Thestudy Group Research Articles

Clinical Efficacy and Nursing Efficiency Analysis of Jiuwei Zhusheng Decoction in Promoting Cervical Ripening in the Perinatal Midwifery Holistic Care

To evaluate the clinical efficacy of Jiuwei Zhusheng Decoction (JWZSD) and perinatal midwifery holistic nursing care in promoting cervical ripening, we conducted a randomized controlled trial involving 80 primiparous and full-term pregnant women with indications for labor induction. The participants were divided into a control group (n = 40) receiving intravenous oxytocin for labor induction and a study group (n = 40) receiving oral administration of JWZSD. Additionally, 30 female Wistar pregnant rats were randomly assigned to the blank group, oxytocin group, and traditional Chinese medicine (TCM) group to compare relevant indicators. In the clinical study, both groups showed significant increases in Bishop scores after treatment. However, the study group demonstrated significantly greater improvements compared to the control group. Moreover, the study group exhibited higher rates of clinical effectiveness and successful vaginal delivery than the control group. In the animal experiment, both the oxytocin and TCM groups displayed disorganized and relaxed cervical connective tissue with evident interstitial edema when compared to the blank group. Furthermore, rats in the TCM group exhibited significantly elevated serum levels of interleukin-8 (IL-8), matrix metalloproteinase-9 (MMP-9), prostaglandin E2 (PGE2), and cyclooxygenase-2 (COX-2) compared to those in the oxytocin group. The combination of JWZSD and perinatal midwifery holistic nursing care for labor induction can effectively enhance cervical ripening and reduce the incidence of cesarean section, potentially through the regulation of IL-8, MMP-9, COX-2, and PGE2 expression. However, further investigations are required to elucidate the underlying mechanisms.

Gingival health status in relation to salivary irisin in oral ulcerative patients of Diyala city, Iraq

Background: Gingivitis is the inflammation of the gingival tissue around the teeth initiated by bacteria. Irisin is a newly identified novel anti-inflammatory effect of adipocytokine. Recurrent aphthous ulcer (RAU) remains the most common ulcerative disease in the mucosa tissue of the oral cavity, existing as repeated onset of single or multiple painful ulcers. The study aims to evaluate gingival health status in relation to salivary irisin in oral ulcerative patients of Diyala City/ Iraq. The total sample consists of 200 patients taken from the specialized dental center in Ba'aquba / Diyala governorate from January-March 2022 for both genders within the 20- 31 age group. One hundred patients complaining of recurrent aphthous ulcers without systemic diseases were selected, and 100 patients were free from recurrent aphthous ulcers. The gingival inflammation was examined and recorded using Loe and Silness (1964). According to WHO (1997), a recurrent aphthous ulcer was assessed, and salivary irisin levels were determined using enzyme-linked immunosorbent assay (ELISA). In the study and control groups, the prevalence of gingivitis was 100%, with a higher mean value of GI among the study group than the control group. Minor ulcer prevalence was higher than a significant ulcer. The level of irisin was higher in the study group than in the control group, and the correlation between GI and irisin was negatively weak in the study and positively weak in the control group. Keywords: Gingival health, Irisin, RAU.

Zinc, Copper, Magnesium Levels in Polycystic Ovarian Syndrome Patients

Background: Polycystic ovarian syndrome (PCOS) is one of the most common endocrine diseases, and the status of trace elements is not clear. Aim and Objectives: In the present cross-sectional study, the potential relationships between serum levels of zinc, copper, magnesium, and PCOS were explored. Materials and Methods: One hundred participants with PCOS and 100 healthy controls were studied. They were in the age group (15-35 years) with the same socio-demographic characteristics. Blood samples were drawn to estimate serum zinc, copper, and magnesium levels by autoanalyzer. Results: Serum zinc and magnesium levels were found significantly higher among the study group as compared to the control group. Serum copper levels were significantly lower in the study group. Serum copper levels were significantly correlated with age and BMI among PCOS women. Serum magnesium and zinc levels had a maximum area under the ROC curve, and the high discriminating power of serum magnesium correlated with zinc levels for PCOS. Conclusion: These results suggest that trace elements have a role in the pathogenesis of PCOS and that supplementation may help manage the disease.

