Original Article
Kirti Nirmal; Krishna Sarkar; Deeksha Chaudhary; Shukla Das
Abstract
Background: ESKAPE pathogens pose a significant threat in healthcare due to their growing antibiotic resistance. Objective: This study, conducted in a tertiary care teaching hospital, studied the prevalence and antibiotic susceptibility trends of these pathogens in various intensive care units (ICUs).Methods: ...
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Background: ESKAPE pathogens pose a significant threat in healthcare due to their growing antibiotic resistance. Objective: This study, conducted in a tertiary care teaching hospital, studied the prevalence and antibiotic susceptibility trends of these pathogens in various intensive care units (ICUs).Methods: Descriptive cross-sectional study conducted in various ICUs from January to December 2022. Blood samples from 742 patients were analyzed for ESKAPE pathogens. Antibiotic susceptibility testing was performed using the Kirby–Bauer method.Results: Among 742 ESKAPE pathogens analyzed, Acinetobacter baumannii was the most prevalent, followed by Klebsiella pneumoniae and Staphylococcus aureus. Notably, their distribution varied across ICUs, with the Neonatal ICU having the highest isolates (70%).Conclusion: The study showed concerning antibiotic resistance patterns. This emphasizes the urgent need for stringent antibiotic stewardship and alternative treatment strategies to combat these highly resistant pathogens effectively. Continuous monitoring of resistance patterns is vital to inform treatment and preserve antibiotic efficacy in ICU settings.
Original Article
Ezat Samadipour; Mojgan Ansari; Mohammad Heidari; Neda Mahdavifar
Abstract
Introduction: During disasters, hospitals play a key role in providing quality and appropriate medical services to increase resilience. This study was carried out to determine the response rate of the emergency department of Shiraz University of Medical Sciences hospitals to the Corona pandemic in 2021.
Method: ...
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Introduction: During disasters, hospitals play a key role in providing quality and appropriate medical services to increase resilience. This study was carried out to determine the response rate of the emergency department of Shiraz University of Medical Sciences hospitals to the Corona pandemic in 2021.
Method: This cross-sectional descriptive research was conducted in educational-therapeutic hospitals of Shiraz University of Medical Sciences. 230 senior and middle managers, emergency department nurses and emergency medicine specialists participated in this study. Hospitals were placed in two categories: special centers for COVID-19 (3 hospitals) and other educational and medical centers (general and specialized centers) (8 hospitals). The information was collected by the hospital readiness assessment checklist (2020) for the management of infectious disease epidemic crisis based on the guidelines of the World Health Organization for the response of hospitals to COVID-19. After collecting the data, it was entered into SPSS 22 and analyzed.
Results: This study's results showed that hospitals' readiness is at a good level (87%). The studied hospitals performed very well in support and management of financial resources, communication management, human resources management, diagnosis, and management of patients. Still, in item of rapid identification and control and prevention of infection, they performed very poorly. The centers of COVID-19 scored higher than other educational-treatment centers, continuation of services and increased capacity, rapid identification, diagnosis, prevention and control of infection, which was statistically significant (P<0.05).
Conclusion: Rapid identification of patients seems to be an important challenge in Shiraz University of Medical Sciences. The allocation of special hospitals for the care of COVID-19 patients is also effective in preparing them for the pandemic.
Evaluation, Preparedness, emergency, hospital, pandemic, covid-19, Shiraz, educational-medical, corona center
Original Article
Saeed Moshtaghi; Ehsan Mokari Menshadi
Abstract
Background: In recent years, several studies have examined the effectiveness of therapeutic interventions based on the second and third psychological waves on academic burnout. Objectives: The aim of this study was to integrate the results of these studies and compare the impact of these interventions ...
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Background: In recent years, several studies have examined the effectiveness of therapeutic interventions based on the second and third psychological waves on academic burnout. Objectives: The aim of this study was to integrate the results of these studies and compare the impact of these interventions on academic burnout.Methods: The research method is meta-analysis. The study population includes all scientific research articles published in Iran that have been performed in the field of effectiveness of second and third wave psychological interventions for academic burnout. The sample size also includes scientific research articles that have been published between 2016 and 2021 and have the necessary conditions in terms of methodology. The research tool is a content analysis checklist by examining the magnitude of the effect of each of the second and third wave psychotherapies. The effect size scale was the mean difference and the statistical analysis was performed with comprehensive meta-analysis software (CMA-2).Results: The results showed that the average size of Cohen's effect in the second wave studies was d= 2.460 and in the third wave studies was d=2.080 (p<0.01). According to Cohen's interpretation table means the size of the effect is large or high. Also, the results did not show a significant difference between the effect size of second wave studies and third wave studies (P>0.05).Conclusion: Therefore, it can be said that based on the results of this meta-analysis, therapeutic interventions based on the second and third psychological waves is effective in improving the learners' academic burnout.
Original Article
Sajad Parvar; Ali Khaledi; Ali Riazi
Abstract
Background: Craniosynostosis, defined as the premature fusion of the cranial sutures, which can causes impair brain development and cognitive problems. Objective: The purpose of this study was to assess the epidemiological features of children with craniosynostosis. This information includes the characteristics ...
