Mitra Kameli, M. Moodi, E. Allahyari, Toktam Alizadeh, M. Miri
Background: In recent decades, spiritual well-being has gained fundamental importance in many healthcare environments. Spiritual well-being is important information about healthcare needs, allowing people to deal with mental stress. Objectives: The present study aimed to determine the spiritual well-being of nurses working in Birjand University of Medical Sciences hospitals in 2022. Methods: In this cross-sectional study, 354 nurses working in the hospitals of the University of Medical Sciences in Birjand City in 2022 were selected by proportional stratified random sampling, and they completed the questionnaire related to demographic information and the standard questionnaire of spiritual well-being. Data were analyzed by SPSS v26 software and ANOVA with Tukey's post hoc test, Pearson correlation, and chi-square at 0.05 significant level. Results: The mean age of the nurses participating was 35.76 ± 7.29 years, and the mean total score of nurses' spiritual well-being was 180.55 ± 16.95. Most of the people in the field of communication with God (78.5%), self (58.8%), others (75.1%), and nature (78.5%), and the total score (52%) were in the medium level of spiritual well-being. There was a significant direct correlation between all dimensions of spiritual well-being (P < 0.001). Also, there was a statistically significant relationship between the mean score of spiritual well-being and age, employment status, and workplace hospital (zage = 7.76; z employment = 18.95; z workplace = 18.62; P < 0.05). Conclusions: Considering that the nurses were medium in terms of spirituality and spiritual well-being, it is suggested to hold educational workshops to improve the level of spiritual well-being of nurses.
{"title":"Investigating the Spiritual Well-Being of Employee Nurses in the Hospitals of Birjand University of Medical Sciences in 2022","authors":"Mitra Kameli, M. Moodi, E. Allahyari, Toktam Alizadeh, M. Miri","doi":"10.5812/mcj-137236","DOIUrl":"https://doi.org/10.5812/mcj-137236","url":null,"abstract":"Background: In recent decades, spiritual well-being has gained fundamental importance in many healthcare environments. Spiritual well-being is important information about healthcare needs, allowing people to deal with mental stress. Objectives: The present study aimed to determine the spiritual well-being of nurses working in Birjand University of Medical Sciences hospitals in 2022. Methods: In this cross-sectional study, 354 nurses working in the hospitals of the University of Medical Sciences in Birjand City in 2022 were selected by proportional stratified random sampling, and they completed the questionnaire related to demographic information and the standard questionnaire of spiritual well-being. Data were analyzed by SPSS v26 software and ANOVA with Tukey's post hoc test, Pearson correlation, and chi-square at 0.05 significant level. Results: The mean age of the nurses participating was 35.76 ± 7.29 years, and the mean total score of nurses' spiritual well-being was 180.55 ± 16.95. Most of the people in the field of communication with God (78.5%), self (58.8%), others (75.1%), and nature (78.5%), and the total score (52%) were in the medium level of spiritual well-being. There was a significant direct correlation between all dimensions of spiritual well-being (P < 0.001). Also, there was a statistically significant relationship between the mean score of spiritual well-being and age, employment status, and workplace hospital (zage = 7.76; z employment = 18.95; z workplace = 18.62; P < 0.05). Conclusions: Considering that the nurses were medium in terms of spirituality and spiritual well-being, it is suggested to hold educational workshops to improve the level of spiritual well-being of nurses.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81107047","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: The self-confidence and anxiety levels of nursing students in making clinical decisions about patient care are important. Objectives: This study aimed to determine the anxiety and self-confidence of nursing students in the clinical decision-making process during the COVID-19 pandemic. Methods: This descriptive and correlational study was conducted on nursing students in the spring semester of the 2021-2022 academic year at a state university in Turkey during the pandemic period. The research was carried out on 382 students who voluntarily participated. Data was collected using the Introductory Information Form and the Nursing Anxiety and Self-confidence with Clinical Decision-Making Scale (NASC-CDM). The SPSS software version 21.0 was used for data analysis. Independent samples t-test and Mann-Whitney U test were used to compare the data of the two groups. İn addition, the data were compared between more than two groups by one-way ANOVA and Kruskal Wallis-H test. Results: We observed that 77.72% of the participants were female, with a mean age of 21.120 ± 1.118 years, and 70.7% were third-year students. More than half of the students reported that preventive measures against COVID-19 were taken sufficiently in surgical clinics. It was found that the mean self-confidence score was 113.68 ± 26.18 (range: 27.00 - 162.00), and the mean anxiety score was 65.53 ± 27.37 (range: 27.00 - 162.00). There was a statistically significant difference between the scale score mean and the characteristics of the students, such as class level, the reason for choosing the department of nursing, the desire for graduate education, COVID-19 history, fear of contracting COVID-19, follow-up of surgical patients with positive COVID-19 test (P < 0.05). Conclusions: Despite the COVID-19 pandemic, it was found that nursing students’ self-confidence levels were high, and their anxiety levels were low.
