mahdi nabi foodani

Fibrocystic breast disease is the most common benign breast disease in women, and it is necessary to investigate the most effective treatment method to reduce its symptoms. Therefore, the study was conducted to investigate the effect of melatonin supplementation on clinical symptoms and paraclinical outcomes in women diagnosed with fibrocystic breast disease. Investigating the Effects of melatonin supplementation on clinical symptoms and paraclinical outcomes in women diagnosed with fibrocystic breast disease. The present study is a controlled intervention-placebo treatment conducted on women suffering from fibrocystic breast disease aged 18-40. This interventional study was conducted on 66 patients (33 in the intervention group and 33 in the control group). Melatonin supplement of 3 mg was administered to the intervention group and a placebo to the control group for 12 weeks. Patient information, symptoms, and paraclinical outcomes were recorded at the beginning of the study before the intervention and 12 weeks after the intervention. After collecting the data, we analyzed it using SPSS version 16 software and appropriate statistical tests. The findings of this study showed that melatonin administration in patients with fibrocystic breast disease reduced anxiety, depression, improved sleep quality, increased TAC (Total Antioxidant Capacity), and decreased MDA (Malondialdehyde). However, both study groups did not have statistically significant differences in the average pain and hs-CRP before and after the intervention. According to the findings of the study and the identification of the positive effect of melatonin on laboratory indicators and symptoms in patients with fibrocystic breast disease, it is recommended to prescribe melatonin in addition to standard treatment to witness a better and faster recovery, and in this way, the quality of life of patients can be increased.

 It is crucial to pay attention to the lessons learned and consequences of the COVID-19 pandemic to inform future planning. Evaluating the effectiveness of implemented plans can help healthcare teams prepare for similar future situations and identify areas of strength and weakness.

 This study aimed to explain the experiences and lessons learned by clinical nurse managers during the COVID-19 pandemic in Iran.

 This qualitative study was conducted in Tehran, Iran, in 2021, using the conventional content analysis method on a sample of 22 senior nurse managers who were selected through purposive sampling until data saturation was achieved. The main objective of the present study was to explore the experiences and lessons learned by clinical nurse managers from the COVID-19 pandemic. The data were collected by semi-structured interviews and analyzed using the Graneheim and Lundman conventional content analysis method. Lincoln and Guba's reliability criteria were used to achieve the accuracy and reliability of the data.

 After analyzing the data, 316 primary codes were extracted and categorized into 6 main categories and 16 subcategories. The main categories were (1) talent dynamics: Strategies for effective workforce management; (2) ensuring safety: Effective practices for personal protective equipment (PPE) management; (3) patient-centered excellence: Optimizing care delivery strategies; (4) empowering family engagement: Enhancing support in health care, (5) building resilient communities: Effective, risk communication management in the society, and (6) unveiling the digital realm: Exploring virtual experiences.

 A practical solution for preparing for unknown conditions, such as the emergence of a pandemic, is to use previously recorded experiences and lessons learned. The insights gained from the experiences of clinical nurse managers, as extracted in this study, can serve as a foundation for decision-makers and nursing policymakers in planning, preparing, and empowering nurses for similar incidents and disasters in the future.

 The coronavirus disease 2019 (COVID-19) significantly impacted nurses’ working in emergency and intensive care units, particularly the professional quality of their lives and psychological aspects, such as anxiety. Numerous nurses were infected with the virus, or some died, which generated great work pressure, affecting the nurses’ quality of professional life.

 The present study aimed to investigate the professional quality of life and COVID-19 anxiety among nurses working in emergency and intensive care units in Iraq and the relationship between them.

 This cross-sectional correlational study was conducted on 144 nurses working in emergency and intensive care units in Najaf, Iraq. The data were collected between February - May 2021 using the demographic questionnaire, Professional Quality of Life-5, and COVID-19 Anxiety Scale.

 The mean level of professional quality of life was 101 ± 11.09, indicating that the participants’ professional quality of life was moderate to high. The mean level of COVID-19 anxiety among the participants was 13.3 ± 5.7, which was less than moderate. Moreover, there was a direct and significant correlation between the professional quality of life and COVID-19 anxiety of the participating nurses (r = 0.19, P < 0.05).

 There is a significant direct relationship between the professional quality of life and COVID-19 anxiety among nurses who work in emergency and intensive care units in Najaf. As COVID-19 anxiety increases, the professional quality of life also increases. Although COVID-19 anxiety has increased the nurses’ professional quality of life (this could be due to nurses’ work commitment), it can still have destructive effects on nurses. Nursing managers should pay attention to this issue and take measures to reduce the anxiety of nursing personnel while promoting their professional quality of life.

With the advent of the COVID-19 pandemic, challenges were created in educating nursing and midwifery students. However, the clinical education of these students is still ongoing. Predicting students' behavior in providing care during crises, including the COVID-19 pandemic, is an influential factor in continuing clinical education for nursing and midwifery students. The aim of this study was to determine the predictors of the willingness to care for COVID-19 patients in nursing and midwifery students of Tehran University of Medical Sciences.

This cross-sectional study was performed with the participation of 210 nursing and midwifery students of Tehran University of Medical Sciences in autumn 2021. The sampling method in this study was convenient method. In this study, data were collected using demographic information and planed behavioral theory tools. After completing the data collection process, data analysis was performed using SPSS16 software in two sections: descriptive and inferential analysis. A significance level of 0. 05 was considered.

