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Compliance and Barriers Facing Nurses with Surgical Site Infection Prevention Guidelines

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Open Journal of Nursing 2020年第1期10卷 15-33页

作者： magda M. Mohsen Neima Ali Riad Amina Ibrahim Badawy Community Health Nursing Faculty of Nursing Menoufia University Al Minufya Egypt Medical Surgical Nursing Faculty of Nursing Menoufia University Al Minufya Egypt

Background: Surgical Site Infection (SSI) is defined as infection that occurring within 30 days after surgical procedure or within a year of implantation of prosthesis. Surgical Site Infection can happen in up to 30% of surgical procedures and records for up to 14% of Hospital Acquired Infection (HAIs). Aim of the Study: The aim of this study was to assess levels of nurse’s Compliance;knowledge and practice regarding prevention of surgical site infection Guidelines and identify the barriers facing nurses’ compliance with surgical site infection prevention Guidelines. Design: Cross sectional descriptive study design self-reported survey. Settings: Data was collected from surgical departments from selected Menoufia Governorate Hospitals, Egypt. Sample: A large convenience sample of 450 nurses was selected. Initially 600 questionnaires were distributed, of which only 400 returned completed, a response rate of 66.6%. Tools: was comprised of the: 1) Pre-designed structured questionnaire to assess nurses’ socio-demographic characteristics’ and Nurses’ knowledge, 2) Likert-scale: to assess nurses’ compliance, nurses’ practice and nurses’ barriers facing nurses with surgical site infection prevention guidelines. Study period: The study was conducted from July to November 2019 in the selected hospitals. Results: nurses’ compliance mean scores were in low level with a mean of 13.01, it is clear that most of the nurses have poor knowledge, most of the nurses have poor practice about surgical site infection, concerning the most barriers of compliance facing nurses with surgical site infection prevention guidelines, were lack of a professional model, having no enough time, and some measures for the prevention of surgical site infection are not nurses’ responsibilities. Conclusions: Nurses working in the surgical related wards reported a low level of knowledge, practice and compliance regarding the prevention of surgical site infection guidelines. The most barriers of compliance

关键词： Surgical Site Infection Compliance Knowledge and Practice

小型底栖生物在北海南部湾生态监测中的应用研究

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海洋通报 1992年第5期11卷 54-58页

作者：陈国通 magda Vincx Carlo Heip 国家海洋局第二海洋研究所杭州310012 Institute of zoology.Uniuersity of Gent Betgium Delta Institute for Hydrobiological Reserch The Netherlands

北海南部湾(the Southern Bight of the North Sea)6个站位取样鉴定了13个小型底栖动物类群。其中线虫Nematoda、底栖桡足类Copepoda、涡虫Turbellaria、多毛类Polychaeta和水螅Hydrozoa在各站均有发现。线虫与桡足类丰度比率R为1.2～3... 详细信息

北海南部湾(the Southern Bight of the North Sea)6个站位取样鉴定了13个小型底栖动物类群。其中线虫Nematoda、底栖桡足类Copepoda、涡虫Turbellaria、多毛类Polychaeta和水螅Hydrozoa在各站均有发现。线虫与桡足类丰度比率R为1.2～30.7。701站和435站以较低的类群组成和多样性指标、以较高的R比率而明显区别于其它各站。分析结果表明:该两个站位小型底栖群落结构除了沉积物类型因素外,巳受到污染的严重影响。比利时沿岸701站的污染源来自Western Scheldt河长年携带大量工业废物和生活污水的入侵,而435站则归因于TiO_2废物的倾倒活动。

关键词：底栖生物小型生态监测北海湾

Possibilities of Experimental Modulation of Senescence by Stimulation of Antiradical Defense

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Journal of Biomedical Science and Engineering 2015年第4期8卷 237-245页

作者： Manuela Ciocoiu magda Badescu Oana Badulescu Madalina Mocanu Codruta Badescu Department of Pathophysiology Faculty of Medicine University of Medicine and Pharmacy “Grigore T. Popa” Iasi Romania Internal Medicine Clinic St. Spiridon Hospital University of Medicine and Pharmacy “Grigore T. Popa” Iasi Romania

Various epidemiological studies have shown an inverse association between the consumption of polyphenols or polyphenol-rich foods and the risk of neurodegenerative, hepatic diseases. The research aimed to fight oxidative stress and lipid metabolism changes in the context of?administration?of antioxidants, such as polyphenolic extract of Aronia melanocarpa and zinc aspartate, known for its neurotrophic effects in intrinsic aging processes. Zinc aspartate and poly-phenolic extract from Aronia melanocarpa reduce oxidative stress values both in serum, liver homogenate, and in brain homogenate. Oxidative stress assessed by malondialdehyde (MDA), glutathione peroxidase (GPx) and total antioxidant capacity (TAC) markers was reduced in animals receiving additional zinc salts and polyphenolic extract of Aronia melanocarpa, which underlines their role in antioxidant defense. This combination produces more superior hypolipidemic and antioxidant effects than in the case of separate administration within experimental senescence induced in the murine model. Further studies will investigate the effect of different dose combinations of zinc aspartate and polyphenolic extract of Aronia melanocarpa at different periods of treatments on age-associated liver/cerebral dysfunction.

