Pressure ulcer prevalence among hospitalized children in Jorda

Pressure Ulcers [Pus] remain a significant and complex health problem in health care settings. It is related to human suffering, pain, disfigurement, and financial burden. Only few studies about PUs incidence and prevalence have focused on paediatric patients whereas PUs prevention and management are generally extrapolated from the adult population. Determining PUs prevalence among children in Jordan and exploring the allocation of prevention measures to at risk populations. A point prevalence survey was conducted on 784 inpatient children in university, private and governmental hospitals in Jordan. A modified European Pressure Ulcer Advisory Panel [EPUAP] PUs prevalence survey form was used. PUs were classified according to the 2009 EPUAP and the National Pressure Ulcer Advisory Panel [NPUAP] grading system. Risk of PUs development was assessed using the 2009 Glamorgan scale for risk assessment in paediatrics. The overall Pus prevalence was 8.2% [n=58] and decreased to 1.8% when Grade Iwas excluded. The sacrum was the most often affected site [75.8%, n=44 of 58].For the various at risk sub groups, paediatric critical care and surgical units showed the highest PUs prevalence of 43.1% and 36.2%, respectively. Of the 400 children evaluated to be at risk of PUs development, only 10% received prevention in terms of equipment and/ or repositioning. The PUs prevalence among children in Jordan is comparable to that reported for other countries utilizing the same methodology. Despite relatively low PUs prevalence, few patients at risk received adequate prevention. Since PUs risk assessment scales are not frequently used in Jordan, there is a need to emphasize knowledge of prevention and interventions as a key to reducing PUs prevalence

Histologic profiles of reduction mammaplasty specimens among jordanian females

Reduction mammaplasty is a common surgical procedure that yields a variable amount of tissue for pathologic examination. The purpose of this study was to evaluate the histological diagnoses of the reduction mammaplasty specimens and to determine the incidence of breast lesions in otherwise asymptomatic and healthy Jordanian females. All reduction mammaplasty specimens of 73 patients over a 10-year period [September 1999-September 2009] at Jordan University Hospital were retrospectively examined. The average number of blocks submitted per breast was 4 [range 3-5]. Variables such as age and preoperative mammograms were examined. A total of 143 specimens were evaluated. Normal mammary tissue was present in 36 patients [49%]. The most common benign lesion was fibrocystic disease [21%] Precancerous breast lesions were identified in 7 patients [9.6%]. No case of carcinoma in situ or invasive carcinoma was encountered in our study. Most of the histopathological lesions were found in patients younger than 35 years of age. Preoperative mammograms were done for 26 patients and all were normal. This study demonstrates the importance of systemic analysis of breast reduction specimens to help identify and guide the management of patients with increased risk of breast cancer following reduction mammaplasty. Consequently, thorough sampling and handling of breast reduction specimens should be emphasized

Jordanian parents' needs while their child is hospitalized

To explore the needs of Jordanian parents in relation to their participation in the care during the hospitalization of their child. A descriptive cross-sectional study where a questionnaire was administered to parents of hospitalized child, aged one month to thirteen year olds. Pearson correlation coefficient was performed to examine the relationships of parents' needs and their participation. The superior needs among 192 parents [90%] were that mothers were concerned about trusting in staff, trusting of staff and acquiring information. The high significant correlation [r = 0.80] emphasizes the relationship between parents' participation in the care of their hospitalized child and parents' need especially for support and guidance [P<0.01]. The findings confirmed that parents have a desire to participate in the care of their hospitalized child after fulfillment of their needs, similar to studies in Western and Eastern countries. Jordanian parents had no choice in child care participation; their basic needs were not met such as trust of staff, and support and guidance to parents and other family members