Nursing and midwifery students of Tehran University of Medical Sciences have a high desire to provide care for patients with Covid-19 during their clinical training. The average score of the desire to care for the patients with covid-19 was 57.98±15.08. The constructs of attitude towards behavior, subjective norms and perceived behavioral control respectively had the highest mean score of willingness to care for patients with Covid-19. Among these variables, attitude variable 51%, mental norm 68% and control beliefs explain 55% of the changes in willingness to take care of a patient with covid-19 by students.

Based on the findings of the present study, mental norms play the most important role in the occurrence of students' behavior, so it is necessary to focus more on the mental norms of students in providing services in special and acute conditions such as the Covid-19 pandemic. Beliefs of control and attitude are also among the other factors affecting the desire to care for patients with covid-19 among nursing and midwifery students, which should be considered in order to train these students to provide care to covid-19 patients.

Triage is used as one of the main concepts in the emergency medicine to differentiate between critically ill patients or patients in a non-emergency situation. Miss-triage occurs if the prioritization of patients or injured is not done correctly for any reason. Miss-triage occurs in two forms of over and under triage. According to studies, the incidence of miss-triage is high worldwide. Exercising is one of the ways to reduce the amount of miss-triage.

. This two-group pretest post-test intervention study aimed to investigate the effect of drilling on the miss-triage of emergency medical service personnel.

The tools used in this study included: demographic information form questionnaire, Triage Decision Making Inventory (TDMI), and designed START/jump START triage scenarios. After collecting the required data, these data were analyzed by appropriate parametric and non-parametric statistical tests, including mean and standard deviation, independent t-test, paired t-test, K-square.

Results showed that the Miss-triage rate decreased from (34.1%) before the intervention to (9.1%) after the intervention in the experimental group. Moreover, after drill, the score of triage decision-making power increased from (121) to (136.91). However, in the control group, no statistically significant change was observed in the amount of miss-triage and triage decision-making power in emergency medical service personnel at the end of the study (p>.05).

The findings of the present study revealed the effectiveness of this exercise method in reducing miss-triage in participants. Thus, this method could be used in emergency medical service personnel training and preparation programs.

The Emergency Medical System is responsible for providing all rescue treatment measures outside the hospital. One of the most important and effective concepts in emergency management and decision making is triage. One of the significant challenges in performing different types of triage is the occurrence of miss triage. Identifying and applying solutions to reduce the above challenge is a necessity. Therefore, the present study will be conducted to investigate the effect of drills on triage error in pre-hospital emergency personnel.

The present study is a two-group intervention study that will be performed on Emergency Medical System personnel in two cities of Isfahan province. The tools used in this research include: demographic information form questionnaire, triage decision making inventory and designed START triage scenarios. Finally, the collected data will be analyzed by appropriate parametric and nanoparametric statistical tests including mean and standard deviation, independent t-test, paired t-test, K-square, Fisher's exact test and Mann-Whitney.

This intervention could potentially reduce the amount of erroneous triage in pre-hospital emergency personnel.

Most triage studies have been conducted using the method of discussion-based exercises, most of which have reported moderate knowledge and inadequate skills of the participants. Therefore, the present study focuses on performance-based exercise and will be performed among pre-hospital emergency personnel.

Cancer is a common chronic disease that affects all aspects of the patients’ personal, familial, and social life, especially in adolescents.

The aim of this study was to identify the relationship between the perception of family and friends’ support and psychosocial adaptation in adolescents with cancer. Setting and Design: Among adolescents who were referred to two hospitals of Shiraz Medical University, 95 adolescents aged 11–20 years were selected according to the inclusion criteria and by available sampling method from July to November 2020.

In this descriptive-correlational study, data were collected through demographic characteristics form, perceived support by family, perceived support by friends, and psychosocial adaptation questionnaires. Statistical Analysis Used: Data were analyzed using SPSS software version 16 and statistical tests such as independent t-tests, one-way analysis of variance, Chi-square, and Pearson correlation coefficients at the significance level of P < 0.05.

Most patients had a moderate perception of family and friends’ support. Psychosocial adaptation to the disease with a total score of 2.01 was at the level of strong adaptation. The perception score of family support was directly related to the score of psychosocial adaptation in the family environment dimension (P < 0.05), and the perception score of friends’ supports was directly related to the total score of psychosocial adaptation and attitudes toward illness and social environment (P < 0.05).

According to this study’s results, it was proved that there is a correlation between the perception of family and friends’ support with psychosocial adaptation to the disease in adolescents suffering from cancer.

Proper triage of patients to receive medical services can manage their referral to medical centers, reduce mortality, and increase the quality of services provided. Due to the importance of this issue, some of the triage challenges were reviewed and described here.

In the present systematic review study, to extract related studies, keywords Triage, Challenge, Pre-Hospital Emergency, and Hospital-Emergency were searched in both Persian and English in domestic and foreign databases including Pubmed, Scopus, Science Direct, SID, Magiran from 2011 to August 2021. Twenty articles were included in the study based on inclusion criteria.

Out of 6080 retrieved articles, 20 articles were reviewed. In the analysis, seven categories in the triage field challenges around the world were obtained, including 1- Incidence of miss triage and wastage of valuable emergency resources, 2- Insufficient knowledge about Existing types of triage algorithms, 3- Multiplicity of triage algorithms, creation of new algorithms and their unfamiliarity for health care personnel 4- Ethical problems for triage users 5- Lack of computer tools and artificial intelligence or their inefficiency 6- Distance between knowledge and practice of Healthcare personnel, and 7. Lack of codified simulated training courses.

There are several challenges to performing triage in pre-hospital and hospital emergencies. Given the devastating effects of these challenges on patient service delivery, appropriate actions need to be taken by decision-makers to address them.