Pub Date : 2022-12-28DOI: 10.32592/ircmj.2022.24.12.1695
Reza Ghanei Gheshlagh, M. Ghalenoee, H. Nia, A. Ebadi, N. Parizad
Background: Self-care during Coronavirus Disease 2019 (COVID-19) helps people follow self-care strategies to reduce the spread of the virus. To control the disease, people need to engage in self-care behaviors, which should be investigated by a valid and reliable instrument to yield valid and credible results. Objectives: This study aimed to validate the Persian version of the Self-Care in COVID-19 Scale (SCOVID Scale). Methods: The sample included 582 participants from Tehran’s general population, selected through convenience sampling in 2021. They were divided into two groups, one for exploratory factor analysis (EFA) and the other for confirmatory factor analysis (CFA). Cronbach’s alpha coefficient and McDonald’s omega were used to assess the internal consistency. Standard error of measurement and the interclass correlation coefficient were also employed to examine absolute and relative stability, respectively. Results: In the EFA, three factors, including Precaution, Routine Activities, and Lifestyle, were extracted, explaining 32.31% of the total variance in COVID-19 self-care. Internal consistency of the whole scale using both Cronbach’s alpha coefficient and McDonald’s omega was above 0.7. The goodness of fit indices of the second-order CFA were in the acceptable range (x2=262.365, df=82, P<0.001, RMSEA=0.062, PCFI=0.725, PNFI=0.703, IFI=0.930, and the CFI=0.929). Conclusion: The Persian version of the SCOVID Scale is a valid and reliable instrument that can be used in studies on COVID-19.
{"title":"Validation of the Persian Version of the Self-care in COVID-19 Scale (SCOVID Scale) in the Iranian Population","authors":"Reza Ghanei Gheshlagh, M. Ghalenoee, H. Nia, A. Ebadi, N. Parizad","doi":"10.32592/ircmj.2022.24.12.1695","DOIUrl":"https://doi.org/10.32592/ircmj.2022.24.12.1695","url":null,"abstract":"Background: Self-care during Coronavirus Disease 2019 (COVID-19) helps people follow self-care strategies to reduce the spread of the virus. To control the disease, people need to engage in self-care behaviors, which should be investigated by a valid and reliable instrument to yield valid and credible results.\u0000\u0000Objectives: This study aimed to validate the Persian version of the Self-Care in COVID-19 Scale (SCOVID Scale).\u0000\u0000Methods: The sample included 582 participants from Tehran’s general population, selected through convenience sampling in 2021. They were divided into two groups, one for exploratory factor analysis (EFA) and the other for confirmatory factor analysis (CFA). Cronbach’s alpha coefficient and McDonald’s omega were used to assess the internal consistency. Standard error of measurement and the interclass correlation coefficient were also employed to examine absolute and relative stability, respectively.\u0000\u0000Results: In the EFA, three factors, including Precaution, Routine Activities, and Lifestyle, were extracted, explaining 32.31% of the total variance in COVID-19 self-care. Internal consistency of the whole scale using both Cronbach’s alpha coefficient and McDonald’s omega was above 0.7. The goodness of fit indices of the second-order CFA were in the acceptable range (x2=262.365, df=82, P<0.001, RMSEA=0.062, PCFI=0.725, PNFI=0.703, IFI=0.930, and the CFI=0.929).\u0000\u0000Conclusion: The Persian version of the SCOVID Scale is a valid and reliable instrument that can be used in studies on COVID-19.","PeriodicalId":48912,"journal":{"name":"Iranian Red Crescent Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43382169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-22DOI: 10.32592/ircmj.2022.24.12.2188
Background: Hazards have always been considered a threat to human life and preparedness to deal with risks for pre-hospital emergency as the first line of care and treatment is highly significant. Pre-hospital emergency (clinical) deals with different natural and man-made hazards which cause various harms. Preservation of disaster preparedness is one of the pre-hospital emergency concerns. Objectives: In this regard, the present study aimed to determine the priority of hazards and design preparedness programs based on health response. Methods: The present study was based on a descriptive-analytical study that was conducted in Rasht, Iran in 2019. The method used in this study was a combination of quantitative and qualitative methods. In a qualitative method, the major threats and potential hazards of pre-hospital emergency were identified by reviewing the texts and searching for relevant articles. Afterward, its effectiveness and the significance of its risk or threat were evaluated using a researcher-made checklist. In total, 19 crisis liaisons from the organizations involved in crisis management in Rasht were questioned, 18 of whom responded to the checklist. Results: The results obtained from the opinions of the experts showed that the risk of earthquakes (88.8%) and seasonal flood (83.3%), among all the risks investigated, have a higher priority than traffic accidents (77.7%) and heavy snowfall (72.2%) in the society. They had a review. The pre-hospital emergency is closely related to many various risks, among which the earthquake risk was chosen as the priority by the community of experts participating in this research. For the emergency of the earthquake, preparedness plans were produced based on the response plan of the health sector and the additional comments of the expert community. Conclusion: Identification of high-priority risks and design of appropriate response plans will help those in charge to face and prepare in time and reduce damages.
