Journal of Clinical Research in Paramedical Sciences

Permanent URI for this collection

https://repository.brieflands.com/handle/123456789/31514

In Collaboration with Paramedical School, Kermanshah University of Medical Sciences

News

The journal of clinical research in paramedical sciences in specialized to present theories, researches, and recent scientific approaches in the fields of Health Information Technology, Medical Informatics, Radiology, Laboratory Sciences, Physical Therapy, Health Sciences, Rehabilitation, Nursing and Midwifery, and Other Related Subjects in order to promote the quality of education and research and to share scientific experiences.

Browse

Now showing 1 - 20 of 374

The effects of the Emergency Severity Index triage education via problem-based learning on the triage nurses' performance and the patients’ length of stay in the Emergency Department
(Brieflands, 2014-09-21) Mahnaz Khatiban; Afshin‏ ‏Khazaei; Arezou ‏ ‏Karampourian; Alireza‏ ‏Soltanian; Hossein Kimiaie‏ ‏Asadi; Rasoul Salimi; Zahra‏ ‏ Khalili‎
Background: Problem-based learning (PBL) is an active educational strategy established on two bases, learner and problem. This study aimed to determine the effect of the Emergency Severity Index (ESI) triage education via PBL on the triage nurses' performance and the patients’ length of stay in the Emergency Department.Methods: In this interventional, the ESI-triage education was done via PBL for all 12 triage-nurses in the Besat Hospital. The tools were the observational time-recording checklist developed according to the Swailes et al. study and the ESI form. The validity of the tools was confirmed by experts. The observer reliability was defined by the inter-rater reliability. The Length of stay and ESI triage level of 72 patients before and 72 patients two weeks after intervention were recorded. Data was analyzed by t-test, MannWhitney and ANOVA with 95% confidence by the software SPSS-20.Results: The majorities of the triage nurses were men (75%), with a bachelor’s degree (91.7%), mean age 31.5±5.51 and work experience 6.72±8.00 years. The ESI-triage education via PBL strategy significantly lead to the decrease in the "triage by the nurses” duration (P
Prevalence of Extended-Spectrum Beta-lactamases (ESBLs) in Pseudomonas aeruginosa Isolated from Hospitalized Patients in Imam Reza and Imam Khomeini hospitals in Kermanshah, 2013‎
(Brieflands, 2015-12-21) Fardin Zoghi Maleki‎; Mohammad Reza Nahaei‎; Nasrollah Sohrabi‎; Laya Rezavand‎
Background: Pseudomonas aeruginosa is one of the most common Gram negative bacteria involved in nosocomial infections. Presence of Extended-spectrum Beta-lactamases (ESBLs) genes, play an important role in induction of resistance in beta-lactamase producing species to beta lactam antibiotics. Frequency of resistance to these antibiotics is increasing. In this study, antibiotic sensitivity and frequency of ESBLs in Pseudomonas aeruginosa which had been isolated from clinical specimens, was assessed by phenotypic methods.Methods: This study was performed on 200 isolated Pseudomonas aeruginosa from clinical specimens in Imam Khomeini and Imam Reza hospitals, Kermanshah during 2013. Specimens were determined and cultured by standard conventional methods. Antibiotic sensitivity test on 14 antibacterial agents was performed according to CLSI criteria. Then, frequency of ESBLs producing isolates was determined by Combined Disk Test (CDT) and Double Disk Synergy Test (DDST) methods.Results: This study revealed that the highest and lowest resistance rate were against to cefpodoxime (100%) and piperacilin-tazobactam (34%), respectively. Using CDT and DDST methods, 41% of isolates were ESBL positive.Conclusion: Considering high resistance rate of Pseudomonas aeruginosa to majority of antibiotics and increasing frequency of ESBLs producing isolates, we need for infection control criteria and use of appropriate therapeutic protocols according to antibiogram test patterns.
Prevalence of Extended-Spectrum Beta-lactamases (ESBLs) in Pseudomonas aeruginosa Isolated from Hospitalized Patients in Imam Reza and Imam Khomeini hospitals in Kermanshah, 2013‎
(Brieflands, 2015-12-21) Fardin Zoghi Maleki‎; Mohammad Reza Nahaei‎; Nasrollah Sohrabi‎; Laya Rezavand‎
