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Preparation of protocol for removing physical, psychological, environmental and social barriers of physical activity in pregnant women 制定消除孕妇身体、心理、环境和社会活动障碍的方案
Pub Date : 2019-07-15 DOI: 10.32592/jbirjandunivmedsci.2019.26.3.107
F. Mokhtari, L. Mokhtari, Alireza Rezaei Adariani
Background and Aim: Physical activity during pregnancy is one important facet of women's health behavior and Lifestyle, it cause to improvement body image, reduction physical discomfort, anxiety and insomnia, and also has beneficial effects on women's delivery and breast feeding. Despite the great benefits of physical activity, it is often weak in pregnant women. The aim of this study was to develop a protocol to remove barriers of physical activity in healthy pregnant women admitted to Shahid Beheshti Health Center and Hospital in Isfahan. Materials and Methods: This is a descriptive study with Delphy method and information has been gathered in a triangulation way, which was conducted at Isfahan University of Medical Sciences and Shahid Beheshti Hospital in Isfahan. The second phase is a study that in the first phase of the cross-sectional and it was done on 380 pregnant women in 2015. At first, pregnant women completed demographic / reproductive, pregnancy physical activity questionnaire. Then the solutions to remove barriers of physical activity were provided by using the results of the first phase of study, library resources and internet and by performance the Delphi method by faculty members of Department of Midwifery, pregnant women and results of resources, was obtained .Statistical analysis by using descriptive statistical and SPSS statistical software (version 16) was done. The level of significance was set at (p≤ 0.05) for all the statistical tests. Results: Among 74 presented solutions, 61 approaches in the first and second stage in each fourth aspects; physical, psychological, environmental and social were 75th percentile score higher than 8. Conclusion: In order to promote and increase the amount of physical activity during pregnancy, attention and recommendation to implement this protocol in routine prenatal care is essential.
背景与目的:孕期体育活动是女性健康行为和生活方式的一个重要方面,它有助于改善身体形象,减少身体不适、焦虑和失眠,对女性分娩和母乳喂养也有有益影响。尽管体育活动有很大的好处,但孕妇的身体活动往往较弱。本研究的目的是制定一项方案,以消除入住伊斯法罕Shahid Beheshti健康中心和医院的健康孕妇的身体活动障碍。材料和方法:这是一项使用Delphy方法的描述性研究,信息是在伊斯法罕医学科学大学和伊斯法罕Shahid Beheshti医院以三角测量的方式收集的。第二阶段是第一阶段的横断面研究,2015年对380名孕妇进行了研究。起初,孕妇完成了人口统计/生殖、妊娠期体育活动问卷。然后利用第一阶段的研究结果、图书馆资源和互联网,以及助产系教员、孕妇和资源的德尔菲方法,提出了消除体育活动障碍的解决方案,采用描述性统计和SPSS统计软件(16版)进行统计分析。所有统计检验的显著性水平均设定为(p≤0.05)。结果:在提出的74个解决方案中,每四个方面第一阶段和第二阶段的61个方法;生理、心理、环境和社会总分均高于8分,为第75个百分位。结论:为了促进和增加妊娠期的体力活动量,在常规产前护理中注意并建议实施该方案是至关重要的。
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引用次数: 0
Epidemiology of head and neck squamous cell carcinoma in birjand city, between 2008 and 2017 2008 - 2017年birjand市头颈部鳞状细胞癌流行病学分析
Pub Date : 2019-07-15 DOI: 10.32592/JBIRJANDUNIVMEDSCI.2019.26.3.109
L. Alizadeh, Gholamreza Sharifzadeh, Y. Aghajani
Background and Aim: Squamous cell carcinoma is one of the most common causes of head and neck cancer and is one of the ten leading causes of death in the world. its prognosis is weak due to late diagnosis and varied clinical. Environmental and climatic conditions play a role in cancers; for this reason, the necessity of epidemiological studies is felt. The aim of this study was to evaluate the ten-year epidemiology of cases infected head and neck squamous cell carcinoma in birjand. Materials and Methods: This is a cross-sectional descriptive-analytical study, by the method of retrospective study was performed on 111 patients with head and neck squamous cell carcinoma. demographic and histopathological data were extracted from patient records. Subsequently, the data were then analyzed using one-way Chi-square test or Fisher's alpha level of α =0.05. Results: In this study, the mean age of the patients was 60.52 ± 12.9 years and the ratio of male to female was 2.08. The most common sites of involvement were larynx (63.1%) and followed by tongue (8.1%). For smokers, laryngeal involvement was 76.7% and for non-smokers, 54.4%, which is statistically significant (P=0.04). 54.1% of patients had squamous cell carcinoma (SCC) with moderately differentiation. 55% of patients were living in the city. Moderately differentiated tissue lesions among drug users they were significantly higher(P=0.02). Conclusion: The results of this study showed that head and neck squamous cell carcinoma has become more prevalent in men, especially the elderly, in recent years. The most common site of involvement in head and neck was the larynx, and smoking significantly increased the prevalence of laryngeal lesions.
