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Title : Effectiveness of an Educational Program on Nurses’ practice regarding Neonatal Sepsis in Neonatal and Premature Care Units a quasi-experimental study
Abstract :Neonatal sepsis is the main health problem that is accountable about 30-50% of the overall neonatal mortality in the developing nations. Nurses can provide a straight care and have the ability to impact on neonate's outcomes, so that, teaching nurses about sepsis is measured essential to improve neonate's care safety and outcomes. The present study aims to determine the effectiveness of the educational program in improving nurses' practice and practical procedures that related to neonatal sepsis in neonatal intensive care units. A quasi-experimental design was used. The interventional group included 23 nurses from Heevi pediatric hospital (Neonatal intensive care unit, Semi intensive care unit) and the control group were 25 nurses from maternity hospital, Neonatal intensive care unit. The overall period was 1 year including preparation of the educational program, sampling, analyzing of the results and the discussion. The pre-assessment of the outcomes showed that the control and experimental groups were comparable in practice score, mean and standard deviation 3.17 (0.491), 3.0 (0.5) respectively whereas the post assessment of the outcomes has been showed a highly significant improvement in the experimental practice score in comparison of the control group 3.22 (0.422) 3.96 (0.2). The control and experimental groups were comparable in practice and this comparability is highly significant in interventional group (P-value < 0.000). Maximum number of the participants (52.1%) were in neonatal intensive care unit at maternity and delivery hospital, 26-30 years old was the prevalent age, institutes graduation nurses were the prevalent (54.2%), the majority of nurses (68.8%) their experience was<5 years’ in neonatal intensive care units, (79.2%) of nurses had 1-3 educating and training courses related to neonatal care.
Title : Evaluation of nutrition status effect on malocclusion severity using Dental aesthetic index for Iraqi teenagers: A cross sectional study
Abstract :The underdevelopment of the facial skeleton and structure resulted from malnutrition, which may lead to malocclusion. This study aimed to assess nutrition status using the body mass index (BMI) of high school students (both genders) and its effect on the severity of the malocclusion using the Dental Aesthetic Index (DAI). A cross-sectional study was done on 248 students aged between 11 – 15 years (100 girls, 148 boys), using the simple random technique for selection from high school in Al-Karkh 1st district/Baghdad/ Iraq. The oral examination was done under natural daylight through the window using a disposable mask, gloves, dental mirrors, and dental Vernia, Nutritional status was evaluated by means of body mass index. Which was recorded by measuring Height and weight. About 29.97% of the total sample have a severe malocclusion with highly orthodontic treatment need. There were no significant differences between males and females regarding BMI while in DAI, were significant. The healthy students have a high percentage, while the number of obese girls was lower than the number of obese boys. The gender difference of the DAI values was significant. The boys have highly DAI score, and most of them were obsessed. The relation between the malocclusion and BMI was non-significant. The healthy students present in a high percentage and they have normal or minor malocclusion with no or slight treatment need, this refers to the contribution of the malnutrition and poor health status in bad oral health and malocclusion. Therefore the nutritional plans and diet programs should be put to maintain and improve oral health integrity and overcome the limitations.
Title : Interleukin-17, IL-18, and IL-22 Levels in Autoimmune Thyroid Disease and Polycystic Ovary Syndrome
Abstract :Polycystic ovarian syndrome (PCOS) is the most frequent endocrine disorder affecting Iraqi women of reproductive age. PCOS has been linked to autoimmune diseases, therefore the study's goal is to comparative the levels of interleukins (IL-17, IL-18, IL-22) among Iraqi women with autoimmune thyroid disease and PCOS. Collected about 90 serum samples from groups study (group of PCOS) (30 samples); group of thyroid disease (30 samples, as well as group of healthy women fertile (30samples) as control during the period (April – November) 2021 from many hospitals in Baghdad- Iraq. And determination levels of interleukins (IL-17, IL-18, IL-22) by quantitative sandwich enzyme immunoassay technique (Cusabio- China). Results of current study showed highest (Mean ±Std.) of IL-17 (101.17±19.80) of (≤30 -39) age group and (106.63±15.72) of (40- ≥50) age group, so higher levels of IL-18 (137.06±25.53) and IL-22(36.44±10.05) were among Thyroiditis group. level of IL-17was highly statistically significant (P=0.002) difference between Control and Thyroiditis groups, as well as the levels of Interleukins (IL -17, IL -18 and IL -122) were higher among Hypothyroid cases of Thyroiditis group [(99.1±14.22), (149.45±13.31) and (37.80±11.89) respectively]. The Comparison of Interleukins( IL -17, and IL -18) level of Hypothyroid and Hyperthyroid among Thyroiditis group were highly statistically significant different (P=0.000 ) but level of IL -22 was no statistically significant(P=0.338 ), current study showed represented the receiver operating characteristic (ROC) curve Interleukin (IL-17, IL-18 and IL-22) in Thyroiditis group with Control group to diagnosis Thyroiditis disorder show that the cutoff value of IL-17 was >91.17 with 83.3%sensitivity, Specificity46.7%. Also IL-17 had highly significant (P=0.000) and area under the curve (AUC) =0.807. IL-18with cutoff value>144.216 and 16.7%sensitivity, 50.0% specificity, had highly significant (P=0.000). The cutoff value of IL-22was >33.409 had significant (P=0.026) and 23.3% sensitivity, 50.0%specificity. Highest levels of IL-17; IL-18 and IL-22 among Thyroiditis group. as well as the levels of Interleukins (IL -17, IL -18 and IL -122) were higher among Hypothyroid cases of Thyroiditis groups, so IL-17 had highly significant (P=0.000) and area under the curve (AUC) =0.807. IL-18 with cutoff value>144.216 and 16.7%sensitivity, 50.0% specificity, had highly significant (P=0.000). The cutoff value of IL-22was >33.409 had significant (P=0.026) and 23.3% sensitivity,500%specificity.
