Enhancement of alkaline protease production by Bacillus clausii using Taguchi experimental design

The effect of culture conditions on protease production and bacterial growth of Bacillus clausii was investigated using Taguchi design of experiment. Five factors viz., carbon source, organic andinorganic nitrogen sources, agitation and metal ion, each at four levels were selected and an orthogonal array layout of L16 (45) were performed. The proposed medium for alkaline protease productionconsisted of (g/l): sucrose, 10; yeast extract, 10; KNO3, 5; trace element without Mn2+. Under these optimal conditions, 4 fold enhancement in protease production (from 250 to 1000 U/ml) was obtained. At the optimum culture for bacterial growth, which contained (g/l): starch, 10; yeast extract, 10; ammonium ions, 5; trace element without Zn2+, 1.88 fold increase in growth production (from OD600 nm of about 8.5 in basal medium to OD600 nm of 16 in optimized medium) were observed. The inorganic nitrogen source was the most significant factor on protease production with 57.75% contribution. The organic nitrogen and carbon sources by 35.28 and 34.93% contributions were prominent factors in bacterial growth

Skills Required for Nursing Career Advancement: A Qualitative Study

Background: Nurses require certain skills for progression in their field. Identifying these skills can provide the context for nursing career advancement. Objectives: This study aimed to identify the skills needed for nurses’ career advancement. Materials and Methods: A qualitative approach using content analysis was adopted to study a purposive sample of eighteen nurses working in teaching hospitals affiliated with the Qazvin, Shahid Beheshti, and Iran Universities of Medical Sciences. The data were collected through semi-structured interviews, and analyzed using conventional content analysis. Results: The three themes extracted from the data included interpersonal capabilities, competency for career success, and personal capacities. The results showed that acquiring a variety of skills is essential for career advancement. Conclusions: The findings showed that personal, interpersonal, and functional skills can facilitate nurses’ career advancement. The effects of these skills on career advancement depend on a variety of conditions that require further studies

Patient advocacy: Barriers and facilitators

Background: During the two recent decades, advocacy has been a topic of much debate in the nursing profession. Although advocacy has embraced a crucial role for nurses, its extent is often limited in practice. While a variety of studies have been generated all over the world, barriers and facilitators in the patient advocacy have not been completely identified. This article presents the findings of a study exploring the barriers and facilitators influencing the role of advocacy among Iranian nurses. Method: This study was conducted by grounded theory method. Participants were 24 Iranian registered nurses working in a large university hospital in Tehran, Iran. Semi-structured interviews were used for data collection. All interviews were transcribed verbatim and simultaneously Constant comparative analysis was used according to the Strauss and Corbin method. Results: Through data analysis, several main themes emerged to describe the factors that hindered or facilitated patient advocacy. Nurses in this study identified powerlessness, lack of support, law, code of ethics and motivation, limited communication, physicians leading, risk of advocacy, royalty to peers, and insufficient time to interact with patients and families as barriers to advocacy. As for factors that facilitated nurses to act as a patient advocate, it was found that the nature of nurse-patient relationship, recognizing patients' needs, nurses' responsibility, physician as a colleague, and nurses' knowledge and skills could be influential in adopting the advocacy role. Conclusion: Participants believed that in this context taking an advocacy role is difficult for nurses due to the barriers mentioned. Therefore, they make decisions and act as a patient's advocate in any situation concerning patient needs and status of barriers and facilitators. In most cases, they can not act at an optimal level; instead they accept only what they can do, which we called 'limited advocacy' in this study. It is concluded that advocacy is contextually complex, and is a controversial and risky component of the nursing practice. Further research is needed to determine the possibility of a correlation between identified barriers/ facilitators and the use of advocacy. © 2006Negarandeh et al; licensee BioMed Central Ltd

Psychological Violence in the Health Care Settings in Iran: A Cross-Sectional Study