背景与目的:鳞状细胞癌是癌症最常见的病因之一,也是世界十大死亡原因之一。由于诊断较晚,临床表现多样,预后较差。环境和气候条件在癌症中起作用;因此,人们感到进行流行病学研究的必要性。本研究的目的是评估birjand头颈部鳞状细胞癌感染病例的十年流行病学。材料与方法:采用横断面描述性分析方法,对111例头颈部鳞状细胞癌患者进行回顾性研究。从患者记录中提取人口统计学和组织病理学数据。随后,使用单向卡方检验或α=0.05的Fisherα水平对数据进行分析。结果:本研究患者的平均年龄为60.52±12.9岁,男女比例为2.08。最常见的受累部位是喉部(63.1%),其次是舌头(8.1%)。吸烟者的喉部受累率为76.7%,非吸烟者为54.4%,具有统计学意义(P=0.04)。54.1%的患者患有中度分化的鳞状细胞癌。55%的病人住在城市里。结论:本研究结果表明,近年来头颈部鳞状细胞癌在男性,尤其是老年人中更为普遍。头颈部最常见的受累部位是喉部,吸烟显著增加了喉部病变的患病率。
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引用次数: 1
Evaluation of single-Walled and Multi-Walled Carbon Nanotubes Efficiency for Removal of Acetaminophen removal from Aquatic Solutions: isotherm and kintick adsorption study 评估单壁和多壁碳纳米管从水溶液中去除对乙酰氨基酚的效率:等温线和kintick吸附研究
Pub Date : 2019-07-10 DOI: 10.32592/JBIRJANDUNIVMEDSCI.2019.26.3.102
M. Khodadadi, Aliyeh Hossein Nezhad, A. Naghizade, N. Nasseh, Soheila Chavoshan
Background and Aim: The residuals of drug are belonging to emerging pollutants. Drugs and their metabolites should be removed from water resources due to potential risks and their toxicities for humans and the environment.These materials are not completely eliminated by the conventional methods of water and wastewater treatment. The purpose of this study was to investigate the removal of acetaminophen using single-walled and multi-walled carbon nanotubes from aqueous environments. Materials and Methods: In this experimental study, the effect of different parameters such as: pH, initial concentration of acetaminophen, adsorbent dose, time of touch and mixing speed were investigated in acetaminophen removal by single-wall and multi-wall carbon nanotubes. The adsorption isotherms of Langmuir, Freundlich, Temkin, Dubinin-Rudeshkuvich and BET and pseudo-first and pseudo-second order adsorption kinetics were also investigated. Acetaminophen concentration was measured by spectrophotometer at (λ max=258 nm). Results: The result of the experiments showed that single-wall and multi-wall carbone nanotubes could be able to removal 38.59% and 28.24% of acetaminophen at time=45 min , PH=7. With increasing the dose of nanotubes, the removal percentage increased and absorption capacity decreased, Absorption process showed the highest correlation with Langmuir model and pseudo-second kinetics (R>0.99). Conclusion: The results showed that single-walled and multi-walled carbon nanotube adsorbents can be used as an effective adsorbent in the removal of acetaminophen from aqueous environments along with other treatment methods.
