zahra raisi

Due to the spread of the new coronavirus disease 2019 (COVID-19), the amount of physical activity and exercise in people’s lifestyles was greatly reduced to reduce interpersonal contact to control the infection. The current study aimed to investigate students’ physical fitness levels during the quarantine period of COVID-19, and the study examined its changes after four months of training at home.

This quasi-experimental study was done on thirty-two students (16 males and 16 females) in Shahrekord University, Iran during 2019-21. Physical fitness (swimming, Sit-ups, jumping rope, and flexibility) was measured and compared three times before the start of the Coronavirus, one year after the beginning of the Coronavirus, and after four months of exercise at home.

COVID-19 leads to a decrease in the level of physical fitness in the post-exam phase compared to the pre-exam phase. Due to the restrictions related to the quarantine period, students’ physical fitness levels showed a significant reduction in the post-corona period compared to the pre-corona period. In addition, four months of training at home showed a significant effect on physical fitness indicators, compared to the time of quarantine, in such a way that the average of physical fitness factors increased significantly (P<0.05). Therefore, growing measures are needed to motivate and support students to maintain a conscious level of physical fitness to avoid any threat to the population’s health, especially in quarantine conditions.

The quarantine period during the outbreak of COVID-19 caused a decrease in the physical fitness of the studied students, and performing four-month exercises at home increased their physical fitness.

Nurse prescription is a relatively new and developing subject, with many critics and advocates worldwide. However, it is expanding rapidly and is being implemented in many countries. In Iran, nurses are not allowed to prescribe. No significant action has been taken in this regard. In Iran, nurse prescribing requires preparing the ground and providing the necessary conditions. The current study aimed to examine nurse prescribing worldwide and its possible challenges in Iran.This study is a narrative review of the English and Persian articles published in 2022 on nurse prescription in Iran and worldwide. We collected data by searching the international databases of PubMed, Science Direct, and Scopus, and the local databases of SID, Magiran, and Iran Medex for the keywords “nurse prescribing”, “nurse prescription”, “prescribing factors”, “prescribing effect”, “prescribing facilitation”, “prescribing barriers”, “prescribing benefits”, “prescriptions”, “medication and nursing”, “independent nurse prescribing”, “supplementary nurse prescribing”, “independent prescribing”, “nurse prescriber”, “prescribing”, and the possible combinations. We retrieved all related articles published between 2010 and the end of 2022.A total of 32 case studies were reviewed in this study. The results showed that nurse prescribing occurs globally in one of three forms: independent, supplementary, and patient group protocols. In Iran, nurse prescribing is prohibited, necessitating social support and assistance in policy-making, planning, and nursing education.Due to the unprepared environment in Iran, it is vital to provide assistance for prescribing. Numerous factors play a role in implementing nurse prescribing in Iran, so it is necessary to use the successful experience of countries that have been pioneers in this domain. It is suggested that health officials and those engaged take steps to teach prescribing nurses at the postgraduate and doctoral levels, or create a new discipline of nurse prescription.

Context: 

One of the common procedures in the neonatal intensive care unit (NICU) is the insertion of a venous catheter, and one of the most important and serious complications is extravasation, which is a leading cause of death in hospitalized infants. Based on the researcher’s experience in the NICU and the necessity of extravasation injury management in infants, this review study focused on extravasation injury management in infants.

The literature was searched in ProQuest, Scopus, and PubMed databases using the terms “extravasation” OR “vascular leakage” OR “Peripheral Infiltration” AND “Neonatal” OR “Newborn” OR “Infants” OR “NICU.” The search procedure was performed in the title, abstract, and full text of articles published in English from 2000 to 2022.

In the initial search, 3414 articles were extracted. After removing the duplicates and searching the titles and abstracts of the articles, 132 related articles were found, and their full texts were studied. Finally, 20 articles entered the final analysis stage. Nine case report studies, five case series studies, three clinical trials, and three retrospective review studies were found. The results showed that various treatment methods are available, including elevating limbs, pain relief, hot and cold compresses, flush-out technique with saline, dressings (hydrocolloid, hydrogel, and hydrocellular foam), medications (2% nitroglycerin ointment and subcutaneous administration of hyaluronidase and phentolamine), and new methods such as amniotic membranes, omega-3-rich fish skin (Kerecis), active leptospermum honey (ALH), PRP, and surgical removal.

