{"title":"Micropipette Tip-Guarded Needle for Intralesional Therapy in Keloid and Hypertrophic Scar","authors":"M. Mukhtar","doi":"10.5812/modernc-129102","DOIUrl":"https://doi.org/10.5812/modernc-129102","url":null,"abstract":"<jats:p />","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89569269","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: Very little information on maneuver simulations (MS) effectiveness in radiation triage (RT) training is currently available. Objectives: The present study aimed to compare the effect of MS and scenario workshops (SW) on rescuers' learning of RT. Methods: This quasi-experimental study was conducted on rescuers in July 2020. For this purpose, two military medical centers were randomized into two groups, intervention (MS) and control (SW). The main tool was the researcher-made Radiation Triage Knowledge Questionnaire (RTKQ). In this respect, the pre-test was performed using the RTKQ questionnaire. The first post-test, two weeks following the intervention, was also done through the RTKQ and the objective structured clinical examination (OSCE), and the second post-test was conducted four weeks after the intervention, only via the RTKQ. Results: In total, 30 rescuers with a mean age of 22 participated in this study. During the pre-test, the difference in knowledge between the two study groups (intervention and control) was not significant. In the first post-test, no significant difference was also observed in the levels of knowledge between MS and SW groups respectively (80.0 ± 8.9 vs. 79.3 ± 0.8), but the difference in skills between the study groups was significant (89.3 ± 10.3 vs. 61.3 ± 16.0). In the second post-test, there was a significant difference between the mean value of the levels of knowledge (76.0 ± 9.1 vs. 64.7 ± 10.9) and skills (written scenarios) (71.3 ± 9.9 vs. 54.0 ± 0.14) in two study groups. Conclusions: Both training methods improved RT knowledge and skills, but MT was more effective than SW in boosting and maintaining knowledge and skills up to one month after the intervention. The utilization of MS in RT training was also accompanied by greater effectiveness.
背景:目前关于机动模拟(MS)在放射分诊(RT)训练中的有效性的信息很少。目的:本研究旨在比较MS和情景工作坊(SW)对救援人员rt学习的影响。方法:该准实验研究于2020年7月对救援人员进行。为此，将两个军事医疗中心随机分为两组，干预组(MS)和对照组(SW)。主要工具是研究人员制作的放射分诊知识问卷(RTKQ)。在这方面，使用RTKQ问卷进行预测试。干预后两周的第一次后测也通过RTKQ和客观结构化临床检查(OSCE)进行，第二次后测在干预后四周进行，仅通过RTKQ进行。结果:共有30名救援人员参与本研究，平均年龄22岁。在前测期间，干预组和对照组的知识差异不显著。第一次后测中，MS组与SW组知识水平差异无统计学意义(80.0±8.9 vs. 79.3±0.8)，但技能水平差异有统计学意义(89.3±10.3 vs. 61.3±16.0)。在第二次后测中，两组学生的知识水平均值(76.0±9.1比64.7±10.9)和技能水平(书面情景)均值(71.3±9.9比54.0±0.14)差异有统计学意义。结论:两种训练方法都能提高RT的知识和技能，但MT在提高和维持知识和技能方面比SW更有效，直至干预后一个月。MS在RT训练中的应用也伴随着更大的有效性。
{"title":"Is There Any Difference Between Maneuver Simulation and Scenario Workshop Learning about Radiation Triage?","authors":"Mostafa Delsooz, S. Mazloum, A. Mirhaghi","doi":"10.5812/modernc-129209","DOIUrl":"https://doi.org/10.5812/modernc-129209","url":null,"abstract":"Background: Very little information on maneuver simulations (MS) effectiveness in radiation triage (RT) training is currently available. Objectives: The present study aimed to compare the effect of MS and scenario workshops (SW) on rescuers' learning of RT. Methods: This quasi-experimental study was conducted on rescuers in July 2020. For this purpose, two military medical centers were randomized