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Identifying the Potentials, Challenges, and Barriers to the Application of New Communication Technologies in the Field of Health with a Focus on Rare Patients: A Qualitative Study 识别新通信技术在卫生领域应用的潜力、挑战和障碍,重点是罕见患者:一项定性研究
Pub Date : 2022-10-22 DOI: 10.32592/nkums.14.4.1
Introduction: Advances in new communication technologies have created a good environment for the provision of various services. Due to the importance of using new communication technologies in health care, this study was conducted to identify opportunities, threats, strengths, and weaknesses of these technologies in the field of health with a focus on rare patients.Method: This qualitative study was conducted with the participation of 40 experts and specialists in the field of communication and health, and a number of rare patients. The sampling method was snowball sampling and semi-structured interviews continued to the point of data saturation. To collect data, notes were taken and the interviews were recorded and transcribed. For accurate data analysis, MAXQDA (version 12) was used.Results: The results of this study on opportunities, challenges, threatening factors, and strategies of using new communication technologies in the field of health led to the formation and identification of 379 initial codes, including 45 categories, which finally 4 themes of opportunities, threats, strengths, and weaknesses were extracted.Conclusion: New communication technologies, regarding their potentials, could facilitate the advancement of health communication and provide better digital solutions for rare patients, who face various challenges in their treatment period and social life, as well as mental and psychological concerns and the need for information. It is recommended to determine the potentials, difficulties, and barriers associated with employing new communication technologies and then, plan, establish standards and rules, and employ these technologies accordingly
新通信技术的进步为提供各种服务创造了良好的环境。由于在卫生保健中使用新的通信技术的重要性,本研究旨在确定这些技术在卫生领域的机会、威胁、优势和劣势,重点关注罕见患者。方法:对40名通信卫生领域的专家和专家以及一些罕见患者进行定性研究。抽样方法为滚雪球抽样,半结构化访谈持续至数据饱和。为了收集数据,我们做了笔记,并对访谈进行了记录和转录。为了准确分析数据,我们使用了MAXQDA(版本12)。结果:通过对卫生领域使用新通信技术的机遇、挑战、威胁因素和策略的研究结果,形成并识别了379个初始代码,包括45个类别,最终提取了机遇、威胁、优势和劣势4个主题。结论:新的通信技术就其潜力而言,可以促进健康通信的进步,为罕见患者提供更好的数字解决方案,这些患者在治疗期间和社交生活中面临各种挑战,以及精神和心理问题和信息需求。建议确定与采用新通信技术相关的潜力、困难和障碍,然后计划、建立标准和规则,并相应地使用这些技术
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引用次数: 0
Analysis of Factors Affecting the Development of Quality of Life among the Elderly in North Khorasan Province Emphasizing the Role of Participation in Physical Activities 北呼罗珊省老年人生活质量发展的影响因素分析——强调参与体育活动的作用
Pub Date : 2022-10-22 DOI: 10.32592/nkums.14.4.87
Introduction: This study aimed to analyze the factors affecting the development of the quality of life of the elderly in North Khorasan Province emphasizing the role of participation in physical activities. Method: This study used a qualitative-quantitative research method. The statistical population in the qualitative section included a number of experts, such as sports officials of the province; professors of sports management, psychology, sociology, and geriatrics; as well as officials of welfare and health departments (n=25). In the quantitative section, the statistical population included a number of elderly referring to sports centers (n=247). A purposeful and convenience method was used for sampling. The required data were collected using interviews (in the qualitative section) and a researcher-made questionnaire (in the quantitative section). The validity of the questionnaire was confirmed by 8 experts. Data analysis was conducted using descriptive and inferential statistics in SPSS (version 21) and LISREL (version 8.7) software. Results: Based on the results, the most important factors affecting the elderly participation in physical activities and development of their quality of life were management strategies, advertising and noticing, financial and economic, personal, socio-cultural, places, and facilities. Conclusion: According to the findings of the study, managers should pay special attention to the factors affecting the participation of the elderly in sports activities and help improve their quality of life by providing suitable conditions for their participation in these activities.