Background: Pseudomonas aeruginosa is one of the most common Gram negative bacteria involved in nosocomial infections. Presence of Extended-spectrum Beta-lactamases (ESBLs) genes, play an important role in induction of resistance in beta-lactamase producing species to beta lactam antibiotics. Frequency of resistance to these antibiotics is increasing. In this study, antibiotic sensitivity and frequency of ESBLs in Pseudomonas aeruginosa which had been isolated from clinical specimens, was assessed by phenotypic methods.Methods: This study was performed on 200 isolated Pseudomonas aeruginosa from clinical specimens in Imam Khomeini and Imam Reza hospitals, Kermanshah during 2013. Specimens were determined and cultured by standard conventional methods. Antibiotic sensitivity test on 14 antibacterial agents was performed according to CLSI criteria. Then, frequency of ESBLs producing isolates was determined by Combined Disk Test (CDT) and Double Disk Synergy Test (DDST) methods.Results: This study revealed that the highest and lowest resistance rate were against to cefpodoxime (100%) and piperacilin-tazobactam (34%), respectively. Using CDT and DDST methods, 41% of isolates were ESBL positive.Conclusion: Considering high resistance rate of Pseudomonas aeruginosa to majority of antibiotics and increasing frequency of ESBLs producing isolates, we need for infection control criteria and use of appropriate therapeutic protocols according to antibiogram test patterns.
Application of Strategic Management Components in Central Libraries of Universities of Tehran City and its Relationship with Organizational Agility
(Brieflands, 2017-09-22) Maryam Shekofteh; Masoumeh Ansari; Maryam Shekofteh; Abdolhossein Farajpahlou; Maryam Kazerani; Somaye Momenyan
: Introduction: Strategic management is the management, guidance, and control of the organization to respond appropriately to the internal and external changes; and organizational agility is a way to respond to these changes. Methods: This analytical survey was an applied type and based on structural equations. The research population included all managers and employees working in the central libraries of universities covered by the Ministry of Science, Research and Technology in Tehran in 2016 (n=149). Data were collected using standard questionnaires of Hill & Jones Strategic Management and Goldman's Organizational Agility. Data were analyzed using descriptive statistics and Pearson correlation coefficient test via SPSS software.
Study of molecular mechanism and different genotypes of human papillomavirus in Create a variety of human cancers
(Brieflands, 2017-06-21) Bahareh Cheshmenooshi; Farhad Babaie; Nasim Kondori
Introduction: Papillomavirus (HPV), a common virus worldwide and a high tendency to skin, genitourinary tract and the respiratory system. Viral carcinogenic activity in different and the key role of the viral protein is studied in cell transformation and spread some genotypes of the virus, such as HPV-16 and HPV-18 strains with a high risk of development and progression of cancer. Among these studies, the important role of HPV in cervical cancer has been established. Anal cancer, penis, oropharynx, tonsils and larynx also widely studied. The aim of the collection of studies in this context, check the connection between HPV infection in human cancer development and progression, as well as restrictions on the conduct of these studies.
The Role of meta-cognition believe in prediction of entrepreneurial traits Students in Medical and Paramedical school of Kermanshah University of Medical Sciences
(Brieflands, 2016-12-20) Seyyed Mohsen Azizi; Somaye Negahdari; Mostafa Bagherian Jelodar; Arash Ziapour
Introduction: Nowadays, the socio-economic development of societies depends on the employment of efficient and entrepreneurial human resources. Accordingly, identifying factors that can boost the entrepreneurship among students, as the most valuable capital of countries, is of prominent significance. The aim of this research was to investigate the Role of meta-cognition believe in prediction of entrepreneurial traits students in schools of medical and paramedical at university of medical sciences.
A Study of Teaching through Text Messaging and Pamphlet effect ‎on women’s Behavior about Breast Cancer, 2014‎
(Brieflands, 2016-12-20) Yahya Safari; Behnosh Afzali; Samaneh Ghasemi; Soheila Astanegi; Ameneh Safari
