The relation between the quality of life and restless legs syndrome in patients undergoing hemodialysisis dialysis centers in ChaharMahal and Bakhtiari, 2011

Aims: The chronic renal failure and the subsequent hemodialysis and its consequent problems such as restless legs syndrome affect the individual’s quality of life through the changes they cause in his life style and health status. The present study was conducted to investigate the association between the quality of life and restless legs syndrome in hemodialysis patients. Materials and Methods: In this descriptive –analytical study, 171patients who were undergoing to hemodialysis at hospitals of ChaharMahal and Bakhtiariprovenanceselected via census sampling. The subjectsdivided into two groups; one suffering from the restless legs syndrome and the other without syndrome. Data was collected using WHO-QOL BREF quality of life questionnaire andrestless legs syndromequestionnaire, then it was analyzed by the software SPSS 15 and independent statistical t-test. Findings: The findings revealed that 98(57.3%) out of 171 hemodialysispatients, who were studied, suffered from restless legs syndrome and 73(%42.7) subjects were without syndrome. The average age in the group suffering the syndrome was 59.27± 16.86 and in the group without syndrome was 55.20±17.95.However thedifferencebetween the average age in both groups was not statistically significant (p= 0.131).The average quality of life in the group suffering the syndrome was 32.82±8.53and in the group without the syndrome was 39± 14.57. This difference was statistically significant (p<0.05). Conclusion: regarding the result of the study, the average quality of life in hemodialysispatients is low. Patients suffering from restless legs syndrome also have lower quality of life. Therefore it is recommended that the quality of life of these patients be improved through taking appropriate measures and presenting requisite interferences

Chemical composition and antifungal effects of three species of Satureja (S. hortensis, S. spicigera, and S. khuzistanica) essential oils on the main pathogens of strawberry fruit

Due to an increasing risk of chemical contamination upon the application of synthetic fungicides to preserve fresh fruits and vegetables, essential oils are gaining increasing attentions. In this research, besides chemical analysis of the essential oils of three Satureja species (S. hortensis, S. spicigera, and S. khuzistanica) by GC-MS, their fungicidal and/or fungistatic effects on postharvest pathogens of strawberry were investigated. Essential oils were extracted by means of hydro-distillation and afterwards GC/MS analysis was performed to identify their components. Carvacrol, γ-terpinene and p-cymene were detected as the repeating main constituents of the spices, while thymol and carvacrol methyl ether were found as major components only in S. spicigera oil. In vitro results showed that at the maximum concentration, the essential oils did not possess fungicidal effects on Aspergillus niger but they exhibited fungicidal activities against Penicillium digitatum, Botrytis cinerea and Rhizopus stolonifer. However, S. khuzistanica was the strongest oil in fungicidal activity. S. hortensis oil was more effective than S. spicigera against B. cinerea whereas S. spicigera oil showed stronger fungicidal activity against R. stolonifer. In conclusion, essential oils isolated from three savory species could be suitable for applications in the food industry to control molds and improve the safety of fruits and vegetables. © 2015 Elsevier B.V

The effect of diet training on variations in blood pressure, weight, and some biochemical factors in hemodialysis patients: a clinical trial

زمینه و هدف: تغذیه درست در میان بیماران همودیالیزی از مهم ترین عوامل افزایش طول عمر و کاهش بستری شدن در بیمارستان می باشد و گفته می شود مداخلات آموزشی در این خصوص بسیار تأثیر گذار است. این پژوهش با هدف بررسی تأثیر آموزش رژیم غذایی بر برخی فاکتورهای اثرگذار در بیماران همودیالیزی مراجعه کننده به بخش همودیالیز بیمارستان هاجر (س) شهرکرد انجام شد. روش بررسی: این مطالعه کارآزمایی بالینی در سال 1390 بر روی 100 نفر از بیماران همودیالیزی که به روش نمونه گیری مبتنی بر هدف انتخاب شده بودند انجام شد. برای بیماران مداخله آموزشی شامل آموزش رژیم غذائی مشتمل بر آموزش چهره به چهره همراه با ارائه جزوه آموزشی در دو جلسه طی یک ماه اجرا گردید. تغییرات وزن، فشار خون، کراتینین و اوره خون بیماران قبل از آموزش، دو هفته بعد ویک ماه بعد از آموزش اندازه گیری و اثر آموزش رژیم غذائی بر فاکتورهای ارزیابی شده قبل و بعد از مداخله مقایسه شد. یافته ها: میانگین سنی بیماران مورد مطالعه 14/15±20/56 سال در محدوده 80-13 سال بود. میانگین وزن بیماران یک ماه بعد از مداخله آموزشی (54/14±66/64 کیلوگرم) نسبت به قبل از مداخله (10/15±50/66 کیلوگرم) کاهش معنی داری نشان داد (002/0=P). میانگین فشار خون سیستولیک و دیاستولیک بیماران قبل از مداخله به ترتیب 12/18±44/152 و 64/7±16/88 میلی متر جیوه و یک ماه بعد از مداخله 08/13±70/128 و 5/7 ±02/79 بود؛ که این کاهش معنی دار گزارش شد (001/0=P). تغییرات میزان کراتینین و اوره خون بیماران، هر دو طی مطالعه کاهش یافت اما تنها میزان کاهش اوره خون معنی دار بود (001/0=P). نتیجه گیری: آموزش رعایت رژیم غذایی مناسب در این مطالعه توانست موجب کاهش وزن بیماران، بهبود سطح فشار خون و تعدیل فاکتورهای بیوشیمیایی خون شود؛ لذا اجرا و تداوم برنامه‌های آموزشی در این خصوص توسط مراقبین بهداشتی ضروری و حائز اهمیت می باشد