{"title":"Prioritizing Pre-hospital Emergency Risks and Preparedness According to the Health Response Program in Rasht, Iran in 2019","authors":"","doi":"10.32592/ircmj.2022.24.12.2188","DOIUrl":"https://doi.org/10.32592/ircmj.2022.24.12.2188","url":null,"abstract":"Background: Hazards have always been considered a threat to human life and preparedness to deal with risks for pre-hospital emergency as the first line of care and treatment is highly significant. Pre-hospital emergency (clinical) deals with different natural and man-made hazards which cause various harms. Preservation of disaster preparedness is one of the pre-hospital emergency concerns.\u0000\u0000Objectives: In this regard, the present study aimed to determine the priority of hazards and design preparedness programs based on health response.\u0000\u0000Methods: The present study was based on a descriptive-analytical study that was conducted in Rasht, Iran in 2019. The method used in this study was a combination of quantitative and qualitative methods. In a qualitative method, the major threats and potential hazards of pre-hospital emergency were identified by reviewing the texts and searching for relevant articles. Afterward, its effectiveness and the significance of its risk or threat were evaluated using a researcher-made checklist. In total, 19 crisis liaisons from the organizations involved in crisis management in Rasht were questioned, 18 of whom responded to the checklist.\u0000\u0000Results: The results obtained from the opinions of the experts showed that the risk of earthquakes (88.8%) and seasonal flood (83.3%), among all the risks investigated, have a higher priority than traffic accidents (77.7%) and heavy snowfall (72.2%) in the society. They had a review. The pre-hospital emergency is closely related to many various risks, among which the earthquake risk was chosen as the priority by the community of experts participating in this research. For the emergency of the earthquake, preparedness plans were produced based on the response plan of the health sector and the additional comments of the expert community.\u0000\u0000Conclusion: Identification of high-priority risks and design of appropriate response plans will help those in charge to face and prepare in time and reduce damages.","PeriodicalId":48912,"journal":{"name":"Iranian Red Crescent Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49121750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-20DOI: 10.32592/ircmj.2022.24.12.2272
Background: Triage is used as one of the main concepts in the emergency medicine to differentiate between critically ill patients or patients in a non-emergency situation. Miss-triage occurs if the prioritization of patients or injured is not done correctly for any reason. Miss-triage occurs in two forms of over and under triage. According to studies, the incidence of miss-triage is high worldwide. Exercising is one of the ways to reduce the amount of miss-triage. Objectives:. This two-group pretest post-test intervention study aimed to investigate the effect of drilling on the miss-triage of emergency medical service personnel. Methods: The tools used in this study included: demographic information form questionnaire, Triage Decision Making Inventory (TDMI), and designed START/jump START triage scenarios. After collecting the required data, these data were analyzed by appropriate parametric and non-parametric statistical tests, including mean and standard deviation, independent t-test, paired t-test, K-square. Results: Results showed that the Miss-triage rate decreased from (34.1%) before the intervention to (9.1%) after the intervention in the experimental group. Moreover, after drill, the score of triage decision-making power increased from (121) to (136.91). However, in the control group, no statistically significant change was observed in the amount of miss-triage and triage decision-making power in emergency medical service personnel at the end of the study (p>.05). Conclusion: The findings of the present study revealed the effectiveness of this exercise method in reducing miss-triage in participants. Thus, this method could be used in emergency medical service personnel training and preparation programs.
