Modern Care Journal最新文献

{"title":"Adalimumab Efficacy for Management of Inflammatory Bowel Disease in Southwest Region of Iran","authors":"P. Alavinejad, S. Delavari, A. Parsi, A. Shayesteh","doi":"10.5812/modernc-127520","DOIUrl":"https://doi.org/10.5812/modernc-127520","url":null,"abstract":"Background: In recent years, biological drugs, including antitumor necrosis factors, have revolutionized the treatment of inflammatory bowel disease (IBD); however, there is no consensus about the superiority of adalimumab over infliximab. Objectives: This study was designed to evaluate the efficacy of adalimumab for the management of IBD in the southwest region of Iran. Methods: During this prospective observational study, the patients with active IBD and a history of no response to previous treatments that referred to an IBD clinic were included. Moreover, this study evaluated and compared the effectiveness of treatment, including clinical remission rate, disease activity index (the Mayo score in ulcerative colitis (UC) patients and the Crohn’s Disease Activity Index (CDAI) in Crohn’s disease (CD) patients), clinical response, and side effects related to adalimumab injection in 0, 12th, 24th, and 52nd weeks after treatment. Results: A total of 71 patients, including 42 male and 29 female, with a mean age of 29 years, were included. In this study, 37 and 34 patients were diagnosed with UC (52.1%, 20 male and 17 female) and CD (47.8%, 22 male and 12 female), respectively. The time to remission in the UC group was significantly longer than in the CD group (10.05 and 1.71 months; P < 0.0001). Clinical remission rate (≥ 2 points reduction in the Mayo score) in the 12th week among UC patients after treatment with adalimumab was 67.5% and raised to 100% (all the UC patients) in the 24th and 52nd weeks after treatment. None of the UC patients experienced disease recurrence. In CD patients, the CDAI significantly decreased during the treatment time (P < 0.0001); however, all CD patients (100%) experienced disease recurrence after a mean time of 2.59 ± 0.55 months (within 2 - 4 months) (P < 0.0001). Failure of treatment was observed in 94.1% of CD patients (n = 32); nevertheless, none of the UC patients had treatment failure (P < 0.0001). There were no complications related to adalimumab, and no patients needed colectomy during the study period. Conclusions: Adalimumab has a positive effect on the improvement of clinical symptoms, reduction of disease activity, prevention of disease recurrence, and need for colectomy in moderate to severe UC patients. However, adalimumab has no efficacy in the improvement of CD patients, and failure of treatment was observed in most of these patients. Adalimumab could be a therapeutic option for the management of UC with prior failure of treatment.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79570825","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}

{"title":"Therapeutic Pearl: Topical Salt Salt Sclerotherapy for Crushed Wart in Pediatric Age","authors":"Sofia Mukhtar, M. Mukhtar","doi":"10.5812/modernc-126627","DOIUrl":"https://doi.org/10.5812/modernc-126627","url":null,"abstract":"<jats:p />","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81197252","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}

{"title":"Quality Assessment Methods of Hospital Services from the Viewpoint of Patients Based on Standard Assessment Models in Iran: A Narrative Review","authors":"M. Rahimi, Fateme Solymani","doi":"10.5812/modernc-122100","DOIUrl":"https://doi.org/10.5812/modernc-122100","url":null,"abstract":"Background: Controlling and measuring the quality of health services is the first necessary step in providing good services. Hospitals, as the most critical healthcare organization in various countries and communities, need assessment most. Objectives: This study aimed to determine the quality assessment methods of hospital services from the patients’ viewpoints based on standard assessment models in Iran. Methods: A narrative literature review was conducted in IranDoc, SID, Magiran, IranMedex, PubMed, Google Scholar, CINAHL, and the World Health Organization (WHO) databases. The relevant English and Persian publications were selected between January 1994 and December 2020. The quality of studies was assessed using the STROBE checklist. A total of 212 articles were found, of which 48 articles related to the purpose of the study were selected according to the inclusion criteria. Quality assessment and data extraction and analysis were performed for all studies. Results: One of the most widely used methods for assessing the quality of hospital services was the standard SERVQUAL model to assess customer expectations and perceptions of service quality. Conclusions: The SERVQUAL tool appropriately assesses patients' satisfaction with hospital services. Therefore, it can be used along with other health system stakeholders' views to assess the quality of hospital services.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81011642","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}

