فهرست مطالب mohammad zoladl

Having a parent with cancer is one of the risk factors for adolescents, which makes themface many psychological problems. Therefore, this study aimed to determine the effect of HappinessEducational Program of Fordyce on the sense of coherence and psychological well-being of adolescentswho have a parent with cancer. In this randomized clinical trial study, 92 adolescents whose diagnosed parents havereferred to the oncology ward of Shahid Rajaei Hospital in Yasuj, from June to September 2021, wereselected through the convenience sampling method; however, they were randomly assigned to oneof the two groups of the intervention or control. The number of sessions in the intervention groupwas 6, each consisting of 60 minutes and performed one day a week for 6 weeks. In addition to thedemographic information form, the Antonovsky’s Sense of Coherence Questionnaire-13 and the Ryff’sscale of Psychological Well-being-18 were used before and immediately after the intervention. Datawere analyzed through SPSS software, version 21, using statistical tests of Chi-square, t-test, Fisher’sexact, Mann-Whitney, and Wilcoxon. After the intervention, statistically significant differences were observed in the median scoresof the sense of coherence (P<0.001) and psychological well-being (P<0.001) between the two groupsof intervention and control. Although the Happiness Educational Program of Fordyce could improve the senseof coherence and psychological well-being of adolescents who have a parent with cancer, moreinvestigations are recommended to be conducted.Trial Registration Number: IRCT20210331050795N1.

Nocturnal enuresis has negative effects on children's sleep habits and quality of life. Implementing physical activity and regular exercise can probably have an effect on improving sleep habits and the quality of life of these children. Core Stability exercises can be mentioned among these exercises. Therefore, this study was conducted with the aim of determining the effects of core stability exercises on sleep habits and quality of life in children with nocturnal enuresis.

In this clinical trial, 70 children with nocturnal enuresis referred to the educational-therapeutic Shahid Mofateh polyclinic, affiliated with Yasuj University of Medical Sciences in 2022, were selected using a convenient sampling method from the available population. Children's Sleep Habits Questionnaire and The Pediatric Quality of Life Inventory generic version 4 were completed before and 48 hours after the end of the intervention. The intervention was conducted in 8 weeks, 3 sessions a week and each session lasted 45 minutes. SPSS software version 21 and chi-square, independent T and paired T tests were used to analyze the data.

The results showed that after the completion of the intervention, the changes in the mean score of sleep habits and quality of life in both groups were statistically significant (P < 0.05).

Core Stability Exercises are effective in the sleep habits and quality of life of children with nocturnal enuresis.

Methicillin-resistant Staphylococcus aureus (MRSA) is one of the most important hospital pathogens that cause of severe morbidity and mortality worldwide. Coagulase gene (Coa) is a pathogenicity factor of this bacterium which found in all pathogenic strains. The aim of this study was to evaluate the antibacterial effect of hydroalcoholic extract of Satureja mutica, zinc oxide nanoparticle and zinc complex alone and simultaneously on inhibiting the growth of clinical and standard of coagulase gene expression isolates of MRSA. Minimum Inhibitory Concentration (MIC), cell viability and zone of inhibition were determained by microdilution method. MTT assay and disk diffusion method were performed against MRSA strains that possess coa gene respectively. In addition, the changes in expression of this gene were investigated by RT-PCR in MIC concentration. Hydroalcoholic extract of Satureja mutica, zinc oxide nanoparticle, and copper nano-complex showed antibacterial and inhibitory effects on MRSA growth. Additionally, a significant inhibitory effect was seen on coagulase gene expression in presence of hydroalcoholic extract of Satureja mutica. Frurthermore, the MIC for clinical and standard MRSA were determined as 1500 and 3000 µg/ml for the Satureja mutica extract, 20 and 40 µg/ml for the zinc oxide nanoparticle, and 20 and 40 µg/ml for the Zinc complex respectively. After performing RT-PCR, the results of electrophoresis showed that Satureja mutica extract in MIC induced an inhibitory effect on coagulase gene expression. Using Satureja mutica extract with nanoparticles in MIC concentration showed a synergistic effect in coa gene expression. However, no effect was observed on housekeeping arcC gene. Zinc oxide nanoparticles also have inhibitory effects on the growth of bacteria but no inhibitory effect was observed on expression coa gene.

