Vol 73 (2020) Journal of Health, Medicine and Nursing

Vol 73 (2020)

Table of Contents


Journal coverpage PDF
Journal Editor
The Prevalence of Helicobacter pylori Infection and Its Associated Risk Factors Among Patients Undergoing Upper Gastrointestinal Diagnosis in Shashemene Referral Hospital in Shashemene, Ethiopia PDF
Mulu Bekele 1-19
Assessment of Readiness of Newly Graduated Health Professionals to Communicate with Patients in Duhok, Kurdistan Region, Iraq PDF
Sirwan M. Aswad, Samim A. Al-Dabbagh, Saad Y. Agha, Ghanim Y. Alsheikh 20-26
Comparison of Health Care System of China and Yemen PDF
Aljaifi Saddam Hussein Mohammed 27-36
The Role of Saline Enema in Reduction of Intussusception Under Ultra Sonographic Guide a Study of 40 Patients in Alkarama Teaching Hospital PDF
Ahmed kadhum mohammed, Haider Ibraheem Khaleel, Hussein Ali Abed Ahmad 37-44
Post- Partum Variables Among Breastfeeding Women and Its Relative Effect on Maternal and Infant Health in Ekiti State Nigeria PDF
Ogunlade Joseph Olurotimi, Babatunde Christianah Adekemi 45-51
The Value of Ultrasonography in Diagnosis of Acute Appendicitis in Pediatric Age Group PDF
Ahmed kadhum mohammed, Haider Ibraheem Khaleel, Hussein Ali Abed Ahmad 52-60
Differentiation of Small Hepatic Hemangioma from Small Hepatocellular Carcinoma with Tri-Phasic Helical Computed Tomography Method PDF
Muhammad Haseeb Jafar, Aruj latif, S Muhammad Yousaf Farooq, Hafiz Muhammad Rizwan, Muhammad Ahmad Raza, Muhammad Usama Sajid, Mubashir Hassan 61-68
Effect of Lavender Oil Inhalation on Injection Pain Intensity Among Children Undergoing Vaccination PDF
Hanem Abdullha Mohamed, Asmaa Mahfouz Hassan 69-79
Measurement of Knowledge and Performance of Pediatric ICU Nurses about Endotracheal Suctioning PDF
Huma Bano, Muhammad Hussain, Muhammad Afzal, Syed Amir Gilani 80-88
Nurses’ Perceived Factors of Reluctance to Implement the Bowel Regimen Protocol in Intensive Care Units PDF
Ghada Shalaby Khalaf Mahran, Manal Moammed Abd Elnaeem 89-95
Antiviral Effects of Water Catholyte, Oxidal with Methylene Blue and Colloidal Silver. Possible Mechanism of Influence over Coronavirus SARSr-CoV and SARSr-CoV-2 with Disease COVID-19 PDF
Ignat Ignatov 96-101
Pandemic (COVID-19) Killing Thousands by the Hour-What the Community Need to Know PDF
Naaz Ikram, Hamayun Shahbaz 102-106
Comparative Study of Different Disinfectant Solutions on Reducing Catheter Associated Urinary Tract Infections Among Critical Patients PDF
Marwa Mohammad Abd Elbaky, Naglaa Gamal Eldien, Naglaa Ahmed Ahmed, Eman Fadle Mohammed 107-114

How Can You Keep Your Kids Safe At School?

As parents, sending our kids to school each and every day can be one of the most emotionally challenging things we do. We give up control of who we love the most, and sometimes there are serious dangers associated with the school environment.

These risks can start as soon as our kids get on the school bus. The school bus, particularly if your kid rides one that’s older and has fewer safety features, can be dangerous. 

Then throughout the day, there are a number of other possible risks, from dealing with bullies at school to the precautions kids with food allergies need to adhere to.

While as parents school might make us feel nervous, we do have to realize that teachers and administrators are doing their best to make it a safe environment.

Even so, are there things we can also do as parents?

School Bus Safety

If your child rides the bus to and from school, this is a good place to start focusing as far as helping to improve their level of safety. 

