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Introduction: Diabetes mellitus (DM) is a main, highly prevalent, and challenging public health issue. Suboptimal self-care for type II diabetes can lead to poor glycemic control, complications, and even death. Objective: This study investigated the incidence of distress and its link with self-care habits of patients with diabetes type II. Methods: A correlational, cross-sectional design with a convenient sample of 200 patients was used to conduct this study. Three questionnaires were administered: (A) the demographic and medical data questionnaire; (B) diabetes self-care activities in brief; and (C) the diabetes distress scale in Arabic language. Results: The patients' mean age was 51.78 ± 11.34; 80% of patients practiced lower levels of diabetes self-care, and 37% of them had a high level of diabetes distress. Self-care is associated with diabetes distress (R = −0.152, p -value =.032). Conclusion: Self-care activities can help in the early detection and management of diabetes distress. Sustained self-care education is promising to minimize diabetes distress. The potential advantages of association between diabetes distress and self-care can offer self-care programs that enhance diabetes distress management. [ABSTRACT FROM AUTHOR]

Introduction: In Egypt, diabetic foot ulcers markedly contribute to the morbidity and mortality of diabetic patients. Accurately predicting the risk of diabetic foot ulcers could dramatically reduce the enormous burden of amputation. Objective: The aim of this study is to design an artificial intelligence-based artificial neural network and decision tree algorithms for the prediction of diabetic foot ulcers. Methods: A case–control study design was utilized to fulfill the aim of this study. The study was conducted at the National Institute of Diabetes and Endocrine Glands, Cairo University Hospital, Egypt. A purposive sample of 200 patients was included. The tool developed and used by the researchers was a structured interview questionnaire including three parts: Part I: demographic characteristics; Part II: medical data; and Part III: in vivo measurements. Artificial intelligence methods were used to achieve the aim of this study. Results: The researchers used 19 significant attributes based on medical history and foot images that affect diabetic foot ulcers and then proposed two classifiers to predict the foot ulcer: a feedforward neural network and a decision tree. Finally, the researchers compared the results between the two classifiers, and the experimental results showed that the proposed artificial neural network outperformed a decision tree, achieving an accuracy of 97% in the automated prediction of diabetic foot ulcers. Conclusion: Artificial intelligence methods can be used to predict diabetic foot ulcers with high accuracy. The proposed technique utilizes two methods to predict the foot ulcer; after evaluating the two methods, the artificial neural network showed a higher improvement in performance than the decision tree algorithm. It is recommended that diabetic outpatient clinics develop health education and follow-up programs to prevent complications from diabetes. [ABSTRACT FROM AUTHOR]

The aim of the current study is to examine the effect of a web-based educational program on nursing students’ levels of knowledge and self-efficacy regarding corona virus (covid-19) prevention. Methods: A quasi-experimental design with pre-post assessment was adopted to achieve the aim of the study. The study was conducted at a selected Faculty of Nursing, Egypt. The study sample included 200 undergraduate nursing students from first to fourth academic level. A self-administered online questionnaire was utilized to collect data. Results: Newspapers, TV and Radio followed by social media were the most frequently reported sources of COVID-19 information (70% &65% respectively). Preprogram, only 12% of studied students had satisfactory level of knowledge. Concerning their level of self-efficacy, 37% of studied students had high level and 14% of them had moderate level regarding COVID- 19. While post program, the findings pointed to obvious improvements of studied students’ levels of knowledge and self-efficacy with statistically significant relations (p-value <0.001). There is a statistically significant relation between studied students’ knowledge scores and their level of self-efficacy regarding COVID-19. Conclusion: the web-based educational program used in this study significantly improved the nursing students’ knowledge and self-efficacy regarding coronavirus (COVID-19) prevention. [ABSTRACT FROM AUTHOR]

Purpose: The study aims to assess the performance and compare the effectiveness of intramuscular injection skills of nursing students utilizing two different teaching strategies -traditional (with the use of performance checklist only) versus video (together with the performance checklist). Methodology: A quasi-experimental research design was used. The sample was divided into two groups - control group, 28 female nursing students and experimental group, 27 male nursing students. Socio-demographic data sheet and an observational checklist were used to collect pertinent data. Analysis was performed using descriptive statistics and analytical tests, such as the independent t-test between the experimental and control group, regarding the preparation and injection of medication. P value of < 0.05 was considered to be significant. Findings: Most of the experimental and control group subjects are non-Kuwaitis. In medication preparation, the experimental group showed higher scores in the following steps: mixing solution; withdrawing prescribed amount of medication. The control group, on the other hand, scored higher in the following steps: removing needle cap, withdrawing into syringe amount of air equal to volume of medication to be withdrawn; carefully inserting needle into upright vial; and withdrawing prescribed amount of medication. In medication administration, the control group obtained higher scores in putting on clean gloves and applying gentle pressure at the site. The experimental group had higher score only in putting on clean gloves. A highly significant positive correlation was found between medication preparation and injection of medication and sociodemographic parameters of age and nationality (p= 0.008, p= 0.007) respectively. There is no statistically significant correlation detected between control and experimental group in relation to injection of the medication. Unique Contribution to Theory and Practice: The results of this study indicated that while traditional and video-assisted teaching are equally effective, there is no substitute for clinical demonstration. [ABSTRACT FROM AUTHOR]