Pub Date : 2023-12-23DOI: 10.26415/2008-5842-vol15iss1p7911-7916
Sara Ghadimi, Mahsa Forouzande, Z. Estaki
Background: Increasing parental knowledge on dental health is crucial as it has a direct influence on their children's oral health and behavior related to oral care. While most parents exhibit positive attitudes towards preventive dental healthcare, there exists a level of uncertainty regarding several facets of oral care such as fluoride usage, sugar consumption, and more. Consequently, oral health education initiatives should explicitly emphasize various elements encompassing oral health. Objectives: The aim of the present research was to assess the impact of an educational leaflet on parents’ knowledge and performance regarding children’s dental health with a particular emphasis on fluoride. Methods: In this educational experimental study, parents of 124 children were assigned randomly to either a leaflet group (n=61) which received an educational pamphlet, or a control group (n=63) without any pamphlet. All participants were asked to complete a valid and reliable researcher-developed questionnaire both before the distribution of the pamphlet and one month after. The questionnaire consisted of four domains of demographic information, knowledge questions, performance questions and self-assessment questions. The results were analyzed using SPSS 21 via t-test and General linear regression model. Results: The participants' age ranged from 25 to 47 years. By the conclusion of our study, there was a significant improvement in knowledge scores for both groups (p<0.001), with the intervention group showing a more prominent increase compared to the control group (p<0.001) but there was no significant difference between the two groups regarding performance change. There was a statistically significant decrease in the self-assessment scores for both groups (p<0.001), but there was no significant difference between the intervention and control group (p=0.151). Conclusion: The use of the educational leaflet demonstrates effectiveness as a tool for oral health education.
{"title":"The Effect of an Educational Leaflet on Parents' Knowledge, Performance, and Self-Assessment Scores Regarding Oral Health Elements, with a Special Focus on Fluoride","authors":"Sara Ghadimi, Mahsa Forouzande, Z. Estaki","doi":"10.26415/2008-5842-vol15iss1p7911-7916","DOIUrl":"https://doi.org/10.26415/2008-5842-vol15iss1p7911-7916","url":null,"abstract":"Background: Increasing parental knowledge on dental health is crucial as it has a direct influence on their children's oral health and behavior related to oral care. While most parents exhibit positive attitudes towards preventive dental healthcare, there exists a level of uncertainty regarding several facets of oral care such as fluoride usage, sugar consumption, and more. Consequently, oral health education initiatives should explicitly emphasize various elements encompassing oral health. Objectives: The aim of the present research was to assess the impact of an educational leaflet on parents’ knowledge and performance regarding children’s dental health with a particular emphasis on fluoride. Methods: In this educational experimental study, parents of 124 children were assigned randomly to either a leaflet group (n=61) which received an educational pamphlet, or a control group (n=63) without any pamphlet. All participants were asked to complete a valid and reliable researcher-developed questionnaire both before the distribution of the pamphlet and one month after. The questionnaire consisted of four domains of demographic information, knowledge questions, performance questions and self-assessment questions. The results were analyzed using SPSS 21 via t-test and General linear regression model. Results: The participants' age ranged from 25 to 47 years. By the conclusion of our study, there was a significant improvement in knowledge scores for both groups (p<0.001), with the intervention group showing a more prominent increase compared to the control group (p<0.001) but there was no significant difference between the two groups regarding performance change. There was a statistically significant decrease in the self-assessment scores for both groups (p<0.001), but there was no significant difference between the intervention and control group (p=0.151). Conclusion: The use of the educational leaflet demonstrates effectiveness as a tool for oral health education.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139161357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-23DOI: 10.26415/2008-5842-vol15iss1p7926-7930
Mohsen Farvardin, A. Attarzade, Zahra Farvardin, Mohammadkarim Johari
Background: Posterior scleritis is a potentially vision threatening condition which is often underdiagnosed due to varied clinical presentation, several non-infectious inflammatory diseases can cause this disorder, although infectious diseases should be ruled out. Case presentation: A 56 years-old-female with acute unilateral decreased vision in right eye and positive history for rheumatoid arthritis (RA) was referred, based on ophthalmic examination the diagnosis of posterior scleritis was considered. The only positive inflammatory marker was found is high serum titer of Anti-Cyclic Citrullinated Peptide (Anti-CCP). Conclusion: This is the first case of posterior scleritis with only positive Anti-CCP. Elevated serum Anti-CCP titer may be considered as risk factor for inflammatory scleritis in patient with RA.
