IMPACT : International Journal of Research in Applied, Natural and Social Sciences

53-62

Authors: Nadia Kasem Alaswad , Elham Mohamed Ahmed , Afkar Ragab Mohamed , Soheir Abd-Rabu Mohamed 5 & Mamdouh Aboul-Hassan

Cleft palate (CP) or palatoschisis is a congenital incomplete closure of the mouth roof (palate) as a result of the failure of fusion of the palate during embryonic development, failure to detect and diagnose CP early after birth can exacerbate the problem and contribute to weight loss especially in isolated CP. Nursing care must not focus on the children alone, but also involve their mothers and not just given immediately before and after the surgical procedure, but from detection of the CP along with the treatment journey. The aim of the current study was to evaluate the effect of supportive care for mothers on weight gain of their children with CP. Time series quasi -experimental research design was utilized to fit the aim of the current study. The study was conducted in the out-patient clinic at Cairo University Specialized Pediatric Hospital. A purposive sample of 60 mothers of children who diagnosed as isolated CP or associated with repaired cleft lip up to two years old have participated in the study. Data were collected using the following tools: Structured interview questionnaire, Egyptian Growth Curve Chart (EGCC) (2002), Mothers' knowledge assessment sheet, and Mothers' practice assessment checklist. The study results revealed that mothers who received supportive care had a higher mean score of knowledge and improved levels of practice regarding care of their children with CP than those in the control group. Children of mothers who received supportive care had a higher mean of body weight gain than those in the control group. The results also demonstrated that there were statistically significant positive correlations between children’ weight gain and total mean score of mothers’ knowledge in the immediate post-test and two weeks after surgery. The study results concluded that, the application of supportive care for mothers of children with CP has a positive effect on their children body weight gain.

67-78

Authors: Basma Mohamed Osman , Heba Magdy Elshara & Effat Elkarmalawy

The aim of the current study was to assess oral and dental nursing care knowledge and practice among nurses working at the primary dental clinic. Propose an oral and dental nursing training program based on nurses’ knowledge and practice. A cross- sectional survey study design was utilized to attain the aim of the study. The study sample consisted of a cross-sectional sample of 112 nurses working at a dental clinic in Primary Health Care (PHC) setting. Two tools were developed by the researcher were used for data collection: oral& dental nursing care knowledge questionnaire and Nurses' practices observational checklist. The study results indicated that the majority of nurses have poor knowledge and practice regarding dental nursing care. The majority of nurses didn’t receive any dental health topic in their academic education. Majority of nurses didn’t receive any training related to on dental health in their nursing carrier. A significant relationship was found between total practice scores, years of experience and previous training on oral &dental nursing care. Also, a significant relationship was detected between nurses’ total knowledge and total practice scores. Conclusions: oral &dental nursing care knowledge and practice were poor among nurses working at a primary dental clinic. The Current study recommended implementation of the proposed training program for nurses working at a primary dental clinic to improve their knowledge and practice regarding dental nursing care.

97-116

Authors: Rehab Fouad Abd-Elkodoos, Effat Mohammed Alkarmalawy Laila Kamal El Din Effat & Heba Magdy Sharaa

Phenylketonuria (PKU) is a chronic disorder which needs family caregivers' daily effort to deal with the child's disabilities and to maintain a special rehabilitation and diet program. Family caregivers play a pivotal role in the management of childhood Phenylketonuria. The aim of the study was to suggest a protocol of care for family caregivers of children with phenylketonuria based on their needs assessment. A Methodological research design was utilized to fit the aim of the study. The study was conducted at the children clinic of metabolic disorder of the Social Preventive Medicine Center, affiliated to Faculty of Medicine, Cairo University. A purposive sample of 50 family caregivers and their children with PKU were included in the study. Data was collected using the following tools: I-Family caregivers structured questionnaire, II-Family caregiver's knowledge assessment questionnaire (Needs assessment), III- Observational checklist of family caregivers and IV- Needs assessment structured questionnaire for PKU children. The study revealed that 52.0% of the PKU children were females with a mean age of 7.8± 4.8, all family caregivers were females with a mean age of 37.7±8.1 and 64.0% of them had poor knowledge. The majority of the family caregivers had an unsatisfactory level of practice. A highly statistically significant positive correlation was found between the family caregivers’ total knowledge scores and their total practices scores which means that the family caregivers’ knowledge had an effect on their practices. This study proved that the nursing care protocol significantly improved the family caregivers' knowledge and practices related to the care of their children with PKU. The study recommended the publication and dissemination of the nursing care protocol in all maternal and child health care centers for families having children with PKU to provide knowledge and skills help them in caring for their PKU children at home and to raise their awareness about the disease management to prevent its complications

129-136

Authors: K. Kumar & N. K. Tripathi

The binding constant is a very important factor of coordination complexes which play a very significant role in all the area of our life. Here we discuss about very effective evaluation method using potentiometric analytical technique and SCOGS and ORIGIN computational study applying on Cd (II) and Pb (II) divalent metal ions with 2- ASA and 2,4- DHP as ligand resulting the exact value of binding constants of all the complexes and other species formed in our experiment.