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Dealing with Lupus (SLE) and nursing intervention plan: An updated review
Get PDFBackground: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by periodic flare-ups and remissions, causing multi-organ damage. It is marked by the production of autoantibodies that lead to inflammation and tissue injury. While advances have been made in understanding SLE's pathogenesis, treatments continue to rely on broad immunosuppressive therapies, with more targeted therapies emerging as promising options. This review explores the mechanisms behind SLE and evaluates current and future therapeutic strategies. Aim: This review aims to provide an updated overview of the pathogenesis of SLE, recent advances in diagnostic approaches, and the development of targeted treatments, focusing on the potential for personalized therapy. Methods: The review synthesizes recent literature on SLE epidemiology, pathogenesis, diagnostic criteria, and therapeutic advancements. It explores the roles of adaptive and innate immunity, mitochondrial dysfunction, apoptosis, and interferon involvement in disease progression. Results: SLE's pathogenesis involves dysregulated immune responses, with significant contributions from B and T lymphocytes, type-I interferon (IFN) production, neutrophil dysfunction, and mitochondrial abnormalities. Advances in diagnostic tools, including anti-dsDNA and anti-ENA antibodies, have improved disease identification
The role of electronic medical records (EMRs) and health informatic technician in enhancing interdisciplinary collaboration
Get PDFBackground: Electronic Medical Records (EMRs) play a pivotal role in enhancing interdisciplinary collaboration in Emergency Medicine Informatics (EMI). Utilizing advanced technologies such as EHRs, CDSS, telemedicine, data analytics, interoperability, and patient monitoring systems, EMI aims to improve clinical outcomes and streamline workflows in emergency departments. Methods: This study explores the impact of EMRs on interdisciplinary collaboration by analyzing the implementation of EHRs, CDSS, telemedicine, data analytics, interoperability, and patient monitoring systems in emergency medicine settings. Through a review of existing literature and case studies, the effectiveness of these technologies in enhancing patient care and clinical decision-making is evaluated. Results: The integration of EMRs has significantly transformed emergency care by improving the accuracy of patient records, reducing medication errors, and enhancing the quality of diagnoses and treatments. CDSS aids in minimizing diagnostic errors and improving adherence to clinical guidelines, while telemedicine enables rapid access to specialist care, particularly in remote areas. Data analytics and predictive modeling enhance resource allocation and operational efficiency in emergency departments. Interoperability ensures seamless data exchange, leading to more informed clinical decisions and coordinated patient care. 
Assessment study of how much Egyptian patients are satisfied following total knee arthroplasty
Get PDFBackground: Advanced stages of Knee OA can be incapacitating as a result of reduced functional range of motion and pain. Joint replacement may be needed for end-stage arthritis. Among the patient-reported outcome measures is patient satisfaction. Objectives: To study patients’ satisfaction one year later of total knee arthroplasty using different outcome measures and scoring systems. Patients & Methods: This was a prospective cohort study that was performed at Menoufia University Hospitals on 132 patients who received primary TKR. All participants were subjected to complete personal and medical history, and general examination including BMI and vital signs (heart, respiratory rate, and blood pressure). Preoperative investigations include CBC, serum creatinine, RBS, Liver function tests), Electrocardiogram, imaging studies such as (knee X-ray, CT, MRI, and bone densitometry). Surgical steps for TKR, postoperative care (hydration, analgesia). Knee joint physiotherapy until discharge. Study tools: Knee Society score, Western Ontario and McMaster Universities Osteoarthritis Index score. Patient satisfaction (The patient is asked if he would recommend total knee replacement for his relatives or not. Visual Analogue Scale). Results: The average age of the study group was 58.47±8.037 years, BMI 28.79±1.364 with 78.7%were females. 72.9% of the study group were satisfied with TKR. 
Transformational leadership and the medication-error management climate
Get PDFBackground: Transformational leadership is a prominent leadership style renowned for its potential to yield positive outcomes in various sectors, including healthcare, education, and academia. It has been associated with fostering staff well-being, motivation, professionalism, and retention, while simultaneously shaping organizational culture and employee behavior. Aim: The aim of this study is to examine the relationship between transformational leadership styles and the medication-error management environment in Saudi hospitals. Method: A systematic review and analysis of five studies were conducted, all of which received a "Good" quality rating. These studies collectively investigated the relationship between transformational leadership and a range of important outcomes. Wu et al. (2020) highlighted the positive impact of transformational leadership on enhancing healthcare staff well-being. Novita et al. (2022) revealed the mediating role of work motivation in the connection between transformational leadership and teacher professionalism. Abu-Rumman (2021) underscored the significant influence of transformational leadership on human capital development in academia. Reinhardt et al. (2022) demonstrated the efficacy of transformational leadership in retaining nursing staff. Kao et al. (2023) unveiled the intricate connections between leadership, organizational climate, and employee behavior. 