背景：后部巩膜炎是一种可能威胁视力的疾病，由于临床表现各异，往往诊断不足，有几种非感染性炎症疾病可导致这种疾病，但应排除感染性疾病。病例介绍：患者是一名 56 岁女性，右眼急性单侧视力下降，类风湿性关节炎（RA）病史阳性。唯一阳性的炎症指标是血清中抗环瓜氨酸肽（Anti-CCP）滴度较高。结论：这是首例抗环瓜氨酸肽（Anti-CCP）阳性的后巩膜炎病例。血清抗环瓜氨酸肽滴度升高可被视为 RA 患者患炎症性硬膜炎的危险因素。
{"title":"A Case of Posterior Scleritis with Negative Rheumatoid Factor and Positive Anti-Cyclic Citrullinated Peptide Antibody Status: Case Report","authors":"Mohsen Farvardin, A. Attarzade, Zahra Farvardin, Mohammadkarim Johari","doi":"10.26415/2008-5842-vol15iss1p7926-7930","DOIUrl":"https://doi.org/10.26415/2008-5842-vol15iss1p7926-7930","url":null,"abstract":"Background: Posterior scleritis is a potentially vision threatening condition which is often underdiagnosed due to varied clinical presentation, several non-infectious inflammatory diseases can cause this disorder, although infectious diseases should be ruled out. Case presentation: A 56 years-old-female with acute unilateral decreased vision in right eye and positive history for rheumatoid arthritis (RA) was referred, based on ophthalmic examination the diagnosis of posterior scleritis was considered. The only positive inflammatory marker was found is high serum titer of Anti-Cyclic Citrullinated Peptide (Anti-CCP). Conclusion: This is the first case of posterior scleritis with only positive Anti-CCP. Elevated serum Anti-CCP titer may be considered as risk factor for inflammatory scleritis in patient with RA.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":"29 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139161711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-23DOI: 10.26415/2008-5842-vol15iss1p7917-7925
Naima Badid, F. Hadji
Background: Honaine desalination plant produces 200,000 m3/day of drinking water, and applies a reverse osmosis process with sand/anthracite filters for pre-treatment. Objective: This study aim to explore the quality of treated water (TW) and to address any potential health risks. Methods: Samples of TW were collected daily, three times during the same period, for one month to investigate the physico-chemical characteristics of desalination. They were analyzed for calcium, magnesium, pH, alkalinity, TDS, free-chlorine, hardness, nitrite and sulfate. Results: After comparing the standards set by WHO and Algeria, the results showed that the TW of Honaine plant had low-mineral content, with a noticeable deficiency of calcium (21.22 ± 0.6 mg L-1) magnesium (1.74 ± 0.26 mg L-1), and sulfate (0.02 ± 0.01 mg L-1). The levels of chlorine (0.53 ± 0.08 mg L-1) and nitrites (0.003 ± 0.00 mgL-1) were lower than what the guidelines prescribe. The alkalinity and hardness of the water categorized it as being moderately hard. As for the taste, the TDS value (289.24 ± 26.86 mgL-1) suggests that the TW is excellent but the presence of chlorine negatively influences its palatability. The values of alkalinity value (63.73 ± 1.05 mgL-1) and pH (8.42 ± 0.021) of TW remain in line with recommendations. The hardness value (60.32 ± 0.73 mgL-1) shows that TW is moderately hard and softer than standards. Conclusion: Our findings showed that desalinated TW reflected significant low-mineral content of many healthy elements.
