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Abstract : Polycystic ovarian syndrome (PCOS), also known as Stein-Leventhal syndrome, is a diverse endocrine disorder that affects many women around the world who are of reproductive age. Prior to menopause, around one in ten women develop PCOS and associated problems. Examine the impact of Mabilisjalapa root extract on biochemical markers (Adiponectin and serum blood glucose), hormones (FSH, LH, testosterone, and estrogen), and induced polycystic ovarian syndrome in rats. Also compare the impact of Mabilisjalapa root extract with that of metformin. Female rats were treated for 21 days with 0.4 mL of oral letrozole (5.3 mg/kg) before receiving a dose of Metformin (500 mg/kg) for the first group, a high dose of Mabilisjalapa (600 mg/kg) for the second group, a low dose of Mabilisjalapa (400 mg/kg), and a combination of (300 mg/kg) from Mabilisjalapa and (250 mg/kg) from metformin. Compared to the induction group, the Mabilisjalapa treated group had reduced levels of glucose, testosterone, and LH, but higher levels of adiponectin, estradiol, and FSH. In comparison to metformin, Mabilis Jalapa treatment groups reported greater outcomes in the improvement of PCOS symptoms in female rats.

Abstract : The hospital is one of the places where nurses and patients interact, which requires comfort in the interaction, so a new strategy is needed, through increasing patient satisfaction, the number of hospitals that exist makes it difficult to expanded. Good nurse performance can increase patient satisfaction, which makes it the key to expanding, while the nurse's own performance is influenced by various factors within the nurse. The purpose of this study was to find a key strategy to expand the hospital's through exploration of patient nurse mediation. An analytical correlation study with a cross-sectional design using a random sampling technique with a total sample of 134 respondents was conducted. Somers'd test, lamda test and the ordinal logistic regression test were used in the model description and data analysis. Nurse education has a significant influence on the four factors of nursing and the age of nurses does not have a significant effect on the four factors of nursing, then it shows that the four factors of nursing have a significant influence on patient satisfaction, with the value of nurses' knowledge (p value 0.002; r value 0,525; OR 1,9), and the value of nurses' personality (p value 0.000; value r 0,676; OR 24,7), the value of nurse competency (p value 0.000; r value 0,573; OR 22,8), and the value of the nurse's personality variable (p value 0.000; r value 0,543; OR 3,7).The key strategy to expand the hospital is to increase the four nurse factor indicators (knowledge, attitude, competence, and personality of nurses), which are proven to have a significant effect on increasing patient satisfaction.

Abstract : The importance of the research is crystallized in the effect of using an educational program in learning the effectiveness of free swimming for students. The problem of the research lies in the weakness in the speed of learning and mastery of free swimming among students, and from here came the researcher the idea of learning free swimming for students using auxiliary tools The educational program, that the good use of auxiliary tools contributes to A significant limit in the student’s ability to learn speed, master the skill of swimming, reduce the degree of fear of water, feel calm and increase self-confidence, and it helps in shortening the time allocated to learning the effectiveness of free swimming. The research aims to identify the effect of using an educational program with tools to help learn the effectiveness of free swimming. For students, and to identify the effect of the educational program with tools in learning the effectiveness of free swimming for students, as for the research hypotheses, there is an effect in the use of the educational program with tools to learn the effectiveness of free swimming for students. The researcher used the experimental method by designing the two equal groups (experimental and control) with a pre and post test as it fits with the nature of the research problem. The research community included the students of the first stage - Department of Physical Education and Sports Sciences - College of the Future University, which numbered (200) students, and students were also excluded those who can swim, numbering (140) students, as well as students absent from taking tests and measurements and their number (30), as well as the exclusion of the students participating in the two exploratory experiments and their number (10) students, bringing the number of the sample to (20) students, and thus the sample constitutes (45%) ) from the original community, and they were divided equally into two groups, and for each group (10) students, they were divided into two control and experimental groups using a lottery. The educational program was applied on (2/3/2022) for a period of six weeks with two educational units per week on (Saturdays and Wednesdays). The educational units included (4) skills that are among the basic skills in learning the effectiveness of free swimming, which are (flow with the movement of the legs, breathing, flow with the movement of the arms, free swimming in full). After completing the educational units, the data was processed using the (spss) system. The effect of using an educational program with auxiliary tools in reducing psychological stress is better than the program followed by the teaching staff. Positive effect in reducing the level of psychological stress, and one of the most important recommendations is the need to learn the effectiveness of free swimming for its contribution to reducing the level of psychological stress, the need to use auxiliary tools continuously and according to the stage of learning the effectiveness of free swimming, not to allow the learner to practice swimming while he is in a poor psychological state.

