Search Results

Abstract : This study aimed to determine (1) the feasibility of the Endorphin Massage module as a learning media (2) the effectiveness of Endorphin Massage module in increasing midwives' knowledge about Endorphin Massage. The method used in this study was Combine Method between Research and Development (RnD) with the Pre-Experimental One Group Pretest-Posttest. Sampling was carried out using the Purposive Sampling Technique which were 40 samples. The data were analyzed using statistical analysis through Wilcoxon Sign Rank Test. The validation test results from media experts were 90.9% in average and the validation results from material experts have an average of 92.7% which indicate that the Endorphin Massage module is very feasible to use without revision. User validation results (midwives) in a small group which consisted of 10 midwives with an average eligibility value by 89.5% and large-scale user validation results in 30 midwives with an average eligibility value by 93.4% showed that Endorphin Massage module is very feasible to use. The results of the effectiveness of using Endorphin Massage module found that the average pretest score (before intervention) was 63.6 in the sufficient knowledge category and the average posttest score (after intervention) was 77.6 in the high knowledge category. Based on the analysis of the pretest and posttest results, there was an increase in midwives' knowledge about Endorphin Massage before and after the intervention. There is a significant difference between the midwives’ pretest and posttest values. Endorphin Massage module is feasible and effective in increasing Midwives’ Knowledge about Endorphin Massage.

Abstract : Ocular chemical burn is one of emergencies in ophthalmology. Chemical burn caused by alkali can cause more damage because it can penetrate the ocular surface very quickly, causing a saponification reaction due to fatty acids in the cell membrane, thereby damaging the corneal and conjunctival epithelial tissues. Medroxyprogesterone acetate (MPA) is a progesterone derivative which properties and structure are similar to steroids and often used as a contraceptive as a hormone replacement at an affordable price. MPA inhibits IL-1β synthesis which induces collagen degradation by corneal fibroblasts and this effect is associated with suppression of expression or activation of matrix metalloproteinases (MMP-1, MMP-2, MMP-3, and MMP-9), as well as tissue inhibitors of metalloproteinases (TIMP-1 and TIMP-2). Previous studies reported that topical or parenteral MPA reduced the incidence of perforation and ulcers in rabbits. MPA has an additional effect as an anti-inflammatory, with fewer complications when compared to steroids. In this review we discuss the molecular effects of MPA as adjuvant therapy in corneal alkali burn.

Abstract : Doctors are not protected from the occurrence and consequences of mental illnesses, doctors (especially board trainees) face particular challenges such as high patients’ attendance, long duty hours, potentially violent situations, and critical decision-making that place them at more risk of anxiety, depression and other stress related psychosocial problem. The current study aimed to identify the prevalence of mental health problem and depressive syndrome among Iraqi and Arab board trainees in Medical City Teaching Center. A cross sectional study was carried out from 1/1/2022 to 1/4/2022 at the Medical City Teaching Campus using a questionnaire consisting of socio-demographic variables, Self-reporting questionnaire (SRQ-20) to detect the presence of mental illness and screened for depression by a standardized scale; Diagnostic and Statistical Manual Version IV (DSM-IV). Among the 535 participants 500 complete and returned the questionnaire with response rate of 93.4%. The prevalence of mental illness was 71.2%, it was more among males 55.9%, single 77.8%, had (≥4 children) 72.7% and trainees of surgical branches 78%. The associations were significant with branch of trainees. The prevalence of depressive symptoms was 15.4%. Higher rates were among males 63.6%, single trainees 35.3%, with children 12% and working in surgical branches 13.7% The associations were significant with branch of trainees. The current study revealed that mental illness is prevalent among board trainees. Male gender, single, having children and working in the surgical specialty were associated with higher rates of both mental illness and depression.

Abstract : This study aims to investigate the levels of fatigue among Jordanian nurses. Also, investigate the impact of the nurses' socio-demographic variables on their fatigue levels. Data was collected from a sample of two hospitals in Jordan using a simple random sampling technique. The study was developed through collecting primary quantitative data. Data was collected through closed-ended questionnaires based on the OFER 15 tool as a basis for measuring fatigue. The findings relied on a total of 517 respondents (154 male and 363 female). This was an equitable representation of both genders in the Jordan nurses' workforce. The socio-demographics showed no significant variance among genders apart from smoking and marital status. Using the OFER 15 tools manual and scoring, the findings established a high chronic (Female =90.67%, Male = 76.72%) and acute (Female=77.56%, Male =74.74%) fatigue for female nurses as compared to their male peers. Significant correlations were found between the three types of OFER 15 scores (chronic, acute, and inter-shift-recovery) and five independent variables; Age (chronic), Gender (acute and inter-shift), education level (inter-shift recovery), Marital status (acute fatigue) number of dependents (chronic fatigue) and the weekly working hours (chronic fatigue) levels, respectively. On gender differences, it established that female nurses had a higher chronic and acute fatigue than male peers. However, they also had a higher inter-shift recovery index than the male nurses. There is a high fatigue prevalence among Jordanian nurses. There is an urgent need to address acute and chronic fatigue types as a matter of priority. Providing better resting areas and exercise programs for nurses is highly recommended.

Abstract : AIDS is the current burning problem worldwide. It is caused by the Human immunodeficiency virus. In many patients, mucocutaneous diseases are amongst one of the first recognized clinical manifestations of HIV/ AIDS. Over the past decade, it has become increasingly clear that the cutaneous disorders are associated not only with terminal stages of immunodeficiency but also occur throughout the course of HIV infection and association between CD4+T cell counts and these skin manifestations was established. Data regarding cutaneous manifestations in HIV/AIDS patients and its correlation with CD4+ T cell counts remain scarce. Therefore the focus of the current study is to find out the correlation of cutaneous manifestations with CD4+T cell counts and the secondary objective is to find out the prevalence of cutaneous manifestations in a group of patients with HIV/AIDS.