Objective: The overall aim of this study is to assess the quality of nursing care provided to neo... more Objective: The overall aim of this study is to assess the quality of nursing care provided to neonate infants in neonatal intensive care units (NICUs) in governmental hospitals in the Gaza Strip. Method: We followed a quantitative, descriptive cross-sectional design. This study was carried out in NICU units at Shifa Medical Complex (SMC), Nasr Pediatric Hospital (NPH), Al-Aqsa Hospital (AH), Nasser Medical Complex (NMC), El-Emaraty Hospital (EH) and the European Gaza Hospital (EGH). Data were collected from a sample of nurses (N=110) using a self-administered questionnaire that includes 8 domains that assess the quality of nursing care. A questionnaire was constructed and data was collected by the researchers through a face to face interview with nurses. Findings: The results showed that the total quality of nursing care in NICUs was 75.8%. The highest concepts associated with quality of nursing care on infection and inflammation 78.6% and the lowest on professional issues in NICU nursing 73.6%. Furthermore, there was statistically significant difference between in the average of ethics and quality of nursing care. According to educational level, where the quality of nursing care of participants with a diploma is lower than those with bachelors and master's degrees. In contrast, there wasn't statistically significant difference according to nurse's age in NICUs. Conclusion and recommendations: This study revealed the presence of gap in the quality of nursing care. There was existing knowledge gap in key areas of professional issues in NICU and pain and stress. The main recommendations were suggested that there need more focus on educational and training programs about main issues such as: pain management, and improve practices in neonates' care. documented policy and procedure manuals were also recommended for assuring maintained quality care at the NICU.
Background: Preterm birth is one of most common health problems, associated with neonates admitte... more Background: Preterm birth is one of most common health problems, associated with neonates admitted to Neonatal Intensive Care Unit (NICU). Globally, every year, an estimated 15 million neonates are born preterm, this number is rising globally as well as in 2015, preterm birth and low birth weight accounted for about 17% of infant deaths and more than one million died due to complications in the first month of life. Mother's attitudes about neonate care influences the nature and quality of care that is given to the preterm. Hence, this study aims to evaluate mothers' attitudes of health caring for premature infants after discharge from NICU in the Gaza Strip. Methods: A Quantitative, cross-sectional design study was used to survey 120 mothers of preterm neonates at the time of discharge by face-to-face interview at Al-Shifa medical complex and Nasser hospital between February and June 2018 Results: The results showed that about 88.3% of mothers of preterm babies had positive...
Journal of Medical Research and Health Sciences, 2020
Background: There are limited data about the epidemiology of gin-givitis in Gaza Strip, Palestine... more Background: There are limited data about the epidemiology of gin-givitis in Gaza Strip, Palestine. The aim of the current study was to determine the prevalence and severity of gingivitis among high school students in Gaza strip. Methods: Cross-sectional study was conducted. A total of 408 students from both genders aged between 15-19 years old were selected from different areas of Gaza Strip by multistage sampling method (simple random for selecting the school, and stratified random sampling for student selection). Data of study were obtained through (periodontal examination kit and questionnaire). The data were collected in questionnaire filled by self-administration that consist of three sections; personal data, student general health conditions and oral hygiene practices. Before data collection, permission was obtained from the Ministry of Education. The schools were informed about the purpose of the study and its goal. The written informed consent from the student himself were obtained. Result: Average age of sample units was (16.92 + 0.78) years old. The percentage of males was 42.9%. According to the governorate distribution of the sample, 18.4% of them were from North Gaza, 38% were from Gaza City, while 15.4% were from Middle Camps, 18.3% from Khanyounes, and 9.8% from Rafah. The main findings of the current study revealed the prevalence rate of gingivitis among high school students was 97.1%. According to gingival index (GI), the average of GI was (1.5+0.80), where 28.5% of gingivitis cases were mild cases, while 44.5% of them were moderate, and 27% were of severe gingivitis. There was no significant difference in the average of gingival index according to gender (t=1.35, P=0.178), where the average of GI among males was (1.6+0.8), while that of females was (1.5 +0.18). According to sociodemographic factors, there were no differences in averages of GI except for governorates (F=3.7, P=0.05), and for Paternal educational level (F= 3.1,P= 0.027), where the highest average of GI was that of those live in Gaza city (1.63+ 0.77), and North Gaza (1.63+ 0.82) andand those whose fathers of illiteracy (1.73+ 0.95) and basic (1.66+0.78) educational levels. Moreover, there was statistically high significant direct correlation between GI and PI (R=0.63, P=0.000). Conclusion: The results of the current study revealed that GI average of high school students in North Gaza and Gaza City was the highest in Gaza Strip, and this finding need more investigation in future study to explain the reason of this significant difference in GI average according to governorates. Also, the findings of this study confirmed that the paternal educational level is considered as a risk factor for gingivitis, where the students whose fathers of low educational level have high probability to complain from gingivitis than those whose fathers of high educational level.
The study aimed to find out the factors that cause fetal death in the womb in governmental hospit... more The study aimed to find out the factors that cause fetal death in the womb in governmental hospitals in Gaza Strip a controlled study during the period 2018-2019. The study problem was formulated in the following main question: What were the most important factors causing childhood deaths in the womb? The study used descriptive and analytical methods. the study sample was (70) women and (70) controls. For each case, one control was matched. The study found that the average age of cases was (29.60) years compared to (27.1) for controls. The most common maternal risk factors for fetal intrauterine death were parity (24.3%) among cases versus (21.4%) among controls. Medication/substance, congenital anomalies of the fetus, bleeding in the third trimester of pregnancy, prolonged pregnancy after birth, and intrauterine growth retardation are the main risk factors. The study recommended conducting a continuing education program for women and nurses about risk factors for fetal death in the womb.
