{"title":"Preparation of protocol for removing physical, psychological, environmental and social barriers of physical activity in pregnant women","authors":"F. Mokhtari, L. Mokhtari, Alireza Rezaei Adariani","doi":"10.32592/jbirjandunivmedsci.2019.26.3.107","DOIUrl":"https://doi.org/10.32592/jbirjandunivmedsci.2019.26.3.107","url":null,"abstract":"Background and Aim: Physical activity during pregnancy is one important facet of women's health behavior and Lifestyle, it cause to improvement body image, reduction physical discomfort, anxiety and insomnia, and also has beneficial effects on women's delivery and breast feeding. Despite the great benefits of physical activity, it is often weak in pregnant women. The aim of this study was to develop a protocol to remove barriers of physical activity in healthy pregnant women admitted to Shahid Beheshti Health Center and Hospital in Isfahan. Materials and Methods: This is a descriptive study with Delphy method and information has been gathered in a triangulation way, which was conducted at Isfahan University of Medical Sciences and Shahid Beheshti Hospital in Isfahan. The second phase is a study that in the first phase of the cross-sectional and it was done on 380 pregnant women in 2015. At first, pregnant women completed demographic / reproductive, pregnancy physical activity questionnaire. Then the solutions to remove barriers of physical activity were provided by using the results of the first phase of study, library resources and internet and by performance the Delphi method by faculty members of Department of Midwifery, pregnant women and results of resources, was obtained .Statistical analysis by using descriptive statistical and SPSS statistical software (version 16) was done. The level of significance was set at (p≤ 0.05) for all the statistical tests. Results: Among 74 presented solutions, 61 approaches in the first and second stage in each fourth aspects; physical, psychological, environmental and social were 75th percentile score higher than 8. Conclusion: In order to promote and increase the amount of physical activity during pregnancy, attention and recommendation to implement this protocol in routine prenatal care is essential.","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48880072","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":"Epidemiology of head and neck squamous cell carcinoma in birjand city, between 2008 and 2017","authors":"L. Alizadeh, Gholamreza Sharifzadeh, Y. Aghajani","doi":"10.32592/JBIRJANDUNIVMEDSCI.2019.26.3.109","DOIUrl":"https://doi.org/10.32592/JBIRJANDUNIVMEDSCI.2019.26.3.109","url":null,"abstract":"Background and Aim: Squamous cell carcinoma is one of the most common causes of head and neck cancer and is one of the ten leading causes of death in the world. its prognosis is weak due to late diagnosis and varied clinical. Environmental and climatic conditions play a role in cancers; for this reason, the necessity of epidemiological studies is felt. The aim of this study was to evaluate the ten-year epidemiology of cases infected head and neck squamous cell carcinoma in birjand. Materials and Methods: This is a cross-sectional descriptive-analytical study, by the method of retrospective study was performed on 111 patients with head and neck squamous cell carcinoma. demographic and histopathological data were extracted from patient records. Subsequently, the data were then analyzed using one-way Chi-square test or Fisher's alpha level of α =0.05. Results: In this study, the mean age of the patients was 60.52 ± 12.9 years and the ratio of male to female was 2.08. The most common sites of involvement were larynx (63.1%) and followed by tongue (8.1%). For smokers, laryngeal involvement was 76.7% and for non-smokers, 54.4%, which is statistically significant (P=0.04). 54.1% of patients had squamous cell carcinoma (SCC) with moderately differentiation. 55% of patients were living in the city. Moderately differentiated tissue lesions among drug users they were significantly higher(P=0.02). Conclusion: The results of this study showed that head and neck squamous cell carcinoma has become more prevalent in men, especially the elderly, in recent years. The most common site of involvement in head and neck was the larynx, and smoking significantly increased the prevalence of laryngeal lesions.","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42509937","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}
M. Khodadadi, Aliyeh Hossein Nezhad, A. Naghizade, N. Nasseh, Soheila Chavoshan
