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Role of community health nurse in the prevention of elderly dehydration:A mini-review

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Journal of Integrative Nursing 2022年第3期4卷 166-171页

作者： Mostafa SHABAN huda hamdy mohammed Sahar HASSAN Community Health Nursing Department College Of Nursing Jouf UniversitySakakaSaudi Arabia Maternal and Newborn Department Faculty of NursingCairo UniversityCairoEgypt Department of Community Medicine Hammurabi College of MedicineUniversity of BabylonBabylonIraq

As dehydration is related to negative health outcomes in the elderly,including an increased risk of disability and death,prevention may help improve health,functional status,and quality of *** diagnosis can be challenging in the elderly as the traditional physical indications of dehydration may be absent or *** etiologies place the elderly at an increased *** role of the community health nurse(CHN)derives from the responsibilities attached to her,and the Betty Neuman’s Systems Model of health care with three levels of protection is usually applied to the *** this mini-review,we try to integrate the Betty Neuman’s Systems Model with the results of identified *** study includes a literature search of reputable international databases such as SpringerLink,PubMed,Embase,and Wanfang,particularly for the period 2005 to the *** articles that met the qualifying criteria were included in this *** findings of this study draw a picture of the role of CHN in preventing dehydration across the three levels of prevention as mentioned by Betty Neuman.

关键词： Community health nurse dehydration elderly prevention

Dehydration risk factors and outcomes in older people in rural areas

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Frontiers of Nursing 2022年第4期9卷 395-403页

作者： Mostafa Shaban Nagat Habib Inas Helmy huda hamdy mohammed Gerontological Nursing Department Faculty of NursingCairo UniversityCairo 12613Egypt Community Health Nursing-Faculty of Nursing Cairo UniversityCairo 12613Egypt Maternal&Newborn Health Nursing Faculty of NursingHelwan UniversityCairo 11795Egypt

Objective:To determine the risk factors for dehydration in elderly people in one of Elbehira Governorate’s ***:A descriptive correlational design was utilized in this *** study was conducted at Elnemaria village,Markaz Abo Elmatamir,Elbehira Governorate,*** were collected using 3 tools:a structured interviewing questionnaire,a dehydration knowledge questionnaire,and a dehydration risk appraisal ***:The study found that 29.5%of the par ticipants were aged between 65 and *** constituted 51%of the study par *** majority of the study participants regularly took anti-acids,anti-inflammatory drugs,and *** the elderlies comprising the respondents,40%had a low level of knowledge regarding *** than half of the study subjects were at moderate risk for ***:The study showed that half of the par ticipants had diabetes and a medium level of information about *** study also showed in general that the elderly in the village are exposed to a moderate dehydration rate,and there is also a strong relationship between taking different types of medication and the occurrence of dehydration.

关键词： clinical signs dehydration elderly functional signs physiological signs

Omicron: Egyptian nurses’ knowledge and attitudes

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Journal of Integrative Nursing 2022年第1期4卷 15-19页

作者： Mostafa SHABAN Marwa Mamdouh SHABAN Osama RAMADAN huda hamdy mohammed Department of Nursing College of Applied Medical SciencesJouf UniversitySakakaSaudi Arabia Department of Community Health Nursing Faculty of NursingCairo UniversityCairoEgypt Department of Maternal and New-born Health Nursing Faculty of NursingHelwan UniversityHelwanEgypt

Objective:The current study aimed to assess the knowledge and attitudes of nurses toward the current COVID-19 pandemic and Omicron *** and Methods:A cross-sectional online survey was *** 277 Egyptian nurses completed an electronic questionnaire comprising demographics with 5 items,nurses’knowledge on Omicron with 18 questions,and nurses’attitudes on Omicron with 5 *** data collected were expressed using numbers,percentages,and mean and standard ***:The mean age of nurses was 27±5 years,nearly 50%of the nurses were bachelor *** total score of correct answers related to knowledge was 75%,showing the different degrees of knowledge about *** majority of nurses showed positive attitudes toward controlling and managing the COVID-19 ***:Egyptian nurses have average knowledge about Omicron and a positive attitude toward controlling the COVID-19 *** should be scope for further assessment to enhance understanding about ***,health education programs should be developed for nursing staff to improve information,beliefs,behaviors,and attitudes towards the Omicron variant in particular and the COVID-19 pandemic in general.

