Journal of Clinical Research in Paramedical Sciences最新文献

{"title":"The Effectiveness of a Mental Health Promotion Training Program Based on Eating Disorder on the Positive and Negative Aspects of Mental Health in Overweight Women","authors":"Maoumeh Karkhanehei, H. Ahmadian, O. Moradi, Q. Karimi","doi":"10.5812/jcrps-123569","DOIUrl":"https://doi.org/10.5812/jcrps-123569","url":null,"abstract":"Background: Obesity and overweight are important factors in increasing psychological problems such as anxiety, mood, and personality disorders, which are components of mental health, and the occurrence of high-risk behaviors. Therefore, not only overweight can endanger the physical health, but also it can be a significant threat to the mental health of people. Objectives: The aim of this study was to evaluate the effectiveness of a mental health training program based on eating disorders on the positive and negative aspects of mental health in overweight women. Methods: The research method was quasi-experimental with pre-test and post-test design with control group. The statistical population included overweight women referred to clubs and health centers in Kangavar, Iran, in 2019. Using the available sampling method, a total of 30 participants were selected and randomly assigned into two equal groups of experimental (n = 15) and control (n = 15). The experimental group received ten 90-minute sessions once a week at an eating disorder-based mental health training program, while the control group received no intervention. The Goldberg General Health Questionnaire (GHQ) and the Lutz Positive Mental Health Questionnaire (PMHQ) were used in the pre-test and post-test stages. Data were analyzed using SPSS software version 21, and descriptive statistics, one-way analysis of covariance (ANCOVA), and multivariate analysis of covariance (MANCOVA). Results: The results showed that the training program based on eating disorders led to a significant difference between the experimental and control groups in the overall scores of general health and the positive and negative aspects of mental health (P ≤ 0.05). Conclusions: According to the results of the present study, this educational program can be considered as an effective intervention in increasing the positive mental health of overweight women. So, along with other effective interventions, it should be on the agenda of psychologists, counselors, and behavioral scientists dealing with overweight people.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"251 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115590391","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 Relationship Between Medical Ethics and Patient Satisfaction an Effective Communication-Cultural Model","authors":"Zahra Shahbazpoor, H. Khaniki, Afsaneh Mozaffari","doi":"10.5812/jcrps-120573","DOIUrl":"https://doi.org/10.5812/jcrps-120573","url":null,"abstract":"Background: Physician-patient interactions are a complex process and inappropriate communication can become a problem. Due to the importance of this issue, this study was conducted to identify the relationship between physician ethics and patient satisfaction and provide an effective communication-cultural model. Methods: The research method used in this study was descriptive - correlation and using the calculated correlation coefficients, a structural model was developed. The statistical population of the present study was all patients admitted to medical centers affiliated to Kermanshah University of Medical Sciences and Health Services in 1398 and the sample size was selected based on Cochran's formula equivalent to 171 people. Necessary information was collected through two questionnaires: standard questionnaire of communication with patient Vakili et al. In order to assess interpersonal communication skills and a researcher-made questionnaire of observance of physician's medical ethics and patient satisfaction taken from the patient rights charter approved by the Ministry of Health. Results: The findings indicate that the patriarchal model has been able to predict patient satisfaction. The results also showed that there is a significant relationship between the informative model and patient satisfaction. Also, based on the results, it was found that the interpretive model, bilateral participation model and instrumental model could not predict patient satisfaction. The results also show that the contract model has been able to predict patient satisfaction with an effect factor of 0.33 and a significant level of P < 0.01. Finally, there is a significant relationship between the contract model and patient satisfaction. Conclusions: Based on the analysis of the obtained data, the most type of model approved by patients was the paternal model, in which there is much less interaction between the patient and the physician than other communication models.