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Abstract : Patients who will be hospitalized tend to experience stress. It will adversely affect the patient's illness during hospitalization. Admission and orientation are introduction and orientation given to patients and their families at the beginning of hospitalization; it is to help the patients to adapt to the unfamiliar situations of a hospital. Very few investigate the effect of good orientation on patients' stress reduction at the beginning of hospitalization. Thus, it needs to be studied more deeply. This study aims to determine the effect of the quality of nurses' admission and orientation to new patients on their stress in hospitalization. This is an analytic observational with a cross-sectional design, with 100 respondents participating in the study. The admission and orientation quality variables and the patients' hospitalization stress level variables were measured using standardized instruments. The chi-square statistical test and the Relative Risk (RR) test tested the research data. The results significantly affect the quality of patient admission and orientation and their stress level during hospitalization (p<0.05; RR = 2.46). This study concludes that poor admission and orientation will double the risk of increasing the stress level in patients during hospitalization.

Abstract : This study aimed to compare the intranasal administration of midazolam and dexmedetomidine in uncooperative children with cerebral palsy. The sample consisted of 20 children with cerebral palsy aged 5 to 11 years who were divided equally into two groups: Group 1 (experimental) nasal dexmedetomidine 1 mcg/kg and Group 2 (control) nasal midazolam 0.2 mg/kg. The efficacy of both drugs was evaluated according to Ohio State University OSUBRS behavioral rating scale, the University of Michigan scale UMSS, and the Houpt general behavior scale. Both Drugs have been effective in the management of children with cerebral palsy. There were no statistically significant differences for Ohio State University OSUBRS behavioral rating scale (p = 0.301), the University of Michigan scale UMSS (p = 0.403), and the Houpt general behavior scale (p = 0.185). There were no clinically significant changes in vital signs throughout the study. Both nasal midazolam and dexmedetomidine can be used as sedative drugs in the management of children with cerebral palsy during dental treatment.

Abstract : Heart failure is a prolonged and progressive syndrome that leads to low quality of life and hospital readmissions. Avoiding or early recognizing health problems in heart failure is associated with proper self-care and recovering overall health-related quality of life. To describe the self-care behaviors and association of sociodemographic and clinical factors that affect patients’ quality of life. The quantitative, cross-sectional convenience sample technique was used to collect 200 patients diagnosed with heart failure admitted to Sulaimani Cardiac Hospital, Iraq, from January to May 2022. The data were collected through direct interviews, a validated questionnaire, and the Self-Care of Heart Failure Index. About 50% of the participants were aged 62- 77 years, 65.5% were males, 66% were illiterate, and 65.5% had a low economic state. According to the classification of the New York Heart Association, 48% of them were class III heart failure. The mean scores of 1.67, 1.56, and 1.80 were observed on self-care confidence, poor self-care management, and poor self-care maintenance using the Self-Care of Heart Failure Index without significant difference (p≤0.05). The outcomes of this study demonstrated that most patients had inappropriate scores in self-care maintenance, management, and confidence subscales. The study also found that higher scores were associated with certain factors, such as age group, residence, number of recent hospital admissions for heart failure, and severity of heart failure.

Abstract : The range of mouth opening is a respectable factor in the diagnosis of many clinical conditions and can also have implications for the management and treatment of patients with temporomandibular disorders (TMD). The study aims to explore maximum mouth opening (MMO) and its correlation with gender, age, height, weight, and Body Mass Index (BMI) in a Syrian population. The study is an observational cross-sectional study of 497 Syrian Participants (36% male and 62% female). Participants were clinically examined using Research Diagnosis Criteria for Temporomandibular Diseases (RDC/TMD) form and data was recorded. The frequency test was mainly used along with the correlation coefficient. The mean MMO for all participants was 48.76 ± 7.55 mm. The mean MMO for male participants was 54.68 ± 6.92 mm, and the mean MMO for female participants was 45.12±5.24. MMO of male subjects was higher than the mean MMO of female subjects, and that was statistically significant. MMO had a significantly weak positive correlation with height and weight and correlates significantly with participants' age of (30-49) years old. MMO showed a significantly weak reverse relationship with the underweight category and a significantly weak positive relationship with the healthy weight BMI category. MMO exhibited a significant correlation with gender and age in the fourth and fifth decades. Height & weight have a weak significantly positive relationship with MMO. Data showed that BMI had an influence on MMO only on underweight and healthy weighted categories.

Abstract : The Indonesian government has identified six pillars of Health Transformation as a means of improving community self-reliance, including the management of Non-Communicable Diseases (NCDs) such as diabetes. However, during the COVID-19 pandemic, diabetes cases can result in death if the patient is infected with COVID-19, and the disease can also lead to increased fatigue. The purpose of this study is to identify factors associated with fatigue in patients with Type 2 Diabetes Mellitus during the COVID-19 Pandemic. This descriptive research employed a cross-sectional design. It used Chi-Square and logistic regression analyses to identify the dominant factor associated with fatigue. The study population consisted of patients with type 2 diabetes who visited the Integrated Development Post (Posbindu) in four working areas of the Public Health Center in Palembang City during the pandemic. We used purposive sampling to select the respondents, and the number of respondents was 293. Our findings indicate that more than 50% of people with diabetes experience severe fatigue during the pandemic. Low education and depression were identified as the primary factors contributing to fatigue in people with diabetes, while individuals with diabetes who work and have an abnormal body mass index (BMI) were identified as protective factors against fatigue after controlling for education and depression variables. Our study suggests that the management of diabetics during the COVID-19 pandemic requires comprehensive interventions beyond medical interventions. Stress management and education interventions are also needed to help patients maintain their quality of life during the pandemic.