本研究旨在分析北呼罗珊省老年人生活质量发展的影响因素,强调参与体育活动的作用。方法:采用定性定量相结合的研究方法。定性部分的统计人口包括一些专家,如省体育官员;体育管理学、心理学、社会学、老年病学教授;以及福利和卫生部门官员(n=25)。在定量部分,统计人群包括一些老年人,指的是体育中心(n=247)。采用目的明确、方便的方法进行抽样。所需的数据是通过访谈(在定性部分)和研究人员制作的问卷(在定量部分)收集的。问卷的效度经8位专家确认。数据分析采用SPSS (version 21)和LISREL (version 8.7)软件进行描述性统计和推理统计。结果:影响老年人体育活动参与和生活质量发展的最重要因素是管理策略、广告宣传、财务经济、个人、社会文化、场所和设施。结论:根据研究结果,管理者应特别关注影响老年人参与体育活动的因素,为老年人参与体育活动提供合适的条件,帮助老年人提高生活质量。
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引用次数: 0
Effect of Obesity on Skeletal Muscle Semaphorin 3C Levels in Male and Female Wistar Rats 肥胖对雌雄Wistar大鼠骨骼肌信号蛋白3C水平的影响
Pub Date : 2022-09-26 DOI: 10.32592/nkums.14.3.92
Introduction: Semaphorin 3C (Sema3C) is a relatively new and lesser-known adipokine. Recent studies have demonstrated that the class 3 semaphorin subfamilies have the most significant role in metabolic disorders. Therefore, the present study aimed to investigate the effect of obesity on skeletal muscle Sema3C levels in male and female Wistar rats.Method: In this experimental study, 12 male and female 8-week-old Wistar rats with a mean weight of 138 ± 13.60 gr were randomly assigned to two groups of six: non-obese (three males and three females) and Obese (three males and three females). The rats were dissected after eight weeks of induction of obesity and 18-20 hours of fasting, and their skeletal muscle tissue was rapidly removed and frozen. The sema3C level of skeletal muscle was measured by ELISA. Data were analyzed in SPSS software (version 21) using a two-way ANOVA test at a significance level of P≤0.0. In addition, the effect of obesity intervention was investigated in male and female rats separately.Results: Based on the results of the present study, the level of Sema3C in male and female rats in the obese group increased; nonetheless, it was not significant (P≥0.05). Moreover, Lee's index did not change significantly in male and female rats in the obese group (P≥0.05).Conclusion: It seems that a high-fat diet increases the level of Sema3C in skeletal muscle which can have negative effects on the whole body system considering the role of this adipokine in the spread of metabolic diseases
信号蛋白3C (Sema3C)是一种相对较新且鲜为人知的脂肪因子。最近的研究表明,第3类信号蛋白亚家族在代谢紊乱中起着最重要的作用。因此,本研究旨在探讨肥胖对雄性和雌性Wistar大鼠骨骼肌Sema3C水平的影响。方法:选取12只8周龄平均体重为138±13.60 gr的雄性和雌性Wistar大鼠,随机分为非肥胖组(3公3母)和肥胖组(3公3母),每组6只。大鼠在诱导肥胖8周和禁食18-20小时后被解剖,它们的骨骼肌组织被迅速移除并冷冻。ELISA法检测骨骼肌sema3C水平。数据采用SPSS软件(version 21)进行分析,采用双向方差分析(ANOVA)检验,显著性水平P≤0.0。此外,还分别对雄性和雌性大鼠进行了肥胖干预效果的研究。结果:根据本研究结果,肥胖组雌雄大鼠Sema3C水平升高;但差异无统计学意义(P≥0.05)。肥胖组雌雄大鼠Lee’s指数无显著变化(P≥0.05)。结论:考虑到Sema3C脂肪因子在代谢性疾病传播中的作用,高脂肪饮食似乎增加了骨骼肌中Sema3C的水平,这可能对整个身体系统产生负面影响
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引用次数: 0
Evaluation of Equality in the Distribution of Human Resources in the Health Sector of North Khorasan Province 对北呼罗珊省卫生部门人力资源分配公平性的评价
Pub Date : 2022-09-26 DOI: 10.32592/nkums.14.3.84