背景与目的:药物残留属于新兴污染物。由于药物及其代谢物对人类和环境的潜在风险和毒性,应从水资源中去除。传统的水和废水处理方法不能完全消除这些物质。本研究的目的是研究单壁和多壁碳纳米管在水环境中去除对乙酰氨基酚的效果。材料与方法:本实验研究了pH、对乙酰氨基酚初始浓度、吸附剂剂量、接触时间和混合速度等不同参数对单壁和多壁碳纳米管对乙酰氨基酚去除效果的影响。研究了Langmuir、Freundlich、Temkin、Dubinin-Rudeshkuvich、BET等吸附等温线及准一级和准二级吸附动力学。用分光光度计(λ max=258 nm)测定对乙酰氨基酚浓度。结果:单壁碳纳米管和多壁碳纳米管在PH=7、时间=45 min时对乙酰氨基酚的去除率分别为38.59%和28.24%。随着纳米管剂量的增加,纳米管的去除率增加,吸附量减小,吸附过程与Langmuir模型和伪秒动力学的相关性最高(R>0.99)。结论:单壁和多壁碳纳米管吸附剂可作为一种有效的吸附剂,与其他处理方法一起去除水中对乙酰氨基酚。
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引用次数: 0
The relationship between teaching patient safety culture with promoting safety culture and self-efficacy of nurses 传授病人安全文化与促进护士安全文化及自我效能感的关系
Pub Date : 2019-07-10 DOI: 10.32592/jbirjandunivmedsci.2019.26.3.104
Mohammad Tahan, Fateme Khakshoor, E. Ahangari
Background and Aim: In order to improve the patient's safety, countries are required to monitor the safety of systems, and in this path, patient safety culture should be explored and developed among staff. The purpose of this study was to evaluate the effect of teaching on patient safety culture on the promotion of safety culture and self-efficacy of nurses in Vali-e-Asr Hospital of Birjand. Materials and Methods: The present study was carried out in a quasi-experimental design with pretest-posttest with the control group. The statistical population of this study was all nurses working in Vali-e-Asr Hospital in Birjand in 2018 (100 people). From this statistical society, based on the Morgan table and by stratified sampling, A total of 80 nurses were selected and Randomly and evenly divided into two experimental and control groups. The group training sessions of the patient safety culture were conducted for 4 sessions of 2 hours for the experimental group and the control group did not receive any intervention. In the pretest and posttest, both groups responded to the research tools (Patient Safety Culture and General Sherer Self-efficacy Questionnaire). Data were analyzed using SPSS software (version 22) by using covariance analysis. Results: The results showed that in the variable of safety culture due to the variable effect, The education of the patient safety culture was significant (P <0.01); in the self-efficacy variable with respect to the effect of the variable, The education of the patient safety culture was significant (P = 0.001). Conclusion: Training on patient safety culture to nurses, affects the promotion of their safety culture and self-efficacy; Therefore, it is suggested that planners, administrators, use this methodology to promote the safety culture.
背景和目的:为了提高患者的安全性,各国需要对系统的安全性进行监测,在这条道路上,应该在工作人员中探索和发展患者安全文化。本研究的目的是评估患者安全文化教学对Birjand Vali-e-Asr医院护士安全文化和自我效能感的促进作用。材料和方法:本研究采用准实验设计,与对照组进行前测后测。这项研究的统计人群是2018年在Birjand Vali-e-Asr医院工作的所有护士(100人)。从该统计学会中,以Morgan表为基础,分层抽样,共选取80名护士,随机、平均地分为两组:实验组和对照组。实验组的患者安全文化小组培训课程进行了4次,每次2小时,对照组没有接受任何干预。在前测和后测中,两组都对研究工具(患者安全文化和普通Sherer自我效能问卷)做出了回应。数据采用SPSS软件(22版)进行协方差分析。结果:结果表明,在安全文化变量中由于变量效应,患者安全文化教育显著(P<0.01);在自我效能感变量的作用方面,患者安全文化教育显著(P=0.001)。结论:对护士进行患者安全文化培训,影响其安全文化和自我效能感的提升;因此,建议规划者、管理者使用这种方法来宣传安全文化。
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引用次数: 3
Effect of tarragon (Artemisia dracunculus L.) extract on spatial memory in rats exposed to chronic restraint stress 龙蒿提取物对慢性束缚应激大鼠空间记忆的影响
Pub Date : 2019-07-10 DOI: 10.32592/jbirjandunivmedsci.2019.26.3.101
H. Khosravi, M. Rahnema, M. Asle-Rousta
Background and Aim: Tarragon (Artemisia dracunculus L.) has antioxidant, anti-inflammatory and analgesic effects. The objective of this study was to investigate the effect of Tarragon alcoholic extract on spatial learning and memory deficits, induced by chronic immobilization stress in male rats. Materials and Methods: In this experimental study, 60 male Wistar rats were divided into 6 groups (each group of 10 rats): Control(without treatment), under stress, receiving 100 mg / kg Tarragon extract, receiving 500 mg / kg Tarragon extract, stress receiving and 100 mg / kg Tarragon extract simultaneously, and finally Stress