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114580420","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 Viewpoint’s Assessment of Physicians About Radiology Reports of Medical Imaging Unit in Kermanshah","authors":"Sogand Abbasi Azizi, M. Tohidnia, Ali Khanzadeh Moghaddam, M. Zhaleh","doi":"10.5812/jcrps-121261","DOIUrl":"https://doi.org/10.5812/jcrps-121261","url":null,"abstract":"Background: Radiology reports are the data obtained from radiography films which as the final and one of the main criteria of service in medical imaging centers, are the only linkage between the radiologist, physicians, and patients. This method is also a usual approach in the transfer of diagnostic data to the physicians. Methods: In this descriptive-cross sectional study, the research community included specialists working in public and private centers of Kermanshah province. A questionnaire including two sections of demographic data (age, sex, specialty, work experience, workplace and level of education) and the questions related to the role of the radiologist and necessary of report providing, quality of reports, radiographic film interpretation ability and attention to request content and in- time delivery of the reports, was investigated. The data were finally analyzed by STATA 11 software. Results: In this study, the opinions of 240 specialists from 14 specialties were examined. Among them, 64.2% were men, 92.2% of them were specialists, 45.5% were working in public centers and 42.5% of them had less than 10 years of work experience. The results showed that 63.3% of the physicians trusted radiologic reports for more than 50%. Among the scopes, the highest score was for the role of the radiologist in preparation of reports, and the lowest mean was obtained for the ability to interpret the radiological film. A comparison of the four scopes with assumed means showed no significant differences (P = 0.001). Conclusions: Regarding the percentage of total attitude score, the studied specialists had a relatively desirable attitude toward the radiological reports. The complexity of medical imaging techniques and their role in in-time disease diagnosis and treatment requires improvement of the relationship between the radiologists and non-radiologists physicians.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120855634","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":"Relationship Between Coping Styles and Blood Pressure in the Staff of Covid-19 Wards of Hospitals of Kermanshah University of Medical Sciences During 2020 - 2021","authors":"Saeed Jameshorani, K. Kakabaraei, Karim Afsharinia, Saeedeh Hossaini","doi":"10.5812/jcrps.120534","DOIUrl":"https://doi.org/10.5812/jcrps.120534","url":null,"abstract":"Background: With the global outbreak of Covid-19 at the beginning of 2020, the staff of hospitals involved in the care for the Covid-19 patients underwent great physical and psychological pressure. Objectives: This study was conducted to determine the correlation between coping styles and blood pressure in the staff of Covid-19 centers during 2020 - 2021. Methods: A total of 278 medical staff of Kermanshah University of Medical Sciences who were serving in the Covid-19 wards during 2020 - 2021 were recruited in this cross-sectional correlational study. The ways of coping questionnaire (Lazarus and Folkman, 1985) was used to assess the coping strategies. The blood pressure of the personnel was measured after three consecutive shifts. Data were analyzed by SPSS-20 software using descriptive and inferential statistics. Results: Among the coping styles used by the staff, the highest score (17.9 ± 4.4) was reported for planful problem-solving. The results showed a significant and positive correlation between emotion-oriented coping styles and blood pressure, while problem-oriented coping styles had a negative correlation with blood pressure. Conclusions: Emotion-oriented coping styles have a positive and significant correlation and problem-oriented coping styles have a negative and significant correlation with the increased blood pressure of employees. The relationship between coping styles in medical staff in different wards and the application of coping styles in medical assistants in different educational levels and specialties are suggested to be evaluated.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"286 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132757146","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 Characteristics of Nitinol in Spinal Implant Manufacturing","authors":"M. Parsafar, S. Sadrnezhaad, N. Hassanzadeh Nemati","doi":"10.5812/jcrps.118856","DOIUrl":"https://doi.org/10.5812/jcrps.118856","url":null,"abstract":": Due to the increasing number of diseases related to the spine, we expect to see more research on the implants used in this area. These implants should have features such as strength, fatigue resistance, chemical stability and biocompatibility, which fortunately are seen in an alloy called nitinol. In this study, six lumbar vertebral implants were made of nitinol and these samples been studied by some experiments such as: X-ray diffraction and biocompatibility (evaluation of cytotoxicity by MTT assay). Finally, we came to the conclusion that the mentioned alloy with suitable microstructure is appropriate for medical applications specially as an orthopedic implant. According to the X-ray diffraction pattern, the samples have austenitic structures in the room temperature and the predominant phase of the porous sample is B2-NiTi. Since the sample should be biocompatible after placement in the body and should not cause an immune system reaction, this test was also examined and the samples were tested in vitro with an MTT kit and the biocompatibility was assessed. The results of biocompatibility tests also indicate the suitability of the implant in terms of cellular characteristics. These properties have made this alloy superior to other alloys in orthopedic implant utilization, especially in areas under continuous loading. It is hoped that the construction of this type of implant will pave the way for facilitating the treatment of spinal abnormalities.