mjlh dnshgh `lwm pzshkhy gyln最新文献

Pathology of the Training Process for the Incident Command System Staff of Hospitals in Guilan Province, Iran, Based on the Three-pronged Approach 基于三管齐下的伊朗桂兰医院事故指挥系统人员培训过程病理学研究

mjlh dnshgh `lwm pzshkhy gyln Pub Date : 2023-10-01 DOI: 10.32598/jgums.32.3.2042.1

Arezou Porkar, Sadraddin Sattari, Mohammad Taghi Moghadamnia

{"title":"Pathology of the Training Process for the Incident Command System Staff of Hospitals in Guilan Province, Iran, Based on the Three-pronged Approach","authors":"Arezou Porkar, Sadraddin Sattari, Mohammad Taghi Moghadamnia","doi":"10.32598/jgums.32.3.2042.1","DOIUrl":"https://doi.org/10.32598/jgums.32.3.2042.1","url":null,"abstract":"Background Staff training in organizations is a measure for developing human capital. The pathology of this process needs to be assessed to understand the current situation and solve the challenges and limitations. Objective This study aims to assess the pathology of the training process for the incident command system (ICS) staff of hospitals in Guilan Province using the three-pronged approach. Methods This is a qualitative-quantitative study. The study population in the qualitative phase included experts in the hospital ICS. In the quantitative phase, the study population included all ICS managers and staff in the Guilan Province hospitals (n= 548). The data collection tool was a semi-structured interview in the qualitative phase and a researcher-made questionnaire in the quantitative phase. For data analysis, MAXQDA software, version 2020 was used in the qualitative phase and SPSS software, version 26 was used in the quantitative phase. Results The results in the qualitative phase showed the extraction of 55 open codes, 25 axial codes, and 6 selective codes in the form of three domains of processes, context, and structure. The results in the quantitative phase showed that among all the domains, the process domain-related factors with a percentage of variance (impact) of 0.262 were more harmful than context- and structure-related factors in the training process. Conclusion The pathology assessment based on the three-pronged model is an effective method for determining the training priorities for the hospital ICS staff. The use of this model during a crisis can be an effective step for identifying shortcomings to solve them and take appropriate measures for the ICS staff training.","PeriodicalId":32783,"journal":{"name":"mjlh dnshgh `lwm pzshkhy gyln","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136160566","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}

引用次数: 0

Evaluation of Knowledge and Attitude of People Referred to Pharmacies in Rasht, Iran, Regarding Nutritional Supplements 对伊朗拉什特药房的人们关于营养补充剂的知识和态度的评价

mjlh dnshgh `lwm pzshkhy gyln Pub Date : 2023-10-01 DOI: 10.32598/jgums.32.3.233.3

Delaram Rostam, Hamidreza Taghvaye-Masoumi, Ehsan Aboutaleb

{"title":"Evaluation of Knowledge and Attitude of People Referred to Pharmacies in Rasht, Iran, Regarding Nutritional Supplements","authors":"Delaram Rostam, Hamidreza Taghvaye-Masoumi, Ehsan Aboutaleb","doi":"10.32598/jgums.32.3.233.3","DOIUrl":"https://doi.org/10.32598/jgums.32.3.233.3","url":null,"abstract":"Background Today, the consumption of nutritional supplements is increasing dramatically in the world. Objective This study aims to survey the knowledge and attitudes of people in Rasht, Iran, towards nutritional supplements and determine their consumption rate. Methods This descriptive-analytical study with a cross-sectional design was conducted over 6 months on 1220 people referred to pharmacies in Rasht city. They completed a self-report questionnaire surveying demographic data, knowledge, and attitude towards nutritional supplements. Results The majority of people had poor knowledge (mean score: 5.14±2.36 out of 9). The knowledge scores were significantly different in terms of educational level, occupation, use/non-use of supplements, number of used supplements, and the reason for taking drug supplements, such that people with a master’s degree or higher, healthcare providers, and supplement users had higher scores. The attitude score was 16.14±4.64 (out of 40), and 76.33% had a negative attitude towards nutritional supplements. The knowledge score had a significant negative relationship with the attitude score. Conclusion Given the poor knowledge of people in Rasht city and their negative attitude towards nutritional supplements, it is recommended to develop public education programs to improve their knowledge of nutritional supplements.","PeriodicalId":32783,"journal":{"name":"mjlh dnshgh `lwm pzshkhy gyln","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136153571","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}