Work with your child, particularly if your child is younger, about how to be safe at the bus stop. This includes ensuring that you’re always on time, so no one is rushing. Rushing to the school bus can increase the likelihood of accidents. 

Your child should always stand at least three “giant” steps from the curb while they wait for the bus, and younger kids should have supervision until the bus arrives and they’re safely on.

Children should not ever walk behind the bus, and your child should learn that if they drop something, they should tell the bus driver before they try to pick it up. 

Other school bus safety tips that are important for kids to learn are:

  • Kids should always wait until the bus stops, and the doors open all the way before they approach to get on or stand up to get off. 
  • Teach your kids to use the handrail as they’re getting on and off the bus.
  • Don’t let your child have any hanging objects such as drawstrings when they’re getting on or off the bus. 

Learn the Procedures at Your Child’s School

Every school will have its own safety and emergency procedures and guidelines.

As a parent, learn what these are and regularly check in to make sure there are no changes or updates you need to be aware of. 

When you’re familiar with this information, you can then go over it with your child and make sure he or she will feel confident if certain situations arise. 

Your goal in helping your kids learn how to take proper safety measures should be encouraging them to be active, and take an active role in their safety instead of one that’s passive. 

Teach Your Kids When to Speak Up

Even the best teachers and school officials don’t see everything that might be happening. As a parent, your role in keeping your kids safe involves teaching them how to speak up when they see something that’s not right. 

Speaking up doesn’t mean tattling, and there are ways you can work with your child to differentiate these situations.  

Talk with your child about behaviors that aren’t safe or are unacceptable, and how to approach someone in charge when they see these things happening. 

If your child tells you something that seems especially harmful or dangerous, go directly to school officials. 

Be a Safety Advocate

Being involved is critical to make sure your child has a good school experience. 

As a parent, there are ways you can advocate to make the school environment safer for everyone. 

While many schools may have plans in place for certain situations, these may be in need of an update, or they may need improvements, and you can play a role in whether or not that happens. 

Ask school officials whether all staff have been trained in crisis response, and whether or not the emergency or crisis plans are reviewed and updated every year.

Talk to school officials about how they decide what’s developmentally appropriate for kids as far as crisis training. Has the school done a full risk assessment to determine and address what their vulnerabilities might be?

How does the school identify and deal with potential threats, including threats of violence from students, parents, or other people directly associated with the school?

Encourage Open Communication with Your Child

The more openly and honestly your child communicates with you, the more you will know about what’s going on at school. You’ll also be able to identify any red flags before they become larger problems.

A few tips for good communication with your kids include:

  • Don’t make your child feel judged for sharing their feelings. In younger kids, you can help them learn the right words to express what they’re feeling. 
  • Work with your child on problem-solving skills. 
  • Be honest when you communicate with your child if you hope for your child to do the same. 
  • Simply be available and willing to listen, whenever it’s needed. You can’t always schedule a time or structure time for a conversation. Your child will talk when they want to and are ready. 
  • Show your child you’re actively listening to what they’re saying.
  • Learn how to read body language and facial expressions. 

Keep Your Child’s Records Up to Date

Your child might have an allergy or health problem, and the only way for the people at the school to know that is if you communicate with them. Regularly check-in to make sure your child’s records are accurate and complete. 

Speak to teachers, the school nurse, and anyone else who’s relevant about what your child’s needs are and how you handle their mental or physical health conditions. 

It’s scary to let go of control as a parent, but there are things you can do to facilitate a safe school experience for your child through your active involvement. 

Career Choices if You Love the Outdoors

Do you hate the idea of being cooped up in an office all day? Do you instead long to spend most of your time in nature? This might feel incompatible with settling down and getting a “real” job, but having a career doesn’t always mean you have to spend all your time in meetings and sitting in front of computers fiddling with spreadsheets. There are plenty of exciting jobs that maximize your time in the outdoors. In most cases, you’ll need a bachelor’s degree at minimum.