Objective: To determine the distribution, trend, manifestations , prognosis and genetic determina... more Objective: To determine the distribution, trend, manifestations , prognosis and genetic determinants of cystic fibro-sis (CF) diseases in the past ten years (2009-2019) in The Gaza Strip (GS). Methods: Hospital based cross-sectional study and retrospective review of health care facilities records was conducted. This study was performed in all CF cases (150 cases) of five governorates of GS. The study population was one hundred and fifty CF cases, where 71% of them were males. Questionnaire and checklist were the tools of data collection about the personal, socio-demographic, health status of CF patients. In addition, Hemoglobin examination was obtained in all cases. Also Allele-specific PCR technique was employed to study eight CFTR mutation types for subgroup of CF cases (100 CF cases). The records of health care facilities which provide services to CF patients for the past ten years were reviewed retrospectively to determine the number of children who were diagnosed and confirmed as CF. Results: The average age of subjects was 70.6 ± 44 months. About 93.3% of cases were of white colored skin. About one third of the population were from North Gaza, while 34.7% of them were from Gaza City, 22% of them were from Mid-zone, and 11.3% of them from South Governor-ates. About 88.7% of cases' parents were first and second degree relatives. The results showed that the average of incidence of CF disease during the past ten years was 2.53 cases: 10,000 live births. Also the study showed increase in the prevalence of CF disease through the past ten years in GS, where the average of prevalence was 6.86 cases: 100,000 persons in 2009 and become 7.43 cases: 100,000 persons in 2019. About three quarter of CF cases were diagnosed during infantile period of their lives. Most of CF cases (91%) were diagnosed by both clinical manifestations and sweat tests. The most frequent respiratory manifestations among CF cases were recurrent chest infections, chronic cough with viscid sputum. While the most frequent gastrointesti-nal manifestations were recurrent gastroenteritis, abdominal colic and flatulence, and malabsorption. Also 86.7% of CF cases were anemic, where the average of hemoglobin
BACKGROUND: Diabetes is a multifactorial disease characterized by severalmetabolic disorders. Its... more BACKGROUND: Diabetes is a multifactorial disease characterized by severalmetabolic disorders. Its prevalence rate in Gaza Strip is alarming. OBJECTIVE: To describe the clinical and biochemical features of patients with Type 2 diabetes in Gaza Governorate. METHODS: Data were obtained through a questionnaire interview, patients' records and of 99 type 2 diabetes patients and 95 healthy individuals. RESULTS: Family history and obesity were risk factors for diabetes. The mean age at diagnosis was 41.7±8.1 years. Fifty five (55.6%) patients had diabetes since d"5 years. Distribution of diagnosed diabetic complications was low. Micro-and macroalbuminuria in controls and patients (8.4 v 22.2% and 9.5 v 22.2%, respectively) were associated with diabetes (÷ 2 =7.06, P=0.007 and ÷ 2 =5.87, P=0.015, respectively). HbA1c% was significantly higher in diabetics (6.93+1.22 v 5.36+0.57, p<0.001). Serum urea and creatinine were significantly decreased in diabetics than controls (mean=23.5±6.9 v 27.2±7.4 and 0.49±0.15 v 0.58±0.14, % differences=13.6 and 15.5, respectively, p=0.000). Alkaline phosphatase (ALP) was increased in diabetics (136.9±38.7 v 117.4±23.5, % difference=16.6, p=0.001). Cholesterol, triglycerides and low density lipoprotein cholesterol (LDLC) were significantly higher in diabetics (207.6±36.5, 184.1±104.5 and 124.6±32.9) than controls (181.2±39.1, 139.8±76.1 and 102.2±37.4) with % differences of 14.6, 31.7 and 21.9%, respectively, p<0.001. In contrast, high density lipoprotein cholesterol (HDLC) was significantly lower in diabetics (42.6±7.8 v 48.2±5.7, % difference=11.6 and p<0.001). CONCLUSIONS: Diabetes was associated with family history, obesity and micro-or macroalbuminuria. HbA1c%, ALP, cholesterol, triglycerides and LDLC were higher in diabetics than controls. In contrast, urea, creatinine and HDLC were lower in diabetics. WAJM 2011; 30(1): 51-56. RÉSUMÉ CONTEXTE: Le diabète est une affection multifactorielle caractérisée par divers troubles métaboliques. Son taux de prévalence dans la bande de Gaza est préoccupante. OBJECTIFS: Décrire les caractéristiques cliniques et biochimiques de patients atteints de diabète de type 2 dans le gouvernorat de Gaza. METHODES: Les données ont été obtenues par un questionnaire sur les dossiers de 99 patients atteints de diabète de type 2 et 95 personnes en bonne santé. RÉSULTATS: Les antécédents familiaux et l'obésité sont des facteurs de risque pour le diabète. L'âge moyen au moment du diagnostic était de 41,7 ± 8,1 ans. Cinquante cinq patients (55,6%) avaient le diabète depuis plus de 5 ans. La survenue des complications diagnostiquées au cours du diabète était faible. La microalbuminurie et la macroalbuminurie chez les témoins et les patients diabétiques représentaient (8,4 v 22,2% et 9,5 v 22,2%, respectivement) (÷2 = 7,06, P = 0,007 et ÷2 = 5,87, P = 0,015, respectivement). Le pourcentage d'HbA1c a été significativement plus élevé chez les diabétiques (6,93+1,22 v 5,36+0,57, p <0,001). Les résultats de l'urée et la créatinine sérique étaient significativement plus réduits chez les diabétiques que chez les témoins (moyenne = 23,5 ± 6,9 v 27,2 ± 7,4 et 0,49 ± 0,15 v 0,58 ± 0,14, les % de différence = 13,6 et 15,5, respectivement, p = 0,000). Les phosphatases alcalines (PAL) étaient augmentées chez les diabétiques (136,9 ± 38,7 v 117,4 ± 23,5, % de différence = 16,6, p = 0,001). Le cholestérol total, les triglycérides et les lipoprotéines de basse densité (LDLC) étaient significativement plus élevés chez les diabétiques (207,6 ± 36,5, 184,1 ± 104,5, 124,6 ± et 32,9) que chez les témoins (181,2 ± 39,1, 139,8 ± 76,1 et 102,2 ± 37,4) avec des différences de pourcentage de 14,6, 31,7 et 21,9 respectivement, p <0,001. En revanche, les taux élevés des lipoprotéines de haute densité (HDLC) était significativement plus faibles chez les diabétiques (42,6 ± 7,8 v 48,2 ± 5, 7, % de différence = 11,6 et p <0,001). CONCLUSION: Le diabète est associé à des antécédents familiaux, à l'obésité et la microalbuminurie ou la macroalbuminurie. Le taux d'HbA1c, les PAL, le taux de cholestérol total, des triglycérides et des LDLC ont été plus élevés chez les diabétiques que chez les témoins. En revanche, les taux d'urée, de créatinine et des HDLC étaient plus bas chez les diabétiques. WAJM2011;30(1): 51-56.
Objective: The overall aim of this study is to assess the quality of nursing care provided to neo... more Objective: The overall aim of this study is to assess the quality of nursing care provided to neonate infants in neonatal intensive care units (NICUs) in governmental hospitals in the Gaza Strip. Method: We followed a quantitative, descriptive cross-sectional design. This study was carried out in NICU units at Shifa Medical Complex (SMC), Nasr Pediatric Hospital (NPH), Al-Aqsa Hospital (AH), Nasser Medical Complex (NMC), El-Emaraty Hospital (EH) and the European Gaza Hospital (EGH). Data were collected from a sample of nurses (N=110) using a self-administered questionnaire that includes 8 domains that assess the quality of nursing care. A questionnaire was constructed and data was collected by the researchers through a face to face interview with nurses. Findings: The results showed that the total quality of nursing care in NICUs was 75.8%. The highest concepts associated with quality of nursing care on infection and inflammation 78.6% and the lowest on professional issues in NICU nursing 73.6%. Furthermore, there was statistically significant difference between in the average of ethics and quality of nursing care. According to educational level, where the quality of nursing care of participants with a diploma is lower than those with bachelors and master's degrees. In contrast, there wasn't statistically significant difference according to nurse's age in NICUs. Conclusion and recommendations: This study revealed the presence of gap in the quality of nursing care. There was existing knowledge gap in key areas of professional issues in NICU and pain and stress. The main recommendations were suggested that there need more focus on educational and training programs about main issues such as: pain management, and improve practices in neonates' care. documented policy and procedure manuals were also recommended for assuring maintained quality care at the NICU.
Abstract: Cystic fibrosis (CF) is a devastating autosomal recessive disorder caused by mutations ... more Abstract: Cystic fibrosis (CF) is a devastating autosomal recessive disorder caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene the product of which is responsible for the transport of chloride ions across the membranes of epithelial cells. The disease is characterized by abnormally high sweat electrolytes, exocrine pancreatic insufficiency and chronic pulmonary obstruction, causing progressive disability and ultimately death. The aim of the present work was to determine for the first time in Gaza strip the common CF mutations and the major disease manifestations in Palestinian CF patients. The study population consisted of one hundred CF cases, 71% of them were males. The average age of the subjects was 70.6±44 months. Ninety three percent of the cases had white colored skin. Most of the CF cases (85%) were initially diagnosed by clinical manifestations and sweat test. The most frequent respiratory manifestations among CF cases were recurrent chest infections and chronic cough with viscid sputum whereas, the most frequent gastrointestinal manifestations were recurrent gastroenteritis, abdominal colic and flatulence, and malabsorption. Regarding the anthropometric measurements most CF cases had short stature (86%), 94% were underweight, and 65% had wasting. Also, 82% of CF cases were anemic. Allele-specific PCR was employed for screening DNA samples available from 64 patients for nine mutations: ΔF508, 3120+1G>A, N1303K, G85E, 1717+1G>A, G542X, W1282X, and 1209G>A, whereas, mutation 3120+1kbdel8.6kb was assayed by multiplex PCR. The results of mutation testing revealed that 61% of mutation-identified CF cases have at least a single ΔF508 allele. Moreover, 12.2% were homozygous for the 3120+1G>A CFTR mutation. Homozygous N1303K, G85E and 3120+1kbdel8.6kb mutations occurred in equal proportions and collectively represented 14.7%. The recorded CFTR homozygous mutations could be classified as: 51.2% class II, 19.5% class V, 4.9% class I and 2.4% class IV. The study shows that CF is not uncommon in Gaza strip and the findings will be useful for planning future screening and proper genetic counseling programs for Palestinian CF patients. Key Words: Cystic fibrosis, mutations, manifestations, Gaza strip-Palestine.
