by google form designed by researchers. Descriptive statistics was used to achieved the study objectives by using SPSS version 26.

Results: the study found the majority of the study sample goes to bed after midnight on weekdays. Specifically: 30.9% of students (111) reported going to bed between 12:00 and 12:59 AM, and the majority of the study sample evaluated their sleep quality positively, with 38.7% rating it as "Good" and 35.7% as "Satisfactory".

Conclusion: the majority of the sample perceives their sleep quality positively, with "Good" and "Satisfactory" ratings being most common.

Nursing Students’ Attitudes about Organ Donation in University of Mosul/Iraq

2024-04-30T23:43:51+00:00

Background:

Organ donation is the contribution of a human organ or tissue from an alive or dead person to a living recipient that needs transplantation. The study aims to assess the nursing students’ attitudes about organ donation in.

Methodology: Descriptive study design was used to adopted current study. The study extended from (1/11/2023) to (15/4/2024). Simple random sampling method was used to select (291) male and female nursing students from all stages in morning and evening studies. A questionnaire was developed based on the previous study related to the research problem. The instrument consists of two parts: part one includes the demographic variables, The second part of the questionnaire consists of 18 items to assess the students attitudes about organ donation. A Likert 4 was used to answer the questions it consists of: (4) items to assess nursing students’ attitudes about organ donation. The collected data was arranged analyzed and presented in tables by using frequency and percentage, mean, mean of score, and standard deviation by using SPSS version 26.

Results: The study results indicated that the most of the study participants have a natural attitude regarding organ donation (205), (70.45%). While followed by those whose have good attitude (71), (24.39), and finally, (15), (5.16) of them have a negative attitude regarding organ donation.

Conclusions: The study concluded that most students had neutral attitudes about organ donation While approximately a quarter of the sample had good attitudes about organ donation.

Apply Health Beliefs Model Towards of Substance Abuse

2024-05-04T07:28:06+00:00

Background: Substance use disorders (SUD) are significant health concern worldwide. Substance use is inveterate trouble which is associated with significant morbidity and mortality. These troubles also account for important health care employment and medical costs. However, the Substance use problems are associated with capitalize health retro gradation, weakness and death due to impacts and exceed. There is growing concern about the effects of conflict and wars on substance use in Iraq.

Methods: True experimental design, using a randomized controlled trial approach, is carried throughout the current study to determine the efficacy of health beliefs model-based intervention in changing the belief related to substance use among university students in Mosul City for period from 26-November 2019 to 1-March 2021.

Results: Findings of this study depict that there were statistically significant differences among all concepts of the Health Belief Model related to substance use, add to behavioral motivation, behavioral control and intension over time. On the contrary, the perceived barrier was the only belief that showed no significant changes over time.

Conclusion: This study concluded that designing an HBM-based study could affect students' understanding and their behaviors in the field of substance abuse. Considering the positive correlation between construct of HBM, particularly in "perceived benefits and perceived severity " related to students’ beliefs. These beliefs implied a significant correlation with each other and with the attention to the prevention of addiction.

Assessment of Nursing Students’ Attitudes Toward Obese Individuals

2024-05-04T07:42:20+00:00

Background: Obesity, known as one of the most important health problems in the worldwide, is a disease that must be threated. Psychologically, obesity may lead to stigmatization and result with negative stereotyping, judgments, bullying, low self-esteem, self-under treatment, depression, and social isolation. Objectives of the study to identify the attitudes of nursing students about obese individuals.

Material and method: Descriptive study design was used to adopted current study. The study extended from (15-12-2021) to (15-5-2022). The sample of the study consists of (129) students from second, third, and fourth stages at college of nursing in university of Mosul. Data were collected from participants using an online survey and questionnaires took approximately 10 min to complete.

Results: the study found that there are (51.16%) of the nursing students are positive attitudes about obese individual while, (48.84%) of the negative attitudes, And there a highly significant between nursing attitudes and some demographic data such as socioeconomic status, stage, and BMI.