引用次数: 0

Evaluating the effect of medical honey and stapler on skin graft fixation in burn wounds: A Randomized clinical Trial 评价药用蜂蜜和订书机在烧伤创面植皮固定中的作用:一项随机临床试验

mjlh dnshgh `lwm pzshkhy gyln Pub Date : 2023-10-01 DOI: 10.32598/jgums.32.3.1716.2

Nematollah Ahangar, Amirhossein Pourebrahimi, Parissa Bagheri Toolaroud, Alale Jarrahi, Mohammad Ebrahim Ghaffari, Mojdeh Esmailzadeh, Alireza Feizkhah, Mohammadreza Mobayen

{"title":"Evaluating the effect of medical honey and stapler on skin graft fixation in burn wounds: A Randomized clinical Trial","authors":"Nematollah Ahangar, Amirhossein Pourebrahimi, Parissa Bagheri Toolaroud, Alale Jarrahi, Mohammad Ebrahim Ghaffari, Mojdeh Esmailzadeh, Alireza Feizkhah, Mohammadreza Mobayen","doi":"10.32598/jgums.32.3.1716.2","DOIUrl":"https://doi.org/10.32598/jgums.32.3.1716.2","url":null,"abstract":"Background One of the applications of honey is in wound healing. A stapler normally connects the skin graft to the underlying bed. Due to its high cost and lack of production in Iran, and causing physical damage to the tissue, an alternative method is needed. Objective This study aims to compare the effects of using medical honey and staplers for skin graft fixation in patients with burn wounds in the north of Iran. Methods In this clinical trial, 80 patients with deep second-degree and third-degree burns less than 40% of total body surface area were included and were randomly divided into two groups of honey (n=40) and stapler (n=40). Demographic information and the percentage of burns were extracted from patients’ medical files. The graft rejection, number of hospitalization days, grafted skin displacement, graft contracture, pain severity, existence of edema or hematoma, itching severity, and infection after grafting were investigated and recorded. Results Of 80 patients, 34 were male (42.5%) and 46 were female (57.5%). The mean age of the patients was 39.29±15.42 years. A significant difference was observed in the mean number of hospitalization days after grafting (P<0.001), incidence of infection, hematoma, edema, and severity of pain and itching (P<0.001), which were lower in the honey group. The graft contracture rate was lower in the stapler group (P<0.001). Graft rejection was not observed in any groups. Conclusion The use of medical honey for skin graft fixation reduces the duration of hospitalization and adverse effects such as pain, itching, edema, hematoma, and infection compared to staplers. This method is as efficient as the routine treatment.","PeriodicalId":32783,"journal":{"name":"mjlh dnshgh `lwm pzshkhy gyln","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136153577","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}

引用次数: 0

The Frequency of Organ Donation and the Clinical Characteristics of Donors with Brain Death before and after the Outbreak of the COVID-19 Pandemic in Rasht, Iran 伊朗拉什特地区新冠肺炎疫情爆发前后脑死亡供者器官捐献频率及临床特征

mjlh dnshgh `lwm pzshkhy gyln Pub Date : 2023-10-01 DOI: 10.32598/jgums.32.3.1786.3

Mohammad Taghi Ashobi, Pirooz Samidoost, Arin Beghaei, Samaneh Ghazanfar Tehran, Zahra Atarkar Roshan, Alireza Jafarinezhad, Mohammad Sadegh Esmaeili Delshad

