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October
2023
- Volume 17, Issue 2
This is the second issue of the journal
this year with papers from Saudi Arabia, Turkey, Lebanon
and Australia.
Aboshaiqah et al., did a systematic
review was performed to assess cultural competence among nurses
in Saudi Arabia. Nursing staffs are typically multi-national,
especially in Saudi Arabia, and Saudi nurses deal with multicultural
patients, which creates a culturally diverse atmosphere. As
a result, cultural competence is essential. The study provides
in-depth summaries of 11 papers included in this review. No
studies published before 2014 investigated the cultural competence
of Saudi Arabian nurses. However, the authors noted a sharp
rise from 2020 in the number of studies dealing with this
issue. Sample sizes ranged from 11 to 650 participants. The
authors concluded that Healthcare systems should be structured
to encourage the empowerment of nurses from different nationalities
and build effective communication policies to improve cultural
competency among nurses. Future research should look at the
relationship between individual training programs designed
to increase cultural competence and their effect on the quality
Dr. Mujallad, reviewed the Nursing
Profession in the New Era of Saudi Arabia. People unfamiliar
with Saudi Arabia will never realize the change the country
is experiencing today. Women have become empowered over a
short period. Change is happening now and is happening quickly.
Women who have never even considered being engaged in higher
positions are taking managerial and leadership positions.
Along with the change that is taking place, the healthcare
sector is one priority for the newly crowned prince Mohammed
bin Salman in his 2030 vision to the nation; the Minister
of Health addresses that nursing is the top priority to achieve
the vision of the Kingdom of Saudi Arabia, pointing out that
50% of the total workforce in the health sector are nurses.
The researcher used secondary data from the Ministry of Health
in Saudi Arabia to do a Descriptive Comparative Research Design
to compare the number of nursing students to medical students
in the major public universities in Saudi Arabia to see if
there is a big difference between choosing nursing and medicine
in the light of the high demand for the nursing profession.
Helvaci*, et al., looked whether
autosplenectomy which is higher in females in sickle cell
diseases is a good prognostic sign. The authors studied 222
males and 212 females with similar ages (30.8 vs 30.3 years,
p>0.05, respectively). Although the higher prevalence of
autosplenectomy (50.4% vs 53.3%, p<0.05), transfused units
of red blood cells (RBCs) in their lives (48.1 vs 28.5, p=0.000),
disseminated teeth losses (5.4% vs 1.4%, 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), clubbing (14.8% vs
6.6%, p<0.001), coronary heart disease (CHD). The authors
concluded that the sickled or just hardened RBCs-induced capillary
endothelial damage initiates at birth, and terminates with
multiorgan failures even at childhood. Although RBCs suspensions
and corticosteroids in acute, and aspirin with an anti-inflammatory
dose plus low-dose warfarin plus hydroxyurea both in acute
and chronic phases decrease severity, survivals are still
shortened in both genders, dramatically. Although the higher
prevalence of autosplenectomy, transfused units of RBCs in
their lives disseminated teeth losses, ileus, cirrhosis, leg
ulcers, clubbing, CHD, CRD, COPD, and stroke were all lower
in females. So there may be an inverse relationship between
autosplenectomy and severity of SCDs, and spleen may act as
a chronic inflammatory focus as a filter of blood for these
sickled or just hardened RBCs.
Helvaci*, et al., looked whether
Male gender alone may be a bad prognostic feature in sickle
cell diseases. Patients with RBCs transfusions of less than
50 units in their lives were put into the first and 50 units
or higher were put into the second groups. There were 224
and 92 patients in the first and second groups, respectively.
Mean ages were similar in them (28.9 vs 30.0 years, respectively,
p>0.05). Although the lower prevalence of autosplenectomy
(56.2% vs 45.6%, p<0.05), male ratio (45.5% vs 64.1%, p<0.001),
white blood cells (WBCs) (14.931 vs 15.346/µL, p<0.05)
and platelets (PLTs) (435.670 vs 498.310/µL, p= 0.005)
counts, painful crises per year (3.8 vs 8.4, p= 0.000), smoking
(12.0% vs 17.3%, p<0.05), clubbing (7.1% vs 15.2%, p<0.01),
chronic obstructive pulmonary disease (COPD) (6.6% vs 20.6%,
p<0.001), leg ulcers (11.6% vs 21.7%, p<0.01), stroke
(5.8% vs 11.9%, p<0.05), chronic renal disease (CRD) (4.9%
vs 14.1%, p<0.001), and coronary heart disease (CHD) (4.0%
vs 8.6%, p<0.05) were higher in the second group, and mean
age of mortality was lower in males (29.7 vs 33.3 years, p<0.05).
The author conclude that although the lower prevalence of
autosplenectomy, male ratio, WBCs and PLTs counts, painful
crises per year, smoking, clubbing, COPD, leg ulcers, stroke,
CRD, and CHD were higher in the second group, and mean age
of mortality was lower in males. So autosplenectomy may be
a good, and male gender alone may be a bad prognostic feature
that can not be explained by smoking alone at the younger
age.
Helvaci*, et al., looked whether
Red blood cell supports prolong the survival in sickle cell
diseases. Patients with red blood cells (RBCs) transfusions
of less than 50 units in their lives were put into the first
and 50 units or higher were put into the second groups. There
were 224 cases in the first and 92 cases in the second groups.
Mean ages were similar in them (28.9 vs 30.0 years, respectively,
p>0.05). Although the lower prevalence of autosplenectomy
(56.2% vs 45.6%, p<0.05), male ratio (45.5% vs 64.1%, p<0.001),
white blood cells (WBCs) (14.931 vs 15.346/µL, p<0.05)
and platelets (PLTs) (435.670 vs 498.310/µL, p= 0.005)
counts, painful crises per year (3.8 vs 8.4, p= 0.000), smoking
(12.0% vs 17.3%, p<0.05), clubbing (7.1% vs 15.2%, p<0.01),
chronic obstructive pulmonary disease (COPD) (6.6% vs 20.6%,
p<0.001), leg ulcers (11.6% vs 21.7%, p<0.01), stroke
(5.8% vs 11.9%, p<0.05), chronic renal disease (CRD) (4.9%
vs 14.1%, p<0.001), coronary heart disease (CHD) (4.0%
vs 8.6%, p<0.05), and mean age of mortality (29.5 vs 34.6
years, p<0.05) were all higher in the second group. The
Authors concluded that although the lower prevalence of autosplenectomy,
male ratio, WBCs and PLTs counts, painful crises per year,
smoking, clubbing, COPD, leg ulcers, stroke, CRD, CHD, and
mean age of mortality were higher in the second group. So
autosplenectomy may be a good, and male gender alone may be
a bad prognostic feature that can not be explained by smoking
alone at the younger age, and RBCs supports prolong the survival.
Abdulrazak
Abyad
Chief Editor
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