ABSTRACT
Background: Healthy eating contributes to an overall sense of well-being, and is a cornerstone in the prevention of a number of conditions, including heart disease, diabetes, high blood pressure, stroke, cancer, dental caries and asthma. For children and young people, healthy eating is particularly important for healthy growth and cognitive development. Eating behaviours adopted during this period are likely to be maintained into adulthood, underscoring the importance of encouraging healthy eating as early as possible [1, 2]. Many adult deaf since birth or early child childhood have poor knowledge of healthy eating has adversely affected deaf people’s nutritional health results from limited access to information that is considered common knowledge among hearing persons. For example, never overheard parents discussing about healthy eating [3]. Method: This study was conducted to determine changes in healthy food ingredients knowledge for deaf students in classes 6 and 7 after receiving a nutrition education program. (144) Deaf students studying at Al Aaml schools were included in the study. The students were divided into two groups; an intervention group comprised of 72 students and control group that comprised of another 72 students. The program was conducted for 6 weeks which comprised of two parts; lectures, practical session (computer training) and a quiz at the end of the program. Questionnaires to assess Knowledge of deaf students were distributed to students before the intervention program, and after intervention. Data was analysed using statistical analysis program (SPSS). Ethical approval was obtained from Al Neelain IRB and permission from Al Amal schools. Informed consent was obtained from parents of the deaf student s and assent from the students themselves. Results: show significant differences in experimental group between pretest where the mean value located in the fair range according to the tripartite Likert test of 1.67 - 2.33, and posttest where ma

ABSTRACT
Background: Malnutrition is directly responsible for 300,000 deaths per year in children younger than 5 years in developing countries and contributes indirectly to more than half of all deaths in children worldwide. In addition, it increases health care costs [1]. Nutritional education one of the important aspects that play a big role in nutritional knowledge by raising awareness and ultimately the health of the society [2]. Many adult deaf since birth or early child childhood have poor knowledge of healthy eating has adversely affected deaf people’s nutritional health results from limited access to information that is considered common knowledge among hearing persons. For example, never overheard parents discussing about healthy eating [3]. Method: This study was conducted to determine changes in malnutrition knowledge for deaf students in classes 6and 7 after receiving a nutrition education program. (144) Deaf students studying at Al Amal schools were included in the study. The students were divided into two groups; an intervention group comprised of 72 students and control group that comprised of another 72 students. The program was conducted for 6 weeks which comprised of two parts; lectures, practical session (computer training) and a quiz at the end of the program. Questionnaires to assess Knowledge of deaf students were distributed to students before the intervention program, and after intervention. Data was analysed using statistical analysis program (SPSS). Ethical approval was obtained from Al Neelain IRB and permission from Al Amal schools. Informed consent was obtained from parents of the deaf student s and assent from the students themselves. Results: Results show significant differences in experimental group between pretest where the mean value located in the fair range according to the tripartite Likert test of 1.67 - 2.33, and posttest where majority of students' responses in the range between2.34 - 3 and indicate to good knowledge. Results show also

ABSTRACT
Aims: Diabetes leg ulcer is the ulceration of the leg associated with diabetes and in most cases result into amputation. Studies showed inadequate knowledge of the disease and this is why most of the patients only seek healthcare services after the Leg ulcer is already infected and seems not to be healing. Consequently, this study aims is to examine the effect of nurse-led education on knowledge of leg ulcer prevention. Materials and methods: A pre and post-test quasi experimental design was conducted with a multi-stage sampling technique to select forty participants through a convenient sampling method, and then allocated them into two groups by simple randomization (n=30 control, and n=30 experimental group). A modified structured questionnaire from preventive aspects of leg care practices used in America Diabetes Association and the National Diabetes Education were used to measure the knowledge level. Participants in experimental group were educated based on European Wound Management Association educational package. Data collected were analysed using frequency, mean, standard deviation, and independent paired t-test at 0.05 significant levels. Results: Result showed pre-intervention knowledge mean score of 5.2±2.3 and 5.1±2.0 with mean different of 0.1, while the Post-intervention knowledge means score of 12.5±3.2 and 5.4±2.6 with mean different of 7.1, in experimental and control respectively. Significant different was observed between the control and experimental group, after the intervention (t=11.82, ˂ 0.001). Conclusions: The nurses must provide a continuous and focused training program on leg ulcer for the diabetes patients to improve their knowledge on prevention of the diseases.