{"title":"Career Development of Nursing Preceptors in Iran: A Descriptive Study","authors":"S. Habibzadeh, H. Haririan, H. Hassankhani, Lydia Wytenbroek","doi":"10.5812/modernc-126729","DOIUrl":"https://doi.org/10.5812/modernc-126729","url":null,"abstract":"Background: The career development of nursing preceptors is key to improving the quality of clinical education. However, there is a lack of sufficient and specific information about the career development of nursing preceptors in Iran. Objectives: This study aimed to investigate the nursing preceptors’ career development status. Methods: A descriptive cross-sectional study was carried out with the participation of 92 nursing preceptors. Participants were selected by census sampling method from 5 hospitals in Tabriz, Iran. Demographic and 6-dimension career development questionnaires were used to collect data. The collected data were analyzed using SPSS version 22, and the significance level for all statistical tests was determined to be less than 0.05. Results: Participants received the highest career development on ethical, cultural, and individual dimensions with mean scores of 3.55 ± 0.471, 3.41 ± 0.525, and 3.38 ± 0.540, respectively. However, they obtained the lowest career development on the organizational, research, and educational dimensions with mean scores of 2.68 ± 0.580, 2.28 ± 0.672, and 2.20 ± 0.690, respectively. Moreover, a comparison of career development based on demographic information showed that female preceptors, preceptors with more than 20 years of work experience, preceptors with master’s degrees, and contract employees had the highest mean scores for career development. Conclusions: Given the preceptors’ cooperation with nursing faculty as clinical nursing educators and their role in nursing education, officials of nursing faculties should develop specific career development programs (especially in organizational, research, and educational dimensions) and establish an effective relationship between preceptors and professors to enhance nursing students education.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72994065","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}

{"title":"Therapeutic Pearl: Use of Cyanoacrylate Glue for Treating Chronic Discharging Proximal Lateral Toenail Paronychia","authors":"M. Mukhtar","doi":"10.5812/modernc-126888","DOIUrl":"https://doi.org/10.5812/modernc-126888","url":null,"abstract":"<jats:p />","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75659044","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}

{"title":"Median Arcuate Ligament Syndrome with Common Hepatic and Splenic Arteries Directly Originating from the Abdominal Aorta: A Case Report","authors":"Mersad Mehrnahad, M. Hasanian, Mohammad Mosahar Mehrnahad","doi":"10.5812/modernc-123225","DOIUrl":"https://doi.org/10.5812/modernc-123225","url":null,"abstract":"Introduction: Knowledge of the unpaired abdominal vasculature is important for uncomplicated operations. The absent celiac trunk has previously been reported; however, developmental alterations can result in a variety of branching patterns of the downstream arteries from the abdominal aorta. Case Presentation: A 53-year-old female patient with lymphoma underwent abdominopelvic computed tomography (CT) for staging. She had a history of postprandial off-and-on abdominal pain since her youth. CT scan revealed an absent celiac trunk with common hepatic and splenic arteries directly originating from the abdominal aorta. Compression of the median arcuate ligament had narrowed and angulated the 2 branches. Conclusions: When the celiac trunk is absent, its main branches may separately arise from the abdominal aorta. Also, due to the displacement of these branches, their path and diameter can vary from the normal.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84236613","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}

{"title":"Comparison of the Effect of Face-to-face and Social Media-based Training on the Self-care of Women with Gestational Diabetes Mellitus (GDM) in Birjand","authors":"Mohaddeseh Hosseinzadeh, Gholamreza Sharifzadeh, Mostafa Hosseinzadeh, M. Torshizi","doi":"10.5812/modernc-119456","DOIUrl":"https://doi.org/10.5812/modernc-119456","url":null,"abstract":"Background: Gestational diabetes is one of the most common medical complications during pregnancy. Disease control is essential because of the increasing prevalence of this disorder, and the most important control factor is self-care behaviors. Objectives: The aim of this study was to compare the effect of face-to-face and social media-based education on self-care of women with gestational diabetes. Methods: This quasi-experimental randomized controlled study was performed on 73 pregnant women with gestational diabetes in Birjand, Iran. Participants completed a self-care and demographic questionnaire and then were divided into three groups (face-to-face, virtual, and control training group). In the face-to-face training group, four training sessions (one hour) were held for one month. The virtual group received two messages per day for 30 days via Telegram, and the control group received only routine training. One month after the intervention, the questionnaire was completed by all individuals. Results: There was no statistically significant difference between the three groups in terms of mean self-care score before the intervention, but after the intervention, the mean self-care score increased in the face-to-face training group (P < 0.001) and social media training group (P = 0.01) compared to the control group (P = 0.22). Conclusions: In this study, the effect of face-to-face and virtual education is the same. Therefore, education-based social networks can be used because of the prevalence of coronavirus and transportation problems of pregnant women.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77305130","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}