Think About Funding

Education can be expensive, so you need to start thinking about how you will pay for it. If it’s a graduate degree you are after, you should focus on programs that offer fellowships, assistantships or other opportunities for funding. If you’re entering an undergraduate program, you may have to take out student loans unless you have substantial savings. Even if you qualify for federal student loans based on need, these might not be enough. You can also apply for private student loans. Over the last decade, a number of private lenders online have made the process easier.

Strengthen Your Science Skills

Most of the career path jobs that you do outdoors are in the field of science. If you’re a high school student, you’ll want to get a good grounding in biology, chemistry and your other science courses. If you’re an adult who is considering a career change, you might want to look into taking some college courses to brush up. If your degree is another field, such as the humanities, you may have to take a number of courses to get the foundation you need.


If you’re entering college as a freshman, you don’t have to decide immediately what you want to study, but it will be helpful if you go in with some idea. If you’re an adult making a career change, you need more certainty. Among the opportunities are biologist or wildlife specialist, botanist, park ranger or conservation scientist. If you’re more interested in growing things than studying things that grow, you might be interested in farming. While this can seem like an old-fashioned job, there are opportunities in smaller-scale sustainable and organic farming, providing high-end produce to farmer’s markets and restaurants. There are also jobs that may not be specifically focused on the natural world but which include a substantial amount fieldwork in the outdoors. For example, as an archeologist, you’ll spend a lot of your time digging outside.

Get in Shape

If you already love the outdoors, it’s likely you are already in decent shape, but if you aren’t, make this the incentive you need. You don’t need to be able to run marathons to work outdoors, but you’ll be much more comfortable in your outdoor job if you maintain a minimal level of fitness. Depending on the field you work in and your specialty, you might need to be prepared to do some hiking. Other jobs, such as farming and archeology, may require bending and squatting along with some upper body strength.

Duplicate Content and How to Avoid It

What is Duplicate Content?

Duplication is a general term that is used in the field of academics to spot stolen content. Duplicate content has become quite a common issue nowadays. You have heard many cases of plagiarized content and their consequences. To avoid such harmful and embarrassing consequences, people prefer to do plagiarism checks. It not only prevents content from duplication but also saves your reputation and worth.

Content duplication is progressing with time, even the magazine’s content is found plagiarized sometimes. This shows the lack of hard-working, determination, and shortcut loving’s of people. There are different ways by which you can get rid of this content duplication. To do plagiarism check, the plagiarism checker software must be authentic in outcome provision and reliable; otherwise, you are in loss. 

Problems Caused by Content Duplication:

When we talk about plagiarism or content duplication, then there must be known problems that are listed below. Have a look at these:

         Professional consequences –  if a person is accused of plagiarism, then he or she has to quit his or her job. This also causes serious embarrassment and awkwardness for the person. It will damage your reputation, and you will find it hard to get a job again in a reputed organization. So plagiarism checks must be in your priority list at work. 

         Legal consequences – of plagiarism takes a serious turnover, and then you may have to bear the legal penalty. A person whose content is duplicated or stolen has a right to file a case of a copyright claim. These legal proceedings also are harmful to your career and personal life. Be aware of such complications and do plagiarism checks regularly.

         Personal consequences – people think that plagiarism only can harm professionally or legally, but it harms the person in very initial stages. For example, when a student starts short cut methods and makes assignments from internet sources, he starts losing the habit of hard work and self-research. This then leads to a lack of knowledge and skills. Such a student is unable to grow and polish his or her insight. 

A key tool to avoid content duplication:

The key tool to avoid content duplication is a plagiarism checker. Plagiarism checker online is a tool that is made specifically to detect plagiarism in the content. Everyone has internet access in today’s world, so it has become really easy for users to detect plagiarisms. Previously, it was really hard or impossible to detect plagiarism.  Plagiarism check online is convenient to do and saves you precious time.

Do not trust every plagiarism checker tool that you see on the internet as there are many scams there. Select a reliable source for the detection of plagiarism checkers. Many complaints are reported that when content is entered on some tool for plagiarism check, then it becomes leaked automatically on the internet and causes a huge problem for the user. So be aware and find a trustworthy site for you for which you do not have to worry.

