Ardabil University of Medical Sciences
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Comparing Perceived Dignity and Privacy in Patients Hospitalized in Internal and Surgical Wards of Ardabil Educational and Treatment Centers
Get PDFBackground and aims: Respect for patients and patient privacy and their privacy are important issues of professional ethics and service providers in hospitals. Observing these issues in nursing practices should be such that patients can see and grasp it in practice. The aim of this study was to compare the perceived dignity and privacy of patients admitted to the internal and surgical wards of the educational centers of Ardabil in 1396.
Materials and Methods: This descriptive-correlational study was performed on 384 patients hospitalized in internal and surgical wards of educational centers of Ardabil. After obtaining the code of ethics and referring to the mentioned centers, the sampling was done by stratified random sampling based on entry criteria and completed questionnaires. Patients' information was collected using standard privacy, dignity (PDI) and demographic questionnaires. Data were entered into SPSS-22 software and analyzed by t-test, ANOVA and regression.
Results: The results showed that the average perceived dignity of hospitalized patients in internal wards (x̄ = 105.28 ± 59.29) was higher than surgical wards (x̄ = 633.65 ± 255.75) (P = 0.020) . Also, the perceived perceived privacy was significantly higher in inpatient wards (x̄ = 70.30 ± 8.20) than in surgical wards (x̄= 62.69 ± 93.9) (P = 0.001). The correlation between perceived dignity and perceived privacy was 591 (P = 0.01).
Conclusion: The findings showed that perceived dignity and privacy are less common in patients who are hospitalized in surgical wards than domestic patients. Therefore, attention should be paid more carefully to patients in surgical wards. With more privacy, perceived dignity of patients increases
A Rare Case Report of Idiopathic Primary Hypoparathyroidism Coexisting with Shortening of Third to Fifth Metacarpal Bones
No full textA 20-year-old Iranian male after injury in a football match with pain in the finger was referred to the hospital. X-Ray images of his hand showed no fractures, but the shortening of third to fifth metacarpal bones was clearly observed. The short metacarpal bone is a very helpful diagnostic marker in the patients suffering from idiopathic hypoparathyroidism (IHP), pseudohypoparathyroidism type Ia (PHP-Ia) with Albright’s hereditary osteodystrophy (AHO) phenotype, pseudopseudohypoparathyroidism (PPHP), and brachydactyly type E. Briefly, in hypoparathyroidism disease, the serum calcium level decreases and the serum phosphorus level increases in blood. PHP-Ia disorder is clinically similar to hypoparathyroidism; in this disease, the level of parathyroid hormone is normal but there is resistance to it. PPHP disease is not an endocrine disorder but is related to PHP-Ia. In this disease, serum levels of calcium and phosphorus are normal, also symptoms and signs in PPHP are similar to PHP-Ia, but there is no resistance to parathyroid hormone. In brachydactyly type E, shortening of metacarpal or metatarsal bones is caused by abnormal development of phalanxes, metacarpals, or both. His laboratory tests revealed a low serum calcium level, high serum phosphate level, and low serum PTH level; therefore a diagnosis of IHP was reached
The Ameliorative Effect of Galega officinalis Extract on Histological Damages, Oxidative Stress Induced by Torsion-Detorsion in Adult Rats’ Ovarian
No full textObjectives: The antioxidative role of Galega officinalis extract has been reported in several studies. However, this experimental study was designed in order to investigate the impacts of G. officinalis extract against parameters, such as histological, hormonal, and oxidative stress parameters, which were induced by ovarian torsion/detorsion.
Materials and Methods: Adult female Wistar rats (n = 28) were randomly divided into 4 groups including sham (G1), ovarian torsion for 3 hours then-after detorsion (G2 or TD), ovarian torsion-detorsion orally received 50 mg/kg extract of G. officinalis (G3 or TDGO), healthy rats orally received 50 mg/kg hydroalcoholic extract of G. officinalis (G4 or GO). Ten days after torsion-detorsion, rats were sacrificed and their ovaries, and their blood levels of hormones including estrogen and testosterone, as well as some oxidative stress markers were assayed.
Results: The structure of ovaries in TD groups of the study showed a notable change compared to other groups. The serum levels of superoxide dismutase (SOD) and glutathione peroxidase (GSH), and also estrogen significantly decreased in TD group, while treatment with G. officinalis could prevent from decreasing mentioned parameters. Furthermore, although torsion-detorsion led to increasing the serum level of malondialdehyde (MDA), it was decreased after administration of G. officinalis.
