Modern Care Journal
Volume:4 Issue: 1, Mar 2007

Emotional intelligence (EI) theory provides view about predicting effective factors in people's life whether in education or profession. Respect to present studies, people who have higher emotional skills are more successful in many of life dimensions including reaction to stress and controlling stress situations. Since students will make the future of society, this study was done to evaluate relationship between emotional intelligence and education stress in the students of BUMS. In this cross sectional study 260 students were selected by proportional sampling from four faculties: medical, nursing and midwifery, premedical and hygiene. Data was collected by two questionnaires: standardized EI sharing (33 questions, 5 domains) and student-life stress inventory (57 questions, 9 domais). Data was analyzed by t-test independent, Pearson correlation, and X2 and regressionlogistic in surface a≤0.05. 65.8% participants were women and 31.1% were Men. Participants were 44.6% in associate diploma level, 31.2% in bachelor and 23.1% in MD. There isnt significant correlation between EI scores and educational stress in students. There is significant relationship between EI with sex (P=0.02) and mean ofEI scores with 3 domains of educational stress: personal's favorites (P=0.004), reaction to stressors (P=0.002) and doing in stressful situations (P=0.00l) respectively. Since EI are very important for mental health and educational success, therefore it is recommended to pay more attention to it in curriculum and trainings for students.

Evaluation of university teachers or academic members is a kind of educational evaluating, which includes determining their rate of success in gaining their own educational goals. The most iniportant reason for student's evaluation of university teachers and insisting on it is to provide academic members with a feedback leading to improving their teaching manner. The present study was accomplished to determine BUMS teacher's points of view regarding their evaluation by the students. In a periodic descriptive study the academic members (60 individuals) of Birjand University of Medical Sciences were studied. Their views were studied through discrete questionnaire whose content validity, after some specialist's polls and introductory study, was approved. Besides, the reliability of the questionnaire was assessed using internal homogeneity and calculating kronbach a coefficient. Kronbach a coefficient was found to be 80%. The data were analyzed through SPSS software presenting frequency and then chi-square (x2) test (P<0.05) was used to compare the frequencies. Of a total 60 academic members (30 majoring in basic sciences and 30 in clinical sciences) 95% were aware of being evaluated by students and 81.7% thought that the university Educational Development Center (EDC) was responsible for evaluation. Also 91.7% of the teachers had received the feedback of their own evaluation. 45% of them absolutely approved of the effectiveness of announcing evaluation grade in improving teaching. 40% believed that filling out the forms by students lacks a sense of responsibility and patience, and 30% thought the job was not done honestly. Regarding that evaluating teacher's teaching method is a process aiming at improving their teaching and promoting it and giving evaluation feedback to teachers can reveal their strengths and weaknesses in teaching. Besides, with respect to the fact that students, more that all educational staff are in touch with teaching process and they are able to offer their views on the nature of teaching, evaluation will often be useful if it is part of a comprehensive teacher evaluating program and if the feedback data have the necessary validity and reliability.

The mortality resulted from complications of hemodialysis has been a great problem throughout the time. Some studies have shown the relation between dialysis buffer solution and the complications. Since such complications have been experienced in Birjand Hemodialysis Center as well, the current study was carried out to determine the relationship of complications during dialysis and the buffer solution used: sodium acetate or sodium carbonate. This descriptive-analytic study was performed on 40 dialysis patients with ESRD who were selected by census method in hemodialysis section of Vali-Asr Hospital, Birjand. They were divided randomly into 2 groups: Group A (under dialysis with sodium acetate) and group B (under dialysis sodium bicarbonate). They were also assessed clinically in terms of complications before, during and after dialysis. Data were analyzed by SPSS and Chi square test. (P<0.05) The majority of patients were in the age category of 56-65 years and female.50%of them had a history of dialysis for less than 6 months as three sessions a week under dialysis. The main causes for dialysis for majority of patients are diabetes (18%) and unknown causes (12%) respectively. The average systolic blood pressure of the patients before, during and after dialysis were 13.2±2.15, 13.85±2.71 and12.61±2.75cm Hg respectively. Associated diastolic pressures were 7.02±1.23, 7.5±1.29 and 7.6±1.67. There was no statistically significant relationship between the type of the solution used and the decrease of diastolic and systolic blood pressure. No (muscle) cramps occurred but the headache (10%), nausea and vomiting (7.5%), hypoxia (22.5%) and chest pain (12.5%) occurrence were not significantly related to the type of the solutions. A decrease in blood pressure by getting to the end of each dialysis session scaled up, proposing the effects of other factors in addition to the type of the solution. Therefore we recommend replacing Acetate by Bicarbonate solutions, if possible, then try to control other factors.