into two groups, intervention (MS) and control (SW). The main tool was the researcher-made Radiation Triage Knowledge Questionnaire (RTKQ). In this respect, the pre-test was performed using the RTKQ questionnaire. The first post-test, two weeks following the intervention, was also done through the RTKQ and the objective structured clinical examination (OSCE), and the second post-test was conducted four weeks after the intervention, only via the RTKQ. Results: In total, 30 rescuers with a mean age of 22 participated in this study. During the pre-test, the difference in knowledge between the two study groups (intervention and control) was not significant. In the first post-test, no significant difference was also observed in the levels of knowledge between MS and SW groups respectively (80.0 ± 8.9 vs. 79.3 ± 0.8), but the difference in skills between the study groups was significant (89.3 ± 10.3 vs. 61.3 ± 16.0). In the second post-test, there was a significant difference between the mean value of the levels of knowledge (76.0 ± 9.1 vs. 64.7 ± 10.9) and skills (written scenarios) (71.3 ± 9.9 vs. 54.0 ± 0.14) in two study groups. Conclusions: Both training methods improved RT knowledge and skills, but MT was more effective than SW in boosting and maintaining knowledge and skills up to one month after the intervention. The utilization of MS in RT training was also accompanied by greater effectiveness.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88003224","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: Despite the preventive role of resistance training (RT) in the progress of type 2 diabetes, its effects on diabetes-related kidney complications are still unknown. Objectives: This study was done to investigate the impacts of RT on kidney function of type 2 diabetic patients with the risk of nephropathy. Methods: Twenty-two middle-aged men with type 2 diabetes (age: 52.8 ± 7.3, body mass index (BMI): 27.4 ± 3.1) were randomly allocated into the control group (CG: n = 12) or resistance training group (RTG: n = 10). Subjects performed a circuit RT program [three times a week, 60 min/session, six exercises, three sets, 8 - 15 repetitions, 50 - 80% one-repetition maximum (1RM)] for eight consecutive weeks. Clinical parameters, including insulin-like growth factor-binding protein 3 (IGFBP-3), estimated glomerular filtration rate (eGFR), fasting glucose, fasting insulin, and insulin resistance, were measured before and after eight weeks. Results: IGFBP-3 levels significantly increased (47.8%) in CG, while they remained unchanged in the RTG. eGFR levels significantly decreased (16.7%) in the CG but remained unchanged in the RTG. Fasting blood glucose and insulin resistance index (HOMA-IR) levels significantly decreased (16.7% and 27.2%, respectively) in the RTG compared to the CG; however, for fasting insulin, no significant change was observed (8.5%). Conclusions: The results indicated that although RT did not improve the kidney function of the RTG, by improving the glycemic control, it prevented the development of renal dysfunction into diabetic nephropathy, while the renal dysfunction of the CG deteriorated over the training period, probably due to the lack of training intervention. Further studies with a longer training period are required to clarify the effects of RT on the development of diabetic nephropathy.