关键词： Attitude COVID-19 Egypt knowledge Omicron pandemic

Tissue Doppler,speckling tracking and four-dimensional echocardiographic assessment of right ventricular function in children with dilated cardiomyopathy

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World Journal of Clinical Pediatrics 2022年第1期11卷 71-84页

作者： mohammed Al-Biltagi Osama Elrazaky Wegdan Mawlana Esraa Srour Ahmed hamdy Shabana Department of Pediatrics Faculty of MedicineTanta UniversityTanta 31512AlgharbiaEgypt Department of Pediatrics University Medical CenterArabian Gulf UniversityManama 26671ManamaBahrain

BACKGROUND Right ventricular(RV)function is frequently overlooked during dilated cardiomyopathy(DCM)*** To evaluate RV function in children with idiopathic DCM using relatively recent echocardiographic *** We prospectively studied the cardiac function in 50 children with idiopathic DCM and 50 healthy children as a control group,using four-dimensional echocardiography(4-DE),Tissue Doppler Imaging(TDI),and two-dimensional-speckles tracking echocardiography(2-D-STE).RV EF was measured by *** The auto left(LV)ejection fractions(EF)measured by 2-D-STE were significantly lower in the patients'group than in the *** sphericity index was also significantly lower in children with DCM than in the *** EF measured by 4-DE was significantly lower in the patient's group than the *** S wave,e´/a'ratio,myocardial performance index(MPI),and tricuspid annular plane systolic excursion(TAPSE)were significantly impaired in children with DCM than in *** LV and RV global longitudinal strains(GLS)were significantly reduced in children with DCM than in *** was significantly associated with the duration since diagnosis,tricuspid annulus S wave,RV MPI,and TAPSE,but not with the age of the patients,RV EF,or e´/a'*** There was impairment of the RV LGS and other systolic and diastolic parameters in children with *** and TDI can help to detect the early decline of RV function.

关键词： Tissue Doppler Speckling tracking Echocardiography Dilated cardiomyopathy Children Right ventricle

The Effect of Early versus Traditional Hospital Discharge on Activities of Daily Living for Women Undergoing Elective Cesarean Section. An Observational Cohort Study

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Open Journal of Obstetrics and Gynecology 2023年第3期13卷 642-653页

作者： Ahmed mohammed Elmaraghy Rasha Elhoseny Yehia Ahmed hamdy Naguib Department of Obstetrics and Gynecology Faculty of Medicine Ain Shams University Cairo Egypt Department of Obstetrics and Gynecology The National Medical Institute of Damanhour Ministry of Health Cairo Egypt

Background: Cesarean section is one of the most common surgeries performed worldwide and its consequences and complications represent a major public health concern. The policy of enhanced recovery after surgery has been implemented after cesarean section to optimize perioperative care. Enhanced recovery also aims to reduce the length of hospital stay, which might imply substantial healthcare savings. Rising hospital costs are one of the factors in early discharge. Patients & Methods: This was a prospective cohort study. 158 patients met the inclusion criteria of the study, 81 patients were discharged after 48 hours and 77 patients were discharged after 24 hours. All patients received the same postoperative care and instructions. All the study participants received a phone call 1, 3, and 5 days after discharge to objectively assess the activities of daily living through Katz index of independence in activities of daily living. All patients were offered a postpartum visit 1 week after discharge during which the wound was assessed by the Southampton wound assessment scale. Moreover, other maternal complications such as mastitis, puerperal sepsis, or pyelonephritis were assessed and cases who were readmitted were documented. Initiation of successful breastfeeding and neonatal readmission were reported as well. Results: 158 patients met the inclusion/exclusion criteria of the study. There was no significant difference between the two arms of the study regarding baseline characteristics. Katz index of independence showed that the resumption of activities of daily living after CS was similar in both arms of the study on days 1, 3 and 5 after discharge. Time till the passage of flatus and stool after the cesarean section was significantly shorter among the early discharge arm (9.31 VS 14.68, p value < 0.001 & 13.25 VS 24.82, p value < 0.001 respectively). Maternal readmission was not significantly higher among the early discharge arm and at the 1-week postpartum visit, obje

关键词： Cesarean Section Early Discharge Katz Index of Independence in Activities of Daily Living

1961～2015年黑龙江省西部半干旱区气候变化评估

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1961～2015年黑龙江省西部半干旱区气候变化评估

作者： Mahmoud mohammed Ahmed hamdy Hassanien 扬州大学

学位级别：硕士

1.绪论1.1背景和意义研究干旱变化对区域生态环境保护和可持续发展具有重要意义。根据世界气象组织(WMO)的统计,全球气象灾害约占所有自然灾害的70%,而干旱占所有气象灾害的比例达50%。干旱带来的损失也是自然灾害中最大的。近几十年来... 详细信息

