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Effect of educational intervention on practice improvement of employees in healthcare centers and meat distribution centers of Ilam province about Crimean Congo hemorrhagic fever 教育干预对伊拉姆省卫生保健中心和肉类配送中心员工克里米亚-刚果出血热实践改进的影响
Pub Date : 2016-03-15 DOI: 10.18869/ACADPUB.JBRMS.3.2.46
F. Mokhtari, N. Sharifinia, Z. Mokhtari, M. Qorbani, Hadad Shafieyan, B. R. Mehr, A. Mirzai, Zahra Shafieyan, M. Mansourian
Introduction: Crimean Congo hemorrhagic fever (CCHF) is a Zoonosis disease. The aim of this study was to examine the effect of educational intervention on practice improvement of employees in healthcare centers and meat distribution centers of Ilam province in relation to Crimean Congo hemorrhagic fever. Materials and methods: Participants in present quasi-experimental study were 200 employees of healthcare centers and 75 workers of meat distribution centers that were selected through simple random sampling. Data were collected at baseline and 6-weeks after intervention using two 38-item and 50-item questionnaires. Data were analyzed by the SPSS software. P<0.05 were considered to be statistically significant. Results: Before the educational intervention, 20.6% of the healthcare centers employees had poor knowledge, 61.8% and 17.6% had average and good knowledge, respectively. After educational intervention, these percentages were 2%, 22.1% and 76%; in that order. The workers’ knowledge level in centers of meat processing-distribution before training was 64% poor, 34.7% average, and 1.3% good; but after education, the knowledge levels reached to 5.3%, 45.3% and 49.3%; respectively (P<0.05). Moreover, Attitude of employees in healthcare centers and meat distribution centers significantly increased after intervention (P<0.05). But, there were not significant changes in performance of two groups before and after educational intervention Conclusion: The results of present study showed the effect of educational intervention on improvement the knowledge, attitude of employees in healthcare and meat distribution centers. So, implementation of an educational program for employees at a wider scale could promote their health.
克里米亚刚果出血热(CCHF)是一种人畜共患病。本研究旨在探讨教育干预对伊拉姆省医疗保健中心和肉类配送中心员工在克里米亚刚果出血热相关的实践改进的影响。材料与方法:采用简单随机抽样的方法,选取200名卫生保健中心员工和75名肉类配送中心工作人员为准实验研究对象。在基线和干预后6周,使用两份38项和50项的问卷收集数据。数据采用SPSS软件进行分析。P<0.05为差异有统计学意义。结果:在教育干预前,20.6%的医疗保健中心员工知识贫乏,61.8%的医疗保健中心员工知识一般,17.6%的医疗保健中心员工知识良好。教育干预后分别为2%、22.1%和76%;按这个顺序。肉类加工配送中心员工培训前知识水平差的占64%,一般的占34.7%,良好的占1.3%;经教育后的知识水平分别为5.3%、45.3%和49.3%;(分别P < 0.05)。干预后,保健中心和肉类配送中心员工的工作态度显著提高(P<0.05)。结论:本研究结果显示教育干预对医疗保健和肉类配送中心员工的知识和态度有改善作用。因此,在更大范围内实施员工教育计划可以促进他们的健康。
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引用次数: 2
THE VASOMOTOR SYMPTOMS AND SKIN CHANGES IN NATURAL MENOPAUSE AMONG IRANIAN WOMEN 伊朗妇女自然绝经期血管舒缩症状和皮肤变化
Pub Date : 2016-03-15 DOI: 10.18869/ACADPUB.JBRMS.3.2.1
M. Shohani, Mahboobeh Rasouli, F. Shohani, K. Sayehmiri
Introduction: Menopause is the most important event in middle-age. Women, in this period, face several changes. Vasomotor symptoms and skin changes are prevalent in the middle-age. This study, mainly, was performed identifying the vasomotor symptoms and skin changes in menopausal women. Materials and methods: Study sample was consisted of 150 women who have visited the healthcare centers, experienced natural menopause as discontinuity of menstrual at least for 12-monthes. They have been selected randomly. Survey instruments were structured questionnaire, informational records, symptoms and signs checklist, centi-meter and balance and the data collecting method was through interview, observation, and examination. The data were analyzed using logistic regression. Results: According to study results, skin warming and hotness (55.3%), hands and legs nipping (63.3%), hirsutism of pinion lip (27.3%), reduction of armpit hair (38%), acne (12%), Skin extenuation and wrinkling (51.3%) were reported. The most important point of the study is the significant relationship between amount of tea consumption and flushing severity (P=0.008, OR=3.18). Also, there was a significant relation between education and menopause duration, sleep disorders and severity of flushing, menopause duration and skin collagen reduction (P<0.05). Conclusion: Skin and vasomotor changes is prevalent in these women. Flushing severity influenced by tea consumption, such that drinking more tea will decrease the flushing, is the start point of more researches in this field.