Conclusions: Obtained results showed that G. officinalis could be useful in elevating the estrogen level, reducing the oxidative stress marker (i.e. MDA) and ovarian tissue damages induced by torsion-detorsion
PCSK9 and infection: A potentially useful or dangerous association
No full textElevated plasma low‐density lipoprotein‐cholesterol (LDL‐C) concentration is the most important risk factor for atherosclerotic cardiovascular diseases (CVDs). Proprotein convertase subtilisin/kexin type 9 (PCSK9) is a ubiquitously expressed serine proteinase which plays a key role in cholesterol metabolism, but has been found to be implicated in some other lipid‐independent physiological processes. In this review, the role of PCSK9 was evaluated not only concerning lipid metabolism but also hepatitis C virus (HCV) infection, bacterial infections/sepsis, and septic shock. Collected data from clinical trials revealed that treatment with PCSK9 inhibitors has beneficial effects in lowering LDL‐C via inhibition of LDL‐receptors (LDL‐R), an antiviral effect on HCV infection via down‐regulating the surface expression of LDL‐R and CD81 on hepatic cells, and a positive association with increased inflammatory responses, as well as with septic shock by down‐regulation of hepatocyte LDL‐R. On the other hand, PCSK9 inhibition by therapeutic fully humanized antibodies has positive effects in reducing elevated LDL‐C. However, their safety and tolerability is an important issue which has to be taken into consideration
Early postpartum metabolic syndrome in women with or without gestational diabetes: Results from Life after Gestational Diabetes Ahvaz cohort study
No full textThis study aimed to determine the prevalence rate of metabolic syndrome and its potential risk factors, 6–12 weeks postpartum in women with GDM compared to women with normal glucose tolerance.
Methods
LAGAs is an ongoing population-based prospective cohort study that started in March 2015 in Ahvaz, Iran. During 11 months of study progression, 176 women with GDM pregnancy and 86 healthy women underwent a fasting glucose test, 75-g OGTT and fasting lipid tests at 6–12 weeks postpartum. GDM was defined based on IADPSG criteria. Postpartum glucose intolerance was defined according to ADA criteria and metabolic syndrome using 2 sets of criteria.
Results
The overall rate of metabolic syndrome at 6–12 weeks postpartum was 16% by NCEP-ATP III criteria (18.2% in women with GDM and 11.6% in controls) and 19.1% by IDF criteria (21% in women with gestational diabetes and 15.1% in controls). Pre-pregnancy overweight or obesity, (OR 1.89, 95% CI: 1.05-3.38, P = .03), pregnancy systolic blood pressure (OR 1.03, 95% CI: 1.008–1.52, P = .006) and requiring insulin or metformin (OR 3.08, 95% CI: 1.25–7.60, P = 0.01), were associated risk factors for the presence of MetS in GDM-exposed women. In women with normal glucose during pregnancy, pre-pregnancy BMI ≥25 kg/m2 was a risk factor of metabolic syndrome (OR 2.82, 95% CI: 1.11–7.15, P = .02).
Conclusion
The rate of metabolic syndrome in women with or without GDM at 6–12 weeks postpartum is high particularly in women with high BMI. An early postpartum prevention and screening program for cardiovascular risk factors is important for women with GDM
Assessment of bacterial bio-aerosols types and its concentration in the ambient air of educational hospitals of Ardabil University of Medical Sciences in 2016
Get PDFIntroduction: Microorganisms in hospitals are potential sources of infection to patients and staffs. Bioaerosol exposure is associated with a vast range of adverse health effects including infectious diseases, acute toxic effects, allergy. This study aimed to survey the type and density of bioaerosols in ambient air of different wards of educational hospitals Ardabil in 2016.
Material and Method: This cross-sectional study was conducted in 2 educational hospitals of Ardabil city in 2016. ZTHV02 sampler and Tryptic soy Agar along with Cycloheximide antibiotic were used to evaluate and determine the airborne bacterial counts. The average sampling time was 10 minutes. Air samples were transported to the lab just after sampling and incubated for 48 hours at 37 ºC. Then, raised colonies were counted. Bacterial density was expressed as CFU/m3 ± SD.
Result: Mean bacterial concentrations were 10.3 and 23.4 CFU/m3 in Imam and Alavi hospitals, respectively. X-ray room in Imam Khomeini hospital and ICU room in Alavi hospital had the highest bacterial count. But, the least bacterial loads were observed in ICU and Angiography wards of Imam Khomeini and CTSCAN ward in Alavi hospitals. The most prevalent bacteria species isolated from air samples of Imam hospital was Enterococcus spp followed by Pseudomonas spp, coagulase negative Staphylococci spp and Non -Enterococcus group D Streptococci and for Alavi hospital; Coagulase negative Staphylococci spp followed by Psodomonas spp, Klebsilla spp and, Enterococcus spp.
