Background: ‘Waiting’ can be frustrating for anyone especially when it comes to healthcare. The Institute of Medicine advocates changes to improve the quality of the health care delivery system in the United States. Purpose: The purpose of this retrospective study was to determine the factors contributing to increased patient wait times in selected wound care patients. The question guiding this project is-in selected wound care patients who received treatment between September1-December 31, 2013; are factors contributing to prolonged wait times related to treatment-related diagnosis, providers, and clinicians? Method: After institutional review board approval, retrospective charts review was conducted. 300 charts were randomly selected from the electronic health record (EHR) database at a local hospital wound care clinic. 120 charts met the inclusive criteria and were analyzed using ANOVA and SPSS version 22. The Deming cycle for quality improvement was adopted as the framework for practice review and changes. Result: Among all the factors examined, Treatment diagnosis accounted for 4% of the variance (p = 0.416); Providers 1% (p = 0.208); and Clinicians 8% (p = 0.195). Though clinicians had the highest variance, it was not a significant factor for patient wait times. The Deming cycle helps to prioritize and improve communication by creating a chart for effective patient flow through the clinic to reduce wait time. Conclusion: Correcting and improving wait times has the potential for increasing timely access and patient satisfaction. Clinicians and providers are not significant factors contributing to wait times. Wait time should be given priority and be regularly reviewed as part of the quality improvement plan within any organization.
{"title":"Factors Contributing to Increased Patient Wait Times in Selected Wound Care Patients: A Retrospective Study","authors":"J. Ade-Oshifogun, J. Aina","doi":"10.20849/IJSN.V3I2.383","DOIUrl":"https://doi.org/10.20849/IJSN.V3I2.383","url":null,"abstract":"Background: ‘Waiting’ can be frustrating for anyone especially when it comes to healthcare. The Institute of Medicine advocates changes to improve the quality of the health care delivery system in the United States. Purpose: The purpose of this retrospective study was to determine the factors contributing to increased patient wait times in selected wound care patients. The question guiding this project is-in selected wound care patients who received treatment between September1-December 31, 2013; are factors contributing to prolonged wait times related to treatment-related diagnosis, providers, and clinicians? Method: After institutional review board approval, retrospective charts review was conducted. 300 charts were randomly selected from the electronic health record (EHR) database at a local hospital wound care clinic. 120 charts met the inclusive criteria and were analyzed using ANOVA and SPSS version 22. The Deming cycle for quality improvement was adopted as the framework for practice review and changes. Result: Among all the factors examined, Treatment diagnosis accounted for 4% of the variance (p = 0.416); Providers 1% (p = 0.208); and Clinicians 8% (p = 0.195). Though clinicians had the highest variance, it was not a significant factor for patient wait times. The Deming cycle helps to prioritize and improve communication by creating a chart for effective patient flow through the clinic to reduce wait time. Conclusion: Correcting and improving wait times has the potential for increasing timely access and patient satisfaction. Clinicians and providers are not significant factors contributing to wait times. Wait time should be given priority and be regularly reviewed as part of the quality improvement plan within any organization.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"1 1","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80192166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim of the study was to investigate the effect of an educational intervention on quality of life and sexual function in women with endometriosis. Design : Quasi experimental time series research design. Setting: obstetrics and gynecology outpatient clinic affiliated to Benha University Hospital and Benha teaching Hospital. Sample : A purposive sample of 138 women diagnosed with endometriosis was eligible in the study and assigned equally into study and control groups. Tools for data collection : A structured interviewing questionnaire, Endometriosis Health Profile Questionnaire-30 and Sexual Health Outcomes in Women Questionnaire. Results: There was no statistically significant difference between both groups regarding demographic and obstetrical characteristics (p ˃ 0.05). Before implementation of educational intervention, the mean scores of total EHP-30 and SHOW-Q showed impaired quality of life and sexual function in the both groups (p ˃ 0.05). After one and two months of educational intervention implementation, mean total score of EHP-30 was significantly lowered in the study group compared with the control group. The mean scores of satisfaction, orgasm, and desire subscales were significantly higher in study group compared with control group. Whereas, the mean score of the pelvic problem interference subscale was significantly lower in study group compared with control group (p ≤ 0.001). Conclusion: The educational intervention about endometriosis has significant effect on the improvement of women's quality of life and sexual function. Recommendation: Provide health educational program for women with endometriosis to improve quality of life as well as sexual function.