更年期是人到中年最重要的事件。在这一时期,女性面临着一些变化。血管舒缩症状和皮肤变化在中年很普遍。本研究主要是对绝经期妇女血管舒缩症状和皮肤变化进行鉴定。材料和方法:研究样本由150名妇女组成,她们曾到保健中心就诊,经历了自然绝经,月经中断至少12个月。他们是随机挑选的。调查工具为结构化问卷、信息记录、症状体征检查表、体度表、天平,资料收集方法为访谈、观察、检查。采用logistic回归对数据进行分析。结果:根据研究结果,报告皮肤温热(55.3%)、手脚夹痛(63.3%)、小齿唇多毛(27.3%)、腋毛减少(38%)、痤疮(12%)、皮肤松弛和起皱(51.3%)。本研究最重要的一点是饮茶量与潮红严重程度之间存在显著关系(P=0.008, OR=3.18)。受教育程度与绝经时间、睡眠障碍、潮红严重程度、绝经时间、皮肤胶原蛋白减少有显著相关(P<0.05)。结论:皮肤和血管舒缩性改变在这些女性中普遍存在。饮茶对潮红程度的影响,即多喝茶会降低潮红程度,是这一领域更多研究的起点。
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引用次数: 0
A survey of patients with mental retardation of unknown origin 原因不明的智力迟钝患者的调查
Pub Date : 2016-03-15 DOI: 10.18869/ACADPUB.JBRMS.3.2.53
Afshin Yarmohammadi, F. Keshavarzi, M. Farhadian
Introduction: Fragile X syndrome (FXS) is one of the most prevalent genetic causes of developmental disability, representing the most frequent form of inherited severe cognitive deficit. The present study was undertaken to investigate FXS and its prevalence in moderate mentally retarded people in patients. Materials and methods: Nineteen people with moderate mental retardation (MR) who were clinically suspicious to have FXS were screened for FXS by using cytogenetic and molecular methods. Blood samples were collected and cultured in specific culture media. G-Banding method was used for karyotyping. To ensure correct results of cytogenetic testing, four suspected case of FXS were tested by PCR. Results were analyzed using logistic regression analysis. Results: Four patients (4%) were found to express fragile X site at q27.3. The results showed that the relationship of FXS with familial, economic status was not significant, but the relationship of FXS with MR and family history was significant. Conclusion: The frequency of FXS positive cases found in this study is similar to other reports of FXS in preselected patients.
