1,341 research outputs found
Factors contributing to readmission of congestive heart failure patients admitted in internal ward of Hospitals of Shahid Beheshti University of Medical Sciences in Tehran
No full textFactors contributing to readmission of congestive heart failure patients admitted in internal ward of Hospitals of Shahid Beheshti University of Medical Sciences in Tehran Ashktorab, T.1*(PhD); Bathaei, S A.2 (MSN); Zohari Anbuhi, S.3 (MSN); Alavi Majd, H.4 (PhD); Ezati, J.5 (MSN) 1. Associate Professor, Dept. of Medical-Surgical, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences. Tehran. Iran2. Alumnus, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences. Tehran. Iran.3. Lecturer, Dept. of Medical-Surgical, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences. Tehran. Iran.4. Associate Professor, , Dept. of Biostatistics, Faculty of Paramedical, Shahid Beheshti University of Medical Sciences. Tehran. Iran.5. Lecturer, Dept. of Medical-Surgical, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences. Tehran. Iran. AbstractBackground and aimThe prevalence of congestive heart failure (CHF) continues to rise and nearly 5 million people in the United States have CHF, with more than one-half million new cases diagnosed each year. The readmission rate within 3-6 months after discharge in these patients is 10-50 percent. The aim of this study was to determine factors contributing to readmission of patients with congestive heart failure (class 2 and 3) who were admitted in internal ward of Hospitals of Shahid Beheshti University of Medical Sciences in Tehran 2009. Materials and methodsIn this correlation -descriptive study, 110 patients with congestive heart failure based on 2 and 3 New York Heart Association Classification (NYHA) were included. Subjects were selected by quota purposive sampling and were divided into two groups (readmission and no readmission). Data were collected by a questionnaire. Content validity of the questionnaire was assessed by 10 nursing experts, 5 persons with congestive heart failure and 2 cardiologists. Reliability was measured by ted-retest (0/86). Data were analyzed by SPSS 15. Findings Results showed that, % 61.8 of samples was readmitted to the hospital during the previous 6 months period. In addition, two individual factors (age and literacy level) and two disease related factors (NYHA class and having other disease) contributed to readmissions. Therefore, age and higher NYHA class and having co morbidities had direct and also literacy level indirect relationship with readmissions. ConclusionThe readmission rate of patients with congestive heart failure in this study was high. Therefore, attention to contributing factors is needed. Keywords: Congestive heart failure, Readmission, Factors. *Corresponding Author: Dr Ashktorab; Assistant Professor, Dept. of Medical-Surgical, Faculty of Nursing and Midwifery, Shaheed Beheshti Medical University, Shariati, Tehran, Iran. E-mail: [email protected]
Agha Shahid Ali, 18th Annual ODU Literary Festival
No full textPoet Agha Shahid Ali teaches in the M.F.A. Creative Writing Program at the University of Massachusetts, Amherst. His six collections of poetry include A Nostalgist’s Map of America, The Half Inch Himalayas, A Walk Through the Yellow Pages and The Beloved Witness: Selected Poems. He has also translated The Rebel’s Silhouette, a selection of poems by Faiz Ahmed Faiz as well as the author of T. S. Eliot as Editor. His poems appear regularly in journals such as Antioch Review, Chelsea, Denver Quarterly, Field, Grand Street, Paris Review Poetry, TriQuarterly and Yale Review. He has won fellowships from the Pennsylvania Council on the Arts, the Ingram-Merril Foundation, the Bread Loaf Writers’ Conference and the New York Foundation for the Art. His recent — as yet uncollected — poems focus on the current turmoil in Kashmir, where he is from originally and where he spends his summers
Severity of premenstrual syndrome (PMS) and its related factors in students of Shahid Beheshti University of Medical Sciences