{"title":"Effect of an Educational Intervention on Quality of Life and Sexual Function in Women with Endometriosis","authors":"Hend Abdallah El Sayed, S. Aboud","doi":"10.20849/IJSN.V3I2.452","DOIUrl":"https://doi.org/10.20849/IJSN.V3I2.452","url":null,"abstract":"Aim of the study was to investigate the effect of an educational intervention on quality of life and sexual function in women with endometriosis. Design : Quasi experimental time series research design. Setting: obstetrics and gynecology outpatient clinic affiliated to Benha University Hospital and Benha teaching Hospital. Sample : A purposive sample of 138 women diagnosed with endometriosis was eligible in the study and assigned equally into study and control groups. Tools for data collection : A structured interviewing questionnaire, Endometriosis Health Profile Questionnaire-30 and Sexual Health Outcomes in Women Questionnaire. Results: There was no statistically significant difference between both groups regarding demographic and obstetrical characteristics (p ˃ 0.05). Before implementation of educational intervention, the mean scores of total EHP-30 and SHOW-Q showed impaired quality of life and sexual function in the both groups (p ˃ 0.05). After one and two months of educational intervention implementation, mean total score of EHP-30 was significantly lowered in the study group compared with the control group. The mean scores of satisfaction, orgasm, and desire subscales were significantly higher in study group compared with control group. Whereas, the mean score of the pelvic problem interference subscale was significantly lower in study group compared with control group (p ≤ 0.001). Conclusion: The educational intervention about endometriosis has significant effect on the improvement of women's quality of life and sexual function. Recommendation: Provide health educational program for women with endometriosis to improve quality of life as well as sexual function.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"1 1","pages":"127"},"PeriodicalIF":0.0,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83035612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Quality of family planning services is an ever-increasing worldwide issue which is basically deserted in the developing nations. Provision of high quality family planning services that satisfy clients’ needs can ensure continued services utilization and increase contraceptive prevalence rate, lowered fertility rate, and improved women and children’s health. Aim: this study intended to assess the quality of family planning services in maternal and child health care centers in Damanhour city. Design: this was a descriptive study that utilized Dounabedian model to assess quality of family planning services structure and process and clients’ satisfaction was used as an outcome indicator. Setting: the three available maternal and child health centers in Damanhour city. Participants: all health care providers and a convenience sample of 300 non pregnant women who utilized the family planning clinics at the selected maternal and child health centers. Tools of data collection: three tools were utilized; basic data structured interview schedule for clients and health care providers, structural quality is assessed through facility audit while the process of family planning services provision was measured by using an observational checklist. After the observation of the family planning care process, an exit interview was done with the clients to measure their satisfaction with the provided family planning services. Results: The study findings revealed that none of the studied family planning clinics had high total quality of care level (structure & process) where 66.7% of them had low level of the total quality of care. However, 74.3% of the studied family planning clients were moderately satisfied with the total quality of care level (structure & process) in the studied maternal and child health centers. Finally, a significant positive correlation was confirmed between the overall family planning clients’ satisfaction level and the total quality of family planning care level; total structure and total process quality of family planning services delivery. Conclusion and recommendations: it can be concluded that family planning services in maternal and child health centers at Damanhur had low total quality of care level with moderate clients’ satisfaction. This shed the light on the urgent need for numerous quality enhancement measures to promote all quality elements in the studied maternal and child health centers. In addition to, emphasizing clients' satisfaction as a high priority output of care.