Providing, securing and promotion of newborns health as a vulnerable group are of high specific importance in health services. Considering the importance of neonatal deaths, this study was drawn up to determine the causes of mortality and morbidity and effective factors on neonates hospitalized in NICU of Va Ii e Asr hospital in 2005-2006 This was a descriptive- analytical study which was conducted on 445 neonate hospitalized in NICU of Vali e Asr hospital since April of 2005 to April of 2006. Census was the method of collecting the samples. Data were collected by a questionnaire containing demographic information of neonates, causes of hospitalization, demographic information of neonate's mothers especially those related with their pregnancy period and the method and result of treatment. Data were analyzed by SPSS and chi-square test (P<0.05). 445 neonates with the mean age of 5.3±7.7 were studied overally. The most common reasons of hospitalization were respiratory distress (35.2%), prematurity (27.9%). Prematurity was determined as the most common fmal diagnosis. 43.1% of the neonates were preterm (gestational age less than 37 weeks), 41.8% of them were born by cesarean section method. The mean age of the mothers was 27±6.3 years. 20.7% of the neonates were expired which the most common causes of death were RDS (29.3%), prematurity (25%), and septicemia (13%). Special attention to neonatal period and special care for neonates born by mothers at risk, providing special health education, special care for these mothers and more attention to pregnancy care can play an important role in neonate hospitalization and morbidity reduction.

Cataract is the greatest cause of blindness in the world and it is responsible for half of all blindness. Cataract means any opacity in lens and surgery is the single effective treatment to reduce its blindness at this time. This study was done to assess the epidemiology of patients with Cataract who operated in Vali-Asr and Mehr hospitals 2003- 2004. In this descriptive- analytic study a questionnaire was used about age, sex, location of life, visual acuity, kind of Cataract, systemic and ophthalmic disease. All patients (386) from Aug. until Jan.were studied. 123 (32%) patients were urban and 263 (68%) patients were rural. 6 (1.6%) patients had diabetic Cataract. 200 (52%) patients were men and 186 (48%) patients were women and the study didnt show any relation between sex and Cataract. The most common kind of Cataract in males and females was senile Cataract. Traumatic Cataract was seen in 9 (4.8%) householder women. In male group 151 (75.5%) patients had senile Cataract and 105 (83%) patients were farmer. This study suggests the important role of ultraviolet radiation in human cataractogenesis especially in farmers, and housekeeping considered an effective risk factor in traumatic cataract in women, so it is recommended to study more exactly about relation between nutrition and cataract.

Injuries resulting from needle stick and probable contamination by infectious factors transferring infections through blood such as HCV, HBV, HIV, are important threatening job dangers for health providers. Considering the importance of the issue, the present study was designed and done to defme knowledge and performance of the staff of Imam Reza and Vali-Asr hospitals in Birjand regarding needle stick injuries.

This descriptive-analytical study was carried out on a sample of 59 persons in Vali-Asr and Imam Reza hospitals in 1997. The performance check lists were completed under direct observations of the plan executors, while knowledge questionnaires were filled in by under-study individuals in order to examine the preventative actions in needle stick injuries and also necessary actions after needle stick cases. Data were analyzed by statistic SPSS software using chi square, t test and one way variance analysis (P<0.05).

23.7% of the under-study individuals were men and 76.3% were woman. 13.6% of them had a high school diploma, 22% high school education, 49.2% had a BA degree, 13.3% an Msc degree or higher. The mean for age was 33.4 years and for job history 9.6. On the whole, awareness of the most of the under study individuals was average (66.1 %), while the performance of most of them, regarding under examine criteria, was weak. 36 persons (61%) of the under-study individuals were afflicted at least once with this injury, which 80% of them did not follow-up actions, despite the fact that most of them were aware of the necessary actions after injury resulting from needle stick and believed that they did all-out cautions dealing with all the patients. There were significant relations between the performance of under-study individuals and gender, educations and jobs (P<0.05).

Regarding the high rate of injuries resulting from needle sticks, continuous training and starting care systems and changing the incorrect customs in the curative staff can be useful in reducing the injuries resulting from needle stick and also reducing the probability of acquisition the infectious factor.

According to the approach of continuous changing of the health systems, the increasing progress in nursing knowledge and the gap between theory and practice, the Nursing Education Program needs to be revised. The present study was accomplished to define complementary educational needs from nursing student's point of view.

The descriptive study has been done on all senior nursing students through the census method. A questionnaire was used including demographic characteristics, complementary educational needs, effective factors on the relation between education and improving practice skills, quality of performing the role, satisfaction and motivation. It was evaluated based on the Likert scale. Data were analyzed by descriptive statistics applying SPSS software (P≤0.05).