Title : Assessment the Variation and Severity of Signs and Symptoms in Relation to ABO Groups among Covid-19 Patients
Abstract :Studies suggested a relation between ABO blood groups and COVID-19 infection severity. A study found that blood group O persons were less likely to become infected with SARS-CoV compared to non-blood group O. This may be due to the genetic association of ABO blood groups with susceptibility to COVID-19 also Rh(D) phenotypes (positive and negative zRh blood types) or ABO grouping of covid-19 patients may be related to immune response. The current study is cross sectional study that had occurred from 17th December in 2020 until 3rd April in 2021. Data collected from 518 patient with covid19. This study found that age group (20-29) years had higher frequency of infection. Predominant blood groups among infected patients were (34.1%), (28.3%), (21.3%) for O+, A+, B+ respectively. High percentage of severe infection among blood group A+ while high frequency of O+ patients were mild to moderate infections about (45.9%). Infected patients had blood group O+,A+,B+,AB+,O-,B-,A- and AB- respectively from high to low percentage. The severity of signs and symptoms was higher for individuals with blood group A+.
Title : Prevalence the bacterial vaginosis (BV) among women of reproductive age attending Al-Immamein Al-Kadhimaein Hospital/ Baghdad
Abstract :Bacterial vaginosis is one of the most common genital tract infections among reproductive age group, thefore the aim of current study to determine the prevalence bacterial vaginosis (BV) among Iraqi women of reproductive age group attending Al-Immamein Al-Kadhimaein Hospital. A cross-sectional study was conducted at the Al-Immamein Al-Kadhimaein Hospital in Baghdad, Iraq, amongst non-pregnant asymptomatic women aged 19 to 45 years. conducted between the months from January and June of 2020. Swabs collected for culture were transported and delivered to the laboratory immediately. for culture and Biochemical tests were used to identify specific isolates. Sixty-five out of 198 women (33 %) tested positive for BV. The highest BV (No.= 27, 41.5 %) was discovered in the age group 31–35 years, (No.= 12, 18.5 %) in the age group 40 years, so BV was most frequent in married women (90.7.2%), those with higher schooling (38.5%), and people who lived in cities (53.9 %). as well as in current study, 65 bacterial isolates were isolated, with S. aureus (25.4 %), Coagulase-negative Staphylococci (CONS) (15.4 %), S. agalactiae (23 %), E. coli (20 %), and Klebsiella species (12.3 %) accounting for 29.3 % (19/65) of the total, all isolates were susceptible to Gentamycin (GEN). Among Gram-positive bacteria, S. aureus was sensitive to both Ciprofloxacin (CIP) and Gentamycin (GEN) (93%) but susceptible to Erythromycin (ER) (20%), Strep. agalactiae sensitivity as (100%), E. coli was the most frequently isolated bacteria and was susceptible to Gentamycin (GEN) (97%) and Ciprofloxacin (CIP) (95 %), but to Erythromycin (ER) (20%). Sixty-five out of 198 women (33 %) tested positive for BV. The highest BV (No.= 27, 41.5 %) was discovered in the age group 31–35 years, (No.= 12, 18.5 %), so BV was most frequent in married women (90.7.2%), those with higher schooling (38.5%), and people who lived in cities (53.9 %). as well as 65 bacterial isolates were isolated, with S. aureus (25.4 %), Coagulase-negative Staphylococci (15.4 %), S. agalactiae (23 %), E. coli (20 %), and Klebsiella species (12.3 %), all isolates were susceptible to Gentamycin S. aureus was sensitive to both Ciprofloxacin and Gentamycin (93%), Strep. agalactiae sensitivity as (100%).
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