The study aimed to investigate the role of nurses in therapeutic communication in primary health ... more The study aimed to investigate the role of nurses in therapeutic communication in primary health care clinics in the Gaza Strip. The study followed the descriptive analytical method using SPSS program. The study found that all communication and technology are not enough to solve the problem of low health care from the point of view of workers in the field of communication and social media. Knowledge of successful therapeutic communication positively affects the patient's health and improves his / her mental health. The study recommended identifying nurses and providing them with more training programs that enable them to perform their role in a way that contributes to alleviate the psychological pressure on the patient to recover in a short time in clinics in Gaza Strip hospitals.
Background: Preterm birth is one of most common health problems, associated with neonates admitte... more Background: Preterm birth is one of most common health problems, associated with neonates admitted to Neonatal Intensive Care Unit (NICU). Globally, every year, an estimated 15 million neonates are born preterm, this number is rising globally as well as in 2015, preterm birth and low birth weight accounted for about 17% of infant deaths and more than one million died due to complications in the first month of life. Mother's attitudes about neonate care influences the nature and quality of care that is given to the preterm. Hence, this study aims to evaluate mothers' attitudes of health caring for premature infants after discharge from NICU in the Gaza Strip. Methods: A Quantitative, cross-sectional design study was used to survey 120 mothers of preterm neonates at the time of discharge by face-to-face interview at Al-Shifa medical complex and Nasser hospital between February and June 2018 Results: The results showed that about 88.3% of mothers of preterm babies had positive attitudes about health care needed for preterm neonates after discharge from NICU. Mothers admitted to Al-Shifa hospital had significantly higher attitudes than who were admitted to Nasser hospital. Furthermore, there was no statistically significant difference between the level of attitudes and mother’s other sociodemographic characteristics (P-values > 0.05). Conclusion: Mothers’ attitudes of preterm neonates care was not at the optimal level, which might put the newborns at risk. Therefore, the study emphasis to maternal education during hospitalization in NICU prior to discharge, certain components of essential preterm care package need more emphasis during education program. Keywords: Mothers' Attitudes , Preterm Neonates, Health Care, Neonatal Intensive Care Unit.
Objective: The overall aim of this study is to assess the quality of nursing care provided to neo... more Objective: The overall aim of this study is to assess the quality of nursing care provided to neonate infants in neonatal intensive care units (NICUs) in governmental hospitals in the Gaza Strip. Method: We followed a quantitative, descriptive cross-sectional design. This study was carried out in NICU units at Shifa Medical Complex (SMC), Nasr Pediatric Hospital (NPH), Al-Aqsa Hospital (AH), Nasser Medical Complex (NMC), El-Emaraty Hospital (EH) and the European Gaza Hospital (EGH). Data were collected from a sample of nurses (N=110) using a self-administered questionnaire that includes 8 domains that assess the quality of nursing care. A questionnaire was constructed and data was collected by the researchers through a face to face interview with nurses. Findings: The results showed that the total quality of nursing care in NICUs was 75.8%. The highest concepts associated with quality of nursing care on infection and inflammation 78.6% and the lowest on professional issues in NICU nursing 73.6%. Furthermore, there was statistically significant difference between in the average of ethics and quality of nursing care. According to educational level, where the quality of nursing care of participants with a diploma is lower than those with bachelors and master&#39;s degrees. In contrast, there wasn&#39;t statistically significant difference according to nurse&#39;s age in NICUs. Conclusion and recommendations: This study revealed the presence of gap in the quality of nursing care. There was existing knowledge gap in key areas of professional issues in NICU and pain and stress. The main recommendations were suggested that there need more focus on educational and training programs about main issues such as: pain management, and improve practices in neonates&#39; care. documented policy and procedure manuals were also recommended for assuring maintained quality care at the NICU.
Background: Preterm birth is one of most common health problems, associated with neonates admitte... more Background: Preterm birth is one of most common health problems, associated with neonates admitted to Neonatal Intensive Care Unit (NICU). Globally, every year, an estimated 15 million neonates are born preterm, this number is rising globally as well as in 2015, preterm birth and low birth weight accounted for about 17% of infant deaths and more than one million died due to complications in the first month of life. Mother's attitudes about neonate care influences the nature and quality of care that is given to the preterm. Hence, this study aims to evaluate mothers' attitudes of health caring for premature infants after discharge from NICU in the Gaza Strip. Methods: A Quantitative, cross-sectional design study was used to survey 120 mothers of preterm neonates at the time of discharge by face-to-face interview at Al-Shifa medical complex and Nasser hospital between February and June 2018 Results: The results showed that about 88.3% of mothers of preterm babies had positive...