{"title":"Health risks from desalinated seawater used for human consumption: The case of Honaine Plant (Northwest Algeria)","authors":"Naima Badid, F. Hadji","doi":"10.26415/2008-5842-vol15iss1p7917-7925","DOIUrl":"https://doi.org/10.26415/2008-5842-vol15iss1p7917-7925","url":null,"abstract":"Background: Honaine desalination plant produces 200,000 m3/day of drinking water, and applies a reverse osmosis process with sand/anthracite filters for pre-treatment. Objective: This study aim to explore the quality of treated water (TW) and to address any potential health risks. Methods: Samples of TW were collected daily, three times during the same period, for one month to investigate the physico-chemical characteristics of desalination. They were analyzed for calcium, magnesium, pH, alkalinity, TDS, free-chlorine, hardness, nitrite and sulfate. Results: After comparing the standards set by WHO and Algeria, the results showed that the TW of Honaine plant had low-mineral content, with a noticeable deficiency of calcium (21.22 ± 0.6 mg L-1) magnesium (1.74 ± 0.26 mg L-1), and sulfate (0.02 ± 0.01 mg L-1). The levels of chlorine (0.53 ± 0.08 mg L-1) and nitrites (0.003 ± 0.00 mgL-1) were lower than what the guidelines prescribe. The alkalinity and hardness of the water categorized it as being moderately hard. As for the taste, the TDS value (289.24 ± 26.86 mgL-1) suggests that the TW is excellent but the presence of chlorine negatively influences its palatability. The values of alkalinity value (63.73 ± 1.05 mgL-1) and pH (8.42 ± 0.021) of TW remain in line with recommendations. The hardness value (60.32 ± 0.73 mgL-1) shows that TW is moderately hard and softer than standards. Conclusion: Our findings showed that desalinated TW reflected significant low-mineral content of many healthy elements.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":"97 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139163161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-14DOI: 10.26415/2008-5842-vol14iss2p7898-7910
Mohammad Esmaeili-Abdar
Background: Words such as “dying well,” “dying peacefully,” “appropriate death,” “desired death,” “dignified death” and “good death,” are often used interchangeably. However, there is no clear definition of the concept of "good death" and its defining attributes. Further studies seem to be needed to clarify and develop the concept of “good death” and its attributes. This study aimed to analyze and clarify the concept of “good death”. Methods: A systematic literature search was conducted from 1980 to the end of 2020 using Magiran, SID, Scopus, Science Direct, PubMed, CINAHL, Google Scholar, ProQuest, Wiley, and Ovid, databases. The title, abstract, and keywords of the articles were searched using keywords of “death,” “dying,” “good death,” “quality of death,” “end of life preferences,” “quality of dying,” “attitude to death,” “terminal care,” “dignity,” “successful,” and “peaceful”. The Boolean search operators “AND” and “OR” were employed to merge search results. We also reviewed the reference lists of all retrieved articles to find other pertinent documents. Concept analysis was conducted using Walker and Avant’s eight-step method. The attributes, antecedents, consequences, and uses of the concept of “good death” were recognized. Results: A total of 7207 titles were identified; after elimination of duplicates, screening, and final selection, 36 relevant publications remained for analysis. The most common defining attributes of “good death” included compatibility with socio-cultural norms, personal experiences, being an ongoing process, having control and autonomy, and attention to religion and spirituality. Antecedents of a good death might vary for the dying person, the caregivers, and the family. The most important consequences of “good death” were mainly related to the family of the deceased (satisfaction with care providers, access to supports, respect, integrity, socially appropriate behavior, satisfaction with mourning, and reducing family grief), and those related to the care providers (quick passing of the process of mourning, being sure of doing their best for the patient and family, job satisfaction, a sense of self-worth and integration). Conclusion: The concept of “good death” was a dynamic process that its meaning heavily depends on the peoples lived experiences. It entails having control and autonomy, fulfilling the basic human needs, attention to religion and spirituality, and accompanies positive and peaceful lived experiences for the dying person, his/her family, and the caregivers. To provide patients with "good death" and quality end-of-life care, caregivers especially nurses should develop their knowledge and proficiency in end-of-life care.