Introduction: Breast caner is one of the most prevalent of mortality rate in women. The current research was aimed to compare the effect of two instruction methods of Text Messaging and Pamphlet on women's knowledge, attitude and Behavior about Breast Cancer.
The Effect of Perceived Organizational Climate on the Performance of Nurses in Private Hospitals
(Brieflands, 2021-12-31) Abbas Shahnavazi; Hamid Bouraghi; Mehdi Fadaei Eshkiki; Hossein Shahnavazi
Background: The appropriate organizational climate and subsequent proper performance are goals that challenge hospital managers to achieve successful outcomes. A positive working climate motivates and enhances nurses' performance. Objectives: There was to identify the relationship between perceived organizational climate and nurses' performance. Methods: This is a cross-sectional descriptive study that is performed on nurses working in the private hospitals in Rasht, Iran. The data were collected through two questionnaires of organizational climate and job performance that its validity and reliability were confirmed. SPSS24 and descriptive and inferential statistics were used for data analysis. Results: According to the mean score obtained more than half of the nurses report a positive assessment of the climate in the hospitals. Also, less than one-third of nurses had a ideal level of performance regarding nurses' job performance. Also, the relationship between perceived organizational climate and the level of nurses' performance with the personal and occupational skills of nurses was emphasized. Finally, the relationship between perceived organizational climate and nurses' job performance was statistically significant (P ≤ 0.048). Conclusions: According to the results, the perceived organizational climate has a positive relationship with nurses' performance level. Therefore, managers and practitioners of private hospitals in Rasht should ultimately improve nurses’ performance by improving the organizational climate and by emphasizing variables such as providing work-related facilities, paying attention to nurses' interests, emphasizing team building, participating in decision-making, improving customer service, paying attention to hospital reputation improving relationships among staff and improving compensation practices.
Relationship between nurses' perception of work environment conditions and safety indicators of patients admitted to emergency care units of Imam Reza Hospital in Kermanshah in 2016
(Brieflands, 2017-09-22) Kamran Vafaei; Maryam Hematti; Maryam Chalehchaleh; Afshin Goodarzi; Maryam Janatolmakan
Introduction: Maintaining safety and preventing side effects, especially in hospitalized patients, has become a global health concern.The purpose of this study was to investigate the relationship between nurses' perception of work environment conditions and safety indicators of hospitalized patients in special sectors.
The Study of Disc Herniation Frequency of Lumbar Vertebrae Based On MRI Findings of Patients with Low Back Pain Referred to Imam Reza Hospital Imaging Center
(Brieflands, 2017-06-21) Fatemeh Amiri; Mohammad Bagher Shamsi; Mohammad Rasool Tohidnia
MRI is gold standard for intervertebral disc herniation diagnosis. The MRI of 200 low back pain patients referring to radiology imaging center were investigated. 89% of cases had pathologic findings. Intervertebral disc herniation was more prevalent in housekeeper wives, low level education, and regarding anatomy of the defect, L4-L5 discs (52%),
Effectiveness of the Impact of Hardiness on Increased Happiness and Academic Achievement of Students in Kermanshah City (High School of Medical Sciences) for the Academic Year 2016 - 2017
(Brieflands, 2018-06-30) Behnoosh Atashzar; Karim Afsharinia