receiving group and 500 mg / kg tarragon extract simultaneously. The rats in under stress group, 6 hours every day for 21 consecutive days they encountered with immobilized stress. Groups receiving Tarragon extract, during this period, the doses of 100 mg / kg.bw and 500 mg / kg.bw were extracted by gavage, and two groups receiving the extract and stress simultaneously, in addition to receiving Tarragon extract at the same doses they also faced stress. Spatial learning and memory of animals were evaluated by using the Morris Water Maze test. Results Immobilized stress impaired learning and memory in animals. Delay time (seconds) and distance (cm) moved to reach the hidden platform was significantly increased in the stress group compared to the control group (P <0.01 and P <0.05, respectively). Also in probe test, total elapsed time (s) and distance (cm) in target quadrant decreased significantly in stress group compare with control group (p<0.001 and p<0.05 respectively). Receiving both doses of Tarragon extract improved spatial learning and memory in under stressed rats. Conclusion: The results of this study indicate that Tarragon extract prevent memory impairment and may be useful in preventing and treating of neuro-degenerative diseases due to stress.
背景与目的:龙蒿具有抗氧化、抗炎、镇痛作用。本研究的目的是研究Tarragon酒精提取物对雄性大鼠慢性固定应激引起的空间学习和记忆缺陷的影响。材料和方法:本实验将60只雄性Wistar大鼠分为6组(每组10只):对照组(未经处理),在应激条件下,接受100mg/kg的塔拉贡提取物,接受500mg/kg的塔拉贡提取液,同时接受应激和100mg/kg的Tarragon提取物,最后接受应激组和500mg/kg的Tarragion提取物。应激组大鼠每天6小时,连续21天受到固定化应激。接受塔拉贡提取物的组,在此期间,通过灌胃提取剂量为100mg/kg.bw和500mg/kg.bw的塔拉贡提取物,两组同时接受提取物和应激,除了接受相同剂量的塔拉贡提取液外,他们还面临应激。动物的空间学习和记忆通过Morris水迷宫测试进行评估。结果固定化应激损害了动物的学习记忆。与对照组相比,应激组到达隐蔽平台的延迟时间(秒)和移动距离(厘米)显著增加(分别P<0.01和P<0.05)。同样在探针测试中,与对照组相比,应激组在目标象限的总经过时间(s)和距离(cm)显著降低(分别为p<0.001和p<0.05)。接受两种剂量的Tarragon提取物可以改善压力不足大鼠的空间学习和记忆。结论:该研究结果表明,Tarragon提取物可预防记忆障碍,并可用于预防和治疗应激性神经退行性疾病。
{"title":"Effect of tarragon (Artemisia dracunculus L.) extract on spatial memory in rats exposed to chronic restraint stress","authors":"H. Khosravi, M. Rahnema, M. Asle-Rousta","doi":"10.32592/jbirjandunivmedsci.2019.26.3.101","DOIUrl":"https://doi.org/10.32592/jbirjandunivmedsci.2019.26.3.101","url":null,"abstract":"Background and Aim: Tarragon (Artemisia dracunculus L.) has antioxidant, anti-inflammatory and analgesic effects. The objective of this study was to investigate the effect of Tarragon alcoholic extract on spatial learning and memory deficits, induced by chronic immobilization stress in male rats. Materials and Methods: In this experimental study, 60 male Wistar rats were divided into 6 groups (each group of 10 rats): Control(without treatment), under stress, receiving 100 mg / kg Tarragon extract, receiving 500 mg / kg Tarragon extract, stress receiving and 100 mg / kg Tarragon extract simultaneously, and finally Stress receiving group and 500 mg / kg tarragon extract simultaneously. The rats in under stress group, 6 hours every day for 21 consecutive days they encountered with immobilized stress. Groups receiving Tarragon extract, during this period, the doses of 100 mg / kg.bw and 500 mg / kg.bw were extracted by gavage, and two groups receiving the extract and stress simultaneously, in addition to receiving Tarragon extract at the same doses they also faced stress. Spatial learning and memory of animals were evaluated by using the Morris Water Maze test. Results Immobilized stress impaired learning and memory in animals. Delay time (seconds) and distance (cm) moved to reach the hidden platform was significantly increased in the stress group compared to the control group (P <0.01 and P <0.05, respectively). Also in probe test, total elapsed time (s) and distance (cm) in target quadrant decreased significantly in stress group compare with control group (p<0.001 and p<0.05 respectively). Receiving both doses of Tarragon extract improved spatial learning and memory in under stressed rats. Conclusion: The results of this study indicate that Tarragon extract prevent memory impairment and may be useful in preventing and treating of neuro-degenerative diseases due to stress.","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47733112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The investigate of the prevalence of Bitewing and Periapical radiography errors prepared in the radiology department of the faculty of dentistry birjand university of medical sciences in 2017-2018 2017-2018年丹麦医科大学牙科学院放射科牙颌和根尖周围影像学错误发生率调查
