ali mohammad parviniannasab

 Ischemia is one of the most common injuries that is usually caused by reduced blood flow to the tissues. Following this incident, the tissue becomes deficient in oxygen and nutrients, and energy production in the affected cells stops, eventually leading to cell damage, but there is also evidence that restoring blood flow to ischemic tissues can lead to extra tissue damage known as Ischemia Reperfusion Injury (IRI). In this study, we reviewed the relationship between vitamin C intake and ischemia/reperfusion injury to investigate the relationship between vitamin C intake and ischemia/reperfusion injury. The keywords “Vitamin C” or “Ascorbic Acid” and “Ischemic” or “Ischemia” and “Reperfusion” were used in this search. The results show that vitamin C has a positive effect on ischemia treatment in the renal tissue, brain, liver, intestine, lung, ovary, pancreas, and skin.

 University students’ spiritual well-being (SWB) is a potentially decisive factor in strengthening positive concepts, such as psychological capital (PsyCap).

 This study investigated the relationship between SWB and PsyCap among nursing students.

 The present descriptive cross-sectional study was conducted on 383 nursing students of a four-year educational program using a convenience sampling method from July to December 2021 in Iran. The tools applied in this study were the psychological capital (PsyCap) questionnaire and the spiritual well-being scale (SWBS). Pearson’s correlation coefficient and hierarchy of multiple regressions were used to analyze the data.

 The results of Pearson’s correlation coefficient showed a positive and significant relationship between religious well-being (RWB) and self-efficacy, hope, optimism, and resilience (r ranging from 0.36 to 0.45, P < 0.01). Also, the correlation coefficients between existential well-being (EWB) and self-efficacy, hope, optimism, and resilience (r ranging from 0.41 to 0.61, P < 0.01) were positive and significant. Hierarchical multiple regression revealed that two areas of SWB were explained: 26.6%, 37.7%, 29.6%, and 17.9% of the variance in the students’ self-efficacy, hope, optimism, and resilience, respectively.

 SWB is a substantial issue in promoting the students’ PsyCap, and it is possible to improve their PsyCap through spirituality-based interventions.

Patients with beta thalassemia major face various challenges in physical and psychosocial aspects. The need for resilience capacity to overcome these challenges can be effective. Identifying factors affecting resilience can be considered as a framework for designing nursing interventions. The present study was conducted with the aim of determining the mediating role of hope in the relationship between spiritual well-being and resilience among adolescents with beta thalassemia major.

This was a descriptive-correlational study. The statistical population of the research included adolescents aged 11 to 21 years with beta thalassemia major who referred to thalassemia centers in Fars province in south of Iran in 1401, from which 288 participants were selected via convenience sampling method. Paloutzian and Ellison's spiritual well-being questionnaire (1982), Connor-Davidson resilience questionnaire (2003) and Herth Hope questionnaire (1992) were the instruments used in this study. Data analysis was conducted using descriptive tests, Pearson correlation, and a structural equation model in Spss-24 and Amos-24.

The results showed that all the fit indices are within the acceptance range of the model. The results obtained from structural equation modeling indicate a positive and significant effect between spiritual well-being and resilience (t=2.78, β=0.25), spiritual well-being and hope (t=2.31, β=0.32), and Hope with resilience (t=2.53, β=0.57). Finally, the indirect effect of spiritual well-being on resilience through hope is significant (p < 0.01, β = 0.052).

According to the results of this research, it is suggested to pay more attention to the promotion of spiritual health as a mechanism for improving hope and resilience in the care programs of these patients.

Continuing education is an essential component of nursing professionalism. Nurses also need continues training to improve the quality of nursing care. But a lot of effort is needed to improve how it is done and how effective it is. Therefore, the present study aimed to evaluate the effectiveness of the continuing nursing education program in Iran. 

The study was conducted in 2020 as a narrative review. Content from searching library and internet resources and searching for articles in SID, Irandoc, Iranmedex, Magiran, and Medlib databases from 2003-2016 using keywords search of continuing education, in-service training, retraining was extracted. A total of 62 goal-related articles were found working in Iran. After reviewing the titles of the articles and abstracts, 14 articles were used to compile this article. 

Out of 62 articles related to the purpose, 14 articles were included in the study. During the survey from the perspective of nurses to improve the effectiveness of continuing education program in nursing in four general areas of knowledge, skills and performance, needs assessment, satisfaction and implementation of the results were obtained.

The results showed that for better effectiveness, the need for change in the four areas of knowledge, skills and performance, needs assessment, satisfaction and implementation seems necessary. Continuing nursing education program should be based on needs assessment and interactive methods should be used for productivity Also, in order to create satisfaction in the nursing staff, adhering to the principles of adult education in planning and using teaching methods such as practical workshops and group discussions can be more attractive and effective.