Introduction: The reduction of inequality in the utilization of resources and facilities of society is considered one of the most important criteria of development. The present study aimed to investigate equality in the distribution of human resources in the health sector in North Khorasan province (by the Gini coefficient and Lorenz curve) in 2020.Method: This study was conducted based on a descriptive-analytical design. The study population included human resources in the health sector. Data were collected from the national portal of the Statistical Center of Iran and the population yearbook of the province using a researcher-made form. Data were analyzed in STATA (version 12) and DASP (version 2.2) software packages.Results: For every 10,000 people, 55.3 human resources were working in the health sector of North Khorasan province. Human health resources are distributed equally in this province. The Gini coefficient for all human health resources, except nurses and specialists, was less than 0.2, indicating complete equality in the distribution of resources. The lowest coefficient value was related to general practitioners (0.052), and the highest Gini coefficient pertained to specialized physicians (0.422), pointing to a relative inequality in the distribution of specialized physicians.Conclusion: The removal of inequalities in human resources in the health sector in different regions can result in the promotion of equality in health outcomes. Therefore, it is suggested that policymakers and senior health system managers take effective measures to improve justice in access to human resources
引言:减少社会资源和设施利用的不平等被认为是发展的最重要标准之一。本研究旨在调查2020年北呼罗珊省卫生部门人力资源分配的公平性(通过基尼系数和洛伦兹曲线)。方法:本研究采用描述性分析设计。研究对象包括卫生部门的人力资源。数据是从伊朗统计中心的国家门户网站和该省人口年鉴中收集的,使用研究人员制作的表格。数据在STATA (version 12)和DASP (version 2.2)软件包中进行分析。结果:在北呼罗珊省,每10万人中有55.3名人力资源人员在卫生部门工作。人力卫生资源在本省分布均匀。除护士和专家外,所有人类卫生资源的基尼系数均小于0.2,表明资源分配完全平等。系数值最低的是全科医生(0.052),系数值最高的是专科医生(0.422),说明专科医生的分布相对不平等。结论:消除不同区域卫生部门人力资源方面的不平等可以促进健康结果的平等。因此,建议决策者和卫生系统高级管理人员采取有效措施,提高人力资源获取的公平性
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引用次数: 0
Effectiveness of an Integrated Web-Based Self-Care Protocol on Mental Well-Being, Quality of Life, and Blood Sugar in Patients with Type 2 Diabetes 基于网络的综合自我护理方案对2型糖尿病患者心理健康、生活质量和血糖的影响
Pub Date : 2022-09-14 DOI: 10.32592/nkums.14.3.59
Introduction: Diabetes is currently the sixth cause of death and has no definitive cure. Therefore, it is essential to focus on patients’ awareness and education. This study aimed to determine the effectiveness of a specifically designed integrated web-based self-care protocol on health-related quality of life, mental well-being, and blood sugar in type 2 diabetic patients.Method: The present study followed a pretest-posttest design with a control group. Of patients with type 2 diabetes referred to the Diabetes Society of Tehran (Tehran, Iran), 64 were selected and randomly assigned to the two groups. The experimental group attended five one-hour treatment sessions on the Internet. Data were collected by administering the Self-Care Summary Questionnaire, Diabetes Dependent Quality of Life Scale, and Psychological Welfare Questionnaire before and after the treatment. Collected data were analyzed using Multivariate Analysis of Covariance (MANCOVA).Results: The results showed a significant difference between the two groups in the level of blood sugar (F=4.35), well-being (F=14.24), quality of life (F=52.63), and self-care (F=68.54) at the significance level of 0.001.Conclusion: Considering the importance of self-care education and mobile (virtual) health, it is recommended that web-based self-care treatments are utilized for controlling diabetes
