20 research outputs found

    Effect of Educational Intervention on Pediatric Diabetes self Care Practices

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    Abstract: 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

    Lead in paint-contaminated residential soils with varying physicochemical properties from three large US cities: assessment of geochemical forms and recommendations on amendments for immobilization

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    Lead in yard soils has been recognized as the principal source of excess lead absorption among young children. The hazard imposed by soil lead is dependent on the geochemical forms of lead in soils. Soil properties such as pH, soil organic matter, clay, and carbonate content influence the geochemical forms of lead in soil. This study was conducted to investigate the correlation between soil properties and the geochemical speciation of lead in lead paint-contaminated residential soils from three major US cities. A comprehensive field survey was conducted, involving the collection of soils from ten houses in each of the cities: Baltimore, San Antonio, and Detroit. The influence of soil properties on geochemical speciation was analyzed to identify effective immobilization amendments for each soil type. Results showed that soils collected from San Antonio were slightly alkaline, whereas those from Baltimore were slightly acidic. Soils collected from Detroit were neutral to mildly alkaline in pH. San Antonio soils had relatively high soil salinity, high clay content, moderate to high soil organic matter (SOM), and high total carbon (TC). In contrast, soils collected from Baltimore had lower salinity and clay content, low SOM, and total carbon. Soils from Detroit exhibited relatively high salinity, clay, SOM, and TC contents. The average total soil lead concentrations were as follows; San Antonio 4,073 mg/kg, Baltimore 2,706 mg/kg, and Detroit 850 mg/kg. Geochemical speciation studies revealed significant differences in lead distribution among the studied soils. San Antonio soils exhibited high carbonate-bound and organic matter-bound fractions, while Baltimore soils had elevated soluble + exchangeable fractions. Detroit soils showed substantial lead in organic matter-bound fractions. Correlation analysis showed that the soil properties influencing exchangeable lead, were pH, total Al, and total Ca for San Antonio soils; pH and total P for Baltimore soils; and SOM and total Al for Detroit soils. Correlation analysis showed that there is a significant negative correlation (p \u3c 0.05) between exchangeable lead and total Al (r = −0.653), and total Ca (r = −0.438) for San Antonio soils; pH (r = −0.286) and total p (r = −0.314) for Baltimore soils; and SOM (r = −0.628) and total Al (r = −0.408) for Detroit soils. Based on these results, the best potential immobilization amendments for each of these cities were predicted

    Per- and Polyfluoroalkyl Substances (PFAS) in Urban Stormwater Runoff: Insights from a Roadside Rain Garden

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    Urban stormwater runoff is increasingly recognized as a critical but underexplored pathway for per- and polyfluoroalkyl substances (PFAS) to enter aquatic environments. This work investigated the occurrence and behavior of 40 PFAS compounds in stormwater runoff entering a roadside rain garden in Secaucus, New Jersey, during six storm events between August 2023 and July 2024. Total PFAS concentrations (Σ40 PFAS) ranged from 1437 to 1615 ng/L, with perfluorobutane sulfonate (PFBS, 239–303 ng/L) and perfluorohexanoic acid (PFHxA, 115–137 ng/L) consistently emerging as dominant species. Perfluorocarboxylic acids (PFCAs) and perfluorosulfonic acids (PFSAs) together accounted for over 70% of the total PFAS mass. Despite its intended role in water quality improvement, the rain garden showed no measurable change in PFAS concentrations (differences of only 0.03–1.10%). These findings highlight the persistence and mobility of PFAS in urban stormwater runoff and the limited efficacy of conventional green infrastructure in mitigating PFAS contamination. Furthermore, they underscore the ineffectiveness of conventional green infrastructure for PFAS mitigation and the urgent need for advanced treatment technologies integrated into urban water management frameworks

    Comparative study between black blood T2∗ and conventional bright GRE sequences in assessment of myocardial iron concentration

