نشریه مراقبت امروز
پیاپی 44-45 (پاییز و زمستان 1398)

The Tohfeh of Hakim Momen was the main practiced medical book for nearly three centuries and was widely used in Iran versus the Ibn Sina law, Nafisi, and the Great Karabaddin, and is still widely credited and used by practitioners of traditional medicine. The purpose of this study was to investigate the treatment and prevention of insect and vermin bites from Seyyed Mohammad Momen Tonekaboni's point of view of in his book "Tohfatol-al Momenin".

This is a descriptive study and a case study investigating insect and vermin bite prevention from the fourth diagnosis of the Book of Tohfeh Hakim Momen, from the Medical and Pharmaceutical books of the Safavie era, authored by Mohammad Momen ebn Myrza Mohammad Zaman Hosseini Tonekaboni Deylami.

In Hakim Momen's book, for the treatment and prevention of insect and vermin bites, it is recommended to use the following: Everglades, Boiled Peel and Berries Extract, Berries Egg, Beef Dung, Vinegar, Ephesine, Lemon Leaf, Basil, Lemon juice, zernich (arsenic sulfur), nadir (ammonium chloride) and beef tallow, peppermint, blackberry leaf extract, savory with honey, raw spinach, onion, and fig with walnut and cows oil.

This book is highly valued in the fields of medicine and medicinal herbs. The book can be used for clinical trials especially in the treatment and prevention of insect and animal bites.

Nowadays, libraries are core set oriented towards the customer. Therefore, the quality assessment of the libraries must be performed based on the service delivery process to the users. This research was conducted with the aim of measuring the quality levels of library services in Lorestan University of Medical Sciences using the LibQual standard tool.   In this study, a descriptive survey method was used. The statistical population was all active members of the libraries of Lorestan University of Medical Sciences in the second semester of the academic year of 20017-18. The sample size was 323 persons who were selected by simple random sampling method. The data were collected using the standard self-report LibQual questionnaire and analyzed by independent t-test, variance analysis and Tukey post hoc test.   The most satisfaction of the users, from the three components of LibQual respectively, the information control component with a mean of 15.58 ± -0.18, the service effect component with a mean of 14.53 ± 4.22, the library component to The title of a place was 10.80 ± -0.73. There was a significant difference between the level of receiving services and the minimum of maximum expectations (p <0.001).   Libraries' services meet the minimum expectations of users, but they differ between the existing level and the maximum expected level. The dimension of information control had a higher mean than the other dimensions and the library dimension as a mean had a lower mean than the other dimensions. It is also necessary that the relevant authorities have the necessary effort and planning to optimize the conditions in the libraries of Lorestan University of Medical Sciences, especially in the library dimension.

Malnutrition is a common problem in hospitalized patients. However, research shows that the nutrition department as one of the effective pillars in patients' health in hospitals has been neglected or has played a minor role in the treatment process. The aim of this study was to investigate the level of patients' satisfaction with the nutritional services of Imam Reza Hospital in Mashhad University of Medical Sciences.

This cross-sectional descriptive study was performed on 387 patients who were admitted to Imam Reza (AS) Hospital in Mashhad in November 2017. The sampling method was census. The data collection tool was part of a standardized daily nutrition checklist consisting of four separate questions that assessed the patient's food intake before and after hospitalization, patients' satisfaction and reasons for dissatisfaction with the food services provided in the hospital. Findings were analyzed using descriptive statistics including frequency, mean and standard deviation.

In the study of patients' satisfaction, it was found that a total of 35% of patients were satisfied with the food provided and 25% were dissatisfied, the remaining patients were partially satisfied or failed to comment. Patients admitted to the cardiovascular ward were the most satisfied and oncology patients were the least satisfied with the nutrition ward services. However, in the study of food intake during hospitalization (in comparison to before hospitalization), most of patients in the oncology ward (44.4 %) reported an increase and patients in the cardiovascular ward (85.7 %) reported a decrease in satisfaction.

The conditions in each ward of hospital have a great effect on patients' satisfaction with hospital food. The increased in food intake in the oncology ward during hospitalization showed that informing the patient could reduce the effect of adverse environmental conditions on the amount of eating. The valuable results of this study can be used to improve nutrition screening and to find the causes of patient dissatisfaction.