{"title":"Self-Confidence and Anxiety Levels of Nursing Students in the Decision-Making Process Related to Surgical Patient Care in the COVID-19 Pandemic","authors":"Gülseren Maraş, Hilal Kahraman, Yeliz Surme","doi":"10.5812/mcj-136659","DOIUrl":"https://doi.org/10.5812/mcj-136659","url":null,"abstract":"Background: The self-confidence and anxiety levels of nursing students in making clinical decisions about patient care are important. Objectives: This study aimed to determine the anxiety and self-confidence of nursing students in the clinical decision-making process during the COVID-19 pandemic. Methods: This descriptive and correlational study was conducted on nursing students in the spring semester of the 2021-2022 academic year at a state university in Turkey during the pandemic period. The research was carried out on 382 students who voluntarily participated. Data was collected using the Introductory Information Form and the Nursing Anxiety and Self-confidence with Clinical Decision-Making Scale (NASC-CDM). The SPSS software version 21.0 was used for data analysis. Independent samples t-test and Mann-Whitney U test were used to compare the data of the two groups. İn addition, the data were compared between more than two groups by one-way ANOVA and Kruskal Wallis-H test. Results: We observed that 77.72% of the participants were female, with a mean age of 21.120 ± 1.118 years, and 70.7% were third-year students. More than half of the students reported that preventive measures against COVID-19 were taken sufficiently in surgical clinics. It was found that the mean self-confidence score was 113.68 ± 26.18 (range: 27.00 - 162.00), and the mean anxiety score was 65.53 ± 27.37 (range: 27.00 - 162.00). There was a statistically significant difference between the scale score mean and the characteristics of the students, such as class level, the reason for choosing the department of nursing, the desire for graduate education, COVID-19 history, fear of contracting COVID-19, follow-up of surgical patients with positive COVID-19 test (P < 0.05). Conclusions: Despite the COVID-19 pandemic, it was found that nursing students’ self-confidence levels were high, and their anxiety levels were low.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75236509","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}
Majid Zare Bidaki, E. Allahyari, N. Ghanbarzadeh, F. Nikoomanesh
Background: Vulvovaginal candidiasis (VVC) is a common fungal infection caused by Candida species in the female genital tract. Objectives: This study attempts to predict predisposition to VVC related to risk factors and clinical symptoms among vaginitis cases using the artificial neural network (ANN) model. Methods: This cross-sectional study was performed on 250 women referred to gynecology clinics in Birjand, Iran. A questionnaire was used to record participants' demographic information. Swabs were used for wet mounts and culture. Candida species were identified by morphological and physiological methods. The performance of the optimal neural network model was assessed by the sensitivity, specificity, and accuracy area under the ROC curve (AUC). Descriptive statistics were used for the statistical description of data, and chi-square test, t-test, and ANN analysis using SPSS application tools (Statistical Product and Service Solutions) version 22 software at 0.05 significant level. Results: The prevalence of vulvovaginal candidiasis was 41.0%, and Candida albicans was the most frequently identified species (55.9%). The descriptive statistics (chi-square test and t-test) revealed no significant difference between the frequencies of Candida infection with demographic factors and clinical presentations. However, factors such as abortion history, number of sexual intercourse, dyspareunia, education, natural vaginal delivery (NVD), and lower abdominal pain included in our ANN model had significant differences (P < 0.05). Conclusions: The result of the ANN model revealed that using demographic factors and clinical symptoms can predict VVC infection. Therefore, this model can identify the effect of the clinical presentations and symptoms of infection.