Assessment of performance indicators in Hospitals University of Medical Sciences based on the standards of the Ministry of Health

Background and amis: One of the main issues in hospitals, to determine the efficiency and effectiveness of hospital beds are how to exploit it . For this indicator, the introduction of performance indicators are computed and compared with standards of health care services can be paid for hospital assessment activities and capabilities. This study compares the performance standards of medical care Chahar Mahal Va Bakhtiari province's health ministry. Methods: This study is descriptive and analytical and trend study in which data were collected from 498 pcs form 2006 till 2012 has been studied. Results: The tables and charts in this review suggest that the bed occupancy index in comparison with the standard country between 2008 and 2009 unfavorable and 2006. 2007 years, 2010 and 2011 in moderate country. Average index hospitalization days in the period, compared with a national standard was satisfactory (less than 3.5 preferred), three performance indicators examined in this study Turnover is the optimal value of this index in the standard state (less than 2 day), which is desirable in the years 2006 and 2007 years, average 2008 and 2009 years were 2010 and 2011 unfavorable. Conclusions Conclusion The performance indicators of hospitals toward optimal health standards have been average

The Impact of Education, Based on the BASNEF Model, on Maternal Attitudes toward Child Abuse in Shahrekord Health Centers, 2012

Background As childhood is considered to be the infrastructure for growth and progress, experiencing misconduct may leave behind a heritage of imbalance and unrest which may be manifested in any situation in some form of mental disorder (neurotic attack). This problem leads to physical and mental disorder in children and inflicts heavy social and economic damages to the society. This research aims at evaluating the impact of education, based on BASNEF model, on maternal attitude towards child abuse. Methods The current research is based on an interventional study on 95 mothers referred to the Shahrekord health center. They were randomly selected and divided into two groups of test and control, and education was conducted in four sessions based on structures of BASNEF model. Finally their obtained information was analyzed using paired t-test, independent t-test, Mann-Whitney and Chi-square statistical tests. Results The mean score in beliefs was 77.73±7.27, attitudes 87.01±8.1, subjective norms 85.55±8.4 and enabling factors 82.77±10.64 in the test group. There was a significant difference in the average marks of the structures of the BASNEF model (beliefs, attitudes, subjective norms, and enabling factors) between the control and intervention groups after the training process Conclusion Model-based training has a positive effect on improving attitudes; therefore, instead of traditional methods, applying a planned training program is suggested so that its effects can be reliable

Strengths and Weaknesses of Clinical Education from the Viewpoints of Nursing and Midwifery Students in Shahrekord University of Medical Sciences, Shahrekord, Iran

Background and Objectives: The viewpoints of students as basic elements of education, can improve the process of education. Thus this study was designed to detect the Strengths and weaknesses of clinical education from the viewpoints of nursing and midwifery students. Methods: In this cross–sectional study, 150 senior nursing and midwifery students in Shahrekord University of Medical Sciences were asked about the strengths and weaknesses of clinical education using a questionnaire. The questionnaire consisted of three sections including demographic characteristics, and the strengths and weaknesses of clinical education which was prepared based on five areas of the aims and educational programs, contact to students, educational environment, supervision and evaluation. Data analysis was done using t-test and Pearson's correlation coefficients and the value of p<0.05 was considered as significant. Results: The most important strengths points of clinical education included: considering the prerequisite of clinical education (79.7%), clarifying the students tasks (72.5%), on-time presence of trainers (88.7%) and trainees (84.2%), providing opportunities of patient care for students (68.5%), good relationship between educational supervisor and the students (56.5%), students' library use in hospital (62.5%) and taking practical exams at the end of each clinical education (58.5%). failing to ask students' views in planning the training program (84.9%), lack of congruence between the educational aims and personnel expectations (74.6%), stressful conditions for students (76.8%), lack of student support by personnel (85.5%), failing to use teaching aids (91.2%) and lack of supervising in clinical education (69%), were among the most important weaknesses of clinical education. Conclusion: with respect to educational aims and programs and educators, majority of students stated the strengths points more than the weaknesses, while in cases of communication with students, clinical environment, supervision and evaluation, the conditions were not much desirable and the weak points were more than the strong points

Proper consumption of sugary drinks and its association with adolescent girls' knowledge and skill