导读:糖尿病目前是第六大死因,没有明确的治疗方法。因此,重视对患者的认识和教育至关重要。本研究旨在确定专门设计的基于网络的综合自我保健方案对2型糖尿病患者健康相关生活质量、心理健康和血糖的有效性。方法:本研究采用前测后测设计,并设对照组。在德黑兰糖尿病协会(德黑兰,伊朗)的2型糖尿病患者中,64名患者被随机分配到两组。实验组在互联网上参加了五次一小时的治疗。采用治疗前后自我护理总结问卷、糖尿病依赖生活质量量表和心理福利问卷进行数据收集。收集的资料采用多变量协方差分析(MANCOVA)进行分析。结果:两组患者血糖水平(F=4.35)、幸福感(F=14.24)、生活质量(F=52.63)、自我护理(F=68.54)差异均有统计学意义(p < 0.001)。结论:考虑到自我保健教育和移动(虚拟)健康的重要性,建议利用网络自我保健治疗来控制糖尿病
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引用次数: 0
Effectiveness of Transdiagnostic Intervention and Mindfulness-Based Schema Therapy on Cancer Self-Efficacy and Resilience in Women with Breast Cancer 跨诊断干预和正念图式治疗对乳腺癌患者癌症自我效能感和心理弹性的影响
Pub Date : 2022-09-14 DOI: 10.32592/nkums.14.3.24
Introduction: Diagnosis of cancer is very distressing and causes a lack of control and insecurity in the suffering person. Resilience and self-efficacy are two essential support factors that can help these people; therefore, the present study aimed to compare the effectiveness of mindfulness-based schema therapy and transdiagnostic intervention in women with breast cancer on cancer self-efficacy and resilience along with a follow-up period.Method: The research method was quasi-experimental with a pretest-posttest design and a follow-up period of 45 days. The statistical population included female patients with breast cancer in 2019-2022 referred to Omid and Imam Reza hospitals in Mashhad, Iran. The instruments were the Cancer Self-efficacy Questionnaire of Champion et al. (2013) and the Cancer Resilience Questionnaire of Sonaga and Futavatari (2018). In total, 41 subjects were purposefully selected from the population and randomly assigned to the experimental and control groups. For the two experimental groups, the intervention was performed for 10 weekly sessions. Data analysis was performed using the repeated measures analysis of variance (ANOVA) test and Bonferroni post hoc test using the SPSS statistical software (version 25) at the significance level of 0.05.Results: There was a significant difference between the mean scores of the first and second experimental groups and the control group in the post-test and follow-up concerning resilience (P<0.007) and self-efficacy (P<0.01). On the other hand, there was no significant difference between transdiagnostic effectiveness and mindfulness-based schema therapy in the post-test and follow-up (P>0.05).Conclusion: Based on the present findings, it is suggested to reduce the psychological problems of women with breast cancer through mindfulness-based schema therapy and transdiagnostic treatment
简介:癌症的诊断是非常痛苦的,导致患者缺乏控制和不安全感。弹性和自我效能是两个重要的支持因素,可以帮助这些人;因此,本研究旨在比较基于正念的图式治疗和跨诊断干预对乳腺癌女性癌症自我效能感和恢复力的影响,并进行随访。方法:采用准实验研究方法,采用前测后测设计,随访45 d。统计人群包括2019-2022年在伊朗马什哈德的奥米德和伊玛目礼萨医院转诊的女性乳腺癌患者。研究工具为Champion et al.(2013)的癌症自我效能问卷和Sonaga and Futavatari(2018)的癌症弹性问卷。总共从人群中有目的地选择了41名受试者,并随机分配到实验组和对照组。对于两个实验组,干预进行了10周的会议。数据分析采用重复测量方差分析(ANOVA)检验和Bonferroni事后检验,采用SPSS统计软件(版本25),显著性水平为0.05。结果:第一、第二实验组与对照组在心理弹性后测及随访中的平均得分差异有统计学意义(P0.05)。结论:基于本研究结果,建议通过正念图式疗法和跨诊断治疗来减少乳腺癌妇女的心理问题
