Pub Date : 2023-01-02DOI: 10.55453/rjmm.2023.126.1.2
B. H. Hamoud, D. Georgescu, A. Călinoiu, I. A. Vacaroiu, M. Georgescu
The squamous cell carcinoma antigen is a tumor marker that is receiving more interest due to its biological properties and importance in both pathological and normal physiological processes. Numerous clinical studies have been conducted to determine the potential function of squamous cell carcinoma antigen and its isoform complexes in clinical practice. These studies have been prompted by the fact that not only squamous cell carcinoma antigen but also circulating immune complexes of it and immunoglobulin M are involved in normal physiological and pathological processes. The therapeutic use of squamous cell carcinoma antigen as a tumor marker for either squamous carcinoma diagnosis or for monitoring the response to radiation or chemotherapy, tumor recurrence, and treatment failure are supported by prior investigations. The diagnostic or prognostic utility of squamous cell carcinoma antigen is debatable, nevertheless, as these investigations provide conflicting findings. A uniform detection method, scoring system, and cutoff level must be devised to limit clinical variability between studies and to provide a more accurate and trustworthy comparison of data. Additionally, even if the effectiveness of several approaches is equivalent, only one method should be used for the dynamic monitoring of tumor marker kinetics.
{"title":"Advances in Squamous Cell Carcinoma Antigen and Cervix Cancer Relationship","authors":"B. H. Hamoud, D. Georgescu, A. Călinoiu, I. A. Vacaroiu, M. Georgescu","doi":"10.55453/rjmm.2023.126.1.2","DOIUrl":"https://doi.org/10.55453/rjmm.2023.126.1.2","url":null,"abstract":"The squamous cell carcinoma antigen is a tumor marker that is receiving more interest due to its biological properties and importance in both pathological and normal physiological processes. Numerous clinical studies have been conducted to determine the potential function of squamous cell carcinoma antigen and its isoform complexes in clinical practice. These studies have been prompted by the fact that not only squamous cell carcinoma antigen but also circulating immune complexes of it and immunoglobulin M are involved in normal physiological and pathological processes. The therapeutic use of squamous cell carcinoma antigen as a tumor marker for either squamous carcinoma diagnosis or for monitoring the response to radiation or chemotherapy, tumor recurrence, and treatment failure are supported by prior investigations. The diagnostic or prognostic utility of squamous cell carcinoma antigen is debatable, nevertheless, as these investigations provide conflicting findings. A uniform detection method, scoring system, and cutoff level must be devised to limit clinical variability between studies and to provide a more accurate and trustworthy comparison of data. Additionally, even if the effectiveness of several approaches is equivalent, only one method should be used for the dynamic monitoring of tumor marker kinetics.","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70959237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.55453/rjmm.2023.126.1.11
Panagiotis Mitseas, Symeon Naoum, T. Konstantinidis
"Objectives: Health professions such as nursing are at high risk of work-related musculoskeletal disorders (WRMDs). This study aims to present the most common WRMSDs that occur in nursing personnel, investigate the risk factors associated with their occurrence, and identify preventive and therapeutic strategies. Material and Methods: A comprehensive literature search in PubMed, Scopus, and Google Scholar was performed using keywords, until May 2021, while the results reported by various authors were summarized. Results: Low back discomfort (30% to 60%), neck disorders (30% to 48%), and shoulder disorders (43 to 53%) are the most common WRMSDs in nursing personnel. The major risk factors are classified as demographics and job characteristics, physical, psychosocial, and workplace organizational factors, which often co-exist and act together. WRMSDs have serious consequences such as absenteeism, reduced productivity, increased morbidity, health costs as well as lower quality of life. To reduce the incidence of WRMSDs, it is crucial to implement prevention strategies, such as ergonomic measures and training programs in high-risk nursing departments as well as immediate therapeutic approaches, where required. Organizational interventions are also required to improve the working environment in terms of assigning tasks among nursing staff, setting working hours, keeping a positive attitude, and conducting medical examinations. Conclusion: Early identification of risk factors concerning WRMSDs among nursing personnel and immediate treatment is needed to maintain their productivity as well as to provide quality nursing care, followed by evidence-based ergonomic and organizational intervention strategies for their safety and health protection. "