背景:外阴阴道念珠菌病(VVC)是由念珠菌引起的女性生殖道常见真菌感染。目的:应用人工神经网络(ANN)模型预测阴道炎患者VVC易感性与危险因素及临床症状的关系。方法:这项横断面研究对伊朗Birjand妇科诊所的250名妇女进行了研究。使用问卷记录参与者的人口统计信息。拭子用于湿载和培养。采用形态学和生理学方法对念珠菌种类进行鉴定。通过ROC曲线下的灵敏度、特异性和准确度面积(AUC)来评估最优神经网络模型的性能。采用描述性统计对数据进行统计描述，采用SPSS应用工具(statistical Product and Service Solutions)第22版软件进行卡方检验、t检验和神经网络分析，在0.05显著水平下。结果:外阴阴道念珠菌病患病率为41.0%，其中以白色念珠菌最为常见(55.9%)。描述性统计(卡方检验和t检验)显示念珠菌感染频率与人口学因素和临床表现之间无显著差异。人工神经网络模型中流产史、性交次数、性交困难、教育程度、自然阴道分娩(NVD)、下腹痛等因素差异有统计学意义(P < 0.05)。结论:人工神经网络模型的结果表明，人口统计学因素和临床症状可以预测VVC感染。因此，该模型可以识别感染的临床表现和症状的影响。
{"title":"Using Artificial Neural Network to Predict Predisposing to Vulvovaginal Candidiasis among Vaginitis Cases","authors":"Majid Zare Bidaki, E. Allahyari, N. Ghanbarzadeh, F. Nikoomanesh","doi":"10.5812/modernc-135173","DOIUrl":"https://doi.org/10.5812/modernc-135173","url":null,"abstract":"Background: Vulvovaginal candidiasis (VVC) is a common fungal infection caused by Candida species in the female genital tract. Objectives: This study attempts to predict predisposition to VVC related to risk factors and clinical symptoms among vaginitis cases using the artificial neural network (ANN) model. Methods: This cross-sectional study was performed on 250 women referred to gynecology clinics in Birjand, Iran. A questionnaire was used to record participants' demographic information. Swabs were used for wet mounts and culture. Candida species were identified by morphological and physiological methods. The performance of the optimal neural network model was assessed by the sensitivity, specificity, and accuracy area under the ROC curve (AUC). Descriptive statistics were used for the statistical description of data, and chi-square test, t-test, and ANN analysis using SPSS application tools (Statistical Product and Service Solutions) version 22 software at 0.05 significant level. Results: The prevalence of vulvovaginal candidiasis was 41.0%, and Candida albicans was the most frequently identified species (55.9%). The descriptive statistics (chi-square test and t-test) revealed no significant difference between the frequencies of Candida infection with demographic factors and clinical presentations. However, factors such as abortion history, number of sexual intercourse, dyspareunia, education, natural vaginal delivery (NVD), and lower abdominal pain included in our ANN model had significant differences (P < 0.05). Conclusions: The result of the ANN model revealed that using demographic factors and clinical symptoms can predict VVC infection. Therefore, this model can identify the effect of the clinical presentations and symptoms of infection.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89347824","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 Sadat Shamsnajafi, R. Hassanzadeh, S. O. Emadian
Background: Faulty emotional strategies are one of the most crucial indicators of dangerous behavior. Objectives: This study aimed to evaluate the effectiveness of dialectical behavior therapy (DBT) on emotional processing defects and impulsivity of soldiers aged 18 to 20 years with high-risk behaviors. Methods: The method of the present study was quasi-experimental with a pre-test-post-test design. The statistical population of this study included all soldiers aged 18 to 20 years referred to Valiasr Medical Center in Tehran in 2020. The research sample included 30 soldiers with high-risk behaviors who were selected purposefully and randomly assigned to two groups (15 people in the experimental group and 15 people in the control group). To collect data, the high-risk behaviors Scale (IARS), Barrett's Impulsiveness scale, and the Toronto Alexithymia Scale (TAS-20) was used. The experimental group underwent ten sessions of DBT, and the control group did not receive any treatment. Data were analyzed using multivariate analysis of covariance and SPSS-23 software. The significance level of the tests was considered 0.05. Results: The results of this study showed that the intervention and control groups had statistically significant differences in terms of emotional processing (P < 0.01) and impulsivity (P < 0.05) after the intervention of dialectical behavior therapy. Conclusions: Based on the findings of the present study, it can be concluded that dialectical behavioral therapy can be used along with other treatments to reduce the problems of soldiers with high-risk behaviors.