{"title":"Analyzing the Concepts of “Good Death” from the Perspective of Nursing: A systematic review and concept analysis","authors":"Mohammad Esmaeili-Abdar","doi":"10.26415/2008-5842-vol14iss2p7898-7910","DOIUrl":"https://doi.org/10.26415/2008-5842-vol14iss2p7898-7910","url":null,"abstract":"Background: Words such as “dying well,” “dying peacefully,” “appropriate death,” “desired death,” “dignified death” and “good death,” are often used interchangeably. However, there is no clear definition of the concept of \"good death\" and its defining attributes. Further studies seem to be needed to clarify and develop the concept of “good death” and its attributes. This study aimed to analyze and clarify the concept of “good death”. Methods: A systematic literature search was conducted from 1980 to the end of 2020 using Magiran, SID, Scopus, Science Direct, PubMed, CINAHL, Google Scholar, ProQuest, Wiley, and Ovid, databases. The title, abstract, and keywords of the articles were searched using keywords of “death,” “dying,” “good death,” “quality of death,” “end of life preferences,” “quality of dying,” “attitude to death,” “terminal care,” “dignity,” “successful,” and “peaceful”. The Boolean search operators “AND” and “OR” were employed to merge search results. We also reviewed the reference lists of all retrieved articles to find other pertinent documents. Concept analysis was conducted using Walker and Avant’s eight-step method. The attributes, antecedents, consequences, and uses of the concept of “good death” were recognized. Results: A total of 7207 titles were identified; after elimination of duplicates, screening, and final selection, 36 relevant publications remained for analysis. The most common defining attributes of “good death” included compatibility with socio-cultural norms, personal experiences, being an ongoing process, having control and autonomy, and attention to religion and spirituality. Antecedents of a good death might vary for the dying person, the caregivers, and the family. The most important consequences of “good death” were mainly related to the family of the deceased (satisfaction with care providers, access to supports, respect, integrity, socially appropriate behavior, satisfaction with mourning, and reducing family grief), and those related to the care providers (quick passing of the process of mourning, being sure of doing their best for the patient and family, job satisfaction, a sense of self-worth and integration). Conclusion: The concept of “good death” was a dynamic process that its meaning heavily depends on the peoples lived experiences. It entails having control and autonomy, fulfilling the basic human needs, attention to religion and spirituality, and accompanies positive and peaceful lived experiences for the dying person, his/her family, and the caregivers. To provide patients with \"good death\" and quality end-of-life care, caregivers especially nurses should develop their knowledge and proficiency in end-of-life care.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41344354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-15DOI: 10.26415/2008-5842-vol14iss2p7891-7897
Hadi Lotfnezhad Afshar
Background: Rapid ICT advancements have affected all aspects of life, and healthcare is no exception. Given the significance of E-Health literacy in the current century and its effect on society and the healthcare system, it seems necessary for patients to have adequate health literacy. However, the lack of essential health literacy leads to the low self-management of diseases. Objective: This study aimed to investigate E-Health literacy and factors affecting it in patients admitted to a University hospital in Iran. Methods: This cross-sectional study was conducted in Imam Khomeini University Hospital of Urmia, Iran, in 2019. Data were collected using the Persian version of the E-Health Literacy Questionnaire filled by patients. Participants were selected using simple random sampling. Personal and demographic variables were also collected, and their correlation with E-Health literacy was investigated. The Independent-samples t-test and ANOVA were used to compare different groups. Results: In this study, 200 patients (103 males and 97 females) (t/f = 41.916), (p=0.000) participated. The mean score of E-Health literacy in patients under study was 25.51 (standard deviation=5.098) which was low and unsatisfactory. Findings suggest that over half of participants were unable to identify and evaluate the quality of online health resources and over half of participants in this study trust online information although they fail to differentiate high quality resources from low quality ones. Conclusion: Identifying and assessing E-Health literacy of patients is an effective step in improving their health literacy. Findings suggest that these patients need to improve and develop their knowledge of E-Health.