{"title":"Drill; A Solution to Reduce Mistriage in Prehospital Emergency Setting","authors":"","doi":"10.32592/ircmj.2022.24.12.2272","DOIUrl":"https://doi.org/10.32592/ircmj.2022.24.12.2272","url":null,"abstract":"Background: Triage is used as one of the main concepts in the emergency medicine to differentiate between critically ill patients or patients in a non-emergency situation. Miss-triage occurs if the prioritization of patients or injured is not done correctly for any reason. Miss-triage occurs in two forms of over and under triage. According to studies, the incidence of miss-triage is high worldwide. Exercising is one of the ways to reduce the amount of miss-triage.\u0000Objectives:. This two-group pretest post-test intervention study aimed to investigate the effect of drilling on the miss-triage of emergency medical service personnel.\u0000Methods: The tools used in this study included: demographic information form questionnaire, Triage Decision Making Inventory (TDMI), and designed START/jump START triage scenarios. After collecting the required data, these data were analyzed by appropriate parametric and non-parametric statistical tests, including mean and standard deviation, independent t-test, paired t-test, K-square.\u0000Results: Results showed that the Miss-triage rate decreased from (34.1%) before the intervention to (9.1%) after the intervention in the experimental group. Moreover, after drill, the score of triage decision-making power increased from (121) to (136.91). However, in the control group, no statistically significant change was observed in the amount of miss-triage and triage decision-making power in emergency medical service personnel at the end of the study (p>.05).\u0000Conclusion: The findings of the present study revealed the effectiveness of this exercise method in reducing miss-triage in participants. Thus, this method could be used in emergency medical service personnel training and preparation programs.","PeriodicalId":48912,"journal":{"name":"Iranian Red Crescent Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48379098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-19DOI: 10.32592/ircmj.2022.24.12.2395
Succinate dehydrogenase (SDH) is a multifaceted enzyme for the mitochondria of eukaryotes, which is responsible for converting succinate to fumarate as a component in the Krebs cycle. Its dysfunction occurs in several malignancies associated with endocrine and epithelial tumors. SDH is an enzymatic complex made of some subunits. Succinate is recognized as an oncometabolite; therefore, the discovery of SDH mutations can give a straight connection between the changes of succinate and tumorigenesis. Progresses in laboratory technologies made it possible to make profiles of and identify succinate accumulation in several types of cancer. In this study, we reviewed the potential roles of SDH mutation and alteration of succinate in tumorigenesis and as tumor markers for the early detection of malignancies.
{"title":"Succinate as an Oncometabolite in Endocrine, Mesenchymal, and Epithelial Tumors","authors":"","doi":"10.32592/ircmj.2022.24.12.2395","DOIUrl":"https://doi.org/10.32592/ircmj.2022.24.12.2395","url":null,"abstract":"Succinate dehydrogenase (SDH) is a multifaceted enzyme for the mitochondria of eukaryotes, which is responsible for converting succinate to fumarate as a component in the Krebs cycle. Its dysfunction occurs in several malignancies associated with endocrine and epithelial tumors. SDH is an enzymatic complex made of some subunits. Succinate is recognized as an oncometabolite; therefore, the discovery of SDH mutations can give a straight connection between the changes of succinate and tumorigenesis. Progresses in laboratory technologies made it possible to make profiles of and identify succinate accumulation in several types of cancer. In this study, we reviewed the potential roles of SDH mutation and alteration of succinate in tumorigenesis and as tumor markers for the early detection of malignancies.","PeriodicalId":48912,"journal":{"name":"Iranian Red Crescent Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45520206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-17DOI: 10.32592/ircmj.2022.24.11.2241
S. Fazaeli, M. Yousefi, M. Shokoohizadeh
Background: Information dashboards are useful tools for up-to-date decision-making by visualizing data. Objectives: This study aimed to report the development of a dashboard in the emergency department (ED) during COVID-19 in a big hospital in Iran. Methods: The authors developed a dashboard by user-centered design (UCD) methodology in four phases, namely specification of the context of use, specification of the requirements, creation of design solutions, and evaluation. Indicators were determined by reviewing previous studies and interviewing focus groups with an expert panel. The Power BI Desktop software was used for the development of the dashboard. Users’ comments about the dashboard were collected. The dashboard was then developed and revised according to the users’ feedback and suggestions. Finally, user satisfaction was evaluated. Results: The authors identified 30 indicators for COVID-19 ED, classified as input, output, and process indicators. The final version of the dashboard was implemented in 2021, and then 28 ED and managerial staff participated in the evaluation of the dashboard. The average score of the system usability scale of the dashboard was 84.10 points, and the situation awareness index was 3.97, which indicates “good” usability and situation awareness. Conclusion: This dashboard presented key managerial and clinical indicators for decision-making in ED. Future studies can be designed to develop dashboards for accidents and burns EDs and create emergency information dashboards for several hospitals for better management in times of crisis.
