Modern Care Journal最新文献_第7页

Micropipette Tip-Guarded Needle for Intralesional Therapy in Keloid and Hypertrophic Scar 用于瘢痕疙瘩和肥厚性瘢痕局部治疗的微量移液管针头防护针头

Modern Care Journal Pub Date : 2022-09-24 DOI: 10.5812/modernc-129102

M. Mukhtar

引用次数: 0

Is There Any Difference Between Maneuver Simulation and Scenario Workshop Learning about Radiation Triage? 机动模拟和情景研讨会学习辐射分类有什么区别?

Modern Care Journal Pub Date : 2022-09-07 DOI: 10.5812/modernc-129209

Mostafa Delsooz, S. Mazloum, A. Mirhaghi

{"title":"Is There Any Difference Between Maneuver Simulation and Scenario Workshop Learning about Radiation Triage?","authors":"Mostafa Delsooz, S. Mazloum, A. Mirhaghi","doi":"10.5812/modernc-129209","DOIUrl":"https://doi.org/10.5812/modernc-129209","url":null,"abstract":"Background: Very little information on maneuver simulations (MS) effectiveness in radiation triage (RT) training is currently available. Objectives: The present study aimed to compare the effect of MS and scenario workshops (SW) on rescuers' learning of RT. Methods: This quasi-experimental study was conducted on rescuers in July 2020. For this purpose, two military medical centers were randomized into two groups, intervention (MS) and control (SW). The main tool was the researcher-made Radiation Triage Knowledge Questionnaire (RTKQ). In this respect, the pre-test was performed using the RTKQ questionnaire. The first post-test, two weeks following the intervention, was also done through the RTKQ and the objective structured clinical examination (OSCE), and the second post-test was conducted four weeks after the intervention, only via the RTKQ. Results: In total, 30 rescuers with a mean age of 22 participated in this study. During the pre-test, the difference in knowledge between the two study groups (intervention and control) was not significant. In the first post-test, no significant difference was also observed in the levels of knowledge between MS and SW groups respectively (80.0 ± 8.9 vs. 79.3 ± 0.8), but the difference in skills between the study groups was significant (89.3 ± 10.3 vs. 61.3 ± 16.0). In the second post-test, there was a significant difference between the mean value of the levels of knowledge (76.0 ± 9.1 vs. 64.7 ± 10.9) and skills (written scenarios) (71.3 ± 9.9 vs. 54.0 ± 0.14) in two study groups. Conclusions: Both training methods improved RT knowledge and skills, but MT was more effective than SW in boosting and maintaining knowledge and skills up to one month after the intervention. The utilization of MS in RT training was also accompanied by greater effectiveness.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88003224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Resistance Training Improved the Kidney Function of Type 2 Diabetic Patients with the Risk of Nephropathy: A Randomized Control Trial 抗阻训练改善2型糖尿病肾病风险患者的肾功能:一项随机对照试验

Modern Care Journal Pub Date : 2022-09-04 DOI: 10.5812/modernc-128713

M. Moghadasi, Alireza Ostovar, Azita Eslami

{"title":"Resistance Training Improved the Kidney Function of Type 2 Diabetic Patients with the Risk of Nephropathy: A Randomized Control Trial","authors":"M. Moghadasi, Alireza Ostovar, Azita Eslami","doi":"10.5812/modernc-128713","DOIUrl":"https://doi.org/10.5812/modernc-128713","url":null,"abstract":"Background: Despite the preventive role of resistance training (RT) in the progress of type 2 diabetes, its effects on diabetes-related kidney complications are still unknown. Objectives: This study was done to investigate the impacts of RT on kidney function of type 2 diabetic patients with the risk of nephropathy. Methods: Twenty-two middle-aged men with type 2 diabetes (age: 52.8 ± 7.3, body mass index (BMI): 27.4 ± 3.1) were randomly allocated into the control group (CG: n = 12) or resistance training group (RTG: n = 10). Subjects performed a circuit RT program [three times a week, 60 min/session, six exercises, three sets, 8 - 15 repetitions, 50 - 80% one-repetition maximum (1RM)] for eight consecutive weeks. Clinical parameters, including insulin-like growth factor-binding protein 3 (IGFBP-3), estimated glomerular filtration rate (eGFR), fasting glucose, fasting insulin, and insulin resistance, were measured before and after eight weeks. Results: IGFBP-3 levels significantly increased (47.8%) in CG, while they remained unchanged in the RTG. eGFR levels significantly decreased (16.7%) in the CG but remained unchanged in the RTG. Fasting blood glucose and insulin resistance index (HOMA-IR) levels significantly decreased (16.7% and 27.2%, respectively) in the RTG compared to the CG; however, for fasting insulin, no significant change was observed (8.5%). Conclusions: The results indicated that although RT did not improve the kidney function of the RTG, by improving the glycemic control, it prevented the development of renal dysfunction into diabetic nephropathy, while the renal dysfunction of the CG deteriorated over the training period, probably due to the lack of training intervention. Further studies with a longer training period are required to clarify the effects of RT on the development of diabetic nephropathy.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89951823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Hemodynamic Status of the COVID-19 Patients Under Anesthesia 麻醉下COVID-19患者血流动力学状态的评价

