Volume 9, Issue 2, Summer 2021, Page 138-300

Cost –Effectiveness of the nurses role in antenatal care programmer Implementation in Mosul city

Yusra Mohammed Isma'el; Mohammed Ataallah Ahmed

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 138-153
DOI: 10.33899/mjn.2021.168460

Pregnancy is not a disease, but it is a normal  physiological  process , it is associated with certain  risks to health . Healthy survival of both the woman and the infant she bears is the aim of good antenatal care.
Antenatal care is a preventive method of care it has been shown to be beneficial and cost effective for a pregnant woman who receives in an adequate antenatal care otherwise more complications and poorer  outcomes of pregnancy will appear. The cost of no A.N.C provided  to a pregnant woman is substantially high with increased  rates of complena complications like pre-eclampsia  low birth weight infants both premature and growth retarded and prenatal deaths.
The present study aims to evaluate the cost–effectiveness of the current antenatal care provided by the nurse . A descriptive  observational study was conducted  in AL-Hadba primary health care center Mosul city from 1st of March to 30 April 2004, The study include 2 groups first (group A) examine by the doctor only ( antenatal care without nursel . The doctor completed all information on the pregnant assessment card and physical examination for (100 women) measuring the time need by the doctor to complete this information in first and follow up visit .While was (2-7) min second (Group B) in antenatal care unit the investigator completed the information of pregnant card, gave advice and prepared (50 pregnant women)  for physical examination. The time needed for the nurse to complete the information of pregnant card was (2-7) min.
Analysis of the information in (pregnancy assessment card) indicate non-significant differences in the information gained by both the doctor and the nurse , but the time spend by nurse could  compensate that needed by the doctors for better services and (full pregnant assessment and healthily education). Aiming at reducing the complications such as hypertension which is most prevalent is one example of the cost –effectiveness of the squeal for missing a case of hypertension that will may be end in caesarean section is presented as (a case study).
In conclusion antenatal care should be appointed to a specialized nursing college  graduate Nurse should be appointed in every antenatal care clinic to fulfill their nursing role during the reception & follow up of pregnant  women who consulted the antenatal care the investigator thinks that it is very cost effectiveness to fulfill

Study of Women's Knowledge and Information about Family Planning at Al-Kansaa and Al-Salam Hospital In Mosul City

Yusra Mohammed Isma'el; Mohammed Ataallah Ahmed

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 154-166
DOI: 10.33899/mjn.2021.168518

Family planning services have potential in China to improve people's lives and economic well-being. Family planning methods have a temporary effect after which the ability to conceive and give birth returns to normal.  Contraception can be used based on the desire of both spouses to delay childbearing and to ensure the health of the mother and the fetus, (2013.http://alghad.com).  The aim of the study was to assess the level of knowledge of women's perceptions about family planning, and a descriptive study was conducted of (100) married women of childbearing at Al-Khansa Hospital and Al-Salam Teaching Hospital in the city of Mosul, the study results were that most of the Tamm were aged 35 years or more.  They forgot about (40%), and female employees the most use of family planning methods by (8%).  The study showed that women's knowledge about the female condom was Btseh (19%) and the condom with ballast (27%) by the official intrauterine device, intramuscular injection and the contraceptive pill got the same percentage (41 96), and this indicates that women do not have information about these  Means and accordingly, the researchers recommend increasing the eastern revolutions for women and the feature of housewives about the importance of family planning, educating women about family planning methods and the importance of each method and the urge to call, and from the periodic review to the Ummah Planning Center and from the scheduled appointments, with the aim of rationing the health risks for mothers that occur in the timetable and frequent work of the bile  Characteristic of very young and old age groups, planning the mortality rate of newborns and providing more opportunity for the mother to remain and breastfeed for a long time

Health Beliefs about Cardiovascular Disease among Elementary School Teachers at AL-Rusafa Side in Baghdad City

Faris Tareq Ahmed; Arkan Bahlol Naji

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 167-174
DOI: 10.33899/mjn.2021.168519

Aims: This study aimed at assess health beliefs about cardiovascular disease among elementary school teachers at AL-Rusafa Side in Baghdad City.
Methods: A quantitative descriptive research used to test the approach to questionnaire items was conducted on teachers at elementary schools in Baghdad city from September 26th  2020 to May 30th  2021 to examine their health belief model related cardio vascular diseases. A total of 350 primary school instructors were included in the study. They are chosen using non-probability sampling (convenience sample). Data was collection through the use of a questionnaire and self report. Through the application the descriptive statistic, data were analyzed.
Results: Findings reveals that 233(66.6%) of teachers have unhealthy belief about cardiovascular diseases.
Conclusion: Two third of teachers have unhealthy belief Models regarding cardiovascular diseases, unhealthy belief in susceptibility, severity & barriers domain. Initiate training sessions to educate teachers about risk factors, signs and symptoms of CVD.
Key-wards: Health Beliefs, Cardiovascular Disease, Teachers.