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131053749","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 the Awareness of Radiology Residents About Ionizing Radiations and Their Risks of Educational Hospitals, Kermanshah, Iran","authors":"Sogand Abbasi Azizi, M. Tohidnia, M. Zhaleh","doi":"10.5812/jcrps.121051","DOIUrl":"https://doi.org/10.5812/jcrps.121051","url":null,"abstract":"Background: Although many radiological examinations are requested daily to aid clinical diagnosis by the referring physician, it should be kept in mind that ionizing radiation has adverse biological effects on the life of living organisms, which may vary in individuals depending on the dose and duration of exposure. Therefore, radiologists and their assistants should have comprehensive information about ionizing radiation. Methods: In this descriptive cross-sectional study, all the radiology residents (41) were included in the study. The questionnaire consisted of two parts, the first part including of demographic information and part 2 includes 21 questions about the effective dose created by a chest X-ray, the approximate effective dose from various imaging examines, as well as the awareness of the risks of brain, abdominal CT scans. Results: The results showed that out of 41 residents, 56.1% were male. Based on these results, 19.5% were aware of the approximate effective dose received by a patient on PA chest X-ray. Also, knowledge of some X-ray absorptiometry parameters based on chest X-ray in PA position are: 12.2% abdominal CT scan, 17.1% and 2.4% brain and chest CT scan respectively. In this study the radiology resident’s awareness about dangers of ionizing radiation and the likelihood of cancer were evaluated in 31% and 48.8% of brain and abdominal CT scan, respectively. Conclusions: According to the findings, awareness of radiology residents in Kermanshah university of medical sciences is at an inappropriate level. Therefore, training is needed to raise the awareness of radiology residents by conducting several workshops.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130514343","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 Topical Cooling with Ice and Cold Spray on Knee Joint Position Sense of Athletes with Patellofemoral Pain Syndrome","authors":"Masood Barzegar, F. Babakhani, R. Balochi, Mohamadreza Hatefi","doi":"10.5812/jcrps.109762","DOIUrl":"https://doi.org/10.5812/jcrps.109762","url":null,"abstract":"Background: Patellofemoral pain syndrome (PFPS) is one of the most common knee injuries in athletes and non-athletes. Due to the pain and muscle inhibition, it is possible that the disorder has negative effects on joint position sense. Cryotherapy is one of the most common methods applied in sports injuries. Objectives: The aim of this study was to evaluate the effect of topical cooling with ice and cold spray on knee joint position sense of athletes with PFPS. Methods: In this quasi-experimental study, 30 athletes with PFSP were divided into two groups of cold spray and crushed ice application. The effect of cooling on joint position sense was measured by the target reconstruction method (30° of knee flexion) while standing. In order to analyze the data, SPSS 23 and statistical tests of Shapiro-Wilk, paired t-test, and independent t-tests were used. The absolute error of 30° knee flexion angle reconstruction immediately after cryotherapy was significantly higher than before it in various cooling methods. Nevertheless, crushed ice application had a greater impact on the accuracy of joint position sense than spraying. Results: The results of this study indicate the negative effects of cryotherapy on the accuracy of the knee joint position sense (P < 0.05). However, cryotherapy with crushed ice application has a greater effect on reducing the accuracy of joint position sense (P < 0.001) than cold spray (P < 0.001). Conclusions: Decreased accuracy of position sense is likely to cause mechanical instability and increase the rate of injury. Therefore, it is recommended to use crushed ice application rather than topical cooling to reduce the knee joint position sense.