No significant correlations were found between bacterial counts, temperature and humidity of the sampling sites. However, bacteria density significantly were higher in morning shift comparing to evening shift (P <0.05).
Conclusion: High concentration of airborne bacteria bio-aerosols in Ardabil hospitals can be important health risks for health workers and the patients
MEDIATING EFFECTS OF SELF-EFFICACY ON FRUIT AND VEGETABLE CONSUMPTION AMONG NURSING AND MIDWIFERY STAFF IN ARDABIL- APPLICATION OF TRANSTHEORETICAL MODEL
Get PDFBACKGROUND
It is highly recommended to promptly assess motivation and readiness to change in individuals who wish to achieve significant lifestyle behaviour changes in order to improve their health. In particular, motivation should be assessed in those who face the difficulty in behavioural changes.
This study is aimed to investigate the mediating effects of self-efficacy on the relationships between predicting variables and outcome variable using the Transtheoretical Model.
MATERIALS AND METHODS
This cross-sectional study was conducted with the participation of 300 nursing and midwifery staffs employed in hospitals of Ardabil city, which were selected by systematic random sampling method. The data gathering tool was a Transtheoretical Model scale. Validity and reliability was confirmed in previous study. The data were analysed by SPSS 19 using the descriptive statistics, Spearman correlation test and Multiple Logistic Regression Analysis.
RESULTS
In total, 41.34% of the samples had normal BMI. The majority of subjects (77.3%) were in the early stages of change for fruit and vegetable consumption and only 22.7 percent were located in active stages. Regression revealed that self-efficacy was the strongest predictor of stage of change (β= 0.357, P= 0.001) and mediated the relationships of behavioural processes with stages of change (β= 0.369, P= 0.001).
CONCLUSION
This study showed a strong correlation between self-efficacy, decisional balance and processes of change with stages of change. So, we suggest that in order to promoting the fruit and vegetable consumption, these variables be considered as the basis of the interventional program. Also considering the mediating effect of self-efficacy as the strongest predictor, we suggest a targeted and appropriate application of this variable in the interventions
Epidemiology of Tuberculosis in Ardabil Province, 2011-2016
Get PDFBackground: Tuberculosis (TB) is a chronic bacterial disease caused by mycobacterium tuberculosis that appears in 85% of cases by pulmonary form. Epidemiologic study of disease during the time can have important rule for evaluation strategy of diseases control and trend of health indices. Purpose: The aim of this study was to investigate the epidemiology of Tuberculosis in Ardabil province. Method: This descriptive cross-sectional retrospective study was conducted on 797 TB patients who referred to health centers in Ardabil province. Information was collected from patients’ records and then analyzed by statistical methods in SPSS version 19. Results: The average age of patients was 44.3±18.1 (1-91 years). 46% of patients were male and the rest were female. 83% of patients were living in urban and 18% in rural areas. The mean of total incidence of TB in Ardabil province during study years was 10.26 per 100000. From all TB cases, 56.71% was pulmonary and rest was extra-pulmonary. The most common organs involved in extra-pulmonary TB were lymph nodes with 24.21%. Conclusion: More considering to the early known of Pulmonary Tb and starting treatment after confirmation and also considering to the lower age of TB cases, aassessment the barriers to implementation of control, therapeutic and educational programs about TB cases is essential
Assessment of emotional intelligence in medical university staff in Ardabil: Northwest of Iran
Get PDFBackground: Emotional intelligence is one of the most important factors for the job and social success of individuals that is necessary for effective performance of all employees working in different governmental and private sectors, medical centers, factories and others. The aim of this study was to investigate the Emotional Intelligence (EI) in Ardabil University staff.
Methods: This cross-sectional descriptive study was done on 150 staff employed in Ardabil University of Medical Sciences which selected randomly. Data collected by Goleman EI questionnaire and analysed by statistical descriptive methods in SPSS.19.
Results: The mean age of samples was 7.6±40.8 and 56% of samples were male. 93.3% of samples had university degree. The EI of most of employees with 68% were in moderate level.
Conclusions: Conducting appropriate and effective training courses on emotional intelligence can be very effective in promoting job success, social success, and better interaction between staff and people