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Background: Craniosynostosis, defined as the premature fusion of the cranial sutures, which can causes impair brain development and cognitive problems. Objective: The purpose of this study was to assess the epidemiological features of children with craniosynostosis. This information includes the characteristics of the patients, their parents as well as their socioeconomic status. Methods: This is a cross-sectional study performed from 2015 to 2020 in Imam Hossein Children's Hospital, Isfahan, Iran. We included 220 patients, under craniosynostosis treatment. A multidisciplinary team examined all participants. CT-scan was performed on all patients. All of the participants underwent surgical intervention. The recorded information was classified into four sections: characteristic data of children with craniosynostosis, Family history and parental information, including underlying diseases and drug history 3. Socioeconomic status 4. Treatment and surgery.Results: 151 (68.7%) of participants were male and 171 (77.9%) had term delivery. The average birth weight was 2.92 kg and head circumference were 34.4 cm. the mean age of children at the time of surgery was 7.74 months and the mortality rate was 3 (1.4%). moreover, 90% were operated once and 10% were operated 2 or 3times. the most common type of craniosynostosis was Metopic 59 (59.4%). In relation to parenteral data, 96 (43.6%) of parents had consanguineous marriage and 6.4% had 1st and 2nd degree family with craniosynostosis. Conclusion: Based on these findings, attention must be directed towards the potential risk of craniosynostosis in offspring born to consanguineous couples. Moreover, parents must receive guidelines for managing children affected by craniosynostosis.
Original Article
Reza Azizkhani; Mohammad Nasr-Esfahani; Zeinab Gholipour; Mahsa Kabirian; Morteza Ghaderi Azarkhavarani
Abstract
Background: Resilience refers to human ability for adapting the disasters, traumas, pain, and suffering from important troubles and stressors in life. Objectives: Regarding the people are exposed to various physical and mental health traumatic stimuli. this study aimed to investigate the resilience correlations ...
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Background: Resilience refers to human ability for adapting the disasters, traumas, pain, and suffering from important troubles and stressors in life. Objectives: Regarding the people are exposed to various physical and mental health traumatic stimuli. this study aimed to investigate the resilience correlations in Emergency Medical Services workers.Methods: The study was descriptive-correlation which examined 15 individuals for each scale and subscale. Therefore, 150 EMS workers were selected.Results: All four variables, including the resilience, self-control, problem-solving style, and self-compassion, were above average. Resilience had a positive and significant correlation with self-control, problem-solving, creativity, confidence in problem-solving, and tendency (a subscale of problem-solving). Self-control had a positive and significant correlation with self-compassion. The final model was as resilience=0.454+41.317 (15.941+0.622 (self-compassion)) + 3.453 (tendency)+ 3.255 (creativity).Conclusion: It is suggested to strengthen four variables, resilience, self-compassion, self-control, and problem-solving styles in the personnel by teaching them.
Original Article
Alireza Amin; Tarokh Karimi; Mehdi Mahmoodkhani
Abstract
Introduction: The aim of the present study was to evaluate the occurrence of post-TBI PD.Methods: This descriptive cross-sectional study was performed on two groups of patients referred to Al-Zahra Hospital in Isfahan in 2023. The first group consisted of patients who had suffered TBI 10 years ago. The ...
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Introduction: The aim of the present study was to evaluate the occurrence of post-TBI PD.Methods: This descriptive cross-sectional study was performed on two groups of patients referred to Al-Zahra Hospital in Isfahan in 2023. The first group consisted of patients who had suffered TBI 10 years ago. The second group included PD patients. Census sampling was performed in both groups based on the number of patients referred to the selected center. The collected data were analyzed using SPSS ver.22 and P<0.05 was considered as the significance level.Results: Out of 1260 PD patients, 25 (1.98%) had TBI and out of 200 TBI patients, 2 (1%) had PD. There was a significant relationship between the severity of moderate TBI and the PD incidence in patients in both groups (first group P=0.0001 and second group P=0.002) (P<0.05). There was no significant relationship between the frequency of TBI and its mechanism with the PD incidence in both groups (P>0.05). The odd ratio of developing PD with a mean of 7 years after TBI diagnosis was 0.36, which increased to 1.42 with increasing the TBI duration to the mean 30 years.Conclusion: The findings of the present study confirmed the need for information on the treatment and prevention of post-TBI PD. Of course, it should be noted that other underlying factors such as aging, genetics, etc. can also be effective in the development of Parkinson's disease.
Original Article
Sajad Parvar; Mohammad Alahyari; Mehdi Mahmoodkhani; Amir Mahabadi
Abstract
Introduction: Sodium disorders are one of the most important electrolyte disorders among brain trauma patients. Therefore, the purpose of this study was to determine the frequency of hyponatremia in patients with moderate and severe brain trauma and its relationship with disease prognosis.Methods: This ...
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Introduction: Sodium disorders are one of the most important electrolyte disorders among brain trauma patients. Therefore, the purpose of this study was to determine the frequency of hyponatremia in patients with moderate and severe brain trauma and its relationship with disease prognosis.Methods: This descriptive-cross-sectional and prospective study was conducted on brain trauma patients visiting Kashani Hospital in Isfahan city in 2023. The obtained data was analyzed by SPSS 24. Results: Out of the 54 examined (23 severe TBI and 31 moderate TBI) patients, hypernatremia was observed in 7 cases (13%), and hyponatremia was observed in 23 cases (42.7%). Hyponatremia on the first day had a significant relationship with the bad prognosis of the disease. In addition, a significant relationship was observed between the type of imaging findings and GOS, so that people who had ICH imaging findings were associated with a poorer prognosis Pvalue <0.05. Conclusion: On the first day, hyponatremia had a significant prevalence in moderate and severe brain trauma patients, which was associated with a bad prognosis of the disease, and this relationship is not dependent on factors such as age, gender, and cause of trauma.