Statistical analysis of the SARS-CoV-2 effect on the gestation and childbirth course

Summary. Pregnancy is known to increase the risk of obstetric and neonatal sequelae in many viral complications. COVID-19, according to the WHO, is a disease caused by SARS-CoV-2 infection. Coronavirus disease in 2019, caused by severe acute respiratory syndrome, has spread rapidly around the world and has become a pandemic. Today, data on the impact of this disease on pregnancy and the development of possible complications for the fetus are being actively studied. The aim of the study – to learn the effect of SARS-CoV-2 in pregnant women on the subsequent gestation and childbirth course; to conduct a comparative analysis of the incidence of these complications with the overall average for the Perinatal Center "MUNICIPAL NON-PROFIT ENTERPRISE "TERNOPIL MUNICIPAL CITY HOSPITAL No. 2". Materials and Methods. The archived medical records including pregnancy and childbirth record form No. 096/o were analyzed in 33 parturient women, who labored in the Perinatal Center "MUNICIPAL NON-PROFIT ENTERPRISE "TERNOPIL MUNICIPAL CITY HOSPITAL No.2" in 2021–2022 and had SARS-CoV-2 coronavirus during this pregnancy. The incidence of pregnancy and childbirth complications in this group was analyzed in comparison with the overall average for this maternity hospital in 2021. The overall average for the Perinatal Center "MUNICIPAL NON-PROFIT ENTERPRISE "TERNOPIL MUNICIPAL CITY HOSPITAL No.2" for 2021 was calculated for 2218 childbirths that took place during this period. Results. The results showed that there was an increase in the incidence of pregnancy and childbirth complications in parturient women who had SARS-CoV-2 coronavirus during pregnancy compared with the average group. Thus, in the study group of women after coronavirus disease, the incidence of pregnancy complications was (compared to the average): placental dysfunction – 75.7 % (33.6 %), gestational toxicosis development – 51.5 % (24.3 %), abnormal amniotic fluid volume – 27.2 % (18.5 %), urinary tract infections – 15.1 % (8.8 %). The incidence of childbirth complications in the group of women who had SARS-CoV-2 coronavirus also increased significantly. Thus, in this group of women the number of physiological childbirths was 45 % (with an average of 51 %), the number of cesarean sections was 36.3 % (with an average of 25.2 %), dystocia and abnormal labors occurred in 18 % of women (with an average of 4.4 %), vacuum extraction was used in 6 % of women (with 2.2 % in the average group). The number of premature babies (15 %) and low birth-weight babies (21.2 %) increased among newborns in the group of women who had SARS-CoV-2 coronavirus. Conclusions. As a result of the analysis it was found that parturient women after SARS-CoV-2 had a significantly higher incidence of pregnancy and childbirth complications compared with the average. Timely prevention and diagnosis of complications after SARS-CoV-2 allows to treat effectively and perform on time delivery in this group of women and has positive consequences for both women and newborns

A Clinical Study to Evaluate the Role of Vitamin D3 in Allergic Rhinitis.

Allergic rhinitis is a common and chronic immunoglobulin E-mediated inflammation of nasal mucosa induced after allergen exposure. Allergic rhinitis is a global health problem that causes major illness and affects patient's social life, sleep, school and work performance. Various studies have implicated the association between low serum vitamin D levels and allergic diseases. Active form of Vitamin D3 has been shown to have immunoregulatory effect on both innate and adaptive immunity, which can significantly affect the outcome of allergic responses in allergic rhinitis. The study aims to evaluate effectiveness of Oral Vitamin D3 supplementation as an adjunct to standard therapy, in the management of allergic rhinitis. The present study is a prospective study in which 80 subjects were recruited and were randomly divided into two groups. The study group received oral vitamin D3 (60,000IU) along with intranasal steroid spray while control group received only intranasal steroid spray for 4weeks. The response in both the groups was compared by evaluating total nasal symptom score (TNSS). Subjects of allergic rhinitis showed deficiency in vitamin D indicated by mean serumvitamin D levels of 15 ± 2.42ng/ml inthe study group and 14.72 ± 2.64ng/ml in thecontrol group. The pre treatment mean TNSS score was 10.45 ± 3.1 in thestudy group and 11.43 ± 2.35 in thecontrol group. The post treatment mean TNSS score was 2.1 ± 0.21 in thestudy group and 3.85 ± 0.76 in the control group. A significant reduction in symptoms score was observed after 4weeks of oral vitamin D3 supplementation. The difference between twogroups wasfound to be statistically significant (p value < 0.05).

