{"title":"Microorganisms and antibiotic sensitivity/resistance patterns in spontaneous bacterial peritonitis","authors":"Ahmed Alhilly, Abdullah Alyouzbaki","doi":"10.5455/rmj.20230118073548","DOIUrl":"https://doi.org/10.5455/rmj.20230118073548","url":null,"abstract":"Objective: To investigates Spontaneous Bacterial Peritonitis (SBP) bacteria, their antibiotic sensitivity and resistance. Methodology: From January 2013 to October 2019, 99 adult patients of both gender with cirrhosis and ascites were admitted to Baghdad Medical city complex with decompensated cirrhosis as encephalopathy, new gastrointestinal bleeding, increasing ascites, abdominal pain, and/or fever and were labelled SBP after ascetic fluid analysis. Causative agent, its antibiotic sensitivity and resistance were recorded. Results: Mean age of patients was 52±11 years, 72.7% were men and 27.3% women, 53.5% are middle-aged adults, and 31.3% are geriatrics (over 60). E-coli (36.36%) was the most common bacterium recovered, followed by enterobacter (15.15%) and staphylococcus (13.13%). There was a correlation between age and bacteria. E-coli infected 46.7% of young adults, 32.1% of middle-aged, and 38.7% of geriatrics. S. aureus infected 26.7% of young people and Enterobacter 20.8% of middle-aged individuals. Ampicillin and cefepime were very effective to Stenotrophomonas maltophilia and Streptococcus pneumoniae. Amikacin and ciprofloxacin had good Pseudomonas and Proteus sensitivity. Cefotaxime, ceftazidime, ceftriaxone, cotrimoxazole, imipenem, meropenem, piperacillin-tazobactam, and vancomycin were effective against their pathogens. Conclusion: E-coli and Enterobacter caused SBP, which affected middle-aged men. These findings highlight the need of choosing antibiotics based on pathogen susceptibility to optimise SBP therapy.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of instructional program on nurses’ knowledge regarding care bundle guideline in Mosul Hospitals, Iraq","authors":"Adel Ayed, Mohammed Sultan","doi":"10.5455/rmj.20230425101817","DOIUrl":"https://doi.org/10.5455/rmj.20230425101817","url":null,"abstract":"Objective: To assess the nurse’s knowledge regarding care bundle guidelines in pediatric wards. Methodology: This quasi-experimental study was carried out from 1st of November 2022 to 1st May 2023. It included 30 nurses working in pediatric departments chosen using non-random selecting purposively in Mosul Hospitals. We used structured questionnaire to evaluate the effectiveness of bundle care guidelines for nurses’ knowledge at pre-test and post-test 1 and post-test 2. Results: All parts of the nurses’ knowledge in pre-test were at an unacceptable level while in Post-test 1 at excellent level, but in post-test 2 at good level. Conclusions: Nurses working at the pediatric department in Mosul Hospital do not have appropriate and adequate nurses’ knowledge regarding care bundle guidelines.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"174 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diaa Ali, Ahmed Shlash, Mohammed Shamran, Ibrahim Ashour
{"title":"What's Making a COVID-19 a dangerous disease for long time?","authors":"Diaa Ali, Ahmed Shlash, Mohammed Shamran, Ibrahim Ashour","doi":"10.5455/rmj.20230414104523","DOIUrl":"https://doi.org/10.5455/rmj.20230414104523","url":null,"abstract":"Objective: To evaluate COVID-19 complications among recovered patients and determine the association between these complications and patients' demographic data. Methodology: This descriptive retrospective study was conducted from December 15th, 2021 to May 1st, 2022 in the city of Al-Najaf. A convenience (non-probability) sampling was used and 157 patients with COVID-19 disease were enrolled. The information was gathered using a specially designed questionnaire that was divided into three sections: sociodemographic traits, medical history, and the systematic COVID-19 Complications. Results: Out of 157 patients, 73 were women and 84 men. Even after recovering from COVID-19, the patients continue to experience difficulties. Acute respiratory failure (46.5%), pneumonia (15.35%), blood hypercoagulability (35.7%), diarrhea (33.1%), myalgias (19.1%), and arthralgias (15.3%) were the most frequent consequences. Conclusion: The study concluded that COVID-19 is a deadly virus that affects every system of the body and might lead to serious consequences that could endanger the patients' lives.