背景：信息面板是通过可视化数据进行最新决策的有用工具。目的：本研究旨在报告伊朗一家大型医院新冠肺炎期间急诊科（ED）仪表盘的开发情况。方法：作者采用以用户为中心的设计（UCD）方法，分四个阶段开发了仪表盘，即指定使用环境、指定需求、创建设计解决方案和评估。指标是通过审查以前的研究并与专家小组访谈重点小组来确定的。Power BI Desktop软件用于开发仪表板。收集了用户对仪表板的评论。然后根据用户的反馈和建议对仪表板进行了开发和修改。最后，对用户满意度进行了评价。结果：作者确定了30个新冠肺炎ED指标，分为输入、输出和过程指标。仪表盘的最终版本于2021年实施，随后28名ED和管理人员参与了仪表盘的评估。仪表盘的系统可用性量表平均得分为84.10分，情境意识指数为3.97，表明可用性和情境意识“良好”。结论：该仪表盘为急诊科的决策提供了关键的管理和临床指标。未来的研究可以设计为开发事故和烧伤急诊的仪表盘，并为几家医院创建应急信息仪表盘，以便在危机时期更好地管理。
{"title":"The Development of a Dashboard to the Emergency Department during COVID-19","authors":"S. Fazaeli, M. Yousefi, M. Shokoohizadeh","doi":"10.32592/ircmj.2022.24.11.2241","DOIUrl":"https://doi.org/10.32592/ircmj.2022.24.11.2241","url":null,"abstract":"Background: Information dashboards are useful tools for up-to-date decision-making by visualizing data.\u0000\u0000Objectives: This study aimed to report the development of a dashboard in the emergency department (ED) during COVID-19 in a big hospital in Iran.\u0000Methods: The authors developed a dashboard by user-centered design (UCD) methodology in four phases, namely specification of the context of use, specification of the requirements, creation of design solutions, and evaluation. Indicators were determined by reviewing previous studies and interviewing focus groups with an expert panel. The Power BI Desktop software was used for the development of the dashboard. Users’ comments about the dashboard were collected. The dashboard was then developed and revised according to the users’ feedback and suggestions. Finally, user satisfaction was evaluated.\u0000Results: The authors identified 30 indicators for COVID-19 ED, classified as input, output, and process indicators. The final version of the dashboard was implemented in 2021, and then 28 ED and managerial staff participated in the evaluation of the dashboard. The average score of the system usability scale of the dashboard was 84.10 points, and the situation awareness index was 3.97, which indicates “good” usability and situation awareness.\u0000Conclusion: This dashboard presented key managerial and clinical indicators for decision-making in ED. Future studies can be designed to develop dashboards for accidents and burns EDs and create emergency information dashboards for several hospitals for better management in times of crisis.","PeriodicalId":48912,"journal":{"name":"Iranian Red Crescent Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46477369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-17DOI: 10.32592/ircmj.2022.24.11.679
Background: Spindle cell carcinoma (sarcomatoid carcinoma) is a rare carcinoma that accounts for 2-3% of all laryngeal malignancies. Here, we present a case with laryngeal tumor diagnosed as Spindle cell carcinoma. Case Presentation: Fifty-nine-year-old male patient was admitted to our clinic with the complaint of hoarseness and shortness of breath that has been increasing for 10 months. Indirect laryngoscopy performed on the patient, and a polypoid lesion was detected in the anterior of the left vocal cord. The patient was admitted to our clinic for direct laryngoscopy and the lesion was completely excised from the base. The case was diagnosed as “sarcomatoid carcinoma in histopathological examination. Conclusion: Sarcomatoid carcinoma is usually diagnosed and treated at an early stage. So, it has a good prognosis. However, it has a poor prognosis in the advanced stage.