背景:尽管阻力训练(RT)在2型糖尿病的进展中具有预防作用，但其对糖尿病相关肾脏并发症的影响尚不清楚。目的:本研究旨在探讨RT治疗对2型糖尿病肾病高危患者肾功能的影响。方法:选取年龄52.8±7.3，体重指数(BMI) 27.4±3.1的中年2型糖尿病男性22例，随机分为对照组(CG: n = 12)和阻力训练组(RTG: n = 10)。受试者连续8周进行循环RT计划[每周3次，每次60分钟，6次练习，3组，重复8 - 15次，50 - 80%单次最多(1RM)]。8周前后分别测量临床参数，包括胰岛素样生长因子结合蛋白3 (IGFBP-3)、肾小球滤过率(eGFR)、空腹血糖、空腹胰岛素和胰岛素抵抗。结果:IGFBP-3水平在CG组显著升高(47.8%)，而在RTG组保持不变。eGFR水平在CG组显著下降(16.7%)，但在RTG组保持不变。与CG相比，RTG组的空腹血糖和胰岛素抵抗指数(HOMA-IR)水平显著降低(分别为16.7%和27.2%);然而，空腹胰岛素无显著变化(8.5%)。结论:结果提示，虽然RT并没有改善RTG的肾功能，但通过改善血糖控制，阻止了肾功能不全发展为糖尿病肾病，而CG的肾功能在训练期间恶化，可能与缺乏训练干预有关。需要更长的训练时间来进一步研究RT对糖尿病肾病发展的影响。
{"title":"Resistance Training Improved the Kidney Function of Type 2 Diabetic Patients with the Risk of Nephropathy: A Randomized Control Trial","authors":"M. Moghadasi, Alireza Ostovar, Azita Eslami","doi":"10.5812/modernc-128713","DOIUrl":"https://doi.org/10.5812/modernc-128713","url":null,"abstract":"Background: Despite the preventive role of resistance training (RT) in the progress of type 2 diabetes, its effects on diabetes-related kidney complications are still unknown. Objectives: This study was done to investigate the impacts of RT on kidney function of type 2 diabetic patients with the risk of nephropathy. Methods: Twenty-two middle-aged men with type 2 diabetes (age: 52.8 ± 7.3, body mass index (BMI): 27.4 ± 3.1) were randomly allocated into the control group (CG: n = 12) or resistance training group (RTG: n = 10). Subjects performed a circuit RT program [three times a week, 60 min/session, six exercises, three sets, 8 - 15 repetitions, 50 - 80% one-repetition maximum (1RM)] for eight consecutive weeks. Clinical parameters, including insulin-like growth factor-binding protein 3 (IGFBP-3), estimated glomerular filtration rate (eGFR), fasting glucose, fasting insulin, and insulin resistance, were measured before and after eight weeks. Results: IGFBP-3 levels significantly increased (47.8%) in CG, while they remained unchanged in the RTG. eGFR levels significantly decreased (16.7%) in the CG but remained unchanged in the RTG. Fasting blood glucose and insulin resistance index (HOMA-IR) levels significantly decreased (16.7% and 27.2%, respectively) in the RTG compared to the CG; however, for fasting insulin, no significant change was observed (8.5%). Conclusions: The results indicated that although RT did not improve the kidney function of the RTG, by improving the glycemic control, it prevented the development of renal dysfunction into diabetic nephropathy, while the renal dysfunction of the CG deteriorated over the training period, probably due to the lack of training intervention. Further studies with a longer training period are required to clarify the effects of RT on the development of diabetic nephropathy.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89951823","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}
K. Basiri Moghadam, Raheleh Baradaran, Monire Mousavi Sani Baghsiahi, Zahra Sepasi Bilondi, A. Sadeghian
Background: The COVID-19 pandemic has encouraged an unprecedented number of publications on epidemiological, pharmacological, immunological, and medical issues. Studies have also been performed on hemodynamic changes in the patients admitted to different wards. Objectives: This study aims to determine the hemodynamic status of the COVID-19 patients under anesthesia. Methods: In this cross-sectional analytical study of the two groups, 40 patient candidates for surgery and general anesthesia in the hospital were enrolled in the study based on the inclusion criteria, after signing written informed consent. The patient’s demographic information was obtained from the patient’s file and oral interview. Then, non-COVID-19 patients and patients with COVID-19 definitive tests were followed during the operation. During surgery, hemodynamic factors including pulse, blood pressure, SpO2 and respiration were monitored and recorded by a monitoring device. SPSS software version 19 was used to analyze the data. Results: The mean ± SD of patients’ age was 47.55 ± 21.37. The data showed that systolic blood pressure before anesthesia and pulse before and during anesthesia in the COVID-19 group was significantly higher than that in the non-COVID-19 group (P < 0.05). Also, respiration and SpO2 before anesthesia were lower in the COVID-19 group than in the non-COVID-19 group (P < 0.05); while respiration and SpO2 during anesthesia were not significantly different between the two groups (P > 0.05). In the COVID-19 group, systolic blood pressure, pulse, and respiration during anesthesia were significantly lower than before anesthesia and conversely, SpO2 was higher (P < 0.05). Conclusions: The findings of the present study showed that patients who do not have severe COVID-19 and serious clinical symptoms do not go through severe hemodynamic changes during surgery. Therefore, it can be said that in emergencies, surgery can be performed by observing standard principles. However, more research is needed in this regard.
