Sareh Dashti, Ali Jafarzadeh Esfehani, Atefeh Tabriz Nia Tabrizi
{"title":"Breast Cancer in Transgender Individuals: Challenges and Perspectives","authors":"Sareh Dashti, Ali Jafarzadeh Esfehani, Atefeh Tabriz Nia Tabrizi","doi":"10.5812/mcj-139549","DOIUrl":"https://doi.org/10.5812/mcj-139549","url":null,"abstract":"<jats:p />","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135540450","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}
Golnar Sabetian, Mina Ostovan, Simin Azemati, Naeimehossadat Asmarian, Sina Azadikhah, Vida Naderi-boldaji
Background: One-lung ventilation (OLV) is often required to facilitate surgical exposure. Hypoxemia is a common disorder during thoracic surgery. Objectives: We studied whether changing from the supine to the lateral position during OLV and two-lung ventilation (TLV) in thoracic surgery would affect positions on arterial oxygen pressure (PaO2) in two groups of smokers and nonsmokers. Methods: This single-blinded prospective observational pilot study was conducted on patients who underwent thoracotomy under general anesthesia. The effect of lateral and supine PaO2 was investigated in 15 patients with a history of smoking (≥ 40 packs/year) and 15 patients without. The data were analyzed via descriptive and inferential statistics in SPSS v. 19. Results: Arterial oxygen pressure did not significantly differ between the two groups in the supine TLV (P = 0.98), supine OLV (P = 0.16), lateral TLV (P = 0.06), and lateral OLV (P = 0.31). However, the PaO2 level was higher in smokers than in nonsmokers (except during supine TLV). Changing the position from supine to lateral caused a relative decrease in PaO2 (except during TLV in smokers) during TLV and OLV. This reduction in PaO2 levels was less in smokers (72.12) than in nonsmokers (95.28). Oxygen saturation (SpO2) levels were the same in all positions regardless of whether they were a smoker or nonsmoker. Conclusions: Changing the position from supine to lateral had no significant effects on PaO2 and SpO2 levels in smoker and nonsmoker patients during OLV and TLV in thoracic surgery.
{"title":"The Effect of Patients’ Position on Arterial Oxygenation During One-Lung and Two-Lung Ventilation in Thoracic Surgery: Smoker vs. Nonsmoker Patients (A Pilot Study)","authors":"Golnar Sabetian, Mina Ostovan, Simin Azemati, Naeimehossadat Asmarian, Sina Azadikhah, Vida Naderi-boldaji","doi":"10.5812/mcj-138261","DOIUrl":"https://doi.org/10.5812/mcj-138261","url":null,"abstract":"Background: One-lung ventilation (OLV) is often required to facilitate surgical exposure. Hypoxemia is a common disorder during thoracic surgery. Objectives: We studied whether changing from the supine to the lateral position during OLV and two-lung ventilation (TLV) in thoracic surgery would affect positions on arterial oxygen pressure (PaO2) in two groups of smokers and nonsmokers. Methods: This single-blinded prospective observational pilot study was conducted on patients who underwent thoracotomy under general anesthesia. The effect of lateral and supine PaO2 was investigated in 15 patients with a history of smoking (≥ 40 packs/year) and 15 patients without. The data were analyzed via descriptive and inferential statistics in SPSS v. 19. Results: Arterial oxygen pressure did not significantly differ between the two groups in the supine TLV (P = 0.98), supine OLV (P = 0.16), lateral TLV (P = 0.06), and lateral OLV (P = 0.31). However, the PaO2 level was higher in smokers than in nonsmokers (except during supine TLV). Changing the position from supine to lateral caused a relative decrease in PaO2 (except during TLV in smokers) during TLV and OLV. This reduction in PaO2 levels was less in smokers (72.12) than in nonsmokers (95.28). Oxygen saturation (SpO2) levels were the same in all positions regardless of whether they were a smoker or nonsmoker. Conclusions: Changing the position from supine to lateral had no significant effects on PaO2 and SpO2 levels in smoker and nonsmoker patients during OLV and TLV in thoracic surgery.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135773696","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: Various psychological, social, and biological factors affect the lifestyles of middle-aged women, and unhealthy lifestyles are primary concerns, according to the World Health Organization. Mindfulness counseling has emerged as a widely used approach to modifying and improving lifestyles. Objectives: This study assessed the effectiveness of mindfulness-based counseling on the health-promoting lifestyle in Iranian middle-aged women. Methods: An experimental study was conducted with a pretest-posttest design and a control group involving 48 middle-aged women who were referred to Comprehensive Health Services Center No. 1 in Lordegan, Iran. The study was initiated in October 2020 and finished in February 2021. The first step was to recruit women through convenience sampling and then randomly assign them to the intervention (n = 24) and control (n = 24) groups. The intervention group received mindfulness counseling from a trained midwife once a week for 8 weeks. Walker's health-promoting lifestyle profile II (HPLP II) was completed at the beginning of the study and 4 weeks after the intervention. Independent and paired t-tests, chi-square, and