{"title":"Risk Factors for Musculoskeletal Disorders in Nursing Personnel and Prevention Strategies","authors":"Panagiotis Mitseas, Symeon Naoum, T. Konstantinidis","doi":"10.55453/rjmm.2023.126.1.11","DOIUrl":"https://doi.org/10.55453/rjmm.2023.126.1.11","url":null,"abstract":"\"Objectives: Health professions such as nursing are at high risk of work-related musculoskeletal disorders (WRMDs). This study aims to present the most common WRMSDs that occur in nursing personnel, investigate the risk factors associated with their occurrence, and identify preventive and therapeutic strategies. Material and Methods: A comprehensive literature search in PubMed, Scopus, and Google Scholar was performed using keywords, until May 2021, while the results reported by various authors were summarized. Results: Low back discomfort (30% to 60%), neck disorders (30% to 48%), and shoulder disorders (43 to 53%) are the most common WRMSDs in nursing personnel. The major risk factors are classified as demographics and job characteristics, physical, psychosocial, and workplace organizational factors, which often co-exist and act together. WRMSDs have serious consequences such as absenteeism, reduced productivity, increased morbidity, health costs as well as lower quality of life. To reduce the incidence of WRMSDs, it is crucial to implement prevention strategies, such as ergonomic measures and training programs in high-risk nursing departments as well as immediate therapeutic approaches, where required. Organizational interventions are also required to improve the working environment in terms of assigning tasks among nursing staff, setting working hours, keeping a positive attitude, and conducting medical examinations. Conclusion: Early identification of risk factors concerning WRMSDs among nursing personnel and immediate treatment is needed to maintain their productivity as well as to provide quality nursing care, followed by evidence-based ergonomic and organizational intervention strategies for their safety and health protection. \"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48728489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.55453/rjmm.2023.126.1.8
L. Valizadeh, V. Zamanzadeh, A. Ghahramanian, M. Vosoughi, Farkhondeh Mehboudi, F. Bagheriyeh
"Background and aim: Nursing journal clubs have a proven value in nursing education and continuing education, which has expanded widely in the promotion of evidence-based clinical care in recent years. This study aimed to evaluate the clinical nursing journal clubs from the viewpoints of nurses. Methods: This descriptive study was conducted from July 2019- October 2020. This study was conducted in two phases, consisting of designing the format and flowchart and implementing nursing journal clubs and the second phase was evaluation. Results: Format and executive flowchart prepared by the research team and reviewed and approved in the group. In terms of evaluation, minimum (33) and maximum (165) scores with a mean± SD total score of 123.49 ± 19.91 calculated for nursing journal clubs indicate an optimum quality. Conclusions: The qualities of nursing journal clubs were evaluated to be favorable. Accordingly, authorities and planners should consider appropriate actions to facilitate Nursing journal clubs, such as credit points in rank promotion for faculty members, and inclusive in continuing education privileges for nurses, to adapt these activities to the roles of the clinical faculty and the benefits of this educational method in nursing. "
