Journal of Clinical Research in Paramedical Sciences最新文献

{"title":"Effect of Topical Products Extracted from Essential Oils of Capsicum, Apium graveolens and Mentha Plants on the Pain Intensity in Patients with Inflammatory Pain","authors":"F. Taghlili, F. Barzegar, F. Mirahmadi","doi":"10.5812/jcrps.110983","DOIUrl":"https://doi.org/10.5812/jcrps.110983","url":null,"abstract":"Background: Inflammatory pain is the spontaneous hypersensitivity to pain that occurs in response to tissue damage and inflammation. Recently herbal remedies have been considered for less complications. The two topical products of Capsicum (Capex Topical cream) Apium graveolens and Mentha (CM lotion) can reduce the inflammatory. Since Capex Topical cream causes skin irritation, it seems that its composition with the other product could probably reduce this complication. Methods: This experimental study was performed on 60 patients referred to orthopedic clinic of Shahid Yahyanejad Hospital, Babol in 2018. Patients were randomly divided into three treatment groups. Data collection was done by a researcher-made questionnaire, which included two parts of individual characteristics and the severity of pain. The severity of pain was measured by visual analogue scale (VAS) before intervention and two and four weeks after the intervention. Data were analyzed using SPSS-16 software and P < 0.05 was considered as significant. Results: The results showed that the intensity of pain after use of each of the products decreased in all three groups. In addition, our results demonstrated that application of Capex Topical Cream was more effective that use of CM lotion in decreasing the pain intensity (P < 0.05). Moreover, the intensity of pain after topical application of the combined lotion of CM and Capex Topical cream significantly decreased (P < 0.05), however the decrease in pain intensity using combined solution was not significant compared to application of Capex Topical cream or CM lotion alone. Conclusions: The present study showed that the use of all topical products reduces the severity of pain and due to the less side effects and complications such as skin irritation in application of combined solution and better acceptance by patients, it could be suggested the use of combined solution as a better alternative to reduce inflammatory pains.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114376799","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":"Comparative study of GA and MAC Anesthesia Methods Effects on Oocyte Retrieval in Patients Under IVF Programs","authors":"Sadegh Mohamadi, Neda Khaledian, A. Karbasfrushan, Seyed Sajad Hosseini, Ebrahim Ezzati","doi":"10.5812/jcrps.107249","DOIUrl":"https://doi.org/10.5812/jcrps.107249","url":null,"abstract":"Background: Anesthesia is widely used to manage pain and anxiety during oocyte retrieval in vitro fertilization (IVF), but there is probable interference with the results and success rate of IVF. Objectives: The present study compares the effects of general anesthesia (GA) and monitored anesthesia care (MAC) applied in oocyte retrieval. Methods: The general anesthesia used in this study comprised a fentanyl-propofol mixture to reach hypnotic concentrations. Intravenous ketamine-midazolam were used for MAC before procedures according to prescribed doses. In sum, 180 women were recruited for research while 90 women selected for general and 90 for MAC methods. Results: The collected oocytes were higher in number in general group (11.25 ± 4.39) than MAC group (7.03 ± 3.84, P < 0.001), meanwhile, the analyses did not show difference between groups regarding the number of fertilized oocytes (4.52 ± 3.18 vs. 4.15 ± 3.02). The differences in successful pregnancy was not significant. Conclusions: Thus, it seems from findings that fentanyl-propofol GA without nitrous oxide is an appropriate alternative to ketamine-midazolam MAC and can be used for IVF oocyte retrieval if GA is demanded.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"86 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120835551","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":"Evaluation of Implementation the Principles of Surgical Safety Checklist in Operating Rooms of the Selected Hospital of Kermanshah University of Medical Sciences in 2018","authors":"F. Jalalvandi, M. Rostami, S. Nosrati, Reza Feyzi, Amirmasood Koshki","doi":"10.5812/jcrps.107947","DOIUrl":"https://doi.org/10.5812/jcrps.107947","url":null,"abstract":"Background: Although surgery is done for improving the patient’s condition, it can put every individual that undergoes surgery at risk of irreparable postoperative complications. One way to decrease the post-surgery complications is apply of surgical safety checklist. Objectives: This study aimed to evaluate the implementation of surgical safety checklist in operating rooms of the selected hospital of Kermanshah University of Medical Sciences in 2018. Methods: This cross sectional descriptive study was done by a checklist designed based on the surgical safety checklist on randomly selected 150 operations, in the selected hospital of Kermanshah University of Medical Sciences between January and May 2018. Results: According to the findings, 77.1% of the safe surgery standards are observed in the operating rooms of the selected hospital. 