{"title":"The Effectiveness of Dialectical Behavior Therapy on Emotional Processing Defects and Impulsivity of Soldiers Aged 18 to 20 Years with High-risk Behaviors","authors":"Zahra Sadat Shamsnajafi, R. Hassanzadeh, S. O. Emadian","doi":"10.5812/modernc-135447","DOIUrl":"https://doi.org/10.5812/modernc-135447","url":null,"abstract":"Background: Faulty emotional strategies are one of the most crucial indicators of dangerous behavior. Objectives: This study aimed to evaluate the effectiveness of dialectical behavior therapy (DBT) on emotional processing defects and impulsivity of soldiers aged 18 to 20 years with high-risk behaviors. Methods: The method of the present study was quasi-experimental with a pre-test-post-test design. The statistical population of this study included all soldiers aged 18 to 20 years referred to Valiasr Medical Center in Tehran in 2020. The research sample included 30 soldiers with high-risk behaviors who were selected purposefully and randomly assigned to two groups (15 people in the experimental group and 15 people in the control group). To collect data, the high-risk behaviors Scale (IARS), Barrett's Impulsiveness scale, and the Toronto Alexithymia Scale (TAS-20) was used. The experimental group underwent ten sessions of DBT, and the control group did not receive any treatment. Data were analyzed using multivariate analysis of covariance and SPSS-23 software. The significance level of the tests was considered 0.05. Results: The results of this study showed that the intervention and control groups had statistically significant differences in terms of emotional processing (P < 0.01) and impulsivity (P < 0.05) after the intervention of dialectical behavior therapy. Conclusions: Based on the findings of the present study, it can be concluded that dialectical behavioral therapy can be used along with other treatments to reduce the problems of soldiers with high-risk behaviors.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85616858","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}
Parvin Parvaie, Seyede Fatemeh Mousavi-nejad, E. Atabati
Background: In patients with active systemic lupus erythematosus (SLE), inflammatory markers such as erythrocyte sedimentation rate (ESR) and serum C-reactive protein (CRP) are often elevated. Increases in these inflammatory biomarkers have been linked to periodontal diseases. Objectives: This study aimed to investigate the impact of oral health education on inflammatory markers in patients with SLE. Methods: In this field trial study, 40 SLE patients with no dental plaque were assigned to the intervention and control groups by block randomization design. The intervention group was educated in a 20-minute session based on Bass’s method of tooth brushing. Before and 3 months after the intervention, the dental plaque, CRP, ESR, and double-stranded DNA (anti-dsDNA) levels were determined in the two groups. Data were analyzed with SPSS software using independent t-test, Wilcoxon, Mann-Whitney, and univariate covariance analysis at 0.05 significance level. Results: In terms of basic variables, there was no significant difference between the two groups. O’Leary’s plaque index in the intervention group showed a significant decrease over time, but no significant reduction was observed in the control group. The difference between the two groups was statistically significant (P < 0.001). The results of covariance analysis and controlling for the effect on patients' performance showed that the health education intervention had a significant impact on ESR (effect size = 9.6%). However, the intervention had a slight effect on CRP, dsDNA, and SLE Disease Activity Index (SLE-DAI). Moreover, CRP, ESR, and dsDNA showed a significant decrease in both groups after the intervention; however, the difference was not significant. Conclusions: According to the results of the study, it is recommended to implement educational programs in the field of oral and dental hygiene and the correct way of brushing teeth for patients with SLE.
