Pub Date : 2021-04-01DOI: 10.4103/iahs.iahs_130_20
M. Adib-Hajbaghery, Mahdieh Sabery, Zahra Ghadirzade, Fatemeh Nematian
Background: Due to the nature of their academic field and clinical training, students of nursing, midwifery, and surgical technology are exposed to the risk of damages due to sharp instruments, blood, and body fluids. This study aimed to assess the knowledge, attitude, and practice of students of nursing, midwifery, and surgical technology about standard precautions and self-protection in the clinical settings. Methods: This cross-sectional study was conducted at the Nursing and Midwifery School of Kashan University of Medical Sciences, 2018. A total of 300 students were selected through nonprobability quota sampling. A four-part questionnaire was used to collect the data on the students' characteristics, and their knowledge, attitude, and practice regarding the special safety percussions. The data were analyzed with descriptive statistics, Chi-square and Fisher's exact tests, analysis of variance, Pearson's correlation coefficient, and SPSS software version 16. Results: No significant connection was found between the students' knowledge, attitudes, and practice and their demographic characteristics. Most students had a moderate level of knowledge about self-protection in the clinical setting. None of the students had good knowledge and compliance with safety principles. A significant correlation was found between knowledge and attitudes (P = 0.01, r = 0.14) and between attitudes and practice (P = 0.00, r = 0.29). No significant correlation was found between the students' knowledge and practice (P = 0.52, r = 0.037). Conclusions: Acquisition of a moderate level of knowledge, attitudes, and practice indicates that the students were familiar with the concepts examined; nonetheless, this level may not suffice for appropriate and safe practice in the clinical setting.
背景:由于其学术领域和临床训练的性质，护理、助产和外科技术专业的学生面临尖锐器械、血液和体液造成损伤的风险。本研究旨在评估护理、助产、外科技术专业学生在临床环境中对标准预防和自我保护的知识、态度和实践情况。方法:横断面研究于2018年在喀山医科大学护理与助产学院进行。采用非概率定额抽样的方法抽取300名学生。采用问卷调查法收集学生的特点、对特殊安全冲击的知识、态度和实践情况。采用描述性统计、卡方检验、Fisher精确检验、方差分析、Pearson相关系数分析及SPSS软件16版对数据进行分析。结果:学生的知识、态度、行为与人口学特征无显著相关。大多数学生在临床环境中对自我保护有中等程度的了解。没有一个学生有良好的知识和遵守安全原则。知识与态度(P = 0.01, r = 0.14)、态度与实践(P = 0.00, r = 0.29)呈显著相关。学生的知识与实践无显著相关(P = 0.52, r = 0.037)。结论:获得中等水平的知识、态度和实践表明学生熟悉所检查的概念;尽管如此，这个水平可能不足以在临床环境中进行适当和安全的实践。
{"title":"Investigation of knowledge, attitudes, and practice of nursing, midwifery, and surgical technology students regarding standard precautions and self-protection in the clinical setting","authors":"M. Adib-Hajbaghery, Mahdieh Sabery, Zahra Ghadirzade, Fatemeh Nematian","doi":"10.4103/iahs.iahs_130_20","DOIUrl":"https://doi.org/10.4103/iahs.iahs_130_20","url":null,"abstract":"Background: Due to the nature of their academic field and clinical training, students of nursing, midwifery, and surgical technology are exposed to the risk of damages due to sharp instruments, blood, and body fluids. This study aimed to assess the knowledge, attitude, and practice of students of nursing, midwifery, and surgical technology about standard precautions and self-protection in the clinical settings. Methods: This cross-sectional study was conducted at the Nursing and Midwifery School of Kashan University of Medical Sciences, 2018. A total of 300 students were selected through nonprobability quota sampling. A four-part questionnaire was used to collect the data on the students' characteristics, and their knowledge, attitude, and practice regarding the special safety percussions. The data were analyzed with descriptive statistics, Chi-square and Fisher's exact tests, analysis of variance, Pearson's correlation coefficient, and SPSS software version 16. Results: No significant connection was found between the students' knowledge, attitudes, and practice and their demographic characteristics. Most students had a moderate level of knowledge about self-protection in the clinical setting. None of the students had good knowledge and compliance with safety principles. A significant correlation was found between knowledge and attitudes (P = 0.01, r = 0.14) and between attitudes and practice (P = 0.00, r = 0.29). No significant correlation was found between the students' knowledge and practice (P = 0.52, r = 0.037). Conclusions: Acquisition of a moderate level of knowledge, attitudes, and practice indicates that the students were familiar with the concepts examined; nonetheless, this level may not suffice for appropriate and safe practice in the clinical setting.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128745988","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}
