فهرست مطالب rajai. n

Kidney failure and hemodialysis affect all aspects of these patients’ lives. Pharmacological and non-pharmacological methods are used to control the disease and alleviate its complications. One of these non-pharmacological methods is exercise. The aim of this study was to investigate the effects of exercise activities on hemodialysis patients.

In this review study, articles published between 1390-1400 (2011-2021) were reviewed. In order to obtain relevant scientific documents, electronic search in both Persian and English using the Persian and English keywords Hemodialysis, exercise, physical exercise, non-pharmacological interventions in Databases SID, Magiran, IranMedex, Pubmed, Science Direct, Elsevier, ProQuest and Google Scholar and a total of 905 articles were found. 35 articles were extracted from them. Inclusion criteria included originality, writing in Persian and English, and compliance with the purpose of the study, and exclusion criteria included not having access to the full version of the article.

Studies have shown that different types of exercise such as strength training, resistance training, aerobic and anaerobic exercise, Otago, Tai Chi, Hatayoga and physical activity such as walking can improve quality of life, sleep quality, adequate dialysis and reduce fatigue, depression Anxiety and serum wastes are effective and are useful in controlling the disease.

Discussion and Conclusion:

According to the results of studies and the effectiveness of using various types of exercise, exercise and movement exercises in improving the adequacy of hemodialysis and quality of life and quality of sleep and reducing anxiety and fatigue in hemodialysis patients, it is recommended to help these patients Use this non-pharmacological intervention.

Moral sensitivity is the ability to evaluate the responses and feelings of others as well as the knowledge of how to act properly in a particular situation. Ethical sensitivity is the first step in making moral decisions. Therefore, it is necessary to identify the influential factors to increase the moral judgment of nurses. The purpose of this study is to investigate the factors affecting moral sensitivity.

This research is a narrative review study that were conducted by searching the articles in the SID information database, Iran Medex, Google scholar, PubMed, and Scopus. Articles were reviewed between 2000 and 2021. The keywords used in this study were Moral Sensitivity, Nurses, in Persian and English language. A total number of 33 articles were included in this study and reviewed. Finally 16 articles were thoughtfully evaluated.

The most important factors affecting nurses’ moral sensitivity include different types of intelligence including moral intelligence and individual intelligence, teaching the principles of professional ethics to nurses and the professional workplace of nurses. Demographic factors such as age, gender and education were demonstrated to be effective in some cases and some of the studies indicated demographic factors does not have relationship with moral sensitivity.

Discussion and Conclusion:

Considering that, moral sensitivity is the first step for moral decision-making and its distorting factors cause moral distress to nurses, identifying the affecting factors is necessary to increase the moral judgment of nurses. Health authorities should also apply the necessary measures to increase the moral sensitivity of nurses, such as continuous training and improving the status of nurses in stressful environments.

Preparation for dealing with human crises has various aspects and one of the most important of which is the readiness to face military crises. Having a fast rescue boat can be very important and decisive. There is always the concern that if a relief vessel is to be purchased, what characteristics should it have to be able to keep up with the combat and to be properly present in unexpected maritime accidents.

In today’s asymmetric wars, it is very important to have comprehensive information about the aid vessels available in the country. This study aimed to compare the existing relief vessels in the country according to the climatic conditions of the Persian Gulf and naval missions.

Library information and the following databases includingSID, Google Scholar, Iran Medex, PubMed, and Web of Sciences were searched using the keywords including “rescue”, “naval ambulance”, and “emergency”, and “equivalent”. Their English Relief and Rescue, Marine ambulance Emergency, was performed between 2010 and 2020.

The results showed that the lifeboat has more facilities in terms of features such as safety and crew comfort than the 115th floating ambulance and rescue ambulance.

Considering the possibility of military clashes on the waterways of the Persian Gulf, due to the special situation of the region, in most cases, military and law enforcement forces are sent to the crisis point. In this regard, none of these relief media will be carried out unless a proper and efficient relief and transfer chain is established, which will be the first equipment loop of this route, standard, specialized, and fast relief vessels. In the field of relief equipment in the field of naval health, it is recommended to provide a suitable “naval ambulance” in line with the war.