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135358670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality of life among cancer patients receiving chemotherapy at oncology and hematology center in Kirkuk City, Iraq","authors":"Moayad Samin, Younus Baeez","doi":"10.5455/rmj.20230606070654","DOIUrl":"https://doi.org/10.5455/rmj.20230606070654","url":null,"abstract":"Objective: To assess quality of life as well as to find the relationship between demographic characteristics and quality of life among cancer patients receiving chemotherapy at oncology & hematology center, Kirkuk. Methodology: This quantitative descriptive study was carried out using non-probability (purposive) sample and included 267 patients receiving chemotherapy treatment at Kirkuk Oncology and Hematology Center in Kirkuk. Constructed tool which contained 48 items was used for data collection and was divided in six parts. We used a questionnaire-based interview technique. The data were analyzed through descriptive statistical and inferential statistical analysis. Results: Out of 267 patients, 51.7% were male, 81.28% were aged 40 years and more and 50.5% had primary school education. 53.9% were unemployed, and 82.8% ware married. Regarding patient’s quality of life, the grand mean of score for all domains, as well as the overall mean of score for quality-of-life aspects were moderate. Conclusion: Most of patients were 40 years and more, male, illiterate, most of them were unemployed, housewife and married. The overall mean of scores for quality-of-life aspects were moderate.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135709651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of late adulthood knowledge about psychological frailty at Technical Institute-Suwaira, Middle Technical University, Iraq","authors":"Ammar A. Okab, S. Ahmed","doi":"10.5455/rmj.20230308082858","DOIUrl":"https://doi.org/10.5455/rmj.20230308082858","url":null,"abstract":"Objective: To assess late adulthood knowledge about psychological frailty and to determine correlation between knowledge with regard to their socio-demographic characteristics. Methodology: This descriptive study was carried out at Technical Institute-Suwaira, Middle Technical University, Iraq from 28th April 2022 to 15th August 2022 and included 100 of late adults’ staff to assess their knowledge about psychological frailty. Non-probability sample convenience sampling was used. The study tool was direct interview by researchers. The data were analyzed using SPSS 25. Results: We found that 64% of participants were 49-56 years old and 61% were male. Late adults showed that more than half had fair knowledge about psychological frailty. Further, 61% showed highly positive significant relationship between their knowledge and age, gender, job title, life style and do exercise regularly. Conclusion: More than half of late adults showed fair knowledge about psychological frailty. There was positive relationship between their knowledge and socio-demographic characteristics.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Single-step versus stepwise dilatation technique in percutaneous nephrolithotomy","authors":"Batool Attallah, Majed Mohammad","doi":"10.5455/rmj.20230311075832","DOIUrl":"https://doi.org/10.5455/rmj.20230311075832","url":null,"abstract":"Objective: To compare single-step dilatation technique with the stepwise (serial) dilatation technique in order to create a nephrostomy tract during percutaneous nephrolithotomy. Methodology: This comparative interventional single-center study was conducted from May 2020 to November 2021 at Basra Teaching Hospital, Iraq. Fifty patients in group A underwent the single-step dilatation and 70 patients in group B were subjected to the stepwise dilatation technique in percutaneous nephrolithotomy. We recorded number of punctures, operation time, complications and success. Results: There were no significant statistical differences in both groups regarding success rate, hospital stay, intra and postoperative complications, and bleeding that required blood transfusion. The stepwise dilatation technique had a considerably longer mean dilatation time than the single-step method did. The single-step dilatation technique had a much shorter mean radiation exposure a shorter mean total operating time than the stepwise strategy. Conclusion: The construction and dilatation of a percutaneous nephrolithotomy nephrostomy tract can be successfully carried out using a single-step dilatation procedure, which requires less radiation exposure, less time during surgery, and shorter dilatation time.