Modern Care Journal Pub Date : 2022-08-22 DOI: 10.5812/modernc-128503

K. Basiri Moghadam, Raheleh Baradaran, Monire Mousavi Sani Baghsiahi, Zahra Sepasi Bilondi, A. Sadeghian

{"title":"Evaluation of Hemodynamic Status of the COVID-19 Patients Under Anesthesia","authors":"K. Basiri Moghadam, Raheleh Baradaran, Monire Mousavi Sani Baghsiahi, Zahra Sepasi Bilondi, A. Sadeghian","doi":"10.5812/modernc-128503","DOIUrl":"https://doi.org/10.5812/modernc-128503","url":null,"abstract":"Background: The COVID-19 pandemic has encouraged an unprecedented number of publications on epidemiological, pharmacological, immunological, and medical issues. Studies have also been performed on hemodynamic changes in the patients admitted to different wards. Objectives: This study aims to determine the hemodynamic status of the COVID-19 patients under anesthesia. Methods: In this cross-sectional analytical study of the two groups, 40 patient candidates for surgery and general anesthesia in the hospital were enrolled in the study based on the inclusion criteria, after signing written informed consent. The patient’s demographic information was obtained from the patient’s file and oral interview. Then, non-COVID-19 patients and patients with COVID-19 definitive tests were followed during the operation. During surgery, hemodynamic factors including pulse, blood pressure, SpO2 and respiration were monitored and recorded by a monitoring device. SPSS software version 19 was used to analyze the data. Results: The mean ± SD of patients’ age was 47.55 ± 21.37. The data showed that systolic blood pressure before anesthesia and pulse before and during anesthesia in the COVID-19 group was significantly higher than that in the non-COVID-19 group (P < 0.05). Also, respiration and SpO2 before anesthesia were lower in the COVID-19 group than in the non-COVID-19 group (P < 0.05); while respiration and SpO2 during anesthesia were not significantly different between the two groups (P > 0.05). In the COVID-19 group, systolic blood pressure, pulse, and respiration during anesthesia were significantly lower than before anesthesia and conversely, SpO2 was higher (P < 0.05). Conclusions: The findings of the present study showed that patients who do not have severe COVID-19 and serious clinical symptoms do not go through severe hemodynamic changes during surgery. Therefore, it can be said that in emergencies, surgery can be performed by observing standard principles. However, more research is needed in this regard.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91461013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Quality of Sleep and Mental Health Among Pregnant Women: A Cross-sectional Study 孕妇睡眠质量与心理健康:一项横断面研究