1.绪论1.1背景和意义研究干旱变化对区域生态环境保护和可持续发展具有重要意义。根据世界气象组织(WMO)的统计,全球气象灾害约占所有自然灾害的70%,而干旱占所有气象灾害的比例达50%。干旱带来的损失也是自然灾害中最大的。近几十年来,全球干旱情况变得更加严重,影响也更为广泛。干旱也是我国农业面临的主要挑战性自然灾害之一,位于黑龙江省西部半干旱区的松嫩平原是我国重要的商品粮基地。该区处于我国东北高纬度寒区,半干旱季风气候显著,年降水量时空分布不均,冬季积雪少,春季干旱频发,气象条件对农业生产非常不利。开展该地区干旱变化特性与评估的研究,可为该地区防治和减轻干旱的影响,科学评价气候演变特征以及实现水资源的科学管理提供基础数据。对保障黑龙江省西部粮食产能和农业的可持续发展以及实现生态安全具有重要意义。1.2研究内容和技术路线1.2.1主要研究内容(1)黑龙江省西部半干旱区干旱特性评估选取具有黑龙江省西部半干旱气候特性的典型研究区,采用不同的单位时间间隔(1、3、6、12、24个月),推求研究区各时间间隔的标准化降水指数(Standardized Precipitation Index,SPI)和标准化降水-蒸散指数(Standardized Precipitation Evapotranspiration Index,SPEI),通过对不同时间间隔SPI和SPEI结果的分析,评价研究区各时间尺度的气象干旱特征及趋势。(2)主要气象因子的时间变异性分析采用变异系数法,计算研究区研究时段内各主要气象因子如降水量、气温、湿度、日照时数等年平均值序列的变异系数,通过对各气象因子变异系数的分析,对研究区各因子的变异性进行评价。(3)主要气象因子对降水的影响程度分析以年降水量为因变量,气温、相对湿度、日照时数和风速为自变量,构建多元线性回归模型,评价各因子对年降水量的线性相关程度以及影响的大小。(4)SPI和SPEI相关性分析针对不同的时间尺度(1、3、6、12和24个月)建立线性回归模型,以SPEI为因变量,SPI为自变量构建线性预测模型,验证各时间尺度SPEI和SPI值之间的差异性以及评价SPI和SPEI之间的线性关系。1.2.2技术路线根据研究的主要内容、所采用的研究方法和手段,拟采用的技术路线图如图1所示。2.材料和方法2.1研究区简介研究区位于黑龙江省西部(46°14’24"22°2624"25°31’48"E)(见图2),该区主要位于齐齐哈尔地区境内,处于松嫩平原腹地,冬季漫长寒冷,夏季短暂凉爽,年均气温2.0.5°C;多年平均降雨量450mm左右,降雨季节性分布不均,超过80%集中在6月的雨季;年潜在蒸散发量超过1000 mm,年降雨蒸发比在0.2.5之间,为半干旱区。研究区位置如图2所示。2.2气象数据收集在国家气象科学数据中心获取了研究区1961015年6个气象站的逐日气象数据(降水量、温度、相对湿度、太阳辐射和风速),气象站的分布如图2所示。2.3研究方法2.3.1 SPI和SPEI SPI是由美国科学家McKee等于1993年提出的一种多时间尺度干旱指数,采用Gamma函数来描述降水量的变化,只需降水量即可计算,通过SPI值可判别所评价的时间尺度内是否发生了干旱及其对应的等级,计算过程见文献。1月尺度SPI(SPI1)和3月尺度SPI(SPI3)能够反映短期气象旱涝特征,与农业干旱关系密切;6月尺度SPI(SPI6)和12月尺度SPI(SPI12)可以清楚地反映长期的旱涝变化特征,其中,SPI2对长期旱涝影响及持续时段具有显著的标识功能,通常与河流水位,水库水位,甚至地下水位相关度较高,因此,多种时间尺度的SPI综合应用可实现对旱涝的综合监测评估。SPEI的计算是基于月降水与同期潜在蒸散量的差值D=P-PET(D为月降水量与潜在蒸散量的差值;P为月降水量,为月潜在蒸散发量,单位均为mm),采用Log-logistic分布函数对A数据序列求累积概率,进行正态化,最终可得到不同时间尺度如1、3、6、9、12、24月等的SPEI值,计算过程可参考文献。McKee等(1993)基于SPI值对干旱进行了分级。在某些同类研究中,对Mackee(1993)基于SPI值的干旱分级标准进行了拓展,并包含了湿润分级,也有研究采用SPEI值对干旱(含湿润)进行分级,丰富和发展了干旱分级方法。本文在参考同类研究对干旱(含湿润)分级方法的基础上,采用不同SPI和SPEI值对干旱等级进行划分(见表1)。PET的计算方法有很多种,FAO-56推荐的彭曼-蒙蒂斯(P-M)公式(式1)综合考虑了温度、太阳辐射量、风速和相对湿度对蒸散发的影响,因此,本文采用P-M公式推求尸五r。(?)式中:为潜在蒸散发量,rrmrd;A为不同温度下饱和水汽压曲线上的斜率,