{"title":"The Impact of an Oral Hygiene Education Module on Inflammatory Factors in Patients with Active Systemic Lupus Erythematosus","authors":"Parvin Parvaie, Seyede Fatemeh Mousavi-nejad, E. Atabati","doi":"10.5812/modernc-136708","DOIUrl":"https://doi.org/10.5812/modernc-136708","url":null,"abstract":"Background: In patients with active systemic lupus erythematosus (SLE), inflammatory markers such as erythrocyte sedimentation rate (ESR) and serum C-reactive protein (CRP) are often elevated. Increases in these inflammatory biomarkers have been linked to periodontal diseases. Objectives: This study aimed to investigate the impact of oral health education on inflammatory markers in patients with SLE. Methods: In this field trial study, 40 SLE patients with no dental plaque were assigned to the intervention and control groups by block randomization design. The intervention group was educated in a 20-minute session based on Bass’s method of tooth brushing. Before and 3 months after the intervention, the dental plaque, CRP, ESR, and double-stranded DNA (anti-dsDNA) levels were determined in the two groups. Data were analyzed with SPSS software using independent t-test, Wilcoxon, Mann-Whitney, and univariate covariance analysis at 0.05 significance level. Results: In terms of basic variables, there was no significant difference between the two groups. O’Leary’s plaque index in the intervention group showed a significant decrease over time, but no significant reduction was observed in the control group. The difference between the two groups was statistically significant (P < 0.001). The results of covariance analysis and controlling for the effect on patients' performance showed that the health education intervention had a significant impact on ESR (effect size = 9.6%). However, the intervention had a slight effect on CRP, dsDNA, and SLE Disease Activity Index (SLE-DAI). Moreover, CRP, ESR, and dsDNA showed a significant decrease in both groups after the intervention; however, the difference was not significant. Conclusions: According to the results of the study, it is recommended to implement educational programs in the field of oral and dental hygiene and the correct way of brushing teeth for patients with SLE.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77356795","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. Salarinia, M. Azizi, W. Tahmasebi, H. Khalvandi
Background: Several epidemiological studies have investigated the association between vitamin D deficiency and abnormal liver enzyme levels and type 2 diabetes (T2D) with inconsistent conclusions. Objectives: The current research aims to evaluate the effect of eight weeks of vitamin D consumption alongside exercise in water on liver enzymes and the mental health of women with type 2 diabetes. Methods: Forty women with type 2 diabetes aged 40 to 60 were divided into four groups of 10 subjects: (1) exercise in water and vitamin D supplementation, (2) exercise in water, (3) vitamin D supplementation, and (4) control group. The water exercise group performed three exercise sessions per week for eight weeks (Borg scale of 14), and vitamin D supplementation groups consumed 50,000 (IU) vitamin D every week. Liver enzymes and mental health (Beck's stress and anxiety (BAI) questionnaire (21 questions, alpha Cronbach 0.92) and depression (BDI-II) questionnaires (21 questions, alpha Cronbach 0.87)) were administered before and after eight weeks of training. The data were analyzed using descriptive and inferential statistics by SPSS software version 21. Kolmogorov-Smirnov test and one-way analysis of variance and paired t-test were used to analyze the data at a significance level of 0.05. Results: Aspartate aminotransferase and alanine aminotransferase decreased significantly after eight weeks in the vitamin D + water exercise and water exercise groups (P < 0.05). Moreover, depression and stress scores significantly decreased after the intervention in the vitamin D + water exercise and water exercise groups (P < 0.05). Conclusions: The findings demonstrated that exercise in water plus vitamin D consumption improved anthropometric indices and liver enzymes and alleviated depression and stress in patients with type 2 diabetes. These two interventions can be combined to reduce type 2 diabetes complications.
