2^nd International Conference on Gynecology & Obstetrics November 16-18, 2015 San Antonio, USA

According to the American Nursing Association, the role of the informatics nurse is distinguished from other informatics roles by its association with patient care delivery. ANA provided the current definition in 2001 a specialty that integrates nursing science, computer science and information science to manage and communicate data, information, knowledge in nursing/patient practices. Today’s nurse informatics aims to improve patient care delivery outcomes through optimal interventions on behalf of nurses and patients. Also nursing informatics keep a patient rights of privacy and security of information of patient care.

Background. Hemodialysis is a physically stressful procedure and most of the patients will have fatigue and thereby an alteration in the electrolytes ,hemoglobin level. Physical Exercises provided during Hemodialysis session do not cost patients extra time and will be effective in reducing fatigue level and enhancing potential for performing their activities of daily living & may increase the waste removal .\r\nObjective: This study was conducted to determine the impact of an eight-week Intradialytic Range of Motion Exercise program (consisting of 15 minutes low-intensity exercise during the first 2 hours of Hemodialysis ) on Fatigue , electrolytes levels ,Hemoglobin and Blood pressure. \r\n Materials and Methods. A randomized controlled pre test post test design was utilized in this study in a haemodialysis unit, a total of 30 haemodialysis patients were enrolled into the study and randomly allocated into two groups: The experimental (The exercise group ) (n=18 )and the control group (n=12).Range of Motion Exercises were done in the experimental group for 15 min/day, three times a week for 2 months. Fatigue was measured via a Iowa Fatigue Scale (IFS)and Physiologic Parameters Form to measure serum electrolyte level ,hemoglobin and blood pressure pre and post as well as at the end of each month after the intervention in both groups. \r\nResults. After an 8-week of Intradialytic Range of Motion Exercises programe ,a significant reduction were seen in fatigue level ,serum phosphate and potassium, calcium, urea ,creatinin and a slight increase in hemoglobin level. Systolic and diastolic blood pressure change significantly in the exercise group. \r\n (p<0.05).\r\nConclusions. A simplified physical exercise program may be considered as a safe, and effective clinical nursing modality in patients with end-stage renal disease on Hemodialysis.\r\n\r\nKey wards : Intradialytic Exercise, Hemodialysis, Electrolytes levels, Fatigue ,Blood pressure. \r\n

Wafaa Ismail Shereif Sallam is assistant professor of medical and surgical nursing department, faculty of nursing, Mansoura University, Egypt. Also she is occupying position as head of the medical and surgical nursing department, faculty of nursing, Mansoura University. She had several clinical experiences as she was shared in polio eradication as a monitor in World Health Organization (WHO), head of the Ethical research committee in faculty of nursing, and trainer of Mansoura University on credit hour system and ethical research programs.

Genital warts are a sexually transmitted infection that causes small, skin-colored or pink growths on the labia, at the opening of the vagina, or around or inside the anus. Genital warts are the most common sexually transmitted infection in the United States. Although warts affect both genders, more women have warts than men.Genital warts are caused by the human papillomavirus (HPV). There are over 100 different types of HPV, which can cause different types of problems. HPV types 6 and 11 are the major causes of warts, and types 16 and 18 are the major causes of cervical cancer. The wart-producing strains of HPV do not typically cause cancer. HPV is spread by direct skin-to-skin contact, including sexual intercourse, oral sex, anal sex, or any other contact involving the genital area (e.g. hand-to-genital contact). It is not possible to become infected with HPV by touching a toilet seat. Most people with the virus do not have visible warts, but can still transmit the virus. Treating the warts may not decrease the chance of spreading the virus. Therefore, all people who are sexually active should be regarded as potential sources of HPV, not just those with visible warts. Warts may appear weeks to a year or more after being exposed to the virus; it is not usually possible to know when or how you became infected. Your healthcare provider is the best source of information for questions and concerns related to your medical problem and decision support for treatment.

Amira Ahmed Hassanein Ali is assistant professor of medical and surgical nursing department, Faculty of Nursing, Mansoura university, Egypt. She was obtained Ph.D, in Medical Surgical Nursing, Faculty of Nursing, at Zagazig University. She is occupying position as head of the geriatric department, in faculty of nursing, Mansoura University, Egypt. She was shared in polio eradication as a member in World Health Organization (WHO), head of the Ethical research committee in faculty of nursing, and trainer of Mansoura University on credit hour system and ethical research programs.