{"title":"Quality of Family Planning Services in Maternal and Child Health Care Centers in Damanhour City","authors":"S. Sayed, W. Elgzar, Heba Abdel-Fatah Ibrahim","doi":"10.20849/ijsn.v3i2.393","DOIUrl":"https://doi.org/10.20849/ijsn.v3i2.393","url":null,"abstract":"Background: Quality of family planning services is an ever-increasing worldwide issue which is basically deserted in the developing nations. Provision of high quality family planning services that satisfy clients’ needs can ensure continued services utilization and increase contraceptive prevalence rate, lowered fertility rate, and improved women and children’s health. Aim: this study intended to assess the quality of family planning services in maternal and child health care centers in Damanhour city. Design: this was a descriptive study that utilized Dounabedian model to assess quality of family planning services structure and process and clients’ satisfaction was used as an outcome indicator. Setting: the three available maternal and child health centers in Damanhour city. Participants: all health care providers and a convenience sample of 300 non pregnant women who utilized the family planning clinics at the selected maternal and child health centers. Tools of data collection: three tools were utilized; basic data structured interview schedule for clients and health care providers, structural quality is assessed through facility audit while the process of family planning services provision was measured by using an observational checklist. After the observation of the family planning care process, an exit interview was done with the clients to measure their satisfaction with the provided family planning services. Results: The study findings revealed that none of the studied family planning clinics had high total quality of care level (structure & process) where 66.7% of them had low level of the total quality of care. However, 74.3% of the studied family planning clients were moderately satisfied with the total quality of care level (structure & process) in the studied maternal and child health centers. Finally, a significant positive correlation was confirmed between the overall family planning clients’ satisfaction level and the total quality of family planning care level; total structure and total process quality of family planning services delivery. Conclusion and recommendations: it can be concluded that family planning services in maternal and child health centers at Damanhur had low total quality of care level with moderate clients’ satisfaction. This shed the light on the urgent need for numerous quality enhancement measures to promote all quality elements in the studied maternal and child health centers. In addition to, emphasizing clients' satisfaction as a high priority output of care.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"7 1","pages":"88"},"PeriodicalIF":0.0,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81601035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Zika virus has potential to cause a pandemic so it becomes a major public health concern worldwide. Even if its effect on adults is commonly mild, Zika creates expressive risks for developing fetuses of infected women during pregnancy. The present study is quasi-experimental study aiming to examine the impact of Zika Virus Infection educational program for pregnant women on their knowledge, attitude and practice before and after applying for the program. Setting : The study was performed at antenatal clinics in maternal and child health care center at Benha city from the beginning of August 2015 until October2015. The study sample consisted of105 pregnant women simple randomly included in the study. The data was collected through a structured Interviewing questionnaire for the mother to assess the level of women's knowledge attitude and reported practice related to ZIK virus were assessed before and after the program. The results revealed that there was a significant improvement in the nurses' knowledge score about Meaning, causative agent, Vaccine, symptoms, complications, investigations, and management of Zika virus; moreover, there was an improvement in total reported practices about Zika tends to rise. Conclusion: There was an improvement in knowledge, attitude, and practice of the participant's post-program. Based on the results of the study recommended that: Health education to pregnant women about the Zika virus should be included in the antenatal health education program as well as the need for additional public health messaging to avoid it.
