rusul Ali kadhim Al-Mosawai

ABSTRACT Background: Breast cancer is a prevalent and life-threatening disease worldwide, causing high morbidity and mortality rates among women. Exercises for patients who are having a mastectomy are very crucial. Therefore, an effective postoperative exercise program is needed to improve shoulder function and prevent impairments of the upper limb and limitations in activities of daily living. This study aims to investigate the effectiveness of an educational program on shoulder functions among women undergoing mastectomy. Methodology A quasi-experimental design was used to achieve the study objectives at the National Cancer Teaching Hospital in Al-Najaf City. (60) patients divided into (30) control group and (30) experimental group who underwent mastectomy were identified according to specific criteria to participate in the study. Pre-test and one post-test were collected for all patients with mastectomy to evaluate the effectiveness of the exercise program on shoulder function. Result: Most participants were aged (49-74) years (58.33%), married (90%), and housewives (78.3%). The study population showed early menarche (61.67%) at (10-12) years, marriage between (15-25) years (68.33%), high parity (53.33%) had (4 6) children, and high prevalence of breastfeeding (68.33%). Most cancer incidents occurred during the pre-menopausal period (58.33%). These findings support the implementation of structured educational interventions to improve shoulder function among women undergoing mastectomy. In addition, the results revealed that a post-mastectomy exercise program implemented in participants had multiple benefits and positive effects for improving shoulder function, faster physical recovery, and improved range of motion necessary for daily activities. Conclusion: The performance of exercise had an effective role in helping breast cancer patients improve and recover shoulder function through a scientific and rational exercise program of the experimental group compared with the control group.

Neonatal the high risk for SOB

ABSTRACT: Background: Destruction of myelinated axons in the central nervous system caused neurological disease wally known as Multiple sclerosis (MS) that lead to physical disability among young adults. Depression is a common disorder among MS patients that results from disability and social isolation. The variability of depression in patients with MS as response to exercise was studded in current research. Objective: To evaluate the responses of daily exercise program on depression level for patients with multiple sclerosis. Methodology: Qualitative study a time–series design selected to reach the study objectives. Purposive sample from (30) patients with MS disease were enrolled in this study who attended to the Middle Euphrates Neuroscience Center in AL-Najaf City, Iraq. Results: females predominant were (56.75) of patients, (70%) married, (43.3%) of secondary school, urban area was (63.3%) the highest proportion, (36.7%) of patients were office holder. Conclusion : The preforming of daily exercise help patients with MS disease to enhance debilitating condition and reliving symptoms. That led to limit depression disorder which highly prevalent as it known.

ABSTRACT: Background: Managing menstruation is typically dealing with menstrual flow and also in continuing daily activities like going to university, working etc. However, menstruation can place important difficulties in girls’ access to health, education and future prospects if they are not prepared for effective menstrual hygiene. Also, inadequate menstrual health management may lead to health symptoms including urology and genital problem. Female require more knowledge and attention during menstrual period due to effect of this period on their physical and psychological health in addition to accompanying pain. Therefore, maintain health of woman start from personal hygiene at this period. Aims of the study: To assess the students’ knowledge toward management of menstrual hygiene among female students in nursing college/ university of Kufa Methodology: A cross-sectional descriptive purposive study is conducted through the period of 20th February to 25th June 2021. The study was purposive (non-probability) sample of (175) students, whose age are between 18 - ≥24 Years old have been selected at college of Nursing/ University of Kufa in AL- Najaf City/ Iraq. Results: the overall assessment of items was good knowledge. Likewise, the general assessment was (2.9029±0.08519) related to students’ knowledge toward menstrual cycle. In addition, the assessment of knowledge regarding menstruation hygiene management was good knowledge for all items. Also, the general assessment was (2.9133±0.07285). IEEESEM Conclusion: the results found that these young females had adequate knowledge and their knowledge not requires to improve. Recommendations: mothers are the main source of information regarding menstruation and menstrual hygiene, therefore proper education of mothers and adolescent girls is very important. It is good for students to have knowledge of menstruation and this makes them a reliable source for spreading knowledge about menstruation and about managing proper hygiene practices.

Menopause is an important stage in woman’s life. Many women reach menopause without sufficient knowledge about the expected problems and how to deal with solving these problems. Therefore, proper knowledge is very necessary during this period to deal with all changes. The current study is aimed as assessing the level of women’s knowledge regarding management of menopausal health issues, and to find out the relationship between women’s knowledge and their socio-demographic characteristics of age, marital status, level of education and work status. The descriptive design, cross-sectional study was conducted in primary health care centers were existed within northern care sector and southern care sector in AL-Najaf AL- Ashraf City from the period 25th September 2016 to 15th August 2017. A non-probability sampling technique, purposive sample was used to collect (150) women in menopausal age. An instrument consisted of five main parts focuses on menopausal knowledge done by interview of participants. The total questions of instrument was (28) questions ready for statistical analysis by statistical package of social sciences version (21). The result showed that from total (150) participated women the assessment of knowledge toward general information about menopause was fair. Besides, the knowledge of women toward symptoms of menopause and management was fair. According to relation between socio-demographical characteristics and knowledge, age and marital status were not found association. While, level of education and work status showed significant association with women's knowledge. Except knowledge about symptoms and work status not found significant association. The study concluded that the women’s knowledge was fair in general information about menopause and associated symptoms. Knowledge regarding management was also fair. Socio-demographical characteristics of women not found association between age and marital status to their knowledge. Level of education significantly associated with knowledge about menopause, symptoms, and management. Knowledge about menopause and management was found association with their work status. While, their knowledge about symptoms not found association. Moreover, information of participants was superficial and slight about this period. Knowledge of participants were inadequate to meet their needs in this period, because they believe menopause is a normal life changes not a disease and might be tolerated without implementation. The study recommends conduct teaching programs to health care providers about menopausal symptoms and management to enhance their knowledge. Further studies about attitude of menopausal women and how deal with associated symptoms that faced women in this period. Knowledge of women toward menopause always in need of assessment periodically. Establish special unit for menopausal women within primary health care centers to enhance their health awareness and motivate management of common symptoms

Conclusions: The conclusion of the current study showed participants generally expressed positive attitudes toward physical fitness. Majority of them never participate in any physical activity per week. According to association that showed just marital status has significant association with attitude of employee women.