{"title":"E-Health Literacy and Factors Affecting it in Patients Admitted to a University Hospital in Iran","authors":"Hadi Lotfnezhad Afshar","doi":"10.26415/2008-5842-vol14iss2p7891-7897","DOIUrl":"https://doi.org/10.26415/2008-5842-vol14iss2p7891-7897","url":null,"abstract":"Background: Rapid ICT advancements have affected all aspects of life, and healthcare is no exception. Given the significance of E-Health literacy in the current century and its effect on society and the healthcare system, it seems necessary for patients to have adequate health literacy. However, the lack of essential health literacy leads to the low self-management of diseases. Objective: This study aimed to investigate E-Health literacy and factors affecting it in patients admitted to a University hospital in Iran. Methods: This cross-sectional study was conducted in Imam Khomeini University Hospital of Urmia, Iran, in 2019. Data were collected using the Persian version of the E-Health Literacy Questionnaire filled by patients. Participants were selected using simple random sampling. Personal and demographic variables were also collected, and their correlation with E-Health literacy was investigated. The Independent-samples t-test and ANOVA were used to compare different groups. Results: In this study, 200 patients (103 males and 97 females) (t/f = 41.916), (p=0.000) participated. The mean score of E-Health literacy in patients under study was 25.51 (standard deviation=5.098) which was low and unsatisfactory. Findings suggest that over half of participants were unable to identify and evaluate the quality of online health resources and over half of participants in this study trust online information although they fail to differentiate high quality resources from low quality ones. Conclusion: Identifying and assessing E-Health literacy of patients is an effective step in improving their health literacy. Findings suggest that these patients need to improve and develop their knowledge of E-Health.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48428129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Electronic physician achievements and perspectives","authors":"Abdeldjalil Khelassi","doi":"10.26415/2008-5842-vol14iss1p7890-7890","DOIUrl":"https://doi.org/10.26415/2008-5842-vol14iss1p7890-7890","url":null,"abstract":"The Journal Electronic Physician (ISSN: 2008-5842) is now published by a new publisher “knowledge kingdom publishing” from Algeria.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43808568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-25DOI: 10.26415/2008-5842-vol14iss1p7884-7889
Ali Al-Akhfash
Background: Neonates with Tetralogy of Fallot (TOF) might be prostaglandin dependent and cannot be discharged from the hospital except after complete correction or palliation. Palliation could be achieved by modified Blalock-Taussig Shunt (BTS), ductal stenting, or right ventricular outflow tract (RVOT) stenting. Objective: The objective of this study was to present our experience of palliating neonates with severe TOF who require augmentation of the pulmonary blood flow by RVOT stenting. Methods: This study was conducted on a series of patients who had RVOT stenting in PSCC-Qassim, Saudi Arabia, from August 2016 till December 2019. Cases that had RVOT stenting are included. The patient's clinical data, echocardiography, cardiac catheterization, and follow-up data were recorded. Data were analyzed using The Microsoft Excel data analysis tool. Results: During the study period, four consecutive patients with a diagnosis of TOF with significant cyanosis underwent RVOT stenting. The mean age and weight were 2.8±1.7 days and 2.9±0.1 kg respectively. All were on prostaglandin infusion before the intervention. The mean saturation before and after RVOT stenting was 63% (±11%) and 82% (±4%) respectively (p = 0.018). One patient required RVOT stent dilatation after 4 months. All patients are alive and had complete TOF repair at a median age of 6.5 months (range 6 to 12 months). The median follow-up period is 13 months. The median branch PAs diameter and Z-score before RVOT stenting and immediately before complete TOF repair were 2.8 mm (Z score: -2.5) and 5.5 mm (Z score: -0.5 to -1.16) respectively (p = 0.001). Conclusion: RVOT stenting is a reasonable alternative palliation for patients with severe TOF. The technique of stent deployment in the RVOT is challenging and requires pre-intervention planning and discussion. Using soft catheters, coronary wires, and the premounted coronary stents facilitate crossing of the RVOT and pulmonary valve and then stent deploymen