{"title":"Effect of Eight Weeks of Vitamin D Consumption and Exercise in Water on Liver Enzymes and Mental Health of Women with Type 2 Diabetes","authors":"M. Salarinia, M. Azizi, W. Tahmasebi, H. Khalvandi","doi":"10.5812/modernc-135889","DOIUrl":"https://doi.org/10.5812/modernc-135889","url":null,"abstract":"Background: Several epidemiological studies have investigated the association between vitamin D deficiency and abnormal liver enzyme levels and type 2 diabetes (T2D) with inconsistent conclusions. Objectives: The current research aims to evaluate the effect of eight weeks of vitamin D consumption alongside exercise in water on liver enzymes and the mental health of women with type 2 diabetes. Methods: Forty women with type 2 diabetes aged 40 to 60 were divided into four groups of 10 subjects: (1) exercise in water and vitamin D supplementation, (2) exercise in water, (3) vitamin D supplementation, and (4) control group. The water exercise group performed three exercise sessions per week for eight weeks (Borg scale of 14), and vitamin D supplementation groups consumed 50,000 (IU) vitamin D every week. Liver enzymes and mental health (Beck's stress and anxiety (BAI) questionnaire (21 questions, alpha Cronbach 0.92) and depression (BDI-II) questionnaires (21 questions, alpha Cronbach 0.87)) were administered before and after eight weeks of training. The data were analyzed using descriptive and inferential statistics by SPSS software version 21. Kolmogorov-Smirnov test and one-way analysis of variance and paired t-test were used to analyze the data at a significance level of 0.05. Results: Aspartate aminotransferase and alanine aminotransferase decreased significantly after eight weeks in the vitamin D + water exercise and water exercise groups (P < 0.05). Moreover, depression and stress scores significantly decreased after the intervention in the vitamin D + water exercise and water exercise groups (P < 0.05). Conclusions: The findings demonstrated that exercise in water plus vitamin D consumption improved anthropometric indices and liver enzymes and alleviated depression and stress in patients with type 2 diabetes. These two interventions can be combined to reduce type 2 diabetes complications.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81515371","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}
F. Salehi, Afsaneh Davoudi, M. Abedini, Hamidreza Riasi, Shiva Salehi, Siavash Kafian, Ali Taghizadegan
Background: Patent ductus arteriosus (PDA) is a common condition in premature babies, with a prevalence rate of 30 - 60%, and often requires medical or surgical intervention. Objectives: This study aimed to assess the effectiveness of 2 different brands of ibuprofen in PDA closure in preterm infants weighing less than 1500 g. Methods: This single-blind clinical trial study was performed on 75 premature neonates with PDA in the pediatric ward of Vali-Asr Hospital in Birjand from March 2014 to March 2019. Patients were treated with two brands of ibuprofen at doses of 10 mg/kg for the first day and 5 mg/kg for the second and third days (24 and 48 hours afterward). Before and three days after the last dose, the children were examined by pediatric cardiologist echocardiography. The data were input into SPSS version 23 and analyzed using descriptive statistics, such as mean and SD. Inferential statistics, such as the chi-square test, were also employed with a significance level of P-value < 0.05. Results: There was a significant difference between the rate of PDA closure, 78.8% in the Pedea group vs. 54.8% in the Ibuprofen group (P = 0.03). In the Ibuprofen group, there was no difference in drug efficacy in PDA closure between male and female neonates (P = 0.663). Also, in the Pedea group, there was a significant difference in terms of efficacy between male and female neonates (P = 0.049). No significant difference was observed in PDA closure between the two medications based on their sizes (P = 0.616 in small size, P = 0.266 in medium size, and P = 0.175 in large size). Conclusions: Pedea is more effective than Ibuprofen. It reduces complications and the need for surgery. However, there was no significant relationship between the two drugs based on the PDA sizes. Therefore, it seems logical to use the Iranian brand of ibuprofen, considering the benefits equal to the foreign one.