Fisher's exact tests were used for data analysis in SPSS v. 24. Statistical significance was attributed to a P-value of less than 0.05. Results: Before any intervention, no notable difference was detected in the average health promotion lifestyle in the intervention (113.04 ± 24.05) and control (109.41 ± 15.68) groups (P = 0.539) and the dimensions of both groups (P > 0.05). However, the intervention group showed a significantly higher mean (151.66 ± 14.01) for the health-promoting lifestyle than the control group (107.75 ± 12.27) following the counseling sessions (P < 0.001). Conclusions: Enhancing the health-promoting lifestyle and, subsequently, the quality of life of middle-aged women can be achieved through mindfulness counseling. Therefore, the administration of group counseling incorporating mindfulness techniques is recommended for this population.
{"title":"Effectiveness of Mindfulness-Based Counseling on the Health Promoting Lifestyle in Iranian Middle-Aged Women: An Experimental Study","authors":"Mojgan Nekoei, Nasser Behroozi, Saeed Ghanbari, Zahra Abbaspoor","doi":"10.5812/mcj-138180","DOIUrl":"https://doi.org/10.5812/mcj-138180","url":null,"abstract":"Background: Various psychological, social, and biological factors affect the lifestyles of middle-aged women, and unhealthy lifestyles are primary concerns, according to the World Health Organization. Mindfulness counseling has emerged as a widely used approach to modifying and improving lifestyles. Objectives: This study assessed the effectiveness of mindfulness-based counseling on the health-promoting lifestyle in Iranian middle-aged women. Methods: An experimental study was conducted with a pretest-posttest design and a control group involving 48 middle-aged women who were referred to Comprehensive Health Services Center No. 1 in Lordegan, Iran. The study was initiated in October 2020 and finished in February 2021. The first step was to recruit women through convenience sampling and then randomly assign them to the intervention (n = 24) and control (n = 24) groups. The intervention group received mindfulness counseling from a trained midwife once a week for 8 weeks. Walker's health-promoting lifestyle profile II (HPLP II) was completed at the beginning of the study and 4 weeks after the intervention. Independent and paired t-tests, chi-square, and Fisher's exact tests were used for data analysis in SPSS v. 24. Statistical significance was attributed to a P-value of less than 0.05. Results: Before any intervention, no notable difference was detected in the average health promotion lifestyle in the intervention (113.04 ± 24.05) and control (109.41 ± 15.68) groups (P = 0.539) and the dimensions of both groups (P > 0.05). However, the intervention group showed a significantly higher mean (151.66 ± 14.01) for the health-promoting lifestyle than the control group (107.75 ± 12.27) following the counseling sessions (P < 0.001). Conclusions: Enhancing the health-promoting lifestyle and, subsequently, the quality of life of middle-aged women can be achieved through mindfulness counseling. Therefore, the administration of group counseling incorporating mindfulness techniques is recommended for this population.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135510798","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: Patients with bipolar disorder suffer from different problems, including emotional disorders, e.g., the loss of emotional self-regulation. Objectives: This study aimed to investigate the effects of emotional schema therapy and dialectical behavior therapy on emotional self-regulation in patients with bipolar II disorder (BP-II). Methods: This was an experimental study with a pretest-posttest design and a control group. The research population comprised patients with BP-II who visited the counseling and psychology centers of Dezful (Iran) in 2022. A sample of 45 eligible patients was purposively selected and randomly allocated to three groups. Each of the two experimental groups received twelve 90-minute sessions of emotional schema therapy and eleven 90-minute sessions of dialectical behavior therapy, while the control group was on the waiting list. The data were collected using the Cognitive Emotion Regulation Questionnaire (CERQ) and analyzed using the analysis of covariance with the Bonferroni post-hoc test in SPSS v. 26. Results: In the emotional schema therapy group, the mean ± standard deviation (SD) of the post-test scores of adaptive and maladaptive emotional self-regulation were 20.60 ± 2.99 and 12.66 ± 2.22, respectively. Moreover, in the dialectical behavior therapy group, the mean ± SD of the post-test scores of adaptive and maladaptive emotional self-regulation were 21.60 ± 3.33 and 14.13 ± 2.35, respectively. Both interventions significantly reduced maladaptive emotional self-regulation and significantly increased adaptive emotional self-regulation in the patients with BP-II, compared to the control group (P < 0.001). Conclusions: Emotional schema therapy and dialectical behavior therapy improved emotional self-regulation in patients with BP-II. Therapists and healthcare professionals can thus administer both methods and other effective methods to improve health-related traits, especially self-regulation, in patients with BP-II.