A Study to Assess the Effectiveness of Kneading Technique on Joint Pain Among Old Age People Residing in Selected Village at Panipat

Kneading is a form of massage that involves a gradual circular compression of the soft tissues under the bones.Great pressure is applied as the hands move closer, although the contact continues. Stirring stimulates the flowof tissue fluids and causes reflex vasodilatation. This reduces inflammation and helps resolve inflammation.Exercising vigorously reduces muscle cramps and can stretch the muscles shortened by injury and stimulatesthe nervous system which can produce calm and reduce feelings of stress and anxiety. Objectives of the study:To assess the level of joint pain among the elderly prior to the initiation of the mixing procedure in the studygroup. To evaluate the effectiveness of the mixing procedures at the level of joint pain among the elderly in thestudy group. Comparison of post-test pain scores reported between older adults between the study group andthe control group. Finding a link between the level of joint pain between older people and their chosen variables.The scientist has developed a method of multidisciplinary research research and experimental style for sixtyseniors living in the Panipat valley in a way that is easily accessible. The Modified Extremities Functional Scaleis designed to measure a patient’s joint pain. Results: In the evaluation group the pain assessment rate showedthat (56.67%) the subject had minimal pain, (43.33%) the subject had moderate joint pain and none of the subjects(0%) had significant pain, severe pain and no pain. respectively while the control group (43.33%) the subject hadsevere pain, (39%) the subject had severe pain, (26.67%) the subject had moderate pain and none of the subjectshad minor or no pain. the mixing method is effective in relieving the level of joint pain.

Effects of cataract surgery on short-term intraocular pressure fluctuations in patients with primary angle-closure and primary angle-closure glaucoma

Introduction. Cataract surgery results in a reduction of intraocular pressure, but it has not been sufficiently investigated how it affects short-term intraocular pressure fluctuations. The aim of this study was to evaluate the effects of cataract surgery on short-term intraocular pressure fluctuations in patients with primary angle-closure, with or without glaucoma. Material and Methods. A prospective interventional clinical study included 31 patients (eyes) with primary angle-closure/primary angle-closure glaucoma (study group) and 31 patients (eyes) with cataract only (control group). All subjects underwent cataract surgery. Preoperatively, and at the first, third and sixth postoperative months, diurnal tension curves for the assessment of intraocular pressure was performed and the mean intraocular pressure and short-term intraocular pressure fluctuations were evaluated. Results. Postoperatively, the mean intraocular pressure and short-term intraocular pressure fluctuations were significantly reduced in both groups. In the study group, the highest mean intraocular pressure reduction was - 4.14 ? 2.50 mmHg, and in the control group it was - 2.44 ? 1.76 mmHg. The highest reduction of short-term fluctuations was - 1.61 ? 3.55 mmHg in the study group, and - 0.55 ? 1.72 mmHg in the control group. In both groups, a significant negative correlation was found between the preoperative and postoperative mean intraocular pressure and short-term intraocular pressure fluctuations. At the end of the research, the number of medications was reduced by 18.4% compared to the preoperative period. Conclusion. Cataract surgery in patients with primary angle-closure/primary angle-closure glaucoma results in a significant reduction of intraocular pressure, short-term intraocular pressure fluctuations, and a reduction in the number of medications.

Glucocorticoids Increase Fracture Risk and Fracture Prevalence Independently from Bone Mineral Density and Clinical Risk Factors: Results from the Gliwice Osteoporosis (GO) Study.