Modern Care Journal Pub Date : 2022-08-20 DOI: 10.5812/modernc-127557

M. Firouzbakht, S. Omidvar, Hajar Adib-rad, M. Faramarzi, Nooshin Fateri

{"title":"Quality of Sleep and Mental Health Among Pregnant Women: A Cross-sectional Study","authors":"M. Firouzbakht, S. Omidvar, Hajar Adib-rad, M. Faramarzi, Nooshin Fateri","doi":"10.5812/modernc-127557","DOIUrl":"https://doi.org/10.5812/modernc-127557","url":null,"abstract":"Background: Sleep disorders are common during pregnancy and can lead to other problems before, during, and after delivery. Objectives: The study was conducted to compare anxiety and depression among pregnant women with and without sleep disorders Methods: This cross-sectional study was performed on pregnant women referring to the health care centers in Babol, Iran (2018 - 2019). Women with singleton pregnancies, who met the study criteria, were chosen from selected health centers and entered the study through the convenience sampling method. Data were collected using Questionnaires. The participants answered four questionnaires, including Demographic, Pittsburg sleep quality index (PSQI), Beck Depression Inventory (BDI), and The State-Trait Anxiety Inventory (STAI) questionnaires. The data were analyzed using SPSS statistical software version 22, and P < 0.05 was considered statistically significant. Results: The average ages of participants were 26.40 ± 4.76 years. The present study showed a statistically significant correlation between the score of depression and sleep quality (r = 0.11, P = 0.008). In women with poor quality of sleep, the mean of trait anxiety was significantly higher than in women with good quality of sleep (P = 0.016). There was a significant association between depression scores and sleep quality subscales. Logistic regression demonstrated that people with high anxiety levels were 2.3 times more likely to have sleep problems than those with low anxiety levels. Conclusions: Sleep quality is correlated with anxiety and depression. Health professionals should be aware that women with poor sleep quality may develop mental health problems. Therefore, screening for mental health and referring them to a clinical psychologist may help their sleep quality. To investigate the causal relationship between the study variables, it is necessary to conduct an extensive cohort study that starts before the pregnancy.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79653341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Seroprevalence of Toxoplasma gondii Infection Among Women of Reproductive Age in Birjand, Iran 伊朗Birjand育龄妇女刚地弓形虫感染血清阳性率

Modern Care Journal Pub Date : 2022-08-14 DOI: 10.5812/modernc-127872

Beheshte Kanani, M. Namaei, A. Tavakoli Kareshk, R. Solgi

{"title":"Seroprevalence of Toxoplasma gondii Infection Among Women of Reproductive Age in Birjand, Iran","authors":"Beheshte Kanani, M. Namaei, A. Tavakoli Kareshk, R. Solgi","doi":"10.5812/modernc-127872","DOIUrl":"https://doi.org/10.5812/modernc-127872","url":null,"abstract":"Background: Toxoplasma gondii is a protozoan of the Apicomplexa phylum with widespread distribution in animals and humans. Toxoplasma gondii is also an important cause of infectious diseases in women of reproductive age. Objectives: This cross-sectional study aimed to determine the prevalence of anti-T. gondii IgG antibody and its associated risk factors among women of reproductive age referring to Birjand Comprehensive Health Center, East of Iran. Methods: A total of 300 serum samples were collected from women who were referred to Birjand Comprehensive Health Center to be screened for anti-T. gondii IgG antibodies by enzyme-linked immunosorbent assay (ELISA). Analytical and descriptive statistics were carried out using SPSS software version 20. Descriptive statistics were reported as a percentage and mean (SD). The Chi-squared test was applied to assess the univariate association between independent variables and outcome. The significance level in the test was considered P < 0.05. Results: The results showed that 8.3% of the subjects with an average age of 27 years were IgG-positive. Contact with cats had a significant effect on positivity for IgG and disease frequency (P < 0.05). On the other hand, age and the place of residence (urban or rural) had no significant effect on disease frequency (P > 0.05). Urban or rural location in all age ranges had no significant effect on IgG positivity (P > 0.05). Conclusions: Considering the high percentage of T. gondii among negative people in the target population, it is necessary to inform women of the reproductive age about the importance of testing and health issues related to T. gondii.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83393213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of COVID-19 on the Occurrence of Spontaneous Hemopneumothorax: A Case Study 新型冠状病毒肺炎对自发性血气胸发生的影响

Modern Care Journal Pub Date : 2022-08-10 DOI: 10.5812/modernc-129039

M. Abdollahi, A. Ayar

引用次数: 0

Risk Factors and Prevalence of Toxocariasis in Healthy Adults in South Khorasan Province, Eastern Iran 伊朗东部南呼罗珊省健康成人弓形虫病的危险因素和流行