Dupli checker:

Dupli checker is a plagiarism checker free tool provider site that is 100 % authentic and trustworthy. It is made to satisfy the customers and provide the best outcomes. Dupli checker also has provided a number of other digital tools like grammar checker tools, reverse image search tools, and other text analysis tools. All of these amazing digital tools are free, so just open the site and use these without any inconvenience. 

If we talk specifically about the plagiarism check tool by Duplichecker, then you must know it’s plus points and why it should be given preference than others. The plagiarism checker provided by Dupli checker is claimed to detect all types of plagiarism with ease. Plagiarism checker by Dupli checker is free to use at all attempts. So you can make multiple attempts or detect plagiarism in a bundle of files at least time.  It maintains the safety level of the file and security level for the user’s info.

Tips to avoid content duplication:

If you really are concerned about your content’s originality, then you should be careful while doing a write-up. The best tip is to write the article, blog, or essay in our own words so you would never have to face plagiarism. If you have a shortage of time and have gathered the data from the internet, then give it a read and write the concept or main point in your words. Always put quotation marks on someone’s words and never forget to add the references at the end if you have written data from any other author or book. 

These tips will help you in preventing plagiarism in the initial stages. Just to be sure and on the safe side, do plagiarism check by a plagiarism checker by Dupli checker. 

Available treatments for Erectile Dysfunction

According to surveys conducted in 2018, more than 50 million people worldwide suffer from erectile dysfunction. It should be noted that these are only the reported figures and there could be millions more who do not come forward because they feel a significant amount of shame in revealing the truth. One cannot deny that being afflicted with this ailment does have a significant impact on a man’s self-esteem.

However, one shouldn’t despair as there are various treatment options available in the market. With different treatments, one can get confused and overwhelmed as to what is the best option. This article will examine these treatment options in brief detail, allowing for anyone suffering from the debilitating condition to make an informed decision on how to best tackle it.


One of the most popular options for treating erectile dysfunction is surgery. Blood vessels are redirected to allow for better blood flow and muscles are adjusted to allow for a relaxed posture. While the cost for surgery might be high, it is the fastest treatment option available and could be a permanent fixture.

However, one must understand that success is not guaranteed even after you’ve spent money on the surgery and so much time and effort on the healing process. Apart from the risk associated with surgery, there’s also a possibility that the issue might only be partially addressed and you might need to resort to other options in addition to the surgery.

Penis Pumps

Another option is to use penis pumps. These pumps have a cylinder in which the penis is inserted and the pump creates a vacuum, drawing blood to the penis and keeping it there until sexual arousal is induced. You have the option of manual pumps or electronic ones and can buy them in different colors and designs if you’re feeling adventurous.

However, pumps also have their drawbacks. First off, they’re very impractical and the effects they induce could be disturbed by even the smallest distraction. Also, if you’re a novice, there are chances for injury as the pumping does not cause a painful sensation and overzealous users have ended up causing harm to their genitals in the process. As such, you need to be careful and read the instructions before you use a penis pump.

ED Medicine

The most popular treatment option for those suffering from erectile dysfunction is ED medication. Whether you opt for something with short term effects, like Sildenafil, or something that has a prolonged effect, like Taladafil, Ed medication can be a very cost-effective and convenient treatment option for those suffering from erectile dysfunction.

However, ED medication has some side effects associated with its usage, the most common of which are headaches, flushing, and dizziness. Lifestyle changes can usually address the side-effects, but if you experience prolonged effects, then you should discontinue usage and consult with a doctor. If you’re already on any medication, then be sure to discuss your ED medicine options with your doctor BEFORE you start taking anything.


As you can see, there are many options one can consider to address ED and each of them has its own advantages and disadvantages. At the end of the day, the decision comes down to the lifestyle one has, their budget, and the level of risk they are willing to take. Regardless, one should remember there is hope and try to do what they can to get treatment.

