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Is There Relationship between Quality Indicators and Acquired Pressure Ulcers in Austrian Hospitals and Nursing Homes
Eman S. M. Shahin,
Christa Lohrmann
Issue:
Volume 3, Issue 2-1, March 2015
Pages:
1-7
Received:
7 February 2015
Accepted:
3 March 2015
Published:
23 April 2015
Abstract: Objectives: this study aims to assess the period prevalence of Austrian hospital- and nursing home-acquired pressure ulcers, and of pressure ulcer quality indicators in both settings over time. Methods: Design: A descriptive study (period prevalence) was conducted in hospitals and nursing homes between 2009 and 2012. The study sample covered hospital patients and nursing home residents who gave informed consent in the study (n= 13,438). The instrument used in this study was the German version of the Dutch National Prevalence Measurement of Care Problems (Landelijke Prevalentiemeting Zorgproblemen/LPZ) which covers demographic data, questions regarding quality indicators of pressure ulcers and the Braden scale. The results revealed that the period prevalence of pressure ulcers, excluding category one, was 6.4% in hospitals and 6.3% in nursing homes, whereas the period prevalence of hospital-acquired pressure ulcers, excluding category one, was 2.4% in hospitals and 4.6% in nursing homes. Six quality indicators for pressure ulcers (e.g. pressure ulcer prevention committee, pressure ulcer agreement guidelines, management protocol/guidelines for pressure ulcer prevention products, information brochures) exist in hospitals and five in nursing homes. Conclusion: The results indicated that 44% of pressure ulcer period prevalence in hospitals was hospital-acquired while 75.7% of pressure ulcer period prevalence in nursing homes was nursing home-acquired. A longitudinal study is needed to clarify the relationship between different quality indicators of pressure ulcers and the increase/decrease of the pressure ulcer rate in response to the use of these quality indicators.
Abstract: Objectives: this study aims to assess the period prevalence of Austrian hospital- and nursing home-acquired pressure ulcers, and of pressure ulcer quality indicators in both settings over time. Methods: Design: A descriptive study (period prevalence) was conducted in hospitals and nursing homes between 2009 and 2012. The study sample covered hospit...
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Effectiveness of Aromatherapy with Lavender Oil in Relieving Post Caesarean Incision Pain
Mohamed Abdel-Hamed Metawie,
Hadayat AbdEl-Raof Amasha,
Ragaa Ali Abdraboo,
Sally Ebrahim Ali
Issue:
Volume 3, Issue 2-1, March 2015
Pages:
8-13
Received:
7 February 2015
Accepted:
13 February 2015
Published:
23 April 2015
Abstract: Background: Post caesarean section pain is a common cause of pain in obstetrics, safe pain control methods after caesarean section is a greater challenge for health care providers because the spread use of drugs can cause side effects. Non-pharmacological measures are safer with fewer side effects than pharmacological measures. Aim: The aim of the current study was to evaluate the effectiveness of aromatherapy with lavender oil in relieving post caesarean incision pain. Design: A quasi-experimental design comprising two groups was used, with a sample of convenience of 100 post caesarean section mothers. The study was conducted at the postpartum unit in Suez Canal University Hospital, Ismailia City, Egypt between October 2013 and January 2014. Fifty mothers comprising the experimental group were inhaled 1 cc of lavender essential oil via an oxygen facemask and used for three minutes, while fifty participants of the control group were given placebo then the pain level was assessed after half an hour using Visual Analogue Scale (VAS) and Modified Johanson Pain-O-Meter (MJPOM). Results of the study showed that, aromatherapy with lavender oil via oxygen facemask effectively relieving post caesarian incision pain, and highly statistically significant differences in pain intensity between the groups understudy (p< 0.001) was observed. Conclusion: Lavender oil is a successful relieving pain after caesarean section. Therefore, hospital staff managers are encouraged to establish standards of aromatherapy care in maternity department and add aromatherapy concepts and techniques in the continued training program of nurses and midwives.
Abstract: Background: Post caesarean section pain is a common cause of pain in obstetrics, safe pain control methods after caesarean section is a greater challenge for health care providers because the spread use of drugs can cause side effects. Non-pharmacological measures are safer with fewer side effects than pharmacological measures. Aim: The aim of the ...