The aim of the study was to establish the influence of glucocorticoids (GC) on fracture risk, probability, and prevalence. A set of 1548 postmenopausal women were divided into study group - treated with GC (n=114, age 66.48±7.6 years) and controls (n=1434, age 66.46±6.83 years). Data on clinical risk factors for osteoporosis and fractures were collected. Hip bone densitometry was performed using a device Prodigy (GE, USA). Fracture probability was established by FRAX, and fracture risk by Garvan algorithm and POL-RISK. Fracture risk and fracture probability were significantly greater for GC-treated women in comparison to controls. In the study group, there were 24, 3, 24, and 6 fractures noted at spine, hip, forearm, and arm, respectively. The respective numbers of fractures reported in controls at those skeletal sites were: 186, 23, 240, and 25. The use of GCs increased significantly prevalence of all major, spine and arm fractures. Also the number of all fractures was affected by GC use. Following factors significantly increased fracture probability: age (OR 1.04 per each year; 95% CI: 1.03-1.06), GC use (OR 1.54; 95% CI: 1.03-2.31), falls (OR 2.09; 95% CI: 1.60-2.73), and FN T-score (OR 0.62 per each unit; 95% CI: 0.54-0.71). In conclusion, in patients treated with GCs the fracture risk, probability, and prevalence were increased. This effect was evident regardless of whether GC therapy is included in the algorithm as a risk factor (FRAX, POL-RISK) or not taken into consideration (Garvan nomogram).

Effects or Blood Transrusion Amount on Coagulation Function and Safety in Patients with Severe Trauma

Objective: To investigate the effects of different blood transfusion volumes on coagulation function and safety in patients with severe trauma.Patients and Methods: One hundred and ten cases with severe trauma were selected as the research subjects. They were admitted to our hospital from April 2016 to April 2018. Sixty patients who needed massive transfusion (1-1.5 times of their own blood volume level) were assigned to the study group, and another 50 patients who needed small amount of transfusion (less than their own blood volume level) were assigned to the control group. The blood coagulation function index, thrombelastogram index, blood gas analysis index and the influence of adverse reactions were compared between patients in the two groups before transfusion and 24h after transfusion. Results:Twenty fourhoursafter transfusion, prothrombin time (PT), activated partial thrombin time (APTT) and thrombin time (TT) were prolonged in both groups. Both platelet (PLT) and fibrinogen (FIB) decreased(p&lt;0.05). Both response time of blood coagulation factor (R) and fibrin polymerization reaction time (K) decreased and were lowerin the study group than those in the control group, while fibrous protein aggregation function (Angle), platelet aggregation function (MA) elevated and were higherin the study group than those in the control group (p&lt;0.05). pH in both groups decreased, oxygen partial pressure (P02) and carbon dioxide partial pressure (PC02) in both groups increased (p&lt;0.05). PaC02 and Pa02 in the study group were higher than those in the control group, and pH was lower than that in the control group (p&lt;0.05). The incidence of total adverse reactions in the study group was higher than that in the control group (p&lt;0.05). Conclusion:ln conclusion, massive transfusion for patients with severe trauma could reduce the patient’s platelet and affect their coagulation function.

The Effect of Nursing Rehabilitation Program on Symptoms Severity and Functional Status in Patients with Carpal Tunnel Syndrome Undergoing Surgery.

Background: Carpal Tunnel Syndrome (CTS) is the most common upper extremity peripheral compression neuropathy and typically occurs because of the compression and damage of the median nerve between the transverse carpal ligament and flexor tendons in the carpal tunnel of the wrist. Objectives: was to assess the effect of the rehabilitation program on symptoms severity and functional status in patients with carpal tunnel syndrome undergoing surgery. Setting: The study was conducted at the Neurosurgery Department of Alexandria Main University Hospital and the affiliated Outpatient Clinic. Subjects: This study comprised a convenient sample of 40 adult patients admitted to the above-mentioned setting and diagnosed with carpal tunnel syndrome undergoing surgery. The study subjects were divided randomly into two equal groups; a study group, consisting of 20 adult patients who received the program and control consisting of 20 adult patients who received the routine hospital care only. Tools: Three tools were used Tool I: Patient’s Sociodemographic Characteristics and clinical data tool, Tool II: Carpal Tunnel Syndrome Questionnaire, and Tool III The Disabilities of the Arm, Shoulder, and Hand. Results: There were highly statistically significant differences between the study and control regarding pain intensity 1 month after the surgery. It was found that significant improvement among the study group, after fourteen days and one month postoperatively concerning the disabilities of the arm, shoulder, and hand. A statistically significant improvement in the symptom severity and functional status was noticed among the study group. Conclusion: Applying for a rehabilitation program significantly enhanced the studied patients' pain intensity, disabilities of the arm, shoulder, and hand., symptom severity, and functional status postoperatively than their control. Keywords - Carpal Tunnel Syndrome, Nursing Rehabilitation Program, Symptoms Severity, Functional Status