{"title":"Nursing Journal Club as a Tool to Facilitate Evidence-Based Practice: Participant’s Feedback","authors":"L. Valizadeh, V. Zamanzadeh, A. Ghahramanian, M. Vosoughi, Farkhondeh Mehboudi, F. Bagheriyeh","doi":"10.55453/rjmm.2023.126.1.8","DOIUrl":"https://doi.org/10.55453/rjmm.2023.126.1.8","url":null,"abstract":"\"Background and aim: Nursing journal clubs have a proven value in nursing education and continuing education, which has expanded widely in the promotion of evidence-based clinical care in recent years. This study aimed to evaluate the clinical nursing journal clubs from the viewpoints of nurses. Methods: This descriptive study was conducted from July 2019- October 2020. This study was conducted in two phases, consisting of designing the format and flowchart and implementing nursing journal clubs and the second phase was evaluation. Results: Format and executive flowchart prepared by the research team and reviewed and approved in the group. In terms of evaluation, minimum (33) and maximum (165) scores with a mean± SD total score of 123.49 ± 19.91 calculated for nursing journal clubs indicate an optimum quality. Conclusions: The qualities of nursing journal clubs were evaluated to be favorable. Accordingly, authorities and planners should consider appropriate actions to facilitate Nursing journal clubs, such as credit points in rank promotion for faculty members, and inclusive in continuing education privileges for nurses, to adapt these activities to the roles of the clinical faculty and the benefits of this educational method in nursing. \"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47054196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.55453/rjmm.2023.126.1.15
M. Otaghi, M. Mozafari, Yosof Veysani, A. Taheri
"Clinical competence means a person's ability to use techniques on time, to communicate effectively with others, and to benefit from the knowledge and clinical reasoning ability when responding to different clinical situations in such a way that a person can use these skills at all times. The aim of the study is the relationship between clinical competence and ethical reasoning and the factors affecting it in nurses working in therapeutic educational centers of Ilam. Methods: In this descriptive-analytical study, 110 nurses working in three therapeutic educational centers in Ilam city were randomly selected. Demographic information forms, standard nursing clinical competence questionnaire (NCCQ), and nursing dilemma test (NDT) were used to collect data. The results also showed a positive and significant relationship between age, level of education, years of work experience, employment status, and occupational role with clinical competence and ethical reasoning (P<0.05). On the other hand, there was an inverse and significant relationship between the workplace and clinical competence and ethical reasoning (P<0.05). Data analysis was carried out using Descriptive statistics (frequency, percentage, mean and standard deviation) and analytical tests (Pearson correlation tests and analysis of variance) in SPSS. P-value< 0.05 was considered as the significance level. Using the results of the present study, nursing education planners and managers can periodically organize workshops on nursing ethics and nursing problems in hospitals and universities. Moreover, clinical competence and ethical reasoning should be taken into account when training nursing personnel in university classrooms and in-service courses "
{"title":"The Relationship between Clinical Competence and Ethical Reasoning and Factors Affecting it in Nurses Working in Therapeutic Educational Centers of Ilam","authors":"M. Otaghi, M. Mozafari, Yosof Veysani, A. Taheri","doi":"10.55453/rjmm.2023.126.1.15","DOIUrl":"https://doi.org/10.55453/rjmm.2023.126.1.15","url":null,"abstract":"\"Clinical competence means a person's ability to use techniques on time, to communicate effectively with others, and to benefit from the knowledge and clinical reasoning ability when responding to different clinical situations in such a way that a person can use these skills at all times. The aim of the study is the relationship between clinical competence and ethical reasoning and the factors affecting it in nurses working in therapeutic educational centers of Ilam. Methods: In this descriptive-analytical study, 110 nurses working in three therapeutic educational centers in Ilam city were randomly selected. Demographic information forms, standard nursing clinical competence questionnaire (NCCQ), and nursing dilemma test (NDT) were used to collect data. The results also showed a positive and significant relationship between age, level of education, years of work experience, employment status, and occupational role with clinical competence and ethical reasoning (P<0.05). On the other hand, there was an inverse and significant relationship between the workplace and clinical competence and ethical reasoning (P<0.05). Data analysis was carried out using Descriptive statistics (frequency, percentage, mean and standard deviation) and analytical tests (Pearson correlation tests and analysis of variance) in SPSS. P-value< 0.05 was considered as the significance level. Using the results of the present study, nursing education planners and managers can periodically organize workshops on nursing ethics and nursing problems in hospitals and universities. Moreover, clinical competence and ethical reasoning should be taken into account when training nursing personnel in university classrooms and in-service courses \"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48269354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.55453/rjmm.2023.126.1.9
