yaghoob hassan
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انسان، در دوران سلامت و بیماری، دارای حقوقی است. پژوهش حاضر، در سال 1396، با هدف بررسی میزان آگاهی دانشجویان پرستاری و مامایی از حقوق بیمار، در بیمارستانهای آموزشی دانشگاههای علوم پزشکی ایران، انجام شد. این مطالعه به روش مقطعیتوصیفی، با شیوهی نمونهگیری در دسترس، صورت گرفت. اطلاعات، با کمک پرسشنامهای سهقسمتی و پژوهشگرساخت، جمعآوری شد که شامل اطلاعات دموگرافیک، پرسشنامهی آگاهی از منشور حقوق بیمار و راهکارهای مقابله با خلا اطلاعاتی دانشجویان از حقوق بیمار، میشد. از آزمون منویتنی و اسپیرمن برای تحلیل دادهها استفاده گردید. 1219 نفر دانشجوی مقطع کارشناسی، در این پژوهش شرکت کردند. متوسط نمرهی آگاهی دانشجویان از منشور حقوق بیمار، 45/4 ±54/13 از 29 بود. 1007 نفر (61/82 درصد)، آموزش دریافتشده در زمینهی حقوق بیمار را موثر نمیدانستند. بین نمرهی آگاهی از حقوق بیمار با کسب اطلاع از حقوق او قبل از کارآموزی و کارورزی (0.461=r) و کسب اطلاع ازطریق استاد (0.512=r) همبستگی مستقیم و با خودآموزی (0.151 - =r) و سایر روشهای کسب اطلاعات (0.067 - = r) همبستگی معکوس وجود داشت. با توجه به اینکه بیشتر دانشجویان، محتوای آموزشی دریافتشده در زمینهی حقوق بیمار را موثر نمیدانستند، میتوان چنین نتیجه گرفت که این روشها کارآمد نبوده و نتوانستهاند اطلاعات درست را انتقال دهند؛ بنابراین، پیشنهاد میشود در برنامهی آموزشی حقوق بیمار برای دانشجویان پرستاران و مامایی، تجدیدنظر شود.
کلید واژگان: آگاهی, اخلاق, پرستار, حقوق بیمار, دانشجو, ماماHuman is spiritual dimensions that has legal status in health and disease. The purpose of this study was to evaluate the knowledge of nursing and midwifery students about patient rights in Iran Universities of Medical Sciences teaching hospitals’ in 2017. This study was a descriptive cross-sectional study in 2017 with convenience sampling method. Data was collected by a three-part questionnaire including demographic information, Knowledge about the Patient Rights Charter, and strategies for student information to deal with patient rights. Mann-Whitney and Spearman tests were used for data analysis. A total of 1219 undergraduate students participated in this study. The mean score of students' awareness of the Patient Rights Charter was 13.54±4.45 out of 29 points. 1007 students (82.61%) reported that education about patient right was sufficient. Direct correlation was between patient knowledge awareness score with pre-internship training (r = 0.461) and learning from instructor information (r = 0.512) and there was a negative correlation between self-education (r = -0.151) and other methods of information acquisition (r = -0.067). Given that most students did not consider the educational content taught in the field of patient rights to be effective, it can be concluded that these methods were ineffective and failed to convey the correct information. Therefore, revising of the Patient Rights Curriculum for Nursing and Midwifery students is recommended
Keywords: Awareness, Ethics, Nurse, Patient Rights, Student, Midwifery -
BackgroundThe purpose of this study was to compare the effects of saffron and methylprednisolone on bleomycin-induced pulmonary fibrosis in rats.MethodsThis study was conducted in Bushehr, southern Iran in 2017.The animals were divided into four groups of five rats each. Three groups were injected with a single intratracheal dose of bleomycin (5 mg/kg). The fourth group was administered with normal saline at the same volume (200 µl). Saffron extract dissolved in water was given to one group (100 mg /body weight) orally while intraperitoneal injection of methylprednisolone (2.5 mg/kg) injected to another one for 16 days. The rats were sacrificed 28 days following surgery and their right and left lungs were removed and washed for measuring lung indices, myeloperoxidase activities and finally histopathological examination.ResultsInjection of bleomycin caused decrement of body weight aggravated by intraperitoneal methylprednisolone treatment. Lung indices were increased in the bleomycin-treated