Human papillomavirus (HPV) is the most common sexually transmitted disease that is major risk factor for the development of precancerous and cancerous cervical lesions. This study was planned to evaluate the prevalence of HPV and its genotypes in women with abnormal Pap smear who referred to shahid Mofateh clininc.

A total of 67 cervical cytology sample including 51 ASCUS, 9 LSIL and 7 HSIL during 2015-2017 were selected. HPV genotyping was performed in the benefit of a Multiplex PCR- Reverse dot blot kit. 

Overall, the HPV prevalence was 61.2%. Thirty six of participants (87.8%) were infected with high-risk HPV, twenty six (63.4%) with low-risk HPV and 2 (4.9%) with undetermined HPV type. The most common high-risk HPV type was HPV39 (43.9%) followed by HPV66 (31.7%), HPV31 (26.8%) and HPV18, 45 (14.6%). HPV16 detected only in 2 (4.9%) samples. 

Our results showed a high prevalence of HPV infection in women with abnormal Pap smear. In addition, different genotypes of this virus were detected compared to other studies in Iran. Evaluation of more samples from broader geographical areas is needed to elucidate the molecular epidemiology and also the genotypes of Human Papillomavirus (HPV).

Psychological education for families in the form of a model is one of the effective approaches in managing problems caused by mental health problems. The present study aimed to determine the effect of using the participatory care model on the caregiver burden and resilience of home caregivers of patients with mental disorders.

In this clinical trial, 66 households with psychiatric patients hospitalized at Shahid Rajaee Psychiatric Hospital in Yasuj during 2014-2015 were selected and assigned into 2 groups of experimental and intervention based on convenience and simple random sampling. The data of this study were gathered by Novak & Guest (1989) Caregiver burden and Sixbey (2005) Resilience Questionnaire before and after intervention. Participatory care model was performed for 12 ninety-minute sessions in the intervention group. No intervention was provided to the control group during the study period. SPSS software (version 21) was used to run the descriptive and inferential statistics.

Chi-squared test showed that the caregiver burden was significantly lower in the experimental group than in the control group after the intervention (P = 0.0001). Following the intervention, increased resilience and all its components were observed in the experimental group compared to the control group. According to the independent t test and Mann-Whitney U, the 2 groups were considerably different (P < 0.05).

The application of the participatory care model efficiently increased resilience and decreased the intensity of the caregiver burden on the home caregivers of patients suffering from mental disorders.

Pseudomonas aeruginosa is a gram-negative bacillus and an opportunistic pathogen that causes high mortality in immunocompromised patients. The main antimicrobial activity of Satureja khuzestanica essence is due to carvacrol phenolic components. Nanomaterials can be a good choice because of low toxicity to fight pathogenic microbes. The aim of this study was to evaluate the effect of copper nanocomposites on the expression of alkaline protease pseudomonas aeruginosa gene, which could be used as a complement to the infections caused by this bacterium. In this study, minimum inhibitory concentration (MIC) of essential oil and nanocomplex were detected against the strains by microdilution broth method. After exposure to MIC, the alteration of alkaline protease gene expression by RT-PCR was investigated. The diameter of the inhibition zone (ZOI) and life percentage were determined by disk diffusion method and MTT assay in the presence of essential oil and nano-complex. The essential oil and nano-complex were MIC = 4.8 μg / ml and MIC = 25.50 μg / ml, ZOI = 18.19 mm and ZOI = 5.9 mm respectively. It was found that essence and nano-complex had an inhibitory effect on the expression of alkaline protease gene The results showed that the essence has a stronger antimicrobial and inhibitory effect on the expression of alkaline protease gene than the nanocomplex. Due to the inhibitory effect of essence and nano-complex on the expression of the alkaline protease pseudomonas aeruginosa gene, it is possible that these substances can be used as a complementary therapeutic agent against this bacterium.

