مجله دانشگاه علوم پزشکی گیلان
پیاپی 112 (زمستان 1398)

Given the high prevalence of stroke, it seems necessary to investigate and identify the factors that increase morbidity and mortality following stroke. Among these factors are mental disorders after stroke which lead to increased morbidity and mortality, independently of other risk factors and the severity of the disease.

To investigate the frequency of depression and anxiety symptoms after stroke and its related factors.

The present study is a descriptive cross-sectional one performed on 155 patients referred to neurologic outpatient clinics, Rasht. All patients had been diagnosed with stroke for 6 months. The conventional sampling method was used. All patients were asked to complete the demographic questionnaire, Mini Mental State Examination, Hospital Anxiety and Depression Scale, and Functional Independence Measurement Scale. SPSS-22 software was used for data analysis.

Results showed that 50% of patients had anxiety and 46% had depression. The type of stroke had a significant relationship with depression and anxiety (P= 0.05). Also, there was a significant relationship between brain involvement and cognitive status with anxiety and depression symptoms (P= 0.05) and the most frequent site of brain involvement was left.

Considering the high prevalence of depression and anxiety following stroke, timely diagnosis and treatment of such disorders can enhance the recovery process of corresponding patients, their quality of life, and their family.

Breast cancer is the most common cancer among women. Even though mastectomy is known as a highly effective method to treat breast cancer, the percentage of patients with local recurrence is still high.

To determine the incidence of local recurrence after mastectomy and breast preservation surgery.

Patients with breast cancer that underwent mastectomy and breast preservation treatment between 2006-2015 in the hospitals affiliated to Babol University of Medical Sciences were enrolled inthe study. The required information including patient's age, stage of cancer, lymph node involvement, tumor size, type of tumor and tumor grade and local recurrence were entered into the checklist.

A total of 100 patients undergoing mastectomy and breast preservation treatment were studied. This was a cohort study and the patients were tracked for an average of 43.2 months, of which 6% involved local recurrence. In this study, the type of breast cancer was found to havea significant correlation with local recurrence. No relationship was found between other variables such as age, tumor size, tumor grade, and lymph node involvement.

It can be suggestedthat local recurrence of breast cancer after treatment is an important event and the presence of risk factors, such as breast cancer type, requires more precise surgical techniques and more reliable tracking methods.

In different studies worldwide, gender ratios derived from ICSI (Assisted reproductive techniques) have been reported differently.

Evaluation of neonatal gender in ICSI women referred to Mehr Infertility Research Center of Rasht.

In this descriptive-analytical study, the cases of infertile women referred to Mehr Infertility Research Center in Rasht for ICSI were examined to determine the sex ratio of the neonates. Data were analyzed using SPSS 21 and descriptive and an alytical (Chi-square and independent t) tests.

The results showed that 52% of single-born neonates, 60% of multiple pregnancies (single sex) and 52.5% of multiple pregnancy (two sexes) were male.

The ratio of male in single and multiple pregnancies in ICSI was higher than female.

Abstract

The ability to record the value of human assets in a financial statement is one of the requirements of modern human resource management.

Design a model for estimating the value of human assets using a non-monetary valuation approach in Guilan University of Medical Sciences and prioritizing its indicators.

The research method was combination type. Dimensions and components that affect the assessment of human asset value were extracted from library studies and research background. Semi-structured interviews with 45 teachers and senior managers of the university were done by Purposeful Judgment (theoretical) sampling. Qualitative analysis of interview data was performed by content analysis method and categorization of indices with open and axial and selected coding. Distributing the questionnaire and collecting the comments of 376 university staff and conducting exploratory and confirmatory factor and hierarchical analysis were carried out.

A model of assessment human asset value was presented with 5 dimensions including: ability dimension with knowledge, leadership, skill, innovation components and performance dimension with the components of productivity, participation, commitment and potential dimension with education, talent components and attitude dimension with humility, organizational commitment, honesty, job satisfaction, balance of work and life, organizational identity components, organizational climate dimension with technological readiness, organizational culture, and human resource priorities components.