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Effect of Interferential Therapy on Chronic Pain After Inguinal Hernioplasty
Heba M. Mohamady,
Asmaa A. Saber,
Aly Saber
Issue:
Volume 3, Issue 2-1, March 2015
Pages:
14-17
Received:
7 February 2015
Accepted:
13 February 2015
Published:
9 May 2015
Abstract: Introduction: Chronic postoperative pain is strongly related to patient-related factors surgery- related factors. Treatment of chronic groin pain after surgery may be difficult for both the patient and the surgeon and many algorithms have been advocated but none of them has been accepted totally. Interferential Therapy has been used in clinical practice for reducing pain and other symptoms following musculoskeletal injury. This current study was designed to detect the therapeutic efficacy of Interferential Therapy as a method of treatment to reduce chronic post operative pain after inguinal hernia repair. Subjects and Methods: A total of 40 adult male patients were operated upon as inguinal hernioplasty with synthetic mesh repair and their ages were ranged from 30-50 years. Patients were randomly assigned into two equal groups; Group A (Interferential Therapy group) and Group B (Control group). Patients of group A underwent inguinal hernioplasty with synthetic mesh and received the application of interferential therapy over the operative skin incisions in addition they received the routine postoperative analgesia. Regarding the postoperative pain, the assessment approaches were subdivided into 3 main procedures: Visual Analog Scale, prosthesis awareness and physical activity. Results: Total pain score was the sum VAS, prosthesis awareness and physical activity scores. We observed that statistical analysis of total pain scores and the final scores per patient in both groups of this study were statistically significant. Conclusion: Interferential current as a supplement to traditional analgesia in the early postoperative course in hernia repair with mesh seems to be more effective for reducing pain than traditional postoperative analgesia alone. Interferential current therapy is a noninvasive therapy for relief from chronic post-surgical pain. It provides a safe, with minimal side effects and effective alternative to pharmacological approaches to pain control.
Abstract: Introduction: Chronic postoperative pain is strongly related to patient-related factors surgery- related factors. Treatment of chronic groin pain after surgery may be difficult for both the patient and the surgeon and many algorithms have been advocated but none of them has been accepted totally. Interferential Therapy has been used in clinical pra...
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Postmastectomy Pain Syndrome: A Frequent Problem Facing Cancer Surgeons
Emad Hokkam,
Aly Saber,
Taha Moati,
Mostafa El-Dosoki
Issue:
Volume 3, Issue 2-1, March 2015
Pages:
18-22
Received:
7 February 2015
Accepted:
13 February 2015
Published:
9 May 2015
Abstract: Background: Post mastectomy pain syndrome (PMPS) is a type of neurogenic pain that persists for a long period after surgery for breast cancer. The present study aims to find out the prevalence of this syndrome and investigate its contributing risk factors. Methods: A descriptive cross-sectional study was carried out among 167womenoperated for breast cancer. Patients with either modified radical mastectomy(MRM) or breast conserving therapy (BTC) were enrolled in the study. Detailed medical history with special emphasis on the presence of pain and its characteristics, duration and location were performed to all patients. Full clinical examination was also performed to exclude other possible causes of pain. All expected risk factors were traced and correlated to the patient condition. Reviewing of medical records of all patients was performed to find out operation details, tumor stage and way of management of axillary lymph nodes. Results: Eighty seven (52%) out of the 167 studied women reported PMPS. The mean age was 54 ± 18.3 years. The incidence of PMPS was more evident in younger age group and in women with advanced tumor stage. There is significant decrease in the incidence of PMPS in patients underwent sentinel lymph node biopsy (SLNB) (Chi-2=4.10 & P-value=0.043).Moderate and severe pain were most commonly reported among patients underwent MRM while mild pain was most commonly reported among patients underwent BCT (Chi-2=17.51 & P-value=0.001). Intercostobrachial neuralgia was the most commonly reported type of pain among patients underwent MRM and patients underwent BCT (Chi-2=10.47 & P-value=0.015). Pain occurred more frequently at the shoulder, axilla and arm complex (48.3%). Conclusion: PMPS is an evident problem. Cancer surgeons should clearly identify patients who are at risk aiming to minimize or even eliminate the chance of developing this syndrome.