Time management tips for USMLE exams

Any medical student can do well on the USMLE® exams, with the right preparation and enough dedication. Studying strategically starts is not just about the topics you review and the resources you use, but also with how you manage your time. Creating or adapting a study schedule that allows you to maximize your productivity – and then sticking to it – is essential. Give these time management techniques a try and implement your favorites into your study routines: 

Pomodoro Technique

Rather than working your way through a checklist and pausing between tasks, this study method focuses on time: The Pomodoro Technique divides your schedule into blocks of 25 minutes (“pomodoros”) with short breaks of 5 minutes each in between. Working 25 minutes at a time with uninterrupted focus and a shorter break allows you to maximize the information you’re absorbing while also giving your brain its needed break to continue to commit the information to memory. It’s also good for fighting against procrastination, as you can start a pomodoro anytime. 

Block scheduling

SImilar to the Pomodoro Technique, many medical students use block scheduling to organize and manage their time. Inspired in part by cycles of pomodoros and break time, scheduling blocks of a designated time with subsequent designated breaks can help you keep on track during the day. Regardless of the length of your blocks, make sure to always give yourself a short break so your brain has the chance to consolidate the information it just took in and commit it to memory. One major perk of block scheduling is that you can start blocks any time and end at any time. The end of a block is always in sight, and this can also keep you motivated! 

Make a master schedule

Preparing for any USMLE exam means that you have a lot of material to review. Before you even sit down to start reviewing, it is important to create a master schedule of sorts for yourself. This way, you can keep track of which topics you have to review and how much time you have left. Decide how many days per week you want to study, and how many hours per day. Make sure to build in some time for breaks, possibly a rest day each week, and time to review what you’ve already reviewed to keep it fresh in your mind. You can then divide out the number of Qbank questions you have by day and create blocks from this, or select the days on which you’ll study each topic. Sounds like a lot of work right? It doesn’t have to be! Several study schedules accessible online, such as Lecturio’s 40-Day Study Schedule for the USMLE® Step 1, use block scheduling and have a prepared master schedule ready for you to use or adapt rather than reinventing the wheel for yourself. 

Set achievable goals

Whether your goal is to answer X Qbank questions in a week or to successfully complete your morning study block, setting (achievable) goals is also a good way to motivate yourself and thus stay on track. Each person’s goals will differ, but remember to give yourself a small reward when you achieve your goals! Not to mention, it always feels great to check something off a list. 

Give yourself enough time

Managing your time is of course important, but above all, making sure you give yourself enough time to properly get through the material you need to review is essential. Without enough time over all, even with the best-planned study schedule, it is hard to succeed. While it is certainly satisfying to check something off your to-do list, make sure you are learning and reviewing the material you need to know to really know it and be ready for your next USMLE exam, rather than just to check another topic off your list.

Using your time wisely is just one step toward achieving your dream score on the USMLE exams, but it’s a very important one. With the right time management, you’ll certainly set yourself up for med school success.

CBD Lotions: How To Find The Best CBD Creams For Pain

It is important to understand that for many people, pain can be a source of aggression and angry frustration regarding do how little they can do in terms of solving the problem without medical surgery or other intervention.  as such for people in physical roles as jobs this can lead to long-term problems whereby the pain is so severe that it is so hard to live with on a day-to-day basis.  many have taken the time to turn to alternative medicine to help deal with the pain such as painkillers, massages and traditional Chinese medicine. However, one product seems to have taken hold in the marketplace of alternative medicine which is that of CBD oil this product helps promote the decrease in swelling or inflammation in specific areas of the body where the oil is applied all trying to alleviate or further control the pain that the consumer feels.  This has led the industry to produce more and more products to help meet the consumer demand there is for CBD oil alternative goods such as that of CBD oil lotions or moisturizing creams. The problem being that consumers have so much choice in the current marketplace that they can struggle to identify the most suitable product for their consumption needs as they can’t tell the difference between a CBD oil salve or perhaps a CBD oil lotion that specifically targets information. Thus, this article is here to help in identifying how to correctly find the best CBD cream for pain.

How to identify or find the best CBD creams for pain in the current marketplace? 

