18 research outputs found
Effect of Educational Intervention on Pediatric Diabetes self Care Practices
No full textAbstract: Background: Diabetes mellitus is among the most common chronic illnesses in childhood, it is a chronic metabolic condition affecting the child’s physical and physiological growth and development. Aim of the study: Study the effect of educational intervention on pediatric diabetes self care practices. Research design: A quasi experimental design (one group pre/post test) was used in the study. Settings: The present study was carried out at pediatric outpatient unit affiliated to Suez Canal University Hospitals and Health Insurance Hospital at Ismailia city. Sample: A non probability purposive sample (30) of diabetic children at the previously mentioned settings. Tools for data collection: The data were collected using two tools namely structured interview questionnaire and observational checklists to assess diabetes self care practices. Results: There was statistically significant difference in the total mean scores of satisfactory knowledge and self care practice pre/immediate post educational intervention. The total satisfactory knowledge was 100% immediate post educational intervention compared with 6.7% pre intervention. The total satisfactory level of self care practice was 100% immediate post educational intervention compared with 63.3% pre educational intervention. Conclusion: The educational intervention had a positive effect on children's diabetes self care practices. Recommendations: Periodic educational interventions are required to achieve positive change on diabetic children's self care practices.
Keywords: Diabetic children, educational intervention, Knowledge, Nursing, Practice.
Title: Effect of Educational Intervention on Pediatric Diabetes self Care Practices
Author: Hadeer Hussien Soliman, Wafaa El- Sayed Ouda, Manal Farouk Mohamed, Rehab Hassan Kafl
International Journal of Novel Research in Healthcare and Nursing
ISSN 2394-7330
Vol. 9, Issue 3, September 2022 - December 2022
Page No: 55-64
Novelty Journals
Website: www.noveltyjournals.com
Published Date: 27-September-2022
DOI: https://doi.org/10.5281/zenodo.7115915
Paper Download Link (Source)
https://www.noveltyjournals.com/upload/paper/Effect%20of%20Educational%20Intervention-27092022-1.pdfInternational Journal of Novel Research in Healthcare and Nursing, ISSN 2394-7330, Novelty Journals, Website: www.noveltyjournals.co
Pharmacological Studies on Tildipirosin in Calves
No full textBovine respiratory disease (BRD) is the primary health problem in the beef cattle industry worldwide. Tildipirosin was injected as a metaphylaxis to healthy animals and also as a therapeutic to the clinically diseased animal at a dose of 4 mg/kg B.W. TD is effective in reducing the mortality rate and increasing the recovery rate from P. multocida infection which induces damage to the bronchioles and alveoli with fibrinopurulent bronchopneumonia represented by dilated bronchiole with caseated material in its lumen associated with severe leukocytic cells infiltration in the wall, multifocal areas of necrosis organized exudate infiltrated with many neutrophils in alveoli. PCR is considered the test of choice in the diagnosis of Pasteurella as it can identify organisms at any level regardless of tiny quantities of bacteria’s genome, consequently, the sensitivity and specificity of the test increased. Tildipirosin injection caused no significant changes in RBC count after treatment for the treated healthy and treated diseased group compared with the control group. Tildipirosin showed no significant changes in hemoglobin content and HCT of the treated healthy group but a significant decrease in TD treated diseased group was revealed post-treatment compared to the control group. Single subcutaneous injection of Tildipirosin causes an important decrease in MCV, and MCH levels in TD treated diseased group and decreasing in the MCHC of TD treated healthy group at day 7 compared to the control group. Tildipirosin causes no significant changes in Malondialdehyde (MDA) levels in TD-treated healthy while it increased in the TD-treated diseased group at all days after treatment compared to the control group. No significant changes occur in the superoxide dismutase (SOD) level of TD treated healthy group and TD treated diseased group compared to the control group. In conclusion, p. multocida is one of the most prevalent causes of BRD in Egypt, and tildipirosin was highly effective as a prophylactic and metaphylactic treatment against BRD cases caused by p. multocida, and it has a potentially anti-inflammatory effect.