Pub Date : 2019-07-10 DOI: 10.32592/jbirjandunivmedsci.2019.26.3.108
fateme zia, M. Khani
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引用次数: 0
The effect of educational intervention on nurses' preparedness in emergencies and disasters 教育干预对护士应急备灾的影响
Pub Date : 2019-07-10 DOI: 10.32592/jbirjandunivmedsci.2019.26.3.105
M. Nakhaei, S. Tabiee, Seyed AliReza Saadatjou, Fatemeh Sabzehkar
Background and Aim: Nurses as pioneers people in community health and treatment, they have an important role in coordinating and helping injured people at the time of the disaster. Improvement of their preparedness is one of the basic principles of health management in accidents and disasters. Therefore, the aim of this study has been done to determine the effect of educational intervention on nurses' preparedness in accidents and disasters Materials and Methods: In this single-group quasi experimental, (pre-test, post-test and follow-up), 75 nurses working in hospitals in Birjand were selected by the stratified random sampling method was used. The nurses participated in a disaster risk management workshop for 16 hours during 2 days in a round table exercise. Demographic data form and standard questionnaire of nurses' preparedness and responsiveness to the disasters were completed before, immediately and one month after the intervention. Data were analyzed using SPSS software (Version 16), and statistical analysis of intra group variance, Bonferroni post hoc test and chisquare tests, independent t-test, One-way analysis of variance and Tukey's range post hoc test were performed at a significance level of (0.05). Results: The mean score of nurses' preparedness before intervention out of 10 scores was 6/47±0/87 and their total mean score of ability and attitude towards disasters before intervention of 5 scores was 3/19±0/72 and 3/28±0/41 respectively. The average total score of preparedness and in the area of empowerment in nurses immediately and one month after intervention than before and the mean score of attitude one month after the intervention was significantly higher than before (p <0.05). Conclusion: Based on the results, the educational program had a significant effect on increasing nurses' preparedness in accidents and disasters. It is recommended that nursing managers to improve nursing staff readiness, conduct continuous training courses with maneuvers.
背景和目的:护士是社区卫生和治疗的先驱,在灾难发生时,他们在协调和帮助受伤人员方面发挥着重要作用。改进他们的准备工作是事故和灾害中健康管理的基本原则之一。因此,本研究的目的是确定教育干预对护士在事故和灾害中的准备工作的影响材料和方法:在这项单组准实验(前测、后测和随访)中,采用分层随机抽样方法选择了75名在Birjand医院工作的护士。护士们参加了为期两天的灾害风险管理讲习班,为期16个小时,参加了一次圆桌会议。在干预前、干预后立即和干预后一个月填写了护士对灾害的准备和反应的人口统计数据表和标准问卷。使用SPSS软件(16版)对数据进行分析,并进行组内方差统计分析、Bonferroni post-hoc检验和chisquare检验、独立t检验、,结果:护理人员干预前准备能力平均分为6/47±0/87分,干预前应对灾害能力和态度总分平均分为3/19±0/72分和3/28±0/41分。干预后即刻和1个月护士的准备能力和授权领域的平均总分均高于干预前(p<0.05),干预后1个月的态度平均得分均高于干预后(p<0.05)。建议护理管理人员提高护理人员的准备能力,进行连续的培训课程。
{"title":"The effect of educational intervention on nurses' preparedness in emergencies and disasters","authors":"M. Nakhaei, S. Tabiee, Seyed AliReza Saadatjou, Fatemeh Sabzehkar","doi":"10.32592/jbirjandunivmedsci.2019.26.3.105","DOIUrl":"https://doi.org/10.32592/jbirjandunivmedsci.2019.26.3.105","url":null,"abstract":"Background and Aim: Nurses as pioneers people in community health and treatment, they have an important role in coordinating and helping injured people at the time of the disaster. Improvement of their preparedness is one of the basic principles of health management in accidents and disasters. Therefore, the aim of this study has been