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引用次数: 0
Introducing an Index to Predict Lung Involvement in Hypertensive Patients with COVID-19 介绍一种预测高血压合并COVID-19患者肺部累及的指标
Pub Date : 2022-09-12 DOI: 10.32592/nkums.14.3.78
Introduction: Research efforts for early prediction of COVID-19 are still ongoing. This study aimed to introduce an index for predicting lung involvement in hypertensive patients with COVID-19.Method: All hypertensive patients with COVID-19 who were hospitalized in the intensive care unit of Imam Sajjad Hospital in Tabriz, Iran, from February 1400 to May 1401 comprised the statistical population of this study, who were selected as the statistical sample by the census. The vitamin D concentration, C-reactive protein, and L-cysteine levels in serum were determined by the ELISA technique. An independent t-test was used to analyze the differences between groups. In addition, the C-reactive protein to L-cysteine ratio was calculated in both groups. A P-value of less than 0.05 was considered statistically significant.Results: All hypertensive patients with COVID-19 admitted to the intensive care unit had lung involvement of > 50% and vitamin D deficiency of < 20 ng/ml. The Vitamin D concentration was > 26 ng/ml in healthy individuals. The findings showed hypertensive patients with COVID-19 had significantly higher levels of C-reactive protein, L-cysteine, and C-reactive protein to L-cysteine ratio than healthy individuals (P≤0.005).Conclusion: The ratio of C-reactive protein to L-cysteine and vitamin D deficiency could better predict lung involvement in hypertensive patients with COVID-19
导言:COVID-19的早期预测研究仍在进行中。本研究旨在建立一种预测高血压合并COVID-19患者肺部病变的指标。方法:1400年2月至1401年5月在伊朗大不里士市伊玛目萨贾德医院重症监护室住院的所有COVID-19高血压患者构成本研究的统计人群,采用人口普查的方法选择这些患者作为统计样本。采用ELISA法测定血清维生素D浓度、c反应蛋白和l -半胱氨酸水平。采用独立t检验分析组间差异。计算两组大鼠c反应蛋白与l -半胱氨酸的比值。p值小于0.05被认为具有统计学意义。结果:所有入住重症监护室的高血压合并COVID-19患者肺部受累> 50%,维生素D缺乏症< 20 ng/ml。健康个体维生素D浓度> 26 ng/ml。结果显示,高血压合并COVID-19患者c -反应蛋白、l -半胱氨酸水平及c -反应蛋白/ l -半胱氨酸比值均显著高于健康人群(P≤0.005)。结论:c反应蛋白/ l -半胱氨酸比值和维生素D缺乏可更好地预测COVID-19高血压患者肺部病变
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引用次数: 0
The Effect of High-Intensity Interval Training and Sleep Regulation on Some Inflammatory Markers, Anaerobic Capacity, and Body Composition in Teenage Girls with Sleep Disorders 高强度间歇训练和睡眠调节对睡眠障碍少女一些炎症标志物、无氧能力和身体成分的影响
Pub Date : 2022-09-11 DOI: 10.32592/nkums.14.3.16
Introduction: The present study aimed to compare the effect of high-intensity interval training (HIIT), sleep regulation, and the combined method on interleukin-6 (IL-6), high-sensitivity reactive protein (hs-CRP), anaerobic capacity, and body mass index (BMI) of adolescent girls with sleep disorders.Method: Eighty teenage girls with sleep disorders were randomly assigned to HIIT, sleep regulation, a combination of the two (HIIT+ sleep regulation), and control groups. All girls participated in pre-test and post-test sessions for the measurements two days before and after the research process. The