77.48% of the safe surgery standards are observed before anesthesia, 74.8% of the standards are observed after anesthesia and before incision, and 79.33% of the standards are observed after suturing the wound until getting the patient out of the operating room. The results of t-test showed that there is a significant difference between different operating rooms in terms of the implementation of surgical safety checklist (P < 0.05). Conclusions: The findings show that implementation level of safe surgery standards was low. So, it's necessary to take specific measures for explain the importance of the items of this checklist and developing educational programs to explain the importance of the patients’ safety in operating rooms for the surgical staff.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"197 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125865664","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":"Evaluation of Telehealth Efficacy in Improving Maintenance Phase of Stuttering Children","authors":"H. Samzadeh, Mohadeseh Iranpour, Fatemeh Shekari, A. Soltaninejad, Mahin Eslami","doi":"10.5812/JCRPS.110092","DOIUrl":"https://doi.org/10.5812/JCRPS.110092","url":null,"abstract":"Background: Stuttering as a communication disorder can lead to serious problems in interpersonal communication and affect the quality of life of the affected person. Objectives: The aim of this study was to investigate the effectiveness of telehealth in improving its treatment and its effect on maintenance phase of stuttering children. Methods: In this study, all 6 - 12 year-old stuttering children referred to the Speech Therapy Center of Shahid Beheshti Hospital in 2018 were selected by purposeful sampling method and divided into two groups of experiment and control. Children were healthy and without any disorder. All 12 children received a three-month course of treatment with a speech and language pathologist (SLP) weekly one session. Maintenance phase included 8 sessions of 30 minutes over a period of six months. Results: Six children in the experimental group received maintenance phase training exercises by the SLP in the form of audio and video files through the WhatsApp software. Average total satisfaction rating (4.22) the lowest satisfaction score (3.16) highest score (5). According to the total score of the questionnaire,17% of the parents were satisfied at a low rate, 33% of parents were satisfied with the average and 50% of parents were very satisfied. Conclusions: In this study, the efficacy of telehealth on the maintenance phase of stuttering children has been evaluated. Results showed that telemedicine, with its ability to completely remove distance and travel as barriers for both patients and health care professionals is one option. Telemedicine can be a viable alternative to traditional in-person physician-based care for stuttering.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128753849","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":"Ascorbic Acid Supplementation During Endurance Training in Hypertensive Men: Effect on Catalase, Nitric Oxide and Blood Pressure","authors":"Ailin Alishahi, K. Azizbeigi, Khalid Mohammadzadeh Salamat, M. Yektayar","doi":"10.5812/JCRPS.101606","DOIUrl":"https://doi.org/10.5812/JCRPS.101606","url":null,"abstract":"Objectives: The aim of this research was to study the influence of consuming ascorbic acid during high -intensity endurance training on catalase (CAT), nitric oxide (NO) concentration, and blood pressure (BP) in hypertensive male. Methods: 36 hypertensive male voluntary participated in the present study and randomly assigned into endurance training-ascorbic acid (HTC; n = 9), endurance training-placebo (HTP; n = 9), ascorbic acid (AA; n = 9) and control (n = 9). The exercise protocol was including continuous running exercise training with gradually increasing of duration and intensity, 3 times a week for 10 weeks. The supplement groups consumed daily 500 mg of ascorbic acid, and the placebo group consumed the same amount of maltodextrin. Fasting blood samples was gathered before the beginning exercise protocol and one day after last session for analyzing CAT and NO. Results: Results showed that activity of CAT and NO concentration were significantly increased only in the HTC and HTP (P ≤ 0.05). Also, in the HTP and HTC, a significant decrease observed in the systolic and diastolic (P ≤ 0.05). Nevertheless, there was no significant difference between HTC and HTP in SBP and DBP (P > 0.05). Conclusions: Finally, we concluded that, continuous running exercise training has positive effect on the catalase and oxide nitric activity, and can improve blood pressure in the hypertensive men. Anyway, combined the high -intensity aerobic training with ascorbic acid may have not more efficacy.