Background: Psychological violence is the most common form of workplace violence that can affect professional performance and job satisfaction of health care workers. Although several studies have been conducted in Iran, but there is no consensus regarding current status of such violence. Objectives: This study aimed to investigate the prevalence of psychological violence among healthcare workers employed at teaching hospitals in Iran. Patients and Methods: In this cross-sectional study, 5874 health professionals were selected using multistage random sampling. Data were collected using a self-administered questionnaire developed by the International Labor Organization, International Council of Nurses, World Health Organization, and Public Services International. Descriptive statistics were used to analyze the data. Results: It was found that 74.7% of the participants were subjected to psychological violence during the past 12 months. Totally, 64.5% of psychological violence was committed by patients’ families, but 50.9% of participants had not reported the violence, and 69.9% of them believed that reporting was useless. Conclusions: The results are indicative of high prevalence of psychological violence against healthcare workers. Considering non-reporting of violence in more than half of participants, use of an appropriate reporting system and providing training programs for health professionals in order to prevent and manage workplace violence are essential

Caring behaviors of burn nurses and the related factors

This study aims to explore and describe nurses' perceptions of their caring behaviors and related factors in several Tehran burn units. Grounded theory was used as the method of analysis. Thirty-eight participants were recruited. Data was generated by unstructured interviews and participant observations, and analyzed by constant comparison. Results revealed that responses to burnout and the type of caring behavior exhibited were affected most markedly by the personal characteristics of nurses and patients and the interaction between these two factors. Long-standing and intense organizational pressures in the burn units of Tehran, in addition to the sensitivity of nurses' characteristics to these pressures, suggest that attributing more importance to the social, political and ethical aspects of caring may aid in executing stress reduction programs and improving nurses' morale. © 2006 Elsevier Ltd and ISBI

Mediating factors of coping process in parents of children with type 1 diabetes

Background: Type 1 diabetes is a lifelong condition for children and their parents, the management for which imposes a vast responsibility. This study explores the mediating factors that affect Iranian parents' coping processes with their children's type 1 diabetes.Methods: Research was conducted using the grounded theory method. Participants were selected purposefully, and we continued with theoretical sampling. Constant comparative analysis was used to analyze the data.Results: The mediating factors of the parental coping process with their child's diabetes consist of the child's cooperation, crises and experiences, economic challenges, and parental participation in care.Conclusion: Findings highlight the necessity of well-informed nurses with insightful understanding of the mediating factors in parental coping with juvenile diabetes in order to meet the particular needs of this group. © 2013 Oskouie et al.; licensee BioMed Central Ltd

Psychometric testing of the Caregiver Quality of Life Index-Cancer scale in an Iranian sample of family caregivers to newly diagnosed breast cancer women

Aim. To translate and test the reliability and validity of the Persian version of the Caregiver Quality of Life Index-Cancer scale. Background. Research across many countries has determined quality of life of cancer patients, but few attempts have been made to measure the quality of life of family caregivers of patients with breast cancer. The Caregiver Quality of Life Index-Cancer scale was developed for this purpose, but until now, it has not been translated into or tested in the Persian language. Design. Methodological research design. Methods. After standard translation, the 35-item Caregiver Quality of Life Index-Cancer scale was administered to 166 Iranian family caregivers of patients with breast cancer. A confirmatory factor analysis was carried out using LISREL to test the scale's construct validity. Further, the internal consistency and convergent validity of the instrument were tested. For convergent validity, four instruments were used in the study: sense of coherence scale, spirituality perspective scale, health index and brief religious coping scale. Results. The confirmatory factor analysis resulted in the same four-factor structure as the original, though, with somewhat different item loadings. The Persian version of the Caregiver Quality of Life Index-Cancer scales had satisfactory internal consistency (0·72-0·90). Tests of convergent validity showed that all hypotheses were confirmed. A hierarchical multiple regression analysis additionally confirmed the convergent validity between the total Caregiver Quality of Life Index-Cancer score and sense of coherence (=0·34), negative religious coping (=-0·21), education (=0·24) and the more severe stage of breast cancer (=0·23), in total explaining 41 of the variance. Conclusion. The Persian version of the Caregiver Quality of Life Index-Cancer scale could be a reliable and valid measure in Iranian family caregivers of patients with breast cancer. Relevance to clinical practice. The Persian version of the Caregiver Quality of Life Index-Cancer scale is simple to administer and will help nurses to identify the nursing needs of family caregivers. © 2011 Blackwell Publishing Ltd

