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December
2023
- Volume 17, Issue 3
In
this issue a good reviews from Qatar and Saudi Arabia dealing
with important issue for the nursing field in addition to
research papers from Turkey, Lebanon and Australia.
Al Nassar., looked at the Extent
of Childhood Obesity and the Scope of School-Based Health
Promotion Interventions in Saudi Arabia through a Review of
Literature. The author stressed that Childhood obesity is
a concerning trend and represents one of the most significant
challenges to public health worldwide. Childhood obesity in
Saudi Arabia has become a significant concern for scholars
and healthcare professionals. An extensive amount of research
has been conducted to identify the most effective interventions
to prevent childhood obesity in light of its prevalence, health
consequences, and associated costs. Studies indicate that
identifying and addressing obesity-related behaviours can
be valuable for developing and implementing effective interventions
and prevention measures to mitigate childhood obesity in Saudi
Arabia. It has been shown that obesity-related behaviours
can be changed through school-based health promotion interventions.
Therefore, the present review summarises the current evidence
on childhood obesity, including its prevalence, health consequences,
and obesity-related behaviours in children and adolescents
in Saudi Arabia. In addition, it aimed to determine the scope
of school-based health promotion efforts in Saudi schools
to reduce childhood obesity.
Hersi , looked at Barriers and Facilitators of Palliative
Care for Adult Heart Failure Patients: Integrative Review.
Heart failure (HF) patients usually experience symptoms such
as dyspnea, tiredness, cognitive impairment, and pain. Those
symptoms contribute to a decline in physical functioning and
a limitation in their ability to do their daily tasks. Palliative
care (PC) is crucial for people with HF because it focuses
on improving the quality of life and can reduce symptoms and
improve function. Qatar aims to introduce PC services for
adult patients with HF. Objective: This integrative review
aims to investigate the barriers, facilitators, and the outcomes
to the provision of palliative care among adult patients with
HF. Methods: Whittemore and KnafI's framework guided this
integrative review. Using three databases, twenty (n=20) peer-reviewed
articles, published between 2011 and 2022, were included in
the integrative review. The Mixed Methods Appraisal Tool was
used to assess the quality of these articles. The data was
then extracted and thematically analyzed before being synthesized.
Results: The barriers, facilitators, and outcomes of providing
PC services to individuals with HF were identified from the
perspectives of patients, healthcare providers, and healthcare
organizations. Conclusion: Gaining a comprehensive understanding
of these barriers, facilitators, and outcomes associated with
providing PC services to adults with HF is central for the
effective implementation of such services for this patient
population in Qatar.
Dr Bahjat , discussed the conflict
issues in Ghaza. He stressed that While the bombing of Gaza
and the resulting loss of civilians continues, I urge the
international community to stop the war now, protect civilians
(including health-care workers), lift the 16-year blockade
on Gaza immediately, and allow international aid to enter
Gaza to support the health-care system that has already collapsed.
Helvaci, et al., discussed the Atherosclerotic
background of digital clubbing in sickle cell diseases. They
studied 222 males and 212 females with similar mean ages (30.8
vs 30.3 years, p>0.05, respectively). Beside digital clubbing
(14.8% vs 6.6%, p<0.001), smoking (23.8% vs 6.1%, p<0.001),
alcohol (4.9% vs 0.4%, p<0.001), transfused red blood cells
(RBCs) in their lives (48.1 vs 28.5 units, p=0.000), disseminated
teeth losses (5.4% vs 1.4%, p<0.001), chronic obstructive
pulmonary disease (COPD) (25.2% vs 7.0%, p<0.001), ileus
(7.2% vs 1.4%, p<0.001), cirrhosis (8.1% vs 1.8%, p<0.001),
leg ulcers (19.8% vs 7.0%, p<0.001), coronary heart disease
(CHD) (18.0% vs 13.2%, p<0.05), chronic renal disease (CRD)
(9.9% vs 6.1%, p<0.05), and stroke (12.1% vs 7.5%, p<0.05)
were all higher, and autosplenectomy (50.4% vs 53.3%, p<0.05)
and mean age of mortality were lower in males, significantly
(30.2 vs 33.3 years, p<0.05). The authors concluded that
the hardened RBCs-induced capillary endothelial damage initiates
at birth, and terminates with multiorgan failures even at
childhood. Parallel to digital clubbing, all of the atherosclerotic
risk factors or consequences including smoking, alcohol, disseminated
teeth losses, COPD, ileus, cirrhosis, leg ulcers, CHD, CRD,
and stroke were higher, and autosplenectomy and mean age of
mortality were lower in males which can not be explained by
effects of smoking and alcohol alone at the relatively younger
mean age. So autosplenectomy may be a good whereas male gender
alone may be a bad prognostic factor, and digital clubbing
may have an atherosclerotic background in SCDs.
Abdulrazak
Abyad
Chief Editor
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