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Phylogenetic relationships among Egyptian species of Anthemideae (Asteraceae) using ITS markers
No full textCarnitine deficiency in epileptic children treated with a diversity of anti-epileptic regimens
No full textAbstract Background Carnitine deficiency is relatively common in epileptic patients. The risk factors reported include the combination of valproic acid with other antiepileptic drugs (AEDs), young age, multiple neurologic disabilities, non-ambulatory status, and being underweight. Objectives To study the level of carnitine deficiency and its associated risk factors among a group of children with idiopathic epilepsy treated with different AEDs. Patients and methods Fifty children with idiopathic epilepsy and 40 age-matched controls were enrolled. For all, serum carnitine level was measured by enzyme-linked immune sorbent assay (ELISA). Results The mean carnitine level was lower in cases compared to controls (p = 0.04). Patients receiving monotherapy treatment had a high percentage of carnitine deficiency compared to controls (p = 0.04). Patients receiving valproate with other AEDs had a lower level of carnitine compared to controls (p = 0.03). The age of the patients, the duration of treatment, and the doses of different AEDs were not risk factors for carnitine deficiency. Conclusions Carnitine deficiency is common in our population, and the use of valproate with other AEDs is considered the most important risk factor for it in epileptic children
BONE MINERAL DENSITY AND VITAMIN D RECEPTOR GENETIC VARIANTS IN EGYPTIAN CHILDREN WITH BETA THALASSEMIA ON VITAMIN D SUPPLEMENTATION
No full textBackground: Low bone mineral density (BMD) is a characteristic feature of Beta thalassemia major (βTM) patients. Vitamin D is important for bone mineralization. Vitamin D receptors (VDR) genetic variants may be related to vitamin D status and BMD.
Objectives: To evaluate the effect of VDR genetic variants on vitamin D levels and BMD in βTM Egyptian patients supplemented with vitamin D.
Methods: This study was conducted on forty children with βTM and forty unrelated healthy sex and age-matched controls. Serum calcium, phosphorus, ALP, ferritin and vitamin D were measured. VDR genetic variants (BsmI, TaqI, and FokI) were genotyped by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP). BMD was measured by dual-energy X-ray densitometry (DEXA) of the lumbar spine.
Results: In βTM patients, 22.5% had deficient, 50% had insufficient and only 27.5% had sufficient levels of vitamin D. BMD Z score was significantly lower in βTM patients compared to controls (p<0.001). Osteopenia and osteoporosis of lumbar spines were observed in 70% and 22.5% of βTM patients respectively. BsmI bb and FokI Ff and ff genotypic variants were significantly associated with lower vitamin D and BMD Z score. No association was observed with TaqI genotypic variants.