Survey of potential diagnostic metabolite markers in serum of the rat model of alzheimer�s disease using nuclear magnatic resonance (1H-nmr) technique

Introduction: The high prevalence of Alzheimer's disease (AD) in today's societies indicates an urgent need for the development of methods that will help the early diagnosis of the disease. In this study, using proton nuclear magnetic resonance spectrometry (1H-NMR) metabolomics, identification of altered and distinct metabolites in serum of the rat model of AD was performed compared with healthy controls with the aim of introducing potential markers and to further understand the mechanisms of the AD. Materials and Methods: Serum samples from 25 adult male rats (10 healthy and 15 AD) were collected and their metabolites were extracted and analyzed using 1H-NMR technique. Differential metabolite profile was then determined by multivariate statistical analysis. The behavioral screening of the model rats was performed by the paired-associated learning method. Results: The results of the behavioral study showed the impairment of memory abilities in AD rats. Differential metabolites between the two groups were identified by multivariate analysis methods such as OPLS and Random Forest. Importantly, the results showed that there were differences in the pathways related to energy and amino acid metabolism between the control group and the Alzheimer's model. Conclusion: This research opens new horizons to identify biomarkers and physiological pathways involved in Alzheimer�s disease. The introduced metabolites must be confirmed by further studies and might be used as candidate biomarkers for early detection of the disease. © 2021, Semnan University of Medical Sciences. All rights reserved

Psychometric Evaluation of a Persian Version of the Cardiac Depression Scale in Iranian Patients with Acute Myocardial Infarction

This is the author accepted manuscript. The final version is available from Springer Publishing Company via the DOI in this recordPurpose: The aim of this study was to validate a Persian version of the Cardiac Depression Scale (CDS) in Iranian patients with Acute Myocardial Infarction (AMI). This was a methodological study. Methods: A demographic survey and the CDS were used for data collection. The CDS was forward translated from English into Persian and back translated to English. Validity was assessed using face, content and construct validity. Results: The construct validity of the scale showed two factors with eigenvalues greater than one. The Cronbach’s alpha, Theta, McDonald, and construct reliability were greater than .70. Convergent and discriminant validity of the constructs were fulfilled. Conclusions: Given the importance of mental health in risk prevention in AMI patients, the Persian CDS is a useful screening tool for detection of depression in this patient cohort

Lived Experience of Caregivers of Family-Centered Care in the Neonatal Intensive Care Unit: “Evocation of Being at Home

Background: In recent decades, family-centered care (FCC) has come to be known, accepted, and reported as the best care strategy for admitted children and their families. However, in spite of the increasing application of this approach, the experiences of the caregivers have not yet been studied. Objectives: The present study aimed at the description and interpretation of the FCC experience in two neonatal intensive care units (NICU) at Shiraz University of Medical Sciences. Methods: This study was conducted through the hermeneutic phenomenological approach. Semi-structured interviews were conducted with 17 professional and familial caregivers, and their interactions were observed in three work shifts. The interviews were audiotaped and transcribed verbatim. After observations, field notes were also written. Finally, the data were analyzed through van Manen’s methodology. Results: One of the essential themes that emerged in this study was the “evocation of being at home” among familial and even professional caregivers. This theme had three subthemes: i.e., “meta-family interaction,” “comprehensive support,” and “reconstruction of a normal family.” Accordingly, FCC eliminated borders between professional and non-professional caregivers and built close relationships among them in the NICU. It also provided for the needs of neonates, their families, and even professional caregivers through perceived and received support. Conclusions: Parents of the neonates admitted to the NICU experience hard moments. They not only play the role of primary caregivers, but they also receive the care. Focusing on the different meanings of this care from the caregivers’ points of view and having managers provide certain requirements can guarantee the establishment of comprehensive care for clients and proper support for the staff in this uni