The results showed that the components of honesty, leadership, priority of human resources, individual productivity and ability dimension among the five dimensions had the highest priority in the sample.

The growth and expansion of the Internet has changed the way information is accessed and many facilities have been created on the Web to facilitate and expedite information locating.

To identify the impact of keyword documentation using the medical thesaurus on the retrieval of articles from Proquest and Science Direct databases.

The present study was conducted in a semi experimental manner. In order to measure the relevance of the search results, the use of free language keywords and documented keywords with the medical thesaurus was reviewed and evaluated by students of Guilan University of Medical Sciences and researchers.

The level of information retrieved for free language keywords was with a value of 56.86 and more than standardized keywords with a value of 39.50 in the ProQuest database. The amount of information retrieved for free language keywords is 41.81 and above the standardized keywords with 39.69 in the Science Database. The comprehensiveness of the retrieved information for free language keywords is 34.79 and higher than standardized keywords with a value of 10.31 in the Proquest database. The comprehensiveness of information retrieved for free language keywords is 26.55 and more than standardized keywords with a value of 75.55 in the Science Database. Based on the results, the significance level of the test for both Proquest and Science Direct Directory databases is 0.403 and 0.548, respectively, according to the free and standardized language in Proquest and Science directories databases, respectively.

Documentation of the keywords in the ProQuest database did not have a significant effect on the accuracy of information retrieved. It was also the case for Science Direct Database. Documentation of the keywords in the ProQuest database had no significant effect on the comprehensiveness of the retrieved information. Documentation of the keywords in ProQuestand Science Direct Directory had no effect on the retrieval rate of the articles, either.

Authentic Leadership is a model of leadership behavior that has positive psychological capabilities and can enhance job performance. The psychological and social capitals are also new concepts that are rooted in positive organizational behavior and can provide organizations with a sustainable competitive advantage.

The purpose of this study was investigating the relationship between authentic leadership and job performance of Guilan University of Medical Sciences Staff (Rasht city)and explaining the mediating role of psychological and social capitals.

The research is an applied and descriptive-correlative type. The population of the study consisted of the staffof the Guilan University of Medical Sciences (Rasht city), including those in the administrative and financial departments (265), physicians (238), and other health sector activists (343). The sampling method was classified sampling. Data collection tools were the standard questionnaire. The reliability of the questionnaire was estimated at 0.779 for Cronbach's alpha and its validity was verified by content validity and with the opinion of the experts. In order to analyze the collected data, structural equation modeling based on partial least squares approach was used by Smart PLS3 software.

The results showed that authentic leadership due to the psychological capital and social capital had a significant effect on the job performance of the staff of Guilan University of Medical Sciences (Rasht city), and the mediating role of psychological capital in the administrative and financial departments, doctors and other health care staff, respectively (0.91), (0.121) and (0.106), and at a meaningful level higher than + 1.96, that explains the effect of authentic leadership on job performance, as well as the mediating role of social capital in the administrative and financial sector, physicians and Other health care staff (0.292), (0.094) and (0,100) respectively, and at a meaningful level higher than +/- 1/96, that explains the effect of authentic leadership on job performance.

In conclusion, authentic leadership through the mediation of psychological capital and social capital has found a stronger status in the Guilan University of Medical Sciences (Rasht city), leading to improved employee's job performance.

Varicella is a highly contagious viral infection with self-limiting presentation, yet, it can be more severe in adults. There is a major risk of transmission between health care workers and patients who are susceptible. This study was done to investigate anti-VZV (varicella zoster virus) antibody among nursing students. The anti-VZV IgG was measured in all nursing students in Nursing and Midwifery School of Langeroud who participated in this cross-sectional study. That is, the antibody was measured in 101 students by ELISA method. Seventy-three (72.3%) students had anti-VZV IgG, 27 students (26.7%) were seronegative and one student had borderline IgG. There are a noticeable proportion of seronegative nursing students who were susceptible to VZV infection. They can develop the infection from other staff and patients in hospital and also transmit it to others, especially immunocompromised patients. Therefore, it is recommended that we screen anti-VZV antibody in nursing students and vaccinate seronegative ones.