简介:脆性X综合征(Fragile X syndrome, FXS)是发育障碍最常见的遗传原因之一,是遗传性严重认知缺陷最常见的形式。本研究旨在探讨FXS及其在中度智障患者中的患病率。材料与方法:采用细胞遗传学和分子遗传学方法对19例临床怀疑有FXS的中度智力迟钝(MR)患者进行FXS筛查。采集血样,在特定培养基中培养。用g带法进行核型分析。为确保细胞遗传学检测结果正确,对4例疑似FXS病例进行PCR检测。结果采用logistic回归分析。结果:4例(4%)患者在q27.3处发现脆性X位点表达。结果表明,FXS与家庭、经济状况的关系不显著,但与MR、家族史的关系显著。结论:本研究中发现的FXS阳性病例的频率与其他预选患者FXS的报道相似。
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引用次数: 0
The prevalence of elder abuse and associated factors among the elderly in Kashan city, Iran 伊朗卡尚市老年人中虐待老人的普遍程度及其相关因素
Pub Date : 2016-03-10 DOI: 10.18869/ACADPUB.JBRMS.3.2.26
Khalili Zahra, Taghadosi Mohsen, Gilasi Hamidreza, Sadatmoosavi Ali
Introduction: Elder abuse is among the major social health problems in today`s communities, and has significant effect on decreasing the health and security level in this group. The current study aimed to evaluate the prevalence and associated factors of abuse among the elderly in Kashan, Iran. Materials and methods: This cross sectional study was conducted on 500 people over 60 years old in Kashan, Iran in 2014. Subjects were randomly selected from 10 healthcare centers of Kashan. Data were collected using elder abuse questionnaire. Cronbach alpha coefficient of the questionnaire was determined as 0.975. Data were analyzed by SPSS version 13. Pearson correlation coefficient and logistic regression analysis were used for data analysis. The statistically significant level was P<0.05. Results: Results of the current study showed that 80% of subjects have experienced at least one type of abuse during the last year. The highest rate of abuse was in the form of financial abuse (45.6%), and the lowest was in ostracizing (16.6%). There was a statistical significant relationship between the elder abuse and variables such as sex, age, number of children, marital status, living arrangement, residential situation, home properties, monthly income, insurance situation, illness history, walking ability and using mobility aids. Logistic regression analysis also showed significant relationship between the elder abuse and unemployment, living in an apartment, and the age range 71-80 years. Conclusion: Considering the high prevalence of abuse among the elderly, clarification of this phenomenon is considered as one of the main priorities, which can be achieved only through multidisciplinary approach in the community, and needs cooperation and collaboration of all community members.
老年人虐待是当今社会的主要社会健康问题之一,并对降低该群体的健康和安全水平产生重大影响。目前的研究旨在评估伊朗卡尚老年人虐待的流行程度和相关因素。材料与方法:本横断面研究于2014年在伊朗卡尚对500名60岁以上的老年人进行。研究对象从喀山市10个医疗中心随机抽取。使用虐待老人问卷收集数据。确定问卷的Cronbach α系数为0.975。数据采用SPSS version 13进行分析。采用Pearson相关系数和logistic回归分析进行数据分析。差异有统计学意义,P<0.05。结果:目前的研究结果表明,80%的研究对象在过去一年中至少经历过一种虐待。虐待比例最高的是经济虐待(45.6%),最低的是排斥(16.6%)。虐待老人行为与性别、年龄、子女数量、婚姻状况、居住安排、居住情况、家庭财产、月收入、保险情况、病史、行走能力、助行工具使用情况等变量存在显著相关。Logistic回归分析也显示,老年人虐待与失业、公寓居住、71 ~ 80岁之间存在显著关系。结论:考虑到老年人虐待的高发性,澄清这一现象被认为是主要的优先事项之一,这只能通过社区的多学科方法来实现,需要社区所有成员的合作和协作。
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引用次数: 13
Expression of BCL2L12 in acute leukemia patients: Potential association with clinical and prognostic factors BCL2L12在急性白血病患者中的表达:与临床和预后因素的潜在关联
Pub Date : 2016-03-01 DOI: 10.18869/ACADPUB.JBRMS.3.2.11
B. Hassan, A. Hossein, R. Hossein, Boroumand Noughabi Samaneh, G. Masoumeh, Alidadi Mohammad, Shajiei Arezoo, Sadeghian Mohammad Hadi