The proper way of caring for heart patients, especially patients with angina, are as much as is necessary to know if it can save a person’s life. For this reason, educational planners are seeking new educational methods for the progress of nurses. In this study, the role of clinical education in changing the knowledge, attitude and skills of nurses in the care of patients with angina pectoris has been investigated.

In this narrative review, in 2005 to 2019, For achieving its goals several articles with keywords, Clinical Education, Angina pectoris, Nurse, Knowledge, Lecture, Practice and Attitude, in Internet resources and databases Google Scholar, Elsevier, SID, PubMed, Scopus, Iran Medex and library resources And Iranian publications in the field of Nursing Education were Selected and reviewed And the articles that are more relevant to the subject of study and its objectives, were used.

Effective learning in education is more than just the result of the correct training, which is achieved in an appropriate environment through creative methods. Therefore, proper and effective teaching methods should be used to improve the quality of education. Evidence suggests that the use of clinical education approach has a significant role in increasing the knowledge, attitude and practical skills of nurses and it can be said that it is preferable to traditional methods of education.

Discussion and Conclusion:

The importance of applying innovative and creative educational methods, including clinical education, has been confirmed in various studies. Although lecture and clinical education has a positive effect on the knowledge, attitude and practice of emergency department nurses, the effectiveness of clinical education is more durable and more effective than lecture. Studies are recommended to compare the effectiveness of traditional and modern educational methods.

Pain control and maintaining the function of the remaining member of wound healing accelerates from primary goals in amputee care. Amputation or limb abnormalities is a kind of restorative surgery that is performed by removing part of the body and usually one organ, and is aimed at relieving symptoms, improving function, saving a person’s life or improving the quality of his life. Traumatic amputations usually damage a combat. Soldiers have reported that one of the types of injuries, which are one of the most troublesome emotional damage, is traumatic amputations.

The present study is an overview article, which was searched widely in the SID, Magiran, and Google Scholar websites and from various sources of libraries and scientific sites during the years 2001 to 2014 by searching for amputation keywords Nursing care, trauma and management are used.

It is estimated that 83, 000 amputations occur in the United States every year. Eighty percent of the victims are men between the ages of 15 and 40. Car accidents are the most common cause (51%), followed by industrial accidents (19%) and agricultural incidents (10%). In civil emergency medical services (EMS), initial assessment of air, respiratory, and circulatory (ABC) routes is prioritized. Military care indicates that a combat incident is more likely to die from bleeding than airway problems. Priorities from “ABC to” CAB are the first priority to prevent life-threatening bleeding. Therefore, the first letter “C” in the military system reflects “catastrophic”.

In order to care for patients with traumatic amputations, we need to know how to care for the detached body, to maintain the health of the injured person, his fear and his spiritual needs. There are a number of considerations in determining whether a reconnect of a detached body is possible. A key is the mechanism of damage. To succeed, a successful link between nursing care and management is first and foremost, Therefore, it is suggested that research into amputee care education should be done in different ways such as holding workshops or role-based instruction or other educational methods for health and medical personnel, and in particular EMS, and, if successful, Being used correctly in educational centers.

Changes in the health system have led to significant improvements in health technology in recent years and this also improves the quality of health services and the use of intelligent systems in the health system, especially artificial intelligence systems, is becoming more and more important. Therefore, the health system staff should choose strategies to increase their ability to use intelligent systems in the health system and to solve their challenges. The purpose of this study is to investigate the challenges and strategies for implementing intelligent systems in the health system.