M. Hashemzadeh
"Conjunctivitis is one of the most common ocular diseases across the world. In this study, the prevalence of viral Conjunctivitis in patients who were referred to the Eye specialized Hospitals was evaluated. Some of the most important viruses that cause conjunctivitis are Human Adenoviruses (HAdV), Herpes Simplex 1, 2 (HSV-1, HSV-2), and Varicella Zoster Virus (VZV). The clinical diagnosis of eye viral infections is difficult and often controversial. Thus, research to experiment with these causative factors is of pivotal importance. In this cross-sectional study, 200 conjunctival swab samples were collected from symptomatic patients with signs of conjunctivitis who had been referred to two hospitals. After DNA extraction, Multiplex Real-Time PCR was carried out in two separate reactions for each sample. Among 200 collected samples, 34 (17%) and 8 (4%) were positive for Adenovirus and HSV-1 DNA, respectively. There were no HSV-2 and VZV conjunctivitis. No significant correlation was identified between gender and conjunctivitis (P-value: 0.845); however, there was a close correlation between age and conjunctivitis (Pvalue: 0.05). In this study, 66.3% of Adenoviral conjunctivitis occurs in the summer compared to 33.7% in spring. No significant seasonal variation was observed for HSV-1. Our results showed that adenovirus has a key role in causing viral conjunctivitis. "
{"title":"Investigating the Role of Adenovirus, Herpes Simplex 1, 2, and Varicella Zoster Virus in Incidence of Conjunctivitis in Tehran, Iran","authors":"M. Hashemzadeh","doi":"10.55453/rjmm.2023.126.1.9","DOIUrl":"https://doi.org/10.55453/rjmm.2023.126.1.9","url":null,"abstract":"\"Conjunctivitis is one of the most common ocular diseases across the world. In this study, the prevalence of viral Conjunctivitis in patients who were referred to the Eye specialized Hospitals was evaluated. Some of the most important viruses that cause conjunctivitis are Human Adenoviruses (HAdV), Herpes Simplex 1, 2 (HSV-1, HSV-2), and Varicella Zoster Virus (VZV). The clinical diagnosis of eye viral infections is difficult and often controversial. Thus, research to experiment with these causative factors is of pivotal importance. In this cross-sectional study, 200 conjunctival swab samples were collected from symptomatic patients with signs of conjunctivitis who had been referred to two hospitals. After DNA extraction, Multiplex Real-Time PCR was carried out in two separate reactions for each sample. Among 200 collected samples, 34 (17%) and 8 (4%) were positive for Adenovirus and HSV-1 DNA, respectively. There were no HSV-2 and VZV conjunctivitis. No significant correlation was identified between gender and conjunctivitis (P-value: 0.845); however, there was a close correlation between age and conjunctivitis (Pvalue: 0.05). In this study, 66.3% of Adenoviral conjunctivitis occurs in the summer compared to 33.7% in spring. No significant seasonal variation was observed for HSV-1. Our results showed that adenovirus has a key role in causing viral conjunctivitis. \"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46661440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.55453/rjmm.2023.126.1.14
B. Crețu, B. Serban, Sergiu-Andrei Iordache, A. Cursaru, Mihai A. Costache, C. Cirstoiu
"In the context in which life expectancy increases and the population becomes more active, the number of people who are affected by gonarthrosis symptoms increases proportionally. By the year 2030, in the United States of America, one in three adults is expected to suffer from gonarthrosis, this prediction will be the beginning of an epidemic. Total knee arthroplasty has been shown to relieve pain and improve joint function; however, studies have shown that active young patients still have limitations in performing high-level activities such as dancing, golfing, skiing, and gardening. Currently, modern TKA implants are designed to reproduce the normal biomechanics of the knee joint, mimicking the physiological “medial pivot” pattern with greater compliance on the medial compartment between the tibial insert and femoral condyle and less congruence on the lateral side. "