Diverticular Disease of the Vermiform Appendix - Is it a Distinctive Clinico- Pathological Entity?

Background: Diverticular disease of the appendix [DDOA] is a rare occurrence. Although acquired in nature, its impact on the disease process of appendicitis is not well-defined. The purpose of the current study is to include a comprehensive clinico-pathological definition of the disease through a retrospective single-center cohort analysis with a prospective pathological re-evaluation. Methods: A retrospective analysis of post-appendectomy patients over a period of 16 years [2000-2015] was carried out. Patients with DDOA were identified and compared to a control group of patients with acute appendicitis. Histology was re-evaluated prospectively by a senior pathologist. Primary measures of the outcome included clinical and surgical differences. Pathological macroscopic differences between the two groups and a comprehensive description of the DDOA itself were performed. Results: 6846 post appendectomy patients were operated on during the study period, and 127 [1.9%] were diagnosed with DDOA. The DDOA group showed significantly higher age, longer duration of complaints, and a different clinical presentation. Operative time was significantly longer in the study group and had higher rates of severe postoperative complications such as postoperative bleeding, need for ICU recovery, and need for postoperative mechanical ventilation. All diverticula were pseudo-diverticula and were significantly shorter and wider. Multivariate analysis showed that age, length, and width of the appendix were independently associated with DDOA. Conclusions: The results of this study suggest that DDOA is an independent clinical entity, showing differences in etiology, clinical presentation, and postoperative outcome. Prospective studies are needed to assess whether the preoperative diagnosis is feasible and will change conventional surgical management.

Effectiveness of an Educational Program on Nurses’ Knowledge and Attitudes about Pain Assessment and Management in Imam Hussein Medical City in Holy Karbala

Background: Pain is a physical and emotional distressing sensation that is associated with tissue damage,both actual and potential. Inadequate pain management has been shown to affect patient outcomes byprolonging the hospitalization period and delaying the recovery process; therefore, pain management hassignificant implications. A descriptive-analytic (quasi-experimental) design was conducted to determinethe effectiveness of an educational program on nurses’ knowledge and attitudes about pain assessment andmanagement in imam Hussein medical city in holy KarbalaMethodology: A quasi-experimental design was used to guide this study, it was applied by use of the preand post-test approach for two groups of samples (study and control). It was conducted at the Imam Husseinmedical city during the period from 15th November 2020 to 9th March 2021.Results: The study findings show that participants’ age group at a level (20-29 years) were (63.3%) of thestudy group, and (53.3%) of the control group. (50.0%) of the study group were male, while (46.7%) of thecontrol groups were female.Findings showed that the total mean score was unacceptable level for both study and control groups beforegiving intervention, while a good level for the study group post-intervention, regarding the knowledge andattitude of pain assessment and management. Highly statistically significant differences in post-test for thestudy group as compared with the control groups for knowledge and attitude domains.Conclusion: The study indicates that the education program had a positive effect on nurse’s knowledge andattitude about pain assessment and management. This conclusion is based on the result of our study thatreveals significant differences between pre-intervention and post-intervention.Recommendations: The study recommended that educational and training programs be routinely providedto develop their knowledge and attitude, and keep them up to date on pain management, also, the distributionof the applied educational program of this study as a booklet or posters for the hospital staff.

