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  • ISSN: 2379-9501
    Volume 7 Issue 1
    Case Report
    Myocardial Infarction or Pericarditis: An Interesting Case
    There are many diseases whose presentation is very similar. This in turn makes the diagnosis of the disease difficult. Similarly, I encountered a case in my hospital where we were trying to rule out if the patient had myocardial infarction or pericarditis. The presentation of the symptoms was so confusing and unjustifiable with the diagnostic tests, that the diagnosis of the disease was unclear till the end. Though with the help of vague connections, we finally figured out the management which eased the symptom of the patient.
    Research Article
    Alex Sandro Leao, Geraldo Magela Salome, Joao Paulo Pereira Leao-Centro, Daniela Maggioni Pereira Leao, Imaculada Aparecida Cardoso and Andressa Goncalves Cavalcanti Campos
    Objective: Unprotected sexual activities make teenagers susceptible to sexually transmitted diseases. The aim of this study was to describe the development of a mobile application to inform teenagers about the risks and prevention of human immunodeficiency virus infection/acquired immunodeficiency syndrome (HIV/AIDS) and syphilis.
    Methods: An integrative literature review was conducted in health sciences databases to verify the need for development of the instrument, identify risk factors for HIV/AIDS and syphilis among teenagers, and create a preventive care plan for teenagers. The construction of the mobile application involved the creation of a decision tree, database structuring, and software development.
    The developed application has 47 screens describing procedures for risk assessment and prevention of HIV/AIDS and syphilis. It was tested for functionality using usability, performance, compatibility, and functional tests.
    Results: The mobile application called SexoSeguro App was created to provide information for teenagers about risks and prevention of HIV/AIDS and syphilis, and will be freely available online (App Store and Play Store).
    Gladys Machira*, Irene Mageto and James Mwaura
    Background: Provision of good quality end-of-life nursing care (EOLNC) is the professional responsibility of nurses. Therefore, educating nurses about EOLNC is a priority in health care settings. Aim: This study sought to assess nurses’ perceived education needs regarding provision of EOLNC to patients. Methods: The study surveyed nurses from 8 specialized care units (SCUs; N=174) in one of the national referral hospitals in Kenya. The response rate was 91.1%. Quantitative data analysis was descriptive and co relational while qualitative data was categorized into themes and coded into quantitative data. Findings: Data analysis revealed that the basic nursing education program was inadequate in preparation of nurses to provide EOLNC. Conclusion: The results provide direction for development of EOLNC education programs for Kenyan nurses.
    Elsa Vitale*, Michele Massaro, Teresa Bizzoca, Francesco Germini
    Background: Peripheral blood sample collection is an invasive practice and not at all free of psychological repercussions. This study aimed to analyze the correlation between anxiety and pain during the peripheral vessel blood sampling procedure; check whether the difficulty in sampling and the stasis of tourniquet induce an increase in anxiety.
    Method: Patients in September-October 2017, at the Pennetti Analysis Laboratory in Barletta (Puglia, Italy). Inclusion criteria were: absence of haematological diseases or coagulopathies; absence of pathologies that can alter the results. Recording data by occult observation and transcription of pre- post- venipuncture anxiety using the MADS scale.
    Results: 314 subjects were involved in this study (188 females, 126 males), mean age was 46 ± 24 years. Devices used were: syringes with 22 Gauge needle (224 patients, 71%) and butterfly needle 23 Gauge (90 patients, 29%). Mean stasis of tourniquet was for syringe 42 ± 4 seconds and 76 ± 5 seconds for butterfly needle. Anxiety was performed with the MADS scale in the pre and post sampling moment: syringe device: 22.5 ± 3.74 and then 15.9 ± 4.85%; butterfly needle: 12.7 ± 4.24 and then 24.2 ± 3.75. Pain was assessed with the VAS scale: 1.3 ± 0.8 for syringe and 2 ± 1.2 for butterfly needle.
    Conclusion: Blood sampling with syringe induces anxiety decreases immediately after the procedure, while the butterfly needle sampling has less anxiogenic impact on the patient, but its use on patients with difficulty in finding a venous access causes correlation with negative sensations, despite the device being less physical and visual impact.
    Salvatore Maria Ciccone, Giustino Ciccone, Francesco Germini, Robert Latina, Natascia Mazzitelli, Gennaro Scialo, Loreana Macale, Elsa Vitale*
    The current literature show several distraction approaches to reduce anxiety in children during the painful procedure, as the venipuncture. This work explored the magician intervention effects in anxiety and in pain reduction among children who underwent the venipuncture procedure. Our results showed that the magician approach among nurses could effectively influence the children compliance who underwent a venipuncture without any particular cost for the healthcare system.
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