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"271 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131519653","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":"Antibiotic Resistance Pattern and Prevalence of blaOXA-51, blaNDM, blaVIM, blaPER, blaVEB, blaCTX, tetA and tetB Genes in Acinetobacter baumannii Isolated from Clinical Specimens of Hospitals in Tabriz city, Iran","authors":"Abolfazl Jafari-Sales, Sara Naebi, H. Bannazadeh-Baghi, M. Saki","doi":"10.5812/jcrps.118521","DOIUrl":"https://doi.org/10.5812/jcrps.118521","url":null,"abstract":"Background: Nowadays, the resistance of pathogenic bacteria to antibiotics has become a global problem. Acinetobacter baumannii is an important opportunistic nosocomial pathogen. Acinetobacter baumannii plays a significant role in antibiotic resistance. Objectives: The purpose of this study was to investigate the prevalence of the blaOXA-51, blaNDM, blaVIM, blaPER, blaVEB, blaCTX-M, tetA and tetB genes and antibiotic resistance pattern of A. baumannii isolated from hospitals in Tabriz city, Iran. Methods: This study was descriptive cross-sectional research, performed on 129 isolates of Acinetobacter from different clinical specimens. The Isolates were identified using standard laboratory methods and culture in selective mediums. The antibiotic resistance pattern of isolates was also determined by the Kirby-Bauer disk diffusion susceptibility test. Phenotypic and genotypic detection of blaOXA-51, blaNDM, blaVIM, blaPER, blaVEB, blaCTX-M, tetA and tetB genes in the isolates was carried out by a combined disk test (CDT) and polymerase chain reaction (PCR), respectively. Results: The highest resistance of isolates was determined to cefotaxime (100%) and ceftazidime (100%). The results of CDT showed that 14 (12.96%) isolates could produce extended-spectrum Beta-lactamases (ESBLs). However, the PCR results blaOXA-51, blaNDM, blaVIM, blaPER, blaVEB, blaCTX-M, tetA and tetB genes showed that these genes were in 100%, 18.51%, 16.66%, 32.40%, 16.66%, 31.48%, 32.40% and 21.29% of isolates, respectively. Conclusions: Due to the high prevalence of antimicrobial resistance in strains, rapid and timely detection of antibiotic-resistant A. baumannii strains is necessary for the selection of an appropriate therapeutic approach and prevention of their prevalence.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115676379","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":"Thin TiO2 Nanocoating of Porous Titanium through Radio Frequency Magnetron Sputtering to Improve the Biological Response of Orthopedic Implants","authors":"Roghayeh Haghjoo, S. K. Sadrnezhaad, Nahid Hasanzadeh Nemati","doi":"10.5812/jcrps.119150","DOIUrl":"https://doi.org/10.5812/jcrps.119150","url":null,"abstract":": The present study applied a TiO2 nanocoating on a titanium foam substrate produced by powder metallurgy through magnetron sputtering. Scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDS), and X-ray diffraction (XRD) were employed to investigate the surface morphologies of the porous specimens and pre- and post-coating phases, respectively. Also, the growth and proliferation of MG-63 cells (osteoblasts) and their attachment and proliferation on the coated porous titanium specimen (relative to the uncoated specimens) were studied using in vitro and methyl thiazol tetrazolium (MTT) cytotoxicity tests. Considering the porous macrostructure of the coated titanium specimen and the nanostructure of the TiO2 coating on the porous surface and macro-pore walls, the coated specimen was found to be effective in the biocompatibility improvement of dental and orthopedic implants.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114228307","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":"Molecular Analysis of Pathogenic Genes (lasB and exoA) in Pseudomonas aeruginosa Strains Isolated from Animal and Human Samples and Determination of Their Resistance Pattern","authors":"C. Ghazaei","doi":"10.5812/jcrps.117080","DOIUrl":"https://doi.org/10.5812/jcrps.117080","url":null,"abstract":": Pseudomonas aeruginosa (P. aeruginosa) has a wide range of virulence factors. These factors have the potential to increase bacterial pathogenicity and serious infection. The purpose of this study was to evaluate the virulence profiles and antibiotic susceptibility of isolates of P. aeruginosa originated from animal and human samples. The samples were cultured on selective media before being extracted for DNA and subjected to a PCR technique to detect virulence genes. There was a significant difference in the isolation of P. areuginosa isolated from human and animal sources. Where, in humans, the percentage of P. areuginosa was 52 (68.42%) while in animals the percentage of P.aeruginosa was 24 (31.57%). In humans, the percentage of P. aeruginosa in blood was 26.92% (14 isolates), in urine it was 25% (13 isolates), in wound it was 40.38%21 isolates), and in sputum it was 7.69% (4 isolates). We used a PCR technique that produced highly specific and accurate results for detecting virulence factor genes in P. aeruginosa isolates that cause disease in humans and animals. The percentage of exoA genes was (83.33%) and (81.66%) in the animal and human, and that of lasB was (58.33%) and (92.30%) in animal and human samples respectively. Furthermore, both the exoA and lasB genes are found in 26.31% of animal strains and 17.10% of human strains. The disc diffusion method was used to determine antimicrobial susceptibility. In both animal and human isolates, P. aeruginosa showed the highest resistance to amikacin and the lowest resistance to ciprofloxacin. These findings could aid in the understanding of pathogenicity processes, treatment direction, and the development of strategies to control the spread of epidemic P. aeruginosa strains.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123567203","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}