Conclusion and recommendations: the researchers concluded that more than half of the students, with a slight percentage, had positive attitudes towards obese people. And there a highly significant between nursing attitudes and their some demographic data such as socioeconomic status, stage, and BMI. The researchers recommend not to show negative feelings and behaviors towards obese people, but to encourage and support them to control weight to get rid of health problems resulting from obesity.

Prevalence of COVID-19 among Students in Mosul University

2024-05-04T07:52:01+00:00

Background and objectives: Since December 2019, an outbreak of pneumonia associated with a new coronavirus (i.e., SARS-CoV-2; COVID-19) has been reported in several parts of the world, and its rapid and exponential diffusion forced The World Health Organization to declare it a pandemic. Objectives of this study to estimate the prevalence of COVID-19 among undergraduate student in university of Mosul. Identify some characteristics of the disease such as symptoms duration, signs and symptoms and complications of COVID-19.

Material and methods: Descriptive study, a retrospective study design was adopted from 2019 to 2021 to achieve the objectives of the current study. The sample of the study consists of (1554), (461) male and (1092) female from different colleges in university of Mosul. the data collected via the Internet, quarantine is a condition caused by a virus Corona pandemic, and the participation was voluntary after the participants were informed that all the data, they share will be confidential and for scientific research purposes only. A questionnaire was developed based on the previous study related to the research problem. The collected data was arranged analyzed and presented in tables by using frequency and percentage by using SPSS version 26.

Results: The results of the present study showed that More than half of the students were infected with COVID-19 (54.30%), and (9.28%) were infected again. The most of student were infected suffer from symptoms of COVID-19, fever (94.56%) and headache (91.27%). Most of the complications that students experienced after infection with COVID-19 are Fatigue and loss of energy (80.31%).

Conclusion and recommendations: the researchers concluded that the spread of Covid-19 disease among students of the University of Mosul is very high More than half of the students at the University of Mosul have contracted COVID-19, and more than 9.28% of them are infected again. The researchers recommended that the students with symptoms, even if they are mild, most be isolated at least 7 days and should be tested. Encouraging students to take COVID-19 vaccines to prevent its spread.

Risk Factors of Malnutrition of Early Childhood in Mosul City

2024-05-10T13:06:50+00:00

Background:

Manutrition occurs when a human gets too few or too many nutrients, re ulting in health problems. Specifically, it is "a deficiency, excess, or imbalance of energy, protein and other nutrients”, malnutrition in resource-limited settings is primary malnutrition that results from inadequate food supply caused by socioeconomic, political, and environmental factors. However, secondary malnutrition due to chronic diseases can also exist concurrently in these.

Aim of this study is to investigate the risk factors associated with malnutrition in children under the age of 3 years.

Subject and method the study started from 2 February 2023 to 71 April 2023. Surveys were conducted among the population of Nineveh governorate over a period of 10 days, using Google forms that were published and distributed using social media, a forms were distributed among mothers of children in Mosul city As well as we distributed the forms to the mothers of the children’s in hospitals under 3 years old in AL Salam teaching hospital - Mosul general hospital - Qayyarah hospital - Ibn sena hospital After the surveys were conducted we management to collect a total of (90) sample and there is 30 cases and 60 controls.

Results Relationship between malnutrition and residence and p value was 0.749 is (not significant). Relationship between malnutrition and the economic and social condition of the family p value: 0.635 (not significant). Relationship between malnutrition and the smoking of the parent p value: 0.284 (not significant). Relationship between malnutrition and the level of mother learning p value: 0.812 (not significant). Relationship between malnutrition and the age of marriage for the mother p value: 0.004 (highly significant). Relationship between malnutrition and the number of mother’s child’s p value:0.435 (not significant). Relationship between malnutrition and the period between one pregnancy and another p value: 0.569 (not significant). Relationship between malnutrition and the sex of child p value: 0.546 (not significant). Relationship between malnutrition and bottle-feeding p value: 0.609 (not significant). Relationship between malnutrition and mixed feeding p value: 0.815 (not significant).