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125937076","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":"Nurses' Attitudes Toward Computerized Provider Order Entry (CPOE) System: A Feasibility Study Prior to Implementation","authors":"P. Amiri, B. Rahimi, H. Khalkhali","doi":"10.5812/jcrps.101420","DOIUrl":"https://doi.org/10.5812/jcrps.101420","url":null,"abstract":"Objectives: The main objective of this study was to understand the nurses' attitudes in implementation and adoption of CPOE system through Rogers’ innovation diffusion theory. Methods: This study was cross-sectional and performed in four months (from March to June, 2017). In order to understand the acceptance of the CPOE investigated level of nursing staff’s computer literacy. The major factors influencing the nursing staff’s acceptance and use of the CPOE system were examined through Rogers’ innovation diffusion theory. Data were collected using a researcher. Results: Majority of the nursing staff adopt this innovation. The level of nursing staff’s computer literacy was high (71.32%). Highly educated nursing staff were more likely to accept computer work. The acceptance or rejection of the use of a computer is related to experiencing the HIS system in nursing. Our finding showed that the received relative advantages, compatibility, the complexity of the system were 66.29%, 71.94% and 40.36% for the nursing staff. Conclusions: Majority of the nursing staff had a good degree of computer literacy. The analysis of the finding shows that CPOE systems improve the quality and safety of healthcare. CPOE increases the security and quality of health care and reduces errors.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127017232","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 Performance Indicators of Educational Hospitals Affiliated with Kermanshah University of Medical Sciences Before and After the Implementation of Healthcare Reform Plan","authors":"Mojgan Cheshmekaboodi, Roghayeh Ershad Sarabi, A. Mohammadi","doi":"10.5812/jcrps.107580","DOIUrl":"https://doi.org/10.5812/jcrps.107580","url":null,"abstract":"Background: The most important factor representing the performance and utilization of hospital services are hospital indicators. Objectives: The aim of study was comparison performance indices before and after health reform plan in Kermanshah and compared with the standard of the Iranian Ministry of Health. Methods: the study was comparative and descriptive-analytical that performed cross-sectional in 2017 and conducted in seven educational hospitals in Kermanshah. The data were related to 37 indices in five areas from hospitals that were submitted to the Department of Statistics in Deputy of Treatment. The data were collected using data extraction form. The validity of the form was confirmed by 7 experts. Data analyzed using SPSS 20. Results: results showed that comparing indices of bed and hospital stay, patient indices, and indicators for outpatient and inpatient department services from para-clinical services except endoscopic increased and the mortality indices decreased. Comparing indices with Pabon-laso and standards show that status of some indices for several years before and one year after health reform plan were in unfavorable condition. Conclusions: results showed that the implementation of the health reform plan may have caused changes in most of the indicators, but these changes were significant in a few number of indices. So it is needed that policymakers evaluate indices periodically.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132740681","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 Effect of Eight Weeks of Hand-Selected Strength Exercises and the Cinnamon Supplementation on Inflammatory Biomarkers in Elderly Women with Osteoarthritis","authors":"Shayesteh Hassani, Sedigheh Hosseinpour Delavare, Hassan Safikhani","doi":"10.5812/jcrps.102295","DOIUrl":"https://doi.org/10.5812/jcrps.102295","url":null,"abstract":"Background: Osteoarthritis is the most common joint disease (arthropathy) and a cause of disability in aging ages. The prevalence rate of the osteoarthritis is different and is related to different indicators. Objectives: The purpose of the present study was to investigate the effect of eight weeks of hand-selected exercises and cinnamon supplementation on inflammatory biomarkers in elderly women with osteoarthritis. Methods: The participants of this study were 48 women with hand-osteoarthritis. They divided into four groups (strength exercises, cinnamon-honey supplementation, combinatory and control) randomly. The first group underwent the hand-selected strength exercises. The second group used the supplementations for 8 weeks. The third group also applied hand-selected exercises and supplements simultaneously. The fourth group also participated as a control group without any exercise or supplementation. Patients’ TNfα and IL6 levels were measured before and after applying the independent variables and were compared. The dependent t-test was used to compare between pre and posttest and the ANOVA test to compare TNfα and IL6 levels between the four groups. The significance level P ≤ 0.05 was considered. Results: The results showed that by applying variables, the strength exercises and cinnamon-honey supplementary as well as the combination of exercises and supplementary have had a positive effect on inflammatory biomarkers and in fact, 8 weeks of resistance exercises and using cinnamon-honey supplements in women with hand osteoarthritis have led to a decrease in IL 6 and TNfα levels. Conclusions: Therefore, it is recommended to use wrist resistance exercises with supplements (cinnamon and honey) to accelerate the recovery of the disease and improve the wrist inflammatory.