Background: Home-related accidents are the main health problem and the second frequent reason of morbidity and mortality after road accidents. This study aimed to determine the status of home injuries and related factors during 2018–2019 in Kashan, Iran. Methods: This cross-sectional study was conducted during 2012–2013, in Kashan, convenience sampling method was used and patients referred to the emergency department who met the inclusion criteria were included in the study. A validated self-administered questionnaire was used for data collection. Data were analyzed using Chi-square test and t-test also for multivariate analysis logistic regression analysis was used. Results: The number 939 questionnaires were completed in total, that 420 were male. There was a statistically significant between age, job, educational level, place of reference, primary cause, mechanism and type of injury, medical diagnosis, and patients' hospitalization. Multiple logistic regression analysis revealed that the effective factors such as the place of referral (Shahid Behest Hospital) (odds ratio [OR] =1.923, P < 0.001), past medical history (OR = 4.280, P = 0.015), cut and sharp instrument (OR = 2.104, P = 0.006), falling (OR = 1.626, P = 0.022), and fracture (OR = 2.781, P < 0.001) have increased the risk of hospitalization. Conclusions: This study provides novel evidence suggesting predictive variables of home accidents are associated with the outcome of hospitalization. Therefore, educational programs and specific interventions should focus on predictive factors to prevent of home accidents.
背景:与家庭有关的事故是主要的健康问题，也是仅次于道路事故的发病率和死亡率的第二大常见原因。本研究旨在确定2018-2019年伊朗卡尚地区家庭伤害状况及相关因素。方法:本横断面研究于2012-2013年在喀山地区进行，采用方便抽样方法，纳入符合纳入标准的转诊急诊科患者。一份有效的自我管理问卷用于数据收集。数据分析采用卡方检验和t检验，多变量分析采用logistic回归分析。结果:共完成问卷939份，其中男性420份。年龄、职业、受教育程度、参照地、原发原因、损伤机制和类型、医疗诊断和患者住院之间存在统计学显著性差异。多因素logistic回归分析显示，转诊地点(Shahid Behest医院)(优势比[OR] =1.923, P < 0.001)、既往病史(OR = 4.280, P = 0.015)、割伤及利器(OR = 2.104, P = 0.006)、跌倒(OR = 1.626, P = 0.022)、骨折(OR = 2.781, P < 0.001)是增加住院风险的有效因素。结论:本研究提供了新的证据，表明家庭事故的预测变量与住院治疗的结果有关。因此，教育计划和具体干预措施应侧重于预测因素，以防止家庭事故。
{"title":"Predictive factors of home-related injuries among patients admitted to the emergency departments","authors":"Mahdieh Sabery, M. Dianati, H. Akbari","doi":"10.4103/iahs.iahs_96_20","DOIUrl":"https://doi.org/10.4103/iahs.iahs_96_20","url":null,"abstract":"Background: Home-related accidents are the main health problem and the second frequent reason of morbidity and mortality after road accidents. This study aimed to determine the status of home injuries and related factors during 2018–2019 in Kashan, Iran. Methods: This cross-sectional study was conducted during 2012–2013, in Kashan, convenience sampling method was used and patients referred to the emergency department who met the inclusion criteria were included in the study. A validated self-administered questionnaire was used for data collection. Data were analyzed using Chi-square test and t-test also for multivariate analysis logistic regression analysis was used. Results: The number 939 questionnaires were completed in total, that 420 were male. There was a statistically significant between age, job, educational level, place of reference, primary cause, mechanism and type of injury, medical diagnosis, and patients' hospitalization. Multiple logistic regression analysis revealed that the effective factors such as the place of referral (Shahid Behest Hospital) (odds ratio [OR] =1.923, P < 0.001), past medical history (OR = 4.280, P = 0.015), cut and sharp instrument (OR = 2.104, P = 0.006), falling (OR = 1.626, P = 0.022), and fracture (OR = 2.781, P < 0.001) have increased the risk of hospitalization. Conclusions: This study provides novel evidence suggesting predictive variables of home accidents are associated with the outcome of hospitalization. Therefore, educational programs and specific interventions should focus on predictive factors to prevent of home accidents.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130486197","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 : 2021-04-01DOI: 10.4103/iahs.iahs_112_20
Z. Sepehrmanesh, Ali Shahzeidi, M. Mansournia, A. Ghaderi, A. Ahmadvand
