Umbilical cord infections donate to the increased morbidity and mortality in neonates of developing countries, where neonates are exposed to unhygienic practices. The aim of the study was to monitor the effect of topical application of breast milk compared to distilled water and alcohol on separation time of umbilical cord stump among neonates.Methods: This research was a randomized clinical trial done on 90 mature neonates that were placed randomly in the three groups of study. The umbilical cord separation time was compared in the three groups.Results: Mean time of cord separation in human milk application group (6.72±1.66) was significantly shorter than distilled water and alcohol groups. Moreover, the bleeding continuation after separation (day) was significantly shorter (p<0.001) among breast milk group than distilled water group and majority of neonates among the 3 groups didn't have any signs of umbilical cord infection. Conclusion:Topical application of human milk on the remaining part of the cord reduces the cord separation time and it can be used as an easy and cheap way for cord care.
Background: Gram-negative organisms harbouring carbapenem resistance genes (CRGs) are spreading globally, including in Gulf Cooperation Council (GCC) countries. However, relatively few data are available about carriage of CRGs in hospitalized patients in this region. Aim: To determine prevalence of CRG carriage and risk factors for colonization among patients in GCC hospitals. Methods: Rectal swabs were obtained from w50 intensive care unit (ICU) patients from each of 11 hospitals in five GCC countries between March and November 2019. The swabs were tested for the presence of bla KPC , bla NDM , bla VIM , bla IMP , and bla OXA-48 CRG using a commercial polymerase chain reaction test. Data on risk factors for colonization were collected and analysed. Findings: Of 529 specimens screened, 138 (26.1%) were positive for one or more CRGs. The positivity rates among the hospitals ranged from 8.0% to 67.3%; w20% of the positive specimens harboured 2 CRGs. The most common CRG detected was bla OXA-48 , which was present in 82 specimens (15.5%). Additional CRGs included bla NDM , bla VIM , bla KPC , and bla IMP either alone or in combination. Overall, 31.1% of patients on antibiotics on admission to the ICU were positive for CRGs compared to 16.5% not on antibiotic therapy (P <
Pregnancy and labor are exceptional occasions in women’s lives. Post-delivery is a very decisive period for compassionate woman who had under gone episiotomy which is a throbbing and disquiet procedure during this time. So, the aim of this study was to appraise the effect of infrared lamp therapy on episiotomy wound restorative besides pain relief among post-partum women. Post-partum women who apply infrared lamp therapy on episiotomy display faster wound restorative besides pain relief than those who do not. A non-randomized controlled clinical trial was conducted on 80 post-partum mothers having normal vaginal delivery with episiotomy who were admitted in Maternity ward at the National Medical Institute of Damanhour City. Women were randomly allocated in two groups. Where, every odd number was assigned to control group (receiving only normal routine care) and every even number was assigned to study group (applying infrared lamp therapy and normal routine care). Data were collected through a structured interview schedule, observational checklist for REEDA Scale and self-reported Numerical Pain Rating Scale. Restorative takes place within 4 days and the REEDA total Score was statistically significant. So, the study concluded that, infrared lamp therapy is an appropriate way of management episiotomy wound among women at puerperium. The study recommended that joining infrared therapy as a main part of post-partum instructions for the women for its imperative role in improving quality of life during post-partum period.
Stress has been recognized as a 20th century disease and donates to health problems worldwide, nursing students are exposed to numerous stressors during their studies and clinical training. Determining stress and coping strategies among them will have significant consequences for the nursing career. Aims: to illustrate level of stress and identify coping strategies among nursing students at Damanhour University, Egypt. Research design: A descriptive cross-sectional study was used. Setting: the study was conducted at faculty of nursing, Damanhour University, Egypt. Subjects and methods: A systematic random sampling of 400 nursing students at academic year 2018-2019. Results: Students perceived moderate level of stress, most commonly attributed to transportations and academic. The most frequently used coping mechanism was religious and acceptance. The study found that gender and living with family are good predictors of coping strategies. Conclusion: The nursing students were exposed to moderate stress due to different stressors. In response, they frequently used different strategies for coping and recommended the need for stress management programs and the provision of suitable support.
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