Background: One of the most important topics in positive psychology that is highly regarded is hardiness. This study aimed to investigate the role of hardiness training in increasing happiness and academic achievement of students in Kermanshah city (high school of medical science) for the academic year 2016 - 2017. Methods: This was an experimental study. The study population included all 17 to 20-year-old female students, about 120 in total, who were referred to the High School of Medical Science to prepare for the university entrance exam in the academic year 2016 in the city of Kermanshah. Thirty Minecraft students were randomly chosen and divided into the experimental and control group, each consisting of 15 participants. The experimental group received just under hardiness training programs, and the control group received no intervention. The data obtained from the Oxford happiness questionnaire scores and percentage scores earned for the monthly course tests held as per the school curriculum were used. SPSS statistical software for was used for data analysis. Analysis of covariance and test research hypotheses for repeated measures were used. Results: The effect size of the hardiness training on increasing happiness of students was 51 percent, and the effect size of hardiness training on students’ academic achievement in Minecraft was 34 percent (P < 0.01). Conclusions: The results showed that hardiness training increases the happiness and academic achievement of Minecraft students.
A Presentation of Electronic System Pattern of Medical Records Management for Insurance Companies
(Brieflands, 2017-09-22) Maryam Nakhoda; Abbas Sheikh Taheri; Madihe Esfandiari pour
Introduction: Organizations must collect, process, and analyze the types of information they need. The aim of this study was to evaluate the needs of managers and employees and to present an electronic pattern of medical records management in insurance companies.
Studying willingness of nulliparous pregnant women towards their delivery method in Kermanshah Provinces, 2014
(Brieflands, 2017-09-22) Mehrangiz Jamshidpour; Neda Izadi; Mohsen Mohammadi; Alireza Ahmadi; Akram Rostaiee Shirdel; Katayon Jalili
Introduction: Recognition of factors associated with the knowledge of pregnant women to delivery methods can lead health planners in making decisions. This study aimed to determine willingness of nulliparous pregnant women of their delivery method.
The Effect of Resistance Training with Moderate and Progressive Intensity on Indices of Oxidative Stress (Serum 8-Isoprostane, Malondialdehyde and Reduced Glutathione Levels) in Young Healthy Men
(Brieflands, 2018-06-30) Ali Zabet; Farshad Ghazalian; Hojjatolah Nik-Bakht
Background: 8-isoprostane(8-IsoP) and malondialdehyde (MDA) are novel and classic index of lipid per oxidation, respectively, and reduced glutathione (GSH) is an index of antioxidant status, which the chronic adaptation of moderate and progressive resistance training on them is unclear. The purpose of this study is to investigate and compare the effect of 9 weeks moderate and progressive resistance training on serum 8-isoprostane, malondialdehyde and reduced glutathione levels in young men (from 17- to 21 year-olds). Methods: In the semi-experimental study, 36 volunteers were randomly divided in to 3 groups of 12 men involving: moderate and progressive resistance training and control groups. The training protocol involved three periods of three weeks each with progressive intensity. The moderate training group performed the first period of protocol in throughout of study (just 5 percent increase in training intensity as overload), while the training load of progressive training group was incrementally increased in every period. Blood sampling were taken in two phases involving pre test and following ninth week from anterior brachial vein. The variables were measured via sandwich ELISA. Results: The results of ANCOVA and Bonferroni tests showed that 9 weeks of moderate and progressive resistance training led to significance decrease in lipid oxidation indices (8-IsoP and MDA);the range of the decline especially in serum 8-IsoP was more in progressive group. Significant change in serum GSH levels was not observed in the training groups. Conclusions: The results of this study show that periodic increase in resistance training load leads to improves in oxidative stress adaptability. Moreover, 8-IsoP is more accurate index for predicting oxidative stress compared to MDA.
Effect of Strength Training and Usual Physiotherapy Treatment on the Flexibility of Hamstring Muscle in Patient with Chronic Low Back Pain
(Brieflands, 2017-06-21) Maryam Najafi; Mohammad Azizi; Mohammad Bagher Shamsi; Fatemeh Naderi; Ameneh Safari