{"title":"Educational Programme for Pregnant Women About Zika Virus Infection in Benha City","authors":"Nehad Ahmed Ibrahim Zahra","doi":"10.20849/IJSN.V3I2.388","DOIUrl":"https://doi.org/10.20849/IJSN.V3I2.388","url":null,"abstract":"Background: Zika virus has potential to cause a pandemic so it becomes a major public health concern worldwide. Even if its effect on adults is commonly mild, Zika creates expressive risks for developing fetuses of infected women during pregnancy. The present study is quasi-experimental study aiming to examine the impact of Zika Virus Infection educational program for pregnant women on their knowledge, attitude and practice before and after applying for the program. Setting : The study was performed at antenatal clinics in maternal and child health care center at Benha city from the beginning of August 2015 until October2015. The study sample consisted of105 pregnant women simple randomly included in the study. The data was collected through a structured Interviewing questionnaire for the mother to assess the level of women's knowledge attitude and reported practice related to ZIK virus were assessed before and after the program. The results revealed that there was a significant improvement in the nurses' knowledge score about Meaning, causative agent, Vaccine, symptoms, complications, investigations, and management of Zika virus; moreover, there was an improvement in total reported practices about Zika tends to rise. Conclusion: There was an improvement in knowledge, attitude, and practice of the participant's post-program. Based on the results of the study recommended that: Health education to pregnant women about the Zika virus should be included in the antenatal health education program as well as the need for additional public health messaging to avoid it.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"5 1","pages":"65"},"PeriodicalIF":0.0,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86085347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: In nursing education, it is expected that students take theoretical and practical courses. Practical components are an integral part of learning in nurses’ training, which is effected through placement of students in different clinical settings. In Namibia, hospitals, clinics and health centres are popularly utilized as a clinical environment for placing nursing students at all levels of studies. However, little is known on how students experience the placement at the health centres. In 2016 Nursing students from a satellite campus were placed at a health centre. Methods: The study followed qualitative research principles, and it was explorative, descriptive and contextual in nature. Data were collected from reflections submitted by second year nursing students from a UNAM satellite campus upon completion of their two weeks placement at a health centre in 2016. Data were analyzed using content analysis as a data analysis strategy. Trustworthiness of this study was ensured by applying the criteria of Lincoln and Guba, namely: credibility, transferability, dependability, and confirmability of the study. Results: The five themes that emerged from the study are: ‘interpersonal factors’, ‘students’ reactions to the learning context’, ‘enablers of students’ learning at a rural health centre’, ‘challenges experienced by students’, and ‘recommendations made by students on learning in a rural health centre’. Conclusion: It is evident that good interpersonal interaction between nursing staff, students and patients appear to have a positive impact on learning. Students reflected on limited supply of equipment, and limited cases available as challenges experienced during their placement. Furthermore, students made suggestions to improve placements in a rural health centre.
{"title":"Second Year Nursing Students’ Experiences of Clinical Placement in a Rural Health Centre","authors":"V. Nuuyoma, D. Ashipala","doi":"10.20849/IJSN.V3I2.417","DOIUrl":"https://doi.org/10.20849/IJSN.V3I2.417","url":null,"abstract":"Introduction: In nursing education, it is expected that students take theoretical and practical courses. Practical components are an integral part of learning in nurses’ training, which is effected through placement of students in different clinical settings. In Namibia, hospitals, clinics and health centres are popularly utilized as a clinical environment for placing nursing students at all levels of studies. However, little is known on how students experience the placement at the health centres. In 2016 Nursing students from a satellite campus were placed at a health centre. Methods: The study followed qualitative research principles, and it was explorative, descriptive and contextual in nature. Data were collected from reflections submitted by second year nursing students from a UNAM satellite campus upon completion of their two weeks placement at a health centre in 2016. Data were analyzed using content analysis as a data analysis strategy. Trustworthiness of this study was ensured by applying the criteria of Lincoln and Guba, namely: credibility, transferability, dependability, and confirmability of the study. Results: The five themes that emerged from the study are: ‘interpersonal factors’, ‘students’ reactions to the learning context’, ‘enablers of students’ learning at a rural health centre’, ‘challenges experienced by students’, and ‘recommendations made by students on learning in a rural health centre’. Conclusion: It is evident that good interpersonal interaction between nursing staff, students and patients appear to have a positive impact on learning. Students reflected on limited supply of equipment, and limited cases available as challenges experienced during their placement. Furthermore, students made suggestions to improve placements in a rural health centre.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"69 1","pages":"107"},"PeriodicalIF":0.0,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82577737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The United States and countries around the world are often faced with a nursing shortage. Studies indicate the reasons for the shortages include low job satisfaction and other factors leading to decreased retention rates. Purpose: The purpose of this study was to determine if participating in a mentor program impacted the transition into practice and retention rates of new graduate nurses at a small community hospital in northern Indiana. Method: This was a retrospective, descriptive, quasi-experimental study. A total of 20 new graduate nurses were studied to determine whether participation in a mentoring program had any impact on their retention at the facility. The participants who completed the mentoring program were asked to complete a questionnaire which examined their perception of the correlation between their completion of the program and their transition into practice. Results: This study determined that participating in a mentor program impacted the transition into practice and retention rates of new graduate nurses at a small community hospital in northern Indiana. The questionnaire results indicated that participation in the mentoring program helped with the new graduate nurses’ transition into practice. This study was guided by Benner’s novice to expert theory.
