Journal of Clinical Research in Paramedical Sciences最新文献

{"title":"Epidemiological, Clinical and Imaging Features of 2019 Novel Coronavirus Diseases (COVID-19) in Southwestern Iran: A Descriptive Study","authors":"M. Dastoorpoor, S. Borsi, Narges Khodadadi, M. Hanafi, Susan Ahmadzadeh, J. Zarei","doi":"10.5812/jcrps-122581","DOIUrl":"https://doi.org/10.5812/jcrps-122581","url":null,"abstract":"Background: Pulmonary Manifestations and damage are one of the most serious problems in COVID-19 patients. Objectives: This study aimed to describe the epidemiological, clinical, and imaging characteristics of patients infected with this virus in the first wave of the COVID-19 epidemic. Methods: By census approach, data were collected from two coronavirus referral hospitals in Ahvaz, the capital of Khuzestan province (southwestern Iran), from June to August 2020. Using a researcher-made checklist, study data were collected: including epidemiological information, signs and symptoms, abnormal chest X-ray and CT-scan findings, underlying conditions and comorbidity, and patient treatment outcome. Results: This study included 375 approved COVID-19 patients with a mean age of 55.5 ± 18.6 years (50.9% male and 49.1% female). The most common underlying diseases included diabetes (23.2%) and cardiovascular diseases (21.9%). Cough (62.4 percent), shortness of breath (57.1 percent), and fever (48.8 percent) were the most frequent symptoms at the start of the disease. In radiographic evaluations, the most prevalent pulmonary involvement manifestations were ground-glass opacity (67.5 percent) and consolidation (81.1 percent) (47.5 percent). The majority of patients (86.9%) had both lungs compromised, with the lower lobes having the highest involvement (61.1 percent). In addition, 45.6 percent of individuals had subpleural involvement. Posterobasal engagement was the most common type of involvement (35.5 percent). Conclusions: In general, the most common clinical and radiological symptoms of this study included cough, shortness of breath, fever, ground-glass opacity, Consolidation and crazy-paving changes, which are consistent with the results of patients with SARS-COV-2 in other parts of the world.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125898071","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":"Developing a Virtual Education Model to Promote Management Cybernetics and Strategic Intelligence in the Universities of Kermanshah Province","authors":"","doi":"10.5812/jcrps-133825","DOIUrl":"https://doi.org/10.5812/jcrps-133825","url":null,"abstract":"Background: Today, virtual education is viewed as a new paradigm to develop higher education to promote management cybernetics and strategic intelligence for educational managers in universities; solving these problems requires a scientific and research approach, which may help the organization with proper decisions and implementation to achieve the organizational goals. Objectives: The present research aims to develop a model for structural equations of virtual education to promote educational managers’ management cybernetics and strategic intelligence in the universities of Kermanshah Province in 2019. Methods: In terms of it is nature, the present research is exploratory; it is a qualitative-quantitative paradigm-based one. A survey technique was applied to collect data. The statistical population included 1,200 people among the educational managers of Kermanshah Province universities; a sample of 291 people was developed by the Cochran formula. The research tools included a (semi-structured) questionnaire, in the qualitative phase, McCabe’s Standard Strategic Intelligence Questionnaire (2007) and researcher-made questionnaires of virtual education and cybernetic management were used in the quantitative part. Descriptive and inferential statistics and SPSS24, Amos software were used for data analysis. Results: The results of confirmatory factor analysis show a proper fit of the designed model and its components. Also, the findings indicate that there is a significant correlation between virtual education, management cybernetics, and strategic intelligence. Conclusions: Considering the identified model and research findings that there is a correlation between research variables, it is proposed the mentioned results be included in the educational managers’ plans of academic centers to decrease managerial and decision-making challenges.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130890000","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":"The Efficacy of a Logotherapy Educational Program Based on Rumi’s Thoughts on the Mental Well-being of Chronic Mental Patients’ Families","authors":"Seyyed Kianuddin Moshashai, Y. Yarahmadi, H. Sharifi","doi":"10.5812/jcrps-133581","DOIUrl":"https://doi.org/10.5812/jcrps-133581","url":null,"abstract":"Objectives: The aim of this study was to investigate the efficacy of a logotherapy educational program based on Rumi’s thoughts on the mental well-being of chronic mental patients’ families. Methods: This study employed a semi-experimental controlled pretest-posttest design. The statistical population comprised families of all chronic mental patients (aged 18 to 60) who lived in Kermanshah’s rehabilitation and care facilities in 2020. One facility was randomly selected as the research sample, and 32 eligible individuals were randomized to experimental (n = 16) and control (n = 16) groups. Upon assignment, both groups completed the Warwick-Edinburgh Mental Well-being scale (2007) as the pretest. Subsequently, the experimental group participated in ten 90-minute sessions of logotherapy based on Rumi’s thoughts. At the conclusion of the intervention, the posttest was administered to both groups. The data were analyzed using an analysis of covariance. Results: The findings revealed a statistically significant difference between the two groups, indicating that the logotherapy educational program based on Rumi’s concepts increased the experimental group’s mental well-being compared to the control group (P < 0.001). In other words, families who participated in the Rumi-inspired logotherapy program experienced improved mental well-being. Conclusions: Families of chronic mental patients in our culture have a greater acceptance and comprehension of them. Furthermore, these cultural metaphors and allegories have increased the ability of chronic mental patients’ families to make sense of their sufferings, demonstrating its effectiveness as an intervention.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117035970","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":"Investigating the Effectiveness of Educational Program Based on Academic Engagement Derived from the Model on Students' Academic Satisfaction","authors":"Masoumeh Babajani, N. Erfani, Yahya Yarahamdi, H. Ahmadian","doi":"10.5812/jcrps-135312","DOIUrl":"https://doi.org/10.5812/jcrps-135312","url":null,"abstract":"Background: Academic engagement is one of the important educational issues that can affect the academic satisfaction of students to maintain their motivation and will to continue their studies. Objectives: The objective of this research was to determine the effectiveness of the educational program developed based on the model derived from the research on students' academic satisfaction. Methods: This applied research was a pre-test, post-test and follow-up with a control group. The statistical population consisted of all female students of the second year of high school in Sanandaj, who were studying in the academic year of 2022-2023. Using the random sampling method, 40 students whose academic satisfaction scores were low were selected and replaced randomly in two groups of 20 people, experimental and control. The experimental group was taught ten 90-minute sessions of the program based on academic engagement. The members of both groups completed the academic satisfaction questionnaire of Lent et al. The data were also analyzed by mixed variance analysis method in SPSS-25. Results: The results indicated that the average academic satisfaction scores in the experimental group compared to the control group increased significantly in the post-test and follow-up phase. Conclusions: The educational program based on academic engagement has been effective on students' academic satisfaction.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122398752","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":"The Association Between the Maternal Body Mass Index and the Birth Weight of Infants Born","authors":"Marjan Mohammadnuri, P. Shojaei, Mahsa Khanjari","doi":"10.5812/jcrps-132843","DOIUrl":"https://doi.org/10.5812/jcrps-132843","url":null,"abstract":"Background: Birth weight is one of the most important and reliable indicators of neonatal survival, physical and mental development of the neonate and is influenced by various factors including genetics, socio-cultural and demographic factors of the mother and one of the most important factors is mother's body mass index (BMI) which directly and indirectly reflects the health and well-being of the mother and her nutritional status. Objectives: The relationship between maternal body mass index and birth weight of neonetes born in hospitals of Islamic Azad University, Tehran Medical Sciences from 2021 to 2022. Methods: In this cross-sectional descriptive study, 288 neonates born in hospitals of Azad University are selected. Information about neonates (gender and birth weight) and maternal information (BMI, age, occupation, education, type of delivery, gestational age, parity and history of preeclampsia) and family income are included in the designed questionnaire. Results: The mean age and BMI of the studied pregnant mothers were 30 and 29, respectively, and the mean weight of the newborns born from these mothers was estimated to be 3200 g. Among the mothers studied, 232 had abnormal body mass index, of which 41% were overweight and about 40% were obese. Among the neonates studied, 25 had abnormal weight, of which 11 were low birth weight and 14 were macrosomic. Analysis of the data of this study showed that maternal BMI can affect pregnancy outcome and birth weight of neonates. Between the mother's BMI and the baby's birth weight, there is a significant relationship. Conclusions: Due to the high mean BMI in pregnant women in this study and the possibility of giving birth to overweight neonate in obese mothers and the complications and risks of macrosomia and the possibility of weight gain and obesity in adulthood, it is necessary to pay attention to overweight pregnant women.