Aim: This paper aimed at assessing the influence that probiotic supplement had on mental health and metabolic conditions of children suffering attention-deficit hyperactivity disorder (ADHD). Materials and Methods: A number of 34 children with ADHD were selected randomly. Participants were randomly allocated into a group receiving 8 × 109 CFU/g probiotic supplements (n = 17) and a group receiving placebo (n = 17) during an 8-week time period. Clinical symptoms were recorded applying the rating scale of ADHD (ADHD-RS), Children's Depression Inventory (CDI), and Hamilton Anxiety Rating Scale (HAM-A) both at onset of the study and after the 8-week interval. Moreover, samples of blood were also taken at the beginning and after the 8-week interval so that the metabolic information could be evaluated. Results: The probiotic supplementation could bring about a considerable decrease in total ADHD-RS (β −3.31; 95% confidence interval [CI]: −5.60, −1.02; P = 0.006) and HAM-A (β −1.91 [0.18]; 95% CI, −3.41, −0.41; P = 0.01) than that of the placebo. In addition, probiotic supplementation brought about a considerable decrease in high sensitivity C-reactive protein (hs-CRP) of serum (β −2.05 mg/L; 95% CI, −3.57, −0.52; P = 0.01) as well as a substantial rise in plasma overall antioxidant volume (TAC) (β 66.26 mmol/L; 95% CI, 36.83, 95.68; P < 0.001) than that of the placebo. No meaningful effects were observed on CDI and other metabolic features after the intake of probiotic supplements. Conclusions: Taking probiotic by children suffering ADHD could affect ADHD-RS, HAM-A, hs-CRP of serum, and TAC levels in plasma, while it did not show any effects on CDI and other metabolic profiles.
{"title":"Clinical and metabolic reaction to probiotic supplement in children suffering attention-deficit hyperactivity disorder: A randomized, double-blind, placebo-controlled experiment","authors":"Z. Sepehrmanesh, Ali Shahzeidi, M. Mansournia, A. Ghaderi, A. Ahmadvand","doi":"10.4103/iahs.iahs_112_20","DOIUrl":"https://doi.org/10.4103/iahs.iahs_112_20","url":null,"abstract":"Aim: This paper aimed at assessing the influence that probiotic supplement had on mental health and metabolic conditions of children suffering attention-deficit hyperactivity disorder (ADHD). Materials and Methods: A number of 34 children with ADHD were selected randomly. Participants were randomly allocated into a group receiving 8 × 109 CFU/g probiotic supplements (n = 17) and a group receiving placebo (n = 17) during an 8-week time period. Clinical symptoms were recorded applying the rating scale of ADHD (ADHD-RS), Children's Depression Inventory (CDI), and Hamilton Anxiety Rating Scale (HAM-A) both at onset of the study and after the 8-week interval. Moreover, samples of blood were also taken at the beginning and after the 8-week interval so that the metabolic information could be evaluated. Results: The probiotic supplementation could bring about a considerable decrease in total ADHD-RS (β −3.31; 95% confidence interval [CI]: −5.60, −1.02; P = 0.006) and HAM-A (β −1.91 [0.18]; 95% CI, −3.41, −0.41; P = 0.01) than that of the placebo. In addition, probiotic supplementation brought about a considerable decrease in high sensitivity C-reactive protein (hs-CRP) of serum (β −2.05 mg/L; 95% CI, −3.57, −0.52; P = 0.01) as well as a substantial rise in plasma overall antioxidant volume (TAC) (β 66.26 mmol/L; 95% CI, 36.83, 95.68; P < 0.001) than that of the placebo. No meaningful effects were observed on CDI and other metabolic features after the intake of probiotic supplements. Conclusions: Taking probiotic by children suffering ADHD could affect ADHD-RS, HAM-A, hs-CRP of serum, and TAC levels in plasma, while it did not show any effects on CDI and other metabolic profiles.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125420813","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 : 2021-04-01DOI: 10.4103/iahs.iahs_117_20
Elham Keyvani, Mustafa Bolghan-Abadi
Aims: Obesity can be considered as one of the most complex causes of psychological disorders. Various treatments have been performed to reduce the severity of the disorders in people with obesity. The aim of this study was to evaluate the effectiveness of acceptance and commitment therapy (ACT) on improving self-concept, depression, and anxiety in obese women. Materials and Methods: The present study was a quasi-experimental (pretest and posttest design with control group). The statistical population of the study included all obese women referred to psychological clinics in Mashhad in 2019. Twenty-four obese women were evaluated. Twelve women in the experimental group received eight sessions of ACT and the other 12 women in the control group (waiting list) did not receive any intervention. The results of Beck's self-concept, depression, and anxiety scales were analyzed by multivariate analysis of covariance (MANCOVA). Findings: The results of MANCOVA showed that ACT on the level of self-concept and its components (assessment of mental ability, job efficiency, attractiveness, and social skills) as well as reducing the severity of depression and anxiety is effective (P < 0.001). Conclusion: The ACT can be effective as an appropriate intervention to increase the positive assessment of self-concept and reduce the severity of depression and anxiety in obese women. The implications of the study are discussed.