Journal of Medical Research and Health Sciences, 2020
Background: There are limited data about the epidemiology of gin-givitis in Gaza Strip, Palestine... more Background: There are limited data about the epidemiology of gin-givitis in Gaza Strip, Palestine. The aim of the current study was to determine the prevalence and severity of gingivitis among high school students in Gaza strip. Methods: Cross-sectional study was conducted. A total of 408 students from both genders aged between 15-19 years old were selected from different areas of Gaza Strip by multistage sampling method (simple random for selecting the school, and stratified random sampling for student selection). Data of study were obtained through (periodontal examination kit and questionnaire). The data were collected in questionnaire filled by self-administration that consist of three sections; personal data, student general health conditions and oral hygiene practices. Before data collection, permission was obtained from the Ministry of Education. The schools were informed about the purpose of the study and its goal. The written informed consent from the student himself were obtained. Result: Average age of sample units was (16.92 + 0.78) years old. The percentage of males was 42.9%. According to the governorate distribution of the sample, 18.4% of them were from North Gaza, 38% were from Gaza City, while 15.4% were from Middle Camps, 18.3% from Khanyounes, and 9.8% from Rafah. The main findings of the current study revealed the prevalence rate of gingivitis among high school students was 97.1%. According to gingival index (GI), the average of GI was (1.5+0.80), where 28.5% of gingivitis cases were mild cases, while 44.5% of them were moderate, and 27% were of severe gingivitis. There was no significant difference in the average of gingival index according to gender (t=1.35, P=0.178), where the average of GI among males was (1.6+0.8), while that of females was (1.5 +0.18). According to sociodemographic factors, there were no differences in averages of GI except for governorates (F=3.7, P=0.05), and for Paternal educational level (F= 3.1,P= 0.027), where the highest average of GI was that of those live in Gaza city (1.63+ 0.77), and North Gaza (1.63+ 0.82) andand those whose fathers of illiteracy (1.73+ 0.95) and basic (1.66+0.78) educational levels. Moreover, there was statistically high significant direct correlation between GI and PI (R=0.63, P=0.000). Conclusion: The results of the current study revealed that GI average of high school students in North Gaza and Gaza City was the highest in Gaza Strip, and this finding need more investigation in future study to explain the reason of this significant difference in GI average according to governorates. Also, the findings of this study confirmed that the paternal educational level is considered as a risk factor for gingivitis, where the students whose fathers of low educational level have high probability to complain from gingivitis than those whose fathers of high educational level.
The study aimed to find out the factors that cause fetal death in the womb in governmental hospit... more The study aimed to find out the factors that cause fetal death in the womb in governmental hospitals in Gaza Strip a controlled study during the period 2018-2019. The study problem was formulated in the following main question: What were the most important factors causing childhood deaths in the womb? The study used descriptive and analytical methods. the study sample was (70) women and (70) controls. For each case, one control was matched. The study found that the average age of cases was (29.60) years compared to (27.1) for controls. The most common maternal risk factors for fetal intrauterine death were parity (24.3%) among cases versus (21.4%) among controls. Medication/substance, congenital anomalies of the fetus, bleeding in the third trimester of pregnancy, prolonged pregnancy after birth, and intrauterine growth retardation are the main risk factors. The study recommended conducting a continuing education program for women and nurses about risk factors for fetal death in the womb.
Objective: To determine the distribution, trend, manifestations , prognosis and genetic determina... more Objective: To determine the distribution, trend, manifestations , prognosis and genetic determinants of cystic fibro-sis (CF) diseases in the past ten years (2009-2019) in The Gaza Strip (GS). Methods: Hospital based cross-sectional study and retrospective review of health care facilities records was conducted. This study was performed in all CF cases (150 cases) of five governorates of GS. The study population was one hundred and fifty CF cases, where 71% of them were males. Questionnaire and checklist were the tools of data collection about the personal, socio-demographic, health status of CF patients. In addition, Hemoglobin examination was obtained in all cases. Also Allele-specific PCR technique was employed to study eight CFTR mutation types for subgroup of CF cases (100 CF cases). The records of health care facilities which provide services to CF patients for the past ten years were reviewed retrospectively to determine the number of children who were diagnosed and confirmed as CF. Results: The average age of subjects was 70.6 ± 44 months. About 93.3% of cases were of white colored skin. About one third of the population were from North Gaza, while 34.7% of them were from Gaza City, 22% of them were from Mid-zone, and 11.3% of them from South Governor-ates. About 88.7% of cases' parents were first and second degree relatives. The results showed that the average of incidence of CF disease during the past ten years was 2.53 cases: 10,000 live births. Also the study showed increase in the prevalence of CF disease through the past ten years in GS, where the average of prevalence was 6.86 cases: 100,000 persons in 2009 and become 7.43 cases: 100,000 persons in 2019. About three quarter of CF cases were diagnosed during infantile period of their lives. Most of CF cases (91%) were diagnosed by both clinical manifestations and sweat tests. The most frequent respiratory manifestations among CF cases were recurrent chest infections, chronic cough with viscid sputum. While the most frequent gastrointesti-nal manifestations were recurrent gastroenteritis, abdominal colic and flatulence, and malabsorption. Also 86.7% of CF cases were anemic, where the average of hemoglobin