Female sexual dysfunction (FSD) is a highly prevalent and often underestimated problem in the community. It is an age-related, progressive problem associated with several biological, medical and psychological factors. Female sexuality may remain unchanged or even improve, following pelvic surgery. Sexual inactivity postoperatively needs more attention in respect to sexual counseling; sexual dysfunction (SD) in women is a multifactorial condition with anatomical, physiological, medical, psychological and social components. Pelvic surgeries are among the most common causes of organic sexual dysfunction in men and women. Sexual dysfunction is a major concern of many young female patients undergoing pelvic surgery so that must be improvement.

Ms.Sumitra.Melinamani has completed her Masters in Obstetrical and Gynaecological Nursing from Karnataka Rajiv Gandhi University of Health sciences. Currrently working as Lecturer in the Maharashtra University of Health Sciences, St. Luke’s College Of Nursing Shrirampur. She has published research article in reputed journal and secured 1st place in hand made poster in National Conference Puducherry Tamilnadu.

Introduction: Postnatal depression is a major psychotic condition and the “period of darkness of motherhood” is more gradual in onset over the first 4-6 months following the delivery or abortion. It is observed in 10-20% of mothers after delivery in that 0.1 -0.2% mothers will have psychotic episode which includes marked inability to sleep or delusional thoughts of harming oneself or the baby or hearing voices. Researchers from north-western medicine reported in JAMA psychiatry that postpartum depression affects approximately 1 in every 7 new mothers. A strange fact that 49% of women who suffers from postnatal depression do not seek the professional treatment.\r\nAim: The aim of the author is to find out how many number of cases have been reported with postnatal depression\r\nMethodology: Edinbergh postnatal depression scale was used to assess the prevalence of postnatal depression, the sample consists of 105 postnatal mothers, univariant descriptive design was adopted. Out of 105 samples 12 (12%)were normal,23(22%) mothers had mild depression,33(31%) mothers had moderate depression and 37(35%) mothers had severe depression.There is significant association between age and postnatal depression(p value 0.05) but there is no significant association between education, occupation, income, religion and total number of pregnancy and postnatal depression.\r\nConclusion:The findings of the study revealed that, there is a pressing need for mental health well being among women during pregnancy and after delivery for better quality of life and for coping up with the transition into motherhood.\r\n

Mrs.Vidhya kaleeswaran has completed her Masters in Obstetrical and Gynecological Nursing and is aspiring to do PhD. Currently working in Ministry of Health, Sultanate of Oman. She has presented more than 18 papers at national and international conferences. \r\nMr.Rashid Hamed Al Hakmani perused his Masters of Science in Nursing at Queen Margaret University, Edinburgh, UK. Currently holding the position as Director of Nursing at south sharqia region, Ministry of Health, Sultanate of Oman. Active in research and organized various conferences and workshops.\r\n

Introduction:\r\nPregnancy related low back pain is a common complaint among pregnant women. It can potentially have a negative impact on their quality of life. A 2004 study on Low back pain during pregnancy: prevalence, risk factors, and outcomes, found that nearly 70% of the 645 pregnant women responding to a 36-question survey reported lower back pain during their current pregnancy. \r\n\r\nAim:\r\nThe aim of the author is to present a current review of the literature concerning the prevalence and nature of lumbo-pelvic pain and measures to manage the lumbar pain.\r\n\r\nMethodology:\r\nBy using cinhal, cochrane, sciencedirect, medscape and pubmed database and low back pain, pelvic girdle pain, pregnancy as keywords, abstracts and original articles in English investigating the diagnosis treatment of back pain during pregnancy were searched and analyzed. Low back pain could present as either a pelvic girdle pain between the posterior iliac crest and the gluteal fold or as a lumbar pain over and around the lumbar spine. \r\n\r\nConclusion:\r\nThe study concluded that lower back pain in pregnancy is a manageable and in most instances a preventable problem, it\'s of course best if women who plan to become pregnant prepare their bodies for the dramatic physical, musculoskeletal, and hormonal changes that lie ahead. The findings revealed that by making adjustments women at every stage of pregnancy can prevent lower back pain from occurring.\r\n\r\nKey words: low back pain, pelvic girdle pain, pregnancy, review\r\n

