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Addition of Inhalation Training Devices and Smartphone Application to Verbal Counseling for Asthmatic Patients

Journal of Clinical and Nursing Research 2022年第2期6卷 76-79页

作者： Rania AA mahmoud Sara M Tony Marian S Boshra Mona A abdelrahman Haitham Saeed Hasnaa Osama Marwa O Elgendy mohamed EA Abdelrahim Clinical Pharmacy Department Faculty of PharmacyBeni-Suef UniversityBeni-SuefEgypt Beni-Suef Specialized Hospital Beni-SuefEgypt Technical Office of Deputy Minister of Health in Beni-Suif Directorate of Health Affairs Beni-SuefEgypt Department of Clinical Pharmacy Teaching Hospital of Faculty of MedicineFaculty of MedicineBeni-Suef UniversityBeni-SuefEgypt Department of Clinical Pharmacy Faculty of PharmacyNahda University(NUB)Egypt

Background:One of the main issues with pressurized metered dose inhalers(pMDI)is that some patients find it difficult to use it ***:This study was carried out to compare the effect of traditional verbal counseling and that of adding an inhalation training device,such as Flo-Tone or Clip-Tone,along with a smartphone application on the incidence of inhalation technique mistakes and the pulmonary function of asthmatic adults and ***:The lung function of those in the advanced counseling group significantly improved on the second visit(p<0.001),whereas for those in the verbal counseling group,their lung function only improved on the third visit(p<0.001).For both the groups,the mean number of mistakes in regard to the steps in inhalation technique decreased significantly(p<0.001),with an overall higher percentage in the advanced counseling ***:The use of training devices and smartphone applications in addition to traditional verbal counseling for teaching asthmatic adults and children the correct inhalation technique steps using pMDI resulted in a significant improvement in pulmonary function and a significant reduction in the number of inhalation technique mistakes,compared to traditional verbal counseling alone.

关键词： Flo-Tone Clip-Tone Counseling Asthma in adults and children Inhalation technique MDI,FEV1 PEF Smartphone application

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COVID-19 Patients with Hepatic Complications During the Third Wave of Pandemic in Egypt

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Journal of Clinical and Nursing Research 2022年第3期6卷 108-121页

作者： Alzhraa M Fahmy Marwa O Elgendy Ahmed M Khalaf Mona A abdelrahman mohamed EA Abdelrahim Ahmed O El-Gendy Tropical Medicine and Infectious Diseases Department Faculty of MedicineBeni-Suef UniversityBeni-SuefEgypt Department of Clinical Pharmacy Teaching Hospital of Faculty of MedicineFaculty of MedicineBeni-Suef UniversityBeni-Sueft Egypt Department of Clinical Pharmacy Faculty of PharmacyNahda University(NUB)Egypt Internal Medicine Department Faculty of MedicineBeni-Suef University Beni-SuefEgypt Clinical Pharmacy Department Faculty of PharmacyBeni-Suef University Beni-SuefEgypt Department of Microbiology and Immunology Faculty of PharmacyBeni-Suef University Beni-SuefEgypt

COVID-19 is a respiratory infection that has lately begun to affect other vital organs,including the heart,kidney,and *** purpose of this study was to investigate the hepatic complications in COVID-19 patients and the risk of being admitted to ICU or facing ***:Comorbidities(hypertension and diabetes),COVID-19 symptoms,laboratory findings(ALT level,AST level,and albumin),complications during hospitalization,treatment protocol used,and survival outcomes were all studied in 200 COVID-19 infected Egyptian patients who had virological symptoms and were followed up until they recovered or *** was found that older people and those with higher blood glucose levels have a higher risk of developing liver-associated COVID-19 ***,the majority of patients who developed liver complications in the course of the infection had high mortality *** with diabetes,hypertension,or hepatic disease are at higher risk of ICU admission or ***,it is important to pay attention to these problems in the diagnosis and treatment of COVID-19 to develop a suitable individualized treatment *** was also a correlation between the mortality in COVID-19 patients and both,high blood glucose and liver enzyme *** can be attributed to the correlation between diabetes and liver disease as every disease may be a complication to the other;moreover,COVID-19 may lead to increased blood sugar levels in addition to ALT and AST *** theory is that COVID-19 may afiect the liver and hence people with chronic liver disease.

关键词： COVID-19 Hepatic complications Third wave

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An Observational Study on the Management of COVID-19 Patients in Limited-Resource Hospitals

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Journal of Clinical and Nursing Research 2022年第3期6卷 43-53页

作者： Marwa O Elgendy Ahmed M Khalaf Ahmed O El-Gendy Mona A abdelrahman Sara O El Gendy Ahmed M Abdel Hamied Omar Essam Karim Al Amir Esraa M Yousry mohamed EA Abdelrahim Department of Clinical Pharmacy Teaching Hospital of Faculty of MedicineFaculty of MedicineBeni-Suef UniversityBeni-Suet Egypt Department of Clinical Pharmacy Faculty of PharmacyNahda University(NUB)Egypt Internal Medicine Department Faculty of MedicineBeni-Suef UniversityBeni-Suef Egypt Department of Microbiology and Immunology Faculty of PharmacyBeni-Suef UniversityBeni-Suef Egypt Department of Clinical and Chemical Pathology Faculty of MedicineBeni-Suef UniversityBeni-SuefEgypt Department of Pediatric Medicine Ministry of HealthBeni-Sueft Egypt Ministry of Health Beni-SuefEgypt Department of General Surgery Ministry of HealthBeni-Suefi Egypt Faculty of Agriculture Fayoum University Egypt Clinical Pharmacy Department Faculty of Pharmacy Beni-Suef UniversityBeni-Suef Egypt

Background:The purpose of this study was to evaluate the effectiveness of limited-resource hospitals in managing mild and moderate hospitalized cases of COVID-19 with comorbidities and in preventing their progression to severe ***:Data were obtained from 88 moderate COVID-19 patients with comorbidities who were admitted to limitedresource *** data were classified into several parts:comorbidities,chronic medication before hospital admission,symptoms of COVID-19 before and during hospitalization,clinical features,laboratory findings on hospital admission,complications during hospitalization,as well as worst laboratory values during hospitalization,hospital stay,and *** clinical features,laboratory results,type of oxygen therapy used,and the final treatment outcome were all evaluated to assess for any potential ***:All patients were alive upon *** admission,the majority of patients(60.2%)received COVID-19 treatment,and the average hospital stay was 12 *** most common symptoms were fever(88.7%),cough(95.5%),shortness of breath(90.9%),myalgia(84.1%),confusion(63.6%),headache(62.5%),sore throat(88.7%),rhinorrhea(17%),chest pain(58%),diarrhea(19.3%),nausea and vomiting(38.6%),anosmia(62.5%),as well as dysgeusia(64.8%).Based on chest radiograph or computed tomography(CT)scan,9.1%of the patients had unilateral pneumonia,90.9% had bilateral pneumonia,and 96.6% had multiple mottling and ground-glass *** was found associated with a significant increase in headache(p=0.005),rhinorrhea(p=0.013),chest pain(p=0.007),and the need for positive airway pressure(p=0.008).Between pre-and post-hospital admissions,there was a significant increase in lactate dehydrogenase and ferritin but a decrease in platelet,D-dimer,hemoglobin,lymphocytes,neutrophils,and total leucocyte count(p<0.001).There was a significant association between hospital stay and D-dimer level(p=0.05).Conclusion:Limited-resource hospitals in Egypt w

关键词： COVID-19 Limited-resource hospitals COVID-19 laboratory tests Comorbidities

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