اداره بهداشت، امداد و درمان نزاجا
Nurse and Physician Within War
2645-3940
8
29
2020
12
1
Evaluation of the effect of manganese oxide nanoparticles on Toxoplasma gondii in vitro
6
13
FA
Ali
Dalir Ghaffari
Amir
KarimiPourSaryazdi
Pooya
tavakoli
Mohammad
Barati
Yeganeh
KarimiPourSaryazdi
Introduction: Pyrimethamine and sulfadiazine are selective medications for toxoplasmosis, but some side effects hinder their consumption. Increasing the use of nanoparticles in biological studies and showing the beneficial effects of manganese nanoparticles on fungi and bacteria, as well as the lack of sufficient knowledge on its anti-Toxoplasma impacts, was the motivation for the design of this study. Manganese can provoke cell apoptosis by increasing the activation of the FRXO3a-Bim/PUMA mRNA and caspase-3 pathway. The objective of this study was to investigate the efficacy of manganese oxide nanoparticles (Mn2O3 NPs) against Toxoplasma gondii (T. gondii) in vitro.
Methods: To assess the anti-Toxoplasma activity of Mn2O3 NPs, the light microscopic observation was applied to evaluate the number of residual parasites in each well. Then, the MTT method was used to specify the toxic effect of Mn2O3 NPs on T. gondii toxicity. Finally, the potential apoptosis of T. gondii by Mn2O3 NPs was investigated by flow cytometry assay
Result: The IC50 value of Mn2O3 NPs against T. gondii tachyzoite was 105 μg/ml. There was also no significant toxic effect of Mn2O3 NPs on macrophages due to the high percentage of surviving macrophages at the desired concentration for treatment. The findings of the flow cytometry revealed that about 40% of tachyzoites were caused to apoptosis with Mn2O3 NPs.
Conclusion: Mn2O3 NPs have a beneficial effect on T. gondii tachyzoite in vitro and could be regarded as a candidate for the treatment of this infection.
اداره بهداشت، امداد و درمان نزاجا
Nurse and Physician Within War
2645-3940
8
29
2020
12
1
Investigating the awareness of managers of army hospitals in Tehran regarding the principles of passive defense.
14
21
FA
Introduction: Risk management is the process of adopting policies and guidelines for accepting, identifying, evaluating, controlling, minimizing or reducing the assessed risks and selecting and implementing appropriate options. The aim of this study was to evaluate the clinical risk management in selected military hospitals in Tehran.
Methods: The present study is descriptive in terms of purpose and its method is descriptive based on the data collection method, the data of which were collected with the standard NHS QIS questionnaire. The statistical population is the members of the crisis committee and the clinical governance team, metrons, supervisors and head nurses of selected army hospitals in Tehran. Among the army hospitals in Tehran, selected hospitals (Khanevade, 502, Besat, Hajar) were randomly selected, the sample size in each hospital was selected by census of 120 people. All statistical calculations and analyzes in this study were performed using SPSS software version 18 and One Sample T-test and Pearson correlation coefficient.
Results: Data analysis showed that all clinical risk variables (existence of risk management approach, alignment of organizational management goals, attention to risk management when making decisions, risk identification and evaluation, evaluation of the effectiveness of risk management framework, use of management experiences Risk, operational planning prioritization, risk management, and adequacy of risk assessment) are above average in selected military hospitals and are confirmed at an error level of less than 5%. According to the results, the highest mean score is related to the identification variable of evaluating the effectiveness of the risk management framework with an average score of 4.76 and the lowest is the variable of prioritization of risk management operational programs with an average of 4.35.
Conclusion: Establishing a system to support risk management in the hospital is essential for its proper functioning. In order to do this, regular clinical risk management monitoring is required to consider the possibility of accepting evolving and dynamic risks.