With any product, you need to ensure that the quality of the said product is of the highest standard for the price that you’re willing to pay.  this can be achieved by ensuring that you review you the product that you wish to purchase in terms of CBD creams as there are many different online sites which provide rating systems and user reviews for said products this will help differentiate between brands and further hone in on the most specific product that you require. 

Another thing to consider when purchasing CBD creams is the fact that price in the current marketplace is important to look at in-depth as for many different brands are small minute differences in terms of the quality of the product so therefore the increases in prices can be substantial therefore again we would suggest referring to either Online forums or review sites and if this is not possible then I would highly suggest visiting a price comparison app to ensure that you do get the best price for the product that you wish to purchase. 

Finally, if you’re someone who is relatively new to the industry I would suggest visiting a local store that can provide you with further information on site and let you try out a few of products to work out what you feel is the best out of the bunch if this is not the case then there are certain websites, like here that provide online chat features to help advise you to the best product possible.

Student Loans Repayment – Can I Get Debt-Free More Quickly?

Almost every student these days has at least some student loan debt. Yet, all too often, graduates get a shock when they see the amount they owe once their college education is over. Having to pay back student loans can end up holding you back when it comes to furthering your career or doing the things you’ve always wanted to. It can also stop you from taking risks with your career that could further your goals.

With this in mind, tackling your repayments quickly is pretty important. In fact, it should be a top priority once you leave college. So, here is some advice about how to get debt-free more quickly. 

Consolidating Your Federal Student Loans

If you’re asking how do I pay back my student loans more quickly, the first thing to consider is consolidating your federal student loans if you have your loans at several different banks. This probably won’t apply if your loan is a more recent one, but if your classes began a few years back, consolidating your various loans could make you eligible for some student loan forgiveness programs while making it simpler to pay a single monthly payment. You’ll also get the chance to reduce your monthly payments and get an extension on your loan term. This is something that could prove to be extremely helpful if you aren’t earning as much as you’d anticipated now that you’ve graduated. 

Draw Up Your Payment Plan

Make sure that you’ve created a payment plan that will cover not only student loan debts but also any car loans and credit card debts. You should prioritize those debts based on how much interest you’re paying and any tax advantages you can gain. That means usually, you should put federal student loans at the end of the list since their interest rate is typically lower, and put private student loans higher up on your list of priorities. This will help you to focus your effort and get out of debt more rapidly.

Set Your Budget

As soon as you’ve got your first position, you’ll have to set up your budget to limit spending. This will give you more money to put towards your student loan repayments. When you are earning a steady income, you must establish a budget that is realistic and that enables you to save money while also paying off your debts. Although you may be tempted to overspend now you’re in employment, it’s important to make sacrifices now so that you can enjoy having more income later.

Find More Money

Check your budget and see where you can make any further cuts, or see if you have any items that you can sell. Any money that you make, you can put towards paying some more off those loans. Using Craigslist, Facebook Marketplace or eBay could be a good way to sell on anything you no longer want or need.

Take A Second Job

If your student loan debts are very large, taking on another job could be an effective solution. Jobs that offer tips could be a good option for helping you pay those loans off quickly, but freelancing or being a tutor could also help you earn more.

Apply For An Income-Based Repayment Program

If you’re really struggling to meet your payments, you should m make an application for an income-based repayment program. This will base how much you pay on how much you’re earning. You’ll need to make an application every year, and if your income goes up, so will the payment. Under this program, if you continually make your payments on time for thirty years, the remainder of your federal student loans will be eliminated.

Benefit From Loan Forgiveness Programs

The fastest, most effective way of paying off your student loan is to have it completely canceled. If you’re working as a teacher, you could be eligible to get your student loan debts wiped out after 5 years. If you’re working for a non-profit organization or the government, it’s possible you could qualify for similar programs. AmeriCorps and Teach For America also offer programs that help to pay off student loans. If you’re working in a rural or inner-city hospital, you may also find you’re eligible for a forgiveness program.

Take this advice, and you’ll be able to make some headway in paying off your student debt much more rapidly. Then you can begin to focus on saving for all of the other things that you need in your life.