{"title":"Evaluation of single-Walled and Multi-Walled Carbon Nanotubes Efficiency for Removal of Acetaminophen removal from Aquatic Solutions: isotherm and kintick adsorption study","authors":"M. Khodadadi, Aliyeh Hossein Nezhad, A. Naghizade, N. Nasseh, Soheila Chavoshan","doi":"10.32592/JBIRJANDUNIVMEDSCI.2019.26.3.102","DOIUrl":"https://doi.org/10.32592/JBIRJANDUNIVMEDSCI.2019.26.3.102","url":null,"abstract":"Background and Aim: The residuals of drug are belonging to emerging pollutants. Drugs and their metabolites should be removed from water resources due to potential risks and their toxicities for humans and the environment.These materials are not completely eliminated by the conventional methods of water and wastewater treatment. The purpose of this study was to investigate the removal of acetaminophen using single-walled and multi-walled carbon nanotubes from aqueous environments. Materials and Methods: In this experimental study, the effect of different parameters such as: pH, initial concentration of acetaminophen, adsorbent dose, time of touch and mixing speed were investigated in acetaminophen removal by single-wall and multi-wall carbon nanotubes. The adsorption isotherms of Langmuir, Freundlich, Temkin, Dubinin-Rudeshkuvich and BET and pseudo-first and pseudo-second order adsorption kinetics were also investigated. Acetaminophen concentration was measured by spectrophotometer at (λ max=258 nm). Results: The result of the experiments showed that single-wall and multi-wall carbone nanotubes could be able to removal 38.59% and 28.24% of acetaminophen at time=45 min , PH=7. With increasing the dose of nanotubes, the removal percentage increased and absorption capacity decreased, Absorption process showed the highest correlation with Langmuir model and pseudo-second kinetics (R>0.99). Conclusion: The results showed that single-walled and multi-walled carbon nanotube adsorbents can be used as an effective adsorbent in the removal of acetaminophen from aqueous environments along with other treatment methods.","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46117696","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 teaching patient safety culture with promoting safety culture and self-efficacy of nurses","authors":"Mohammad Tahan, Fateme Khakshoor, E. Ahangari","doi":"10.32592/jbirjandunivmedsci.2019.26.3.104","DOIUrl":"https://doi.org/10.32592/jbirjandunivmedsci.2019.26.3.104","url":null,"abstract":"Background and Aim: In order to improve the patient's safety, countries are required to monitor the safety of systems, and in this path, patient safety culture should be explored and developed among staff. The purpose of this study was to evaluate the effect of teaching on patient safety culture on the promotion of safety culture and self-efficacy of nurses in Vali-e-Asr Hospital of Birjand. Materials and Methods: The present study was carried out in a quasi-experimental design with pretest-posttest with the control group. The statistical population of this study was all nurses working in Vali-e-Asr Hospital in Birjand in 2018 (100 people). From this statistical society, based on the Morgan table and by stratified sampling, A total of 80 nurses were selected and Randomly and evenly divided into two experimental and control groups. The group training sessions of the patient safety culture were conducted for 4 sessions of 2 hours for the experimental group and the control group did not receive any intervention. In the pretest and posttest, both groups responded to the research tools (Patient Safety Culture and General Sherer Self-efficacy Questionnaire). Data were analyzed using SPSS software (version 22) by using covariance analysis. Results: The results showed that in the variable of safety culture due to the variable effect, The education of the patient safety culture was significant (P <0.01); in the self-efficacy variable with respect to the effect of the variable, The education of the patient safety culture was significant (P = 0.001). Conclusion: Training on patient safety culture to nurses, affects the promotion of their safety culture and self-efficacy; Therefore, it is suggested that planners, administrators, use this methodology to promote the safety culture.","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42726011","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 tarragon (Artemisia dracunculus L.) extract on spatial memory in rats exposed to chronic restraint stress","authors":"H. Khosravi, M. Rahnema, M. Asle-Rousta","doi":"10.32592/jbirjandunivmedsci.2019.26.3.101","DOIUrl":"https://doi.org/10.32592/jbirjandunivmedsci.2019.26.3.101","url":null,"abstract":"Background and Aim: Tarragon (Artemisia dracunculus L.) has antioxidant, anti-inflammatory and analgesic effects. The objective of this study was to investigate the effect of Tarragon alcoholic extract on spatial learning and memory deficits, induced by chronic immobilization stress in male rats. Materials and Methods: In this experimental study, 60 male Wistar rats were divided into 6 groups (each