{"title":"The effectiveness of acceptance and commitment therapy on improving self-concept, depression, and anxiety in obese women","authors":"Elham Keyvani, Mustafa Bolghan-Abadi","doi":"10.4103/iahs.iahs_117_20","DOIUrl":"https://doi.org/10.4103/iahs.iahs_117_20","url":null,"abstract":"Aims: Obesity can be considered as one of the most complex causes of psychological disorders. Various treatments have been performed to reduce the severity of the disorders in people with obesity. The aim of this study was to evaluate the effectiveness of acceptance and commitment therapy (ACT) on improving self-concept, depression, and anxiety in obese women. Materials and Methods: The present study was a quasi-experimental (pretest and posttest design with control group). The statistical population of the study included all obese women referred to psychological clinics in Mashhad in 2019. Twenty-four obese women were evaluated. Twelve women in the experimental group received eight sessions of ACT and the other 12 women in the control group (waiting list) did not receive any intervention. The results of Beck's self-concept, depression, and anxiety scales were analyzed by multivariate analysis of covariance (MANCOVA). Findings: The results of MANCOVA showed that ACT on the level of self-concept and its components (assessment of mental ability, job efficiency, attractiveness, and social skills) as well as reducing the severity of depression and anxiety is effective (P < 0.001). Conclusion: The ACT can be effective as an appropriate intervention to increase the positive assessment of self-concept and reduce the severity of depression and anxiety in obese women. The implications of the study are discussed.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120956859","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}
M. Arbabi, Hossein Hooshyar, Mahdi Delavari, N. Pestechian
Aims: Hydatidosis is an important zoonotic disease that is caused by a tiny tapeworm, namely Echinococcus granulosus. In this study, three polymerase chain reaction (PCR)-based methods, including, high resolution melting (HRM) analysis, DNA sequencing, and PCR-restriction fragment length polymorphism (RFLP) have been used for genotype the identification of E. granulosus isolates from dogs and camels in Zarinshahr and Najafabad, Isfahan province, Iran. Materials and Methods: A total of 200 adult worms of 40 dogs and 51 samples of camel hydatid cysts were examined. Molecular characterization of isolates was performed using HRM assay, sequencing of DNA, and digestion Rsa1 pattern coding for the mitochondrial cox1 gene. For analysis of the HRM melting curve, we used the Tm within the range of 77.50°C–79.23°C. Results: HRM analysis revealed that 72.5%, 15%, and 12.5% dog's genotypes and 41.17%, 21.56%, and 35.29% camel genotypes were G1, G3, and G6, respectively. PCR-RFLP analysis, spare parts 310 bp and 138 bp of cox1 that shows the G1 genotype in all of the isolates. Sequence analysis as well as HRM assay was confirmed genotypes of G1, G3, and G6 in camels and dogs. Based on three methods of the cox1 gene the dominant genotype was G1. Conclusion: The PCR-RFLP only identified the G1 genotype, whereas the HRM analysis, as well as DNA sequencing, were detected three genotypes G1, G3, G6, therefore, these two methods have enough accuracy for the determination of genotypes of E. granulosus. This information leads to a better understanding of the biological characteristics of E. granulosus genotypes in Iran and shows the camel as a source of human hydatidosis.