Introduction: Exclusive breast feeding for 4 to 6months are advised universally for all infants. The support for breast feeding of multiple birth children is reasonably important due to premature weaning. \r\nReason for stopping breastfeeding in mothers \r\nof twins. \r\nSolution to the problem: Good antenatal education including\r\n breast feeding techniques \r\nAvailability of breast feeding support resources \r\nImprove nutrition of mothers- include galactogogues \r\nPromote psychological wellbeing – yoga & meditation \r\nPreterm and low birth baby routine to be trained mothers \r\nExpressed breast milk \r\nHuman milk banking \r\nAvailability of support system\r\n

Nisreen Alnuaimi is a lecturer working at maternal and child health nursing department, college of nursing, Sultan Qaboos University. Holding a master degree in maternal and newborn health nursing from Jordan University of Science and Technology 2007.

Introduction: Transition to motherhood is a major normal developmental life event for women where the women face many life challenges to attain her role as a competent mother where support is very important. It is an understudied phenomenon among the Arab culture and especially the Jordanian society. \r\n\r\nAim: This study aimed to explore the phenomenon of transition to motherhood as being experienced and lived by Jordanian women using a descriptive phenomenological approach. \r\n\r\nMethodology: A purposive sample of 15 first-time mothers, from different age groups, had normal vaginal deliveries, had a singleton healthy baby, and willing to participate in the study were selected. The data were collected using semi-structured individualized interviews. \r\n\r\nResult: The study revealed six themes regarding transition to motherhood: emotional impact of motherhood, gradual process of motherhood, adaptation to motherhood, change, negative aspects of motherhood, and meaning of motherhood. The findings of this study illuminated that transition to motherhood is an important developmental milestone for Jordanian mothers that needs to be explored by research studies. Furthermore, nurses must act as supportive persons for Jordanian first-time mothers to facilitate their transition to motherhood.\r\n

INTRODUCTION\r\n“Dad , ‘Hold me close – need your touch and care” is the rhyming of a newborn . Kangaroo mother care is a form of developmental care which is especially beneficial to preterm babies. Worldwide, 13 million babies are born prematurely. About 75% of neonatal deaths occurs in the first week of life.\r\n Kangaroo mother care (KMC) has been proven to be an acceptable and feasible method to decrease the mortality rate of premature infants. It has been stated that a mother and her newborn (holding) has increased physical contact which promotes greater maternal responsiveness and more secure attachment between an infant and mother. Then, what about the fathers role ??? It’s interesting to note the father’s role in the infant’s care, which made them feel important and involved in sharing responsibility with the mother. Kangaroo care empower dads so they also feel close to their babies. \r\n\r\nCONCLUSION\r\nThe authors concluded that fathers are more excited and confident to provide kangaroo care. It provides an opportunity to fathers to do something special for their precious babies and build an everlasting bond. \r\n

Mr. Daniel Gonzalo Rey Caro, MD, was born in Cordoba, Argentina, South America in 1970. He is married to Mrs. Carolina Arjol and has three children. He graduated as a Doctor of Medicine from National University of Cordoba, School of Medicine. He is an expert in the field of Otorhinolaryngology since 2000. He is a staff member of the ENT Department at the Cordoba Chutro Clinic where he carries on investigation work on laryngological diseases. \r\nGonzalo is currently developing new diagnostic and therapeutic techniques in the field of laryngology. \r\nHe is an active fellow of both Argentinian “Voice Society\" and \" Association of Pediatric Otolaryngology and Phonoaudiology\". He authored many published-and-presented-research papers in national and international meetings.\r\nFor further information, please feel free to contact Gonzalo should you require any further information at gonzaloreycaro@hotmail.com.\r\nPlease mail to: Rey Caro, Daniel Gonzalo, Clínica Chutro, Av Colón 788.\r\nCórdoba (5000), Córdoba, Argentina. gonzaloreycaro@hotmail.com\r\nOffice phone # 54-351-4210999 and cell phone # 54-9-351-5209855 and Fax # 54-351-\r\n4252020\r\nDaniel G. Rey Caro MD , Enrique P. Rey Caro MD , Enrique A. Rey Caro MD\r\n\r\n\r\n Staff member of the ENT Service of Chutro Clinic in Cordoba, Argentina\r\n Staff member of the ENT Service of Chutro Clinic in Cordoba, Argentina\r\n Head of the ENT Service of the Chutro Clinic in Córdoba , Argentina\r\n\r\nDaniel G. Rey Caro, MD\r\n• Staff member of the ENT Service of Chutro Clinic in Cordoba, Argentina\r\n• Member of Argentine Society of Otolaryngology and Children Phonoaudiology\r\n• Member of Argentine Society of Voice\r\n• Member of Argentine Federation of Societies of Otolaryngology\r\n• Member of Cordoba Society of Otolaryngology\r\n