Introduction: Apoptosis is an important mechanism in both physiological and pathological conditions. The BCL2 family of proteins plays a critical role in regulation of apoptotic cell death. Up and down regulation of BCL2-like 12 (BCL2L12), a new member of the BCL2 family, has been reported in several malignancies. However, the expression level of BCL2L12 rarely has been studied in leukemia. This study was designed to investigate the mRNA expression of BCL2L12 in patients with acute leukemia. Materials and methods: 90 patients with acute leukemia as case group and 90 healthy persons as controls, were participated this study. RNA was extracted from peripheral blood samples. Expression level of BCL2L12 mRNA was evaluated by a quantitative real-time polymerase chain reaction (qRT-PCR) method and its association with clinical and laboratory findings was analyzed. Results: The expression of BCL2L12 mRNA was significantly lower in acute lymphoblastic leukemia (ALL) cases comparing the controls (P<0.001), while it was not significantly different in acute myeloid leukemia (AML) samples compared the control group. In addition, there were higher BCL2L12 level in females (than in males) and in patients with t(12;21) in ALL patients. There was no association between BCL2L12 expression level and other clinical and laboratory findings of AML patients. Conclusion: BCL2L12 seems play a role in the pathogenesis of ALL. Further studies with larger sample size is needed to clarify its probable impact on prognosis and therapeutic
细胞凋亡在生理和病理条件下都是重要的机制。BCL2蛋白家族在凋亡细胞死亡的调控中起关键作用。BCL2-like 12 (BCL2L12)是BCL2家族的一个新成员,已经在几种恶性肿瘤中报道过上调和下调。然而,BCL2L12在白血病中的表达水平很少被研究。本研究旨在探讨BCL2L12 mRNA在急性白血病患者中的表达。材料与方法:90例急性白血病患者为病例组,90例正常人为对照组。从外周血样本中提取RNA。采用实时定量聚合酶链反应(qRT-PCR)方法检测BCL2L12 mRNA的表达水平,并分析其与临床和实验室结果的相关性。结果:BCL2L12 mRNA在急性淋巴细胞白血病(ALL)患者中的表达明显低于对照组(P<0.001),而在急性髓性白血病(AML)患者中的表达与对照组相比无显著差异。此外,ALL患者的BCL2L12水平在女性(高于男性)和t患者(12;21)中均较高。BCL2L12表达水平与AML患者的其他临床和实验室结果无相关性。结论:BCL2L12可能参与ALL的发病机制。需要更大样本量的进一步研究来阐明其对预后和治疗的可能影响
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引用次数: 0
INVESTIGATING THE RELATIONSHIP BETWEEN PERSONALITY CHARACTERISTICS, SELF-CONTROL, AND GENERAL HEALTH AMONG THE STUDENTS OF PUBLIC AND CLINICAL PSYCHOLOGY IN ISLAMIC AZAD UNIVERSITY OF ILAM 伊斯兰阿扎德大学公共与临床心理学专业学生人格特征、自我控制与总体健康的关系研究
Pub Date : 2016-03-01 DOI: 10.18869/ACADPUB.JBRMS.3.2.20
Mousavi Moghadam Seyed Rahmatollah, Malekian Somayeh, Karamshahi Maryam
Introduction: Mental health is a branch of science focused on promoting welfare, social welfare, and life health which is related to all periods (from birth to death) and aspects of life (family environment, school, university, appointment, and society). Personality is a collection of mental characteristics that consistently exists within individuals and influences their behaviors and thoughts. Self-control as one of the unique personality characteristics varies from one person to another. Materials and methods: The present study is a correlational descriptive study. The target population of this research includes all graduate students of public and clinical psychology studying in Islamic Azad University of Ilam during academic year of 93-94. According to statistics there were approximately 536 students in this field. Out of this number 224 students were selected through simple random sampling. Measurement instruments included: Tangney and Baumeister (2004) Self-Control Scale, NEO Five-Factor Inventory, and Goldberg General Health Questionnaire. For the analysis of findings of this study Kolmogorov– Smirnov test, correlation, and regression analysis were run through statistical software of SPSS. Results: Results of this research showed that personal characteristics and self-control predicted 86% of variance; that is, significantly predicted the level of mental health among students. Results of correlation revealed significant relationship between self-control and mental health. In addition, there were significant relation between personality traits and selfcontrol. In other words, it can be said that personality characteristics have a substantial role in predicting mental health and there is also significant relationship between the variables under study. Conclusion: It can be said that self-control is one of the most important personality characteristics that influences individuals’ mental health.