{"title":"Genotypes Identification of echinococcus granulosus isolated from iranian dogs and camels using three polymerase Chain reaction-based methods of cox1 gene","authors":"M. Arbabi, Hossein Hooshyar, Mahdi Delavari, N. Pestechian","doi":"10.4103/iahs.iahs_91_20","DOIUrl":"https://doi.org/10.4103/iahs.iahs_91_20","url":null,"abstract":"Aims: Hydatidosis is an important zoonotic disease that is caused by a tiny tapeworm, namely Echinococcus granulosus. In this study, three polymerase chain reaction (PCR)-based methods, including, high resolution melting (HRM) analysis, DNA sequencing, and PCR-restriction fragment length polymorphism (RFLP) have been used for genotype the identification of E. granulosus isolates from dogs and camels in Zarinshahr and Najafabad, Isfahan province, Iran. Materials and Methods: A total of 200 adult worms of 40 dogs and 51 samples of camel hydatid cysts were examined. Molecular characterization of isolates was performed using HRM assay, sequencing of DNA, and digestion Rsa1 pattern coding for the mitochondrial cox1 gene. For analysis of the HRM melting curve, we used the Tm within the range of 77.50°C–79.23°C. Results: HRM analysis revealed that 72.5%, 15%, and 12.5% dog's genotypes and 41.17%, 21.56%, and 35.29% camel genotypes were G1, G3, and G6, respectively. PCR-RFLP analysis, spare parts 310 bp and 138 bp of cox1 that shows the G1 genotype in all of the isolates. Sequence analysis as well as HRM assay was confirmed genotypes of G1, G3, and G6 in camels and dogs. Based on three methods of the cox1 gene the dominant genotype was G1. Conclusion: The PCR-RFLP only identified the G1 genotype, whereas the HRM analysis, as well as DNA sequencing, were detected three genotypes G1, G3, G6, therefore, these two methods have enough accuracy for the determination of genotypes of E. granulosus. This information leads to a better understanding of the biological characteristics of E. granulosus genotypes in Iran and shows the camel as a source of human hydatidosis.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121806476","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 : 2021-04-01DOI: 10.4103/iahs.iahs_133_20
Maliheh Abbasi, K. Yazdi, A. Kavosi, H. Azimi, Z. Mehrbakhsh
Aims: Investigators have identified sufficient self-care as an important factor in reducing health-care costs and improving health outcomes in cardiac patients. Therefore, the purpose of the present study was to determine the relationship between perceived social support (PSS) and self-care behaviors (SCBs) in patients with ischemic heart disease. Materials and Methods: The present work was a cross-sectional study. Patients with ischemic heart disease were selected using the convenience sampling method. Data gathering tools used in this study were questionnaires of Zimet multidimensional social support and Miller self-care. The data were analyzed in SPSS 18 software using Spearman's correlation and Mann–Whitney tests by significant coefficient <0.05. Results: It was revealed that income, ethnicity, gender, and the type of employment had significant effects on the scores of PSS and SCBs. The mean score of PSS was 44.60 ± 14.30 and that of SCBs for all the patients was calculated at 67.12 ± 17.04. The majority of the patients had a high score of PSS, while, in case of SCBs, the score showed an undesirable condition. The results revealed a direct and significant relationship between PSS and SCBs in patients with ischemic heart disease (P < 0.05). Conclusion: The score of PSS was in a satisfactory range; the unsuitable score of SCBs showed an urgent need of providing education for myocardial ischemia patients to improve the level of their self-care affairs. In addition, the caretakers of the patient should be trained to pay attention to all the important aspects of PSS.
{"title":"The relationship between perceived social support and self-care behaviors in patients with ischemic heart disease","authors":"Maliheh Abbasi, K. Yazdi, A. Kavosi, H. Azimi, Z. Mehrbakhsh","doi":"10.4103/iahs.iahs_133_20","DOIUrl":"https://doi.org/10.4103/iahs.iahs_133_20","url":null,"abstract":"Aims: Investigators have identified sufficient self-care as an important factor in reducing health-care costs and improving health outcomes in cardiac patients. Therefore, the purpose of the present study was to determine the relationship between perceived social support (PSS) and self-care behaviors (SCBs) in patients with ischemic heart disease. Materials and Methods: The present work was a cross-sectional study. Patients with ischemic heart disease were selected using the convenience sampling method. Data gathering tools used in this study were questionnaires of Zimet multidimensional social support and Miller self-care. The data were analyzed in SPSS 18 software using Spearman's correlation and Mann–Whitney tests by significant coefficient <0.05. Results: It was revealed that income, ethnicity, gender, and the type of employment had significant effects on the scores of PSS and SCBs. The mean score of PSS was 44.60 ± 14.30 and that of SCBs for all the patients was calculated at 67.12 ± 17.04. The majority of the patients had a high score of PSS, while, in case of SCBs, the score showed an undesirable condition. The results revealed a direct and significant relationship between PSS and SCBs in patients with ischemic heart disease (P < 0.05). Conclusion: The score of PSS was in a satisfactory range; the unsuitable score of SCBs showed an urgent need of providing education for myocardial ischemia patients to improve the level of their self-care affairs. In addition, the caretakers of the patient should be trained to pay attention to all the important aspects of PSS.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127922268","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}