背景:双相情感障碍患者患有不同的问题，包括情绪障碍，如情绪自我调节的丧失。目的:探讨情绪图式疗法和辩证行为疗法对双相情感障碍(BP-II)患者情绪自我调节的影响。方法:采用前测后测设计，并设对照组。研究人群包括2022年访问Dezful(伊朗)咨询和心理中心的BP-II患者。有目的地选择45例符合条件的患者，随机分为三组。两个实验组各接受12次90分钟的情绪图式治疗和11次90分钟的辩证行为治疗，而对照组则在等候名单上。使用认知情绪调节问卷(CERQ)收集数据，并使用SPSS v. 26中的Bonferroni事后检验进行协方差分析。结果:情绪图式治疗组适应性情绪自我调节和不良情绪自我调节后验得分的均数±标准差(SD)分别为20.60±2.99和12.66±2.22。辩证行为治疗组适应性情绪自我调节和不良情绪自我调节的后验得分均值±SD分别为21.60±3.33和14.13±2.35。与对照组相比，两种干预措施均显著降低BP-II患者的适应不良情绪自我调节，显著提高BP-II患者的适应性情绪自我调节(P <0.001)。结论:情绪图式疗法和辩证行为疗法可改善BP-II患者的情绪自我调节。因此，治疗师和医疗保健专业人员可以使用这两种方法和其他有效的方法来改善BP-II患者的健康相关特征，特别是自我调节。
{"title":"Effects of Emotional Schema Therapy and Dialectical Behavior Therapy on Cognitive Emotion Regulation in Patients with Bipolar II Disorder","authors":"Elham Kalantarian, Rezvan Homaei, Zahra Dasht Bozorgi","doi":"10.5812/mcj-138135","DOIUrl":"https://doi.org/10.5812/mcj-138135","url":null,"abstract":"Background: Patients with bipolar disorder suffer from different problems, including emotional disorders, e.g., the loss of emotional self-regulation. Objectives: This study aimed to investigate the effects of emotional schema therapy and dialectical behavior therapy on emotional self-regulation in patients with bipolar II disorder (BP-II). Methods: This was an experimental study with a pretest-posttest design and a control group. The research population comprised patients with BP-II who visited the counseling and psychology centers of Dezful (Iran) in 2022. A sample of 45 eligible patients was purposively selected and randomly allocated to three groups. Each of the two experimental groups received twelve 90-minute sessions of emotional schema therapy and eleven 90-minute sessions of dialectical behavior therapy, while the control group was on the waiting list. The data were collected using the Cognitive Emotion Regulation Questionnaire (CERQ) and analyzed using the analysis of covariance with the Bonferroni post-hoc test in SPSS v. 26. Results: In the emotional schema therapy group, the mean ± standard deviation (SD) of the post-test scores of adaptive and maladaptive emotional self-regulation were 20.60 ± 2.99 and 12.66 ± 2.22, respectively. Moreover, in the dialectical behavior therapy group, the mean ± SD of the post-test scores of adaptive and maladaptive emotional self-regulation were 21.60 ± 3.33 and 14.13 ± 2.35, respectively. Both interventions significantly reduced maladaptive emotional self-regulation and significantly increased adaptive emotional self-regulation in the patients with BP-II, compared to the control group (P < 0.001). Conclusions: Emotional schema therapy and dialectical behavior therapy improved emotional self-regulation in patients with BP-II. Therapists and healthcare professionals can thus administer both methods and other effective methods to improve health-related traits, especially self-regulation, in patients with BP-II.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136357223","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: Nearly all cases admitted to intensive care units (ICUs) suffer from poor nutritional status. Accordingly, the type of parenteral nutrition administered can influence these patients’ health conditions. Objectives: This study aimed to compare the effects of parenteral nutrition with the amino acid alone and amino acid-intralipid combination on vital signs and rate of diuresis in ICU patients. Methods: This prospective cohort study was conducted over two years, from March 2021 to March 2023. Patients under intravenous nutrition with amino acid (Group A) and amino acid-intralipid (Group B) for three days (as ordered by the ICU specialist) were examined. The patients' vital signs and laboratory findings were recorded before and after the nutrition. The data were analyzed using SPSS v. 26. Results: The patients were homogeneous regarding age, sex, disease history, and diagnosis (P < 0.05). After parenteral feeding, urine and blood urea nitrogen/creatinine ratio respectively increased and decreased in Group B. Moreover, the serum bilirubin level significantly decreased in Group B, and SGOT and SGPT increased in Group A. In addition, the breathing rate significantly increased in Group A after intravenous feeding (P < 0.001). Conclusions: Although intravenous amino acid-intralipid nutrition increased and decreased urine and blood urea nitrogen/creatinine, respectively, the patients who received amino acid alone also experienced an increase in urine volume and respiratory rate. Therefore, intravenous amino acid nutrition alone can be cost-effective.