Conclusion Our findings revealed did not establish a significant association between malnutrition and various factors, including the resident, economic and social condition of the family, smoking of the parents, level of mother learning, number of mother’s child’s > 4, the period between one pregnancy and another, type of feeding. It is expected that the reason is the small sample of the group that was collected and also may vary across different cultures due to various factors such as cultural norms, dietary habits, and access to healthcare. while relationship between malnutrition and the age of marriage for the mother is highly significant (p: 0.004) this may be attributed to the mother’s marriage at a young age, with a weak body structure that cannot bear carrying a healthy fetus, with the mother’s lack of experience in dealing with her child and taking adequate care of him.

Assessment of Activity of Daily Livings among Patients with Heart Failure at Ibn Sina Teaching Hospital in Mosul City

2024-05-10T13:14:17+00:00

Background: Chronic disease such as heart failure can contribute to functional disability, which can degrade quality of life by decrease in the ADLs performance.

Objectives of the study: To assess the activity of daily living among patients with heart failure in Ibn Sina teaching hospital in Mosul city as well as to find out the associated between heart failure and activity of daily living.

Methodology: A descriptive quantitative study was conducted in critical care unit in Ibn Sina teaching hospital University From December 2020 to 2021. A non - probability sample of 30 patients was selected.

Results: The data were collected using a questionnaire consisting of two parts, a section that included demographic characteristics and contains (7) paragraphs and a section that include activity of daily livening(Barthel index) which include (Bowels, Bladder, Grooming, Toilet use, Feeding, Transfer , Mobility, Dressing, Stairs and Bathing).

Conclusion: The study concluded that, a great number of sample were male and, the most effected group are older adult and most of them were married .and we also found that difficulty with ADLs was common in patients with HF, progressed over time in many individuals, and was a powerful marker of adverse prognosis. These findings provide new insight into the burden of functional disability in patients with HF.

Effect of Sleep Deprivation among Night-Shift Nurses on Patient Safety

2024-05-10T13:42:10+00:00

Background: Maintaining optimal physical and mental health requires getting enough sleep. Negative effects from sleep loss may occur in healthcare workers, who frequently experience sleep problems. The current study aims to analyze the effect of sleep deprivation among night shift nurses on patient safety.

Methods: The study has a descriptive cross-sectional design that included a sample of 102 nurses. A self-report questionnaire was used to gather data between January 10 and February 10, 2024. The first section of the questionnaire collected data on demographic information such as age, sex, education level, ward, and tenure. The second section focused on 12 multiple-choice items to gauge sleep deprivation. The third section evaluated patient safety during adverse events.

Results: based on results of the simple linear regression, the quality of sleep among nurses has no effect on the frequency of negative events among patients.at p≤0.05.

Conclusion: The study found that the majority of nurses had moderate sleep quality. Also, the results show no significant effect of sleep deprivation among night shift nurses on patient safety.

Benefits and Challenges of Healthy Dieting among Nursing Students

2024-05-15T05:36:31+00:00

Background: Hypertension of Employees. Healthy eating is a powerful tool to prevent the development of chronic diseases such as obesity, diabetes, hypertension, cardiovascular disease, and cancer.The objective of the study to assess the perceived barriers and benefits of healthy dieting among nursing students in university of Mosul.

Methodos: A descriptive study design was used to adopted current study. The study extended from (15-12-2022) to (15-4-2023). The probability sampling method simple random was used to select (288) male and female. The data were collected by developed questionnaire based on the previous study the collected data was arranged analyzed and presented in descriptive statistics by using SPSS version 26.

Results: The study found that there are significant barriers towards healthy dieting among students with a mean (3.1462) and a standard deviation (0.611). The perceived benefits were (4.110) with a standard deviation of (0.569) towards healthy dieting.

Conclusion: The researchers concluded that there are significant personal, social, and organizational barriers to adherence to a healthy diet to maintain a healthy state.

Apply Pender’s Health Promotion Towards Hypertension of Employees in Mosul City/Iraq

2024-05-15T05:40:54+00:00

Background: Hypertension (HTN), described as greater than 140mmHg systolic blood pressure (SBP) or larger than 90mmHg diastolic blood pressure (DBP), is a serious public health problem across the world.