{"title":"Right Ventricular Outflow Tract Stenting as the First Option for Palliation of Neonates with Severe Tetralogy of Fallot","authors":"Ali Al-Akhfash","doi":"10.26415/2008-5842-vol14iss1p7884-7889","DOIUrl":"https://doi.org/10.26415/2008-5842-vol14iss1p7884-7889","url":null,"abstract":"Background: Neonates with Tetralogy of Fallot (TOF) might be prostaglandin dependent and cannot be discharged from the hospital except after complete correction or palliation. Palliation could be achieved by modified Blalock-Taussig Shunt (BTS), ductal stenting, or right ventricular outflow tract (RVOT) stenting. Objective: The objective of this study was to present our experience of palliating neonates with severe TOF who require augmentation of the pulmonary blood flow by RVOT stenting. Methods: This study was conducted on a series of patients who had RVOT stenting in PSCC-Qassim, Saudi Arabia, from August 2016 till December 2019. Cases that had RVOT stenting are included. The patient's clinical data, echocardiography, cardiac catheterization, and follow-up data were recorded. Data were analyzed using The Microsoft Excel data analysis tool. Results: During the study period, four consecutive patients with a diagnosis of TOF with significant cyanosis underwent RVOT stenting. The mean age and weight were 2.8±1.7 days and 2.9±0.1 kg respectively. All were on prostaglandin infusion before the intervention. The mean saturation before and after RVOT stenting was 63% (±11%) and 82% (±4%) respectively (p = 0.018). One patient required RVOT stent dilatation after 4 months. All patients are alive and had complete TOF repair at a median age of 6.5 months (range 6 to 12 months). The median follow-up period is 13 months. The median branch PAs diameter and Z-score before RVOT stenting and immediately before complete TOF repair were 2.8 mm (Z score: -2.5) and 5.5 mm (Z score: -0.5 to -1.16) respectively (p = 0.001). Conclusion: RVOT stenting is a reasonable alternative palliation for patients with severe TOF. The technique of stent deployment in the RVOT is challenging and requires pre-intervention planning and discussion. Using soft catheters, coronary wires, and the premounted coronary stents facilitate crossing of the RVOT and pulmonary valve and then stent deploymen","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44636764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-27DOI: 10.26415/2008-5842-vol3iss4p7868-7874
Mirzaee Fath Abad Shadi
Background: As an essential area in medical education, clinical education provides midwifery students with the foundation of their professional skills. Effective and efficient clinical education has a great role in clinical education quality. Objective: This study aimed to determine the clinical education quality from the viewpoints of midwifery students of Tehran University of Medical Sciences. Methods: This cross-sectional study was performed on 245 midwifery students at Tehran University of Medical Sciences in 2019. Data were collected using a demographic and educational information questionnaire and clinical education quality assessment questionnaire (SERVQUAL), comprising five domains and a self-report questionnaire. Data were analyzed using descriptive statistics (frequency and percentage of frequency for qualitative variables) and inferential statistics, including t-test, and ANOVA in SPSS18. Results: A negative gap was observed between students' expectations and perceptions of the clinical education quality in all five dimensions (p<0.001). Empathy (-1.24±1.68) and assurance (-1.30±1.04) showed the largest and narrowest gaps, respectively. Conclusion: Due to the negative gap in the clinical education quality, universities and educators are recommended to identify educational shortcomings and accordingly take necessary measures to make up for them.
{"title":"Assessment of Clinical Education Quality from Viewpoint of Midwifery Students in Tehran University of Medical Sciences in 2019","authors":"Mirzaee Fath Abad Shadi","doi":"10.26415/2008-5842-vol3iss4p7868-7874","DOIUrl":"https://doi.org/10.26415/2008-5842-vol3iss4p7868-7874","url":null,"abstract":"Background: As an essential area in medical education, clinical education provides midwifery students with the foundation of their professional skills. Effective and efficient clinical education has a great role in clinical education quality. Objective: This study aimed to determine the clinical education quality from the viewpoints of midwifery students of Tehran University of Medical Sciences. Methods: This cross-sectional study was performed on 245 midwifery students at Tehran University of Medical Sciences in 2019. Data were collected using a demographic and educational information questionnaire and clinical education quality assessment questionnaire (SERVQUAL), comprising five domains and a self-report questionnaire. Data were analyzed using descriptive statistics (frequency and percentage of frequency for qualitative variables) and inferential statistics, including t-test, and ANOVA in SPSS18. Results: A negative gap was observed between students' expectations and perceptions of the clinical education quality in all five dimensions (p<0.001). Empathy (-1.24±1.68) and assurance (-1.30±1.04) showed the largest and narrowest gaps, respectively. Conclusion: Due to the negative gap in the clinical education quality, universities and educators are recommended to identify educational shortcomings and accordingly take necessary measures to make up for them.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48519314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical art report: an instrumental song of hope to end the COVID-19 pandemic","authors":"","doi":"10.19082/7862","DOIUrl":"https://doi.org/10.19082/7862","url":null,"abstract":"","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44338576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robab Sadegh, Somaye Mohebinejad, Razieh Sadat Mouavi-Roknabadi, Ali Ariafar, A. Dehbozorgi, M. Sharifi