关键词： Senescence Zinc Aspartate Aronia melanocarpa Oxidative Stress

Assessment of the patients’outcomes after implementation of South African triage scale in emergency department,Egypt

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Chinese Journal of Traumatology 2022年第2期25卷 95-101页

作者： Adel Hamed Elbaih Ghada Kamal Elhadary magda Ramdan Elbahrawy Samar Sami Saleh Emergency Medicine Department Faculty of MedicineSuez Canal UniversityIsmailiaEgypt

Purpose:Overcrowding in emergency department(ED)is a concerning global problem and has been identified as a national crisis in some *** emergency sorting systems designed successfully in the *** in 2004,a group of branches in South African triage scale(SATS)*** effectiveness of the case sorting system of SATS was evaluated to reduce the patient's length of stay(LOS)and mortality rate within the ED at Suez Canal University ***:The study was designed as an intervention study that included a systematic random sample of patients who presented to the ED in Suez Canal University *** study was implemented in three phases:pre-intervention phase,115 patients were assessed by the traditional protocols;intervention phase,a structured training program was provided to the ED staff,including a workshop and lectures;and post-intervention phase,230 patients were assessed by *** the patients were retriaged 2 h later,calculating the LOS per patient and the *** was collected and entered using Microsoft Excel *** data from the triage sheet were analyzed using the SPSS software program version ***:The LOS in the ED was about 183.78 min before the intervention;while after the training program and the application of SATS,it was reduced to 51.39 *** 15.7%of the patients died before the intervention;however,after the intervention the ratio decreased to 10.7%***:SATS is better at assessing patients without missing important ***,it resulted in a decrease in the LOS and reduction in the mortality rate compared to the traditional protocol.

关键词： Emergency service Triage Length of stay Mortality South African triage score

低能重离子诱导反应中轻带电粒子和蒸发剩余物的能谱(英文)

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原子核物理评论 2012年第1期29卷 25-35页

作者：吕绮雯卫华荣 Rahim magda A Fakhraddin S 刘福虎山西大学理论物理研究所山西太原030006 萨那大学理学院物理系

在多源理想气体模型的框架内,用一个关于末态粒子多重数分布的统一描述,研究了低能重离子诱导反应中轻带电粒子和蒸发剩余物的能谱。在同一个激发的复合核中,每个源对带电粒子和蒸发剩余物均贡献一个指数分布的能谱。计算结果与158,170,... 详细信息

在多源理想气体模型的框架内,用一个关于末态粒子多重数分布的统一描述,研究了低能重离子诱导反应中轻带电粒子和蒸发剩余物的能谱。在同一个激发的复合核中,每个源对带电粒子和蒸发剩余物均贡献一个指数分布的能谱。计算结果与158,170,180和200MeV20Ne+12C反应中,轻带电粒子和蒸发剩余物能谱的实验结果符合。

关键词：统一描述能谱轻带电粒子蒸发剩余物激发了的复合核重离子诱导反应

Land Use and Property Changes in Hungary and Poland after EU Accession

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Journal of Agricultural Science and Technology(A) 2012年第6期2卷 723-734页

作者： Katalin Takacs-Gyorgy Tamers Erdelyi Robert magda Istvan Takacs Adam Sadowski Department of Business Economics Kdroly Rabert College Hungary Faculty of Economics and Management University of Biatystok Poland

Land property in the post socialist countries was rebuilt in the beginning of the 1990s. The process went in different way in all of the post-socialist countries. The result of the privatization of agricultural land was a fragmented, direct or indirect smallholder ownership structure in most of the new member states of the EU. The land, partly or totally was given back to the owners and inheritors of land reforms following the war. It means that considerable proportion of the land is cultivated by tenants, the fragmented estate structure decreases the efficiency and the increasing rental fees further destroy the profitability and competitiveness of farming. Regarding to the competitiveness of agriculture, Poland showed a developing tendency after the accession, but Hungary suffers from serious problems. Applying descriptive statistics between the changes of land use and land ownership during the research relation analysis, emphasizing the effect in competitiveness of the land price and a land rent, the paper tries to identify the main differences and similarities in land use and property structure, and their effects on the agricultural competitiveness based on the FADN data base, since 2004-2007.