The sample consisted of 48 nursing students; 66.7% girls and 33.3% boys. In the view of the most students, nurse's educational need in the ground of performing the managerial role was very great, research need was great and protected-protective, curative need was average. In the opinion of 37.5% of the students the degree of application and in the view of 39.6% of them the relation between clinical and theoretical learned matters were average. 41.7% of them believed that wards personnel performance is weak based on today's scientific methods. In the opinion of the most students, the increase of experience and the improvement of cognitional, relational, psychological, motor and emotional skills had an effect on the quality of the nurse performance. 41.7% of them believed that research had a very great influence on the improvement of the nurse performance. 45.8% of them thought of having today's knowledge and contact with the nursing dissemination centers of information as their duty. 35.4% of the students were satisfied averagely with the education of the clinical skills, and 45.8% of them with the theoretical education. The student's educational needs in clinical subjects including: CPR of infants and adults, interpretation of tests, interpretation of ECG, educating emergencies and First aids were very great. Most of the students believed that: 62% performance of the practical training educator, 47.9% performance of the ward personnel, 47.9% standard equipment of the wards, 43.8% applying different educational methods, 29.2% applying the standards had respectively an effect on the relation between the clinical and theoretical learned.

It sounds necessary to change the theoretical and clinical education programs with the purpose of promoting the knowledge and clinical skills. Filling the gap between the theoretical and clinical education is possible only by training the nurses and separating the various nursing fields after passing general nursing course.

Menstruation disorders are among most common in genecology that can cause problems, social and psycho-emotional effects in young girls. Hence this study was designed to evaluate this disorder in this age group of girls and provide appropriate recommendation.

In this descriptive- analytic study 325 students in 12-18 years old were selected by cluster sampling. The questionnaire with 36 questions was used. Students were filled it nearby researchers to give explanation if necessary. Then date were collected, analyzed by X2(P<0.05).

Results show for age groups, girls in 13-14, 15-16 and >17 years were 16.5%,40% and 43.5% respectively. 74% of sample had their first menstruation in 13-15 years old.7.9% had hypo menorrhea, 29.7% had hyper menorrhea and 39.3% experienced dysmenorrheal. With increasing age, frequency of dysmenorrheal increases but there isnt relationship between disorders and age, also with doing exercise, body mass index. There is relationship between mother's educational level with feeling in first menstruation as well if mother's education increases, obtaining information from mother increase. Among sample: 236 said their problems to mother and sisters, 18 stated to friends and 25 said to others. 40 girls said to nobody. Most of girls agreed with establishing a counseling center to provide information.

It is necessary to establish a counseling center in schools to provide information about this phenomenon and its disorders.

Iron-deficiency anemia is seen frequently in children. It's most common cause anemia in infants and children worldwide which can causes classic symptoms and also central nervous system disorders. According to the high prevalence of iron deficiency anemia in neighbor countries and its negative complications which are sometime irremediable, this study was performed to assess prevalence of iron deficiency anemia in 6 years old children in Birjand. This descriptive-analytic cross- sectional study, 300 children were randomly chosen among the children referring to test stations at the time going to elementary schools. After parents agreed, demographic characteristic form was completed. The blood samples were obtained to determine CBC and Ferritin in the laboratory. Data was analyzed by descriptive, t-test and chi-square in the significant level α= 0.05. The results of this study showed that anemia, iron deficiency and iron deficiency anemia in children were 13.3%,28.3% and 10.3%, also the average of Hemoglobin, MCV and MCHC and Ferritin were 12.34, 79.48, 32.68 and 19.19. In this study there were significant difference between the average ofMCV in girls and boys (P=0.02). There were not significant relationships between the frequency of iron deficiency and iron deficiency anemia with sex, and also prevalence of iron deficiency anemia with low weight index. According to the prevalence of iron deficiency in the children and its complications, it is necessary to provide a comprehensive program to prevent the development of anemia and its complications.

Since medical field students play an important role in health-medical system in future, paying attention to their mental health is of great importance in order to increase their motivation and health security. The present study was conducted to determine mental health status of the students of Birjand University of Medical Sciences.

In this analytic descriptive research 500 university students were studied by using SCL-90-R questionnaire. Collected data were analyzed by SPSS and t-test, chi-square test, Pearson correlation (P<0.05).

Research findings showed that 33.3% of investigated university students were entirely in health. The most important psychotic problems of the students were as: psychosis, physical complaints, aggression, anxiety and depression, respectively. T -test showed a significant difference between the means of physical complaints and aggression scores of male and female students.

The results of current study showed that medical field students are predisposed to have tendency to mental disorders due to stresses. So it is required to determine risk factors as well as to plan a stepwise program to reduce them.