关键词：黒龙江省西部半干旱区气候变化标准化降水指数标准化降水-蒸散指数多元线性回归分析

Anti-nutritional characteristics and mechanism of soybean agglutinin

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BIOCELL 2021年第3期45卷 451-459页

作者： LI PAN JIAWEI LIU mohammed hamdy FAROUK GUIXIN QIN NAN BAO YUAN ZHAO HUI SUN Key Laboratory of Animal Production Product Quality and SecurityMinistry of EducationKey Laboratory of Animal Nutrition and Feed ScienceCollege of Animal Science and TechnologyJilin Agricultural UniversityChangchun130118China Animal Production Department Faculty of AgricultureAl-Azhar UniversityCairo11884Egypt

Soybean agglutinin(SBA)is an important anti-nutritional factor in *** can induce animal growth inhibition,cause pathological changes of intestinal tissue,and decrease in the immune system ***,a great deal of research has been done on the effects of SBA on cell morphology,division,apoptosis,autophagy,as well as the correlated signal transduction *** review mainly covers the chemical and biological characteristics of SBA,describes the multifaceted aspects of SBA anti-nutritional functions,and highlights the possible cellular and molecular mechanism of anti-nutritional effects of *** review has important implications for the prevention and treatment of SBA-induced diseases,drug development,processing techniques of plant products,prevention of food-borne toxins,as well as human and animal health protection.

关键词： Soybean agglutinin Autophagy Cell apoptosis Anti-nutritional functions Cell signaling

Endoscopic decompression of the median nerve for idiopathic Carpal tunnel syndrome

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Neuroscience & Medicine 2018年第1期9卷 1-8页

作者： hamdy mohammed Behairy Department of Neurosurgery Al-Azhar University Cairo Egypt

Carpal tunnel syndrome is one of the commonest entrapment neuropathies. Hand pain and numbness are mostly the presenting symptoms. Endoscopic carpal tunnel release (ECTR) has been demonstrated to reduce recovery time and allow faster return to the work. The purpose of this prospective descriptive study was to evaluate the efficacy and advantages of (ECTR) through single proximal incision. In this study, the procedure was done for 36 hands in 36 patients. The results showed that females:male = 9:1, mean age was 42 years. Right hand dominance was 90% and affected in 67%. Preoperatively, the condition was moderate in 61% and severe in 39%. The average operating time was 10 minutes and the mean follow up period was 6 months with no major postoperative complications. In 8%, transient neurapraxia was found and resolved in 1 week and tenderness was found in 70% and resolved in 4 weeks. we concluded that endoscopic carpal tunnel release is an effective minimal incisional safe procedure with a high success rate, rapid return to work.

关键词： carpal tunnel syndrome endoscopic release

Utilizing Wiltse Approach for Minimal Access Posterolateral Lumbar Stabilization

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Open Journal of Modern Neurosurgery 2018年第1期8卷 101-108页

作者： hamdy mohammed Behairy Department of Neurosurgery Al-Azhar University Cairo Egypt

An aggressive separation and prolonged overstretching of the paraspinal muscles in the posterior midline approach during lumbar non fusion dynamic stabilization in cases of spondylolisthesis resulting from pars interarticularis fracture may result in postoperative flat back deformity and intractable chronic pain. It is hypothesized that utilizing Wiltse paraspinal inter-muscular approach for this purpose may result in reduction of operative time, protection of integrity, vascularity, nerve supply and strength of paraspinal muscles, shortening of hospitalization and minimizing development of chronic postoperative back pain. So, I have performed this prospective descriptive study that involved 24 patients having single level lumbar instability at L4-5 or L5-S1 levels. All patients were operated upon using Wiltse minimal access posterolateral surgical technique for non-fusion dynamic stabilization. The final results revealed that males were 66%, females were 33% and ages were 42 ± 6 years. Trauma was reported in 12%. Low back pain and tenderness were reported in 100% and root affection reported in 25%. Plain X-ray and MRI were done in 100% and C.T. was done in 8% of cases. Level L4-5 was affected in 17% while level L5-S1 was affected in 83%. Anterolisthesis “grades 0” was found in 8%, grades 1 in 88% and retrolisthesis in 4% of cases. Operative time was 1 hour ± 10 min., blood loss was 60 ± 20 ml., patients ambulation was after 6 - 8 hours, hospital stay was 12 - 24 hours. None of cases were complicated with infection, screw loosening, or fixation system break. Back pain VAS diminished from 7 preoperative to 5 in 2nd day, then became 4 by 1 week, 3 by 1 month and 0 by 6 months. It was concluded that utilizing Wiltse approach for posterolateral lumbar stabilization minimizes tissue damage and improves the speed of recovery and outcome.

关键词： Lumbar Spine Instability Posterolateral Wiltse Approach Minimal Access Lumbar Stabilization