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117206246","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":"Effect of Eight Weeks of Aerobic Exercise and Vitamin D Consumption on Fatigue and Job Performance Index of Imam Reza Hospital Staff in Kermanshah","authors":"Mehdi Siyahkamari, M. Azizi, A. Soroush, W. Tahmasebi","doi":"10.5812/jcrps-129653","DOIUrl":"https://doi.org/10.5812/jcrps-129653","url":null,"abstract":"Objectives: The aim of this study was to investigate the effect of eight weeks of aerobic exercise and vitamin D consumption on fatigue and performance of Imam Reza Hospital staff in Kermanshah. Methods: In this quasi-experimental study, 48 men and 48 women were randomly selected with a mean age of 41.25 ± 2.43 y, mean weight 76.50 ± 12.56 kg and BMI = 25.5 ± 2.153 kg/m2. Subjects divided into four groups (24 participants in each group) including: 1, Exercise group; 2, Exercise group with vitamin D supplementation (50,000 units per week); 3, Vitamin D group; and 4, Control group. The subjects exercised 3session per week for 30 - 60 min at 60 - 75 % of maximum heart rate for eight weeks. Employees job performance, appetite, quality of work life and lipid profile were assessed before and after the intervention. one-way analysis of variance as well as dependent t-test were used to examine the data at a significance level of (P < 0.05). Results: Our results showed that there was a significant difference in the LDL and triglyceride variables between the three experimental groups with control group, but this change in HDL was not significant. Also, aerobic exercise and vitamin D intake have a significant effect on fatigue, job performance and quality of life. Conclusions: According to the results of the present study, it can be said that aerobic exercise combined with vitamin D consumption can increase the capacity of employees to withstand job stress in the workplace and improve their general health to some extent.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127359234","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":"Assessment of Effect of Group Psychotherapy by Yalom Method Using Narrative Approach on Stress, Anxiety, Depression and Life Expectancy in Women Cancer Receiving Chemotherapy","authors":"Binazir Jalali, Davoud Taghvaie, Kāzem Gerām","doi":"10.5812/jcrps-133923","DOIUrl":"https://doi.org/10.5812/jcrps-133923","url":null,"abstract":"Background: Although the life expectancy of many cancer patients has increased due to the increasing progress of medical science today, however, since this disease is still the cause of a high percentage of deaths, it is always accompanied by fears, stress and reduced adaptation. On the other hand, health resources are increasingly highlighting spirituality and its importance in health and illness. Objectives: This research was conducted in order to investigate the effect of existential psychotherapy using the Yalom method using the story therapy approach on the level of anxiety, stress, depression and life expectancy in women with cancer undergoing chemotherapy. Methods: The present study was an experimental study based on pre-test-post-test randomized group design with a control group with a sample of women with cancer undergoing chemotherapy who referred to one of the private clinics in Karaj city in Iran. 24 people were selected by random sampling method after the initial evaluation and were randomly replaced in two groups of 12 people, control and experimental. After that, all the subjects were tested by means of research tools, including Depression-Anxiety-Stress Scale (DASS-21) and Snyder’s Hope Scale (SHS). The people of the experimental group participated in existential group therapy interventions during 8 sessions (tow-hours sessions), while the control group did not receive any intervention. At the end, the tests were conducted again for all 24 people and after collecting the questionnaires, the obtained data were analyzed using SPSS and the statistical test of covariance analysis. Results: The findings indicated that Yalom existential group psychotherapy led to a significant difference between the groups in the level of depression (P < 0.0001), stress (P < 0.0001), anxiety (P < 0.0001) and the level of Life expectancy (P < 0.0001) in women with cancer undergoing chemotherapy was compared to the control group. Conclusions: The obtained results indicate that group psychotherapy using the story therapy approach has been significantly effective in reducing depression, anxiety and stress and increasing the life expectancy of women with cancer undergoing chemotherapy.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"85 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120825311","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":"Designing a Stress Management Model in Forensic Medicine Organization Using Grounded Theory Approach","authors":"Hossein Shahnavazi, A. Farhangi, Mehrdad Godarzvand Chegini","doi":"10.5812/jcrps-133935","DOIUrl":"https://doi.org/10.5812/jcrps-133935","url":null,"abstract":"Background: Work-related stress has been described as a harmful response to excessive pressures and demands that people experience as a result of their jobs. Occupational stress is an adaptive response to the external situation that leads to physical, psychological or behavioral abnormalities of the organization's members. Objectives: Considering the special nature of work in forensic medicine organization, this research tries to provide a model of stress management in this organization. Methods: The case used in this research is based on exploratory studies with fundamental orientation. Considering the qualitative nature of this research, the strategy used in it is grounded theory. 