Introduction: High prevalence of low back pain and its related disability in doing daily activities and Impairment in social activities will have a bad effect on patients and the society. So the aim of this study was to evaluate the Effect of Strength Training and Usual Physiotherapy Treatment on the Flexibility of Hamstring muscle.
Comparing Elderly Women , s Life Satisfaction At Home Vs. Nursing Home ‎
(Brieflands, 2016-12-20) Shokooh Sadeghi; Shima Moradi; Nasrollah Sohrabi
The elderly population is increasingly growing toward population explosion of grandmothers. Also, their hygiene, health, comfort, and welfare are of important perspectives. Therefore, this study was conducted to compare the life satisfaction of the elderly women at home with that of women at nursing home in Kermanshah. To conduct this study, a standard questionnaire (LSIA) was distributed among 140 elderly women. Then the quantitative data were analyzed by SPSS 20. The total average of life satisfaction among women in the nursing home was 16.36 ± 5.94, where as it was 20.86 ± 2.93 for women reside at home. The result revealed that life satisfaction of elderly women at home was significantly higher because of their social support and family affection and respect.
Effect of educational intervention through group discussion on self-care behavior in the heart failure patients
(Brieflands, 2017-09-22) Ahmad Khoshai; maryam ahmadi; Amir Jalali; Soodeh Shahsavari
Introduction: Self-care is a process for maintaining health by improving methods, monitoring symptoms and managing symptoms when they occur. The aim of present study was to survey the effect of the educational intervention on self-care behavior in the heart failure patients .
Clarification of maternal factors of facilitator of using of formula in infants under 2 years: A qualitative study
(Brieflands, 2017-06-21) Maryam Amighi; Rostam Jalali; Marzieh Kaboudi; Azam Bakhteh
Introduction: High consumption of formula has economic, social and psychological damages for infant, family and community. As mothers have important role in taking care of infants and selection of type of their nutrition, we tried to survey of maternal factors of facilitator of using of formula in infants under 2 years.
Comparing 10-Item and 60-Item Big Five Personality Inventories in Explaining the Depressive Symptoms in Patients with Acute Myocardial Infarction
(Brieflands, 2019-12-31) Mozhgan Saeidi; Keivan Kakabraee; Khodamorad Momeni‎
Background: Depression is one of the most probable side effects of myocardial infarction (MI) besides its sudden occurrence, and is affected by various factors, such as personality traits. Objectives: Hence, the present study was conducted to compare 10-item and 60-item big five inventories in explaining the symptoms of depression in patients with acute MI. Methods: The study population in this cross-sectional study comprised 250 patients with MI in Iran. The patients responded to 60-item NEO Five-Factor Inventory (NEO-FFI), 10-item Big Five Inventory- Short Version (BFI-SV), and depression subscale from Depression Anxiety Stress Scales (DASS) from April to September 2018. Data was analyzed using chi-square test, Pearson correlation coefficient, and multiple linear regression analysis. Results: Patients’ mean age (69.2% males) was 62.1 ± 11.1 years. The results showed a significant relationship between depression and factors of extraversion, agreeableness, and conscientiousness in BFI-SV and factors of extroversion, neuroticism, and agreeableness in NEO-FFI (P < 0.05). The results of regression analysis showed that BFI-SV explained 6.7% and NEO-FFI explained 5.8% of the variance of depression score (P < 0.05). Conclusions: BFI-SV explains the symptoms of depression in patients with MI as much as NEO-FFI. Thus, the researchers can use the 10-item version to assess the personality traits of patients with MI in future studies.
Effect of resistance training with elastic band on uric acid, bilirubin and C reactive protein changes in untrained men
(Brieflands, 2017-06-21) Kanyaw Karimi; Kamal Azizbeigi; Nooradin Bakhtiyari
Introduction: Elastic resistance training is becoming very popular in improving the strength. The purpose of the present study was to investigate the effect of resistance training with elastic band on acid uric, C reactive protein (CRP) and bilirubin changes.

Browse

Recent Submissions