{"title":"Evaluating the Effectiveness of Ibuprofen from 2 Different Brands in Patent Ductus Arteriosus Closure in Preterm Neonates","authors":"F. Salehi, Afsaneh Davoudi, M. Abedini, Hamidreza Riasi, Shiva Salehi, Siavash Kafian, Ali Taghizadegan","doi":"10.5812/modernc-129466","DOIUrl":"https://doi.org/10.5812/modernc-129466","url":null,"abstract":"Background: Patent ductus arteriosus (PDA) is a common condition in premature babies, with a prevalence rate of 30 - 60%, and often requires medical or surgical intervention. Objectives: This study aimed to assess the effectiveness of 2 different brands of ibuprofen in PDA closure in preterm infants weighing less than 1500 g. Methods: This single-blind clinical trial study was performed on 75 premature neonates with PDA in the pediatric ward of Vali-Asr Hospital in Birjand from March 2014 to March 2019. Patients were treated with two brands of ibuprofen at doses of 10 mg/kg for the first day and 5 mg/kg for the second and third days (24 and 48 hours afterward). Before and three days after the last dose, the children were examined by pediatric cardiologist echocardiography. The data were input into SPSS version 23 and analyzed using descriptive statistics, such as mean and SD. Inferential statistics, such as the chi-square test, were also employed with a significance level of P-value < 0.05. Results: There was a significant difference between the rate of PDA closure, 78.8% in the Pedea group vs. 54.8% in the Ibuprofen group (P = 0.03). In the Ibuprofen group, there was no difference in drug efficacy in PDA closure between male and female neonates (P = 0.663). Also, in the Pedea group, there was a significant difference in terms of efficacy between male and female neonates (P = 0.049). No significant difference was observed in PDA closure between the two medications based on their sizes (P = 0.616 in small size, P = 0.266 in medium size, and P = 0.175 in large size). Conclusions: Pedea is more effective than Ibuprofen. It reduces complications and the need for surgery. However, there was no significant relationship between the two drugs based on the PDA sizes. Therefore, it seems logical to use the Iranian brand of ibuprofen, considering the benefits equal to the foreign one.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77748839","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: Saffron, as a medicinal plant, is widely used to treat various diseases, especially among women. Therefore, this study was conducted to review the studies on the impact of saffron on premenstrual syndrome (PMS), labor, childbirth, and menopause. Methods: This systematic review, based on the PICO process, systematically searched PubMed, Scopus, Cochrane, Embase, Web of Science, Science Direct, Google Scholar, Research Gate, and Persian databases, such as Scientific Information Database (SID) and Magiran, until February 2023. The search was based on a search strategy. Strategy search included keywords saffron OR Crocus sativus Linn. OR safranal OR crocin using AND premenstrual syndrome, postpartum depression, pregnancy anxiety, pregnancy depression, menopause, perimenopause, labor pain, childbirth, active labor phase, delivery, episiotomy, and pregnancy. Of 164 articles, 20 randomized controlled trials with a score of 3 and above based on the Jadad scale entered the study. Results: The results showed that saffron has positive effects on labor and childbirth, including improvement of Bishop’s score, labor progress, reduction of fatigue and labor pain intensity, and episiotomy healing. Additionally, it can improve mood and psychological symptoms of menopause and PMS. The results of two studies showed that saffron has an effect on postpartum depression. Conclusions: Saffron is suggested as a medicinal plant that can help improve women’s complications. However, due to the limited number of studies, it is recommended to carry out further studies without the limitations of previous studies before applying saffron in clinical medicine.
背景:藏红花作为一种药用植物，被广泛用于治疗各种疾病，尤其是女性。因此，本研究对藏红花对经前综合征(PMS)、分娩、更年期的影响进行了综述。方法:本系统综述基于PICO流程，系统检索PubMed、Scopus、Cochrane、Embase、Web of Science、Science Direct、Google Scholar、Research Gate以及Science Information Database (SID)和Magiran等波斯数据库，检索时间截止至2023年2月。搜索是基于一种搜索策略。策略搜索包括关键词藏红花或藏红花。经前综合征、产后抑郁、妊娠焦虑、妊娠抑郁、绝经、围绝经期、阵痛、分娩、活产期、分娩、外阴切开术和妊娠。164篇文章中，20篇基于Jadad量表得分在3分及以上的随机对照试验进入本研究。结果:结果表明，藏红花对分娩和分娩有积极的作用，包括改善Bishop 's评分，提高分娩进度，减轻疲劳和分娩疼痛强度，以及外阴切开术愈合。此外，它可以改善更年期和经前综合症的情绪和心理症状。两项研究的结果表明，藏红花对产后抑郁症有影响。结论:藏红花可作为一种改善女性并发症的药用植物。然而，由于研究数量有限，建议在藏红花应用于临床医学之前，不受以往研究的限制，进行进一步的研究。