Introduction \r\nChromoendoscopy is an endoscopic technique which uses a contrast stain to paint the aerodigestive tract mucosal lining followed by an optical assessment to highlighting any epithelial abnormalities. Detailed and high-definition magnified views achieved with the aid of rigid endoscopes can often allow for identification of the tissue type or pathology based upon the pattern uncovered. According to the literature we reviewed, we may have been the first ones to use indigo carmine in the field of otolaryngology. Tiny lesions that usually go overlooked with conventional microlaryngoscopy become visible upon the instillation of indigo carmine and further decreasing the chances of an early lesion postoperative recurrence.\r\nChromoendoscopy, in recurrent respiratory papillomatosis (RRP), helps identify unsuspected intraoperative lesions by clearly enhancing the view of their boundaries and surface type. It is also suitable to assess the presence of residual lesions, if any, after their surgical removal.\r\nObjectives: To demonstrate the usefulness of chromoendoscopy in RRP in laryngotracheal surgery.\r\nMaterial and Methods: We used indigo carmine associated with endoscopic laryngeal surgery. Before staining, the mucosa may need to be treated with a mucolytic agent to get rid of excess mucus to boost staining. Rigid suspension laryngoscopes of different proximal and distal diameters were used with chromoendoscopy. Patients underwent chromoendoscopy associated with endoscopic laryngeal surgery under general anesthesia in the O.R.\r\nResults: In this second phase of our research work, this diagnostic technique was applied to eighteen patients with recurrent laryngeal papillomatosis and two patients with suspected carcinoma of the larynx. We were able to optimize the intraoperative diagnosis and reduce the likelihood of the relapse risk in all patients. \r\nConclusion: Chromoendoscopy associated with endoscopic laryngeal surgery is an excellent low-cost intraoperative diagnostic method for the treatment of invasive diseases of the larynx such as laryngeal papillomatosis.\r\n\r\nKeywords: larynx, papillomatosis, chromoendoscopy, respiratory, surgery, diagnosis, intraoperative, rigid endoscope, RRP.\r\n

As the second most common cancer in women worldwide, cervical cancer is almost always caused by the human papilloma virus (HPV). The good news is, cervical cancer is highly preventable with regular screenings and appropriate follow-up care, and if found early, it is easily treated. Vaccines are available for teenagers and young adults which protect against types of HPV that cause cervical cancer. The HPV vaccine is most effective before a person is infected, which is why it is a preventive vaccination that gives women the power to prevent cervical cancer. So, who should be getting vaccinated and when? The Centers for Disease Control (CDC) recommends females aged 13 through 26 years and males aged 13 through 21 years be given the HPV vaccine. Although, the vaccination series can begin at the age of nine and males aged 22 through 26 years may be vaccinated. The HPV vaccines are given in three doses over a six month period. Not only does the HPV vaccine protect women against cervical cancer, but it protects men against high-risk HPV types that cause 2 percent of all cancer cases among men.

Phlebitis is a complication that is frequently associated with IV therapy. A number of literature articles have written that phlebitis can occur in as much as 25-70% of patients.\r\nPhlebitis is defined as the acute inflammation of the internal lining of the vein (Infusion Nursing Standards of Practice, 2000). Phlebitis is characterised by pain and tenderness along the course of the vein, redness and swelling and warmth can be felt at the insertion site.There are a number of factors that can contribute to and increase the risk of phlebitis. Phlebitis can be classified into three categories: Mechanical, Chemical or infusion and Bacterial.\r\nPrevention of phlebitis involves many factors and the nurse should consider these factors the moment the patient receives an IV device.\r\nPrevention measures include: Adhering to aseptic technique during insertion, Cannula site rotation, Using the smallest gauge cannula, Adequate securement of the IV device, Close and regular monitoring of the IV site, Patient education of the signs and symptoms of phlebitis, IV device selection and Following guidelines on dilution of solutions\r\n