Abstract: Background: Post mastectomy pain syndrome (PMPS) is a type of neurogenic pain that persists for a long period after surgery for breast cancer. The present study aims to find out the prevalence of this syndrome and investigate its contributing risk factors. Methods: A descriptive cross-sectional study was carried out among 167womenoperated for breas...
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Response of Bone Mineral Density to Physical Exercises after Thyroidectomy
Heba M. Mohamady,
Manar H. Abdel Sattar,
Ashraf H. Mohammed,
Ahmed M. Abdellatif
Issue:
Volume 3, Issue 2-1, March 2015
Pages:
23-26
Received:
7 February 2015
Accepted:
13 February 2015
Published:
9 May 2015
Abstract: Introduction: Thyroidectomy could be associated with bone loss because of an endogenous excess of thyroxin, over enthusiastic thyroid replacement therapy following surgery, deregulation of bone resorption as consequence of calcitonin deficiency or some combination of these factors. The aim was to investigate the effect of weight bearing exercises on Improving bone mineral density in post thyroidectomy patients suffering from osteoporosis. Subjects and methods: Thirty osteoporotic patients were assigned randomly into two equal groups; their ages ranged from 20-45 years. The study group received weight bearing exercises program in addition to routine medical treatment. Control group received medical treatment only. Study group received two sessions per week for two successful months. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to evaluate the bone mineral density using Dual Energy X-ray Absorptiometry. Results: Post treatment both groups showed a variant improvement in bone mineral density, but a significant improvement difference was recorded between the two groups in favor of the study group. Percentage of improvement of bone mineral density in the study group was 10.69%, while it was 2.8% in the control group. Conclusion: Weight bearing exercises were considered to be an effective modality for improving bone mineral density in subjects suffering from osteoporosis following thyroidectomy.
Abstract: Introduction: Thyroidectomy could be associated with bone loss because of an endogenous excess of thyroxin, over enthusiastic thyroid replacement therapy following surgery, deregulation of bone resorption as consequence of calcitonin deficiency or some combination of these factors. The aim was to investigate the effect of weight bearing exercises o...
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Postoperative Pain After Tonsillectomy; Comparison Between CO2 Laser Versus Conventional Dissection Tonsillectomy
Fahd Ali Alharbi,
Mohamed Rifaat Ahmed
Issue:
Volume 3, Issue 2-1, March 2015
Pages:
27-30
Received:
7 February 2015
Accepted:
13 February 2015
Published:
9 May 2015
Abstract: Background:Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO2 laser assisted tonsillectomy procedure. Method:Randomized clinical trial was done on 126 adult patients with chronic recurrent tonsillitis that underwent tonsillectomies operation divided into two groups. Group A (n=63) subjected to Conventional dissection tonsillectomy .Group B (n=63) subjected to CO2 Laser assisted tonsillectomy. Results: There was no statistically significant difference between patients in both groups with regard to mean VAS forpain starting from day 0 to day 10after initiation of treatment .Mean VAS for post tonsillectomypain in both groups revealed that at the end of day 10, pain was completely absent in both groups. Conclusion:Conventional dissection Tonsillectomy is almost similar to CO2 Laser assisted tonsillectomy operation in post operative pain and patient's quality of life but Laser-assisted tonsillectomy has shown to have shortened in the operative time with reduces the blood loss.
Abstract: Background:Postoperative pain after tonsillectomy is a great problem that the ideal tonsillectomy operation should have little or no morbidity or mortality with excellent outcome. Aim of the study:To compare the outcome of postoperative pain with two different methods of tonsillectomy, conventional dissection Tonsillectomy versus CO2 laser assisted...