done to determine the effect of educational intervention on nurses' preparedness in accidents and disasters Materials and Methods: In this single-group quasi experimental, (pre-test, post-test and follow-up), 75 nurses working in hospitals in Birjand were selected by the stratified random sampling method was used. The nurses participated in a disaster risk management workshop for 16 hours during 2 days in a round table exercise. Demographic data form and standard questionnaire of nurses' preparedness and responsiveness to the disasters were completed before, immediately and one month after the intervention. Data were analyzed using SPSS software (Version 16), and statistical analysis of intra group variance, Bonferroni post hoc test and chisquare tests, independent t-test, One-way analysis of variance and Tukey's range post hoc test were performed at a significance level of (0.05). Results: The mean score of nurses' preparedness before intervention out of 10 scores was 6/47±0/87 and their total mean score of ability and attitude towards disasters before intervention of 5 scores was 3/19±0/72 and 3/28±0/41 respectively. The average total score of preparedness and in the area of empowerment in nurses immediately and one month after intervention than before and the mean score of attitude one month after the intervention was significantly higher than before (p <0.05). Conclusion: Based on the results, the educational program had a significant effect on increasing nurses' preparedness in accidents and disasters. It is recommended that nursing managers to improve nursing staff readiness, conduct continuous training courses with maneuvers.","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47814534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
The impact of education communication skills on emotional regulation, resilience and marital satisfaction of mothers of hearing-impaired children 教育沟通技能对听障儿童母亲情绪调节、恢复力和婚姻满意度的影响
Pub Date : 2019-07-10 DOI: 10.32592/jbirjandunivmedsci.2019.26.3.106
L. Moghtader, B. Akbari
Background and Aim: More than 90% of hearing-impaired children have hearing parents and their parents do not know how to communicate with these children . The aim of this study was to investigate the impact of education communication skills on bemotional regulation, resilience and marital satisfaction of mothers of hearingimpaired children. Materials and Methods: The research was a quasi-experimental with pre-test and post-test design with the control group. The statistical population were the mothers of hearing-impaired children under 7 years old in Rasht that was referred to the Pejvak Deafness Clinic in 2017. 40 mothers were selected by convenience sampling and were randomly divided into two groups of intervention (20 people) and control (20 people). Granofsky Emotional Regulation Questionnaire, Conner & Davison (CD-RIS) and Enrich Marital Satisfaction Questionnaire (ENRICH 47) they were used as research tools. The effective communication skills education program, 8 sessions for mothers in the intervention group were held and the control group received no education. Descriptive statistics including: frequency, percentage, mean, standard deviation and standard error for data description were used and also chi-square, independent t-test, paired t-test, Levin, eta squared, covariance analysis, Kolmogorov-Smirnov and Box were used for data analysis at the significant level of 0.05. Results: The results showed that communication skills education led to significant differences in the post test of the experimental group and the comparison of the meanings showed an increase in resiliency, emotional regulation and marital satisfaction in the experimental group (p <0.01). Conclusion: It can be concluded that by education of effective communication skills, it is possible to increase in marital resilience and marital satisfaction, as well as emotional regulation in the children with hearing-impaired children was obtain.
