The effect of supportive nursing intervention on burden and coping strategies of cargivers of children with cancer

Background and objective: Cancer is a serious health problem. Children with cancer are in particular need of support and care due to its complications followed by chemotherapy. These children should be cared for at home by family caregivers, and this places great mental and physical burden on caregivers. Therefore, appropriate and effective nursing interventions are essential in order to decrease burden and improve their coping pattern. The aim of this study was to determine the effect of supportive nursing intervention on the burden of care and coping pattern in caregivers of children with cancer.Methods: Research design: A Quasi-study pre, immediately after, and 1 month after the intervention was used to test the study hypothesis and fulfill the aim of the study. Setting: The study was conducted at outpatient clinic in Specialized Pediatric Hospital at Benha City. Subjects: Sixty caregivers for children with cancer was chosen through convenient sampling method and divided by using table of random numbers into two groups, study and control group. Caregivers of the study group attended seven nursing intervention sessions. Tools: The tools used were (1) An inertviewing questionnaire which include two part; sociodemoghaphic date and medical history for child and thier caregivers (2) Zarit Burden Scale (3) Coping Health Inventory for caregivers parents (CHIP).Results: During the study period, burden decreased in the study group and increased in the control group. Mean burden of care score before, immediately after, and 1 month after the intervention was 42.2, 33.7, and 25.6, respectively, in the study group and 44.2, 46.1, and 48.5, respectively, in the control group. In addition, the mean burden score in the study group significantly decreased in comparison with the control group (p < .001). Also, coping strategies increased in the study group and decreased in the control group. Mean coping pattern score before, immediately after, and 1 month after the intervention was 32.8, 47.5, 53.6, respectively, in the study group and 34.7, 30.7 and 26.2, respectively, in the control group. In addition, the mean coping pattern score in the study group significantly improved in comparison with the control group (p < .001).Conclusions: The supportaive nursing intervention can decrease burden in caregivers of children with cancer and consequently improve their methods of coping.

Comparison of Repeated Sprint Ability of Amateur Football Players According to Age and Playing Positions

The purpose of this study is to compare the repeated sprint ability of amateur footbal players according to age and playing positions. For this purpose, 174 young amateur soccer players (age: 17.2±1.8 years, height: 175.8±7.5 cm, weight: 67.0±9.8 kg) struggling in different playing positions participated voluntarily to the study. The players divided into six categories as goalkeepers (n: 16; age: 17.4±1.4 years, height: 181.9±6.1 cm, weight: 77.4±9.8 kg), central defenders (n: 30; age: 16.9±1.9 years, height: 179.3±8.2 weight: 69.5±11.2 kg), full-backs (n: 34; age: 17.3±1.9 years, height: 174.9±5.9 cm, weight: 66.6±7.8 kg), central midfielders (n: 36; age: 17.9±1,6 years; height: 174.3±7.1 cm; weight: 67.1±9.3 kg), wide midfielders (n: 30; age: 16.8±1.6 years, height: 171.5± 5.1 cm, weight: 60.8±7.4 kg) and forwards (n: 28; age: 16.6±1.9 years, height: 175.9±8.3 cm, weight: 65.6±8.0 kg). In the study, a repeated sprint test was used to determine the repeated sprint ability of the football players, with an in field 34.2 meter long sprint run and a 25 second rest period after each run. In evaluating the data; descriptive statistics, one-way ANOVA and kruskal-wallis tests were used. According to the analysis results; the best test time (BTT), mean test time (MTT), and total test time (TTT) values in the repeated sprint test showed a statistically significant difference according to playing positions and age factor (p .05). As a result, it can be argued that repeated sprint ability differs according to age and playing positions.

Comparison of Interdisciplinary History and Science Concepts from the Cognitive Aspect with Word Association Test

This study aims to compare and contrast the connotations of the concepts of "science" and "history" that were formedin the minds of students attending both Faculty of Science and Letters, History Department and Faculty of Education,Science Education Department at Ağrı İbrahim Çeçen University. The participants of the study are 173 students fromthe History Department, including the whole education level of the department and 71 students from ScienceEducation Department including all classes. The participants were asked what they mean by the concepts of"science" and "history" and what connotations they made. Survey method is used in a descriptive research model.The Word Association Test (WAT) related to history and science has been utilized as a data collection tool.According to findings received after the analysis, it is found that there was no significant difference betweencognitive sentence structures of the students, who are attending different disciplines, towards both the concept ofhistory and science. As a result of the Word Association Test, although there are some differences according to thedepartments of education, many concepts in general are similar. When examining the cognitive sentence structuresfor the concepts, there is a need for research on the interrelationship of basic concepts with special areas. Thus, thisresearch gains more importance.