Falls are common in older people and become more frequent with advancing age, with a fall incidence of 40% per year in community dwellers aged 80 years or over. Injurious falls leading to severe medical, psychological, and social sequelae are associated with high treatment costs. They lead to ongoing posttraumatic health problems, motor and psychological restriction, and a threatening loss of autonomy. Although many factors, such as aging, chronic illness, sedentary lifestyle, and medication, may contribute to the risk of falling, preventable or reversible motor deficits seem to be a key to successful intervention by physical training. Lack of strength, coordination, and functional performance are well-known predictors of falls and disability in older people and the rehabilitation outcome of patients with a history of falls. In intervention trials designed to reduce the incidence of falls in older, community-dwelling populations, physical training has been unsuccessful or only partly successful, dependent on the kind and intensity of training, chosen outcome variables, study populations, and statistical power. In other studies that successfully reduced the incidence of falls through physical training, motor function did not improve or so only partially. Successful intervention programs combined intervention strategies of strength, coordination, or complex motor training and multifactorial interventions, including intensive motor training. The efficacy of secondary prevention of falls in older patients with a history of injurious falls, who are at a high risk for subsequent falls, however, has not yet been studied.

Health care providers usually decide which medical treatment is best for a patient. In family planning counseling, however, the right of clients to receive accurate information and make their own decisions about reproductive health care their right of informed choice is considered fundamental. Informed choice emphasizes that clients select the method that best satisfies their personal, reproductive and health needs, based on a thorough understanding of their contraceptive options. Accordingly, many family planning programs have placed an emphasis on informing clients about all available contraceptive methods, through multimedia communication campaigns as well as during counseling sessions. However, few program managers and researchers have attempted to understand the steps and processes that constitute informed choice in the context of a client\'s encounter with a service provider or, indeed, to determine whether clients actually make informed choices about their contraceptive method. Because clients\' values, preferences and priorities are an integral part of the contraceptive decision-making process, focusing providers\' attention on informed choice has the potential to improve family planning outcomes. Research in other health care settings, largely in developed countries, suggests that involving clients in decisions about their care may increase their satisfaction with (and thus their use of and continuation with) their treatment. In addition, informed choice may increase clients\' confidence in and commitment to their health care decisions Since such research is limited, however, it is difficult to generalize these arguments to family planning settings in developing countries.

Mrs. Frincy Francis has completed her Masters in Obstetrical and Gynaecological Nursing from Tamilnadu Dr. MGR University and is aspiring to do Phd . Currrently working as lecturer in the Sultan Qaboos University , College of nursing. She has presented more than 7 papers at national and international conferences. Active in research and is reviewer in reputed journals. To add on to the credits , recently she won the Dr. Umberto Veronesi Foundation Award for the best research poster at the third Congress of EURAMA.

Introduction: In the so called “Smart Era” where the “Smart mobile phones” with the internet access at the fingertips ( Thanks to the Wi Fi connections) have resulted in “Smart young women” turning into “Smart moms” but at certain times overloaded with information resulting in “Over smart” attitudes sometimes interfering with health care decisions. The current scenario of the internet empowerment among the pregnant woman has put the “traditional” childbirth education at the crossroads. In 2005 , a survey among postpartum women revealed that internet is the source of information for more than three fourths of them among which 16% of the primipara women and 13 % of the multipara women acknowledged internet as their preferable method for availing quick and elaborate information related to their health and pregnancy.\r\n\r\nAim : The aim of the author was to find out the extent of the internet’s influence on the information seeking behavior as well as the decision making among women who have conceived or preparing to conceive.\r\n\r\nMethodology : The Comprehensive literature search was done in 5 databases – cinhal, cochrane, sciencedirect, medscape and pubmed using the “Pearl Growing” search strategy. The obtained references matching the search terms were analyzed by the author. An overall of 350 articles were browsed through , of these around 93 articles based on the inclusion criteria were chosen. Almost 21 articles out of 93 were indexed in more than one database thus the actual number reduced to 72.\r\n\r\nConclusion: The findings of the studies reveal that women tend to rely on the information gained from the net irrespective of their reliability and sometimes take decisions based on it . If used appropriately Internet is a boon otherwise a curse.\r\n