group of 10 rats): Control(without treatment), under stress, receiving 100 mg / kg Tarragon extract, receiving 500 mg / kg Tarragon extract, stress receiving and 100 mg / kg Tarragon extract simultaneously, and finally Stress receiving group and 500 mg / kg tarragon extract simultaneously. The rats in under stress group, 6 hours every day for 21 consecutive days they encountered with immobilized stress. Groups receiving Tarragon extract, during this period, the doses of 100 mg / kg.bw and 500 mg / kg.bw were extracted by gavage, and two groups receiving the extract and stress simultaneously, in addition to receiving Tarragon extract at the same doses they also faced stress. Spatial learning and memory of animals were evaluated by using the Morris Water Maze test. Results Immobilized stress impaired learning and memory in animals. Delay time (seconds) and distance (cm) moved to reach the hidden platform was significantly increased in the stress group compared to the control group (P <0.01 and P <0.05, respectively). Also in probe test, total elapsed time (s) and distance (cm) in target quadrant decreased significantly in stress group compare with control group (p<0.001 and p<0.05 respectively). Receiving both doses of Tarragon extract improved spatial learning and memory in under stressed rats. Conclusion: The results of this study indicate that Tarragon extract prevent memory impairment and may be useful in preventing and treating of neuro-degenerative diseases due to stress.","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47733112","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 investigate of the prevalence of Bitewing and Periapical radiography errors prepared in the radiology department of the faculty of dentistry birjand university of medical sciences in 2017-2018","authors":"fateme zia, M. Khani","doi":"10.32592/jbirjandunivmedsci.2019.26.3.108","DOIUrl":"https://doi.org/10.32592/jbirjandunivmedsci.2019.26.3.108","url":null,"abstract":"","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44050445","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}
M. Nakhaei, S. Tabiee, Seyed AliReza Saadatjou, Fatemeh Sabzehkar
{"title":"The effect of educational intervention on nurses' preparedness in emergencies and disasters","authors":"M. Nakhaei, S. Tabiee, Seyed AliReza Saadatjou, Fatemeh Sabzehkar","doi":"10.32592/jbirjandunivmedsci.2019.26.3.105","DOIUrl":"https://doi.org/10.32592/jbirjandunivmedsci.2019.26.3.105","url":null,"abstract":"Background and Aim: Nurses as pioneers people in community health and treatment, they have an important role in coordinating and helping injured people at the time of the disaster. Improvement of their preparedness is one of the basic principles of health management in accidents and disasters. Therefore, the aim of this study has been done to determine the effect of educational intervention on nurses' preparedness in accidents and disasters Materials and Methods: In this single-group quasi experimental, (pre-test, post-test and follow-up), 75 nurses working in hospitals in Birjand were selected by the stratified random sampling method was used. The nurses participated in a disaster risk management workshop for 16 hours during 2 days in a round table exercise. Demographic data form and standard questionnaire of nurses' preparedness and responsiveness to the disasters were completed before, immediately and one month after the intervention. Data were analyzed using SPSS software (Version 16), and statistical analysis of intra group variance, Bonferroni post hoc test and chisquare tests, independent t-test, One-way analysis of variance and Tukey's range post hoc test were performed at a significance level of (0.05). Results: The mean score of nurses' preparedness before intervention out of 10 scores was 6/47±0/87 and their total mean score of ability and attitude towards disasters before intervention of 5 scores was 3/19±0/72 and 3/28±0/41 respectively. The average total score of preparedness and in the area of empowerment in nurses immediately and one month after intervention than before and the mean score of attitude one month after the intervention was significantly higher than before (p <0.05). Conclusion: Based on the results, the educational program had a significant effect on increasing nurses' preparedness in accidents and disasters. It is recommended that nursing managers to improve nursing staff readiness, conduct continuous training courses with maneuvers.","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47814534","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 impact of education communication skills on emotional regulation, resilience and marital satisfaction of mothers of hearing-impaired