{"title":"Comparison of Lifestyle of Nurses with and Without COVID-19 Working in Hospitals Affiliated with Tehran University of Medical Sciences","authors":"A. Shamsi, M. Ghaderi, Mansureh Jaladati","doi":"10.5812/modernc-126901","DOIUrl":"https://doi.org/10.5812/modernc-126901","url":null,"abstract":"Background: Health and lifestyle are very important considering the current coronavirus disease 2019 (COVID-19) pandemic. In the meantime, the lifestyle of nurses is of two-fold importance regarding their role in providing a wide range of services. Objectives: The present study aimed to determine and compare the lifestyle of nurses with and without COVID-19 working in hospitals affiliated with Tehran University of Medical Sciences, Tehran, Iran. Methods: This comparative study was performed on 500 nurses working in hospitals affiliated with Tehran University of Medical Sciences in 2021. The study population included 500 nurses with (n = 250) and without (n = 250) COVID-19 nurses. The used research methods complied with the STROBE checklist. The data were collected using a demographic information questionnaire and a cross-culturally adapted nurses’ lifestyle questionnaire. Data analysis was performed using SPSS software (version 25) and descriptive and inferential statistical tests. A P-value less than 0.05 was considered the significance level. Results: The mean age values of participants with and without COVID-19 were 33.9 ± 8.35 and 35.7 ± 7.02 years, respectively. The statistical t-test showed that the overall lifestyle score was significantly higher in nurses with COVID-19 (4.06 ± 0.39) than in nurses without COVID-19 (3.90 ± 0.43) (P = 0.010). The overall score of lifestyle subscales in the COVID-19 group was higher than the nonCOVID-19 group. In this regard, the highest subscale score was related to the competence dimension in both COVID-19 (4.69 ± 0.300) and nonCOVID-19 (4.57 ± 0.418) groups (P = 0.001). Conclusions: The lifestyle of COVID-19 nurses is better than nonCOVID-19 nurses. Accordingly, planning is necessary to improve the lifestyle of nurses during the COVID-19 pandemic, especially nurses without COVID-19.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80818774","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}

{"title":"Comparison of the Effectiveness of Visual Thinking Strategy Between Persian Miniature and Classical Painting in Learning Medical Humanities from the Perspective of Medical Students","authors":"Faezeh Abedi, Rahim Charkhi, Farzaneh Fakhr, S. Vagharseyyedin, Khadijeh Farrokhfall","doi":"10.5812/modernc-128081","DOIUrl":"https://doi.org/10.5812/modernc-128081","url":null,"abstract":"Background: Visual thinking strategy (VTS) is an interdisciplinary education that focuses on art. In this method, all students think about complex artistic elements. VTS uses visual literacy to teach communication skills and thinking. Objectives: This study aims to compare the educational effectiveness of Persian pictures with classical painting, which leads to teaching the concepts of medical humanities using medical students’ perspective. Methods: In this cross-sectional descriptive-analytical study, medical students of clinical course (trainees and interns, 4th - 7th year of medicine) in the second semester of the 2021 academic year attended a VTS discussion session, which contained thinking about three paintings, including a classical western painting, a Safavid era miniature, and a contemporary painting. At the end of the session, an opinion poll on the effectiveness criteria was completed by the students separately for each painting, and the results were analyzed. Results: According to the findings, our intervention improved visual and auditory sensitivity, accuracy and attention, interaction and cooperation with others, teamwork, and an understanding of their share in the group. In addition, from the perspective of contemporary miniature students, this field played a prominent role in reducing job exhaustion, anxiety, and stress, and created a sense of calm and aesthetics in students by applying topics and issues of the day and paying attention to socio-cultural issues. Classical western painting conveyed a sense of calm and discomfort to the students. Based on the results of interpretive content analysis, this kind of painting had a profound effect on the meaning transmission so that it exposed the comprehensive views on the subject to the viewer’s sight. Given that the Safavid miniature contains various symbols that express the details of the social context and cultural traditions related to human beings, it conveys a variety of senses. On the other hand, the use of classical painting and contemporary Persian painting in VTS discussions in medical education was more prominent than the Safavid era miniature. Conclusions: Miniature can have helpful effects on improving medical professional skills similar to classical painting in VTS topics.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82184324","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}

{"title":"Challenges and Implementation Strategies of the Discharge Planning According to the Nurses' Experiences: A Qualitative Study","authors":"A. Nasiri, A. Akbari, Hamid Jani","doi":"10.5812/modernc-121663","DOIUrl":"https://doi.org/10.5812/modernc-121663","url":null,"abstract":"Background: Implementation of discharge care planning is one of the essential issues in the health care system. A discharge planning is successful when a patient is prepared before the discharge process, the needs are identified, and adequate education is provided. Objectives: The present study aimed to survey the nurses' experiences regarding the challenges and implementation strategies of discharge planning. Methods: We used content analysis with the Lincoln and Guba approach. We purposefully selected nurses with maximum diversity in terms of age, sex, and work experience. The data collection process was performed through using semi-structured interviews. Results: The results were divided into five main categories and 14 subcategories. The main categories included inadequate attention to the discharge planning, lack of standard and approved discharge planning, defects in organizational sub-structure, social barriers, and perceived defects of the current discharge situation. Conclusions: According to the results, a practical step can be taken to better implement the discharge planning through approving a written discharge planning, educating the staff and patients, paying attention to patient follow-up after discharge, improving the sub-structure, and considering the patient needs.","PeriodicalId":18693,"journal":{"name":"Modern Care Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86509175","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}