背景:几乎所有入住重症监护病房(icu)的病例都存在营养状况不佳的问题。因此，给予肠外营养的类型可以影响这些患者的健康状况。目的:比较氨基酸单独与氨基酸-脂质联合肠外营养对ICU患者生命体征及利尿率的影响。方法:这项前瞻性队列研究从2021年3月至2023年3月进行了两年多的研究。根据ICU专科医生的医嘱，静脉给予氨基酸(A组)和氨基酸-脂质内(B组)营养3天。记录营养前后患者生命体征及实验室检查结果。数据采用SPSS v. 26进行分析。结果:患者在年龄、性别、病史和诊断方面具有同质性(P <0.05)。经肠外喂养后，B组大鼠尿、血尿素氮/肌酐比值分别升高和降低，B组大鼠血清胆红素水平显著降低，A组大鼠SGOT和SGPT升高。0.001)。结论:虽然静脉注射氨基酸-脂质内营养可使尿氮/肌酐升高、降低，但单独服用氨基酸的患者尿量和呼吸频率也有所增加。因此，单独静脉注射氨基酸营养是具有成本效益的。
{"title":"Effects of Parenteral Nutrition with Amino Acid Alone and Amino Acid-Intralipid Combination on Vital Signs and Rate of Diuresis in ICU Patients","authors":"Yousef Mortazavi, Parviz Amri, Alireza Khosravi Larijani, Katayoun Mohebbisamimi, Behnam Esbakian, Hasanali Hasan Jafarpoor","doi":"10.5812/mcj-137649","DOIUrl":"https://doi.org/10.5812/mcj-137649","url":null,"abstract":"Background: Nearly all cases admitted to intensive care units (ICUs) suffer from poor nutritional status. Accordingly, the type of parenteral nutrition administered can influence these patients’ health conditions. Objectives: This study aimed to compare the effects of parenteral nutrition with the amino acid alone and amino acid-intralipid combination on vital signs and rate of diuresis in ICU patients. Methods: This prospective cohort study was conducted over two years, from March 2021 to March 2023. Patients under intravenous nutrition with amino acid (Group A) and amino acid-intralipid (Group B) for three days (as ordered by the ICU specialist) were examined. The patients' vital signs and laboratory findings were recorded before and after the nutrition. The data were analyzed using SPSS v. 26. Results: The patients were homogeneous regarding age, sex, disease history, and diagnosis (P < 0.05). After parenteral feeding, urine and blood urea nitrogen/creatinine ratio respectively increased and decreased in Group B. Moreover, the serum bilirubin level significantly decreased in Group B, and SGOT and SGPT increased in Group A. In addition, the breathing rate significantly increased in Group A after intravenous feeding (P < 0.001). Conclusions: Although intravenous amino acid-intralipid nutrition increased and decreased urine and blood urea nitrogen/creatinine, respectively, the patients who received amino acid alone also experienced an increase in urine volume and respiratory rate. Therefore, intravenous amino acid nutrition alone can be cost-effective.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136280003","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: This study aimed to determine breastfeeding women's feelings, thoughts, and experiences during COVID-19. Methods: This qualitative research was conducted in a research hospital in Central Anatolia, Turkey. The study focused on women who had given birth in the postpartum clinic, and it involved in-depth interviews with 42 participants on their first day of maternity. The interviews were recorded using a tape recorder. The data were analyzed using a thematic analysis approach. Results: Four main themes and 12 subthemes were developed, namely: fear (catching the disease, not being able to breastfeed, infecting the baby), strain (loneliness, lack of social support, feeling sad and inadequate), lack of knowledge (social isolation, compliance with hygiene rules, taking action), and requirement (need for information, expectation of help, increasing mother support). Conclusions: Women may be vulnerable postpartum due to restrictions on access to social support systems and isolation.