{"title":"The Frequency of Organ Donation and the Clinical Characteristics of Donors with Brain Death before and after the Outbreak of the COVID-19 Pandemic in Rasht, Iran","authors":"Mohammad Taghi Ashobi, Pirooz Samidoost, Arin Beghaei, Samaneh Ghazanfar Tehran, Zahra Atarkar Roshan, Alireza Jafarinezhad, Mohammad Sadegh Esmaeili Delshad","doi":"10.32598/jgums.32.3.1786.3","DOIUrl":"https://doi.org/10.32598/jgums.32.3.1786.3","url":null,"abstract":"Background The COVID-19 pandemic caused changes in daily life and disrupted hospital performance and the provision of medical services, especially in the organ transplant departments. Objective This study aims to compare the frequency of organ donation and transplantation before and after the COVID-19 outbreak in the transplant centers of northern Iran. Methods This cross-sectional study was conducted on 75 donors with brain death from 2018 to 2021 in Rasht. Demographic data, underlying diseases, history of smoking and drug use, causes of brain death, type of donated organ, number of donated organs per patient, type of transplanted organ, and the location of transplantation (in or out of the province) were recorded. Then, these factors were compared between two time periods: Before the pandemic (from July 2018 to February 2020) and during the pandemic (from February 2020 to August 2021). The recorded data was analyzed in SPSS software, version 21. The significance level was set at 0.05. Results The mean age of donors during the pandemic was significantly higher than that of patients before the pandemic (P<0.001). The most common cause of brain death in donors before the pandemic was trauma; after the pandemic, cerebrovascular causes were more common (P=0.01). The frequency of organ donation and the mean number of donated organs per donor during the pandemic were significantly lower than before the pandemic (P<0.001). Conclusion The COVID-19 pandemic has significant impact on the process of organ donation and transplantation in northern Iran.","PeriodicalId":32783,"journal":{"name":"mjlh dnshgh `lwm pzshkhy gyln","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136160568","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}

引用次数: 0

Comparison of Psychological Well-being, Moral Foundations and Sense of Humor in Infertile and Fertile Couples 不孕夫妇和育龄夫妇心理健康、道德基础和幽默感的比较

mjlh dnshgh `lwm pzshkhy gyln Pub Date : 2023-10-01 DOI: 10.32598/jgums.32.3.2026.1

Maliheh Tofighi Naeim, Mohammad Mehdi Pasandideh, Adele Eisanazar

{"title":"Comparison of Psychological Well-being, Moral Foundations and Sense of Humor in Infertile and Fertile Couples","authors":"Maliheh Tofighi Naeim, Mohammad Mehdi Pasandideh, Adele Eisanazar","doi":"10.32598/jgums.32.3.2026.1","DOIUrl":"https://doi.org/10.32598/jgums.32.3.2026.1","url":null,"abstract":"Background Infertility is a major crisis for couples, causing anxiety in them. Infertile couples experience more psychological, marital, family, and social problems. Objective This study aims to compare psychological well-being, moral foundations, and sense of humor between fertile and infertile couples in Rasht, Iran. Methods In this causal-comparative study, 212 couples (106 infertile and 106 fertile) referred to Al-Zahra Hospital in Rasht in 2022 participated. Ryff’s psychological well-being scale, moral foundations questionnaire, and multidimensional sense of humor scale were used to collect data. For data analysis, the analysis of covariance was used in SPSS software, version 28. Results There was a significant difference between infertile and fertile couples regarding self-acceptance, positive relations with others, autonomy, and personal growth dimensions of psychological well-being and its total score, and also in the sanctity/purity dimension of moral foundations and the humor creativity and uses of humor for social purposes dimension of sense of humor. Conclusion Fertile couples in Rasht have significantly higher scores in some dimensions of psychological well-being, moral foundations, and sense of humor than infertile couples.","PeriodicalId":32783,"journal":{"name":"mjlh dnshgh `lwm pzshkhy gyln","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136153564","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}

引用次数: 0

Effectiveness of Reishi (Ganoderma lucidum) in Preventing the Aging Process: A Review Study 灵芝抗衰老作用的研究综述

mjlh dnshgh `lwm pzshkhy gyln Pub Date : 2023-10-01 DOI: 10.32598/jgums.32.3.2068.1