{"title":"Medial Pivot Knee in Total Knee Arthroplasty","authors":"B. Crețu, B. Serban, Sergiu-Andrei Iordache, A. Cursaru, Mihai A. Costache, C. Cirstoiu","doi":"10.55453/rjmm.2023.126.1.14","DOIUrl":"https://doi.org/10.55453/rjmm.2023.126.1.14","url":null,"abstract":"\"In the context in which life expectancy increases and the population becomes more active, the number of people who are affected by gonarthrosis symptoms increases proportionally. By the year 2030, in the United States of America, one in three adults is expected to suffer from gonarthrosis, this prediction will be the beginning of an epidemic. Total knee arthroplasty has been shown to relieve pain and improve joint function; however, studies have shown that active young patients still have limitations in performing high-level activities such as dancing, golfing, skiing, and gardening. Currently, modern TKA implants are designed to reproduce the normal biomechanics of the knee joint, mimicking the physiological “medial pivot” pattern with greater compliance on the medial compartment between the tibial insert and femoral condyle and less congruence on the lateral side. \"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45381911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.55453/rjmm.2023.126.1.12
B. Garrusi, Ali Amirkaf, Z. Bagherinezhad, S. Garousi, F. Mohhamadi, H. Shoraka
"Background and Aim: Eating disorders are one of the most important issues in mental health that leading to many serious psychic and somatic problems and even death. These disorders were known for years as a disease of the western societies. Recent studies showed that they are also spreading in eastern countries. Limited studies are in Iran. The purpose of this study is to review the Iranian researches. The results of this study in Iran as a developing Asian country will helpful for other societies, especially similar Asian communities. Methods: The authors searched PubMed, ProQuest, Cochrane, Scopus, Web of Sciences, and SID and Magiran (In Persian) to find the relevant articles. The Joanna Briggs Institute Critical Appraisal Checklist was used to assess the quality of research. Results: Twenty- nine studies reported the prevalence or occurrence of eating disorders among the Iranian population. The samples consisted of 40 to 30,532 subjects. Forty papers examined eating disorders among females. Twenty-seven studies were in both genders, and only one was in males. Most eating disorders have significantly varied depending on the different studies and tools used. Most of these articles studied young people. This study breaks the determinants into three parts: demographic, psychosocial, and miscellaneous factors. The incidence of eating disorders in Iran is on the rise. Conclusions: It should be considered a significant health problem. Moreover, despite a clear cultural difference, eating disorders' factors were similar to those in western communities. This matter may be an essential health issue. In addition, despite noticeable cultural differences, the factors affecting eating disorders were similar to those of western communities "
背景和目的:饮食失调是心理健康中最重要的问题之一，它会导致许多严重的精神和身体问题，甚至死亡。这些疾病多年来一直被认为是西方社会的一种疾病。最近的研究表明，它们也在东方国家蔓延。在伊朗进行了有限的研究。本研究的目的是回顾伊朗的研究。伊朗作为亚洲发展中国家的研究结果将有助于其他社会，特别是类似的亚洲社区。方法:作者检索PubMed、ProQuest、Cochrane、Scopus、Web of Sciences、SID and Magiran (In Persian)检索相关文章。乔安娜布里格斯研究所关键评估清单被用来评估研究的质量。结果:29项研究报告了伊朗人群中饮食失调的患病率或发生率。样本包括40至30,532名受试者。40篇论文研究了女性的饮食失调。27项研究涉及两性，只有一项是男性。根据不同的研究和使用的工具，大多数饮食失调都有很大的不同。这些文章大多是研究年轻人的。这项研究将决定因素分为三部分:人口统计、社会心理和其他因素。伊朗饮食失调的发病率正在上升。结论:应将其视为严重的健康问题。此外，尽管存在明显的文化差异，但饮食失调的因素与西方社区相似。这件事可能是一个重要的健康问题。此外，尽管存在明显的文化差异，但影响饮食失调的因素与西方社会相似。”
{"title":"An Overview of Eating Disorders in Iran: Frequency and Some Related Factors","authors":"B. Garrusi, Ali Amirkaf, Z. Bagherinezhad, S. Garousi, F. Mohhamadi, H. Shoraka","doi":"10.55453/rjmm.2023.126.1.12","DOIUrl":"https://doi.org/10.55453/rjmm.2023.126.1.12","url":null,"abstract":"\"Background and Aim: Eating disorders are one of the most important issues in mental health that leading to many serious psychic and somatic problems and even death. These disorders were known for years as a disease of the western societies. Recent studies showed that they are also spreading in eastern countries. Limited studies are in Iran. The purpose of this study is to review the Iranian researches. The results of this study in Iran as a developing Asian country will helpful for other societies, especially similar Asian communities. Methods: The authors searched PubMed, ProQuest, Cochrane, Scopus, Web of