Renal Artery Stenosis and Its Predictors in Hypertensive Patients Undergoing Coronary Artery Angiography

Background: Renal artery stenosis (RAS) has been increasingly recognized in the recent years, especially in patients with coronary artery disease (CAD). RAS affects the patients with hypertension (HTN), but the exact prevalence is not known. Objectives: This study was performed to determine the prevalence and to identify the predictors of RAS in hypertensive patients undergoing coronary artery angiography. Patients and Methods: In a cross-sectional study from August 2008 to August 2009, 481 patients with HTN and suspected CAD underwent selective coronary and renal angiography for screening and predicting RAS. RAS was defined as a higher than 50% stenosis in the renal artery lumen. Multivariate analysis of factors associated with the presence of RAS were examined using a logistic regression model. Results: The mean ± standard deviation of age was 59.25 ± 10.81 years and 50.3% were men. According to angiographic data, 425 patients (88.4%) had CAD, while 56 (11.6%) had normal coronary arteries. RAS was seen in 94 (22%) patients with CAD. The multivariate logistic regression analysis identified only age (P < 0.001) and the number of significant coronary lesions (P < 0.001) as independent predictors of RAS. Gender, smoking, congestive heart failure, diabetes mellitus (DM), hyperlipidemia (HLP) and body mass index (BMI) were not independent predictors. Conclusions: This study suggests that in the management of patients with RAS, risk factors should most likely be considered as beneficial. In addition, the clinical and angiographic features are helpful in predicting its presence in elderly patients with CAD

The Trend of Hookah Use among Adolescents and Youth: A Qualitative Study

Introduction: Recently, there has been an increasing trend in hookah use. If this trend continues, morbidity and mortality due to smoking will increase dramatically. Thus, the aim of this study was to investigate the causes of the increasing trend in hookah use in adolescents and youth living in Bushehr, Iran. Method: This qualitative study was performed using qualitative content analysis. The research environment consisted of all public areas and the research population was comprised of all children and youth in Bushehr. The 12 participants were selected using purposive sampling. Data was collected using semi-structured interviews. After gaining the consent of the participants, the interviews were tape recorded and transcribed verbatim. Qualitative content analysis was used to analyze the data. Results: Data analysis led to the extraction of the 5 main themes of "the influence of culture, media preparation, sensory appeal, mistaken belief, and difficulty of quitting". Hookah use among family and friends, lack of enforcement of laws prohibiting public consumption, lack of awareness and the mistaken belief that it is less harmful than cigarettes, the pleasant fruity smell and taste, not having any alternative healthy pastimes, and social pressure were the most common reasons for the increasing trend of hookah use in Bushehr. Conclusion: These results suggest the need for authorities to view this issue as an important dilemma, and to plan to reduce hookah use and solve this problem using effective methods to educate and inform people Keywords: Hookah, Teens, Young, Qualitative research, Tobacc

The effect of Flipped Classroom through Near Peer Education (FC through NPE) on patient safety knowledge retention in nursing and midwifery students: a solomon four-group design

Introduction: Selecting an appropriate teaching methodology is one of the key stages in education. This study is an attempt to delve into the effect of FC through NPE on patient safety knowledge retention in nursing and midwifery students. Methods: A randomized controlled trial, using the Solomon design, was conducted in 2019 on 82 nursing and midwifery students enrolled from Bushehr nursing and midwifery school. The Subjects were then allocated to four groups via block randomization. The Subjects in both intervention groups studied the educational content online for 2 weeks and subsequently attended the FC through NPE. Both control groups merely received education based on conventional method. The post-test was once administered to the four study groups immediately after completing the program and once again 2 months after it. Results: The posttest mean scores of knowledge retention in both intervention groups remained the same (P = 0.1), while they were higher in the control groups (P < 0.05). The changes in the mean scores of the post-test in the inter- vention and follow-up groups did not demonstrate a statistically significant difference between the four study groups (P = 0.130, F = 1.941). Conclusion: The use of the FC through NPE increased the knowledge mean scores; however, it failed to affect knowl- edge retention. Given the infancy of this pedagogical approach, further studies are needed to investigate its effects on various learning outcomes. Keywords: Flipped Classroom, Near-Peer Education, Patient Safety, Nursing, Midwifery, Students, Knowledg