12 senior managers and experts of the forensic organization who had management records and scientific records related to value creation were selected as participants. All the conducted interviews were recorded and the text of the interviews was implemented in MAXQDA (version 10) and each interview was immediately coded and analyzed. Results: The research findings were classified into 6 main causal categories, background, intervention, background, strategies and consequences, based on which the stress management model in forensic medicine was explained. In this model, forensic medicine and the services provided by its units are among the businesses that deal with providing services in unusual conditions, and these services are a process that originates from the two-way communication between the forensic staff and the person receiving the service. Conclusions: The results show that, as a general rule, managers of forensic organizations should prioritize organizational changes to improve working conditions in the activities they perform to manage occupational stress.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130632153","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":"Public Usage, Perceived Usefulness, and Satisfaction with E-health Services in COVID-19 Pandemic","authors":"Zahra Galavi, Mohammad Hossein Pourasad, Somayeh Norouzi, Yones Jahani, Reza Khajouei","doi":"10.5812/jcrps-133719","DOIUrl":"https://doi.org/10.5812/jcrps-133719","url":null,"abstract":"Background: On a global scale, health institutions have used electronic health (e-health) services to challenge the COVID-19 virus. Objectives: This study aimed to assess people’s use and perceived usefulness of e-health services their satisfaction with these services during the COVID-19 pandemic. Methods: The present cross-sectional descriptive study was conducted in November 2021 in Kerman. The data were collected using a researcher-made online questionnaire survey. The questionnaire was comprised of four sections and 33 questions. A logistic regression analysis was run to test the relationship between demographic variables and the rate of use, usefulness, and satisfaction variables. Pearson correlation coefficient was run to test the association between these variables. Results: The age range of 527 participants was 16 - 61. Television had the highest level of use, usefulness, and satisfaction. Pearson's correlation coefficient results showed a significant relationship between the variables of usage and satisfaction, usefulness and satisfaction, and usefulness and usage. These associations were stronger in the rate of use and perceived usefulness of and satisfaction with social networks than in other e-health services (r = 0.87, r = 0.95, P < 0.0001 respectively). Conclusions: The study finding showed that television is more than other platforms used and useful, and people were more satisfied with the information they acquired from them. The present findings can be useful for healthcare policymakers and developers of e-health technologies in a similar situation to the COVID-19 pandemic.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"abs/2301.01901 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116629249","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":"Investigating Depression and Its Relationship with Social Health Components and Healthy Lifestyle in Infertile Women","authors":"M. Khalili, P. Farokhzad, N. Babakhani","doi":"10.5812/jcrps-132314","DOIUrl":"https://doi.org/10.5812/jcrps-132314","url":null,"abstract":"Background: Depression caused by infertility for couples, especially women, causes disruption in lifestyle and social health. Objectives: This study was conducted in order to investigate depression and its relationship with social health and healthy lifestyle components in infertile women who referred to infertility centers in Kermanshah in 2021. Methods: In this study, 360 infertile women referring to the infertility centers of Kermanshah were selected using available methods. Data collection tools were Beck depression questionnaires (shortened), Keys social health questionnaires, and Valkropiroki lifestyle promotion questionnaires, which were completed after obtaining consent from the research samples. The results of data extraction were analyzed using SPSS software and Pearson's correlation coefficient test. Results: 360 investigated samples obtained depression scores between 8 and 12, which indicated depression in them. 56.9% of them scored 8, which indicates mild depression, and only 0.3% of the sample scored 12. Between social health and depression (P < 0.01, r = -0.55 between social health and lifestyle (P < 0.01, r = 0.52), lifestyle and depression (P < 0.01, r = -0.41), there was a significant relationship. Conclusions: Based on the results of this study, depression caused by infertility and the components of social health and lifestyle are directly related to each other, and having a healthy lifestyle and social health can prevent depression in infertile women, and also improve the reduction of depression in infertile women by correcting these components.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114237913","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}