H. Afzali, Mansooreh Momen-Heravi, A. Moravveji, Roya Taghvaee
Aim: Nosocomial infection is one the most important health problem in the world. In trauma patients, nosocomial infection is one the most important factor of morbidity and mortality, increased hospitalization days, economic costs, and patient dissatisfaction. This study aimed at assessing the frequency of nosocomial infection and its related factors in hospitalized trauma patients in Beheshti Hospital in Kashan, Iran. Materials and Methods: This descriptive study was conducted on 338 trauma patients who had been admitted to Kashan Beheshti Hospital during 2015. Data were collected using the questionnaire containing demographic and paraclinical results in trauma patients. The patients were examined for fever and nosocomial infection daily. The data were analyzed using t-test and Chi-square by the SPSS software version 16. Results: Twenty-one (6.2%) out of 338 trauma patients had nosocomial infection. There were 7 (33.3%) surgical site infections, 5 (23.8%) pneumonia, 5 (23.8%) soft-tissue infection, and 3 (14.2%) urinary tract infection and 4 (19.04%) fever with of unknown origin. There was a significant statistical association between underlying disease, duration of hospitalization, multiple trauma, surgical intervention, using the device, and history of admission to ICU with the rate of the infections. However, there was no significant association between sex, age, body mass index, and smoking with the rate of the infection. Conclusions: The rate of nosocomial infection was 6.2% and it was lower than other studies. The nosocomial infection is more frequent in patients with underlying diseases, with surgical intervention, admission in ICU, using device, multiple trauma, and more duration of hospitalization.
{"title":"Epidemiology and risk factors of nosocomial infection among trauma patients hospitalized in Kashan Shahid Beheshti Hospital","authors":"H. Afzali, Mansooreh Momen-Heravi, A. Moravveji, Roya Taghvaee","doi":"10.4103/iahs.iahs_67_19","DOIUrl":"https://doi.org/10.4103/iahs.iahs_67_19","url":null,"abstract":"Aim: Nosocomial infection is one the most important health problem in the world. In trauma patients, nosocomial infection is one the most important factor of morbidity and mortality, increased hospitalization days, economic costs, and patient dissatisfaction. This study aimed at assessing the frequency of nosocomial infection and its related factors in hospitalized trauma patients in Beheshti Hospital in Kashan, Iran. Materials and Methods: This descriptive study was conducted on 338 trauma patients who had been admitted to Kashan Beheshti Hospital during 2015. Data were collected using the questionnaire containing demographic and paraclinical results in trauma patients. The patients were examined for fever and nosocomial infection daily. The data were analyzed using t-test and Chi-square by the SPSS software version 16. Results: Twenty-one (6.2%) out of 338 trauma patients had nosocomial infection. There were 7 (33.3%) surgical site infections, 5 (23.8%) pneumonia, 5 (23.8%) soft-tissue infection, and 3 (14.2%) urinary tract infection and 4 (19.04%) fever with of unknown origin. There was a significant statistical association between underlying disease, duration of hospitalization, multiple trauma, surgical intervention, using the device, and history of admission to ICU with the rate of the infections. However, there was no significant association between sex, age, body mass index, and smoking with the rate of the infection. Conclusions: The rate of nosocomial infection was 6.2% and it was lower than other studies. The nosocomial infection is more frequent in patients with underlying diseases, with surgical intervention, admission in ICU, using device, multiple trauma, and more duration of hospitalization.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121937380","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}
Marzieh Sadaf, M. Kashani, H. Saberi, H. Akbari, S. Bidgoli, Mitra Hannani
Aim and Scope: Health monitoring is important component of the employee health maintenance program, which is performed by periodic examinations in accordance with Article 92 of the Labor Law. Thus, the aim of this study was to investigate the barriers of performing periodic examinations in the industries of Kashan in 2019. Materials and Methods: This descriptive study was conducted on 200 people (employer, health inspector, and medicine physician and industry health experts). A researcher-made questionnaire used to collect the data. Barriers were prioritized based on the scores of each group. Then, a weighting technique was used to accumulate the opinions and final prioritization. To analyze the data, SPSS 16 software was used. Results: Out of 200 subjects the number (percentage) of employers, inspectors, occupational medicine physicians and industry experts were 103 (51.5%), 31 (15.5%), 5 (2.5%) and 61 (31.5%) respectively. Using AHP (hierarchical analysis) and Expert Choice software. Final weight for the perspective of occupational health inspectors, employer, occupational medicine physician, and industry expert was obtained at 0.38, 0.257, 0.195, and 0.168, respectively. After applying the weight from the perspective of the four groups, the final priorities were obtained as the high cost of examinations, lack of awareness of workers about the importance of examinations, and lack of a comprehensive plan to reduce occupational diseases in industry, respectively. Conclusion: It is recommended that examinations be performed in clinics covered by the University of Medical Sciences at a lower cost. And train employers about the benefits and importance of occupational examinations.
