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جستجوی مقالات مرتبط با کلیدواژه « directed tissue donation » در نشریات گروه « پزشکی »

  • شیوا گوهرشاهی، علی اکبر سلیمانیان *، احمد حیدرنیا
    زمینه و هدف

    امروزه با توسعه علم پزشکی، مشکل ناباروری زوجین برطرف شده است؛ اما این مساله، چالش‌هایی را نیز به همراه داشته است. در این ارتباط، مطالعه حاضر با هدف تبیین چالش‌های روان‌شناختی مردان نابارور متقاضی درمان‌های جایگزین ناباروری انجام شد.

    روش بررسی

    طرح پژوهش حاضر از نوع پدیدارشناسی بوده و روش آن کیفی می‌باشد. جامعه هدف شامل: نه نفر از مردان نابارور متقاضی درمان‌های جایگزین ناباروری بود که به روش نمونه‌گیری هدفمند و ملاک‌محور با حداکثر تنوع تا رسیدن به اغنا انتخاب شدند. سپس داده‌ها با استفاده از روش مصاحبه نیمه‌ساختاریافته جمع‌آوری گشته و با استفاده از روش دیکلمن (Dickelman) کدگذاری و تحلیل گردیدند. فرایند کدگذاری در قالب کدهای اولیه، مفاهیم و مقوله‌ها مورد تحلیل قرار گرفت.

    یافته‌ها

     براساس یافته‌ها، چالش‌های روان‌شناختی مردان نابارور متقاضی درمان‌های جایگزین کمک باروری شامل: چهار درونمایه اصلی (چالش‌های پیش‌آیندی، چالش‌های فرایندی، چالش‌های زمینه‌ای و چالش‌های پس‌آیندی) و 13 درونمایه فرعی (مشکل در تصمیم‌گیری و پذیرش درمان، چالش‌های مرتبط با زندگی عاری از فرزند، چالش‌های فکری و احساسی زوجین در مسیر درمان، چالش‌های تاثیرگذار بر زندگی مشترک، نگرانی‌های مرتبط با جریان درمان، چالش‌های مربوط به کنش‌ها و واکنش‌های خانواده و اطرافیان، نگرانی از عدم پذیرش فرهنگی و اجتماعی و دغدغه‌های شرعی و نگرانی ناشی از احتمال بروز نقایص جسمی، ذهنی و رفتاری کودک و چالش‌های مرتبط با ایفای نقش والدی) می‌باشد.

    نتیجه‌گیری

    به طور کلی، مرور مقوله‌ها و مفاهیم به دست آمده از این پژوهش و جمع‌بندی آن‌ها به خوبی می‌تواند دغدغه‌ها و دشواری‌های تجربه شده توسط مردان نابارور را نمایان سازد و تصویر شفافی از مشکلات آن‌ها را در اختیار متخصصان و مسیولان قرار دهد.

    کلید واژگان: اهدای مستقیم بافت, ناباروری مردان, روان شناسی}
    Shiva Goharshahi, Ali Akbar Soleimanian *, Ahmad Heydarnia
    Background and Objectives

    Nowadays, with the development of medical science, the coupleschr('39') infertility problem has been resolved; however, this issue has presented some challenges. This study was conducted to explain the psychological challenges of infertile men seeking alternative infertility treatments.

    Methods

    This qualitative research with phenomenological design (n=9) was carried out on infertile males seeking alternative infertility treatments. The subjects were selected using purposive and criterion sampling methods with maximum variation until reaching saturation. The necessary data were collected through a semi-structured interview method and coded and analyzed using the Dickelman method. The coding process was analyzed in the form of primary codes, concepts, and categories.

    Results

    Based on the findings, the psychological challenges of infertile men seeking alternative reproductive therapies included 4 main themes (precedent challenges, process challenges, contextual challenges, and approaching challenges) and 13 sub-themes (problems in decision-making and acceptance of treatment, challenges related to childless life, intellectual and emotional challenges of couples through the treatment, challenges affecting marital life, concerns related to the course of treatment, challenges related to the actions and reactions of family and relatives, concerns about cultural and social rejection and religious issues, concerns due to the possibility of physical, mental, and behavioral defects of the child, and challenges related to the parental role).

    Conclusion

    In general, reviewing the categories and concepts obtained from this study and summarizing them could well reveal the concerns and difficulties experienced by infertile males and provide a clear picture of their problems to experts and authorities.