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    Purpose: To compare the efficacy and reproducibility of black blood T2∗ to the conventional bright blood sequence in the assessment of myocardial iron concentration. Materials and methods: We performed both conventional bright blood and black blood MRI T2∗ sequences in 50 thalassemia major patients, the results were statistically analyzed to assess the correlation of techniques, study reproducibility and interobserver agreement. Results: Cardiac T2∗ values ranged from 2.39 to 47.9 ms using bright blood sequence and 2.07 to 46.81 using the black blood sequence. There was positive significant correlation of both sequences in all patients. However the black blood technique was superior to bright blood technique as regards the study reproducibility (R2∗1.9 ±  versus 2.4 ± 14.7 p < 0.001) in addition to the better inter-observer agreement of black blood technique compared to the bright blood technique (3.2 ± 1.2 versus 8.3 ± 2.4 p < 0.001). Conclusions: Black blood T2∗ technique provides clearly defined septal borders, avoids bright blood signal contamination of the myocardium, has superior study reproducibility and inter-observer agreement which favors this technique in the assessment of iron myocardial concentration

    Impact of soil particle size on lead distribution, geochemical speciation, and bioaccessibility in lead paint-contaminated residential soils

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    Deteriorating lead (Pb)-based paint is a major source of Pb contamination in urban areas. Lead contamination in homes poses significant health risks, especially to children. Children ingest Pb-contaminated soil through their hand-to-mouth activity. The Bioaccessibility Research Group of Europe (BARGE) recommends using the \u3c 250 μm soil fraction for oral bioaccessibility assessment, while the USEPA suggests the \u3c 150 μm fraction for Human Health Risk Assessment (HHRA). However, these practices may underestimate risk, as smaller soil particles are more likely to adhere to children’s hands and be ingested; moreover, real-world exposure often involves a mix of particle sizes. Research on Pb speciation and bioaccessibility across soil sizes in residential soils is crucial for accurate risk assessment. This study examined the total Pb, geochemical fractionation, and bioaccessibility of Pb in different size fractions in Pb paint-contaminated residential soils in Detroit, Michigan, to identify the optimal particle size for health risk assessments. Lead-contaminated soil was collected from 10 homes known to have Pb-based paint contamination and separated into 3 size fractions, i.e., \u3c 250 μm, \u3c 150 μm, and \u3c 63 μm. Total Pb concentrations in the soils ranged from approximately 36–650 mg/kg across the size fractions, with the highest concentrations observed in the \u3c 63 μm fraction. Each fraction was analyzed for total and bioaccessible Pb concentrations, and geochemical speciation of Pb was performed. Results showed that overall, the highest Pb fraction was organic matter-bound (47.5%). However, Pb was mainly in the exchangeable form in the \u3c 63 μm fraction (33.1%) and contained higher total and bioaccessible Pb (22%) compared to the \u3c 250 μm (13%) and \u3c 150 μm (17%) size fractions. The study suggests that including \u3c 63 μm fractions in risk assessment may improve health risk prediction; however, comprehensive assessments should consider contributions from multiple particle size fractions to better reflect real-world exposure

    Repurposing spent biomass of vetiver grass used for stormwater treatment to generate biochar and ethanol

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    Stormwater pollution is a key factor contributing to water quality degradation, posing substantial environmental and human health risks. Although stormwater retention ponds, also referred to as wet ponds, are commonly implemented to alleviate stormwater challenges by reducing peak flow and removing suspended solids, their effectiveness in removing heavy metals and nutrients is limited. This study evaluated the performance of floating treatment platforms (FTPs) featuring vetiver grass (Chrysopogon zizanioides), a non-invasive, nutrient- and metal-accumulating perennial grass, in removing heavy metals (Cu, Pb, and Zn) and nutrients (P and N) in stormwater retention ponds. Furthermore, the potential for utilizing the spent vetiver biomass for generating biochar and bioethanol was investigated. The study was conducted in a greenhouse setup under simulated wet and dry weather conditions using pond water collected from a retention pond in Stafford Township, New Jersey, USA. Two FTPs with vetiver (vegetated FTPs) were compared with two FTPs without vetiver (non-vegetated FTPs), which served as controls. Results showed that the removal of heavy metals and nutrients by the FTPs with vetiver was significantly higher (p \u3c 0.05) than the FTPs without vetiver. Notably, vetiver showed resilience to stormwater pollutants and hydroponic conditions, displaying no visible stress symptoms. The biochar and bioethanol generated from the spent vetiver exhibited desirable yield and quality, without raising concerns regarding pollutant leaching, indicated by very low TCLP and SPLP concentrations. This study provides compelling evidence that the implementation of vetiver-based FTPs offers a cost-effective and environment-friendly solution for mitigating stormwater pollution in retention ponds. Furthermore, the utilization of vetiver biomass for biofuel and biochar production supports clean production and fostering circular economy efforts
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