{"title":"Evaluation of Hemodynamic Status of the COVID-19 Patients Under Anesthesia","authors":"K. Basiri Moghadam, Raheleh Baradaran, Monire Mousavi Sani Baghsiahi, Zahra Sepasi Bilondi, A. Sadeghian","doi":"10.5812/modernc-128503","DOIUrl":"https://doi.org/10.5812/modernc-128503","url":null,"abstract":"Background: The COVID-19 pandemic has encouraged an unprecedented number of publications on epidemiological, pharmacological, immunological, and medical issues. Studies have also been performed on hemodynamic changes in the patients admitted to different wards. Objectives: This study aims to determine the hemodynamic status of the COVID-19 patients under anesthesia. Methods: In this cross-sectional analytical study of the two groups, 40 patient candidates for surgery and general anesthesia in the hospital were enrolled in the study based on the inclusion criteria, after signing written informed consent. The patient’s demographic information was obtained from the patient’s file and oral interview. Then, non-COVID-19 patients and patients with COVID-19 definitive tests were followed during the operation. During surgery, hemodynamic factors including pulse, blood pressure, SpO2 and respiration were monitored and recorded by a monitoring device. SPSS software version 19 was used to analyze the data. Results: The mean ± SD of patients’ age was 47.55 ± 21.37. The data showed that systolic blood pressure before anesthesia and pulse before and during anesthesia in the COVID-19 group was significantly higher than that in the non-COVID-19 group (P < 0.05). Also, respiration and SpO2 before anesthesia were lower in the COVID-19 group than in the non-COVID-19 group (P < 0.05); while respiration and SpO2 during anesthesia were not significantly different between the two groups (P > 0.05). In the COVID-19 group, systolic blood pressure, pulse, and respiration during anesthesia were significantly lower than before anesthesia and conversely, SpO2 was higher (P < 0.05). Conclusions: The findings of the present study showed that patients who do not have severe COVID-19 and serious clinical symptoms do not go through severe hemodynamic changes during surgery. Therefore, it can be said that in emergencies, surgery can be performed by observing standard principles. However, more research is needed in this regard.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":"355 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91461013","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. Firouzbakht, S. Omidvar, Hajar Adib-rad, M. Faramarzi, Nooshin Fateri
Background: Sleep disorders are common during pregnancy and can lead to other problems before, during, and after delivery. Objectives: The study was conducted to compare anxiety and depression among pregnant women with and without sleep disorders Methods: This cross-sectional study was performed on pregnant women referring to the health care centers in Babol, Iran (2018 - 2019). Women with singleton pregnancies, who met the study criteria, were chosen from selected health centers and entered the study through the convenience sampling method. Data were collected using Questionnaires. The participants answered four questionnaires, including Demographic, Pittsburg sleep quality index (PSQI), Beck Depression Inventory (BDI), and The State-Trait Anxiety Inventory (STAI) questionnaires. The data were analyzed using SPSS statistical software version 22, and P < 0.05 was considered statistically significant. Results: The average ages of participants were 26.40 ± 4.76 years. The present study showed a statistically significant correlation between the score of depression and sleep quality (r = 0.11, P = 0.008). In women with poor quality of sleep, the mean of trait anxiety was significantly higher than in women with good quality of sleep (P = 0.016). There was a significant association between depression scores and sleep quality subscales. Logistic regression demonstrated that people with high anxiety levels were 2.3 times more likely to have sleep problems than those with low anxiety levels. Conclusions: Sleep quality is correlated with anxiety and depression. Health professionals should be aware that women with poor sleep quality may develop mental health problems. Therefore, screening for mental health and referring them to a clinical psychologist may help their sleep quality. To investigate the causal relationship between the study variables, it is necessary to conduct an extensive cohort study that starts before the pregnancy.