简介:心理健康是一门以促进福利、社会福利和生命健康为重点的科学分支,涉及生命的各个时期(从出生到死亡)和各个方面(家庭环境、学校、大学、约会、社会)。人格是一种心理特征的集合,它始终存在于个体内部,并影响他们的行为和思想。自我控制作为一种独特的人格特征,因人而异。材料与方法:本研究为相关描述性研究。本研究的目标人群为93-94学年在伊拉姆伊斯兰阿扎德大学就读的所有公共心理学和临床心理学研究生。据统计,大约有536名学生在这个领域。通过简单的随机抽样,从中选出224名学生。测量工具包括:Tangney and Baumeister(2004)自我控制量表、NEO五因素量表和Goldberg一般健康问卷。通过SPSS统计软件对研究结果进行Kolmogorov - Smirnov检验、相关分析和回归分析。结果:本研究结果显示,个人特征和自我控制预测了86%的方差;即显著预测学生心理健康水平。相关结果显示自我控制与心理健康有显著相关。此外,人格特质与自我控制之间存在显著相关。换句话说,人格特征在预测心理健康方面具有实质性的作用,并且所研究的变量之间也存在显著的关系。结论:自我控制能力是影响个体心理健康的最重要的人格特征之一。
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引用次数: 1
Investigating the prevalence of congenital anomalies and its associated factors in Ilam city 调查伊拉姆市先天性畸形的患病率及其相关因素
Pub Date : 2016-03-01 DOI: 10.18869/ACADPUB.JBRMS.3.2.41
K. Sayehmiri, M. Kaffashian, Elahe Ranaei
Introduction: Congenital anomalies are a common cause of disability and mortality in newborns and their treatments involves high costs for the society. This study aimed to investigate the prevalence of congenital anomalies and their causes. Materials and methods: This research was a descriptive-analytical study and the population included all the newborns in hospitals of the city of Ilam in 2011. Variables of abnormality type, birth status, and medical and genetic illness histories were included into the data collection forms. Data was analyzed through Chi-square tests and Fisher's exact test using SPSS software. Results: Of 460 neonates, 5.4 percent (25 cases) had died at birth and 3.7 percent (16 infants) were born with a birth defect. 43.8 percent of malformed babies had a family history. 31.3 % of the malformed babies had genetic syndromes, whose parents had consanguineous marriage. 18.8% of babies with defects in the central nervous system and cardiovascular system showed a similar percentage of disorder. The defect in the urinary system, head and neck each accounted for 12.5 percent. Conclusion: This study shows that consanguineous marriages can be the most common genetic cause of genetic syndromes.
简介:先天性畸形是新生儿致残和死亡的常见原因,其治疗对社会来说费用高昂。本研究旨在探讨先天性畸形的患病率及其原因。材料与方法:本研究为描述性分析研究,人群包括2011年伊拉姆市所有医院的新生儿。数据收集表中包括异常类型、出生状况、医疗和遗传病史等变量。数据分析采用SPSS软件进行卡方检验和Fisher精确检验。结果:460名新生儿中,5.4%(25例)死于出生,3.7%(16例)出生时有先天缺陷。43.8%的畸形婴儿有家族史。31.3%的畸形儿有遗传综合征,其父母为近亲婚姻。在中枢神经系统和心血管系统有缺陷的婴儿中,18.8%的人表现出类似的疾病比例。泌尿系统、头部和颈部的缺陷各占12.5%。结论:本研究表明,近亲婚姻可能是遗传综合征最常见的遗传原因。
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引用次数: 0
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Journal of Basic Research in Medical Sciences
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