Frequency of errors in nursing and associated factors in the cases referred to the Mortality Committee in Shahrekord University of Medical Sciences during 2006-2012

زمینه و هدف: شناسایی خطاهای پرستاری و ارتقاء امنیت بیماران امری حیاتی است. با توجه به اینکه خطا در عرصه ارائه خدمات پرستاری، پدیده ای آسیب رسان و در برخی موارد غیرقابل جبران است، لذا این مطالعه با هدف تعیین فراوانی خطاهای پرستاری و فاکتورهای مرتبط با آن در پرونده های ارجاعی به کمیته مرگ و میر انجام شد. روش بررسی: در این مطالعه توصیفی، کلیه پرونده های ارجاعی به کمیته مرگ و میر استان چهارمحال و بختیاری مورد بررسی قرار گرفت و از پرونده هایی که پرستار به عنوان مقصر شناخته شده بود اطلاعاتی شامل: سن و جنس، نوع بستری، محل ارجاع، بخش بستری و علت بستری بیمار وجنس، سنوات خدمت، بخش محل خدمت، مقطع تحصیلی، شیفت کاری پرستار و نوع خطای مرتکب شده توسط پرستار مورد بررسی قرار گرفت. داده ها با استفاده از آمار توصیفی(فراوانی) و تحلیلی(آزمون دقیق فیشر) مورد تجزیه و تحلیل قرار گرفت. یافته ها: از 400 پرونده های ارجاعی به کمیته مرگ و میر دانشگاه علوم پزشکی شهرکرد از سال 1385 تا نیمه اول سال 1391 حدود 50 خطای پرستاری روی داده که 44 آن ها مربوط به عدم اطلاع به موقع به پزشک و 36 درصد مربوط به مشکلات در ثبت گزارش پرستاری بود. نتیجه گیری: با توجه به اینکه از بین بردن خطاهای کاری به صورت صد در صد امکان پذیر نمی باشد، بنابراین با کاهش حجم کاری، افزایش تعداد پرستار، سیستم نظارتی دقیق و آموزش تا حدودی می توان میزان خطاهای پرستاری را کاهش داد

The relationship between self-esteem and quality of life of patients with idiopathic thrombocytopenic purpura at Isfahan’s Sayed Al-Shohada Hospital, Iran, in 2013

Background: Idiopathic thrombocytopenic purpura (ITP) is a chronic disease which is accompanied with hopelessness and loss of the sense of well-being due to its symptoms and treatment. It also affects patients’ sense of social and spiritual well-being. This disorder decreases patients’ self-esteem and their quality of life by changing their mental image and self-confidence. This study was performed to find the relationship between self-esteem and quality of life of patients with ITP. Subjects and Methods: This was a descriptive-analytical study on 64 patients with ITP who referred to Isfahan’s Sayed Al-Shohada Hospital, Iran. In this study, patients with ITP were selected randomly using a random number chart. The data collection tools consisted of the World Health Organization Quality of Life (WHOQOL)-BREF and Coopersmith Self-esteem Inventory (CSEI). Data were analyzed using SPSS and chi-square and Mann-Whitney tests and the Pearson and Spearman’s rank correlation coefficients. Results: In total, 64 patients completed the questionnaires. Results showed that 32% of subjects were over 36 years of age and 59% were women. In addition, 29.7% of ITP patients had low self-esteem and quality of life. Chi-square test showed a significant relationship between self-esteem and quality of life of patients with ITP. Conclusions: The results of the present study showed that considerable attention must be paid to self-esteem, as one of the most important factors influencing the promotion of quality of life. Therefore, it is suggested that patient’s self-esteem be improved by the implementation of educational and psychological programs in order to decrease the consequences of poor quality of life. © 2016, Tehran University of Medical Sciences (TUMS). All Rights Reserved

The comparison of perceived stress in idiopathic thrombocytopenic purpura patients referred to Seyed Al-Shohada Hospital with healthy people in Isfahan, Iran, 2013.

BACKGROUND Mental stress and daily crises comprise a part of physical and mental threats. Perceived stress is a physical and mental threat, as well. Perceived stress is a psychological process during which the individual considers his/ her physical and psychological welfare as being threatened. Since idiopathic thrombocytopenic purpura (ITP) is one of the chronic diseases being able to affect patients' perceived stress, this study was conducted to compare perceived stress in ITP patients and healthy people. MATERIALS AND METHODS This is a descriptive-comparative study with control and case groups. In this study, 64 ITP patients referring Seyed Al-Shohada Hospital and the same number of healthy individuals from the patients' neighborhood, as the control group, were selected randomly and compared. The Kohen Perceived Stress Standard Questionnaire was used to collect the data. The data were analyzed by SPSS and Student's independent t-test, chi-square, and Mann-Whitney test. Results : 64.1%, 59.4% and 53.1% of participants in case group were older than 35 years old, female and had elementary education. 78.1% of case group had severe perceived stress. 70.3% of participants in control group experienced mild perceived stress. Mann-Whitney test showed significant difference between two groups in level of stress (p<0.001). CONCLUSION In ITP patients, perceived stress was considerable. Planning interventional measures to determine stress-making agents and subside or at least control them is very essential

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

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

The Consensus from the Mycobacterium avium ssp. paratuberculosis (MAP) Conference 2017.

On March 24 and 25, 2017 researchers and clinicians from around the world met at Temple University in Philadelphia to discuss the current knowledge of Mycobacterium avium ssp. paratuberculosis (MAP) and its relationship to human disease. The conference was held because of shared concern that MAP is a zoonotic bacterium that poses a threat not only to animal health but also human health. In order to further study this problem, the conferees discussed ways to improve MAP diagnostic tests and discussed potential future anti-MAP clinical trials. The conference proceedings may be viewed on the www.Humanpara.org website. A summary of the salient work in this field is followed by recommendations from a majority of the conferees

Pseudomonas aeuroginosa Biofilm and Antimicrobial Resistance

INTRODUCTION: It has been shown that biofilm formations are responsible for many human infections, especially in chronic infections. Pseudomonas aeruginosa (p.a) is an opportunistic human pathogen, its biofilm has serious negative effects on the health of patients with immune-suppresser e.g. cystic fibrosis individuals. p.a drug resistance, a worldwide concern is increasing and biofilm-forming potential is an increasing factor. Materials and Methods: One-hundred-fifty clinical P.a isolates were collected from Mustafa hospital in Ilam, then their resistance against several beta-lactam antibiotics that high consumption in the medical prescription was assessment. Also, biofilm formation was tested by microdilution and microtiter plate methods, respectively. Results: There are abilities biofilm formations among the resistances isolates to the most tested antibiotics. But, we observed only a significant correlation between resistance to ceftazidime (P=0.003) and mempenem (P=0.002) with biofilm formation, both in resistance and sensitive isolates. Conclusion: Biofilm caused by increasing drug resistance in the world, as beta-lactam antibiotics, will be caused a creating complication P.a infection treatment. Moreover, biofilm can form antibiotic-resistant strains and increases many infections in the future. As a result, more studies for founding new drugs against biofilm formation mechanisms are necessary

Quorum Sensing Systems Analysis in Pseudomonas aeruginosa

PSEUDOMONAS aeruginosa is an important opportunistic human pathogen that causes serious infection diseases. The quorum sensing (QS) system is a cell to cell signaling mechanism that it has important role in the regulating of bacterial genes. Pseudomonas aeruginosa has two important QS systems including lasIR and rhlIR. Therefore, our aim was introduced these systems in the topic bacteria P. aeruginosa