Modern Care Journal Pub Date : 2022-08-02 DOI: 10.5812/modernc-128079

S. Ebrahimi, A. Tavakoli Kareshk, M. Darvishi, N. Asadi, V. Bagheri, G. Barzegar, R. Solgi

{"title":"Risk Factors and Prevalence of Toxocariasis in Healthy Adults in South Khorasan Province, Eastern Iran","authors":"S. Ebrahimi, A. Tavakoli Kareshk, M. Darvishi, N. Asadi, V. Bagheri, G. Barzegar, R. Solgi","doi":"10.5812/modernc-128079","DOIUrl":"https://doi.org/10.5812/modernc-128079","url":null,"abstract":"Background: Toxocariasis is a common zoonotic helminthic disease with worldwide distribution. Seroepidemiological data related to human toxocariasis and its risk factors are limited in the east of Iran. Objectives: The current study evaluated the seroprevalence of toxocariasis and associated risk factors in clinically healthy individuals aged 18 years or older in eastern Iran. Methods: We took 450 samples from clinically healthy individuals referred to medical laboratories for health screening between March and May 2022 in Birjand, Iran. The seroprevalence of IgG antibody against Toxocara was performed using the enzyme-linked immunosorbent assay (ELISA) kit (IBL, Germany). Logistic regression was used to analyze the association between toxocariasis and potential risk factors by SPSS 21.0 software. A probability P value less than 0.05 was considered statistically significant. Results: The sample included 210 (56.6%) men, and 240 women (53.3%) who were aged 18 to 81 years (mean 35 ± 13 years). The Toxocara ELISA was positive in 36 (8%) individuals. The statistical analysis showed that washing hands before eating (odds ratio (OR) = 0.1, 95% CI: 0.05 - 0.3, P < 0.0001), contact with cats and dogs (OR = 0.1, 95% CI: 0.05 - 0.3, P < 0.00001), and raw meat consumption (OR = 4.8, 95% CI: 2.2 - 11.4), P < 0.0004) were risk factors associated with Toxocara infection. Conclusions: The relatively low seroprevalence of Toxocara infection in our study can be caused by environmental and socio-cultural conditions and moderate to high hygiene standards in Birjand. It is suggested that more extensive studies be conducted with larger sample sizes in at-risk groups in this area.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73459847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Surgical Pearl: A Simple Solution-Trichloroacetic Acid Cautery for Fordyce Spots 手术珍珠简单的解决方案--三氯乙酸灼烧治疗福特斯斑

Modern Care Journal Pub Date : 2022-07-25 DOI: 10.5812/modernc-126316

Sofia Mukhtar, M. Mukhtar

引用次数: 0

Correlation Between Satisfaction with the Field of Study and Clinical Competence in Nursing Students 护生专业满意度与临床能力的相关性研究

Modern Care Journal Pub Date : 2022-07-25 DOI: 10.5812/modernc-127692

Sharareh Zeighami Mohammadi, Neda Haghighi Khoskhoo

{"title":"Correlation Between Satisfaction with the Field of Study and Clinical Competence in Nursing Students","authors":"Sharareh Zeighami Mohammadi, Neda Haghighi Khoskhoo","doi":"10.5812/modernc-127692","DOIUrl":"https://doi.org/10.5812/modernc-127692","url":null,"abstract":"Background: Satisfaction with the field of study can affect the acquisition of knowledge and skills necessary for that profession. Objectives: The aim of this study was to investigate the correlation between satisfaction with the field of study and clinical competence in nursing students. Methods: This descriptive correlational study was performed on 167 nursing students in the seventh and eighth semesters in the School of Nursing and Midwifery of Islamic Azad University, Karaj Branch, Iran, from 2020 to 2021. Sampling was done by a purposeful sample method. Data collection tools were the demographic information form, the Satisfaction with the Field of Study Questionnaire, and Students' Clinical Competency Questionnaire, which were completed by the self-report method. Data were analyzed by SPSS software version 16 using Pearson correlation coefficient, chi-square test, and t-test and reported by descriptive statistics of mean, standard deviation, frequency, and percentage. Results: The clinical competence of nursing students in the seventh and eighth semesters was moderate (53.3%), and 56.9% of them were very satisfied with their field of study. A weak positive and significant correlation was obtained between satisfaction with the field of study and the total score of clinical competence (P = 0.001, r = 0.260). Conclusions: With increasing satisfaction with the field of study, the clinical competence of nursing students increased. This finding emphasizes the need to invest in strategies to promote increased satisfaction with the field of study to help develop the clinical competence of nursing students.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90254649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0