{"title":"Women's Experiences of Breastfeeding During COVID-19 In Turkey: A Qualitative Study","authors":"Rukiye Höbek Akarsu, Yurdagul Gunaydın","doi":"10.5812/mcj-135442","DOIUrl":"https://doi.org/10.5812/mcj-135442","url":null,"abstract":"Background: This study aimed to determine breastfeeding women's feelings, thoughts, and experiences during COVID-19. Methods: This qualitative research was conducted in a research hospital in Central Anatolia, Turkey. The study focused on women who had given birth in the postpartum clinic, and it involved in-depth interviews with 42 participants on their first day of maternity. The interviews were recorded using a tape recorder. The data were analyzed using a thematic analysis approach. Results: Four main themes and 12 subthemes were developed, namely: fear (catching the disease, not being able to breastfeed, infecting the baby), strain (loneliness, lack of social support, feeling sad and inadequate), lack of knowledge (social isolation, compliance with hygiene rules, taking action), and requirement (need for information, expectation of help, increasing mother support). Conclusions: Women may be vulnerable postpartum due to restrictions on access to social support systems and isolation.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135199892","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: Since the early diagnosis of celiac disease (CD) is crucial, understanding its epidemiological characteristics can facilitate timely diagnosis and treatment. This study investigated CD's epidemiological, clinical, and laboratory characteristics in South Khorasan Province, Iran. Objectives: This study aimed to clarify the epidemiological characteristics, clinical manifestations, and laboratory findings of patients with CD in South Khorasan Province. Methods: This descriptive epidemiological research was conducted on 110 individuals with CD referred to the Gastroenterology Clinic from March to August 2019. The data were acquired via a comprehensive questionnaire, encompassing the participants' demographic specifications, medical records, the symptoms of the disease, laboratory diagnostic evaluations, and biopsy results. The data were employed for epidemiological inquiry, and the corresponding analyses were performed in SPSS v. 22. Results: The participants' mean age was 28.38 ± 15.25 years,78 (70.9%) were men, and 32 (29.1%) were women. The most common clinical gastrointestinal symptoms included abdominal pain in 70 (63.6%), diarrhea in 44 (40%), constipation in 43 (39.1%), and nausea in 35 (31.8%). Of the 83 biopsy cases, 3 (3.6%), 4 (4.8%), 9 (10.8%), 21 (25.3%), and 43 (55.4%) belonged to Marsh-I, Marsh-II, Marsh-IIIa, Marsh-IIIb, Marsh-IIIc categories, respectively. Conclusions: Most participants were male and aged 10 to 20 years. Abdominal pain was the most common clinical symptom. All the pathologically examined patients showed evidence of CD, while approximately two-thirds were serologically positive.