Sharareh Rezaeian, Hamid Reza Pourianfar

{"title":"Effectiveness of Reishi (Ganoderma lucidum) in Preventing the Aging Process: A Review Study","authors":"Sharareh Rezaeian, Hamid Reza Pourianfar","doi":"10.32598/jgums.32.3.2068.1","DOIUrl":"https://doi.org/10.32598/jgums.32.3.2068.1","url":null,"abstract":"Background Reishi (Ganoderma lucidum) is a mushroom that has been used in Asian countries for many years as a culinary-medicinal mushroom to treat a variety of diseases. Objective This study aims to review the studies conducted on the anti-aging effects of Reishi. Methods This is a review study. A search was conducted in Scopus, PubMed, Google Scholar, SID, and MagIran databases for articles published from 1989 to 2023 using the following keywords: Reishi mushroom, G. lucidium, anti-aging, antioxidant activities, free radicals, Results The studies showed that the extracts of Reishi have measurable anti-aging properties, especially in the heart, liver and brain tissues. The anti-aging activity of Reishi is mainly due to its ability to modulate the immune system, scavenge free radicals, inhibit oxidative stress, increase mitochondrial dehydrogenases, strengthen the electron transport chain, and prevent neurodegenerative diseases caused by oxidative stress. Bioactive compounds, such as polysaccharides and triterpenes, have been suggested to be involved in the anti-aging activity of Reishi. Conclusion Reishi is a suitable candidate for preparing extracts or compounds with anti-aging properties. However, more in-vivo studies are needed to gain deeper insight into the mechanisms underlying the anti-aging effects of Reishi. In addition, there is a lack of clinical trials in the field of anti-aging effects of Reishi extracts, especially in Iran.","PeriodicalId":32783,"journal":{"name":"mjlh dnshgh `lwm pzshkhy gyln","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136160567","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}

引用次数: 0

Incidence of Barotrauma Following Mechanical Ventilation in Patients With COVID-19 Admitted to the ICUs of Two Selected Hospitals in Rasht, Iran 伊朗拉什特两家选定医院重症监护病房收治的COVID-19患者机械通气后气压创伤发生率

mjlh dnshgh `lwm pzshkhy gyln Pub Date : 2023-10-01 DOI: 10.32598/jgums.32.3.1329.2

Ali Ashraf, Ramin Ebrahimiyan Jektaji, Mostafa Saeedinia, Gelareh Biazar, Habib Eslami Kenarsari, Mohmmad Kazem Behjat

{"title":"Incidence of Barotrauma Following Mechanical Ventilation in Patients With COVID-19 Admitted to the ICUs of Two Selected Hospitals in Rasht, Iran","authors":"Ali Ashraf, Ramin Ebrahimiyan Jektaji, Mostafa Saeedinia, Gelareh Biazar, Habib Eslami Kenarsari, Mohmmad Kazem Behjat","doi":"10.32598/jgums.32.3.1329.2","DOIUrl":"https://doi.org/10.32598/jgums.32.3.1329.2","url":null,"abstract":"Background In the treatment process of hospitalized patients with COVID-19, one of the threatening complications is pulmonary complications such as barotrauma. Objective This study aims to investigate the prevalence of barotrauma in COVID-19 patients admitted to intensive care units (ICU) of two hospitals in Rasht, Iran. Methods This retrospective study was conducted on COVID-19 patients admitted to the ICUs of Razi and Poursina hospitals in Rasht in 2020. Their files were studied, and their demographic/clinical data and pulmonary complications were extracted using a checklist by an anesthesia resident. Results Out of 140 patients, 81(57.9%) received non-invasive mechanical ventilation and 59(42.1%) had invasive ventilation. Barotrauma was observed in 9 cases (6.4%), 8(88.9%) in the form of pneumothorax and one (11.1%) in the form of both pneumothorax and subcutaneous emphysema. The results showed that the incidence of barotrauma was significantly higher among patients who received invasive mechanical ventilation (P=0.003). No significant difference was observed among patients received non-invasive ventilation (P>0.05). Conclusion The prevalence of barotrauma among COVID-19 patients in the study hospitals is low, which indicates the proper performance of the attending physicians and compliance with the standard guidelines.","PeriodicalId":32783,"journal":{"name":"mjlh dnshgh `lwm pzshkhy gyln","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136160359","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}

引用次数: 0