BACKGROUND: Diabetes is a multifactorial disease characterized by severalmetabolic disorders. Its... more BACKGROUND: Diabetes is a multifactorial disease characterized by severalmetabolic disorders. Its prevalence rate in Gaza Strip is alarming. OBJECTIVE: To describe the clinical and biochemical features of patients with Type 2 diabetes in Gaza Governorate. METHODS: Data were obtained through a questionnaire interview, patients' records and of 99 type 2 diabetes patients and 95 healthy individuals. RESULTS: Family history and obesity were risk factors for diabetes. The mean age at diagnosis was 41.7±8.1 years. Fifty five (55.6%) patients had diabetes since d"5 years. Distribution of diagnosed diabetic complications was low. Micro-and macroalbuminuria in controls and patients (8.4 v 22.2% and 9.5 v 22.2%, respectively) were associated with diabetes (÷ 2 =7.06, P=0.007 and ÷ 2 =5.87, P=0.015, respectively). HbA1c% was significantly higher in diabetics (6.93+1.22 v 5.36+0.57, p<0.001). Serum urea and creatinine were significantly decreased in diabetics than controls (mean=23.5±6.9 v 27.2±7.4 and 0.49±0.15 v 0.58±0.14, % differences=13.6 and 15.5, respectively, p=0.000). Alkaline phosphatase (ALP) was increased in diabetics (136.9±38.7 v 117.4±23.5, % difference=16.6, p=0.001). Cholesterol, triglycerides and low density lipoprotein cholesterol (LDLC) were significantly higher in diabetics (207.6±36.5, 184.1±104.5 and 124.6±32.9) than controls (181.2±39.1, 139.8±76.1 and 102.2±37.4) with % differences of 14.6, 31.7 and 21.9%, respectively, p<0.001. In contrast, high density lipoprotein cholesterol (HDLC) was significantly lower in diabetics (42.6±7.8 v 48.2±5.7, % difference=11.6 and p<0.001). CONCLUSIONS: Diabetes was associated with family history, obesity and micro-or macroalbuminuria. HbA1c%, ALP, cholesterol, triglycerides and LDLC were higher in diabetics than controls. In contrast, urea, creatinine and HDLC were lower in diabetics. WAJM 2011; 30(1): 51-56. RÉSUMÉ CONTEXTE: Le diabète est une affection multifactorielle caractérisée par divers troubles métaboliques. Son taux de prévalence dans la bande de Gaza est préoccupante. OBJECTIFS: Décrire les caractéristiques cliniques et biochimiques de patients atteints de diabète de type 2 dans le gouvernorat de Gaza. METHODES: Les données ont été obtenues par un questionnaire sur les dossiers de 99 patients atteints de diabète de type 2 et 95 personnes en bonne santé. RÉSULTATS: Les antécédents familiaux et l'obésité sont des facteurs de risque pour le diabète. L'âge moyen au moment du diagnostic était de 41,7 ± 8,1 ans. Cinquante cinq patients (55,6%) avaient le diabète depuis plus de 5 ans. La survenue des complications diagnostiquées au cours du diabète était faible. La microalbuminurie et la macroalbuminurie chez les témoins et les patients diabétiques représentaient (8,4 v 22,2% et 9,5 v 22,2%, respectivement) (÷2 = 7,06, P = 0,007 et ÷2 = 5,87, P = 0,015, respectivement). Le pourcentage d'HbA1c a été significativement plus élevé chez les diabétiques (6,93+1,22 v 5,36+0,57, p <0,001). Les résultats de l'urée et la créatinine sérique étaient significativement plus réduits chez les diabétiques que chez les témoins (moyenne = 23,5 ± 6,9 v 27,2 ± 7,4 et 0,49 ± 0,15 v 0,58 ± 0,14, les % de différence = 13,6 et 15,5, respectivement, p = 0,000). Les phosphatases alcalines (PAL) étaient augmentées chez les diabétiques (136,9 ± 38,7 v 117,4 ± 23,5, % de différence = 16,6, p = 0,001). Le cholestérol total, les triglycérides et les lipoprotéines de basse densité (LDLC) étaient significativement plus élevés chez les diabétiques (207,6 ± 36,5, 184,1 ± 104,5, 124,6 ± et 32,9) que chez les témoins (181,2 ± 39,1, 139,8 ± 76,1 et 102,2 ± 37,4) avec des différences de pourcentage de 14,6, 31,7 et 21,9 respectivement, p <0,001. En revanche, les taux élevés des lipoprotéines de haute densité (HDLC) était significativement plus faibles chez les diabétiques (42,6 ± 7,8 v 48,2 ± 5, 7, % de différence = 11,6 et p <0,001). CONCLUSION: Le diabète est associé à des antécédents familiaux, à l'obésité et la microalbuminurie ou la macroalbuminurie. Le taux d'HbA1c, les PAL, le taux de cholestérol total, des triglycérides et des LDLC ont été plus élevés chez les diabétiques que chez les témoins. En revanche, les taux d'urée, de créatinine et des HDLC étaient plus bas chez les diabétiques. WAJM2011;30(1): 51-56.
Objective: The overall aim of this study is to assess the quality of nursing care provided to neo... more Objective: The overall aim of this study is to assess the quality of nursing care provided to neonate infants in neonatal intensive care units (NICUs) in governmental hospitals in the Gaza Strip. Method: We followed a quantitative, descriptive cross-sectional design. This study was carried out in NICU units at Shifa Medical Complex (SMC), Nasr Pediatric Hospital (NPH), Al-Aqsa Hospital (AH), Nasser Medical Complex (NMC), El-Emaraty Hospital (EH) and the European Gaza Hospital (EGH). Data were collected from a sample of nurses (N=110) using a self-administered questionnaire that includes 8 domains that assess the quality of nursing care. A questionnaire was constructed and data was collected by the researchers through a face to face interview with nurses. Findings: The results showed that the total quality of nursing care in NICUs was 75.8%. The highest concepts associated with quality of nursing care on infection and inflammation 78.6% and the lowest on professional issues in NICU nursing 73.6%. Furthermore, there was statistically significant difference between in the average of ethics and quality of nursing care. According to educational level, where the quality of nursing care of participants with a diploma is lower than those with bachelors and master's degrees. In contrast, there wasn't statistically significant difference according to nurse's age in NICUs. Conclusion and recommendations: This study revealed the presence of gap in the quality of nursing care. There was existing knowledge gap in key areas of professional issues in NICU and pain and stress. The main recommendations were suggested that there need more focus on educational and training programs about main issues such as: pain management, and improve practices in neonates' care. documented policy and procedure manuals were also recommended for assuring maintained quality care at the NICU.