Despite many medical advances, there is still no specific approach to managing extravasation in infants. The ideal approach to extravasation injuries is still to prevent them initially. The best next step is to minimize the damage using antidotes or hyaluronidase. Using saline to remove the solution and physically minimize damage can be useful. Thus, more studies are needed to address extravasation management in infants.

Context: 

This study aimed to provide an overview of cardiopulmonary-cerebral resuscitation (CPCR) training methods for nurses in Iran and introduce some innovations in using training methods to improve nurses’ knowledge and skills in clinical settings. Cardiac arrest is one of the most common causes of death worldwide. Evidence shows that despite the support for improving and treating cardiac arrest in recent years, the overall survival rate after it is still low. Thus, an awareness of the latest CPCR methods is vital for nursing staff. To this end, nurses’ knowledge and skills can be promoted using effective training interventions and techniques.

Evidence Acquisition: 

In this review study, the English keywords; education, training, cardiopulmonary-cerebral resuscitation, nurses, knowledge, skill, and performance, and their equivalent Persian terms were searched in articles published from 2010 to 2020 in Iranian and international databases including Google Scholar, SID, IranMedex, Magiran, PubMed, Ensani.ir, and CINAHL. A total of 21 articles were identified. After removing duplicate articles and the studies conducted in Iran, ten articles were selected for the final review.

In recent years, different conventional and modern training techniques have been used to teach cardiopulmonary resuscitation (CPR) to nurses in Iran to improve one or two areas of learning (knowledge and performance). The combined use of these training methods can enhance nurses’ knowledge, skills, and satisfaction with CPR training.

There are many conventional and modern methods for teaching clinical skills. Thus, the most effective methods should be used to teach CPCR to nurses. To this end, educational officials and managers should use integrated training methods to improve nurses’ CPCR skills.

Nowadays, the tourism industry has a principal impact as the largest service industry in the world and plays a key role in improving the socio-cultural and economic structure of countries. Investigating the literature of development, indicates that the improvement of rural social welfare is a function of various phenomena, such as tourism activity. The present study, investigates the relationship between the dimensions of rural tourism development and the quality of social welfare of rural residents of Koohrang city in Chaharmahal and Bakhtiari province. The research method is descriptive and comparative causal, including a sample size of 616 people which have been chosen by stratified sampling method. The data obtained from this study have been analyzed using descriptive and inferential statistics. The structural validity of the questionnaire was performed by factor analysis and KMO test and its reliability was determined by Cronbach's alpha test (0.72). The calculation process in this investigation is based on the structural equation method, SPSS and AMOS software. The outcomes showed a significant relevance between the dimensions of tourism development and social welfare and the regression values ​​of the structural model indicate that the functional dimension of rural tourism development has the most effect (ß = 0.64) and the service dimension (ß = 0.07) has the least influence on social welfare.

Decreased levels of physical activity (PA) during the coronavirus disease 2019 (COVID-19) pandemic can cause physical and psychological problems for individuals. Therefore, the aim of this study was to investigate the relationship between PA, body image, and eating disorders (EDs) during the COVID-19 pandemic among high school girls in Farsan, Iran.  This was a descriptive-analytical cross-sectional study, and the research population included female high school students from Farsan, Iran, who were studying in 2019-2020. In this regard, 535 high school girls (age: 15.95 ± 1.42, weight: 53.07 ± 10.01, BMI: 20.14 ± 3.48) were selected based on cluster-random sampling to participate in the study. Multidimensional Body Self-relation Questionnaire (MBSRQ), Baecke’s Physical Activity Questionnaire, and the Eating Disorder Diagnostic Scale (EDDS) were used to collect data, and Pearson correlation coefficients were administered to establish statistical relationships.  The results indicated significant positive correlations between body image and PA levels (r = 0.304, P = 0.001). However, no significant correlations were observed between body image and anorexia nervosa (AN) (r = -0.035, P = 0.424), bulimia nervosa (BN) (r = -0.033, P = 0.446), and binge ED (r = -0.041, P = 0.339). Likewise, no relationships were observed between PA and AN (r = 0.084, P = 0.052), BN (r = 0.073, P = 0.092), as well as binge ED (r = 0.071, P = 0.099).  During the COVID-19 pandemic, PA was positively associated with body image but not with EDs. Based on the obtained results, it can be concluded that PA improved body image in adolescent girls during the COVID-19 pandemic.