The influence of rotational movement exercise on the abdominal muscle thickness and trunk mobility – Randomized control trial

BackgroundTrunk rotations are important functional movements which form the foundations of human motion pattern, especially in the functions of walking and running. They prevent the functional impairments and structural lesions resulting from axial overloading in static positions such as sitting. ObjectivesThe aim of the study was to assess the influence of rotational movement training exercises on the abdominal muscle thickness and spinal mobility range. Study design: Randomized controlled trial. MethodsThe study involved 73 individuals aged 18–45. The subjects were randomly divided into two groups. The study group (TG) comprised 40 people who performed rotational movement exercises over the period of 4 weeks (16 training sessions). In the control group (CG) the training was not applied. Changes in the thickness of selected abdominal muscles on ultrasound imaging were evaluated, as well as trunk mobility, based on the trunk lateral flexion test. ResultsThe analysis of the obtained data has demonstrated a statistically significant increase in the thickness of the abdominal internal (IO) (p < 0.05) and external oblique muscles (EO) (p < 0.001) in the study group (TG) between measurements I and II, and measurements I and III. A similar increase in the thickness was found in the summation measurement of TrA + IO + EO. Bilateral increase in the trunk lateral flexion range in the frontal plane has also been noted. ConclusionsRotational movement training of the trunk leads to an increase in the thickness of the abdominal oblique muscles. Rotational movement exercise training increases trunk mobility in the frontal plane.

Loop electrosurgical excision in the treatment of precancerous lesions of the cervix

Introduction. In the period from 2010 to 2021, 150 patients were treated with loop electrosurgical excision of the cervix at the Special Gynecological Hospital ?Genesis?, Novi Sad. The aim of this study was to present the results of treatment, incidence of complications and recurrences after loop excision in the treatment of cervical dysplasia. Material and Methods. The study group A included 87 (58%) patients with cervical intraepithelial neoplasia, and the control group B included 63 (42%) patients with benign lesions of the cervix. Results. The total number of complications (bleeding, pain, infection) in the group A was recorded in 16 (20.7%) and in group B in 4 (6.4%) patients, and this difference was statistically significant. The absolute risk of complications in the group A was 18.39% and 6.34% in the group B. The relative risk of complications was 2.9, meaning that women in group A had a 3 times higher relative risk of complications compared to women in the group B. The absolute risk of recurrence in the group A was 4.56% and 4.76% in the group B. The relative risk of recurrence was 0.96. Women in the group A had a 4% lower relative risk of recurrence than women in the group B. The recurrence rate was lower in the group B (4.8%) compared to the group A (5.9%), but this difference was not statistically significant. Conclusion. Loop electrosurgical excision is the treatment of choice in the treatment of cervical dysplasia with good therapeutic outcomes and a low complication and recurrence rate.

Changes in the Morphological, Rheological, and Biochemical Blood Indicators in Triathletes

The aim of this study was to assess how the influence of intense physical effort changes the morphological, rheological, and biochemical blood indicators in triathletes. The study group comprised 10 triathletes aged 30-45 years, members of the Active Side of Life Association (Kraków, Poland). Venous blood was collected from the study participants twice, before and after the DiablakBeskid Extreme Triathlon 2016 (the Carpathians, Poland), and once from the control group for analysis of the selected blood indicators. Statistically significant changes were observed in the study group before and after the triathlon in morphological blood indicators, in the elongation index at the shear stress of 0.30 and 0.58 Pa, in levels of electrolytes, creatinine (mmol/l), serum protein parameters, and high-sensitivity troponin (ng/l). No such differences were reported for the remaining parameters. In turn, when comparing the study group before the triathlon with the control group, statistically significant differences were recorded in MCHC (g/dl), in the elongation index at the shear stress of 0.30 and 0.58 Pa, and Cl– (mmol/l) levels. No such differences were reported for the remaining parameters. Blood haematological and biochemical indicators in individuals that participate in triathlons characterize the actual range and direction of effort-related changes well and allow for the diagnosis of transient adaptive effects. Rheological parameters, involving the evaluation of erythrocyte deformability and aggregation, are useful for monitoring the particularly undesirable, short- and long-term effects of practicing extreme sports such as triathlons.