{"title":"Efficacy of a Mentoring Program on Nurse Retention and Transition Into Practice","authors":"Jacquelyn D. Szalmasagi","doi":"10.20849/ijsn.v3i2.378","DOIUrl":"https://doi.org/10.20849/ijsn.v3i2.378","url":null,"abstract":"Background: The United States and countries around the world are often faced with a nursing shortage. Studies indicate the reasons for the shortages include low job satisfaction and other factors leading to decreased retention rates. Purpose: The purpose of this study was to determine if participating in a mentor program impacted the transition into practice and retention rates of new graduate nurses at a small community hospital in northern Indiana. Method: This was a retrospective, descriptive, quasi-experimental study. A total of 20 new graduate nurses were studied to determine whether participation in a mentoring program had any impact on their retention at the facility. The participants who completed the mentoring program were asked to complete a questionnaire which examined their perception of the correlation between their completion of the program and their transition into practice. Results: This study determined that participating in a mentor program impacted the transition into practice and retention rates of new graduate nurses at a small community hospital in northern Indiana. The questionnaire results indicated that participation in the mentoring program helped with the new graduate nurses’ transition into practice. This study was guided by Benner’s novice to expert theory.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"11 1","pages":"31"},"PeriodicalIF":0.0,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78672936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Locsin, Hirokazu Ito, T. Tanioka, Yuko Yasuhara, K. Osaka, S. Schoenhofer
The probability that humanoid nurse robots (HNRs) can be caring seems plausible. The question explored by this article is: what are humanoid nurse robots manifesting when they become more functionally advanced and human-like? Its discussion is grounded in several foundational philosophical and theoretical viewpoints such as Plato’s focus on “soul,” Rogers’ emphasis on human energy fields, Boykin and Schoenhofer’s assumption of persons as caring because of their humanness, and the prescriptive or predictive practice of nursing. Imploring logical explanations, the possibility of humanoid robots manifesting caring seems to become more likely. In future developments, to what end will HNRs be functional and able to manifest caring regardless of their human-likeness?