group compared with the control, while methylprednisolone, unlike saffron, had no preventive effects on it. Both saffron and methylprednisolone treatment prevented the increase in lung myeloperoxidase as a destructive enzyme. In addition, excessive collagen deposition and thickening of alveolar septa were significantly prevented with saffron treatment as compared to methylprednisolone injection following hematoxylin and eosin staining.ConclusionSaffron with established antioxidant properties could prevent some detrimental effects in bleomycin-induced pulmonary fibrosis even more than methylprednisolone injection known as a standard therapy in this murine model. More investigations must be carried out to examine the beneficial or harmful effects of this remedy.Keywords: Fibrosis, Lung, Methylprednisolone, Saffron
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BackgroundWe investigated the hemodynamic changes (Inotropic, chronotropic and arrhythmogenic) in intravenously envenomed anesthetized rats with Hemiscorpius lepturus venom. The neutralizing potencies of different drugs and commercial antivenom were assessed simultaneously.MethodsDifferent doses of the crude venom (100, 200 and 400μg/rat) were injected during five minutes via the femoral vein and cardiovascular changes were recorded in rats in Razi Institute Corporation, Karaj, Iran in 2017. The drugs (Atropine, lidocaine, propranolol and prazosin) were injected before the venom for determination of the counteracting effects. Different volumes (100, 500 and 1000µl) of the antivenom were pre envenomed to neutralize cardiovascular changes.ResultsTemporary hypertension and bradycardia with no arrhythmogenic effects were depicted within twenty minutes. There was a difference in arterial pressure between the venom (400μg/rat) and the vehicle at 8 minutes (114.68±5.1mmHg versus 70.2±4.3mmHg). Elevation of the mean arterial pressure was inhibited by propranolol (2 mg/kg) and neutralized by prazosin (1mg/kg) while lidocaine (4mg/kg) and atropine (1mg/kg) had no effects. Premedication with Iranian commercial antivenom (1000μl) produced surprisingly temporary hypertension compared to the vehicle (140.84±4.5 versus 84.3±3.2). It had no neutralizing properties on blood pressure variation before the venom injection. Volume-expanded hypertension phenomenon was ruled out in a parallel study.ConclusionThis venom has vasoconstrictive effects in rats probably due to the presence of norepinephrine like materials in its content or liberated from adrenal gland inhibited by prazosin premedication. The neutralizing effects of antivenom on venom-induced hypertension are questionable.Keywords: Hemiscorpius lepturus, Vasoconstriction, Polyvalent antivenom
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BackgroundBleomycin-induced lung fibrosis has been accepted as an animal model for fibrosis in rats. The aim of this study was to evaluate the effects of saffron aqueous extract on this disorder paving the way for more investigation in treating idiopathic pulmonary fibrosis in human.MethodsMale Wistar rats (250300 gr) were instilled a single dose of bleomycin (5 mg/kg) via intratracheal tube (n=6) in 2015. Sham group received normal saline. Saffron aqueous extract (50 mg/kg and 100 mg/kg) were given orally in two different treated groups with bleomycin for 28 days. Lung Indices was calculated at the end of this experiment. Lung segments fixed in 10% formaldehyde were used for pathological preparation with Hematoxylin & Eosin and trichrome staining.ResultsThe body weight was decreased and lung Indices increased in bleomycin group (PConclusionThis study introduces saffron as novel anti-fibrotic agent against bleomycin-induced fibrosis due to histological examinations and preventive effects on destructive enzyme release in rats.Keywords: Bleomycin, Fibrosis, Rat, Saffron
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