Abstract: Cystic fibrosis (CF) is a devastating autosomal recessive disorder caused by mutations ... more Abstract: Cystic fibrosis (CF) is a devastating autosomal recessive disorder caused by mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene the product of which is responsible for the transport of chloride ions across the membranes of epithelial cells. The disease is characterized by abnormally high sweat electrolytes, exocrine pancreatic insufficiency and chronic pulmonary obstruction, causing progressive disability and ultimately death. The aim of the present work was to determine for the first time in Gaza strip the common CF mutations and the major disease manifestations in Palestinian CF patients. The study population consisted of one hundred CF cases, 71% of them were males. The average age of the subjects was 70.6±44 months. Ninety three percent of the cases had white colored skin. Most of the CF cases (85%) were initially diagnosed by clinical manifestations and sweat test. The most frequent respiratory manifestations among CF cases were recurrent chest infections and chronic cough with viscid sputum whereas, the most frequent gastrointestinal manifestations were recurrent gastroenteritis, abdominal colic and flatulence, and malabsorption. Regarding the anthropometric measurements most CF cases had short stature (86%), 94% were underweight, and 65% had wasting. Also, 82% of CF cases were anemic. Allele-specific PCR was employed for screening DNA samples available from 64 patients for nine mutations: ΔF508, 3120+1G>A, N1303K, G85E, 1717+1G>A, G542X, W1282X, and 1209G>A, whereas, mutation 3120+1kbdel8.6kb was assayed by multiplex PCR. The results of mutation testing revealed that 61% of mutation-identified CF cases have at least a single ΔF508 allele. Moreover, 12.2% were homozygous for the 3120+1G>A CFTR mutation. Homozygous N1303K, G85E and 3120+1kbdel8.6kb mutations occurred in equal proportions and collectively represented 14.7%. The recorded CFTR homozygous mutations could be classified as: 51.2% class II, 19.5% class V, 4.9% class I and 2.4% class IV. The study shows that CF is not uncommon in Gaza strip and the findings will be useful for planning future screening and proper genetic counseling programs for Palestinian CF patients. Key Words: Cystic fibrosis, mutations, manifestations, Gaza strip-Palestine.
The study aimed to investigate the role of nurses in therapeutic communication in primary health ... more The study aimed to investigate the role of nurses in therapeutic communication in primary health care clinics in the Gaza Strip. The study followed the descriptive analytical method using SPSS program. The study found that all communication and technology are not enough to solve the problem of low health care from the point of view of workers in the field of communication and social media. Knowledge of successful therapeutic communication positively affects the patient's health and improves his / her mental health. The study recommended identifying nurses and providing them with more training programs that enable them to perform their role in a way that contributes to alleviate the psychological pressure on the patient to recover in a short time in clinics in Gaza Strip hospitals.
Background: Preterm birth is one of most common health problems, associated with neonates admitte... more Background: Preterm birth is one of most common health problems, associated with neonates admitted to Neonatal Intensive Care Unit (NICU). Globally, every year, an estimated 15 million neonates are born preterm, this number is rising globally as well as in 2015, preterm birth and low birth weight accounted for about 17% of infant deaths and more than one million died due to complications in the first month of life. Mother's attitudes about neonate care influences the nature and quality of care that is given to the preterm. Hence, this study aims to evaluate mothers' attitudes of health caring for premature infants after discharge from NICU in the Gaza Strip. Methods: A Quantitative, cross-sectional design study was used to survey 120 mothers of preterm neonates at the time of discharge by face-to-face interview at Al-Shifa medical complex and Nasser hospital between February and June 2018 Results: The results showed that about 88.3% of mothers of preterm babies had positive attitudes about health care needed for preterm neonates after discharge from NICU. Mothers admitted to Al-Shifa hospital had significantly higher attitudes than who were admitted to Nasser hospital. Furthermore, there was no statistically significant difference between the level of attitudes and mother’s other sociodemographic characteristics (P-values > 0.05). Conclusion: Mothers’ attitudes of preterm neonates care was not at the optimal level, which might put the newborns at risk. Therefore, the study emphasis to maternal education during hospitalization in NICU prior to discharge, certain components of essential preterm care package need more emphasis during education program. Keywords: Mothers' Attitudes , Preterm Neonates, Health Care, Neonatal Intensive Care Unit.