Background: Changes in the nutritional behaviors from consumption of traditional nutriments to intakes of high energy, concerned in powering the increasing problem in adolescents and children's obesity. The current study intended to evaluate Proper consumption of sugary drinks and its association with adolescent girls' knowledge and skill in Shahr-e-kord city, Iran. Materials and Methods: This was a cross-sectional study carried out on girl's students in Shahr-e-kord city. Using random sampling method and based on sampling size formula, a total of 308 of the girls students were randomly selected from the schools and were registered into the study. Then they received a research-made questionnaire containing questions about the knowledge, skill and Food Frequency Questionnaire (FFQ). The collected data were analyzed using SPSS version 18.0 by ANOVA, and Pearson correlation coefficient. Results: The mean age of the participating adolescent girls was 13.86 ± 1.3 years old. The mean score for knowledge was 36.53 ± 21.87 and the mean score for the skill of preparing and consumption of sugar free drinks was 35.77 ± 24.67. The average amount of daily consumption of sugary drinks among studied adolescent girls was 2.95 glasses. There was a direct significant association between students' knowledge and skill (P = 0.002, r = 0.182), There was also a significant reverse association between adolescents' skill (P = 0. 006 r = -0.228) and knowledge (P = 0. 05 r = -0.322) with consumption of sugary drinks. Conclusion: According to the findings of this study, to increase the consumption of valuable foods and improving adolescents' nutritional habits, more attention should be paid to the health education and promotion and by using effective relevant patterns and theories

The survey of family history of diabetes in patients with type 2 diabetes in Chaharmahal va Bakhteyari province, Iran, 2008

چکیده: زمینه و هدف: دیابت از گروه بیماری های متابولیک و یک اختلال چند عاملی است که با افزایش مزمن قند خون مشخص می شود. از آنجایی که در زمینه اپیدمیولوژی ژنتیک دیابت نوع 2 در کشور ما، مطالعات اندکی انجام شده و هنوز بطور قطعی مشخص نیست که توارث دیابت نوع 2 بیشتر از طرف کدام یک از والدین (پدر یا مادر) به فرزندان منتقل می شود، این مطالعه با هدف بررسی زمینه ژنتیکی بیماران دیابتی نوع 2 استان چهارمحال و بختیاری طراحی و اجرا گردید. روش بررسی: این بررسی یک مطالعه اپیدمیولوژیک از نوع توصیفی-تحلیلی است که جامعه پژوهش آن افراد مبتلا به دیابت نوع 2 در استان چهارمحال و بختیاری در سال 1387 بود. تعداد 254 نفر به روش تصادفی دو مرحله ای انتخاب و مورد بررسی قرار گرفتند. داده ها بوسیله مصاحبه و با تکمیل فرمی، جمع آوری و با نرم افزار STATA9 و آزمون مجذور کا مورد تجزیه و تحلیل قرار گرفت. یافته ها: از254 نفر بررسی شده 150 نفر (59) مونث و 104 نفر(41) مذکر بودند. متوسط سن آنها 6/8±8/54 سال و متوسط مدت زمان ابتلا به دیابت در آنها 8/5±4/7 سال بود. 116 نفر (7/45) از آنها دارای سابقه خانوادگی مثبت دیابت بودند که از این میان، 4/61 مادر دیابتی، 8/19 پدر دیابتی، 9/62 خواهر دیابتی، 1/18 برادر دیابتی، 5/40 دختر دیابتی و 1/18 پسر دیابتی داشتند. سابقه خانوادگی دیابت در مادر بیشتر از پدر، در خواهر بیشتر از برادر و در دختران بیشتر از پسران بود (001/0>P). نتیجه گیری: نسبت شانس ابتلا به دیابت برای کسانی که سابقه خانوادگی مثبت دیابت در مادر دارند بیشتر و مهم تر از پدر بوده و می توان اظهار نمود که به احتمال قوی، توارث دیابت نوع 2 بیشتر از طریق مادر به فرزندان منتقل می شود.

Study of Photocatalytic Behavior of Photochemical Doped TiO2 Nanoparticles with In-V Synthesized by Sol-Gel and Hydrothermal Methods

Indium- vanadium doped with different molar percent (0.05-1%) was prepared by photochemical reduction method on pure TiO2 nanoparticles synthesized by sol –gel and hydrothermal process. XRD, FT-IR, TEM, SEM and EDX analysis were done for characterized nanoparticles and methyl orange (MO) was used as an environmental pollutant to verify photocatalytic effect of synthesized particles under visible and UV lamps. Result of tests was showed that In-V doping restrain from crystal growth, that only hydrothermal TiO2 particles with binary doped 0.2% molar of In-V can improve photocatalytic activity compared to solgel nanoparticles. Pure TiO2 prepared by hydrothermal and sol-gel processes were calcined at 300,400,450,550 ºC for 3h and 500º C for 2h, respectively. When you are citing the document, use the following link http://essuir.sumdu.edu.ua/handle/123456789/3528