Objective: To assess the nurses-midwives' knowledge and practices regarding the management of second stage
of labor and to find out the association between their knowledge and practices and socio-demographic
characteristics and working years and experience.
Methodology: A descriptive study was carried out from March 22nd
, 2008 through 30th June, 2008. A purposive
sample of (75) Nurse-Midwives which was selected from (6) hospitals. A questionnaire was comprised of two
parts: (socio-demographic characteristics and the assessment tool for Nurse-Midwives' knowledge and health
practices performed by them). The questionnaire validity was determined by experts and its reliability was
determined through a pilot study. The correlation coefficient was (0.90) for knowledge and (0.83) for practices.
Data were collected through interview and observational tool and analyzed through the application of descriptive
and inferential statistical approaches.
Results: The study findings indicated that there was a high mean of scores in Nurse-Midwives' knowledge and a
low mean of scores for their practices in most of the items regarding second stage of labor. The study findings
also indicated that there is a significant association between nurses-midwives' practices and their educational
level, and birth number average.
Recommendations: The study recommends that; installing in-service educational program for Nurse-Midwives
to upgrade the techniques necessary to assess, evaluate and improve the quality of care rendered to laboring
women, and to put an emphasis on the Ministry of Health to conduct training course for the Nurse-Midwives in
order to change their malpractices and updating their knowledge with regular supervision on their performance.
Circular thin walled structures have wide range of applications. This type of structure is generally exposed to different types of loads, but one of the most important types is a buckling. In this work, the phenomena of buckling was studied by using finite element analysis. The circular thin walled structure in this study is constructed from; cylindrical thin shell strengthen by longitudinal stringers, subjected to pure bending in one plane. In addition, Taguchi method was used to identify the optimum combination set of parameters for enhancement of the critical buckling load value, as well as to investigate the most effective parameter. The parameters that have been analyzed were; cylinder shell thickness, shape of stiffeners section an
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Background: Simultaneous and staged guided bone regeneration (GBR) is one of the several surgical techniques that have been developed in the past two decades to regenerate bone and thus to allow implant placement in compromised sites (fenestration and dehiscence). It is a surgical procedure that consists of the placement of a cell-occlusive physical barrier between the connective tissue and the alveolar bone defect. The treatment concept advocates that regeneration of osseous defects is predictably attainable via the application of occlusive membranes, which mechanically exclude non-osteogenic cell populations from the surrounding soft tissues, thereby allowing osteogenic cell populations originating from the parent bone to inhabi
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