Objective(s): to determine the effectiveness of instruction intervention upon multipara women's practices to
control stress incontinence.
Methodology: A quasi-experimental study was carried out from (2nd) April, 2010 to 15th June, 2010. Nonprobability
(purposive sample) of (60) multiparous women was selected from Baghdad Teaching Hospital and AlElwia
Maternity Teaching Hospital in Baghdad city, the sample was divided into two groups (30) women were
considered as a study group, and another (30) were considered as the control group. An instructional intervention
was applied on the study group, while the intervention was not applied on control group. A questionnaire was
resolve as a tool of data collection to suit the purpose of the study. A pilot study was carried out to test the
reliability and validity of the questionnaire for the period from 10th of March. - 30 March. 2010. Data were
analyzed through the application of descriptive statistical data analysis approach (frequency, percentage, mean of
scores) and inferential statistical data analysis approach (correlation coefficient, and chi- square).
Result: The results of the study revealed that the study group participants had benefited from the implementation
of instructional intervention and dramatic change had occurred in their practices to control stress urinary
incontinence. The study concluded that the majority of mothers had adequately met their needs control stress
urinary incontinence-pelvic floor and perineum muscles exercise, and lifestyle change.
Recommendation: The study recommended that the instructional intervention can be presented to all multipara
pregnant mothers who are attending to the primary health care centers; moreover, an instructional intervention
might be implemented in the hospital for multipara women to increase their knowledge about stress urinary
incontinence. The study also recommended that the nurse must take the role for teaching multiparous women the
principles of control SUI while they perform such procedure for them during postpartum period.
In a world of fierce competition companies of different activities strive to strengthen their competitiveness in order to be able to deliver greater value to their customers and gain a distinct sites in competition with other companies in the market at the local and international levels. Every company seeks to focus on one or more of the competitive capabilities in order to turn it into an obvious advantage or a number of competitive advantages to contribute in improving the performance and superiority over its competitors. Therefore, the management of companies no longer need only useful information for the internal aspects of the environment, but also need to include the external environment that includes various and constantly changin
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The development of a reversed phase high performance liquid chromatography fluorescence method for the determination of the mycotoxins fumonisin B1 and fumonisin B2 by using silica-based monolithic column is described. The samples were first extracted using acetonitrile:water (50:50, v/v) and purified by using a C18 solid phase extraction-based clean-up column. Then, pre-column derivatization for the analyte using ortho-phthaldialdehyde in the presence of 2-mercaptoethanol was carried out. The developed method involved optimization of mobile phase composition using methanol and phosphate buffer, injection volume, temperature and flow rate. The liquid chromatographic separation was performed using a reversed phase Chromolith® RP-18e column
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