Effect of patients' rights training sessions for nurses on perceptions of nurses and patients.

BACKGROUND: Patients' rights are universal values that must be respected; however, it is not easy to put such values and principles into effect as approaches and attitudes differ from individual to individual, from society to society, and from country to country. If we want to reach a general conclusion about the status of patient rights in the world as whole, we should examine the situation in individual countries. OBJECTIVE: To study the effect of training sessions for nurses about patients' rights on the perceptions of nurses and patients in two Egyptian hospitals. METHODS: Quasi-experimental with pre- and posttest design was used in this study. Two groups of participants were included in the study: the first with 97 nurses and the second with 135 patients. A questionnaire sheet was used for nurses and patients to assess their perceptions about patients' rights before starting sessions. The training sessions were developed based on the baseline information gathered in the assessment phase and related literature. After the implementation of the sessions, a posttest was immediately conducted for nurses, while for patients the posttest was conducted 1 month after implementation to evaluate the effect of the nurses' training sessions on the patients' perceptions. The same tools were used in pretest and posttest. Ethical considerations: Written approval was sought and obtained from the administrators of the studied hospitals prior to conducting the study. Oral consent was obtained from nurses and patients willing to participate. Confidentiality and anonymity of the participants were strictly maintained through code numbers on the questionnaires. RESULTS: The improvement in nurses' knowledge and perceptions about patients' rights after implementation of the training sessions was remarkable. Moreover, an improvement in patients' perceptions regarding their rights was reported. CONCLUSION: Repetition of the training sessions is suggested to achieve continuous improvement. Provision of posters and booklets about a bill of patient rights within the hospitals and conduction of further study to examine nurses' performance and patients' satisfaction based on code of ethics are recommended.

Association of Covid-19 with blood type A in relation to blood sugar, urea, and blood test (D-dimer and ferritin) in patients from Al-Najaf.

COVID-19 is an emerging infectious disease caused by the novel enveloped single-stranded RNA virus quickly declared a pandemic. This study aimed to investigate the severity of COVID-19 infection in patients with blood group type A. A cross-sectional study was conducted at Al-Amal specialized hospital, Al-Najaf (March 8 to March 20/2021). The study included 123 hospitalized patients (63 females and 60 males), aged between 15-95 years, diagnosed with COVID-19, tested for blood group, blood sugar, blood urea, D-dimer, and serum ferritin. Results indicated significant differences in blood sugar and D-dimer in patients with type A blood group at P>0.05. At the same time, no significant difference was found in blood urea and ferritin at P>0.05. The majority of patients showed elevated levels of blood sugar, blood urea, serum D-dimer and ferritin. COVID-19 can infect people of all ages and causes severe infection in all blood groups.

Antimicrobial effect of Red Roselle (Hibiscus Sabdariffa) against different types of oral bacteria.

This study aimed to compare the antimicrobial effect of an aqueous extract Red Roselle calyx (RE), Chlorhexidine (CH), Amoxicillin-clavulanic acid (ACA), Tetracycline (Tet), and Metronidazole (Met)on Streptococcus mutans (S. mutans), Staphylococcus aureus (S. aureus) and Enterococcus faecalis (E. faecalis) bacteria. The bacterial inhibition zones (BIZ)of the RE (25, 50, 75, 100) mg/ml and CH solutions (0.2%, 2%) were determined using the agar well diffusion method. Additionally, the susceptibility of the tested bacteria against (30 µg) of standard antibiotics of ACA, Tet, and Met was examined. The bacterial minimum inhibitory concentration (MIC) was measured using the Broth Micro dilution method (BMDM). All tests were carried out in triplicates, and water was considered the negative control. For S. mutans, the RE at 50 mg/ml or above concentrations displayed higher BIZ than 0.2% CH. 100 mg/ml of RE recorded a greater BIZ than the 2% CH. The greater BIZ against S. mutans was recorded by Tet. A comparable effect was found with 0.2% CH (75, 100) mg/ml of the RE against S. aureus. Greater BIZ for S. aureus and E. faecalis were reported for 100 mg/ml RE compared to the Tet and Met RE at 100 mg/ml inhibited the E. faecalis growth in a zone size comparable to the CH (0.2%, 2%).The RE with 50,100 mg/ml concentrations showed comparable antimicrobial effect to 0.2%, 2% concentrations of CH, respectively. As an herbal substitute for commercial disinfectants, the RE can be considered an effective final endodontic irrigant and dental mouthwash.

Toxicity and inhibition of feeding and tunneling response of naphthalene and 10 derivatives on the formosan subterranean termite (Isoptera: Rhinotermitidae).

In laboratory choice tests with either filter paper treatment or sand treatment, naphthalene and 10 derivatives were evaluated for their effects on the behavior of the Formosan subterranean termite, Coptotermes formosanus Shiraki (Isoptera: Rhinotermitidae). After 24-h exposure, workers avoided 50-microg/cm2-treated filter paper with 1'- and 2'-acetonaphthone. By day 8, feeding activity on filter paper treated with 1- and 2-methoxynaphthalene, 1'- and 2'-acetonaphthone were significantly reduced compared with the controls. Naphthalene and six other derivatives were not effective at 50-microg/cm2-treated filter paper. After 12-d exposure, tunnels constructed in sand treated with 1- and 2-methoxynaphthalene (0-3 cm2), 1'- and 2'-acetonaphthone (2-9 cm2), 2-naphthalene methanol (14-19 cm2), or 2-isopropylnaphthalene (16-19 cm2) at the rate of 100 mg/kg sand were significantly less than the controls (34 cm2). Consumption on filter paper placed on sand treated with 1- and 2-methoxynaphthalene and 1'- and 2'-acetonaphthone was significantly reduced (0-7 mg) compared with the controls (33-54 mg). 1-Methoxynaphthalene was the only treatment that caused significantly less feeding activity in the untreated sand chamber (0-6 mg) compared with the control (63-128 mg).