Female Sexual Events Referred To Medico-Legal Institute in Erbil

Yasin Kareem Amin; Dilman Azad Hassan

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 175-187
DOI: 10.33899/mjn.2021.168544

Background and Objective:Sexual abuse is a major global problem that impacts millions of women and claims one survivor every 45 seconds, according to the American Medical Association. It is a significant public health issue, and the societal crisis has grown beyond the limits of social and cultural freedom. Indeed, SA survivors live with the aftereffects of the attack for the rest of their lives. This study aimed to look into Female Sexual Events Referred to Medico-Legal Institutes in Erbil.
Methods:The prospective research is conducted; it covers rape, newly-married, and trauma cases (fall from height or on sharp objects, and traffic accidents). The medico-legal institute received the cases at Rizgary teaching hospital in Erbil governorate between 1st December 2013 and 1st July 2014. It includes a total of 110 cases.
Results: These cases were classified as raped in 50 45%% of cases, traumatic in 30 27% of cases, and married in 30 27% of cases. In raped cases, the age ranged from (2-35) years old, with a mean of (17.446.42), among raped group majority of them have no trauma in the body years (76 % ),  and (64%) in non-use of force and weapon, with the consensual sexual act but regarded as a raped case because they are under 18 years old. And the most common site for the tear in the hymen is at 6 o’clock (i.e.) the posteroinferior area of the vagina. Regarding the duration of the tear in raped cases (32%) is new tear while for traumatic is (70%), and for married is (60%). For the type of sexual act, the most common route is both anal and vaginal, which is (58%). Regarding the frequency of anal injury in sodomy cases (56%), of them have an anal injury (dilated or funnel shape), but dilation with tear is about (2%).
Conclusion:We concluded from our investigation that the presence and extent of the tear in the hymen are critical factors in diagnosing cases of rape and trauma.
Keywords: Sexual Violence, Abuse, Female, Erbil

Morphological and Immunohistochemical Changes in Thyroid Gland Due to Exposure of Formalin in Albino Rats

Paiman Jamal Muhammed Ameen; Nali AbdulQader Ma’aroof

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 188-198
DOI: 10.33899/mjn.2021.168545

Background: Formaldehyde is the most widely used chemical in daily life; thus, chronic exposure to formaldehyde has been revealed to have negative effects on different organs in humans and animals.
Objective: This research was designed to investigate variable thyroid changes arising from chronic formaldehyde exposure by measuring different histomorphometry parameters in accordance with estrogen receptor and S-100 protein expression.
Materials & Methods: In this experiment, two hundred (200) rats were used and divided into two groups (100 male and 100 female), each group was subdivided into control and experimental groups each with 50 rats. The rats were exposed to formaldehyde using (20 ml =92.6ppm formaldehyde), 5hrs / d, for 21 days. Animals were sacrificed,  and thyroid sections were examined for histomorphometry using H&E stain and immunohistochemistry for localization of estrogen receptor and S-100 protein Results: Significant decrease obtained in histomorphometrical measurements in the area of the colloids, area of follicles and width, height and number of the follicles in the cells of both experimental groups with no significant effect of gender in both control and experimental groups except in the height of the cells which showed significant decrease in female more than male.  Formaldehyde exposure showed no significant effect on localization of estrogen receptor but significant increase of S-100 protein localization in both male and female groups. Conclusion: Formaldehyde had similar effect on histological structure of thyroid gland in both sexes causing disruption of thyroid follicles. Exposure of Formaldehyde had no effect on estrogen receptor but caused an increase in S-100 protein localization in both sexes.      
 Key words: Formaldehyde, Rat, Estrogen receptor, S-100 protein

Breast Cancer Risk Factors among Women Getting Mammogram Screening at Azadi Hospital and Private Mammographic Clinics in Kirkuk City

Safiya Ibrahim Mohammed; Ala’a Hassan Mirza Hussain

Mosul Journal of Nursing, 2021, Volume 9, Issue 2, Pages 199-206
DOI: 10.33899/mjn.2021.168564

Background: Breast lesions form a heterogeneous group of illnesses that affect epithelial and stromal tissues of breast. There are many factors such as demographic, social and biomedical hazard act as breast lesion development; generally, these factors can be grouped into hazard factors that can be altered (modifiable) and hazard factors that cannot be altered (non-modifiable).
Objectives: To identify breast cancer risk factors of breast among women attending to mammographic clinics in Kirkuk City.
Methods: A descriptive study design carried out in Kirkuk City among (100) women getting mammogram screening, selected by purposive (non-probability) sample. The study initiated from (September 26 th , 2020 –June 27th , 2021).
Results: Fifty-one percent of women who visited the mammogram clinics were belong 40-49 years old with average age 44±9 years. Only 9% of women were smoking. While 21% of them were reporting that they were ex-smokers and 55% of them were some one smoked around. Only 6% of women were playing sport as running (3%) and daily walk (3%) that showed significant difference at p-value= 0.041.And the findings showed that 38% of them were eating a lot of sweet, but that was statistically insignificant. Most of women were eating a lot of fat and carbohydrate (84%) that showed significant difference at p-value = 0.029. Meanwhile only 34% of women were eating red meat, 56%, eating white meat, and 71% eating fresh fruit and vegetable but all that were statistically insignificant appeared.
Conclusion: Age and unhealthy physical and dietary behaviour may associate with breast health problems.
 Key words: Risk Factors, Breast Lesions, Women.