The present study was a systematic overview with a comprehensive search of web sites, validated journals, SIDs, PubMed, Scopus, Google Scholar search engine and related books in this area. Basic approaches to the implementation of intelligent systems Especially the expert system and artificial neural network were presented in the health system. To search the English input language and key words, the Health system, Intelligence, Electronic health records, Challenges and solutions, and their combination, were used and the time range from 1998 to 2015 was considered for the selection of articles. The articles were about 120 articles, of which about 97 articles were included in the study, and then these articles were evaluated in terms of title, abstract and full text. After removing repetitive and unrelated, about 22 articles related to Research was selected.

Using the knowledge and knowledge of specialists when designing intelligent health systems and the familiarity of IT professionals with health issues and health challenges, which will help with interdisciplinary courses. The deficiencies in the country's communications infrastructure, including lack of coverage and Internet access at certain speeds in some parts of the country, are among the other challenges that the Ministry of Communications and Information Technology, as the developer of communications infrastructure development, is required to provide the appropriate communication infrastructure to the health system. Other challenges include the limited technology and cost of the system.
 

Intelligent health system has many potential. But successful implementation of intelligent systems in the health system, in addition to paying attention to the principles needed for any other intelligent system, including the consideration of organizational, managerial, economic, and technical factors, also requires the items mentioned in this article, which is required by the field activists Health in the implementation of these systems.il.com

Schizophrenia is one of the most severe chronic diseases in psychiatry. The person with this disease receives the highest level of family care. The diversity and severity of family care roles in schizophrenic patients can create a lot of psychological burden in family caregivers and disrupt family functioning. The purpose of this study is to status of psychological burden and the role of family careers in patients with schizophrenia.

This study is a review article that was searched in electronic and paper sources for year 1990-2017 in SID, Magiran, and Google Scholar, Science Direct and PubMed databases. The key words of schizophrenia, family careers, psychological burden, function, mental patients was used.

The caring pressure for families of schizophrenic patients causes disorders of family relationships, restrictions on social activities, work and recreation, financial problems and physical problems, anxiety, depression, poor quality of life, violent behavior with patients. Studies have shown that these families have poorly functioning, so that the coherence and consistency of the family of these patients and the understanding of their members of their own will also lead to problems. The families of these patients are less capable of solving the problem, performing tasks and roles to meet the emotional and economic needs, verbal and nonverbal communication, and emotional response.

Discussion and Conclusion:

Psychiatric team can help the vulnerable population by providing emotional and psychological care through the role of the teacher. Family therapy interventions will help the patient's relatives to change their attitude towards the disease, its signs and symptoms, and to alleviate stress and psychological stress, and provide them with mental health.

Shaken baby syndrome is the most severe form of physical abuse in infancy and the most frequent unnatural cause of death. More than two-thirds of all fatal cases of child abuse occur at this age. Over 90% of all intracranial injuries during infancy are due to abuse. This study aims at investigating definition, prevalence, risk factors, clinical symptoms and diagnosis of shaken baby syndrome.

This study is a review article conducted based on on the data available in credible databases of the years 2000-2011.

Shaken baby syndrome encompasses a set of symptoms resulting from shaking the baby. This syndrome occurs when caregivers shake a crying baby strongly forward and backward by holding him/her at the trunk or arms. shaken baby syndrome can occur at any age but due to having big head, heavy brain and weakness in muscles of the neck, babies are more susceptible to it. Children who have been under severe shakes show such symptoms as irritability, weakness, sickness, vomiting, convulsion, lack of consciousness, apnea, or death, while those of weaker shakes show non-specific symptoms similar to viral diseases, infection and malnutrition. Shaken baby syndrome is diagnosed based on triple symptoms including encephalopathy and subdural and retinal hemorrhage. These children experience various consequences ranging from healthy look to permanent disability including mental retardation, developmental delays, paralysis, epilepsy, visual and hearing deficiency and personality disorders. Discussion and

Although prevalent, shaken baby syndrome is completely preventable. Such prevention is achievable through different ways including protecting child against misbehavior of caregivers, providing parents with information regarding legal rights of their children and training health caregivers, physicians, nurses, social workers as well as parents on reasons and dangers resulting from shaken baby syndrome.