{"title":"Quality of Sleep and Mental Health Among Pregnant Women: A Cross-sectional Study","authors":"M. Firouzbakht, S. Omidvar, Hajar Adib-rad, M. Faramarzi, Nooshin Fateri","doi":"10.5812/modernc-127557","DOIUrl":"https://doi.org/10.5812/modernc-127557","url":null,"abstract":"Background: Sleep disorders are common during pregnancy and can lead to other problems before, during, and after delivery. Objectives: The study was conducted to compare anxiety and depression among pregnant women with and without sleep disorders Methods: This cross-sectional study was performed on pregnant women referring to the health care centers in Babol, Iran (2018 - 2019). Women with singleton pregnancies, who met the study criteria, were chosen from selected health centers and entered the study through the convenience sampling method. Data were collected using Questionnaires. The participants answered four questionnaires, including Demographic, Pittsburg sleep quality index (PSQI), Beck Depression Inventory (BDI), and The State-Trait Anxiety Inventory (STAI) questionnaires. The data were analyzed using SPSS statistical software version 22, and P < 0.05 was considered statistically significant. Results: The average ages of participants were 26.40 ± 4.76 years. The present study showed a statistically significant correlation between the score of depression and sleep quality (r = 0.11, P = 0.008). In women with poor quality of sleep, the mean of trait anxiety was significantly higher than in women with good quality of sleep (P = 0.016). There was a significant association between depression scores and sleep quality subscales. Logistic regression demonstrated that people with high anxiety levels were 2.3 times more likely to have sleep problems than those with low anxiety levels. Conclusions: Sleep quality is correlated with anxiety and depression. Health professionals should be aware that women with poor sleep quality may develop mental health problems. Therefore, screening for mental health and referring them to a clinical psychologist may help their sleep quality. To investigate the causal relationship between the study variables, it is necessary to conduct an extensive cohort study that starts before the pregnancy.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79653341","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}
Beheshte Kanani, M. Namaei, A. Tavakoli Kareshk, R. Solgi
Background: Toxoplasma gondii is a protozoan of the Apicomplexa phylum with widespread distribution in animals and humans. Toxoplasma gondii is also an important cause of infectious diseases in women of reproductive age. Objectives: This cross-sectional study aimed to determine the prevalence of anti-T. gondii IgG antibody and its associated risk factors among women of reproductive age referring to Birjand Comprehensive Health Center, East of Iran. Methods: A total of 300 serum samples were collected from women who were referred to Birjand Comprehensive Health Center to be screened for anti-T. gondii IgG antibodies by enzyme-linked immunosorbent assay (ELISA). Analytical and descriptive statistics were carried out using SPSS software version 20. Descriptive statistics were reported as a percentage and mean (SD). The Chi-squared test was applied to assess the univariate association between independent variables and outcome. The significance level in the test was considered P < 0.05. Results: The results showed that 8.3% of the subjects with an average age of 27 years were IgG-positive. Contact with cats had a significant effect on positivity for IgG and disease frequency (P < 0.05). On the other hand, age and the place of residence (urban or rural) had no significant effect on disease frequency (P > 0.05). Urban or rural location in all age ranges had no significant effect on IgG positivity (P > 0.05). Conclusions: Considering the high percentage of T. gondii among negative people in the target population, it is necessary to inform women of the reproductive age about the importance of testing and health issues related to T. gondii.