Adipokine Adipsin is one of the important adipose tissue proteins and has a beneficial role in maintaining beta cell function. The aim of this study was to examine the effect of 12-week rhythmic combined training on plasma adipsin levels and insulin resistance in Multiple Sclerosis Patients (MS) women.

In this semi-experimental study, 96 female patients with MS were selected on the basis of disability levels and divided into three groups, low disability (n=44), moderate disability (n=26) and sever disability (n=26). Training program include 12 weeks combined training, three sessions per week and 45 to 60 minute for each session. Resting levels of Adipsin and Insulin Resistance were measured 24 h before and 48 h after training programs

The findings showed that after 12 weeks of combine training, plasma adipsin levels in low disability group significantly decrease (p=0.002). Also, 12 weeks of combined exercise significantly decreased insulin resistance in the low and severe disability group, but no significant decrease in the group with moderate disability.

Therefore, combine training induce changes in weight, body fat percentage, BMI and waist circumference, lipids profile and decrease the plasma adipsin level in MS women

Chronic back pain is one of the problems that most people sufferfrom it. This disease directly affects on walking parameters. Changes in walking parameters increase the amount of pain in these individuals.Accordingly, the aim of this study was to investigate the types of therapeutic interventions on walking parameters in these individuals.

By searching for articles related to kinetics, kinematics and therapeutic exercises on patients with chronic low back pain in validated databases, based on the research criteria, 83 articles were selected as final papers for this overview study.

A review of the studies has shown that a types of physical exercises were effective in improving pain and walking parameters in this disease. But there was a significant difference between the types of physical exercises on land and exercises in water.

Water exercises due to its unique characteristics, such as bloating, immersion and resistance, are a safe and proper environment for these patients to perform therapeutic exercises and improve the walking parameters.

The ankle is a very vulnerable area of the body and is prone to a number of musculoskeletal injuries and conditions. The aim of this study was to investigate the effect of 6 weeks of proprioception training on dynamic balance and lower extremity function among basketball players with chronic ankle sprain.
30 basketball players with chronic ankle sprains were selected and randomly divided into two groups: experimental group (with six weeks of proprioception training, n=15) and control group (without training, n=15). Functional performance and balance were assessed with the figure-of-8 hop test, side-hop test and biodex balance system. Data analysis was using SPSS Statistics Version 18 and the significance level was 0.05.
The statistical results showed that after proprioception training, the experimental group in dynamic and functional test score improvement but there was no significant difference in the control group.
Because of lateral ankle sprains are often inadequately treated, recurrence of ankle sprains. Due to the complex anatomy and mechanics of the ankle joint and pathophysiology associated with chronic ankle sprain, a full and comprehensive rehabilitation of the damage is very important. According to the result of this study, the proprioception exercises for rehabilitation protocol after chronic ankle sprain injury should be done by clinicians.

Little is found in early Shi‘a sources regarding the special deputies of Imam Mahdi during the Minor Occultation. While in various Shi‘a sources various people are referred to as envoys of Imam Mahdi, his four prominent deputies are ‘Uthman ibn Sa‘id ‘Amri, Muhammad ibn ‘Uthman, Husayn ibn Ruh Nowbakhti, and Ali ibn Muhammad Samari. ‘Uthman ibn Sa‘id ‘Amri, who was an agent (wakil) of Imam Hadi and Imam Hasan ‘Askari, was his first deputy in the Minor Occultation, and his deputyship can be corroborated in many ways. After him, Muhammad ibn ‘Uthman was chosen by the Imam as his second deputy. Husayn ibn Ruh Nowbakhti, an influential figure of his time, served as the Imam’s third deputy for about 21 years. Finally, ‘Uthman ibn Sa‘id ‘Amri was the last deputy, who in the Imam’s famous letter to him declared the start of the Major Occultation.