Uploads
Papers by amjad alshanti
fibrosis transmembrane conductance regulator (CFTR) gene the product of which is responsible for the
transport of chloride ions across the membranes of epithelial cells. The disease is characterized by abnormally
high sweat electrolytes, exocrine pancreatic insufficiency and chronic pulmonary obstruction, causing
progressive disability and ultimately death. The aim of the present work was to determine for the first time in
Gaza strip the common CF mutations and the major disease manifestations in Palestinian CF patients. The
study population consisted of one hundred CF cases, 71% of them were males. The average age of the
subjects was 70.6±44 months. Ninety three percent of the cases had white colored skin. Most of the CF cases
(85%) were initially diagnosed by clinical manifestations and sweat test. The most frequent respiratory
manifestations among CF cases were recurrent chest infections and chronic cough with viscid sputum
whereas, the most frequent gastrointestinal manifestations were recurrent gastroenteritis, abdominal colic and
flatulence, and malabsorption. Regarding the anthropometric measurements most CF cases had short stature
(86%), 94% were underweight, and 65% had wasting. Also, 82% of CF cases were anemic. Allele-specific PCR
was employed for screening DNA samples available from 64 patients for nine mutations: ΔF508, 3120+1G>A,
N1303K, G85E, 1717+1G>A, G542X, W1282X, and 1209G>A, whereas, mutation 3120+1kbdel8.6kb was
assayed by multiplex PCR. The results of mutation testing revealed that 61% of mutation-identified CF cases
have at least a single ΔF508 allele. Moreover, 12.2% were homozygous for the 3120+1G>A CFTR mutation.
Homozygous N1303K, G85E and 3120+1kbdel8.6kb mutations occurred in equal proportions and collectively
represented 14.7%. The recorded CFTR homozygous mutations could be classified as: 51.2% class II, 19.5%
class V, 4.9% class I and 2.4% class IV. The study shows that CF is not uncommon in Gaza strip and the
findings will be useful for planning future screening and proper genetic counseling programs for Palestinian
CF patients.
Key Words: Cystic fibrosis, mutations, manifestations, Gaza strip-Palestine.
Methods: A Quantitative, cross-sectional design study was used to survey 120 mothers of preterm neonates at the time of discharge by face-to-face interview at Al-Shifa medical complex and Nasser hospital between February and June 2018
Results: The results showed that about 88.3% of mothers of preterm babies had positive attitudes about health care needed for preterm neonates after discharge from NICU. Mothers admitted to Al-Shifa hospital had significantly higher attitudes than who were admitted to Nasser hospital. Furthermore, there was no statistically significant difference between the level of attitudes and mother’s other sociodemographic characteristics (P-values > 0.05).
Conclusion: Mothers’ attitudes of preterm neonates care was not at the optimal level, which might put the newborns at risk. Therefore, the study emphasis to maternal education during hospitalization in NICU prior to discharge, certain components of essential preterm care package need more emphasis during education program.
Keywords: Mothers' Attitudes , Preterm Neonates, Health Care, Neonatal Intensive Care Unit.
fibrosis transmembrane conductance regulator (CFTR) gene the product of which is responsible for the
transport of chloride ions across the membranes of epithelial cells. The disease is characterized by abnormally
high sweat electrolytes, exocrine pancreatic insufficiency and chronic pulmonary obstruction, causing
progressive disability and ultimately death. The aim of the present work was to determine for the first time in
Gaza strip the common CF mutations and the major disease manifestations in Palestinian CF patients. The
study population consisted of one hundred CF cases, 71% of them were males. The average age of the
subjects was 70.6±44 months. Ninety three percent of the cases had white colored skin. Most of the CF cases
(85%) were initially diagnosed by clinical manifestations and sweat test. The most frequent respiratory
manifestations among CF cases were recurrent chest infections and chronic cough with viscid sputum
whereas, the most frequent gastrointestinal manifestations were recurrent gastroenteritis, abdominal colic and
flatulence, and malabsorption. Regarding the anthropometric measurements most CF cases had short stature
(86%), 94% were underweight, and 65% had wasting. Also, 82% of CF cases were anemic. Allele-specific PCR
was employed for screening DNA samples available from 64 patients for nine mutations: ΔF508, 3120+1G>A,
N1303K, G85E, 1717+1G>A, G542X, W1282X, and 1209G>A, whereas, mutation 3120+1kbdel8.6kb was
assayed by multiplex PCR. The results of mutation testing revealed that 61% of mutation-identified CF cases
have at least a single ΔF508 allele. Moreover, 12.2% were homozygous for the 3120+1G>A CFTR mutation.
Homozygous N1303K, G85E and 3120+1kbdel8.6kb mutations occurred in equal proportions and collectively
represented 14.7%. The recorded CFTR homozygous mutations could be classified as: 51.2% class II, 19.5%
class V, 4.9% class I and 2.4% class IV. The study shows that CF is not uncommon in Gaza strip and the
findings will be useful for planning future screening and proper genetic counseling programs for Palestinian
CF patients.
Key Words: Cystic fibrosis, mutations, manifestations, Gaza strip-Palestine.
Methods: A Quantitative, cross-sectional design study was used to survey 120 mothers of preterm neonates at the time of discharge by face-to-face interview at Al-Shifa medical complex and Nasser hospital between February and June 2018
Results: The results showed that about 88.3% of mothers of preterm babies had positive attitudes about health care needed for preterm neonates after discharge from NICU. Mothers admitted to Al-Shifa hospital had significantly higher attitudes than who were admitted to Nasser hospital. Furthermore, there was no statistically significant difference between the level of attitudes and mother’s other sociodemographic characteristics (P-values > 0.05).
Conclusion: Mothers’ attitudes of preterm neonates care was not at the optimal level, which might put the newborns at risk. Therefore, the study emphasis to maternal education during hospitalization in NICU prior to discharge, certain components of essential preterm care package need more emphasis during education program.
Keywords: Mothers' Attitudes , Preterm Neonates, Health Care, Neonatal Intensive Care Unit.