participants in the HIIT and combined groups underwent a HIIT training program for four weeks, three sessions per week, and the subjects in the sleep regulation and combined groups performed the sleep regulation program by extending the sleep time duration by five minutes every night.Results: The findings showed a significant difference between groups for the serum levels of IL-6 and hs-CRP, BMI, and anaerobic power (P<0.001). Bonferroni's post hoc test showed a significant decrease in BMI and serum levels of IL-6 and hs-CRP and a significant increase in the minimum power in the combined group compared to the other three groups (P<0.001). In addition, a significant increase in anaerobic power (peak and average power) was respectively observed in the combined and HIIT groups, compared to the sleep regulation and control groups (P<0.001).Conclusion: The HIIT+ sleep regulation combined intervention can be a valuable interventional treatment to improve the care of sleep disorders in adolescent girls and, consequently, reduce the problems and costs of treatment for these individuals and their families
本研究旨在比较高强度间歇训练(HIIT)、睡眠调节和联合训练对青春期睡眠障碍女孩白细胞介素-6 (IL-6)、高敏反应蛋白(hs-CRP)、无氧能力和体重指数(BMI)的影响。方法:将80名患有睡眠障碍的少女随机分为HIIT组、睡眠调节组、HIIT+睡眠调节组和对照组。所有女孩在研究过程前后两天分别参加了测试前和测试后的测量。HIIT组和联合组的参与者接受为期四周的HIIT训练计划,每周三次,睡眠调节组和联合组的受试者通过每晚延长5分钟的睡眠时间来执行睡眠调节计划。结果:血清IL-6、hs-CRP水平、BMI、无氧能力组间差异有统计学意义(P<0.001)。Bonferroni的事后测试显示,与其他三组相比,联合组的BMI和血清IL-6和hs-CRP水平显著降低,最小功率显著增加(P<0.001)。此外,与睡眠调节组和对照组相比,联合组和HIIT组的无氧功率(峰值和平均功率)分别显著增加(P<0.001)。结论:HIIT+睡眠调节联合干预是一种有价值的干预治疗方法,可以改善青春期女孩睡眠障碍的护理,从而减少这些个人及其家庭的治疗问题和费用
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引用次数: 0
Study of the Combined Effect of Low Frequency Stimulation and Carbamazepine on Motor and Balance Behavior Indices during Unilateral Kindling in the CA1 Region of the Dorsal Hippocampus in Adult Male Rats 低频刺激联合卡马西平对成年雄性大鼠海马背侧CA1区单侧点燃时运动及平衡行为指标影响的研究
Pub Date : 2022-09-01 DOI: 10.52547/nkums.14.2.66
R. Moghaddasi, A. Moazedi, Z. Ghotbeddin, M. R. Akhond
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引用次数: 0
The Effect of Different Ozone Concentrations on the Expression of β-catenin and HIF-I Genes in the Colon Tissue of BALB/c Mice Treated with Azoxymethane/dextran Sodium Sulfate 不同臭氧浓度对氮氧甲烷/葡聚糖硫酸钠处理BALB/c小鼠结肠组织中β-catenin和HIF-I基因表达的影响
Pub Date : 2022-09-01 DOI: 10.52547/nkums.14.2.1
T. Salehi, M. Korani, M. Jafari, M. Izadi, A. Khonche
{"title":"The Effect of Different Ozone Concentrations on the Expression of β-catenin and HIF-I Genes in the Colon Tissue of BALB/c Mice Treated with Azoxymethane/dextran Sodium Sulfate","authors":"T. Salehi, M. Korani, M. Jafari, M. Izadi, A. Khonche","doi":"10.52547/nkums.14.2.1","DOIUrl":"https://doi.org/10.52547/nkums.14.2.1","url":null,"abstract":"","PeriodicalId":16423,"journal":{"name":"journal of north khorasan university of medical sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79225754","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}
引用次数: 0
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journal of north khorasan university of medical sciences
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