Abstract : IMNCI is the process of caring for all ill children under 5 years of ‎age that combines ‎preventive, ‎promotive and curative actions for leading ‎causes of child deaths [1]. Training of nurses in management of IMNCI cases will provide the ‎knowledge and skills needed to provide health services to healthy children ‎for follow up and children suffering from range of diseases and case ‎management, refer ill children who need urgent referral, prescribe and ‎administer appropriate treatments and providing child ‎caregivers with information about treatment and follow up visits. ‎Implementation of IMNCI demonstrated progress in the quality of care ‎provided for sick children [2]. To evaluate the impact of reinforcement educational ‎sessions ‎regarding the integrated management neonatal and ‎childhood illness ‎on nurses ‎knowledge. A quantitative study (quasi-experimental design) carried out for achieving the objectives of present study, by application of pre-test & post-test approach for both study group and control about nurses working in IMNCI units from 20th September 2020 to 25th April 2022. The study is conducted in the primary health care centers of the four health care sectors in Holy Karbala. Non probability sample (purposive sample) from the total population who meet the criteria of the study during the study interval. A total of (60) nurses selected for the study, (30) participant for study group and (30) for control group. The mean age of study group was 33.5 ± 8.1 years and that of control was 32.8 ± 8.8 years, while males were dominant in study group and controls represented 63.3% and 70%, respectively. Vast majority of the participants, 90%, in the study group and 80% of controls were married. In regard educational achievement (66.7%) and (76.7%) of (study group and control) had achieved nursing institute level of education. Comparison of mean knowledge score of study group and controls for all domains revealed no significant difference in mean scores before education program pre-test between both groups, (P>0.05), a highly significant differences in means score at post-test (1) and post-test (2), at (P<0.001). Within each group, it had been found that the change in overall knowledge scores increased significantly in the study group where the overall mean score for all domains increased from 2.36 ± 0.19 before education sessions to 2.90 ± 0.09 at post-test (1) and almost maintained to 2.87 at post-test (2), with a mean difference of 0.51 and a percentage change of 21.8%, the change was highly significant, (P<0.001). Significant improvement appear clearly among the study group member through the result of their pre-test and post-test, which explain the impact of the educational sessions content on the nurses knowledge.

Abstract : Integrated management of neonatal and childhood illnesses (IMNCI) is a number of guidelines build ‎up by the World Health Organization (WHO) in 1992 to improve the assessment, classification, and ‎the individual management of the common causes of death among children ‎under the age of five [1].‎ The development of the IMCI strategy was based on three main components, improving the performance of health care providers, enhancing the performance and management structure of the health system and strengthening family and community practices [2]. To evaluate the impact of educational ‎program ‎regarding the integrated management of ‎neonatal and childhood illness ‎on nurses ‎practices‎. A quantitative study (quasi-experimental design) carried out for achieving the objectives of present study, by application of pretest- posttest approach for both study and control groups about nurses working in IMNCI units from 20th September 2020 to 25th April 2022. The study is conducted in the primary health care centers of the four health care sectors in Holy Karbala. Non probability sample (purposive sample) from the total population who meet the criteria of the study during the study interval. A total of (60) nurses selected for the study, (30) participant for study group and (30) for control group. The mean age of study group was 33.5 ± 8.1 years and that of control was 32.8 ± 8.8 years, while males were dominant in study group and controls represented 63.3% and 70%, respectively. Vast majority of the participants, 90%, in the study group and 80% of controls were married. In regard educational achievement (66.7%) and (76.7%) of (study group and control) had achieved nursing institute level of education. Comparison of overall mean practice scores of study group and controls for all domains revealed no significant difference in mean scores before education program (pretest) between both groups, (P>0.05), a highly significant differences in means score at post-test (1) and post-test (2), at (P<0.001). Within each group, it had been found that the change in overall Practice scores increased significantly in the study group where the overall mean score for all domains increased from 2.21 ± 0.20 before education program to 2.76 ± 0.09 at posttest 1 and almost maintained to 2.75 ± 0.11 at posttest 2, with a mean difference of 0.54 and a percentage change of 24.4%, the change was highly significant, (P<0.001). In control group, the change was statistically insignificant where the mean score before education was 2.29 ± 0.17, at posttest 1 was 2.30 ± 0.16 and at posttest 2 it was 2.31 ± 0.16 with a mean difference of only 0.02 and the percentage change was 0.9%, (P>0.05). Significant improvement appear clearly among the interventional group member through the result of their pre-test and post-test, which explain the effectiveness of the reinforcement educational program session content on the nurses practices.