Background: Blunt abdominal trauma (BAT) is the most common cause of abdominal injury and is responsible for renal injury in children. Urine dipstick is used in various clinical conditions, and its use in the diagnosis of microscopic hematuria is very common in adults, but its efficacy in children with BAT is unclear. Objective: To determine the accuracy of urine dipstick test and compare it with microscopic urine analysis (UA) in predicting urinary system injury. Methods: This prospective cross-sectional study was conducted on children with BAT who were referred to the Acute Care II of the Emergency Medicine Department of Shiraz Namazi Hospital in south of Iran (April–October 2018). The results of the urine dipstick test were compared with the results of UA, abdominal computed tomography (CT) scan as the gold standard, and the point-of-care ultrasound (POCUS). The diagnostic tests (sensitivity, specificity, positive and negative predictive values, positive and negative likelihood ratios, and accuracy) were calculated. Results: A total of 380 patients were enrolled, with a mean ± standard deviation age of 6.3 ± 3.45 years. We obtained a sensitivity, specificity, and accuracy of 71.43% (95% CI, 41.90–91.61), 96.99% (95% CI, 94.69– 98.49), and 96.05% (95% CI, 93.57–97.77), respectively, with a negative predictive value (NPV) of 98.89% (95% CI, 97.48–99.51) for the dipstick test in comparison with UA. In comparing the results of the dipstick and UA tests with CT scan, no difference was found in terms of sensitivity (P = 0.35), specificity (P = 0.65), accuracy (P = 0.72), and area under the curve (P = 0.97). Conclusion: Due to no difference in diagnostic values between the urine dipstick and UA tests, dipstick can be considered as an alternative means of UA in the management algorithm of pediatric BAT. Also, with higher specificity and NPV of the dipstick test in comparison with the UA test, based on the negative results of dipstick, hematuria can be ruled out in children with BAT.
{"title":"Comparing Urine Analysis and Urine Dipstick Tests Used in the Diagnosis of Renal Injury in Children With Blunt Abdominal Trauma in Shiraz, Iran","authors":"Robab Sadegh, Somaye Mohebinejad, Razieh Sadat Mouavi-Roknabadi, Ali Ariafar, A. Dehbozorgi, M. Sharifi","doi":"10.19082/7848","DOIUrl":"https://doi.org/10.19082/7848","url":null,"abstract":"Background: Blunt abdominal trauma (BAT) is the most common cause of abdominal injury and is responsible for renal injury in children. Urine dipstick is used in various clinical conditions, and its use in the diagnosis of microscopic hematuria is very common in adults, but its efficacy in children with BAT is unclear. Objective: To determine the accuracy of urine dipstick test and compare it with microscopic urine analysis (UA) in predicting urinary system injury. Methods: This prospective cross-sectional study was conducted on children with BAT who were referred to the Acute Care II of the Emergency Medicine Department of Shiraz Namazi Hospital in south of Iran (April–October 2018). The results of the urine dipstick test were compared with the results of UA, abdominal computed tomography (CT) scan as the gold standard, and the point-of-care ultrasound (POCUS). The diagnostic tests (sensitivity, specificity, positive and negative predictive values, positive and negative likelihood ratios, and accuracy) were calculated. Results: A total of 380 patients were enrolled, with a mean ± standard deviation age of 6.3 ± 3.45 years. We obtained a sensitivity, specificity, and accuracy of 71.43% (95% CI, 41.90–91.61), 96.99% (95% CI, 94.69– 98.49), and 96.05% (95% CI, 93.57–97.77), respectively, with a negative predictive value (NPV) of 98.89% (95% CI, 97.48–99.51) for the dipstick test in comparison with UA. In comparing the results of the dipstick and UA tests with CT scan, no difference was found in terms of sensitivity (P = 0.35), specificity (P = 0.65), accuracy (P = 0.72), and area under the curve (P = 0.97). Conclusion: Due to no difference in diagnostic values between the urine dipstick and UA tests, dipstick can be considered as an alternative means of UA in the management algorithm of pediatric BAT. Also, with higher specificity and NPV of the dipstick test in comparison with the UA test, based on the negative results of dipstick, hematuria can be ruled out in children with BAT.","PeriodicalId":11603,"journal":{"name":"Electronic Physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46161559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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