Renal Artery Stenosis and Its Predictors in Hypertensive Patients Undergoing Coronary Artery Angiography

Background: Renal artery stenosis (RAS) has been increasingly recognized in the recent years, especially in patients with coronary artery disease (CAD). RAS affects the patients with hypertension (HTN), but the exact prevalence is not known. Objectives: This study was performed to determine the prevalence and to identify the predictors of RAS in hypertensive patients undergoing coronary artery angiography. Patients and Methods: In a cross-sectional study from August 2008 to August 2009, 481 patients with HTN and suspected CAD underwent selective coronary and renal angiography for screening and predicting RAS. RAS was defined as a higher than 50% stenosis in the renal artery lumen. Multivariate analysis of factors associated with the presence of RAS were examined using a logistic regression model. Results: The mean ± standard deviation of age was 59.25 ± 10.81 years and 50.3% were men. According to angiographic data, 425 patients (88.4%) had CAD, while 56 (11.6%) had normal coronary arteries. RAS was seen in 94 (22%) patients with CAD. The multivariate logistic regression analysis identified only age (P < 0.001) and the number of significant coronary lesions (P < 0.001) as independent predictors of RAS. Gender, smoking, congestive heart failure, diabetes mellitus (DM), hyperlipidemia (HLP) and body mass index (BMI) were not independent predictors. Conclusions: This study suggests that in the management of patients with RAS, risk factors should most likely be considered as beneficial. In addition, the clinical and angiographic features are helpful in predicting its presence in elderly patients with CAD

Faculty Members\' and Students’ Veiwpoints on Characteristics of a Good University Teacher in Boushehr University of Medical Sciences

Introduction: University teachers make the pillars of an educational system. They help raise competent human resource for community. This study aimed at assessing faculty members' & students' viewpoints on characteristics of a good university teacher in Boushehr University of Medical Sciences,and comparing the two. Methods: This was a cross-sectional descriptive research. Samples were 78 university teachers & 1000 students using census. Data were collected through a questionnaire and were analyzed using chi-square, through SPSS. Results: The faculty members' responses to 20 questions on characteristics of a good university teacher showed the following as the most important characteristics:being knowledgeable in the subject matter, honesty, presenting up-to-date knowledge of their subject matter, and lesson planning. The students' responses prioritized the characteristics as: being knowledgeable in the subject area, honesty, attractive presentation of subject matters,and lesson planning. Conclusion: Above all , a good university teacher needs to be knowledgeable .The second most important characteristics is honesty followed by up-to-date knowledge of the subject matter. Finally, teachers need to prepare lesson plans for their classes. This could facilitate learning

Facilitators and Barriers in Application of Peer Learning in Clinical Education according to Nursing Students

Introduction: Peer teaching/learning is an effective educational intervention for students of health sciences in clinical settings. This study explores facilitators and barriers in application of this method in clinical settings. Methods: It is a content analysis qualitative study in which the focus group discussion is used for data gathering. Two groups of nursing students (n=15) of Bushehr University of Medical Sciences who were trained through peer education in pediatric or neonatal wards in year 2009, explained about how they experienced peer learning. Results: Analysis of interviews revealed 3 categories of facilitators including type of the job and workload, educational role of the instructor, and students’ characteristics. Also three categories of tension in working environment, trivial supervision of instructor, and competitive performance of students were identified as learning barriers in this method. Conclusion: It may be recommended that teachers brief this method to the students and then start using the method with low workload and less stress to the students and finally keep an eye over its implementation process. Further study in this domain by experts of different fields is recommended

Comparison of Broselow tape measurements versus mother estimations of pediatric weights

