babak khodadadi
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Objectives
Gastric polyps are neoplastic lesions that are found in about 1% to 4% of patients who undergo gastroscopy. The present study aimed to have an epidemiological investigation on the endoscopic and pathological findings of gastric polyp patients in Khorramabad in the west of Iran.
Materials and MethodsThis cross-sectional study was a 10-year experience in which seventy-two patients with gastric polyps were included from 2007 to 2016. Both descriptive and analytical statistics were performed and the chi-square or Fisher exact test was used for evaluating the intra-group associations at P = 0.05.
ResultsDemographically, most subjects were females and middle-aged. The drug history of taking proton pump inhibitors (PPIs) and past medical history of gastritis were positive in many patients. The body of the stomach was the most common anatomical site and the polyps were usually single. Morphology and pathology wise, most polyps were superficial and hyperplastic, respectively. A significant association was found between gender and anatomical site. Finally, most male patients had antral polyps whereas most female patients had body-sited polyps (P = 0.044).
ConclusionsIn general, the site of the polyp was gender-related in this region. The history of gastritis and taking PPI was prevalent like the other studies. Some gastric polyps are more at the risk of malignancy thus such polyps should be followed up in the patients.
Keywords: Polyps, Epidemiology, Endoscopy -
مقدمهاز آنجایی که رعایت موازین اخلاقی عاملی موثر برای بهتر شدن عملکرد پرستار در ارائه مراقبت با کیفیت است، لذا مطالعه حاضر با هدف بررسی حساسیت اخلاقی پرستاران شاغل در بیمارستان شهید مدنی خرم آباد در بهار سال 0331 انجام شد.روش کارپژوهش حاضر یک مطالعه مقطعی از نوع توصیفی-تحلیلی بود. نمونه مورد مطالعه را 200 نفر از پرستاران تشکیل می دادند، که به روش نمونه گیری تصادفی ساده انتخاب شدند. جهت جمع آوری اطلاعات از پرسشنامه اطلاعات دموگرافیک و پرسشنامه حساسیت اخلاقی پرستاران در تصمیم گیری استفاده گردید. اطلاعات جمع آوری شده توسط نرم افزار SPSS نسخه 16 و با استفاده از آمار توصیفی و استنباطی مورد تجزیه و تحلیل قرار گرفت.یافته هابر اساس نتایج گزارش شده،19/5 درصد از پرستاران حساسیت اخلاق کم، 77 درصد حساسیت اخلاقی متوسط و 3/5 درصد حساسیت اخلاقی زیاد داشتند. بیشترین امتیاز کسب شده مربوط به بعد آگاهی از نحوه ارتباط با بیمار 15/45±63/33 و کمترین امتیاز مربوط به بعد دانش حرفه ای پرستاران 26/13±52/69 بود.نتیجه گیریبا توجه به یافته های این مطالعه مشخص شد که اکثر پرستاران از حساسیت اخلاقی متوسطی برخوردار بودند و به مدیران پرستاری پیشنهاد می شود که به تدوین برنامه های مناس جهت افزایش میزان حساسیت اخلاقی پرستاران در سیستم درمانی کشور بپردازند.کلید واژگان: پرسشنامه, حساسیت اخلاقی, اخلاق, پرستارIntroductionSince observance of ethical consideration is an important factor in improving performance of the nurses in providing appropriate cares, this study aimed to investigate moral sensitivity of nurses in Shahid Madani hospital of Khorramabad in 2017 spring.MethodsThe current research was a descriptive-analytic cross-sectional study. The sample consisted of 200 nurses who were selected by simple random sampling method.To collect information, demographic information questionnaire and moral sensitivity questionnaire of nurses were used. The collected information were analyzed using SPSS software version 16, and the data was analyzed using Descriptive and Inferential statistics.ResultsBased on the reported results, 19.5% of the nurses had low moral sensitivity, 77% had moderate moral sensitivity, and 3.5% had high moral sensitivity. The highest score was for the awareness of how to communicate with patients’ aspect, that is 63.33 ± 15.45, and the lowest score was for the professional knowledge aspect of the nurses, that is 52.69 ± 26.13.ConclusionsConsidering the findings of the study, we concluded that the nurses had a moderate moral sensitivity, and we suggest the nurse managers to use some appropriate programs to enhance the moral sensitivity of the nurses in the national health systems.Keywords: Questionnaire, Moral Sensitivity, Ethics, Nurse
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Background Allergic rhinitis is one of the most common types of rhinitis. Allergen avoidance is the most important way of preventing this disease. The present study is carried out to determine the frequency of common aeroallergens in patients with allergic rhinitis in Gorgan city by skin prick test (SPT) reactivity.