children","authors":"L. Moghtader, B. Akbari","doi":"10.32592/jbirjandunivmedsci.2019.26.3.106","DOIUrl":"https://doi.org/10.32592/jbirjandunivmedsci.2019.26.3.106","url":null,"abstract":"Background and Aim: More than 90% of hearing-impaired children have hearing parents and their parents do not know how to communicate with these children . The aim of this study was to investigate the impact of education communication skills on bemotional regulation, resilience and marital satisfaction of mothers of hearingimpaired children. Materials and Methods: The research was a quasi-experimental with pre-test and post-test design with the control group. The statistical population were the mothers of hearing-impaired children under 7 years old in Rasht that was referred to the Pejvak Deafness Clinic in 2017. 40 mothers were selected by convenience sampling and were randomly divided into two groups of intervention (20 people) and control (20 people). Granofsky Emotional Regulation Questionnaire, Conner & Davison (CD-RIS) and Enrich Marital Satisfaction Questionnaire (ENRICH 47) they were used as research tools. The effective communication skills education program, 8 sessions for mothers in the intervention group were held and the control group received no education. Descriptive statistics including: frequency, percentage, mean, standard deviation and standard error for data description were used and also chi-square, independent t-test, paired t-test, Levin, eta squared, covariance analysis, Kolmogorov-Smirnov and Box were used for data analysis at the significant level of 0.05. Results: The results showed that communication skills education led to significant differences in the post test of the experimental group and the comparison of the meanings showed an increase in resiliency, emotional regulation and marital satisfaction in the experimental group (p <0.01). Conclusion: It can be concluded that by education of effective communication skills, it is possible to increase in marital resilience and marital satisfaction, as well as emotional regulation in the children with hearing-impaired children was obtain.","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45372599","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 low doses of Azathioprine in reducing relapse and corticosteroid dependence in patients with Ulcerative Colitis","authors":"M. Rezaiee, H. Salmani, M. Sargazi, F. Mahdizadeh","doi":"10.32592/JBIRJANDUNIVMEDSCI.2019.26.2.107","DOIUrl":"https://doi.org/10.32592/JBIRJANDUNIVMEDSCI.2019.26.2.107","url":null,"abstract":"Background and Aim: Ulcerative Colitis is an idiopathic inflammatory bowel disease that is common in adults. Although corticosteroids are the most effective preservative treatment for Ulcerative Colitis. However, due to the dependence of these drugs and their serious complications, the use of an immunosuppressive drug or surgery should be taken seriously. Thus the aim of the study was the evaluation of the efficiency of low doses of azathioprine (AZA) in reducing relapse and corticosteroid-dependence in Ulcerative colitis patients. Materials and Methods: In this cross-sectional study, 96 patients with ulcerative colitis were followed for one year. Patients who indicated by corticosteroid therapy not able to reduce the dose of corticosteroid, at second relapse was treated with 11.5 mg/kg of (AZA). Demographic characteristics, the severity of disease at the beginning of the study and response to treatment, recurrence of the disease, and drug side effects during the study. Data were analyzed using the Chi-square test in SPSS software. Results: At the beginning of the study, over 50% of patients had high symptoms of the disease. In the patients under study, 40 (41.7%) patients had corticosteroid dependence, all of them being treated with (AZA).Of the 96 patients during the one-year followup 24 patients had relapses and 72 patients did not have relapses. 97.8% of corticosteroid patients with (AZA) prescription, Corticosteroid was discontinued and only one patient did not response to AZA and was underwent surgery. Conclusion: Given the prevalence of use of corticosteroids, prescription of low doses of (AZA) can be considered as one of the effective therapies to reduce the rate of relapse of the disease and to avoid frequent use of corticosteroids.","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44099476","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":"National project of blood pressure control: Do's and don't's","authors":"N. Azdaki, T. Kazemi","doi":"10.32592/JBIRJANDUNIVMEDSCI.2019.26.2.100","DOIUrl":"https://doi.org/10.32592/JBIRJANDUNIVMEDSCI.2019.26.2.100","url":null,"abstract":"","PeriodicalId":31015,"journal":{"name":"Journal of Birjand University of Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47475084","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}