{"title":"Humanoid Nurse Robots as Caring Entities: A Revolutionary Probability?","authors":"R. Locsin, Hirokazu Ito, T. Tanioka, Yuko Yasuhara, K. Osaka, S. Schoenhofer","doi":"10.20849/ijsn.v3i2.456","DOIUrl":"https://doi.org/10.20849/ijsn.v3i2.456","url":null,"abstract":"The probability that humanoid nurse robots (HNRs) can be caring seems plausible. The question explored by this article is: what are humanoid nurse robots manifesting when they become more functionally advanced and human-like? Its discussion is grounded in several foundational philosophical and theoretical viewpoints such as Plato’s focus on “soul,” Rogers’ emphasis on human energy fields, Boykin and Schoenhofer’s assumption of persons as caring because of their humanness, and the prescriptive or predictive practice of nursing. Imploring logical explanations, the possibility of humanoid robots manifesting caring seems to become more likely. In future developments, to what end will HNRs be functional and able to manifest caring regardless of their human-likeness?","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"100 1","pages":"146"},"PeriodicalIF":0.0,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78596604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Enwerem, P. Okunji, Ntekim E. Oyonumo, A. Samson
Background: The leaf, fruit ,and bark of Momordica charantia (MC) (Common name. Bitter Melon). (Cucurbitaceae) has been used extensively in folk medicine as a remedy for diabetes. Biological and pharmacological activities attributed to different parts and extracts of these plants include anti-HIV, wound healing, anti-helmintic, anti-genotoxicity, larvicidal, antiviral, antimicrobial, anti-obesity, antifertility, anticancer, antidiabetes, antidiarrheal . In Nigeria, a decoction of the leaves or bark is used in folk medicine to manage diabetes. Pregnant and lactating women have been observed, consuming the extract of MC for its folkloric belief as an antidiabetic agent. But its potential for toxicity when administered during pregnancy, lactation and breast feeding has not been completely investigated. The present study was aimed to review the literature for evidence on the use, safety, efficacy and pharmacology of Momordica charantia during pregnancy and lactation. Methods: Seven electronic databases including the Napralert database were searched. Data were compiled based on the grade and evidence found. Results: There were no scientific evidence to support the use of Momordica charantia during pregnancy and lactation. However animal studies in both rodents and primates show that the plant extract, induce abortion. In males, seed extracts of M.charantia, showed indirect evidence of reduced availability of pituitary gonadotrophs necessary for spermatogenesis. Conclusion: Caution should be exercised with the use of Momordica charantia during pregnancy and lactation till human research is conducted to determine its safety. There is a need to be cautious when using preparations containing Momordica charantia . Implications for Nursing: Findings can be utilized by community health nurses and policy makers to advice on the use of Momordica charantia during pregnancy, lactation and in males in their reproductive life.
{"title":"Momordica Charantia (Bitter Melon): Safety and Efficacy During Pregnancy and Lactation","authors":"N. Enwerem, P. Okunji, Ntekim E. Oyonumo, A. Samson","doi":"10.20849/IJSN.V3I2.454","DOIUrl":"https://doi.org/10.20849/IJSN.V3I2.454","url":null,"abstract":"Background: The leaf, fruit ,and bark of Momordica charantia (MC) (Common name. Bitter Melon). (Cucurbitaceae) has been used extensively in folk medicine as a remedy for diabetes. Biological and pharmacological activities attributed to different parts and extracts of these plants include anti-HIV, wound healing, anti-helmintic, anti-genotoxicity, larvicidal, antiviral, antimicrobial, anti-obesity, antifertility, anticancer, antidiabetes, antidiarrheal . In Nigeria, a decoction of the leaves or bark is used in folk medicine to manage diabetes. Pregnant and lactating women have been observed, consuming the extract of MC for its folkloric belief as an antidiabetic agent. But its potential for toxicity when administered during pregnancy, lactation and breast feeding has not been completely investigated. The present study was aimed to review the literature for evidence on the use, safety, efficacy and pharmacology of Momordica charantia during pregnancy and lactation. Methods: Seven electronic databases including the Napralert database were searched. Data were compiled based on the grade and evidence found. Results: There were no scientific evidence to support the use of Momordica charantia during pregnancy and lactation. However animal studies in both rodents and primates show that the plant extract, induce abortion. In males, seed extracts of M.charantia, showed indirect evidence of reduced availability of pituitary gonadotrophs necessary for