Conclusions: We reported a high prevalence of low BMD in βTM despite vitamin D supplementation. The BsmI bb, FokI Ff and ff genotypic variants of VDR can be considered as risk factors for the occurrence of osteoporosis in these children. Vitamin D doses should be adjusted individually according to the genetic makeup of each patient
Inter-observer agreement of the Coronary Artery Disease Reporting and Data System (CAD-RADS^{TM}) in patients with stable chest pain
No full textPurpose: To assess inter-observer variability of the Coronary Artery Disease - Reporting and Data System (CAD-RADS) for classifying the degree of coronary artery stenosis in patients with stable chest pain. Material and methods: A prospective study was conducted upon 96 patients with coronary artery disease, who underwent coronary computed tomography angiography (CTA). The images were classified using the CAD-RAD system according to the degree of stenosis, the presence of a modifier: graft (G), stent (S), vulnerable plaque (V), or non-diagnostic (n) and the associated coronary anomalies, and non-coronary cardiac and extra-cardiac findings. Image analysis was performed by two reviewers. Inter-observer agreement was assessed. Results: There was excellent inter-observer agreement for CAD-RADS (k = 0.862), at 88.5%. There was excellent agreement for CAD-RADS 0 (k = 1.0), CAD-RADS 1 (k = 0.92), CAD-RADS 3 (k = 0.808), CAD-RADS 4 (k = 0.826), and CAD-RADS 5 (k = 0.833) and good agreement for CAD-RADS 2 (k = 0.76). There was excellent agreement for modifier G (k = 1.0) and modifier S (k = 1.0), good agreement for modifier N (k = 0.79), and moderate agreement for modifier V (k = 0.59). There was excellent agreement for associated coronary artery anomalies (k = 0.845), non-coronary cardiac findings (k = 0.857), and extra-cardiac findings (k = 0.81). Conclusions: There is inter-observer agreement of CAD-RADS in categorising the degree of coronary arteries stenosis, and the modifier of the system and associated cardiac and extra-cardiac findings
Impact of essential oil and probiotics supplementation on growth performance, serum biomarkers, antioxidants status, bioenergetics and histomorphometry of intestine of Nile tilapia fingerlings challenged with Aeromonas veronii
No full textAbstract Background Probiotics and essential oils feed supplements are widely used in the aquaculture sector. This study was conducted to evaluate the effects of dietary supplementation with probiotics, essential oils and their combination on growth performance, serum biochemical parameters, antioxidant capacity, resistance against Aeromonas veronii, and intestinal histomorphology of Nile tilapia (Oreochromis niloticus). A total of 360 O. niloticus fingerlings were randomly assigned to four groups (3 replicates/ group; each replicate contains 30 fish) based on the different dietary treatments. The first group was fed a basal control diet (G1), the second group was fed a basal diet supplemented with 0.015% probiotic (Klu-zetar®) (G2), the third group was fed a basal diet with 0.015% essential oil (ACTIVO®) (G3), and the fourth group was fed a basal diet mixed with 0.015% Klu-zetar® and 0.015% ACTIVO®, (G4) for 6 weeks. At the end of the trial fish were intraperitoneally injected with pathogenic bacteria Aeromonas veronii and the fish mortality rate was recorded for 7 days post infection. Results The results revealed that using probiotics and or essential oils in Nile tilapia diets improved growth performance, reduced oxidative stress, enhanced immunity, maintained intestinal integrity, and enhanced resistance to pathogenic infection (P ≤ 0.05). Conclusions It is concluded that the use of probiotics and/ or essential oils enhance the overall outcomes of Nile tilapia, so it is highly recommended to be used in aquaculture management
Parameter extraction of PV models under varying meteorological conditions using a modified electric eel foraging optimization algorithm
No full textAbstract The dependence on photovoltaic (PV) solar systems has increased dramatically to cover the increasing progress of world energy demand. Therefore, accurately specifying the parameters of PV modules is essential for evaluating the behavior and impact of integrating PV systems into electrical systems. In this context, a modified electric eel foraging optimization (MEEFO) is suggested for determining the parameters of solar PV modules. The proposed technique incorporates three improvement strategies: the fitness distance balance (FDB) strategy, fractional-order calculus (FOC), and quasiopposition-based learning (QOBL). These strategies enhance both exploitation and exploration capabilities while helping to prevent local optimization and premature convergence commonly observed in traditional EEFO. First, the proposed MEEFO is evaluated via two benchmark functions, including the basic and CEC 2019 benchmark functions. The results are then compared with those of other novel methods in terms of accuracy, convergence characteristics, and overall performance. The suggested MMEFO is then employed to identify the parameters for the single, double, and triple diode models of various PV cells/modules, including R.T.C. France, PVM752, STM6-40/36, PWP-201, and STP6-120/36. In addition, various meteorological data, such as changes in radiation and temperature, exist. The simulation findings demonstrate that MEEFO outperforms other techniques and is a reliable and superior method for accurately estimating PV module parameters. The application of MEEFO yields the lowest root mean square error (RMSE) values for the considered single, double, and triple diode models of R.T.C. France. Similarly, for STP6-120/36, the RMSE values are 1.660060E−02, 1.66006E−02, and 1.66089E−02, respectively. Additionally, for PWP-20, the RMSE values are 2.425075E−03, 2.42511E−03, and 2.42510E−03, respectively