Educational Intervention for Improving Medication Adherence, Knowledge and Practice Regarding Intrafamilial Transmission among Helicobacter Pylori Patients

Background: The helicobacter pylori (H. pylori) infects more than half of the world's population and is associated with the development of 78% of all gastric cancers primarily in developing countries. Patients' education is vital in preventing intrafamilial transmission as well as in improving medication adherence for H. Pylori eradication therapy. Aim: To investigate the effectiveness of an educational intervention on improving medication adherence, knowledge, and practice regarding intrafamilial transmission among helicobacter pylori patients. Methodology: Quasi experimental research design (Pre/post-test) was utilized. Sample: A purposive sample of two hundred patients met the following inclusion criteria; patients aged ≥ 18 yrs. of both sexes, diagnosed with H. pylori infection by positive stool antigen test, and under the same strategy of H. pylori eradication therapy. Setting: The current study was carried out at the medical clinic of Minia university hospital, Minia governorate, Egypt. Tools of data collection: Two tools were utilized to collect data; 1st one: Is a Structured interviewing questionnaire sheet covered three parts (demographic data, knowledge assessment questionnaire regarding to the H. pylori infection, and self reported practices regarding its intrafamilial transmission), and the 2nd one: Medication adherence scale. Results: It was founded that near to three-quarters of the intervention group adhered to H. pylori eradication therapy after the educational intervention compared with only about one-third of the control group. Moreover, there was a significant improvement in the total score of knowledge and practices among the study group regarding H. pylori infection and its intrafamilial transmission after receiving the educational intervention than before. Conclusion: The application of educational intervention was effective in improving medication adherence, as well as improving the knowledge and practices regarding H. pylori infection, and its intrafamilial transmission among infected patients of the study group versus the control group. Recommendations: General population education must be implemented in Egypt, especially among at-risk populations around H. pylori infection and its intrafamilial transmission, as well as the importance of adherence to H. Pylori eradication therapy especially among older adults.

Educational Intervention for Improving Medication Adherence, Knowledge, and Practice Regarding Intrafamilial Transmission among Helicobacter Pylori Patients

Background: The helicobacter pylori (H. pylori) infects more than half of the world's population and is associated with the development of 78% of all gastric cancers primarily in developing countries. Patients' education is vital in preventing intrafamilial transmission as well as in improving medication adherence for H. Pylori eradication therapy. Aim: To investigate the effectiveness of an educational intervention on improving medication adherence, knowledge, and practice regarding intrafamilial transmission among helicobacter pylori patients. Methodology: Quasi experimental research design (Pre/post-test) was utilized. Sample: A purposive sample of two hundred patients met the following inclusion criteria; patients aged ≥ 18 yrs. of both sexes, diagnosed with H. pylori infection by positive stool antigen test, and under the same strategy of H. pylori eradication therapy. Setting: The current study was carried out at the medical clinic of Minia university hospital, Minia governorate, Egypt. Tools of data collection: Two tools were utilized to collect data; 1st one: Is a Structured interviewing questionnaire sheet covered three parts (demographic data, knowledge assessment questionnaire regarding to the H. pylori infection, and self reported practices regarding its intrafamilial transmission), and the 2nd one: Medication adherence scale. Results: It was founded that near to three-quarters of the intervention group adhered to H. pylori eradication therapy after the educational intervention compared with only about one-third of the control group. Moreover, there was a significant improvement in the total score of knowledge and practices among the study group regarding H. pylori infection and its intrafamilial transmission after receiving the educational intervention than before. Conclusion: The application of educational intervention was effective in improving medication adherence, as well as improving the knowledge and practices regarding H. pylori infection, and its intrafamilial transmission among infected patients of the study group versus the control group. Recommendations: General population education must be implemented in Egypt, especially among at-risk populations around H. pylori infection and its intrafamilial transmission, as well as the importance of adherence to H. Pylori eradication therapy especially among older adults.