{"title":"Efficacy of Saffron (Crocus sativus L.) in Premenstrual Syndrome, Labor, Childbirth, and Menopause: A Systematic Review of Clinical Trials","authors":"Morvarid Irani, Adeleh Rahmanian, Narges Soltani","doi":"10.5812/modernc-134533","DOIUrl":"https://doi.org/10.5812/modernc-134533","url":null,"abstract":"Background: Saffron, as a medicinal plant, is widely used to treat various diseases, especially among women. Therefore, this study was conducted to review the studies on the impact of saffron on premenstrual syndrome (PMS), labor, childbirth, and menopause. Methods: This systematic review, based on the PICO process, systematically searched PubMed, Scopus, Cochrane, Embase, Web of Science, Science Direct, Google Scholar, Research Gate, and Persian databases, such as Scientific Information Database (SID) and Magiran, until February 2023. The search was based on a search strategy. Strategy search included keywords saffron OR Crocus sativus Linn. OR safranal OR crocin using AND premenstrual syndrome, postpartum depression, pregnancy anxiety, pregnancy depression, menopause, perimenopause, labor pain, childbirth, active labor phase, delivery, episiotomy, and pregnancy. Of 164 articles, 20 randomized controlled trials with a score of 3 and above based on the Jadad scale entered the study. Results: The results showed that saffron has positive effects on labor and childbirth, including improvement of Bishop’s score, labor progress, reduction of fatigue and labor pain intensity, and episiotomy healing. Additionally, it can improve mood and psychological symptoms of menopause and PMS. The results of two studies showed that saffron has an effect on postpartum depression. Conclusions: Saffron is suggested as a medicinal plant that can help improve women’s complications. However, due to the limited number of studies, it is recommended to carry out further studies without the limitations of previous studies before applying saffron in clinical medicine.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85415807","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}
Mahya Mojahedi, A. Esmaeili, S. Sahranavard, F. Salmani
Background: Considering the COVID-19 pandemic, the mental state of the faculty members of medical universities responsible for educating students in various fields of medicine needs to gain attention. Objectives: This study aimed to analyze the psychological state of the Birjand University of Medical Sciences faculty members following the COVID-19 pandemic. Methods: In this study, 122 faculty members of Birjand University of Medical Sciences, Iran, completed an online questionnaire containing demographic information along and two standard scales of Anxiety, Depression, and Stress-21 (DASS-21) and Connor-Davidson Resilience Scale-25 (CDRISC-25). The data were analyzed using an independent t-test and ANOVA. Results: The prevalence of moderate to very severe depression, anxiety, and stress in the target group was 32%, 50%, and 41.8%, respectively. The lecturer rank members showed significantly lower resilience (P = 0.03). However, individuals with administrative positions had substantially higher resilience and lower depression and stress levels (P < 0.001). The resilience level was significantly higher in the participants with 10 - 20 years of work (P = 0.02). Master graduate members showed more depression and anxiety (P < 0.001). There was a significant negative relationship between resilience and stress, depression, and anxiety (P < 0.001). Conclusions: The prevalence of depression, anxiety, and stress in the target group was considerable. Strengthening resilience according to its protective role could be an effective solution.
{"title":"Depression, Anxiety, Stress, and Resilience in Faculty Members of Birjand University of Medical Sciences Following the COVID-19 Pandemic","authors":"Mahya Mojahedi, A. Esmaeili, S. Sahranavard, F. Salmani","doi":"10.5812/modernc-133701","DOIUrl":"https://doi.org/10.5812/modernc-133701","url":null,"abstract":"Background: Considering the COVID-19 pandemic, the mental state of the faculty members of medical universities responsible for educating students in various fields of medicine needs to gain attention. Objectives: This study aimed to analyze the psychological state of the Birjand University of Medical Sciences faculty members following the COVID-19 pandemic. Methods: In this study, 122 faculty members of Birjand University of Medical Sciences, Iran, completed an online questionnaire containing demographic information along and two standard scales of Anxiety, Depression, and Stress-21 (DASS-21) and Connor-Davidson Resilience Scale-25 (CDRISC-25). The data were analyzed using an independent t-test and ANOVA. Results: The prevalence of moderate to very severe depression, anxiety, and stress in the target group was 32%, 50%, and 41.8%, respectively. The lecturer rank members showed significantly lower resilience (P = 0.03). However, individuals with administrative positions had substantially higher resilience and lower depression and stress levels (P < 0.001). The resilience level was significantly higher in the participants with 10 - 20 years of work (P = 0.02). Master graduate members showed more depression and anxiety (P < 0.001). There was a significant negative relationship between resilience and stress, depression, and anxiety (P < 0.001). Conclusions: The prevalence of depression, anxiety, and stress in the target group was considerable. Strengthening resilience according to its protective role could be an effective solution.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91336490","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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