关键词： Land ownership and rental effects on tendencies EU

Polyphenolic extract association with renin inhibitors in experimental arterial hypertension

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Journal of Biomedical Science and Engineering 2013年第4期6卷 493-497页

作者： Manuela Ciocoiu magda Badescu Oana Badulescu Dana Tutunaru Laurentiu Badescu Department of Biochemistry University “Dunarea de Jos” Galati Romania Department of Cellular and Molecular Biology University of Medicine and Pharmacy “Gr. T. Popa” Iasi Romania Department of Pathophysiology Faculty of Medicine University of Medicine and Pharmacy “Gr. T. Popa” Iasi Romania

Various epidemiological studies have shown an inverse association between the consumption of polyphenols or polyphenol-rich foods and the risk of cardiovascular diseases. The purpose of the study was to emphasize the effects of the association between the renin inhibitor and the polyphenolic extract on biochemical parameters and systolic and diastolic blood pressure. The polyphenols are extracted from isolated and purified vegetable material represented by the mature fruit of the Aronia melanocarpa. The experiment was performed on the arterial hypertension model. In the arterial hypertensive model the cardioprotective effects of the polyphenolic extract from Aronia melanocarpa are represented by the antioxidant, hypocolesterolemiant intervention. Polyphenolic extract from Aronia melanocarpa reduce systolic and diastolic arterial tension values in rats with drug-induced hypertension, a phenomenon more pronounced when polyphenols are associated with Aliskiren (renin inhibitor). The combination between the Aliskiren and polyphenolic extract produce superior hypolipidemic and antioxidant effects than in the case of separate administration within experimental arterial hypertension induced in the murine model.

关键词： Arterial Hypertension Aliskiren Aronia melanocarpa Oxidative Stress

Determination of Organochlorine Compounds in Sediments from the Upper Middle Sao Francisco River （Bahia, Brazil）

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Journal of Earth Science and Engineering 2012年第7期2卷 401-411页

作者： Alexsandro Fiscina de Santana Eva Vidal Vatzquez Jorge Paz-Ferreiro magda Beretta Polytechnic Faculty Federacao Federal University of Bahia (UFBA) Salvador Bahia 40210-630 Brazil Faculty of Soil Sciences University of A Coruna (UDC) Coruna 15071 Spain

The objective of this study was to determine the contamination of OCPs （organochlorine pesticides） in sediments from the upper middle of Sao Francisco River （Bahia, Brazil） in order to evaluate their potential pollution risks. Samples of surface sediments were collected using a Petersen dredge at 21 stations located between Sobradinho and Cura^i. The organochlorine compounds analyzed were： p,p＇-DDT, p,p＇-DDD, p,p＇-DDE, dicofol, methoxychlor, HCHs, aldrin, endrin, endrin aldehyde, endrin ketone, dieldrin, heptachlor, heptachlor epoxide, endosulfan （ct, fl and sulfate） and chlordane （ct and ,/）. Extractions were carried out using the MAE （microwave-assisted extraction） method and organochlorine pesticides determination was achieved by GC/MS （gas chromatography-mass spectrometry）. Organochlorine concentrations ranged between 1.51-820.00 ***, indicating very low to high levels. The most frequent OCPs were endrin aldehyde, -HCH, HCH, HCH, heptachlor and heptachlor epoxide.

关键词： Sediments organochlorine pesticides SAo Francisco River Brazil.

Clinico-pathological study and treatment results of 1009 operable breast cancer cases:Experience of NCI Cairo University,Egypt

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The Chinese-German Journal of Clinical Oncology 2010年第7期9卷 409-415页

作者： magda El Mongy Hesham El Hossieny Farouk Haggag Rania Fathy Department of Radiation Oncology National Cancer InstituteCairo University Department of Clinical Oncology Kasr El-Aini Centre Cairo University

Objective： This retrospective study was designed to evaluate ciinico-pathological data including stage, results of treatment, and prognostic factors which affect the overall survival ＆ disease free survival. Methods： This was a retrospective study carried out at the Radiotherapy Department, National Cancer Institute, Cairo University, Egypt on 1009 patients treated for primary breast cancer between 1999-2003. Results： The median follow-up was 68 months. Loco regional relapse occurred in 23 patients （2.3%） and distant relapse occurred in 203 patients （20.1%）. Both Ioco regional and distant relapse were reported in 32 patients （3.2%）. The disease free survival （DFS） at 3 and 5 years were 87% and 78% respectively, while OAS at 3 and 5 years were 96.4% and 91.4% respectively. Multivariate analysis of different prognostic factors showed that the independent bad prognostic factors in the study for disease relapse were positive lymph nodes （LNs, more than 10）, tumor size T3, T4 with significance of 0.0001 for each, and pathologic grade with significance of 0.003. Conclusion： The most important independent bad prognostic factors for relapse are positive LNs more than 10, tumor size T3, T4 and pathologic grade. The timing of radiotherapy affects the disease free survival significantly also it is recommended to analyze the group of patients with LNs negative using well designed randomized trials.

关键词： Clinico-pathological study breast cancer retrospective