Background Pediatric resuscitation is challenging for therapeutic group. The most physicians have limited experience in dealing with this situation. Appropriate dosing of the drugs depends on the body weight of the children that it is usually not feasible. There is need for a fast, convenient and reliable method for body weight estimation in children. The aim of this study was to assess the accuracy of Broselow tape in children of Bushehr city. Material and Methods: This cross-sectional study was conducted in the emergency department of Aliasghar hospital. Children were between 1 month and 14 years. Children with chronic disease, 334, ill children were excluded from study. Estimated weight measured based on Broselow tape and actual weight measured by digital scale, then estimated and actual weight were compared. The results were analyzed by SPSS Software Ver 18 and T-Test, Chi-Square Test. Results: findings showed that 43.2% of total subjects were female Mean of age were 43 months. 72.5% of tape body weights were within  10% error of actual body weights. 78.9% of tape body weight was within  15% error of actual body weights. There was no significant difference between boys and girls. Conclusion: Broslow tape was easy, fast and exact for body weight estimation in emergency situation .it is more exact of body weight estimation by parents or therapeutic group so it helps therapeutic group in emergency department for accounting of medication dosage and equipment sizes

Examining the impact of time management and resilience training on work-family conflict among Iranian female nurses: a randomized controlled trial

Abstract Background Female nurses confronting work-family conflict may endure adverse consequences for themselves and their families, leading to a decline in job performance and intentions to quit. Investigating the effects of interventions based on factors contributing to work-family conflict can aid in identifying optimal strategies for conflict reduction and mitigating its negative repercussions. This study aimed to examine the impact of time management and resilience training on work-family conflict among Iranian female Nurses in 2022. Methods In this randomized controlled trial employing pre, post, and follow-up measures, 132 female nurses employed in the hospitals of Bushehr University of Medical Sciences (Bushehr, Iran) were selected and subsequently categorized into three groups—time management, resilience training, and control groups—using simple random sampling method. 10 online training sessions were conducted for each intervention group. A demographic form and a work-family conflict questionnaire were used for data collection. Repeated measures ANOVA, one-way ANOVA and multivariate general linear model were used to examine the hypotheses. Results Regarding total work-family conflict, posttest mean scores were significantly lower than the pretest in both time management (p  0.05) and lower than the control group (P  0.05) and lower than the control group (P < 0.001). Conclusion Time management and resilience training effectively reduced the work-family conflict experienced by female nurses. Therefore, it is recommended that training programs such as time management and resilience training be incorporated into the ongoing education of nurses to alleviate their work-family conflict. Considering the diminishing impact of these interventions over time, training should be reiterated based on the evolving needs of the nurses. Trial registration Number (IRCT20190122042453N2),01/27/2022

Effects of mindfulness-based stress reduction training on rumination in patients with breast cancer

Abstract Background Breast cancer has been a serious public health dilemma for women worldwide, with not only physical and social impairments but also psychological stress responses such as rumination. Rumination is a constant preoccupation with thoughts. The present study aimed to investigate the effectiveness of mindfulness-based stress reduction training in lowering rumination among women diagnosed with breast cancer. Method This randomized controlled trial with a pretest, posttest, control group, and one-month follow-up design included 46 female breast cancer survivors, recruited from the clinics and hematology wards of Bushehr, Iran. The inclusion criterion was that at least three months should have passed since the last chemotherapy/radiotherapy. The participants were randomly assigned to two experimental and control groups. The experimental group received eight sessions of mindfulness-based stress reduction training. A demographic information form and a rumination questionnaire were used for data collection, and the participants completed the questionnaire in the pretest, posttest, and follow-up stages. Chi-square, Mann–Whitney U, and repeated-measures ANOVA were used to analyze the data. P < 0.05 was considered statistically significant. Results There was no significant difference in the rumination scores of the experimental group at three measurement stages. For the control group, the mean rumination scores on the posttest and follow-up were both significantly higher than on the pre-test (P < 0.001). The control group's mean follow-up rumination score was significantly higher than that of the post-test (P = 0.02). A comparison of the two groups adjusted for the baseline showed a significant difference between them in terms of the mean rumination score on the post-test (P = 0.01) and follow-up (P < 0.001). Conclusion The experimental group was more successful in avoiding increased rumination than the control group, an ability that can be attributed to the effect of mindfulness training. The use of this method is recommended because it is non-invasive, non-pharmacological, free from complications, and can be easily performed by women. However, future studies should consider larger samples and long-term follow-ups

Additional file 1 of Information-seeking process and clinical scenario solving: introduction of a new tool in nursing education

Supplementary Material