{"title":"A Rare Case: Laryngeal Sarcomatoid Carcinoma","authors":"","doi":"10.32592/ircmj.2022.24.11.679","DOIUrl":"https://doi.org/10.32592/ircmj.2022.24.11.679","url":null,"abstract":"Background: Spindle cell carcinoma (sarcomatoid carcinoma) is a rare carcinoma that accounts for 2-3% of all laryngeal malignancies. Here, we present a case with laryngeal tumor diagnosed as Spindle cell carcinoma.\u0000\u0000Case Presentation: Fifty-nine-year-old male patient was admitted to our clinic with the complaint of hoarseness and shortness of breath that has been increasing for 10 months. Indirect laryngoscopy performed on the patient, and a polypoid lesion was detected in the anterior of the left vocal cord. The patient was admitted to our clinic for direct laryngoscopy and the lesion was completely excised from the base. The case was diagnosed as “sarcomatoid carcinoma in histopathological examination.\u0000\u0000Conclusion: Sarcomatoid carcinoma is usually diagnosed and treated at an early stage. So, it has a good prognosis. However, it has a poor prognosis in the advanced stage.","PeriodicalId":48912,"journal":{"name":"Iranian Red Crescent Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44178791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-11-17DOI: 10.32592/ircmj.2022.24.10.1530
Background: Head trauma may cause an increase in intracranial pressure (ICP). The use of ocular ultrasound to measure optic nerve sheath diameter (ONSD) is a method to determine the ICP. The use of the rigid cervical collar in head trauma patients contribute to elevating ICP, and therefore, potentially causing further deterioration in their condition. Objectives: This study aimed to describe changes in ONSD after the placement of a c-collar and analyze these changes depending on the time in the c-collar. Methods: This prospective study measured the ONSD of minor head trauma patients before and after the placement of a c-collar. Patients aged ³18 with blunt head trauma and Glasgow Coma Score ³13 were included in the study. Each eye was scanned twice. This was done before c-collar placement, at 5 and 20 min after placement. The mean values of both eyes were calculated and analyzed. Results: This study investigated 50 patients. The mean baseline ONSD was obtained at 4.71mm±0.22 (4.54-4.77). Furthermore, T5 and T20 measurements were 5.19±0.41 (5.07-5.31) and 5.26±0.45 (5.14-5.39), respectively. The ONSD increased at T5 and T20. The changes from the baseline measurements were statistically significant (P=0.000, P=0.000). The difference between T5 and T20 groups was an increase in ONSD, and these differences were also statistically significant (0.07±0.19; P=0.008). Conclusion: Our results revealed that minor head trauma patients using a c-collar may increase ONSD by timeline the clinical effects of which have to be determined with further studies. Enlargement in ONSD should be considered when interpreting ICP.