{"title":"Seroprevalence of Toxoplasma gondii Infection Among Women of Reproductive Age in Birjand, Iran","authors":"Beheshte Kanani, M. Namaei, A. Tavakoli Kareshk, R. Solgi","doi":"10.5812/modernc-127872","DOIUrl":"https://doi.org/10.5812/modernc-127872","url":null,"abstract":"Background: Toxoplasma gondii is a protozoan of the Apicomplexa phylum with widespread distribution in animals and humans. Toxoplasma gondii is also an important cause of infectious diseases in women of reproductive age. Objectives: This cross-sectional study aimed to determine the prevalence of anti-T. gondii IgG antibody and its associated risk factors among women of reproductive age referring to Birjand Comprehensive Health Center, East of Iran. Methods: A total of 300 serum samples were collected from women who were referred to Birjand Comprehensive Health Center to be screened for anti-T. gondii IgG antibodies by enzyme-linked immunosorbent assay (ELISA). Analytical and descriptive statistics were carried out using SPSS software version 20. Descriptive statistics were reported as a percentage and mean (SD). The Chi-squared test was applied to assess the univariate association between independent variables and outcome. The significance level in the test was considered P < 0.05. Results: The results showed that 8.3% of the subjects with an average age of 27 years were IgG-positive. Contact with cats had a significant effect on positivity for IgG and disease frequency (P < 0.05). On the other hand, age and the place of residence (urban or rural) had no significant effect on disease frequency (P > 0.05). Urban or rural location in all age ranges had no significant effect on IgG positivity (P > 0.05). Conclusions: Considering the high percentage of T. gondii among negative people in the target population, it is necessary to inform women of the reproductive age about the importance of testing and health issues related to T. gondii.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83393213","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: Spontaneous hemopneumothorax is an unusual complication of pneumonia caused by COVID-19. This study presents a rare case of hemopneumothorax caused by COVID-19. Case Presentation: A 21-year-old man with no medical or surgical history was visited with left shoulder pain. For two days, he suffered from increased pain in his left shoulder, which extended to his neck and back, and he was unable to lean forward. He had no history of chest trauma and no symptoms such as fever, cough, or gastrointestinal symptoms. After the visit, a chest X-ray (CXR) was ordered, and he was admitted with a diagnosis of pneumothorax. A PCR test was performed on the patient that was positive. Conclusions: The patient's pathophysiology of spontaneous Hemopneumothorax disease was unknown. While this is an uncommon complication, spontaneous hemopneumothorax has life-threatening effects at the top of the list of respiratory complications associated with COVID-19.
{"title":"The Effect of COVID-19 on the Occurrence of Spontaneous Hemopneumothorax: A Case Study","authors":"M. Abdollahi, A. Ayar","doi":"10.5812/modernc-129039","DOIUrl":"https://doi.org/10.5812/modernc-129039","url":null,"abstract":"Introduction: Spontaneous hemopneumothorax is an unusual complication of pneumonia caused by COVID-19. This study presents a rare case of hemopneumothorax caused by COVID-19. Case Presentation: A 21-year-old man with no medical or surgical history was visited with left shoulder pain. For two days, he suffered from increased pain in his left shoulder, which extended to his neck and back, and he was unable to lean forward. He had no history of chest trauma and no symptoms such as fever, cough, or gastrointestinal symptoms. After the visit, a chest X-ray (CXR) was ordered, and he was admitted with a diagnosis of pneumothorax. A PCR test was performed on the patient that was positive. Conclusions: The patient's pathophysiology of spontaneous Hemopneumothorax disease was unknown. While this is an uncommon complication, spontaneous hemopneumothorax has life-threatening effects at the top of the list of respiratory complications associated with COVID-19.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81718397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Ebrahimi, A. Tavakoli Kareshk, M. Darvishi, N. Asadi, V. Bagheri, G. Barzegar, R. Solgi
