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January
2019
- Volume 13, Issue 1
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A.
Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor) |
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A. Abyad, MD, MPH, MBA, AGSF, AFCHSE (Editor)
Abyad Medical Center & Middle East Longevity
Institute
Azmi Street, Abdo Center, 2nd Floor
PO BOX 618, Tripoli LEBANON
Tel & Fax: 961 6 443684/5/6
Email: aabyad@cyberia.net.lb
Web: www.amc-lb.com
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This
is the first issue this year and we would like to start by
wishing all our authors and readers a happy new year. In addition
we would to inform that MEJN is now indexed with Scopus.
Elbilgahy A.A et al; evaluate the
effect of implementing an evidence-based educational program
on nurses knowledge, practice and attitude about CLABSI
prevention in critically ill child. A quasi-experimental research
design using one group (pre-test & post-test measures)
was used. The study involved a convenient sample of 120 nurses
working in the Pediatric Intensive Care Unit (PICU) affiliated
to Mansoura University Childrens Hospital, Egypt. The
results of the current study showed improvement in nurses
knowledge, observed practice and attitude after completion
of short term evidence-based educational program about CLABSI.
Our study provide a well-rounded picture of prevention of
CLABSI in Egypt suggested that PICU nurses knowledge,
practice & attitude were improved significantly after
the implementation of evidence based educational program.
Therefore, the nurses knowledge and practice should
periodically updated and evaluated regarding guidelines for
CLABSI.
Therefore, the nurses knowledge and practice should
periodically updated and evaluated regarding guidelines for
CLABSI.
Jonson J et al ; looked at the growing
landscape of elder care in Qatar and the necessity of a skilled
nursing work force. The authors stressed that though Qatar
has one of the youngest populations in the region, life expectancy
in Qatar is increasing and the local population is aging.
An increase in the population over the age of 65, particularly
for those having pre-existing chronic health conditions, poses
challenges in providing high quality healthcare. One of these
challenges is in securing a nursing workforce knowledgeable
about the special health needs of the aged, and skilled in
providing their care within the cultural context of an Arab
Muslim country. One strategy to address this challenge is
to make a conscious shift in nursing education that highlights
the need to equip student nurses with adequate knowledge and
developed skills to care for the aging population of Qatar.
Nurses who teach in this context must be prepared to deliver
a curriculum that is evidence based and culturally sensitive
to the norms and practices that are prevalent in the country.
This article discusses the current population trends in Qatar,
culture specific challenges to providing high quality aged
care, and the subsequent necessity of educating a nursing
workforce that is knowledgeable and skilled in geriatric care.
Helvaci M.R et al; looked at the
possibility that smoking may end up with irritable bowel syndrome.
The authors stressed that smoking induced chronic vascular
endothelial inflammation may be found among several underlying
causes of irritable bowel syndrome (IBS). IBS is diagnosed
according to Rome II criteria in the absence of red flag symptoms.
The study included 331 patients with the IBS and 334 control
cases. The mean age of the IBS patients was 41.8 years. Interestingly,
65.2% of the IBS patients were female. Prevalence of smoking
was significantly higher in patients with the IBS (37.7% versus
20.6%, p<0.001). Similarly, prevalence of antidepressants
use was also higher in the IBS cases (51.3% versus 15.8%,
p<0.001). As an important component of the metabolic syndrome,
prevalence of white coat hypertension (WCH) was significantly
lower among the IBS patients (26.5% versus 31.7%, p<0.05).
Similarly, mean values of triglycerides (p= 0.011) and low
density lipoproteins (LDL) (p<0.05) were significantly
lower and mean value of high density lipoproteins (HDL) was
significantly higher in the IBS patients (p<0.05).
The authors concluded that IBS may
be a low-grade inflammatory process being initiated with infections,
inflammations, psychological disturbances - like stressesand
eventually terminated with dysfunctions of the gastrointestinal
and genitourinary tracts, and many other systems of the body.
Although there may be several underlying causes of IBS, smoking
induced chronic vascular endothelial inflammation all over
the body may even terminate with IBS. The lower prevalence
of WCH, lower values of triglycerides and LDL, and higher
value of HDL in the IBS patients may be caused by smoking
induced loss of weight gain secondary to chronic endothelial
inflammation in whole body.
Sheykhi, M.T investigates how food
accessibility is currently observed in developing world where
majority of the world population live. People in those parts
of the world while facing numerous shortcomings need to be
nursed as far as their food provision is concerned. The necessary
institutions must be prioritized and provided to be able to
supply enough food for the increasing population with changing
values, new patterns of food demand and changing lifestyles.
While increasing migration in developing world is underway
followed by decreasing agricultural products, food supply
is emerging as problematic with ever increasing prices. The
issue needs more inputs, more technologies and high supervision
from the government side. UN also has positively recommended
that the food issue in developing world could be solved only
if improved technologies are used. Increasing urban people
are in need of more varieties of food in a competitive manner
much more than ever before. People in this part of the world
demand more food in quantity and quality. Under the present
circumstances, efforts must be made to obtain more yields
to feed the increasing people. However, their food nursing
is felt today more than ever before. The paper points to the
hungry people in many parts of Asia, Africa and other corners
of the developing worldfacing malnutrition and emerging
challenges. They urgently need solutions and remedies.
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