Sciences, and SID and Magiran (In Persian) to find the relevant articles. The Joanna Briggs Institute Critical Appraisal Checklist was used to assess the quality of research. Results: Twenty- nine studies reported the prevalence or occurrence of eating disorders among the Iranian population. The samples consisted of 40 to 30,532 subjects. Forty papers examined eating disorders among females. Twenty-seven studies were in both genders, and only one was in males. Most eating disorders have significantly varied depending on the different studies and tools used. Most of these articles studied young people. This study breaks the determinants into three parts: demographic, psychosocial, and miscellaneous factors. The incidence of eating disorders in Iran is on the rise. Conclusions: It should be considered a significant health problem. Moreover, despite a clear cultural difference, eating disorders' factors were similar to those in western communities. This matter may be an essential health issue. In addition, despite noticeable cultural differences, the factors affecting eating disorders were similar to those of western communities \"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42548470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.55453/rjmm.2023.126.1.13
A. Heidari, M. Kabir, Zahra Khatirnamani, M. Gholami, N. Jafari
"Background and Aim: Respiratory system diseases (RSDs) represent the major burden of disease, including death worldwide. The main purpose of this study was to model and forecast the death rate due to diseases of the respiratory system Based on Lee Carter's model during the years 2011-2028. Methods: The type of study was a secondary analysis based on available data. The statistical population included all deaths registered in the health department of Golestan University of Medical Sciences during the years 2011-2018. Data analysis was performed using Demography 18.1 and StMoMo packages in R3.6.2 software. Results: The death rate due to RSDs in 2011 in the total population was 0.22, in women 0.19, and in men 0.25 per 1000 population. The death rate due to these diseases shows an increasing trend in 2018 to 0.33 in the total population, 0.29 in women, and 0.36 in men per 1000 population. In general, the death rate due to these diseases increased by approximately 0.10 per 1000 population from the years 2011 to 2018. It is predicted that the increasing trend of deaths due to RSDs will continue and in 2028 it will reach 4.88 in the total population, 3.56 in women, and 2.27 in men per 1000 population. Conclusions: Our findings show a significant increase in respiratory disease mortality over the past eight years. A combination of prevention and treatment strategies through urban planning, including the control of environmental pollutants and environmental health programs, is essential for the effective control of respiratory diseases "
{"title":"Modeling and Forecasting the Death Trend Due to Respiratory System Diseases using the LeeCarter model in Northern Iran","authors":"A. Heidari, M. Kabir, Zahra Khatirnamani, M. Gholami, N. Jafari","doi":"10.55453/rjmm.2023.126.1.13","DOIUrl":"https://doi.org/10.55453/rjmm.2023.126.1.13","url":null,"abstract":"\"Background and Aim: Respiratory system diseases (RSDs) represent the major burden of disease, including death worldwide. The main purpose of this study was to model and forecast the death rate due to diseases of the respiratory system Based on Lee Carter's model during the years 2011-2028. Methods: The type of study was a secondary analysis based on available data. The statistical population included all deaths registered in the health department of Golestan University of Medical Sciences during the years 2011-2018. Data analysis was performed using Demography 18.1 and StMoMo packages in R3.6.2 software. Results: The death rate due to RSDs in 2011 in the total population was 0.22, in women 0.19, and in men 0.25 per 1000 population. The death rate due to these diseases shows an increasing trend in 2018 to 0.33 in the total population, 0.29 in women, and 0.36 in men per 1000 population. In general, the death rate due to these diseases increased by approximately 0.10 per 1000 population from the years 2011 to 2018. It is predicted that the increasing trend of deaths due to RSDs will continue and in 2028 it will reach 4.88 in the total population, 3.56 in women, and 2.27 in men per 1000 population. Conclusions: Our findings show a significant increase in respiratory disease mortality over the past eight years. A combination of prevention and treatment strategies through urban planning, including the control of environmental pollutants and environmental health programs, is essential for the effective control of respiratory diseases \"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41647965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.55453/rjmm.2023.126.1.10