The cultural awareness of the Algerian family and its educational role in rationalising the concept of social stigma among its children-AIDS modelled an analytical study by presenting some studies
Get PDFAIDS patients know a kind of rejection, discrimination and avoidance by their surroundings and this in different cultures across the world, and on the first institution in society, the family, and its awareness in assuming cultural responsibility in rationalising this concept for its family members and protecting them from social stigma through this research paper. We try to answer the question. Do AIDS patients really suffer from social stigma? And this is after clarifying. Who is the Algerian family? 2- What is the concept of consciousness? 3- The beginnings of the theory of social stigmatisation. 4- Social stigmatisation patterns. 5- Social stigmatisation of AIDS patients. 6- Studies that have been subjected to social stigmatisation in AIDS patients
Respiratory disorders among petrol stations workers in Al-Bahah, Kingdom of Saudi Arabi
Get PDFBackground: Long-term exposure to the compounds in petrol leads to deterioration of respiratory health for those exposed, even for seconds. The aim of this study to assess the impact of gases exhumed in a petrol station on the respiratory systems of petrol station workers through measuring the effect of petrol gases on the pulmonary functions and links to common respiratory symptoms. Methods: Comparative cross-sectional was formed by 208 workers were divided into two equal groups according to their exposure to petroleum vapors, case group represented the fuel workers who worked outdoor and control group represented the fuel workers who worked indoor without exposure to petroleum vapors. Using semi structured survey including questions related to individual demographic variables, work characters, workload, variables related to health surveillance of workers as use of personal protective equipment (PPE). Results: The results showed no statistically significant difference regarding demographic character between two group. We detected statistically significant difference between PSW group with control group regarding clinical symptoms as cough, tiredness, fatigue and breathing difficulties. Finally, according to spirometer results we found decline in the respiratory function tests as (FVC, FEV1, PEF, FEV1/FVC, FEF25,50,75) among PSW group with statistically significant difference with control group
Manifestations of poverty and health conditions of residents of the urban fringe a field study in the chaotic neighborhood of Borj Al-Senussi and the tin housing at the foot of the Red Mountain 'Amqran' Boukhnfous, In the city of Laghouat, Algeria
Get PDFThrough this study, we aim to identify the manifestations of poverty for the inhabitants of the urban margins, who live in a deteriorating housing and urban condition, and in order to come up with realistic results, we used the descriptive approach, and we used scientific observation and interview to collect information from the field from a sample of heads of households, settled in the chaotic neighborhood of Borj Al-Senussi and the tin housing scattered at the foot of the Red Mountain "Amqran" in the Boukhanfoss area in the city of Laghouat, and after presenting and analyzing the data, we concluded that these neighborhoods and their residents live in a privileged state of poverty, and this is evident through the fragile nature of the tin housing, suffering from difficult social and economic conditions that led them to spatially isolated from urban and social field
Viruses, resilience, and their health implications: Some reflections
Get PDFHumanity is living a stage where different types of viruses have appeared, implying many problems at a social level, which is called upon to adapt to these adversities, so as not to have more relevant conditions than those that occurred with the appearance of COVID-19. The objective is Know the implications of these for human health and how to be resilient to them. The bibliographic review and the inductive-deductive method were used. The result was that humanity must reflect on joint actions to address the viral threat and draw up policies that help adapt to the change caused by them
Characterization of skin tumors in an Egyptian large tertiary center: A cross-section study
Get PDFSkin tumors are a global health problem caused by UV exposure with ethnic and geographical distribution. This research summarized Egyptian skin tumor features. A cross-sectional study was conducted in the Al-Hussein Teaching Hospital, Al-Azhar University, Cairo, Egypt. Patients’ data were collected from the hospital-recorded registry from January 2010 to December 2020. Results: The age group, 19-59y, showed the highest prevalence, 57% (n=940), of skin tumors. The total number of skin tumor patients was 1649 (males 52.9% (n=872), females 47.1% (n=777). For benign skin tumors, the male-to-female ratio was 1: 0.96, and for malignant skin tumors, the male-to-female ratio was 1: 1.47. The frequency of skin tumors at the sun-exposed site (out of the total n= 1770) was 39.4% (n= 697) and the face showed the highest frequency 25.8% (n=457). The frequency of skin tumors at the non-sun-exposed sites was 60.6% (n=1073) of the total skin tumor number. Basal cell carcinoma (BCC) showed a frequency of 90.1% of cases affecting sun-exposed sites. Therefore, skin tumors have unique characteristics in Egypt, with malignant skin tumors being rare showing more predilection in males. Further studies are needed to emphasize the national characteristics of skin tumors in Egypt
The correlation between clinical and epidemiological characteristics of adolescents with idiopathic scoliosis and their quality of life: A pilot cross-sectional study
Get PDFIntroduction:Bracing and physiotherapy in Adolescent idiopathic scoliosis, are closely linked to heightened levels of psychological distress.Objective:The objective of this study is to investigate the relationship between the clinical and epidemiological characteristics of AIS patients and their quality of life.Subjects and Methods: This study encompassed 60 patients aged 13.85 ± 1.87 years,exhibiting mild to severe AIS. All subjects adhered to a Schroth exercise program for a minimum of three months, with 26 of them additionally undergoing conservative treatment with braces. Each participant completed the ISYQOL questionnaire and an individual form detailing clinical and epidemiological characteristics. Results:A notable correlation was observed concerning the use of braces.Patients utilizing a brace demonstrated higher ISYQOL scores,indicating a lower HRQoL,compared to those exclusively following Schroth exercise programs. HRQoL exhibited positive correlations with the age at diagnosis,height,age at menstruation onset, and duration of Schroth exercise treatment. HRQoL displayed negative correlations with age,weight,duration of brace treatment, maximum angle trunk rotation , and maximum Cobb angle. The study indicated that lumbar curves were associated with a higher QoL.Conclusions:The use of a brace was found to have a negative impact on HRQoL.