{"title":"Optic Nerve Sheath Diameter Affected by Cervical Collar Placement in Minor Head Trauma Patients","authors":"","doi":"10.32592/ircmj.2022.24.10.1530","DOIUrl":"https://doi.org/10.32592/ircmj.2022.24.10.1530","url":null,"abstract":"Background: Head trauma may cause an increase in intracranial pressure (ICP). The use of ocular ultrasound to measure optic nerve sheath diameter (ONSD) is a method to determine the ICP. The use of the rigid cervical collar in head trauma patients contribute to elevating ICP, and therefore, potentially causing further deterioration in their condition.\u0000\u0000Objectives: This study aimed to describe changes in ONSD after the placement of a c-collar and analyze these changes depending on the time in the c-collar.\u0000\u0000Methods: This prospective study measured the ONSD of minor head trauma patients before and after the placement of a c-collar. Patients aged ³18 with blunt head trauma and Glasgow Coma Score ³13 were included in the study. Each eye was scanned twice. This was done before c-collar placement, at 5 and 20 min after placement. The mean values of both eyes were calculated and analyzed.\u0000\u0000Results: This study investigated 50 patients. The mean baseline ONSD was obtained at 4.71mm±0.22 (4.54-4.77). Furthermore, T5 and T20 measurements were 5.19±0.41 (5.07-5.31) and 5.26±0.45 (5.14-5.39), respectively. The ONSD increased at T5 and T20. The changes from the baseline measurements were statistically significant (P=0.000, P=0.000). The difference between T5 and T20 groups was an increase in ONSD, and these differences were also statistically significant (0.07±0.19; P=0.008).\u0000\u0000Conclusion: Our results revealed that minor head trauma patients using a c-collar may increase ONSD by timeline the clinical effects of which have to be determined with further studies. Enlargement in ONSD should be considered when interpreting ICP.","PeriodicalId":48912,"journal":{"name":"Iranian Red Crescent Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43675507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-29DOI: 10.32592/ircmj.2022.24.12.2235
ackground: Donor detection is the first step of organ procurement for transplantation, and about 50% of all potential donors are not detected. Objectives: The present study aimed to evaluate the facilitators and barriers to donor detection based on hospital characteristics and staff opinions. Methods: In this cross-sectional study, a 16-item questionnaire was prepared to clarify medical staff opinions about facilitators (10 items) and barriers (6 items) to potential donor detection. The questionnaire was distributed on social networks, and all medical staff members were invited to participate in the study. Results: A total of 230 medical staff participated in this study. From their point of view, the main facilitator was active detection via regular daily phone calls (150, 65.2%), which had the most advocators among medical staff of public (64.1%) and private hospitals (74.5%). Detection by donor coordinators or inspectors tanked the second (103, 44.8%). Moreover, private hospitals highly agreed with detection by donor coordinators and inspectors in 66.7% and 60.8% of cases, respectively. Donor detection by an in-hospital-coordinator was recommended by 42.6% of all 230 participants, with most advocators among those affiliated with an organization (65.4%). Staff opinions about donor selection and care to donor families were important barriers according to 53.5% and 46.1% of subjects, respectively. Conclusion: To identify all potential donors, different strategies are necessary according to hospital characteristics. In public hospitals, daily calls; in private ones, active visits; and in an-organization-related hospitals, in-hospital coordinators could be effective.
{"title":"Facilitators and Barriers to Donor Detection Based on Hospital Staff Opinions in Different Hospitals","authors":"","doi":"10.32592/ircmj.2022.24.12.2235","DOIUrl":"https://doi.org/10.32592/ircmj.2022.24.12.2235","url":null,"abstract":"ackground: Donor detection is the first step of organ procurement for transplantation, and about 50% of all potential donors are not detected.\u0000\u0000Objectives: The present study aimed to evaluate the facilitators and barriers to donor detection based on hospital characteristics and staff opinions.\u0000\u0000Methods: In this cross-sectional study, a 16-item questionnaire was prepared to clarify medical staff opinions about facilitators (10 items) and barriers (6 items) to potential donor detection. The questionnaire was distributed on social networks, and all medical staff members were invited to participate in the study.