Caring of mentally retarded children at home is a challenging event and negatively affects family mental health. Therefore, this study aimed to determine the effectiveness of resilience teaching via short message service (SMS) on stress of mothers of educable mentally retarded children. In this field trial study, 70 mothers with educable mentally retarded children were selected through the convenience sampling method. They were then assigned into two groups of intervention and control through block random allocation. Mothers in the intervention group received four text messages each day, totally 180 messages within 1.5 months. The Abidin Short Form Parenting Stress Index and the Connor-Davidson Resilience Scale were filled out by mothers in both groups of intervention and control at baseline and one month after the intervention. Data were analyzed using SPSS21, by descriptive and inferential test, considering the 95% confidence interval. The mean of stress scores was 126 ± 23.9 and 129.3 ± 21.8 in the SMS and control groups, respectively before the intervention, and 86.08 ± 18.5 and 135.2 ± 23.1, respectively after the intervention (P < 0.05). In addition, the mean of resilience scores was 28.17 ± 10.82 and 25.89 ± 10.3 in the SMS and control groups, respectively before the intervention, and 57.62 ± 7.42 and 22.2 ± 8.17, respectively after the intervention (P < 0.05). Teaching of resilience via short message service can reduce stress in mothers of educable mentally retarded children. In addition, since, the purposeful communication of client and nurse is a main issue in nursing, nurses can benefit from this education method for clients

Providing safe healthcare services by medical groups, especially nurses, is a legal and human duty. Planning to prevent errors is of great importance, and the first step in this regard is to identify different types of errors and methods of error management. For this purpose, this study was conducted to examine the procedural and function errors of nurses working in Yasuj Shahid Beheshti Hospital.
Material and This study is a descriptive, cross-sectional research. The sampling method was complete enumeration and the target population included all nurses working at Yasuj Shahid Beheshti Hospital. The data collection tool was a researcher-made questionnaire. The validity and reliability (0.81) of the questionnaire were confirmed. The data were analyzed using SPSS software version 19.
According to the findings of this study, 79.5% of nurses have procedural error. The most frequent error was the one made in the use of medical equipment in the ward (203 cases). Among the methods of error management, reporting and consulting with colleagues had the highest frequency (151 cases) and reporting to the patient had the lowest (8 cases).
The results showed that procedural and function errors by nurses were high and that nursing managers should organize training courses to identify and deal with nursing errors.

Collaborative care can be used as a component of self-care in reducing the complications of care in family caregivers of mental patients. Therefore, the present study aims to "determine the impact of the use of collaborative care model on the care burden parameters of the family of patients with mental disorders".
In this clinical trial, 66 households from family caregivers of mental patients participated who were eligible for inclusion in a study in the Shahid Rajaee Hospital of Yasuj in 2014. The samples were available and were divided into two groups of intervention (33 families) and control (33 families) based on simple random sampling. The instruments were demographic information sheet, primary needs assessment checklist, Novak’s caregiver burden inventory (CBI). Collaborative care model was implemented based on the motivation, preparation, involvement and evaluation phases in the intervention group for 11 sessions. No intervention was performed for control group during this period. Data analysis was performed based on descriptive and inferential statistics (Chi-square, independent t-test, and Mann-Whitney) using SPSS V.21 with a significant level (p The results showed that there was no significant difference in the scores of care burden between the two groups before intervention (P> 0.05); however, after implementation of the model, there was a significant difference between the mean care burden and all the components of the intervention group and the control group. (P Implementation of collaborative care model is effective in decreasing the care burden of the family of patients with mental disorders. Therefore, it is recommended using of this model in health care.