Keywords: Hospital, Clinical Risk Management, Army
اداره بهداشت، امداد و درمان نزاجا
Nurse and Physician Within War
2645-3940
8
29
2020
12
1
tudy of fluoroquinolones consumption pattern in patients admitted to Imam Reza hospital from march to september 2018
22
31
FA
Reza
Tolouei alanagh
Ajaums.ac.ir
Farshad
Nojoomi
Ajaums.ac.ir
Seyed Reza
Abtahi
Ajaums.ac.ir
Iraj
Mirzaii Dizgah
Ajaums.ac.ir
Ali
Asgari
Ajaums.ac.ir
Mohammad
Darvishi
Ajaums.ac.ir
Abstract Introduction: Fluoroquinolones are among the most common types of antibiotics used in hospitalized patients. Accordingly, in this study, we examined the pattern of use of fluoroquinolones in hospitalized patients. Methods: In this descriptive cross-sectional study, 300 patients underwent fluoroquinolones who were hospitalized in Tehran's Imam Reza Hospital from April to October 2016, and the consumption pattern was based on available files. Fluoroquinolones were determined in them. Results: In this study, the possible types of infections including pneumonia, gastroenteritis, urinary tract infections and other infections were 27, 34, 21 and 18%, respectively. Percentages of ciprofloxacin and levofloxacin, both at 67, 31, and 2%, were prescribed. Fluoroquinolones at 26% 750 mg daily, 6% 500 mg daily, 38% 500 mg twice daily, 3% 250 mg twice daily, 11% 400 mg twice daily, 13% 200 mg twice daily The day and 3% were prescribed four times a day. Conclusion: In general, based on the findings of this study, it is concluded that the pattern of consumption of fluoroquinolones in the study community has few problems that can be solved by providing the necessary training to physicians in the form of training sessions or pamphlets and etc.
اداره بهداشت، امداد و درمان نزاجا
Nurse and Physician Within War
2645-3940
8
29
2020
12
1
The effect of face to face education on anxiety of patients undergoing surgery
32
39
FA
fariba
hatami
Army Medical Officer
azam
hajibeglo
Medical Officer
sodabe
aloustani
Faculty of Nursing, Aliabad School of Nursing
bahar
hajibeglo
Introduction: Nowadays, one of the types of treatment for patients is surgery, which is a stressful experience and causes psychological reactions such as anxiety. Failure to control can negatively affect the outcome of the patient's physical activity and condition. The aim of this study was to evaluate the effect of education on patients undergoing surgery.
Materials and Methods: In this experimental study, 84 patients who were candidates for surgery were randomly divided into two groups of 42 patients (test and control).
All patients completed demographic questionnaire and STAI (State-Trait Anxiety Inventory) questionnaire on admission day. Then in the experimental group, patients were given face to face training the day before surgery. Before the surgery, the Spielberger questionnaire was completed again by the patients. The collected data were analyzed by SPSS software.
Results: Pre-intervention anxiety in the experimental and control groups were (91.83 ± 4.71) and (92.52 ± 5.58), respectively, which was not statistically significant (p = 0.552). But after intervention the mean anxiety in the experimental and control groups were (87.55 ± 3.63) and (93.17 ± 8.66), respectively, which was statistically different (P <0.001) ).
Conclusion: According to the results, it is suggested to provide necessary fields for training of patients undergoing surgery which can be effective in improving the status of patients.
اداره بهداشت، امداد و درمان نزاجا
Nurse and Physician Within War
2645-3940
8
29
2020
12
1
The survey of preparedness and performance of a military hospital against earthquake disaster
40
47
FA
Hossein
Manssouri
ground force of IR army
Saeedeh Sadat
Mousavi
master of science
Introduction: according to geographic situations and prior experiences, supervene disasters are serious treats for Iran that can be dangerous for health of many people. Hospitals must carry out missions with maximum of their effectiveness and productivity in the event of an incident. This study has done to evaluate readiness and performance of a military hospital in Kermanshah earthquake in 2017.
Materials and method: This descriptive study has done in a short time after an earthquake by a hospital disaster management checklist. Data categorized in groups and analyzed with 17th version of SPSS software.
Result: According to evidences total preparedness of hospital was on 46.8%. Safety and security criteria with 70.7% is on the top level and less level is related to communication and connection with 25% of preparedness and performance.
Conclusion: Weakness and strength is related to military mission and structure of this hospital. By focus on function of triage and emergency unites and improving disaster management we can increase preparedness of hospital.
اداره بهداشت، امداد و درمان نزاجا
Nurse and Physician Within War
2645-3940
8
29
2020
12
1
Survey of volunteers in Kermanshah earthquake (Azgeleh - Sarpol-e Zahab); Challenges and opportunities.
48
53
FA
simin Taj
Sharififar
Shariati Street, Kay Street, Faculty of Nursing, Army
Saeed
Nazari
Shariati Street, Kay Street, Faculty of Nursing, Army
Zeinab
Danialipour
Shariati Street, Kay Street, Faculty of Nursing, Army
Introduction The main purpose of this study is to examine the challenges of volunteers as part of the crisis response team for earthquake relief and relief; It also clarifies the skills and abilities required of volunteers. Therefore, it informs the people and relief organizations about the necessary preparations for voluntary participation in crisis situations.