Methods: True experimental design by using the randomized controlled trial approach is conducted to determine the efficacy of pander's health promotion-based model on intervention for enhancing eating behaviors university of Mosul hypertension employees for period from 26-November 2022 to 1-March 2023.

Results: Findings of this study depict that there were statistically significant differences among all composed of the Pender's Health Promotion Model on Intervention for Enhancing Eating Behaviors Hypertensive Employees. On the contrary, the perceived barrier was the only belief that showed no significant during three time (pre_test, post_test1, post_test2).

Conclusion: This study concluded that Health intervention through the health promotion of pander model demonstrates the importance of hypertension prevention and has a positive impact on employees' perceptions of perceived , perceived benefits, perceived self_efficacy, social support and activity related effect of unhealthy hypertension advised employees to using their eating behavior through a healthy diet, physical activity and other healthy behaviors to hypertension control to prevent different health hazards

Nurses Knowledge and Practice about adverse Effects Following Immunization at Primary Health Care Centers in Mosul City

2024-05-15T06:02:16+00:00

Background: Immunization of infants and young children against serious infectious diseases is the most successful and cost-effective intervention in preventative health care. However, vaccination occasionally leads to undesirable effects including adverse reactions that are referred to as adverse events following immunization. Objectives of the study to assess the nurse’s knowledge about adverse event following immunization and to assess nurses’ practice regarding adverse event following immunization.

Material and methods: Descriptive study was used to adopted current study. The study extended from (1-2-2021) to (1-7-2021). The sample of the study consists of (39), (20) male and (19) female from different primary health care centers at left side in Mosul City. A questionnaire was developed based on the previous study related to the research problem. Data were analyzed by using SPSS version 26.

Results: the main results of the present study showed that the majority of nurse’s knowledge about adverse effects following immunization were good (30.24), and the practice slightly less than acceptance (23.69).

Conclusion: The researcher concluded that the nurse’s knowledge about adverse effects following immunization were good, but nurses’ practice was slightly less than acceptance.

Intra-Alveolar Hemorrhage Revealing Systemic Lupus Erythematosus

2024-04-29T10:18:54+00:00

Lupus erythematosus is an autoimmune disease characterized by the production of antinuclear antibodies. It can be accompanied by pleuropulmonary manifestations , notably intra-alveolar hemorrhage, which is life-threatening.

We report the observation of a young patient, 24 years old , with no previous history, active smoker at 5P/A who presents with acute respiratory distress associated with hemoptysis with bilateral ground glass opacities. The clinical examination is unremarkable. The assessment inflammatory laboratory is positive, the blood count shows anemia and thrombocytopenia. .An infectious origin is ruled out by bascilloscopies and in particular PCR. The immunological assessment came back positive in favor of SLE. The diagnosis of IAH was retained. Treatment was initiated with boluses of corticosteroids and immunosuppressants.

Conclusion

IAH is a serious and fatal complication rarely complicating SLE. It constitutes a therapeutic emergency leading to acute respiratory failure and death.

Unveiling Haloperidol's Impact: A Case Report on Induced Parkinsonism and Extrapyramidal Symptoms

2024-05-04T06:50:38+00:00

Strong antipsychotic haloperidol is effective in treating delusions and hallucinations, but because of its strong antipsychotic properties, there is an increased extrapyramidal risk symptoms (EPS). We present the EPS case of a 39-year-old male who developed a delusional illness four weeks after injectable haloperidol treatment. Inj. promethazine (phenergan) 25 mg over a week was used to treat symptoms such as diminished movement and muscle stiffness. Frequent medical examinations are essential to halting the course of adverse events and improving both the financial and medical results. Accurate diagnosis, medication cessation, risk factor reduction, and supportive care are all part of primary management. Taking into account the EPS propensity of first-generation antipsychotics, some patient characteristics may indicate that second-generation medicines are better. The goal of this strategy is to minimize the EPS burden while optimizing efficacy.