The presence of a mentally retarded child is a stressful experience for the family, especially mothers. The present study aimed to determine the effect of resilience education by the teach-back method on the stress of mothers of educable mentally retarded children.
Materials and MethodsIn this field trial study, 70 mothers of educable mentally retarded children were selected as the sample using convenience sampling method and then assigned to the intervention (n=35) and control groups (n=35) based on block random allocation. Each mother in the intervention group participated in 8 sessions of resilience education by the teach-back method (each session lasted 30-45 minutes) in a period of 30 days. The Parenting Stress Index of Abidin and Connor-Davidson Resilience Scale were filled out by mothers of the intervention (teach-back) and control groups in pretest and posttest. The obtained data were analyzed using SPSS version 16.0 software.
The mean score of maternal stress before the intervention was 127.94 ± 22.35 in the intervention group, and 129.31±21.82 in the control group. These values after the intervention were 88.6±17.98 and 135.23±23.08 in the intervention and control groups, respectively. In addition, the mean score of resilience before the intervention was 29.17±11.95 in the intervention group, and 25.89±10.3 in the control group. These values after the intervention were obtained 58.94±9.43 and 22.2±8.17 in the intervention and control groups, respectively. There was a significant difference between the intervention and control groups in the mean score of stress and resilience one month after the completion of intervention (p­ConclusionThe study showed that resilience education through teach-back had a significant effect on reducing stress and increasing resiliency of mothers of educable mentally retarded children.

Suction causes complications, such as tachycardia and hypertension due to stimulation of the sympathetic nervous system or complications, such as bradycardia and hypotension due to vagal nerve stimulation. The aim of the present study was to compare the effect of open endotracheal tube suction with two different sizes of suction catheter on changes of heart rate and blood pressure in patients hospitalized in intensive care unit.
This clinical trial study was performed as a pretest-posttest study using comparative intervention and random sampling. Thirty-six patients hospitalized in intensive care unit of Yasuj Shahid Beheshti Hospital underwent suction with two catheter sizes of 12 and 14. Changes in blood pressure and heart rate (before, during, and 5 and 20 minutes after the suctioning), was recorded. To compare the amount of changes in heart rate and blood pressure at different stages of suction, repeated measures ANOVAwas used.
In this study, the heart rate increased more during suction with catheter 14 compared to the catheter 12, and the difference was significant (p=0.000). Increase in heart rate up to 20 min after suction, was higher with larger catheter compared to the smaller catheter, and the difference was significant (p=0.000). Systolic blood pressure increased after suction with large catheter, and the difference was significant (p=0.050). The diastolic blood pressure had the highest increase in 5 min after the suction, but there was no significant difference between the two catheter (p=0.186).
The use of small size catheter during suction, causes less increase in heart rate and blood pressure.

The burden of caring for patients with mental disorders falls more on their family members who provide all necessary support. The burden of care is directly related to the needs of the patients. Most of the caregivers of the mentally ill patients experience the extreme burden of care. Therefore, this study aimed to determine the caregiver burden of family caregivers of patients with mental disorders hospitalized in Shaheed Rajai Hospital in Yasuj in 2016.
In this analytical cross-sectional study, 246 family members of patients with mental disorders hospitalized in Shaheed Rajai Hospital in Yasuj, Iran, were selected using the convenience sampling method. After obtaining consent from the authorities and based on the inclusion criteria, data were collected using a demographic questionnaire and the caregiver burden inventory (Novak & Guest, 1989). Data collection was conducted for 6 months. The data were analyzed using descriptive statistics (demographic characteristics of samples, mean, standard deviation, percentage and frequency of the variables) and inferential statistics (independent t-test) by SPSS software version 21.
The mean age of the family caregivers of mentally ill patients was 34.53 ± 13.74 years. The highest frequency and percentage of home caregivers was reported for the children of mentally ill patients (114, 46.3%). The highest burden of care was seen on the moderate burden level, with the frequency and percentage of 34 (51.5%) and on the intense level with the frequency and percentage of 32 (48.5%), which showed no significant difference (P = 0.74). Among the components of caregiver burden, time-dependent burden with a mean (SD) of 15.01(1.66) had a maximum load.
Considering that the burden of care can affect the quality of care of the mental patients, and can aggravate their mental conditions, necessary trainings are required to reduce the caregiver burden on the family caregivers of the mentally ill patients.