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attitudes and barriers of pregnant women toward prenatal oral health care at antenatal centers of Mosul City, Iraq","authors":"A. Hashim, A. Ayed, Najwa Aldeen, Shahad D. Ali","doi":"10.5455/rmj20221027092359","DOIUrl":"https://doi.org/10.5455/rmj20221027092359","url":null,"abstract":"Objective: To evaluate pregnant women's attitudes on oral health and the obstacles to promoting it. Methodology: This descriptive, cross-sectional study was carried out from 10th of September, 2022 to 20th of October, 2022. It included 155 pregnant ladies chosen using simple random sampling, and data were collected from 6 antenatal care centers in Mosul city. We used a structured interviewing questionnaire. Results: Average age of women was 28 years and 54.8% agreed that maintaining good oral health during pregnancy affects the health of the fetus. More than 54% said their greatest obstacle to promoting good oral health during pregnancy was their fear that dental treatments will harm the fetus. Conclusion: Most of the study participants had a good attitude toward improving pregnant women's oral health. However, they were afraid that dental treatments will harm their fetuses.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Selection of Prioritized Healthy Family Indicators, Using the Difficulty-Usefulness Pyramid (DUP)","authors":"Koekoeh Hardjito, Indah Rahmaningtyas, Heru Nugroho","doi":"10.5455/rmj20221121013304","DOIUrl":"https://doi.org/10.5455/rmj20221121013304","url":null,"abstract":"Objective: This study aimed to select Healthy Family Indicators in order of priority, using the Difficulty-Usefulness Pyramid (DUP). Methodology: This study involved families in Indonesia who were selected using the snowball sampling technique. Data on difficulty and usefulness were collected through filling out an online-questionnaire that included 12 indicators of a healthy family, then analyzed and presented in the form of a pyramid. Results: The usefulness score tends to be homogeneous, with a mean score of 9.41 (very useful), while the difficulty score tends to be heterogeneous, with a mean score of -2.17 (easy). The most difficult indicator to achieve was “family members do not smoke.” Conclusion: All indicators of a healthy family are felt to be very useful for families, with the highest level of difficulty in indicators of non-smoking behavior; while the 3 main priorities are non-smoking behavior, mental disorders treatment, and exclusive breastfeeding.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Jordanian nurses' knowledge of Evidence-Based Practice","authors":"Ahmad Saleh","doi":"10.5455/rmj20221201044706","DOIUrl":"https://doi.org/10.5455/rmj20221201044706","url":null,"abstract":"Objective: To evaluate Jordanian nurses’ knowledge about evidenced based practice. Methodology: This cross-sectional included 120 Jordanian nurses from one private hospital in Amman, Jordan. Evidenced-based practice knowledge tool was used to gain data An informed consent was obtained from all nurses. Of the 120 nurses, 100 responded, resulting in a response rate of 83%. Results: Out of 100 respondents, 75 (75%) nurses were female and average age of 26±2 years. The average score of knowledge regarding evidenced based practice was low at 1.2±1 out of 10. Conclusion: Knowledge of nurses regarding evidenced based practice was low. An evaluation is needed, in order to improve knowledge and skills of nurses.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of a trans theoretical model in improving behaviors of health care workers related to electronic hookah in Mosul, Iraq","authors":"A. Taher, N. Younis","doi":"10.5455/rmj20221209113951","DOIUrl":"https://doi.org/10.5455/rmj20221209113951","url":null,"abstract":"Objective: To assess the effect of a trans theoretical model in improving behaviors in health care workers related Hookah. Methodology: This descriptive cross-sectional study included 58 subjects from Mosul Hospital. They were chosen using a probability simple random sampling. The information was gathered from November 1 and November 15, 2022. Results: All of the Trans Theoretical Model's concepts were found to be (p=0.000) significant, with the exception of the concept of experiential processes. Conclusion: The study found that decision balance, self-efficacy/temptation, processes of change, and behavioral processes were among the many health behaviors that were positively impacted by Trans Theoretical Model.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}