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130858893","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 Prediction of Quality of Life Based on Self-Esteem, Mental Health and Sleep Quality Variables in Obese and Overweight Girl Students","authors":"Ameneh Ghartappeh, M. Arefi, S. Faramarzi, Y. Pasdar","doi":"10.5812/jcrps.96810","DOIUrl":"https://doi.org/10.5812/jcrps.96810","url":null,"abstract":"Background: Obesity of children and adolescents has many different detrimental effects on body image, self-esteem (SE), depression and social isolation that are effective on their mental and social health. Objectives: The purpose of this study was to predict the quality of life (QOL) of obese and overweight girl students in Kermanshah city based on self-esteem, mental health and sleep quality variables. Methods: The research is a descriptive-analytical study that 419 obese and overweight girl students were selected using multi-stage cluster sampling and simple random sampling. For collection of needed data, several questionnaires including demographic, Rosenberg self-esteem, Goldberg general health, Pittsburgh sleep quality questionnaires and quality of life questionnaire related to word health organization were used. The BMI estimation method of the centers for disease control was used to determine overweight and obesity. Obtained data were analyzed using regression analysis in SPSS (Ver. 19) software environment. Results: The result of simple linear regression analysis showed that self-esteem, sleep quality and mental health variables, predict 0.11, 0.20, and 0.25 of the variance of total score for QOL, respectively. Multiple regression results indicated that mental health and sleep of quality variables had a significant effect on all dimensions and overall QOL scores (P < 0.01) simultaneously. The increasing effect of self-esteem on the dimensions of social relationships (P < 0.005), environmental health (P < 0.01) and overall QOL score (P < 0.01) was significant. According to obtained results, QOL has a direct and significant correlation with self-esteem (P < 0.01) mental health (P < 0.001) and, sleep quality (P < 0.001). Conclusions: Based on the obtained results, it can be concluded that mental health is the most important and influential factor on the quality of life of obese adolescent girls. The results of this study indicated that a planning is need to promote girls’ mental health.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121074444","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 Effect of Training (Aerobic and Concurrent) and Cinnamon Supplementation on the Plasma Levels of Visfatin and Adiponectin in Overweight Diabetic Men","authors":"Sedigeh Hossienpour Delavar, Mehdi Baigzadeh, Hassan Safikhani","doi":"10.5812/jcrps.90906","DOIUrl":"https://doi.org/10.5812/jcrps.90906","url":null,"abstract":"Background: Diabetes is one of the most prevalent diseases caused by metabolic disorders, which is considered as a major global challenge. Objectives: The aim of this study was to compare the effects of two aerobic and concurrent (aerobic and resistance training) training protocols with supplementation of cinnamon on the level of some selected adipokines (visfatin and adiponectin) in overweight men with type 2 diabetes. Methods: for this purpose among The overweight and type II diabetic men in Kermanshah who were referred to a medical clinic, fifty people with BMI 28.55 ± 2.52 and age of 45.98 ± 6.79 who were volunteer to participate in research design, divided in five 10 people group consist of four experimental and one control group randomly. The experimental groups involve aerobic training, concurrent training, aerobic training along with cinnamon supplementation and eventually concurrent training along with cinnamon supplementation. While the experimental groups did the specific training, the control groups did no training throughout research design. Blood sampling were taken in experimental and control groups during pretest and posttest from anterior brachial vein. The variables were measured by ELISA method. Results: The results of ANCOVA and Bonferroni tests showed that both aerobic training and concurrent training (aerobic and resistance training) with and without cinnamon supplementation caused significant increase in plasma levels of adiponectin and significant decrease in plasma levels of visfatin in type two diabetic men.8 weeks of concurrent training in comparing with aerobic training was more effective in increasing the plasma levels of adiponectin and the difference between them was significant but the difference about plasma level of visfatin was insignificant. Conclusions: The results of this study showed that the effect of both aerobic and concurrent training with and without cinnamon supplementation has significant effect on plasma levels of adiponectin and visfatin and except more increase in adiponectin level in concurrent group in comparing with aerobic group, nearly there are no differences in terms of training type and taking and no taking of cinnamon supplementation. Based the finding of this study, both aerobic and concurrent training especially with cinnamon supplementation is effective in improving the health of men with type 2 and overweight diabetes.","PeriodicalId":254271,"journal":{"name":"Journal of Clinical Research in Paramedical Sciences","volume":"159 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127391229","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}