Methods: Qualitative data collection method was used in this study. Data were collected using semi-structured interviews. Purposeful sampling method was used to select the interviewees. Individual interviews were conducted. Data were transcribed and recorded. To evaluate and interpret the data, thematic content analysis with a deductive approach was used.
Findings: This report explains how to manage volunteers and its challenges in the Kermanshah earthquake. This report summarizes the results of the field visit and review from the time of the accident until 6 days after the accident. According to the planning, doctrine and its implementation, in order to identify the challenges and provide recommendations for improvement and proper organization and based on principles to be used in response to future events and disasters..
Conclusion: The findings of this study indicate that the importance of preparation in the pre-crisis stages for achievement of goals, which is the same, organizing self-help volunteers for more effective victimization, should be considered.
اداره بهداشت، امداد و درمان نزاجا
Nurse and Physician Within War
2645-3940
8
29
2020
12
1
Evaluation of culture conditions of Donalilla salina on its antioxidant content
54
65
FA
Alireza
Dolatyari
Orang
Eyvazzadeh
Donalilla algae, especially Donalila salina, is one of the most studied algae cultivars for mass cultivation of Donalila as a food source. Methods: Culture medium conditions with salinity (1, 3 and 5 M), light intensity (35, 127.5 and 220 μmol) and nitrogen source (200, 500 and 800 mmol / l) on the level of antioxidant activity (DPPH) Donalilla salina was optimized. Therefore, 15 treatments were designed according to the Bonken box response level method in 16 minitabs. Results: The results showed that different culture conditions (salinity, light intensity and nitrogen content) had a significant effect on the amount of antioxidants in Donalilla salina so that the amount of antioxidants decreased significantly with increasing nitrogen in algae culture medium. And increased significantly with increasing salinity and light and varied in the range of DPPH 18.02 to DPPH 20.95. Conclusion: The highest level of antioxidants (20.79% of DPPH) can be achieved by creating optimal conditions of light irradiation of 165 micromol photons, salinity of 3.34 M and nitrate concentration of 375.75 macromol per liter.
اداره بهداشت، امداد و درمان نزاجا
Nurse and Physician Within War
2645-3940
8
29
2020
12
1
Hair and Nail Matrices in Mercury Bio-monitoring for Public Hygiene, a comparative study
66
73
FA
Vahid
Aghadadashi
Homayon
Maleki
Saeideh
Molaei
Introduction: Mercury is the most toxic element in the environment and human communities are mainly exposing with its toxic effects via marine foods and amalgam fillings. Efficiency comparison of non-invasive matrices (Hair and Nails) for Hg exposure in mercury monitoring programs was the research head.
Materials & Methods: Head hairs as well as finger and toenails were obtained from 40 students of TarbiatModares University. Total mercury determination was done by Advanced Mercury Analyzer 254, LECO (USA). The results were reported as Mean(SE) ng g-dw.
Results: Occipital and frontal hairs, finger and toenails had 644(48), 662(48), 565(70) and 375(39) ng g-dw, respectively. Head hairs showed the least Coefficient of variation meanwhile hand nails showed the most. A significant positive correlation among whole bio-monitors barring fingernails were observed. Although, Total Hg level was the least in toenail matrix, but its mercury concentration showed a significant positive correlation with all other matrices and had the median Coefficient of variation, comparing with hairs and fingernails.
Discussion: According to the study results, toenail beside of scalp hairs were more reliable in mercury bio-monitoring. Total mercury in fingernail is not an approvable biomarker to monitor the public hygiene.
اداره بهداشت، امداد و درمان نزاجا
Nurse and Physician Within War
2645-3940
8
29
2020
12
1
Developing Human Resources Empowerment Model in the Nursing Practice: A Qualitative Study
74
82
FA
SeyedMohamad
Mirzadeh
AJA
Asghar
Asgharzadeh
AJA
Introduction: Nurses play a key role in the quality of care and health promotion and are a major source of work for the hospital. Therefore, in this study different processes and proponents of human resource empowerment in nursing profession are discussed.
Methods: The present study was a qualitative research using the content analysis method in 2019. The statistical population consisted of professors of Urmia University of Medical Sciences. For this purpose, 17 participants were studied through purposeful sampling and in-depth interviews. Data were collected, recorded and then coded using MAXQDA software and categorized into axial codes.
Results: Findings from coding, open, central and survey showed that empowerment of human resources in the nursing profession was obtained from structural, contextual and behavioral factors during content analysis.
Conclusion: During the Delphi meeting with experts, structural and contextual factors were identified as drivers of behavioral empowerment in the nursing profession.