Attributes of nursing staff development in Port Said hospitals.

Attributes and quality are synonyms that refer to characteristics inherent in or ascribed to someone or something. This article describes a study of the attributes of nursing staff development. Results revealed that 16 out of total nurses included in the study did not receive any type of staff development programs since appointment, whereas 61.8% of them attended one program only. In total, less than half of the nurses agreed upon attributes or quality of their received training. Establishment of staff development committees in the public hospitals and planning programs for staff development based on staff and patient needs were recommended.

Survivorship, tunneling and feeding behaviors of Coptotermes formosanus (Isoptera: Rhinotermitidae) in response to 2'-acetonaphthone-treated sand.

In laboratory tests, 2'-acetonaphthone was incorporated into sand at different concentrations (4.16-200 mg kg(-1)) and evaluated for survivorship, feeding and tunneling effects on the Formosan subterranean termite, Coptotermes formosanus Shiraki. 2'-Acetonaphthone at 8.33 mg kg(-1) sand significantly reduced survivorship (89-94%), tunnel area (68-91%) and food consumption (84-100%) compared with the control. Most of the dead workers were found at the release point and a few had traveled to the surface of the treated sand. Malformed workers (< or =27%) with an unexpected symptom of molting failure were observed, particularly at the lowest concentration tested (4.16 mg kg(-1)). In choice assays, threshold concentration for significant reduction in survivorship, tunnel construction in treated sand and food consumption in the treated-sand side was 8.33mg kg(-1) with termites collected from New Orleans, LA and 35.0 mg kg(-1) for those from Lake Charles, LA. Termites actively fed and tunneled in the untreated sand, whereas 2'-acetonaphthone at 140mg kg(-1) completely inhibited consumption of food placed on the treated sand.

Toxicity, repellency, and horizontal transmission of fipronil in the formosan subterranean termite (Isoptera: Rhinotermitidae).

Toxicity of fipronil was evaluated against field-collected Coptoteres formosanus Shiraki. In topical application assays, fipronil was highly effective against both workers and soldiers at very low doses. Acute toxicity after 24 h was significantly greater in workers than in soldiers. The LD50s were 2.59- and 2.91-fold greater with soldiers than with workers from the two tested colonies. The LD50s of fipronil at 72 h after treatment were <2.0 ng/insect, with no significant differences regarding the tested workers/soldiers or colonies. Treated soldiers placed with untreated workers significantly increased worker mortality. However, there was no significant horizontal transmission of fipronil from treated workers to untreated soldiers. Fipronil at rates of 0.063% or less showed no repellency, whereas sand treatments of 0.125% fipronil were repellent to termite workers.

Toxicity and behavioral effects of nootkatone, 1,10-dihydronootkatone, and tetrahydronootkatone to the formosan subterranean termite (Isoptera: Rhinotermitidae).

Toxicity and behavioral effects of nootkatone and two of its derivatives, 1,10-dihydronootkatone and tetrahydronootkatone, to Coptotermes formosanus Shiraki were investigated on workers from two different colonies by using topical application assays, repellency assays, and sand barrier assays. The acute toxicity of the nootkatones on workers from both colonies increased as the saturation of the molecule increased, but the difference was significant for only one colony. The results of the repellency assays showed a similar trend of efficiency; the threshold concentration for significant repellency was four-fold higher in nootkatone treatments (50 ppm) than in the reduced derivatives 1,10-dihydronootkatone or tetrahydronootkatone (12.5 ppm). In sand barrier assays, a concentration of 100 ppm of any of the three chemicals significantly reduced termite survival, tunnel building, and food consumption after a 12-d exposure. Termites preexposed to 100 ppm nootkatone-treated sand and placed in containers without nootkatone for 15 d continued to exhibit abnormal feeding and digging behaviors; survivorship, tunneling, and feeding activities were significantly reduced by 83.5, 63.2, and 95.4%, respectively. Termites pretreated for 12 d at concentrations of 50 and 75 ppm nootkatone and tetrahydronootkatone returned to normal digging activity after they were removed from the treatments, but their feeding activity was significantly reduced.

Acetylcholinesterase mediated susceptibility of soldiers and workers of formosan subterranean termite (Isoptera: Rhinotermitidae) to chlorpyrifos.

Target site studies were undertaken to examine the difference in susceptibility of Formosan subterranean termite, Coptotermes formosanus Shiraki, workers and soldiers to chlorpyrifos. Workers exhibited significantly greater acetylcholinesterase activity per insect than soldiers (118.63 +/- 48.51 versus 47.98 +/- 22.59 mOD/min/insect equivalent). Likewise, enzyme activity (mean +/- SD) per milligram of protein was greater in workers than soldiers (440.30 +/- 267.43 versus 311.53 +/- 149.83 mOD/min/mg protein). The enzyme of soldiers was more sensitive to the acetylcholinesterase (AChE) inhibitors eserine and chlorpyrifos-oxon than that of workers. The I50s of chlorpyrifos-oxon were 2.66 and 4.59 nM for soldiers and workers, respectively, whereas the I50s of eserine were 16.56 and 25.41 nM for soldiers and workers, respectively. The amount of protein was significantly higher in workers than in soldiers with mean values of 0.270 +/- 0.102 and 0.154 +/- 0.054 mg/insect equivalent, respectively. We suggest that the differential response of workers and soldiers to chlorpyrifos may be due to the difference in AChE sensitivity to inhibition and the amount of protein between them.