The Attitudes and Awareness of the Teacher Candidates about Cultural Heritage

The purpose of this study is to determine of the teacher candidates’ attitudes and awareness levels towards cultural heritage and to ensure that the teacher candidates gain awareness of cultural heritage. The research is based on an experimental model from quantitative research approaches and the population consists of teacher candidates who study in Faculty of Education at Agri Ibrahim Cecen University. Simple random sampling method was used to determine sample of the study. The data of the study was gathered with Personal Information Form and the Cultural Heritage Attitude Scale developed by Akbaba (2014). SPSS 22 program is used in the analysis of the data. According to the results obtained, it is determined that gender, class and education status of the father are not effective in attitudes and awareness towards cultural heritage, whereas the undergraduate program and education of mother play an effective role. It has been determined that the educational trip has positively affected the transfer of cultural heritage, consciousness of cultural heritage and cultural heritage for the society.

Frequência de suplementação proteico-energética sobre o desempenho e comportamento ingestivo de bezerros Nelore mantidos em pastagem tropical na estação seca

With the objective to evaluate different frequencies of supplementation on the performance and ingestive behavior of Nellore calves kept on Urochloa brizantha cv. Marandu pasture, 56 animals with initial average body weight (BW) of 174.5 kg were submitted to the following treatments: no supplement and 1x, 3x, and 7x supplementation per week. The supplement was provided in the amount of 3.5 g kg-1 of BW day-1. BW and evaluation of behavior were assessed every 28 days. The randomized block's design with two repetitions was used. The analyses of variance were carried out by the GLM procedure in the SAS software, and the means were compared by the Tukey’s test at 5% significance. The supplementation increased the average daily gain (ADG; P ? 0.05); however, it did not differ between frequencies (0.005, 0.190, 0.183, and 0.177 kg head-1 day for the no supplement treatment and 1x, 3x, and 7x per week, respectively). The animals in the no supplement treatment showed longer grazing time (P ? 0.05) compared to those receiving the supplement. However, results did not differ between frequencies (10.44, 8.57, 8.32, and 8.59 hours day-1 for no supplement treatments and 1x, 3x, and 7x per week, respectively). Thus, the frequency of supplementation can be reduced to once a week without reducing animal performance.

Spontaneous Spinal Epidural Hematoma Associated With the Use of Low-dose Aspirin in Elderly Patient

Spontaneous spinal epidural hematoma is a rare condition defined by bleeding in the epidural space of the spine with no identifiable causes such as trauma, vascular malformation, or bleeding disorders. This is a case of a 79-year-old woman with a medical history of diabetes mellitus, dyslipidemia, and hypertension presented with the sudden onset of severe thoracolumbar back pain associated with weakness and numbness in her bilateral lower limb. Examination of the lower limb showed bilateral lower limb motor and sensory deficits. Laboratory investigations showed normal results. MRI showed posterior extradural intraspinal hematoma from T11 to L3 vertebrae. Patient underwent right hemilaminectomy and posterior decompression of T12 and L1 vertebrae to evacuate the hematoma. Postoperatively, her neurologic complications improved gradually. Decision was made not to restart aspirin. On follow-up at 1 year, the patient had complete recovery of neurologic complications of both lower limb and had no recurrence of bleeding. In short, this is a case of spontaneous spinal epidural hematoma associated with long-term use of low-dose aspirin in an elderly patient requiring surgical evacuation of hematoma with good functional outcome after the surgery. Therefore, aspirin should be prescribed cautiously especially to elderly patients.

The Effectiveness of Problem-based Learning in Acquisition of Knowledge, Soft Skills During Basic and Preclinical Sciences: Medical Students' Points of View

Students' opinions about their medical curriculum is essential process for evaluating program strength and weakness. Aim: We aimed to assess the benefits and effectiveness of PBL in acquisition of knowledge and soft skills during basic (Phase I) and preclinical (Phase II) sciences.

Developing a Minimum Data Set (MDS) for Cardiac Electronic Implantable Devices Implantation

There is no established minimum data set (MDS) for cardiovascular implantable electronic devices (CIEDs), which have led to a lack of standardized assessment criteria in this field to ensure access to a reliable and coherent set of data.

Phytochemical and antimicrobial profile analysis of Parkia biglobosa against methicillin-resistant Staphylococcus aureus

Public health significance of companion animals in emergence and re-emergence of bacterial zoonoses