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Background: Stress is state of mental or emotional strain or tension resulting from adverse or demanding circumstances. Novice nurses perception of job stress is a global concern and work-related stress has the potential to negatively affect the individual’s psychological and physical health, as well as an organization’s effectiveness. Objectives: The aim of the present study was to examine thelevel of novice nurses perception of job stress working at hospital. Method: Simple convenience technique was used for this study and sample size was 108. The study was carried out within the period of March 25, 2017 to April 7, 2018. Data was collected by using self-structured questionnaire. The method of data collection was self-admitted questionnaire. Data was analyzed by both descriptive and inferential statistics by using SPSS version 23. Result: Results revealed that the most stressful event was the uncertainty concerning the treatment, workload, death and dying, followed by problems with supervisors, conflict with physicians, problems with peers, inadequate emotional preparation, patients and their families and discrimination. Nurses working in medicine ward and emergency department had high level of stress job stress compared with than nurses who were working in the other wards. Conclusion: The study concludes that nurse managers in hospitals should develop programs to reduce job stress of novice nurses through in-service education program or and also conduct more systematic survey to better understand the work stress of not only novice nurses related to clinical practice job stress but also other nurses.

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Gender based violence is a major public health concern. The main aim of this study was to examine Knowledge, Screening and Reporting practices of Health Professionals towards gender based violence among women in Kabwe District, Zambia. This was a descriptive cross section study conducted in health facilities in Kabwe district. About 207 doctors, Nurse Midwives and Clinical Officers were selected to participate in the study using stratified sampling method. Data was collected using a questionnaire and was entered into SPSS version 22. Chisquare test was used to determine associations between the variables. The statistical significance was set at 5% and confidence interval was set at 95%. The findings showed that a high percentage, 81.2% of the Health professionals had not been trained or sensitized on GBV, 79.7% of them had high level of knowledge on GBV. Slightly more than half, 54% of the Health professionals screened women for GBV, mostly upon suspicion for GBV (72.3%), which is also known as selective screening. Few of the HPs screened women for GBV often, 17.5% and very often (8.9%). The majority, 38.2% of the respondents indicated that they did not have a written institutional policy / protocol on how to screen for GBV while 30.4% did not know whether their institutions had one. Few of the HPs were very confident (22.7%) or extremely confident, 5.3% that they could screen women for GBV. Overall, the HPs‟ screening practices for GBV were inadequate (83.6%). A statistically significant relationship was observed between respondents‟ profession and their screening practices for GBV (p – 0.020). About one third, 31.4% of the HPs report GBV...............

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The present study aims to investigate factors associated with coping mechanism among cancer patients undergoing chemotherapy. The factors studied include the age of patients, education level, marital status, occupation, stage of cancer, presence of caregiver, acceptance of the illness and social support. Logistic regression analysis was performed to examine the association between variables and coping mechanisms. It was found that caregiver (p = 0,001), acceptance (p = 0,001) and social support (p = 0,001) were independently associated with coping mechanisms. It is recommended that the nurses in the chemotherapy ward to provide supports to the patients in the form of information and education to help maintaining the patient’s coping mechanisms and to improve acceptance of their illness.

ABSTRACT
Background – Midwifery service is a health effort provided by midwives as a strategic health worker. The World Health Organization (WHO) in its policies and programs for maternal and child health services has changed the service model from segmentation to continuity of care (COC) by focusing on the comprehensive coverage of effective interventions, integrated care throughout the cycle, live and build a comprehensive and responsive health system. This study aimed to examine the effect of the quality of midwifery services on the achievement of midwifery continuity of care. Methods – The study used a cross-sectional design. The study was conducted in six community health centers in Kupang City. The inclusion criteria were mothers who had completed the postpartum period with a maximum of 60 days, and the baby was aged 2 months. A simple random sampling technique was used to obtain the respondents of the study. Data were collected using a questionnaire and a Maternal and Child Health Handbook and analyzed using SPSS 23. Result – There is an effect of the quality of health services on midwifery continuity of care with p = 0.002 OR 9.7, 95% CI 1.9-49.0. Conclusion – The quality of health services that mothers receive during pregnancy and childbirth increase the achievement of continuity of care