Background: Toxocariasis is a common zoonotic helminthic disease with worldwide distribution. Seroepidemiological data related to human toxocariasis and its risk factors are limited in the east of Iran. Objectives: The current study evaluated the seroprevalence of toxocariasis and associated risk factors in clinically healthy individuals aged 18 years or older in eastern Iran. Methods: We took 450 samples from clinically healthy individuals referred to medical laboratories for health screening between March and May 2022 in Birjand, Iran. The seroprevalence of IgG antibody against Toxocara was performed using the enzyme-linked immunosorbent assay (ELISA) kit (IBL, Germany). Logistic regression was used to analyze the association between toxocariasis and potential risk factors by SPSS 21.0 software. A probability P value less than 0.05 was considered statistically significant. Results: The sample included 210 (56.6%) men, and 240 women (53.3%) who were aged 18 to 81 years (mean 35 ± 13 years). The Toxocara ELISA was positive in 36 (8%) individuals. The statistical analysis showed that washing hands before eating (odds ratio (OR) = 0.1, 95% CI: 0.05 - 0.3, P < 0.0001), contact with cats and dogs (OR = 0.1, 95% CI: 0.05 - 0.3, P < 0.00001), and raw meat consumption (OR = 4.8, 95% CI: 2.2 - 11.4), P < 0.0004) were risk factors associated with Toxocara infection. Conclusions: The relatively low seroprevalence of Toxocara infection in our study can be caused by environmental and socio-cultural conditions and moderate to high hygiene standards in Birjand. It is suggested that more extensive studies be conducted with larger sample sizes in at-risk groups in this area.
{"title":"Risk Factors and Prevalence of Toxocariasis in Healthy Adults in South Khorasan Province, Eastern Iran","authors":"S. Ebrahimi, A. Tavakoli Kareshk, M. Darvishi, N. Asadi, V. Bagheri, G. Barzegar, R. Solgi","doi":"10.5812/modernc-128079","DOIUrl":"https://doi.org/10.5812/modernc-128079","url":null,"abstract":"Background: Toxocariasis is a common zoonotic helminthic disease with worldwide distribution. Seroepidemiological data related to human toxocariasis and its risk factors are limited in the east of Iran. Objectives: The current study evaluated the seroprevalence of toxocariasis and associated risk factors in clinically healthy individuals aged 18 years or older in eastern Iran. Methods: We took 450 samples from clinically healthy individuals referred to medical laboratories for health screening between March and May 2022 in Birjand, Iran. The seroprevalence of IgG antibody against Toxocara was performed using the enzyme-linked immunosorbent assay (ELISA) kit (IBL, Germany). Logistic regression was used to analyze the association between toxocariasis and potential risk factors by SPSS 21.0 software. A probability P value less than 0.05 was considered statistically significant. Results: The sample included 210 (56.6%) men, and 240 women (53.3%) who were aged 18 to 81 years (mean 35 ± 13 years). The Toxocara ELISA was positive in 36 (8%) individuals. The statistical analysis showed that washing hands before eating (odds ratio (OR) = 0.1, 95% CI: 0.05 - 0.3, P < 0.0001), contact with cats and dogs (OR = 0.1, 95% CI: 0.05 - 0.3, P < 0.00001), and raw meat consumption (OR = 4.8, 95% CI: 2.2 - 11.4), P < 0.0004) were risk factors associated with Toxocara infection. Conclusions: The relatively low seroprevalence of Toxocara infection in our study can be caused by environmental and socio-cultural conditions and moderate to high hygiene standards in Birjand. It is suggested that more extensive studies be conducted with larger sample sizes in at-risk groups in this area.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73459847","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}