artificial airway lead to weakened cough reflex and the loss of ciliated cells eventually that finaly lead to accumulation of secretions so patients need periodic suction. This study aimed to compare the effect of open suction endotracheal tube using two different size suction catheter on the arterial blood oxygen saturation in critical care patients were admitted.
In this clinical trial 36 patients in one group and under suction catheter with two size 12 and 14, respectively. Changes in blood oxygen saturation before, during, after 5 minutes and 20 minutes after suctioning was recorded. For Oxygen saturation suction compare changes in different stages, analysis with variance and repeated measures was used.
The results showed that oxygen saturation during small suction catheter is a significant difference (p=0/000). In addition to suction the blood oxygen saturation rate in the first episode there is a significant difference (p=0/000). 5 minutes after suctioning blood oxygen saturation in compare of 5 minutes before the suction has no significant difference (p=0/597) but blood oxygen saturation 20 minutes after suction in compare of 5 minutes prior to suctioning and suctioning episodes were significantly different(p=0/050).
Since the fall endotracheal suctioning of arterial blood oxygen saturation and the reduction in the episodes become more frequent suctioning, it is recommended to reduce the duration of suction.

Accidents are the most frequent reason for admission to hospitals and the second most common cause of mortality. Accident-related injuries can cause severe financial loss in communities. Understanding the causes and prevalence of accidents is necessary to prevent such losses.

The objective of the present study was to reveal the causes of accidents leading to admission to the emergency ward of Shahid Beheshti hospital, the referral and educational hospital of the Kohkilooyeh and Boyerahmad provinces in Yasuj.

The present research was a cross-sectional study of the information of 583 patients who were admitted to the emergency ward of Shahid Beheshti hospital due to accidents. Data were extracted from the medical records of patients admitted to the emergency ward of the hospital during the calendar year March, 2011 to March, 2012. The data were then analyzed using SPSS 19.

Among the 583 patients admitted to the emergency ward due to accidents, 396 (68%) were male and 187 (32%) were female, with a mean age of 28 years (25 - 55 years). 257 patients (44.1%) were admitted to the emergency ward from 6 pm to 12 pm and Wednesday with 97 cases (17.7%). Only 176 patients (31.2%) used insurance services during hospitalization. The most common causes of accidents leading to admission were traffic accidents (66.4%), falls and collisions (29.06%), and fights (2.17%). The average hospital fee was 630,253 rails.

The findings of the present study show that patients 24 - 44 years of age were the most likely to experience accidents such as traffic accidents, falls, and fights which inflict irreversible damage on communities and families and cause financial and mental suffering due to the loss of man power. Most of these accidents could be prevented by improvements in public training, driver’s education, modification of areas where accidents frequently occur, and enforcement of safety measures.

Since hospitalized patients intubated in the intensive care unit are not able to discharge secretions and require periodic suctioning and require periodic suctioning that is associated with different adverse effects, this study aimed to compare the effects of open endotracheal suction with two catheter sizes of 12 and 14 on the levels of pain and discharge in patients admitted to intensive care.
In this clinical trial, 36 patients in one group underwent suction with catheters of two sizes, 12 and 14. Pain level in the first to third episodes, was assessed based on the CPOT criteria. The secretions output after the suctioning was collected in wing container and weighed on scales. Data were analyzed using paired t-test and analysis of variance.
In this study, pain during suctioning in the third episode, had the highest score, which was significantly different between large and small catheters (p=0.000). The secretion drainage after suctioning by large catheter was more and significantly statistically different (p=0.000).
Based on the findings of this study, in patients with high pulmonary secretions, larger suction catheter is recommended to facilitate the discharge, but on the other hand, due to feeling pain caused by large catheter, use of small catheter is recommended for better control of intracranial pressure and pain levels.

Ethics in dealing with patients is among the factors determining the quality of services. considering the moral nature of nursing and the ongoing, the nurses’ decision type and ethical behavior can be followed with various negative and positive results. Given the importance of ethics, this study was conducted in 2014 aiming to determine the ethical lapses of nurses.
In this cross-sectional study,the investigation population were all the nurses who worked in the Shahid Beheshti hospital of Yasuj.The data collecting tool is a researcher made questionnaire which contain demographic characteristics­ and ethical Errors included 16 questions.Then the data were analyzed by using SPSS version 19 software.
The results revealed that 59.63% of nurses committed moral lapses, among which Non-compliance with administrative ethics of care with 168 cases (34/49%) and lack of obtaining consent from the patient when required with 61 cases (12.50%) were the most frequent lapses and prescription of prohibited drugs with reporting no case, were the least frequent lapses.
The patient’ righteous expectation from the staff providing health care services is to provide them with high quality services while observing moral standards and ethics. According to the study results, obviously, the relevant authorities must put their best effort to monitor the nurses’ ethical standards and increase the staff awareness in this regard.