    Keywords: Directed tissue donation, Male infertility, Psychological}
  • B. Sah, A. Ayer, Bn Yadav, S. Jha, Sk Yadav
    Background
    Currently, the Nepalese law permits organ donation by an individual who falls into the category of a “close relative” of the recipient. There is a need for expansion of the live organ donor pool beside close relatives. Different systems of organ transplantation are followed by several countries and the professional opinions that underpin these systems need to be studied.
    Objective
    To generate a questionnaire related to different organ transplant systems and validate it so that it can be used to collect mass professional opinions.
    Methods
    Item generation, item reduction, item scaling, and pretesting were used to develop a questionnaire. The final version of the questionnaire was reviewed by experts for its content validity and then was used twice for participants at a 20-day interval to calculate Cronbach’s alpha for testing its internal consistency and Intra-class correlation for testing its test and retest reliability.
    Results
    The questionnaire was found to be valid and reliable with an overall Cronbach’s alpha of 0.701. Intra-class correlation scores for each question in both test and retest were correlated.
    Conclusion
    A valid and reliable questionnaire was developed that can be used to collect mass professional opinions to assist policy makers to establish a better organ transplant system.
    Keywords: Tissue, organ procurement, Directed tissue donation, Organ transplantation, Surveys, questionnaires, Reproducibility of results}
  • K. Chakradhar*, D. Doshi, B. Srikanth Reddy, S. Kulkarni, M. Padma Reddy, S. Sruthi Reddy
    Background
    Of the overall 9.5 million deaths annually in India, nearly 100,000 are due to organ failure. To save and extend lives, organ donation and organ transplantation have become the only hope. Health care professionals (HCPs) are a key element in facilitating cadaveric organ donation process.
    Objective
    To assess and compare the knowledge, attitude, and practice regarding organ donation among undergraduate dental students.
    Methods
    A cross-sectional study was conducted among 298 undergraduate dental students of the Panineeya Institute of Dental Sciences and Hospital, Hyderabad, India. A 27-item self-administered questionnaire, which assessed the levels of knowledge (Q1–13), positive attitude (Q14–24) and practice habits (Q25–27) regarding organ donation with dichotomous scale (Yes/No).
    Results
    As compared to males, females reported better mean±SD scores in knowledge (8.22±1.51) and practice (0.91±0.8); higher mean±SD attitude scores (8.55±1.56) were reported among males (p<0.001). While second year dental students had higher scores for their knowledge (8.55±1.56) and practice (1.02±0.44) compared to other year of training, third year students showed a significant higher mean attitude score (1.73±1.17) (p=0.02). Hindus and Muslims scored significantly lower mean knowledge, attitude and practice habits compared to others (Christians, Jains and Athesists) (p<0.001). There was a positive correlation between mean knowledge, attitude, and practice habits.
    Conclusion
    There are an average level of knowledge and low levels of positive attitude and practice habits among studied dental students towards organ donation and transplantation.
    Keywords: Tissue, organ procurement, Directed tissue donation, Organ transplantation, Students, dental, India, Health personnel, Knowledge, Attitude}
  • Mahboob Pouraghaei, Mohammad Tagizadieh, Ali Tagizadieh, Payman Moharamzadeh, Samaneh Esfahanian, Kavous Shahsavari Nia
    Introduction
    Organ donation is one of the surviving procedures which can increase the life expectancy of end-stage patients. Inappropriate beliefs and attitude of individuals to organ donation, their poor knowledge, and the socio-economic level are one of the most important barriers for organ donation. Therefore, here knowledge and attitude levels among relatives of trauma patients regarding organ donation were evaluated.
    Methods
    This cross-sectional study was done on relatives of trauma patients referred to the emergency department of Sina Hospital, Tabriz, Iran, through 2013 to 2014. The questionnaire included parts of demographic data and socio-economic situations as well as status of knowledge and attitude regarding organ donation. A score between 0-7 was belonged to each person based on his/her level of knowledge. Attitude level had a score between 0-12. Chi- square, Fisher, and Mann–Whitney U test were performed to assess the relation between demographic variables and the level of knowledge and attitude. P<0.05 was considered as a significant level.
    Results
    79 persons (57.1% male) with the mean age of 31.3±11.3 years were evaluated. 57 (73.1%) of subjects agreed with organ transplant. The main causes of disagreement among relatives regarding organ donation were dissatisfaction of the donor''s relatives (25%) and religious issues (15%). 49 (62.02%) studied people had inappropriate attitude and 27 (34.2%) ones had good knowledge. male gender (OR=5.87; 95%CI: 3.32-8.42; p=0.001) and self-employed job (OR=7.78; 95%CI: 4.64-10.92; p=0.001) are independent factors associated with poor knowledge about organ donation. Self-employed job (OR=3.86; 95%CI: 1.41-6.11; p=0.009) and poor knowledge (OR=15.3; 95%CI: 9.03-21.57; p<0.001) were related to inappropriate attitude toward organ donation.
    Conclusion
    The present study showed that 73.1% of participants agreed with organ donation. The major causes of disagreements were dissatisfaction of other relatives and religious beliefs. 62.0% of the studied people had positive view regarding organ donation and 34.2% of them well-informed about. The most important causative factors for poor knowledge in this context were male gender and self-employed occupation. In addition, poor knowledge and self-employed job were two factors associated with inappropriate attitude toward organ donation.
    Keywords: Organ transplantation, knowledge, attitude, tissue donors, directed tissue donation}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
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