背景:乳糜泻(CD)的早期诊断至关重要，了解其流行病学特征有助于及时诊断和治疗。本研究调查了伊朗南呼罗珊省乳糜泻的流行病学、临床和实验室特征。目的:本研究旨在阐明南呼罗珊省乳糜泻患者的流行病学特征、临床表现和实验室结果。方法:对2019年3月至8月在胃肠病学诊所就诊的110例乳糜泻患者进行描述性流行病学研究。数据是通过一份全面的调查问卷获得的，包括参与者的人口统计特征、医疗记录、疾病症状、实验室诊断评估和活检结果。数据采用流行病学调查，用SPSS v. 22软件进行分析。结果:参与者平均年龄28.38±15.25岁，男性78例(70.9%)，女性32例(29.1%)。最常见的临床胃肠道症状包括腹痛70例(63.6%)，腹泻44例(40%)，便秘43例(39.1%)，恶心35例(31.8%)。83例活检病例中，分别有3例(3.6%)、4例(4.8%)、9例(10.8%)、21例(25.3%)、43例(55.4%)属于Marsh-I、Marsh-II、Marsh-IIIa、Marsh-IIIb、Marsh-IIIc类。结论:大多数参与者为男性，年龄在10至20岁之间。腹痛是最常见的临床症状。所有病理检查的患者都有乳糜泻的证据，而大约三分之二的患者血清学呈阳性。
{"title":"Evaluation of the Epidemiological, Clinical, and Laboratory Characteristics of Patients with Celiac Disease in South Khorasan (Iran)","authors":"Tahmine Tavakoli, Fatemeh Salmani, Maryam Sahebdel Fard","doi":"10.5812/mcj-135314","DOIUrl":"https://doi.org/10.5812/mcj-135314","url":null,"abstract":"Background: Since the early diagnosis of celiac disease (CD) is crucial, understanding its epidemiological characteristics can facilitate timely diagnosis and treatment. This study investigated CD's epidemiological, clinical, and laboratory characteristics in South Khorasan Province, Iran. Objectives: This study aimed to clarify the epidemiological characteristics, clinical manifestations, and laboratory findings of patients with CD in South Khorasan Province. Methods: This descriptive epidemiological research was conducted on 110 individuals with CD referred to the Gastroenterology Clinic from March to August 2019. The data were acquired via a comprehensive questionnaire, encompassing the participants' demographic specifications, medical records, the symptoms of the disease, laboratory diagnostic evaluations, and biopsy results. The data were employed for epidemiological inquiry, and the corresponding analyses were performed in SPSS v. 22. Results: The participants' mean age was 28.38 ± 15.25 years,78 (70.9%) were men, and 32 (29.1%) were women. The most common clinical gastrointestinal symptoms included abdominal pain in 70 (63.6%), diarrhea in 44 (40%), constipation in 43 (39.1%), and nausea in 35 (31.8%). Of the 83 biopsy cases, 3 (3.6%), 4 (4.8%), 9 (10.8%), 21 (25.3%), and 43 (55.4%) belonged to Marsh-I, Marsh-II, Marsh-IIIa, Marsh-IIIb, Marsh-IIIc categories, respectively. Conclusions: Most participants were male and aged 10 to 20 years. Abdominal pain was the most common clinical symptom. All the pathologically examined patients showed evidence of CD, while approximately two-thirds were serologically positive.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072143","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}
Introduction: Cervical medullary injury is a severe type of spinal cord injury that can lead to neurogenic bladder and neurogenic rectum, which increases the risk of autonomic dysreflexia (AD) in patients. Autonomic dysreflexia is a common group of clinical syndromes characterized by autonomic dysfunction after spinal cord injury in the T6 or higher level. If left untreated, AD can lead to severe complications such as hypertensive crisis, paroxysms, intracranial hemorrhage, and even death. Nursing interventions are crucial in selecting the timing of catheterization for a patient with frequent AD during intermittent catheterization for cervical medullary injury, enhancing the overall quality of care for patients with cervical medullary injury. Case Presentation: This study focused on a tetraplegic patient with a cervical medullary injury who developed AD during intermittent catheterization. The factors influencing AD during intermittent catheterization were explored through a literature review, urodynamics, and a bladder scanner. The nursing interventions implemented included active control of AD, personalized assessment of the risk of abnormal autonomic dysreflexia, prevention, early identification, acute episode management, precise bladder management, and implementation of a personalized care plan. After 31 days of treatment, the number of AD episodes was significantly reduced, leakage was decreased, and urine volume was controlled in the normal range with good results. The key points of care included timely control of urine output, selection of the best catheterization timing, and other health education methods. The nursing interventions played an active and effective role in maintaining normal bladder function, and the patient resumed regular intermittent catheterization. Conclusions: Nursing interventions are vital in managing patients with cervical medullary injuries who require intermittent catheterization. A comprehensive nursing care plan that includes personalized assessment and management of AD can significantly improve outcomes for these patients and prevent the occurrence of AD, ultimately leading to a better quality of life.