Materials and Methods In this cross-sectional study 270 patients referring to the Asthma and Allergic Center in Gorgan city, Iran, were enrolled. Diagnosis of allergic rhinitis was confirmed by specialist asthma and allergy. A questionnaire containing demographic data and patients history was completed. Skin prick test containing standard allergen extracts, histamine, and physiologic serum was performed on patients. The data were analyzed using SPSS software version16.0.ResultsIn the present study, 270 patients (113 males and 157 females) had perennial allergic rhinitis (PAR), seasonal allergic rhinitis (SAR), and mixed allergic rhinitis (MAR) (n=166, 54, 47, receptivity). Out of these patients, the most common aeroallergens was a house dust mite called Dermatophagoides pteronyssinus (43.7%), other common allergen were: weeds (40.7%), Dermatophagoides farinae (40.4%), grasses (32.5%), beetles (30%), trees (22.5%), and molds (16.3%). There was a significant relationship between prevalence of allergy to grasses and gender (P=0.016), weeds and age (PConclusionAccording to the results, the most prevalent aeroallergen was house dust mite. Weeds and beetles were also common among patients, respectively. Because of the high prevalence of allergy to mites in this region, we suggest finding some useful preventi.Keywords: Aeroallergen, Allergic rhinitis, Iran, Skin Prick Test -
زمینه و هدفمطالعات نشان می دهد که هورمون تیروئیدی بر روی سلول های سرطانی تاثیر دارند. هدف اصلی این تحقیق، بررسی اثرات سیتوتوکسیک هورمون تیروئیدی 4T بر سلول های گلایو بلاستومای مغزی (172A) در محیط کشت سلولی می باشد.روش کاردر این مطالعه تجربی-آزمایشگاهی سلول های 172A به طور تصادفی به گروه شاهد و گروه های تحت تاثیر دوزهای 1/0، 5/0، 1، 5، 10، 20، 40و 50 لاندا (λ) هورمون تیروئیدی T4، تقسیم شدند. سپس مقدار اثر سمیت هورمون با استفاده از سنجش MTT مورد سنجش قرار گرفت. داده ها با استفاده از روش آماری آزمونی واریانس یک طرفه بین گروه ها مقایسه شدند.یافته هانتایج مطالعه نشان می دهد که میزان توکسیسیتی هورمون تیروئیدی 4T بر رده سلول های گلیوبلاستومای مغزی 172A در دوز های 1 لاندا (λ) دارای بیشترین میزان توکسیسیتی می باشد و در دوزهای 1/0 و 40 لاندا (λ) دارای کمترین اثر توکسیسیتی می باشد.نتیجه گیریتوکسیسیتی سلول های گلیوبلاستومای مغزی وابسته و یا غیر وابسته به هورمون تیروئیدی 4T می باشد.کلید واژگان: سیتوتوکسیک, هورمون های تیروئیدی T4, سلول های گلیوبلاستومای مغزی A172BackgroundStudies showed thyroid hormones influence proliferation of cancer cells. The main aim of this study was to investigate the effects of cytotoxic thyroid hormone T4 on proliferation of brain glioblastoma cells (A172) in cell culture.MethodsIn this laboratory experimental study, A172 cells were randomly divided into control group and groups exposed to doses 0.1, 0.5, 1, 5, 10, 20, 40, 50 Lambda (λ) of thyroid hormone T4. The toxic effect of hormones was measured using MTT assay method. The data were statistically analyzed between groups using ANOVA.ResultsThe result demonstrated that highest toxicity of thyroid hormone T4 on glioblastoma cancer cells A172 was in 1 lambda (λ) dosage and low toxicity in 0.1 and 40 lambdas (λ) dosages.ConclusionToxicity of Glioblastoma cancer cells is either hormone dependent or hormone independent.Keywords: Cytotoxic, Thyroid Hormones T4, A172 Cells