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Role of Negative Pressure Therapy in Healing of Diabetic Foot Ulcers
Issue:
Volume 3, Issue 2-1, March 2015
Pages:
31-35
Received:
7 February 2015
Accepted:
13 February 2015
Published:
9 May 2015
Abstract: Thirty patients (17 female and 13 males) with chronic diabetic foot ulceration, age ranged from 50 to 65 years (53.4+ 4.1years), were selected from outpatient clinic of Benha teaching hospitals, Egypt from April 2013 to March 2014. Aim: Foot ulceration is one of the most common and severe complications of diabetes. The aim of the current was to clarify the effectiveness of topical negative pressure as a non invasive treatment approach for diabetic ulcers. Methods: Patients were divided into two equal groups; the first group was the control group and treated by traditional dressing while the second one was treated by negative pressure. The treatment course was extended up to six weeks; dressing was changed daily for the first group and day after day for the second group. Assessment was carried out before starting the course and after six weeks of treatment for both groups. The ulcer volume assessment was done by using a 10 cm syringe filled by terramycin ointment, and the wound surface area by using a graded plastic sheet. Student t-test was used to analyze the gained data of wound volume and surface area. Results: There was a significant improvement in the wound volume and surface area in the negative pressure group than that of the control group. Conclusion: It could be concluded that topical negative pressure is an effective non-invasive method in treating chronic diabetic foot ulceration.
Abstract: Thirty patients (17 female and 13 males) with chronic diabetic foot ulceration, age ranged from 50 to 65 years (53.4+ 4.1years), were selected from outpatient clinic of Benha teaching hospitals, Egypt from April 2013 to March 2014. Aim: Foot ulceration is one of the most common and severe complications of diabetes. The aim of the current was to cl...
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Aesthetic Outcome After Reconstruction of Complex Soft Tissue Defects with Free Antero-Lateral Thigh Flap Using Simple Equipment
Ashraf H. Abbas,
Moustafa Elmasry,
Ingrid Steinvall,
Osama A. Adly,
Mohamed A. Elbadawy,
Taha Ali Moati,
Folke Sjöberg
Issue:
Volume 3, Issue 2-1, March 2015
Pages:
36-41
Received:
7 February 2015
Accepted:
13 February 2015
Published:
9 May 2015
Abstract: Aim: We aimed to assess the aesthetic outcome of surgical reconstruction by free ALT flap using binocular single-refraction magnifying glasses and a modified post- operative surveillance protocol.Methods: 16 patients were operated for free antero-lateral thigh flap to reconstruct complex soft tissue defects with a close clinical follow up protocol for post operative care depending on the attending personnel in the Plastic surgery unit, Suez Canal University hospital, Ismailia, Egypt. Aesthetic outcome was assessed using a questionnaire based on Posch et al. 2005, including the following itemscolour, contour, presence of hair, overall appearance and donor site scar.Results:The patients’ assessed aesthetic outcome was acceptable in majority of the cases; median score was 4 for all assessed items. Complete flap loss occurred in one case, other complications as arterial thrombosis and hematomas and infection were detected and managed accordingly with flap salvage in the 3 complicated cases.Conclusion:The result suggests that the proposed protocol is sufficient as an alternative. The aesthetic outcome assessed by the patient and the failure rate was in line with other studies.
Abstract: Aim: We aimed to assess the aesthetic outcome of surgical reconstruction by free ALT flap using binocular single-refraction magnifying glasses and a modified post- operative surveillance protocol.Methods: 16 patients were operated for free antero-lateral thigh flap to reconstruct complex soft tissue defects with a close clinical follow up protocol ...
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Use of Honey in Management of Diabetic Foot Infection: Patient’s Satisfaction and Outcome
Alexander Kosternoy,
Emad K. Bayumi
Issue:
Volume 3, Issue 2-1, March 2015
Pages:
42-47
Received:
12 May 2015
Accepted:
1 June 2015
Published:
15 June 2015
Abstract: Introduction: diabetic foot is a major economic problem, and its management has not always been performed in a most cost effective way. This study on diabetic foot infection aimed at comparison of the effect of bee honey with another concentrated carbohydrate solution like glycerin and with a group using betadine and saline. Patients, Materials and Methods: The patients were divided into three groups; Group A: dressing with bee honey , Group B: dressing with glycerin magnesia and Group C: represented the control group dressed with Betadine and Saline. Results: We observed that the tested materials had positive effects on diabetic foot infections but honey surpassed all by reducing the debridement times and the load of infecting organisms. Conclusion: Local wound care plays a good role when topically applied to treat diabetic foot wounds. Honey seems effective in combating infection and helps wound healing.
Abstract: Introduction: diabetic foot is a major economic problem, and its management has not always been performed in a most cost effective way. This study on diabetic foot infection aimed at comparison of the effect of bee honey with another concentrated carbohydrate solution like glycerin and with a group using betadine and saline. Patients, Materials and...
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