Thalassemia is an inherited autosomal recessive anemia caused by structural variations or abnormalities in globin chain synthesis. The screening of thalassemia in marriage candidates is a suitable opportunity for prevention and control of this disease. Regarding hematologic indices variations in above-mentioned patients, this study was conducted to compare the hematological indices variations in types of Thalassemia in marriage candidate patients in Kohgiluye & Boyerahmad province in 1392.
In this cross-sectional study, the results of the genetic analysis by GAP-PCR method and hematological indices including MCV, MCH, HGA2 and RBC of 111 thalassemic marriage candidates who referred to health centers, along with their demographic data was analysed with descriptive statistics and inferential statistics Anova and pirson"s correlation, by SPSS 17 software.
Alpha thalassemia (78/4 percent), non-alpha-beta thalassemia (9 percent) and beta thalassemia (8.1 percent) were the most frequent types, respectively. The average of hematological indices were 2/77 ± 0/75, 75/62 ± 5/58, 23/87 ± 2/40 5/61 ± 0/62 for HbA2, MCV, MCH and RBC, respectively. Alpha thalassemia patients showed higher MCV average in comparison to beta thalassemia cases. The difference of average of MCV between patients with alpha-thalassemia and patients with non-alpha/beta was not statistically significant. MCV average in Beta thalassemia was not different with both Alpha thalassemia and non-alpha/beta thalassemia. MCH and HgA2 difference between different thalassemia types was matched with MCV but RBC average difference was not significant for any types of thalassemia. There was a direct significant correlation between MCV and MCH for all types of thalassemia. MCV and MCH indices averages have inversely correlated with RBC In patients with alpha thalassemia (p =0/01).
Ddifference of average of blood parameters including MCV, MCH and HgA2 between beta thalassemia cases with alpha, non-alpha-beta thalassemia patients with beta thalassemia cases, and beta thalassemia with both alpha and non-alpha-beta thalassemia can be used as a predictive marker for clinical diagnosis types of thalassemia among Kohgiluye and Boyerahmad province patients.

Most urinary tract infections (UTI) are caused by Escherichia coli. Integrons have an important role in distributing antibiotic resistance genes among bacteria.. The aim of this study was to investigate the presence of class 1, 2 and 3 integrons and their association with antibiotic resistance in E. coli isolated from patient with UTI in Yasuj, Iran..Patients and In this cross-sectional study a total of 200 E. coli were collected from 1820 patients diagnosed with UTI that had been referred to two clinical laboratories between February 2013 and November 2014 in Yasuj city, southwest of Iran. Susceptibility of isolates to 11 different antibiotics was determined by the disk agar diffusion method. multiplex-polymerase chain reaction (PCR) was used for detection of class 1, 2 and 3 integrons. The data were analyzed using the SPSS software (version 16) and the chi-square test. A P value of < 0.05 was considered statistically significant.. The highest rate of resistance was observed toward cephalothin (99%) and amoxicillin (76%) while only two (1%) isolates showed resistance to imipenem. Overall, 79% of isolates were multi drug resistant (MDR). Class 1 and 2 integrons were detected in 104 (52%) and 5 (2.5%) isolates respectively, while none of the isolates were positive for class 3 integrons. A significant association was observed between the presence of integrons and resistance to co-trimoxazole, nalidixic acid, ciprofloxacin, amoxicillin, ceftazidime and tetracycline (P < 0.05).. High MDR isolates of E. coli were observed in this study. The significant association between class 1 integrons and resistance to ciprofloxacin, nalidixic acid, co-trimoxazole, amoxicillin, ceftazidime and tetracycline showed that class 1 integrons have an important role in resistance to these antibiotics in this region..