\u0000\u0000Results: A total of 230 medical staff participated in this study. From their point of view, the main facilitator was active detection via regular daily phone calls (150, 65.2%), which had the most advocators among medical staff of public (64.1%) and private hospitals (74.5%). Detection by donor coordinators or inspectors tanked the second (103, 44.8%). Moreover, private hospitals highly agreed with detection by donor coordinators and inspectors in 66.7% and 60.8% of cases, respectively. Donor detection by an in-hospital-coordinator was recommended by 42.6% of all 230 participants, with most advocators among those affiliated with an organization (65.4%). Staff opinions about donor selection and care to donor families were important barriers according to 53.5% and 46.1% of subjects, respectively.\u0000\u0000Conclusion: To identify all potential donors, different strategies are necessary according to hospital characteristics. In public hospitals, daily calls; in private ones, active visits; and in an-organization-related hospitals, in-hospital coordinators could be effective.","PeriodicalId":48912,"journal":{"name":"Iranian Red Crescent Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44932877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-23DOI: 10.32592/ircmj.2022.24.11.2087
N. Cheraghbeigi, S. Bosak, M. Sayyah, E. Javanmardi, D. Rokhafroz
Background: Specific conditions arising from the COVID-19 pandemic may affect the mental health of nursing students. Objectives: This study aimed to investigate the mental health of nursing students and associated factors during the COVID-19 pandemic at Ahvaz and Kermanshah Universities of Medical Sciences in Iran. Methods: This cross-sectional study was conducted on 384 nursing students at Ahvaz and Kermanshah Universities of Medical Sciences in Iran from May 10, 2021, to June 26, 2021. The required data were collected using a web-based questionnaire via social networks, such as WhatsApp and Telegram. Symptom Checklist-25 (SCL-25) was used to measure mental health. Descriptive statistics and stepwise linear regression were used to analyze the data. Results: The mean total mental health score was 47.48±16.03, and 235 (61.0%) students had good mental health, 124 (32.2%) cases had suspected mental disorders, and 26 (6.8%) respondents had severe mental disorders. Using the stepwise regression method, four variables, including gender, history of mental illness, history of coronavirus infection or being suspected of having coronavirus, and level of trust in statistics about the incidence and mortality rate of COVID-19 had the greatest impact on mental health modeling. Conclusion: In general, the COVID-19 pandemic may have a negative impact on the mental health of nursing students. Therefore, it is very important to identify and consider the factors that can reduce their mental distress.
{"title":"Mental Health of Nursing Students and Associated Factors during the COVID-19 Pandemic: A Cross-sectional Web-based Study","authors":"N. Cheraghbeigi, S. Bosak, M. Sayyah, E. Javanmardi, D. Rokhafroz","doi":"10.32592/ircmj.2022.24.11.2087","DOIUrl":"https://doi.org/10.32592/ircmj.2022.24.11.2087","url":null,"abstract":"Background: Specific conditions arising from the COVID-19 pandemic may affect the mental health of nursing students.\u0000\u0000Objectives: This study aimed to investigate the mental health of nursing students and associated factors during the COVID-19 pandemic at Ahvaz and Kermanshah Universities of Medical Sciences in Iran.\u0000\u0000Methods: This cross-sectional study was conducted on 384 nursing students at Ahvaz and Kermanshah Universities of Medical Sciences in Iran from May 10, 2021, to June 26, 2021. The required data were collected using a web-based questionnaire via social networks, such as WhatsApp and Telegram. Symptom Checklist-25 (SCL-25) was used to measure mental health. Descriptive statistics and stepwise linear regression were used to analyze the data.\u0000\u0000Results: The mean total mental health score was 47.48±16.03, and 235 (61.0%) students had good mental health, 124 (32.2%) cases had suspected mental disorders, and 26 (6.8%) respondents had severe mental disorders. Using the stepwise regression method, four variables, including gender, history of mental illness, history of coronavirus infection or being suspected of having coronavirus, and level of trust in statistics about the incidence and mortality rate of COVID-19 had the greatest impact on mental health modeling.\u0000\u0000Conclusion: In general, the COVID-19 pandemic may have a negative impact on the mental health of nursing students. Therefore, it is very important to identify and consider the factors that can reduce their mental distress.","PeriodicalId":48912,"journal":{"name":"Iranian Red Crescent Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42394513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Le pouvoir de la raison d’être","authors":"Alex Edmans","doi":"10.3917/red.004.0010","DOIUrl":"https://doi.org/10.3917/red.004.0010","url":null,"abstract":"","PeriodicalId":48912,"journal":{"name":"Iranian Red Crescent Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81656331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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