{"title":"Investigating and prioritizing of the barriers of performing periodic occupational examinations in industries of Kashan city in 2019","authors":"Marzieh Sadaf, M. Kashani, H. Saberi, H. Akbari, S. Bidgoli, Mitra Hannani","doi":"10.4103/iahs.iahs_85_20","DOIUrl":"https://doi.org/10.4103/iahs.iahs_85_20","url":null,"abstract":"Aim and Scope: Health monitoring is important component of the employee health maintenance program, which is performed by periodic examinations in accordance with Article 92 of the Labor Law. Thus, the aim of this study was to investigate the barriers of performing periodic examinations in the industries of Kashan in 2019. Materials and Methods: This descriptive study was conducted on 200 people (employer, health inspector, and medicine physician and industry health experts). A researcher-made questionnaire used to collect the data. Barriers were prioritized based on the scores of each group. Then, a weighting technique was used to accumulate the opinions and final prioritization. To analyze the data, SPSS 16 software was used. Results: Out of 200 subjects the number (percentage) of employers, inspectors, occupational medicine physicians and industry experts were 103 (51.5%), 31 (15.5%), 5 (2.5%) and 61 (31.5%) respectively. Using AHP (hierarchical analysis) and Expert Choice software. Final weight for the perspective of occupational health inspectors, employer, occupational medicine physician, and industry expert was obtained at 0.38, 0.257, 0.195, and 0.168, respectively. After applying the weight from the perspective of the four groups, the final priorities were obtained as the high cost of examinations, lack of awareness of workers about the importance of examinations, and lack of a comprehensive plan to reduce occupational diseases in industry, respectively. Conclusion: It is recommended that examinations be performed in clinics covered by the University of Medical Sciences at a lower cost. And train employers about the benefits and importance of occupational examinations.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126838148","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}
S. Arbat, Hossein Hooshyar, M. Arbabi, Mahdi Delavari, S. Rasti, G. Mousavi
Aims: Blastocystis species are one of the most common enteric protist infections in humans and some animals worldwide. Molecular studies have shown that there is a high level of genetic variation among Blastocystis isolates. The aim of this study was to identify the subtypes and frequency of Blastocystis isolates in patients who referred to the medical diagnostic laboratories in Kashan, Central Iran. Materials and Methods: This cross-sectional study was conducted on 1118 patients, from December 2017 to June 2018. Fecal specimens were evaluated by the microscopic examination. Positive samples were cultivated in Robinson media. After massive growth and DNA extraction, a 550 bp from the small subunit ribosomal RNA gene was amplified by the polymerase chain reaction (PCR) for subtype identification. The PCR products have been sequenced, identified, and compared at the NCBI site. The results were analyzed using the SPSS software version 16. Results: The frequency of Blastocystis sp. was 8.58%, (confidence interval = 6.94%–10.22%) from which 76% were men and 24% were women. Of the 51 PCR positive samples, ST3 (41.2%), ST1 (39.2%), ST2 (11.8%), and 7.8% isolates were identified as mixed. ST3 and ST1 have been more common. The highest levels of infection were observed in the food-handlers, the age group of 31–40, and people with high school education. Conclusion: The results showed that the frequency of Blastocystis was lower than other studies and the most common Blastocystis subtype was subtype 3, followed by subtype 1, and subtype 2.