{"title":"Nursing Intervention for the Timing of Catheterization in a Patient with Frequent Abnormal Autonomic Reflexes from Cervical Medullary Injury: A Case Report","authors":"Heshu Tang, Yan Wang, Ping Zhou","doi":"10.5812/mcj-138003","DOIUrl":"https://doi.org/10.5812/mcj-138003","url":null,"abstract":"Introduction: Cervical medullary injury is a severe type of spinal cord injury that can lead to neurogenic bladder and neurogenic rectum, which increases the risk of autonomic dysreflexia (AD) in patients. Autonomic dysreflexia is a common group of clinical syndromes characterized by autonomic dysfunction after spinal cord injury in the T6 or higher level. If left untreated, AD can lead to severe complications such as hypertensive crisis, paroxysms, intracranial hemorrhage, and even death. Nursing interventions are crucial in selecting the timing of catheterization for a patient with frequent AD during intermittent catheterization for cervical medullary injury, enhancing the overall quality of care for patients with cervical medullary injury. Case Presentation: This study focused on a tetraplegic patient with a cervical medullary injury who developed AD during intermittent catheterization. The factors influencing AD during intermittent catheterization were explored through a literature review, urodynamics, and a bladder scanner. The nursing interventions implemented included active control of AD, personalized assessment of the risk of abnormal autonomic dysreflexia, prevention, early identification, acute episode management, precise bladder management, and implementation of a personalized care plan. After 31 days of treatment, the number of AD episodes was significantly reduced, leakage was decreased, and urine volume was controlled in the normal range with good results. The key points of care included timely control of urine output, selection of the best catheterization timing, and other health education methods. The nursing interventions played an active and effective role in maintaining normal bladder function, and the patient resumed regular intermittent catheterization. Conclusions: Nursing interventions are vital in managing patients with cervical medullary injuries who require intermittent catheterization. A comprehensive nursing care plan that includes personalized assessment and management of AD can significantly improve outcomes for these patients and prevent the occurrence of AD, ultimately leading to a better quality of life.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136071174","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: Interprofessional communication between nurses and paramedics is a crucial and challenging issue for safe and effective patient care, but it has not been addressed enough. The most important action for improving these communications is to identify their obstacles and challenges. Objectives: The aim of this study was to explain the obstacles to interprofessional communications between nurses and paramedics. Methods: This study used the qualitative content analysis method. The participants of this research were 11 nurses and paramedics who were selected using purposeful sampling and took part in semi-structured in-depth interviews. The data were collected from May to September 2022. Data analysis was carried out by the conventional content analysis method proposed by Graneheim and Lundman. Guba and Lincoln’s criteria were used to assess the rigor and accuracy of the collected data. Results: The findings of this research disclosed 3 main themes; human resources challenges, lack of coordination between nursing and paramedics departments, and emergency situations. Conclusions: The challenges of interprofessional communication between nurses and paramedics are influenced by different human and managerial factors, and identifying them is a significant step toward improving this communication. With regard to the findings of this study, managers and planners of healthcare centers can mitigate challenging factors and improve the communication between nurses and paramedical staff and, therefore, prepare the context for high-quality care of patients and boost the satisfaction of health professionals with their work conditions.
{"title":"Explaining the Obstacles of Interprofessional Communications of Nurses and Paramedics: A Qualitative Study","authors":"Mohsen Faseleh Jahromi, Rasoul Eslami Akbar, Zohreh Badiyepeymaiejahromi, Morteza Khajepour","doi":"10.5812/mcj-137945","DOIUrl":"https://doi.org/10.5812/mcj-137945","url":null,"abstract":"Background: Interprofessional communication between nurses and paramedics is a crucial and challenging issue for safe and effective patient care, but it has not been addressed enough. The most important action for improving these communications is to identify their obstacles and challenges. Objectives: The aim of this study was to explain the obstacles to interprofessional communications between nurses and paramedics. Methods: This study used the qualitative content analysis method. The participants of this research were 11 nurses and paramedics who were selected using purposeful sampling and took part in semi-structured in-depth interviews. The data were collected from May to September 2022. Data analysis was carried out by the conventional content analysis method proposed by Graneheim and Lundman. Guba and Lincoln’s criteria were used to assess the rigor and accuracy of the collected data. Results: The findings of this research disclosed 3 main themes; human resources challenges, lack of coordination between nursing and paramedics departments, and emergency situations. Conclusions: The challenges of interprofessional communication between nurses and paramedics are influenced by different human and managerial factors, and identifying them is a significant step toward improving this communication. With regard to the findings of this study, managers and planners of healthcare centers can mitigate challenging factors and improve the communication between nurses and paramedical staff and, therefore, prepare the context for high-quality care of patients and boost the satisfaction of health professionals with their work conditions.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79307159","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}