Responsibility in nursing is broad in scope and guarantees health indicators and improved quality of nursing services. Employee responsibility improves the position of an organization in the area of its business. Identifying the relationship between the personality traits of individuals and observing the ethical principles and norms in the workplace are effective in the efficiency and effectiveness of the organization. One of the most important factors when recruiting employees and promoting their career is their intelligence organization. The purpose of this study was to investigate the effectiveness of emotional intelligence training on nurses' responsibility.   In this semi-experimental study, 30 nurses from Imam Reza Kaboudarahang Hospital, who had the lowest score of intelligence test, were selected and randomly divided into two experimental and control groups. The experimental group received emotional intelligence training intervention for 10 sessions (once a week for 2 hours). Both the experimental and control groups were subjected to pre-teste and post-test by the responsibility questionnaire. The results were analyzed using independent t-test.   The experimental group had better post-test performance than the control group, so that the difference between pre and post test scores was statistically significant in both experimental and control groups (p < 0.05).   The findings suggest that organizations should increase their responsibility by emphasizing the importance of enhancing the emotional intelligence of their employees.

Congenital heart defects are one of the most common congenital anomalies and delay in their diagnosis causes a significant increase in mortality and complications. The aim of this study was to determine the frequency of congenital heart diseases using pulse oximetry in neonates born in hospitals of Golestan University of Medical Sciences.

In this cross-sectional descriptive study, 357 seemingly healthy infants born from June 2016 to September 2017 in hospitals affiliated to Golestan University of Medical Sciences underwent right hand and foot pulse oximetry. If the oxygen saturation level was less than 94% in the baby's right hand and foot, it was checked again one hour later and if the result was repeated, the baby was referred to a specialist for further testing. Correspondingly, neonates who exhibited positive results underwent a follow up 3 months after the primary pulse oximetry test. Findings were divided into descriptive sections (mean, standard deviation and frequency distribution table) and inferential including multivariate regression analysis then they were analyzed. The significance level was 0.05.

Out of 357 neonates, 341 had an oxygen saturation level above 94%. Among the 16 cases who had a blood oxygen saturation less than 94%, 14 cases exhibited an oxygen saturation level above 94% after a second examination. 2 cases had a saturation level of less than 94%. The results showed that from the 357 infantes both the cases that exhibited lower oxygen saturationhad (0.6%) suffered from mild ASD during the study and after the follow-up carried out after 3 months. There was also a significant and direct relationship between maternal non-smoking (P<0.005), absence of maternal heart disease (P<0.005) and maternal family, no history of maternal abortion (P = 0.005) and number of abortions (P = 0.011), Absence of stillbirth (P<0.005) and number of stillbirths (P<0.005) and absence of serious diseases of diabetes, thyroid and hypertension and having other minor diseases (P<0.005) with neonatal oxygen saturation level.

According to the results of the present study, which showed a significant and direct relationship between maternal variables and neonatal blood oxygen saturation, accurate history and clinical examination along with pulse oximetry can be considered as an important tool to identify congenital heart disease in infants.

Candida vaginitis is one of the most common gynecological problems that besides clinical and physical problems can cause psychological trauma especially in chronic, untreated and recurrent cases. This systematic review study was conducted to compare the efficacy of medicinal plants and clotrimazole on the treatment of women with vaginal candidiasis. This study intends to review the effect of randomized controlled trials on the efficacy of herbal product against clotrimazole in the treatment of vaginal candidiasis. In order to identify interventions, Persian and English databases including Scopus, Science Direct, Web of Science, PubMed, Google Scholar, Medline, SID, Irandoc, Iranmedex, and Magiran were evaluated from April 2019 to May 2019. Manual searches in journals, abstracts of conferences, and conferences and dissertations were also conducted manually. The timeframe of the studies was considered between 2005 and the end of May 2019. Studies have been selected that were quantitative, original, and interventional, interventions to treat women with vaginal candidiasis with medicinal plants and clotrimazole as a major component or part of it, studies in Farsi and English, the study was done within the country and full text available. Case studies, short papers, cross-sectional and descriptive analytical studies, letters to the editor, and narrative and systematic review articles were omitted. Findings from a review of 8 clinical trials on 734 women with vaginal candidiasis indicate that herbal remedies are a viable option in the treatment of vaginal candidiasis. Specifically, case plant, coconut oil, and evergreen flowers have better effects, and thyme and dill have similar effects to clotrimazole. Also, the case plant and black seed should be suitable supplements for clotrimazole to treat candidal vaginitis. However, the effects of clotrimazole were better than garlic extract. Overall, the findings of this study indicate that medicinal plants should be given more attention more considered as an alternative or complementary treatment in the treatment of vaginal candidiasis.