spermatogenesis. Conclusion: Caution should be exercised with the use of Momordica charantia during pregnancy and lactation till human research is conducted to determine its safety. There is a need to be cautious when using preparations containing Momordica charantia . Implications for Nursing: Findings can be utilized by community health nurses and policy makers to advice on the use of Momordica charantia during pregnancy, lactation and in males in their reproductive life.","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"31 1","pages":"140"},"PeriodicalIF":0.0,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88881673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Terrica Ramnauth, M. Benitez, Brandy Logan, S. Abraham, Deborah R. Gillum
Problem: A review of the literature indicated that human trafficking is a worldwide problem and not all nurses in the healthcare setting were adequately trained to identify and care for human trafficking victims. Purpose: The purpose of this study was to further explore nurses’ awareness regarding human trafficking. Method: This quantitative, cross-sectional, non-experimental study with a descriptive design, studied the issue by administering a survey to nurses actively working in the field. The theoretical framework of forced labor and Orem’s self-care deficit nursing theory were used to guide the study. The data were collected using SurveyMonkey®, an Internet-based confidential data-collection tool. The survey contained eight demographic questions and sixteen Likert-type statements. The researchers obtained personal email addresses and used Facebook contacts to send out the survey initially. In this study, a Snowball sampling was used to obtain nurse participants. Results: A total of 166 responses were received from nurses across the United States. The results confirmed that there is a lack of awareness among nurses about human trafficking. An increase in both training and education amongst nurses could increase the number of victims, which go unnoticed, being saved or provided with assistance. Nurses also must be more self-aware about the patients they are encountering and be more observant of signs that look suspicious. The most agreed upon statement by participants was that counseling should be available to people who are affected by human trafficking ( M = 3.75, SD = 0.48).
{"title":"Nurses’ Awareness Regarding Human Trafficking","authors":"Terrica Ramnauth, M. Benitez, Brandy Logan, S. Abraham, Deborah R. Gillum","doi":"10.20849/IJSN.V3I2.389","DOIUrl":"https://doi.org/10.20849/IJSN.V3I2.389","url":null,"abstract":"Problem: A review of the literature indicated that human trafficking is a worldwide problem and not all nurses in the healthcare setting were adequately trained to identify and care for human trafficking victims. Purpose: The purpose of this study was to further explore nurses’ awareness regarding human trafficking. Method: This quantitative, cross-sectional, non-experimental study with a descriptive design, studied the issue by administering a survey to nurses actively working in the field. The theoretical framework of forced labor and Orem’s self-care deficit nursing theory were used to guide the study. The data were collected using SurveyMonkey®, an Internet-based confidential data-collection tool. The survey contained eight demographic questions and sixteen Likert-type statements. The researchers obtained personal email addresses and used Facebook contacts to send out the survey initially. In this study, a Snowball sampling was used to obtain nurse participants. Results: A total of 166 responses were received from nurses across the United States. The results confirmed that there is a lack of awareness among nurses about human trafficking. An increase in both training and education amongst nurses could increase the number of victims, which go unnoticed, being saved or provided with assistance. Nurses also must be more self-aware about the patients they are encountering and be more observant of signs that look suspicious. The most agreed upon statement by participants was that counseling should be available to people who are affected by human trafficking ( M = 3.75, SD = 0.48).","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"17 1","pages":"76"},"PeriodicalIF":0.0,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88174117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Enwerem, Priscilla O. Okunji, J. Ngwa, S. Karavatas, T. Fungwe, T. Obisesan