Zahra Ahmadi Yegane, A. Nasiri, S. Sahranavard, A. Sebzari
Background: Breast cancer diagnosis and treatment can negatively impact the quality of life and lead to symptoms such as insomnia, depression, and anxiety. Internet-delivered interventions may reduce these symptoms in patients with limited access to face-to-face psychological treatments. Objectives: This study aimed to determine the effect of online mindfulness-based stress reduction (MBSR) intervention on the sleep quality of women with breast cancer in Birjand City. Methods: In this randomized controlled clinical trial, 62 eligible women with breast cancer undergoing chemotherapy in Birjand were selected using convenience sampling. They were assigned to two groups, intervention, and control, each consisting of 31 individuals, using random allocation. In addition to standard treatments, the intervention group received online MBSR training consisting of four two-hour sessions over four consecutive weeks. The control group only received standard cancer treatments. The data collection tool included a demographic form and a standard Pittsburgh Sleep Quality Questionnaire completed by individuals before, immediately, and 2 months after the intervention. Data were analyzed using SPSS 16 statistical software. The following tests were conducted at a significance level of P < 0.05: Chi-square, Fisher's exact, Independent t, repeated-measures ANOVA, Bonferroni, Mann-Whitney U, and Friedman. Results: The mean sleep quality scores decreased immediately and 2 months after the intervention compared to before in the intervention group, while it increased in the control group (P < 0.001). Also, the independent t-test showed that the mean sleep quality scores decreased in the intervention group from before to immediately after the intervention, as well as from before to 2 months later (P > 0.001). In contrast, the control group patients experienced increased sleep quality scores (P > 0.001). Conclusions: Mindfulness-based stress reduction significantly improved sleep quality in the intervention group, as demonstrated by decreased scores immediately and 2 months after the intervention. On the other hand, the control group experienced an increase in sleep quality scores. These findings highlight the effectiveness of MBSR in enhancing sleep outcomes.
{"title":"Effect of Online Mindfulness-based Stress Reduction Intervention on Sleep Quality of Breast Cancer Patients","authors":"Zahra Ahmadi Yegane, A. Nasiri, S. Sahranavard, A. Sebzari","doi":"10.5812/mcj-134503","DOIUrl":"https://doi.org/10.5812/mcj-134503","url":null,"abstract":"Background: Breast cancer diagnosis and treatment can negatively impact the quality of life and lead to symptoms such as insomnia, depression, and anxiety. Internet-delivered interventions may reduce these symptoms in patients with limited access to face-to-face psychological treatments. Objectives: This study aimed to determine the effect of online mindfulness-based stress reduction (MBSR) intervention on the sleep quality of women with breast cancer in Birjand City. Methods: In this randomized controlled clinical trial, 62 eligible women with breast cancer undergoing chemotherapy in Birjand were selected using convenience sampling. They were assigned to two groups, intervention, and control, each consisting of 31 individuals, using random allocation. In addition to standard treatments, the intervention group received online MBSR training consisting of four two-hour sessions over four consecutive weeks. The control group only received standard cancer treatments. The data collection tool included a demographic form and a standard Pittsburgh Sleep Quality Questionnaire completed by individuals before, immediately, and 2 months after the intervention. Data were analyzed using SPSS 16 statistical software. The following tests were conducted at a significance level of P < 0.05: Chi-square, Fisher's exact, Independent t, repeated-measures ANOVA, Bonferroni, Mann-Whitney U, and Friedman. Results: The mean sleep quality scores decreased immediately and 2 months after the intervention compared to before in the intervention group, while it increased in the control group (P < 0.001). Also, the independent t-test showed that the mean sleep quality scores decreased in the intervention group from before to immediately after the intervention, as well as from before to 2 months later (P > 0.001). In contrast, the control group patients experienced increased sleep quality scores (P > 0.001). Conclusions: Mindfulness-based stress reduction significantly improved sleep quality in the intervention group, as demonstrated by decreased scores immediately and 2 months after the intervention. On the other hand, the control group experienced an increase in sleep quality scores. These findings highlight the effectiveness of MBSR in enhancing sleep outcomes.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91408853","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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