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زمینه و هدفاز آنجایی که رعایت موازین اخلاقی عاملی موثر برای بهتر شدن عملکرد پرستار در ارائه مراقبت با کیفیت است، لذا مطالعه ی حاضر با هدف بررسی حساسیت اخلاقی پرستاران شاغل در بیمارستان شهید مدنی خرم آباد در بهار سال 1396 انجام شد.مواد و روش هاپژوهش حاضر یک مطالعه مقطعی بود که روی 200 نفر پرستار شاغل در بیمارستان شهید مدنی خرم آباد انجام شد. نمونه ها به روش نمونه گیری تصادفی ساده انتخاب شدند. جهت جمع آوری اطلاعات از پرسشنامه ی اطلاعات دموگرافیک و پرسشنامه ی حساسیت اخلاقی پرستاران در تصمیم گیری استفاده گردید. اطلاعات جمع آوری شده توسط نرم افزار SPSS نسخه 16 و با استفاده از آمار توصیفی و استنباطی مورد تجزیه وتحلیل قرار گرفت.یافته هابر اساس نتایج گزارش شده، 19/5 درصد از پرستاران حساسیت اخلاقی کم، 77 درصد حساسیت اخلاقی متوسط و 3/5 درصد حساسیت اخلاقی زیاد داشتند. بیشترین امتیاز کسب شده مربوط به بعد آگاهی از نحوه ارتباط با بیمار 15/45±63/33 و کمترین امتیاز مربوط به بعد دانش حرفه ای پرستاران 26/13±52/69 بود.نتیجه گیریبا توجه به یافته های این مطالعه مشخص شد که پرستاران از حساسیت اخلاقی متوسطی برخوردار بودند و به مدیران پرستاری پیشنهاد می شود که به تدوین برنامه های مناسب جهت افزایش میزان حساسیت اخلاقی پرستاران در سیستم درمانی کشور بپردازند.کلید واژگان: حساسیت, اخلاق, پرستارScientific Journal of Nursing, Midwifery and Paramedical Faculty, Volume:3 Issue: 2, 2017, PP 38 -48Background and AimSince observance of ethical standards is an effective factor for improving the performance of nurses in providing quality care, this study was conducted with the aim of evaluating the ethical sensitivity of nurses working at Shahid Madani Hospital in Khorramabad in the spring of 2017.Materials and MethodsThis cross-sectional study was performed on 200 nurses working in Khorramabad city at Shahid Madani Hospital. Samples were selected through simple random sampling. Data were collected using a demographic questionnaire and a nurse's ethical sensitivity questionnaire for decision making. Collected Data was analyzed by SPSS software version 16 and descriptive and inferential statistics.ResultsAccording to the reported results, 19.5% of nurses had a low moral sensitivity, 77% had moderate moral sensitivity and 3.5% had high moral sensitivity. The highest scores were related to knowledge about the relationship with the patient 63.33±15.45 and the lowest score was for professional knowledge of nurses 52.69±13.6.ConclusionAccording to the findings of this study, it was found that nurses had moderate moral sensitivity. It is suggested to nursing managers to develop appropriate programs to increase nurse's moral sensitivity in the system of health care in the country.Keywords: Sensitivity, Moral, Nurse
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IntroductionThe prevalence of asthma has increased significantly in recent decades1 especially in lower socioeconomic groups and in minority populations. Because of the increasing prevalence of asthma among children in worldwide and Iran, the importance of timely control of the disease after its diagnosis and few studies on the effect of education on asthma control in Iran, the aim of this study was to investigate the effect of education on asthma control in children.MethodsIn this quasi-experimental study, 104 Iranian children (6-14 years old) with asthma referred to asthma and allergy clinic of Children's Medical Center in Tehran were studied via convenience sampling method. Recruitment was occurred between 2011 to 2014. Subjects randomly were divided into two equal groups of intervention and control. For intervention group, common education as well as special education in format of booklet, pamphlets, CD and group training sessions were applied every two weeks within the first two months of follow up and every two months then after. While, the control group received usual careResultsThe means of FEV1/ FVC change, frequency of admission to the ED, hospitalization and absence from school and use of steroids were significantly different before and after education in the intervention group. While changes among measured parameters in the control group were not significantly different.ConclusionThe results of this study showed that specific education has significant helpful effect on asthma attack control in children.Keywords: Asthma, Asthma Control Test, Children, Education, Iran
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