Background: Parkinson's disease (PD) is the second most common neurodegenerative disease, after Alzheimer’s disease, affecting approximately one million persons aged 65 years and above in the United States. Parkinson's disease represents a major medical concern for health professionals, national healthcare bodies and a heavy burden for caregivers. Heart failure occurred twice as frequently in elderly PD patients as in non-PD patients. There is paucity of information on the association of patient and hospital characteristics on the outcomes of inpatient with both congestive heart failure and Parkinson disease. Congestive Heart Failure with PD as a comorbidity will increase the cost of care and health resources. We investigate on the current prevalence and factors that affect the inpatient with both CHF and PD conditions using a longitudinal datasets from National Inpatient Samples. The results obtained from this study will provide information that will reduce frequent readmission, length of stay, total charges and mortality rate in this population. Methods: Data from the National Inpatient Samples (NIS) were extracted and analyzed using ICD 9 codes (CHF 428, PD 332) for the main diagnosis. For continuous variables, we calculated the mean and standard deviations and evaluated significant differences of these factors by Parkinson disease status using the t-test. For categorical variables, we obtained the counts (proportions) and evaluated significant differences using the Chi-square and Fisher’s exact test Propensity score was utilized to match age, gender and race using logistic model for hospital death and generalized linear model for length of stay (LOS) and hospital charges. Result: The overall frequency of Parkinson disease (PD) in congestive heart failure was 1.54 % (n = 10,748). PD patients with CHF were more likely to be males (53.13 %; 5462) and Caucasians (82.24 %; n=8454). The average age of inpatient was approximately 80 years (SD=8.05). Hospital admission, decreases with median household income. Patients with low income ($1 - $38,999) were admitted more with 3002 (29.70%) than those with higher income ($63,000 and more) with 2230 (22.06%). Length of stay (LOS) (p 1.000). Similarly, hospital death rates (%) were not different (P>1.000), although hospital length of stay (P<1.000) and total charge incurred during hospitalization were less in patients with PD (p < 0.005)
{"title":"Prevalence of Parkinson Disease in Hospitalized Patients With Congestive Heart Failure","authors":"N. Enwerem, Priscilla O. Okunji, J. Ngwa, S. Karavatas, T. Fungwe, T. Obisesan","doi":"10.20849/ijsn.v3i2.371","DOIUrl":"https://doi.org/10.20849/ijsn.v3i2.371","url":null,"abstract":"Background: Parkinson's disease (PD) is the second most common neurodegenerative disease, after Alzheimer’s disease, affecting approximately one million persons aged 65 years and above in the United States. Parkinson's disease represents a major medical concern for health professionals, national healthcare bodies and a heavy burden for caregivers. Heart failure occurred twice as frequently in elderly PD patients as in non-PD patients. There is paucity of information on the association of patient and hospital characteristics on the outcomes of inpatient with both congestive heart failure and Parkinson disease. Congestive Heart Failure with PD as a comorbidity will increase the cost of care and health resources. We investigate on the current prevalence and factors that affect the inpatient with both CHF and PD conditions using a longitudinal datasets from National Inpatient Samples. The results obtained from this study will provide information that will reduce frequent readmission, length of stay, total charges and mortality rate in this population. Methods: Data from the National Inpatient Samples (NIS) were extracted and analyzed using ICD 9 codes (CHF 428, PD 332) for the main diagnosis. For continuous variables, we calculated the mean and standard deviations and evaluated significant differences of these factors by Parkinson disease status using the t-test. For categorical variables, we obtained the counts (proportions) and evaluated significant differences using the Chi-square and Fisher’s exact test Propensity score was utilized to match age, gender and race using logistic model for hospital death and generalized linear model for length of stay (LOS) and hospital charges. Result: The overall frequency of Parkinson disease (PD) in congestive heart failure was 1.54 % (n = 10,748). PD patients with CHF were more likely to be males (53.13 %; 5462) and Caucasians (82.24 %; n=8454). The average age of inpatient was approximately 80 years (SD=8.05). Hospital admission, decreases with median household income. Patients with low income ($1 - $38,999) were admitted more with 3002 (29.70%) than those with higher income ($63,000 and more) with 2230 (22.06%). Length of stay (LOS) (p 1.000). Similarly, hospital death rates (%) were not different (P>1.000), although hospital length of stay (P<1.000) and total charge incurred during hospitalization were less in patients with PD (p < 0.005)","PeriodicalId":39544,"journal":{"name":"International Journal of Security and Networks","volume":"116 1","pages":"23"},"PeriodicalIF":0.0,"publicationDate":"2018-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79213510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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