No full textBackground and aimPremenstrual syndrome (PMS) is one or more symptoms from a great combination of physical, psychological and behavioral symptoms, occurring in 70%-90%of women at childbearing age. 95% of women suffer from mild symptoms of PMS while, in 3%-10%, the symptoms are severe and disabling. The aim of this study was identify the severity of PMS and its related factors in students of Shahid Beheshti University of Medical Sciences & Health Services,. Materials and methodsIn this descriptive study, of 980 students in the dormitories of the university, 85 with PMS were selected by purposive sampling method. Data collection tools included a demographic questionnaire and a diary form derived from criteria of Diagnostic and Statistical Manual IV (DSM-4). Validity and reliability of the tools were determined by content and test-retest (r=0.82) methods respectively. Data collection method was self report questionnaires. FindingsMeans of age and body mass index of the subjects were 22.20 and 22.59 respectively. 58.8%, 38.8% and 2.4% had mild, moderate and severe physical symptoms respectively. The corresponding figures for psychological symptoms were 30.7%, 66.1% and 3.2 respectively. ConclusionThe severity of symptoms in more than two thirds of the subjects was moderate and mild. A significant relationship was found between the onset of symptoms as well as educational term of the students and syndrome severity. Keywords: Premenstrual syndrome (PMS), Student, Menstrual disorders. *Corresponding Author: Giti, Ozgoli. Dept. of Midwifery, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences & Health Services, Tehran, Iran E-mail: [email protected]
Measurement of “behavior” or “intention to behaviors” in MS theses of Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences
No full textBackground and aimBehavior and performance are investigated in different studies, which yields significant information to researchers leading to discovery of weak and strong points of behavior. This plays an important role in reaching to research goals. This review study was carried out to identify methods in the measurement of behaviors and application of them in MS theses of students in faculty of nursing and midwifery of Shahid Beheshti Medical University.Materials and methods526 MS theses of students were investigated in terms of the methods for measurement or evaluation of behaviors.FindingsOf the 526 theses, 22 were related to the measurement of behavior. Behaviors were measured by self-report questionnaires, checklist and no tool in 12, 8 and 2 theses respectively. ConclusionFindings showed that behavior is mostly measured by questionnaire and less by observation which yields more complete information. Keywords: Behaviour measurement, Reasoned Action Theory, Questionnaire, Observation. *Corresponding Author: Dr. Yaghmaei; Dept. of Community Health Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Shariati, Tehran, Iran. E-mail: [email protected]
Organizational change: the role of organizational culture and employees' trust in their managers
No full textThis study was conducted in a third world economy to find the role of organizational cultural traits of involvement and adaptability on employees’ readiness for change and consequently successful implementation of change at the organizational unit level. Employees’ trust in their managers was considered as the moderating variable. The study was conducted in a large public sector organization and a banking company that remained in the public sector for more than three decades. The overall results revealed similar patterns of outcomes in terms of readiness for change, trust effect, and change outcome. Although the relationship between the cultural traits of involvement and adaptability and the success of change was not supported for lack of adequate outcome performance measures, these traits were significantly responsible for creating readiness for change in employees. Also, against the expectations, the positive relationship between adaptability culture and readiness was stronger when trust in managers was low rather than when it was high.M.S.Includes bibliographical referencesby Shahid Zaman Kha
Correlation between quality of care and clients' satisfaction in family planning units of healthcare centers affiliated with Shahid Beheshti University of Medical Sciences and Health services
No full textBackground and aimQuality of care is a dimension of quality of services and Clients’ satisfaction is an outcome of quality. However, clients’ satisfaction is sometimes translated as quality of care. The aim of this study was aimed to identify a correlation between quality of care and clients' satisfaction in family planning units of healthcare centers affiliated with Shahid Beheshti University of Medical Sciences & Health Services. Materials and methods In this descriptive study, 200 Clients referring to family planning units of 11 healthcare centers took part in the study with a multistage sampling method. Data were collected with a checklist to assess quality of care and a questionnaire to identify clients' satisfaction in 2 parts: structure and family planning services scored by a Likert scale. Content and face validities of the questionnaire were checked and its reliability was calculated by Cronbach’s α (r=0.94) and inter-rater methods (r=0.91). Data were analyzed with SPSS 16. Findings 56.73±10.96 percent of the services had conformity with