EFFECT OF KINESIOTAPING ON SINGLE LEG BALANCE IN TAEKWONDO ATHLETES: A RANDOMIZED CONTROLLED TRIAL

Purpose: Balance has an important role in taekwondo athletes for injury prevention and athletic performance. Many strategies are being developed to improve balance. The kinesiotape application is also one of these methods. The aim of the study is to determine the effect of the kinesiotape application to the hip abductor muscles on the single leg balance in elite athletes. Methods: The study was conducted with 53 (28 study group, 25 control group) elite taekwondo athletes in the national team camp who did not have a lower extremity injury. The athletes were performed two balance tests at 48-hour intervals. In the balance tests, oscillations of the center of gravity of the athletes was calculated. Kinesiotape (KT) application was made to the hip abductor muscles of the study group athletes after the first measurement of the balance. The second measurement of balance was made 48-hour after the KT application. Results: As a result of the analysis of the obtained data, no statistically significant difference was found between Total Score, Anterior-Posterior (A-P) Score and Medial-Lateral (M-L) Score between first and second balance tests of the study and the control groups (p&amp;gt; 0.05). Conclusion: In conclusion, it was determined that KT application to hip abductor muscles did not effect to single leg balance in healthy elite taekwondo athletes.

Ресурсна насиченість особистості

resource’s richness of the personality.The following methods are applied: psychological survey using suchtechniques as personal’s resource questionnaire, personality’s psychologicalresourcefulness questionnaire, diagnostics of existential resources’ indicatorsquestionnaire, virtue and strength of character questionnaire, crisis copingquestionnaire, psychology and personality questionnaire of uncertainty. Methodsof mathematical and statistical analysis such as multivariate analysis, onefactorvariance analysis, cluster analysis, classification analysis, and correlationanalysis have been applied. The study is based on the Bayer model, which turnsthe problem into a solution in which it will be solved.The results of the research: according to the multivariate analysis (factorweight &gt; 0,70), which cumulatively explained 57,1% of the variance in thestudy group, it was found that factor 1 (44,3%) contains such components of resource’s richness as psychological survival resources, psychologicalresourcefulness, psychological well-being, coherence, existential resources,strength of character. The content of the second factor (13%) are the indicatorsof personal resourcefulness and intolerance for uncertainty. Systemic reflectionprevails over quasi-reflection and introspective reflection in individuals withhigh levels of resource’s richness. Changes in the level of resource’s richness aremost due to uncertainty tolerance (rank 100). The inter-correlation betweenpsychological resourcefulness and other components of resource’s richness is theclosest one. Uncertainty intolerance is the most closely related to psychologicalresourcefulness, the components of which are the interpretative codes of thesignificance of an event to man. Psychological survival resources are in onecluster with coherence. The ability of a person to use consciously availableown resources is conditioned by the level of his systemic reflection, which isincorporated into the resource’s richness through psychological resourcefulness.Conclusions. It is not important how many psychological resources a personhas, but whether, he or she knows about them and whether they can applythem according to their life situation. Resource’s richness is characterized as areflexively conditioned ability of a person to self-transformation.

Investigation of the Variables Affecting the Students’ Science Achievement with Multilevel Regression Model

This study investigated the variables affecting the science achievement of eighth-grade students by multi-level regression analysis. The variables included in this research were students’ attitudes, confidence level, value, engagement in science, socioeconomic status, school type, school region, and teacher experience. The study group consisted of 1049 students and 41 teachers. In the first research question, differences in students’ science achievement scores among their schools were investigated. According to the results, the students’ achievements differed among their schools. Approximately 16.3% of the differences observed in science achievement were stem from the differences among schools, and 83.6% stem from the differences among students. In the second research question, student characteristics that explain the differences among the science achievements of the schools have been examined. Students’ socioeconomic level, attitude, and confidence level were only variables that have statistically significant relationship with achievement. Socioeconomic and confidence level variables have a positive effect on achievement, but attitude variable has a negative effect on achievement. In the third research question, student and school characteristics that affect science achievement have been examined simultaneously. The school characteristics that have been included in the regression model were teacher experience, region, and school type. It was determined that none of the regression coefficients for the school characteristics variables were statistically significant in the regression model.