{"title":"Surgical Pearl: A Simple Solution-Trichloroacetic Acid Cautery for Fordyce Spots","authors":"Sofia Mukhtar, M. Mukhtar","doi":"10.5812/modernc-126316","DOIUrl":"https://doi.org/10.5812/modernc-126316","url":null,"abstract":"<jats:p />","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80828135","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: Satisfaction with the field of study can affect the acquisition of knowledge and skills necessary for that profession. Objectives: The aim of this study was to investigate the correlation between satisfaction with the field of study and clinical competence in nursing students. Methods: This descriptive correlational study was performed on 167 nursing students in the seventh and eighth semesters in the School of Nursing and Midwifery of Islamic Azad University, Karaj Branch, Iran, from 2020 to 2021. Sampling was done by a purposeful sample method. Data collection tools were the demographic information form, the Satisfaction with the Field of Study Questionnaire, and Students' Clinical Competency Questionnaire, which were completed by the self-report method. Data were analyzed by SPSS software version 16 using Pearson correlation coefficient, chi-square test, and t-test and reported by descriptive statistics of mean, standard deviation, frequency, and percentage. Results: The clinical competence of nursing students in the seventh and eighth semesters was moderate (53.3%), and 56.9% of them were very satisfied with their field of study. A weak positive and significant correlation was obtained between satisfaction with the field of study and the total score of clinical competence (P = 0.001, r = 0.260). Conclusions: With increasing satisfaction with the field of study, the clinical competence of nursing students increased. This finding emphasizes the need to invest in strategies to promote increased satisfaction with the field of study to help develop the clinical competence of nursing students.
背景:对学习领域的满意程度会影响专业所需知识和技能的获取。目的:探讨护生对学习领域的满意度与临床能力的关系。方法:对伊朗伊斯兰阿扎德大学卡拉杰分校护理与助产学院第七学期和第八学期167名护理专业学生进行描述性相关研究。采用有目的抽样法进行抽样。数据收集工具为人口统计信息表、学习领域满意度问卷和学生临床胜任力问卷，采用自报告法完成。采用SPSS软件16版对数据进行分析，采用Pearson相关系数、卡方检验、t检验，采用均值、标准差、频率、百分比描述性统计。结果:七、八学期护生临床能力一般(53.3%)，对所学专业非常满意的占56.9%。对学习领域的满意度与临床能力总分呈弱正显著相关(P = 0.001, r = 0.260)。结论:护生对专业的满意度越高，临床能力越强。这一发现强调需要投资策略，以提高对学习领域的满意度，以帮助发展护理学生的临床能力。
{"title":"Correlation Between Satisfaction with the Field of Study and Clinical Competence in Nursing Students","authors":"Sharareh Zeighami Mohammadi, Neda Haghighi Khoskhoo","doi":"10.5812/modernc-127692","DOIUrl":"https://doi.org/10.5812/modernc-127692","url":null,"abstract":"Background: Satisfaction with the field of study can affect the acquisition of knowledge and skills necessary for that profession. Objectives: The aim of this study was to investigate the correlation between satisfaction with the field of study and clinical competence in nursing students. Methods: This descriptive correlational study was performed on 167 nursing students in the seventh and eighth semesters in the School of Nursing and Midwifery of Islamic Azad University, Karaj Branch, Iran, from 2020 to 2021. Sampling was done by a purposeful sample method. Data collection tools were the demographic information form, the Satisfaction with the Field of Study Questionnaire, and Students' Clinical Competency Questionnaire, which were completed by the self-report method. Data were analyzed by SPSS software version 16 using Pearson correlation coefficient, chi-square test, and t-test and reported by descriptive statistics of mean, standard deviation, frequency, and percentage. Results: The clinical competence of nursing students in the seventh and eighth semesters was moderate (53.3%), and 56.9% of them were very satisfied with their field of study. A weak positive and significant correlation was obtained between satisfaction with the field of study and the total score of clinical competence (P = 0.001, r = 0.260). Conclusions: With increasing satisfaction with the field of study, the clinical competence of nursing students increased. This finding emphasizes the need to invest in strategies to promote increased satisfaction with the field of study to help develop the clinical competence of nursing students.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90254649","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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