背景和目的:90%以上的听障儿童有听力父母,他们的父母不知道如何与这些儿童沟通。本研究的目的是调查教育沟通技能对听力受损儿童母亲的困惑调节、恢复力和婚姻满意度的影响。材料与方法:本研究为准实验,采用试验前和试验后设计,对照组。统计人群是Rasht 7岁以下听障儿童的母亲,该儿童于2017年被转诊至Pejvak耳聋诊所。采用方便抽样法,将40名母亲随机分为干预组(20人)和对照组(20人为)。Granofsky情绪调节问卷、Conner&Davison(CD-RIS)和Enrich婚姻满意度问卷(Enrich 47)作为研究工具。干预组对母亲进行了8次有效的沟通技能教育,对照组未接受任何教育。描述性统计包括:频率、百分比、平均值、标准差和标准误差用于数据描述,还使用卡方、独立t检验、配对t检验、Levin、eta平方、协方差分析、Kolmogorov-Smirnov和Box进行显著水平为0.05的数据分析。结果:交际技能教育导致实验组在后测中存在显著差异,意义比较显示实验组在弹性、情绪调节和婚姻满意度方面均有所提高(p<0.01),有可能提高听障儿童的婚姻韧性和婚姻满意度,以及情绪调节。
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引用次数: 1
Evaluation of low doses of Azathioprine in reducing relapse and corticosteroid dependence in patients with Ulcerative Colitis 评价低剂量硫唑嘌呤在减少溃疡性结肠炎患者复发和皮质类固醇依赖中的作用
Pub Date : 2019-05-15 DOI: 10.32592/JBIRJANDUNIVMEDSCI.2019.26.2.107
M. Rezaiee, H. Salmani, M. Sargazi, F. Mahdizadeh
Background and Aim: Ulcerative Colitis is an idiopathic inflammatory bowel disease that is common in adults. Although corticosteroids are the most effective preservative treatment for Ulcerative Colitis. However, due to the dependence of these drugs and their serious complications, the use of an immunosuppressive drug or surgery should be taken seriously. Thus the aim of the study was the evaluation of the efficiency of low doses of azathioprine (AZA) in reducing relapse and corticosteroid-dependence in Ulcerative colitis patients. Materials and Methods: In this cross-sectional study, 96 patients with ulcerative colitis were followed for one year. Patients who indicated by corticosteroid therapy not able to reduce the dose of corticosteroid, at second relapse was treated with 11.5 mg/kg of (AZA). Demographic characteristics, the severity of disease at the beginning of the study and response to treatment, recurrence of the disease, and drug side effects during the study. Data were analyzed using the Chi-square test in SPSS software. Results: At the beginning of the study, over 50% of patients had high symptoms of the disease. In the patients under study, 40 (41.7%) patients had corticosteroid dependence, all of them being treated with (AZA).Of the 96 patients during the one-year followup 24 patients had relapses and 72 patients did not have relapses. 97.8% of corticosteroid patients with (AZA) prescription, Corticosteroid was discontinued and only one patient did not response to AZA and was underwent surgery. Conclusion: Given the prevalence of use of corticosteroids, prescription of low doses of (AZA) can be considered as one of the effective therapies to reduce the rate of relapse of the disease and to avoid frequent use of corticosteroids.
背景与目的:溃疡性结肠炎是一种常见于成人的特发性炎症性肠病。虽然皮质类固醇是治疗溃疡性结肠炎最有效的防腐剂。然而,由于这些药物的依赖性及其严重的并发症,使用免疫抑制药物或手术应认真对待。因此,本研究的目的是评估低剂量硫唑嘌呤(AZA)在减少溃疡性结肠炎患者复发和皮质类固醇依赖方面的效率。材料与方法:在本横断面研究中,96例溃疡性结肠炎患者随访一年。经皮质类固醇治疗不能减少皮质类固醇剂量的患者,在第二次复发时给予11.5 mg/kg (AZA)治疗。研究开始时的人口统计学特征、疾病的严重程度、对治疗的反应、疾病的复发以及研究期间的药物副作用。数据在SPSS软件中使用卡方检验进行分析。结果:在研究开始时,超过50%的患者有该病的高症状。在所研究的患者中,40例(41.7%)患者存在皮质类固醇依赖,所有患者均接受(AZA)治疗。在一年的随访中,96例患者有24例复发,72例无复发。97.8%的皮质类固醇患者(AZA)处方停用皮质类固醇,只有1例患者对AZA无反应并接受手术治疗。结论:考虑到糖皮质激素的使用情况,低剂量AZA可作为降低疾病复发率和避免频繁使用糖皮质激素的有效治疗方法之一。
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引用次数: 0
National project of blood pressure control: Do's and don't's 国家血压控制项目:该做和不该做
Pub Date : 2019-05-15 DOI: 10.32592/JBIRJANDUNIVMEDSCI.2019.26.2.100
N. Azdaki, T. Kazemi
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引用次数: 1
期刊
Journal of Birjand University of Medical Sciences
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