Physical model tests of the notional permeability on breakwaters
No full textBreakwaters are important objects to protect coastal- and harbour areas. To minimalize the probability of failure of breakwaters, a lot of research has been conducted concerning the stability of breakwaters. After Iribarren and Hudson, an influential research is conducted by Van der Meer. The literature research of this report will provide more background information concerning their researches on the stability of breakwaters. Van der Meer tested three sorts of breakwater constructions. The first breakwater structure contained a homogeneous construction (P=0.6) The second and third structure consisted of respectively a construction with impermeable core (P=0.1) and a structure with a filter layer and a permeable core (P=0.5). These variants of breakwaters were constructed with different slopes angles to require as much information possible concerning the stability of breakwaters. Van der Meer discovered two formulas for the stability of breakwaters. The first formula is used for plunging waves while the second formula is used for surging waves.Within these formulas, important factors as damage, wave height and notional permeability are included. The most important parameter of the formulas of Van der Meer is the notional permeability factor P. Van der Meer conducted his research on three different constructions and has designed a fourth construction based on the stability curves. This fourth construction has a value of permeability of 0.4. This value is estimated based on curve fitting. Following the research done by Van der Meer, Kik has subsequently researched the notional permeability of three breakwater constructions. Firstly, Kik repeated the test with a construction of impermeable core (model 1/P=0.08) and the test with the construction of filter layer and permeable core (model 2/ P=0.05) of Van der Meer. Lastly, Kik did a third test existing of a variant of the design of the fourth construction of Van der Meer (model 3 / P=0.35). Concluding from his research, Kik stated that the ‘Root mean square equation’ is a reliable method to determine the notional permeability P. During this research the influence of the thickness of the filter layer on the notional permeability P is studied. This research will also try to answer the question whether other relevant aspects might influence the notional permeability as well. The elaboration of this research is performed in a practical way in a wave flume in the water laboratory of the faculty of civil engineering of the TU Delft. Scale models of the breakwaters were constructed to test the notional permeability of the breakwaters. In the water laboratory three models were tested. Firstly, model 3 of Kik is repeated as model 3A, with a calculated value of notional permeability P 0.38. The construction of model 3A is build with a top layer, filter layer 1, filter layer 2 and a impermeable core. Second, another variant of model 3 of Kik is designed and tested (model 4). However, the measured damage figures were too low and therefore they could not be used to calculate a value for the notional permeability P. The construction of model four is build with a top layer, filter layer 1, filter layer 2 which is thicker as model 3A and an impermeable core. Finally, model 5 is tested with a calculated value of notional permeability of P 0.45. This model is designed from the fourth construction of Van der Meer. The construction of model 5 is build with a top layer, filter layer 1 and a permeable core with the same material of filter layer 2 of model 3A and model 4. The results of this research show that the influences of the notional permeability P exists of the ratio of the armour layer thickness and the thickness of the second filter layer. If the layer thicknesses are equal the value for notional permeability P is 0.38, which follows from model 3A. If the second layer has an infinite thickness (permeable core), the value for notional permeability P is 0.45, which follows from model 5. The value of the notional permeability P of model 5 corresponds to the design calculations of the computer model HADEER. Van der Meer discovered using this computer model that the ratio of dn50a/ dn50f = 5 has a value on the notional permeability P of 0.43 –0.44. During this research, while using two different methods, a value of the notional permeability P of 0.45 was calculated.coastal engineeringHydraulic EngineeringCivil Engineering and Geoscience