Self-efficacy is one's belief in ability to succeed in specific situations and considerable factor to maintaining healthy behaviors. It has an important role in person-centred care and significantly improves after effects of heart attacks. This study aimed to investigate the effects of a peer based intervention on cardiac self-efficacy of the patients after bypass surgery.
In this clinical trial study, 60 patients undergoing bypass surgery were chosen and assigned equally into the control and intervention groups. The patients were assigned into two groups by block randomization. While routine education was presented to the patients in the control group, intervention group were taught using the peer education in two sessions. Cardiac self-efficacy of all the selected patients was assessed orderly in 36-month (3 years) follow-up after surgery. Inclusion criteria used to choose the suitable patients were as the following: no record of CABG surgery, understanding and talking Persian language, willingness to participate in the research, age between 40 and 70 years, no dementia, confusion, mental and psychological problems which might hinder their participation. In addition, exclusion criteria in this study were patient’s death, serious physical problems after CABG surgery, emergency and unexpected surgeries, or cancellation the CABG surgery due to patient’s situation. Data was collected using cardiac self-efficacy scale and analyzed using chi-square, independent t-test and Kolmogorov-Smirnov tests.
The patients in both groups were homogenous in terms of demographic data. The mean score of cardiac self-efficacy in the intervention group was significantly different from control group in 3- year follow-up after surgery (P Based on this study, accomplishment of peer based intervention can be a beneficial educative-supportive approach in cardiac surgery fields.

Beta-thalassemia major (TM) is a chronic, genetically determined hematological disorder and affects different aspects of patient''s psychological life.. This study was designed to examine the impact of partnership care model on anxiety of adolescent with β-thalassemia in 2013.. This quasi-experimental study was performed by selecting 60 adolescent with β-thalassemia. Patients were randomly allocated into two groups of tests and control groups (each group included 30 patients) in Shahid Dastgheyb Hospital of Shiraz. The partnership care model, which consisted of four main steps of orientation, sensitization, control and evaluation, was performed for the experimental group. Data collection tool was Depression Anxiety Stress Scale (DASS-21) questionnaire that assessed adolescents’ anxiety before and after 3 months, which was completed by both groups. The data were analyzed using SPSS v.16 by chi-square test, paired T-test and independent T-test.. Analysis showed that there was no significant difference between the test and control groups in terms of demographic characteristics (P > 0.05). Also, There was no significant difference in anxiety score between two groups before intervention (P = 0.81). But significant difference was seen between two groups after intervention using independent T-test (P = 0.001). Pair T-test showed a significant difference in the anxiety reduction in the test group after the intervention (P = 0.001), whereas the same test showed no significant difference in the control group (P = 0.30).. Applying partnership care model can reduce level of anxiety in adolescent with β-thalassemia. Therefore, it is recommended to use this model to reduce anxiety in adolescent with β-thalassemia and adolescents with chronic diseases..

Rhinocerebral mucormycosis is an aggressive fungal disease that involves the nose, par nasal sinuses, orbit and central nervous system. It may rapidly be fatal. The major route of infection is inhalation. This infection usually occurs secondary to immune suppression, diabetic ketoacidosis, and prolonged use of antibiotics, steroids, etc.Case report: We presented two cases of rhino cerebral mucormycosis with same presentation. Both patients had underlying disease (diabetes or immune deficiency). The symptoms began including colds and sinusitis and was accompanied by pain and swelling in face. Smear of necrotic tissue showed branching nonseptated mycelium in favor of mucosal. These patients were treated Included Medical therapy with amphotericin-B and surgical treatment was undertaken to drain the sinuses. The diagnosis of rhino cerebral mucormycosis should be considered in the hospital indiabetic patients. Early diagnosis and treatment, treatment of the underlying disease are crucial factors leading to a good outcome.

Thalassemia is a chronic genetic disease which similar to any other chronic illnesses it influences people’s psychological state. And they can be at the risk of getting depression. This study was designed to examine the impact of Partnership Care Model on Depression of Adolescent with β-thalassemia. This quasi-experimental study was performed by selecting 60 Adolescents with β-thalassemia whom were randomly selected and classified into two groups of intervention (n=30) and control (n=30) groups in Shaheed Dastgheyb Hospital in Shiraz. The partnership care model of 4 main steps of orientation، sensitization، control and evaluation in the experimental group was administered for 3 months. Data collection tool was Depression Anxiety Stress Scale-21 questionnaire that assessed adolescents’ depression before and after 3 months which was completed by both groups. The data were analyzed using SPSS v. 16 and chi-square، t-tests and paired t-test. There was no significant difference in depression score between two groups before intervention p= (0/532). But the difference was shown significant between two groups after intervention using independent t test P = (0/0001). Pair t test showed a significant difference in the depression reduction in the test group after the intervention P= (0. 001)، whereas the mean depression score of the control group showed more reduction after the intervention than before the intervention، however the difference wasn’t significant p= (0/621). Applying partnership care model can reduce level of depression in adolescents with β-thalassemia. Therefore، it is recommended to use this model to reduce depression in adolescent with β-thalassemia..