M. Otaghi, M. Mozafari, Y. Veisani, A. Taheri
"In this descriptive-analytical study, 110 nurses working in educational hospitals of the Ilam University of Medical Sciences were included. Participants were selected using a random sampling method. The data collection tools were the demographic information form, the moral intelligence questionnaire of Lenik and Kiel (2005), and the standard clinical competency assessment questionnaire (CIRN). Data were analyzed using SPSS software, version 21. Descriptive and inferential statistical tests were used to analyze the data. The mean ± SD score of nurses' moral intelligence and clinical competency was estimated at 157.59 ± 26.60 and 136.65 ± 46.08, respectively. Fifty-one percent of participants had low clinical competency, and 46% had high clinical competency. There was a significant association between moral intelligence and clinical competency (p<0.05). "
{"title":"Relationship between Moral Intelligence and Clinical Competency of Nurses in Ilam Educational Hospitals","authors":"M. Otaghi, M. Mozafari, Y. Veisani, A. Taheri","doi":"10.55453/rjmm.2023.126.1.10","DOIUrl":"https://doi.org/10.55453/rjmm.2023.126.1.10","url":null,"abstract":"\"In this descriptive-analytical study, 110 nurses working in educational hospitals of the Ilam University of Medical Sciences were included. Participants were selected using a random sampling method. The data collection tools were the demographic information form, the moral intelligence questionnaire of Lenik and Kiel (2005), and the standard clinical competency assessment questionnaire (CIRN). Data were analyzed using SPSS software, version 21. Descriptive and inferential statistical tests were used to analyze the data. The mean ± SD score of nurses' moral intelligence and clinical competency was estimated at 157.59 ± 26.60 and 136.65 ± 46.08, respectively. Fifty-one percent of participants had low clinical competency, and 46% had high clinical competency. There was a significant association between moral intelligence and clinical competency (p<0.05). \"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47953186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.55453/rjmm.2023.126.1.1
Ion Ancuța, Irinel A. Nedelcu, G. Stoleriu, D. Brǎnișteanu
"More than 75 years after its accidental discovery, methotrexate remains an important treatment option for many diseases. Whether it is various hematological and non-hematological neoplasms, rheumatological, dermatological, or other conditions, methotrexate remains in scope. For rheumatoid arthritis, current clinical guidelines (EULAR, ACR) recommend methotrexate as the first therapeutic option. This article aims to highlight important moments in the history of this remarkable drug, to review the literature on its mechanisms of action and the arguments for which after more than half a century, methotrexate remains the gold standard in the treatment of rheumatoid arthritis but also an important option for treatment of psoriasis vulgaris (PV) and psoriatic arthritis (PsA)."
{"title":"The Amazing History of Methotrexate – 75 Years Later from its Discovery, Still the “Golden Standard” Therapy","authors":"Ion Ancuța, Irinel A. Nedelcu, G. Stoleriu, D. Brǎnișteanu","doi":"10.55453/rjmm.2023.126.1.1","DOIUrl":"https://doi.org/10.55453/rjmm.2023.126.1.1","url":null,"abstract":"\"More than 75 years after its accidental discovery, methotrexate remains an important treatment option for many diseases. Whether it is various hematological and non-hematological neoplasms, rheumatological, dermatological, or other conditions, methotrexate remains in scope. For rheumatoid arthritis, current clinical guidelines (EULAR, ACR) recommend methotrexate as the first therapeutic option. This article aims to highlight important moments in the history of this remarkable drug, to review the literature on its mechanisms of action and the arguments for which after more than half a century, methotrexate remains the gold standard in the treatment of rheumatoid arthritis but also an important option for treatment of psoriasis vulgaris (PV) and psoriatic arthritis (PsA).\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42986855","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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