standards; therefore, its quality was considered as moderate. The lowest and highest percents were related to education (35.43±16.14) and history taking (77.83±28.46) respectively. Clients' satisfaction was considered good (83.75±13.89). No significant correlation was found between quality of care and satisfaction. Conclusion With respect to the results, factors other than the quality of care can influence on clients' satisfaction. Therefore, all aspects should be assessed and, according to the problems found, appropriate interventions may be planned and implemented. Keywords: Quality of care, Family planning, Satisfaction. *Corresponding Author: Masoomeh Simbar, Assistant Professor, Dept. of Midwifery, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences & Health Services, Tehran, Iran. E-mail: [email protected]
Rate of resource utilization and cardiovascular outcomes in patients with low-risk chest pain at CCUs of hospitals affiliated with Shahid Beheshti University of Medical Sciences & Health Services
No full textBackground and AimMany patients referring to health centers because of chest pain do not require hospitalization at CCUs (Coronary Care Units). The aim of this study was to assess the rate of resource utilization and cardiovascular outcomes in patients with low risk chest pain admitted to CCUs of hospitals affiliated with Shahid Beheshti University of Medical Sciences and Health Services. Materials and methodsIn this descriptive study, all patients with chest pain admitted to CCUs of 6 hospitals were selected with purposive sampling method. Of 550 patients, 95 were considered low-risk using "Thrombolysis in Myocardial Infarction (TIMI)" scale and assessed in terms of hospital stay, costs and cardiovascular outcomes over 30 days after discharge. A questionnaire validated with content and face methods was used for data collection. The scale was made reliable with inter-rater method (r=0.8). Data were analyzed with SPSS 16. Findings Mean age of the subjects was 46.95 year and 66.3% of them were male. The lowest stay and bed occupancy rates were related to hospital 3 and the highest rates to hospital 1 and 2. Mean length of stay was 3.04 days. ANOVA showed no significant difference between length of stay and expenses in 6 hospitals. No cardiovascular complication was seen 1 month after discharge in 89.5% of patients with any report of death. ConclusionWith respect to the high rate of bed occupancy by the subjects and wastage of material and human resources with no cardiac complications over 1 month following discharge, appropriate triage of patients in the emergency unit can prevent unnecessary hospitalization in the CCU. Keywords: Low-risk patients, Chest pain, Resource utilization. *Corresponding Author: Hossein Shiri, .Dept. of Community Health Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran E-mail: [email protected]
Attitudes of Physicians and Nurses toward family presence during resuscitation in emergency rooms of hospitals affiliated with Tehran, Iran and Shahid Beheshti Universities of Medical Sciences
No full textBackground and AimAccess to the resuscitation environment depends on attitudes of staff of emergency rooms (ERs). Attitudes of health personnel differ to let family witness cardiopulmonary resuscitation. The aim of this study was conducted to determine physicians' and nurses' attitudes toward witnessing resuscitation by family in the ERs of hospitals affiliated with Tehran, Iran and Shahid Beheshti Universities of Medical Sciences & Health Services. Materials and methods This research was a descriptive study. 120 nurses by quota sampling method and all 60 physicians in emergency rooms of the hospitals were selected. Data were collected over two months by a questionnaire in 2 parts including 13 items for demographics and 31 questions for the attitude. Content and test-retest methods were used for validity and reliability (r=0.78) of the tool respectively. Findings 60% of the subjects were male, 55% had work experience between 1and 5, 43.9% was single and 83.9% was between 25 and 35. 70% of the physicians and 91.7% of nurses had previous reading regarding the presence of a family member during resuscitation. 53.3% of the physicians and 56.7% of the nurses had no tendency to let a family member stay in the ER during cardiopulmonary resuscitation (CPR). No significant difference was found between the attitudes of physicians and nurses in this regard. 66.2% had no view in this respect. ConclusionOne of the basic needs of clients and their family members is advocacy in critical situations and one of these situations for them is CPR. Clinical staff should provide the opportunity for the presence of a family member during CPR and support patients and their families. Keywords: Attitude, Physician, Nurse, Presence of a family member, Cardiopulmonary resuscitation*Corresponding Author: Azam Dabiriyan. Dept. of Community Health Nursing, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences & Health Services, Tehran, Iran E-mail: [email protected]