{"title":"Subtypes identification and frequency of Blastocystis isolated from patients in Kashan, Central Iran","authors":"S. Arbat, Hossein Hooshyar, M. Arbabi, Mahdi Delavari, S. Rasti, G. Mousavi","doi":"10.4103/iahs.iahs_28_21","DOIUrl":"https://doi.org/10.4103/iahs.iahs_28_21","url":null,"abstract":"Aims: Blastocystis species are one of the most common enteric protist infections in humans and some animals worldwide. Molecular studies have shown that there is a high level of genetic variation among Blastocystis isolates. The aim of this study was to identify the subtypes and frequency of Blastocystis isolates in patients who referred to the medical diagnostic laboratories in Kashan, Central Iran. Materials and Methods: This cross-sectional study was conducted on 1118 patients, from December 2017 to June 2018. Fecal specimens were evaluated by the microscopic examination. Positive samples were cultivated in Robinson media. After massive growth and DNA extraction, a 550 bp from the small subunit ribosomal RNA gene was amplified by the polymerase chain reaction (PCR) for subtype identification. The PCR products have been sequenced, identified, and compared at the NCBI site. The results were analyzed using the SPSS software version 16. Results: The frequency of Blastocystis sp. was 8.58%, (confidence interval = 6.94%–10.22%) from which 76% were men and 24% were women. Of the 51 PCR positive samples, ST3 (41.2%), ST1 (39.2%), ST2 (11.8%), and 7.8% isolates were identified as mixed. ST3 and ST1 have been more common. The highest levels of infection were observed in the food-handlers, the age group of 31–40, and people with high school education. Conclusion: The results showed that the frequency of Blastocystis was lower than other studies and the most common Blastocystis subtype was subtype 3, followed by subtype 1, and subtype 2.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132973349","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}
Aims: This study was done to evaluate the effectiveness of foliar applications of synthesized zinc-amino acid chelates and ZnSO4 on the nutritional status of wheat plant in a soil contaminated with Cd and diesel oil. Materials and Methods: Treatments were consist of foliar application of Zn amino acid chelate (Zn(Arg)2 and (Zn(His)2) and ZnSO4 at the rate of 0, 0.1, and 0.2% (W/V) in the soil co-contaminated with Cd (0, 10, and 20 mg Cd/kg soil) and diesel oil (0 and 8% [W/W]). Results: Application of Zn amino acid chelates had a significant effect on increasing plant nutrient status, however, soil pollution with Cd and diesel oil had an adverse effect. Based on the results of this study, application of 0.2% (W/V) (Zn(Arg)2 and (Zn(His)2) significantly increased the grain Zn concentration of the plants grown in the soil polluted with Cd (10 mg Cd/kg soil) and diesel oil (8% [W/W]) by 11.3% and 10.1%, respectively. For co-contaminated soil with Cd and diesel oil, it was increased by 9.8%. Soil microbial respiration has affected by Zn amino acid chelate and soil pollution. According to our results, application of 0.2% (W/V) Zn(Arg)2 chelate significantly increased the soil microbial respiration in the soil polluted with Cd (10 mg Cd/kg soil) and diesel oil (8% [W/W]) by 12.5% and 13.1%, respectively. Conclusion: Zn amino acid chelate had a significant effect in increasing plant nutrient status such as Zn and Fe that is a positive point environmental study.
{"title":"The effectiveness of foliar applications of synthesized zinc-amino acid chelates and ZnSO4 on the nutritional status of wheat plant cultivated in a soil contaminated with Cd and diesel oil","authors":"A. Baghaie, Mehran Keshavarzi","doi":"10.4103/iahs.iahs_81_20","DOIUrl":"https://doi.org/10.4103/iahs.iahs_81_20","url":null,"abstract":"Aims: This study was done to evaluate the effectiveness of foliar applications of synthesized zinc-amino acid chelates and ZnSO4 on the nutritional status of wheat plant in a soil contaminated with Cd and diesel oil. Materials and Methods: Treatments were consist of foliar application of Zn amino acid chelate (Zn(Arg)2 and (Zn(His)2) and ZnSO4 at the rate of 0, 0.1, and 0.2% (W/V) in the soil co-contaminated with Cd (0, 10, and 20 mg Cd/kg soil) and diesel oil (0 and 8% [W/W]). Results: Application of Zn amino acid chelates had a significant effect on increasing plant nutrient status, however, soil pollution with Cd and diesel oil had an adverse effect. Based on the results of this study, application of 0.2% (W/V) (Zn(Arg)2 and (Zn(His)2) significantly increased the grain Zn concentration of the plants grown in the soil polluted with Cd (10 mg Cd/kg soil) and diesel oil (8% [W/W]) by 11.3% and 10.1%, respectively. For co-contaminated soil with Cd and diesel oil, it was increased by 9.8%. Soil microbial respiration has affected by Zn amino acid chelate and soil pollution. According to our results, application of 0.2% (W/V) Zn(Arg)2 chelate significantly increased the soil microbial respiration in the soil polluted with Cd (10 mg Cd/kg soil) and diesel oil (8% [W/W]) by 12.5% and 13.1%, respectively. Conclusion: Zn amino acid chelate had a significant effect in increasing plant nutrient status such as Zn and Fe that is a positive point environmental study.","PeriodicalId":160562,"journal":{"name":"International Archives of Health Sciences","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114257336","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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