Author Package-2025: Author Package-2025
No full textThe Trends in Peptide and Protein Sciences is a peer-reviewed, online-only (previously print-online), scientific journal owned by Protein Technology Research Center, Shahid Beheshti University of Medical Sciences and documents in all important aspects of the research in peptides and proteins focusing on analytics and impurities, bioinformatics, biopharmaceuticals and vaccines, biotechnology, chemical synthesis, conformational analysis, design and development of protein therapeutics, determination of structure, enzymology, folding and sequencing, formulation and stability, function, genetics, immunology, kinetics, modeling, molecular biology, pharmacokinetics and pharmacodynamics of therapeutic proteins and antibodies, pharmacology, protein engineering and development, protein-protein interaction, proteomics, purification/expression/production, simulation, thermodynamics and hydrodynamics and protein biomarkers. The aim of this Journal is to publish high quality original research articles, reviews, short communications and letters and to provide a medium for scientists and researchers to share their findings from the area of peptides and proteins. The Trends in Peptide and Protein Sciences is published in collaboration with Iranian Association of Pharmaceutical Scientists. From volume 3 (2018) of TPPS, articles are continuously published online only, as soon as the review process is completed
Incidence of intradialytic complications and their risk factors in patients undergoing hemodialysis in hospitals affiliated to Medical University of Hamadan Iran
No full textIncidence of intradialytic complications and their risk factors in patients undergoing hemodialysis in hospitals affiliated to Medical University of Hamadan Iran Ghahri Sarabi, AR.1 (MSN); Torabi, M.2 (MSN); Abed Saeedi, Zh.3 (PhD); Akbarzadeh Baghban, A.4 (PhD) 1. Lecture, Dept. of Medical Surgical, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran. Iran.2. Alumnus, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences. Tehran. Iran3. Assistant Professor, Dept. of Medical Surgical, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 4. Assistant Professor, Dept. of Biostatistics. Faculty of Paramedical, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Abstract Background and aimHemodialysis is one the most common renal replacement therapies in end stage renal disease. Despite progress in dialysis technology, intradialytic complications occur frequently. The aim of this study was to determine the rate of intradialytic complications and their risk factors in patients undergoing hemodialysis in hospitals affiliated to Medical University of Hamedan Iran in 2009. Materials and methods192 patients undergoing hemodialysis participated in this descriptive correlational study. These patients were included in the study using census method. Data were collected by1- a questionnaire which consisted of 3 sections (demographic information, person – related factors and therapy- related factors),2-a check list and clinical examination ( blood pressure and weight measurement). Content validity of the questionnaire was assessed by 10 nursing experts, 5 staff of hemodialysis wards and 2 nephrologists. Reliability of check list was measured using inter-rater reliability (r=0.98). Data were collected by the second author. Data were analyzed by SPSS 15. Findings Findings showed that the most frequent complications include: hypotension (%15.1), muscle cramp(%11.5), nausea(%9.4), headache(%7.8), angina(%2.6), vomiting (%2.1) and itching(%1.6) respectively. Logistic regression analysis, showed a significant correlation between age and cramp (person – related causes) and a significant correlation between hypotension, cramp with vomiting and headache. Moreover, findings showed a significant correlation between nausea with eating during dialysis (patient- related causes); and between hypotension with dialysis solution (therapy- related causes). ConclusionBased on the results of this study, most of intradialytic complications can be prevented. Use of these findings can improve the process of dialysis. Keywords: Hemodialysis, Intradialytic hemodialysis complications *Corresponding Author: Alireza Ghahri Sarabi, department of Medical-Surgical nursing, school of nursing and midwifery, Shahid beheshti University of Medical Sciences and Health Services, Tehran, Iran. E-mail: [email protected]
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