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Research paper thumbnail of Comparison of Pregnancy Outcomes in Diabetic and Healthy Women

Journal of Health Reports and Technology

Background: Gestational diabetes is the most prevalent metabolic disorder during pregnancy. There... more Background: Gestational diabetes is the most prevalent metabolic disorder during pregnancy. Therefore, it is essential to recognize its outcomes and complications. Objectives: The present study aimed to compare pregnancy outcomes in diabetic and healthy women. Methods: This case-control study was conducted on 380 diabetic and healthy women, who were divided into two groups of 190, at Moatazedi Hospital in Kermanshah, Iran in 2019. The participants were selected via convenience sampling. Data were collected using a researcher-made checklist designed based on the family records of the participants. Data analysis was performed in SPSS version 22 using chi-square, Fisher’s exact test, and the Mann-Whitney U test. Results: A significant correlation was observed between gestational age, maternal body mass index, birth weight, infant’s height, mode of delivery (P < 0.01), preeclampsia (P = 0.01), and the family history of diabetes (P = 0.03) in the diabetic and healthy pregnant women. H...

Research paper thumbnail of Comparison of the Logical Use of Parenteral Antibiotics Before and After the Implementation of the Stewardship Program

Journal of Kermanshah University of Medical Sciences, 2021

Background: Excessive use of antibiotics has led to drug resistance. As such, stewardship program... more Background: Excessive use of antibiotics has led to drug resistance. As such, stewardship programs are implemented to control antibiotic use in hospitalized patients. Objectives: The present study aimed to evaluate the frequency of antibiotic use after the implementation of the stewardship program. Methods: This retrospective study was conducted on the patients admitted to Imam Reza Hospital in Kermanshah, Iran during 2017 - 2018. The required data were extracted from the pharmaceutical ward of the hospital. Data analysis was performed in SPSS version 24. Results: The median per capita numerical and Rial consumption of caspofungin and linezolid antibiotics increased after the implementation of the stewardship plan, while the consumption of imipenem, amphotericin, teicoplanin, colistin, meropenem, voriconazole, and vancomycin was observed to decrease. In addition, the median per capita of the numerical use of caspofungin and linezolid increased in the surgery ward, intensive care uni...

Research paper thumbnail of The Effect of Body Position on Pain Due to Nasal Continuous Positive Airway Pressure (CPAP) in Premature Neonates: A Cross-Over Clinical Trial Study

International Journal of Pediatrics, 2018

Background The most common cause of admission to neonatal intensive care units (NICU) is respirat... more Background The most common cause of admission to neonatal intensive care units (NICU) is respiratory distress syndrome. One of the respiratory assistance methods is using nasal continuous positive airway pressure (CPAP). Regarding the importance of pain control which is one of the major priorities in neonatal nursing care, this study aimed to evaluate the effect of body position on pain due to nasal CPAP in premature neonates. Materials and Methods In this cross-over clinical trial, 50 premature neonates who were receiving nasal CPAP admitted to the NICU of Imam Reza Hospital, Kermanshah, Iran, were included. The neonates were randomly placed at three body positions (fetal, supine, and prone positions). Pain was measured by Astrid Lindgren Children’s Hospital Pain Scale Neonates (ALPS-Neo) pain assessment scale. The collected data were analyzed using the SPSS software (Version 22.0). Results Significant difference existed regarding pain of nasal CPAP among body positions (p< 0.00...

Research paper thumbnail of Paraquat

Research paper thumbnail of The Association Between Nutritional Status and Sleep Health

Sleep is one of the most important factors that influence mental and physical health components d... more Sleep is one of the most important factors that influence mental and physical health components different factors can affect sleep quality and quantity such as nutritional status. This study investigated the association between nutritional status and sleep status. This cross-sectional study was conducted in 2015 with presence 190 employees of Kermanshah university of medical sciences (KUMS) with aged 37/24±9/63 years from both sexes. The subjects were selected by convenience sampling. Data was collected by a questionnaire including Demographic information, Anthropometric measurement, sleep questionnaire and Food frequency questionnaire (FFQ). Data was analyzed by SPSS 20 software using Chi-Square test, univariate and multivariate logistic regression analysis for founding the association between nutritional status with quantity and quality of sleep. In this research we found out quality of sleep in subjects with normal weight was 3 times higher than people who was overweight or obese...

Research paper thumbnail of The effect of yogurt co‐fortified with probiotic and vitamin D on lipid profile, anthropometric indices and serum 25‐hydroxi vitamin D in obese adult: A Double‐Blind Randomized‐ Controlled Trial

Food Science & Nutrition, 2020

Abstract Vitamin D deficiency can be regarded as one of the overgrowing health problem in all of ... more Abstract Vitamin D deficiency can be regarded as one of the overgrowing health problem in all of the world. Evidence from a clinical trial suggested a role for probiotic bacteria in increasing vitamin D. However, probiotic's effect is strain specific and this effect should be confirmed about different strains. The objective was to determine if yogurt fortification with probiotic bacteria, Lactobillus acidophilus La‐B5, Bifidobacterium lactis Bb‐12 either alone or in combination with vitamin D can be a complementary treatment for vitamin D deficiency. The end‐points were vitamin D, cardio metabolic lipid profile, anthropometric indices (weight, height, waist, hip, fat mass, lean body mass) and dietary intake. A 10‐week parallel‐group, double‐blind, randomized and controlled trial was conducted on 140 obese men and women. The participants were randomly allocated to receive 100 grams either 1) plain low‐fat yogurt or 2) probiotic yogurt or 3) vitamin D‐fortified yogurt or 4) probiotic and vitamin D cofortified yogurt. All groups received low‐calorie diet. Vitamin D increased significantly in group 4 (p = .008), group 3 (p = .001) and group 1 (p = .012 with no difference between groups. Vitamin D‐fortified yogurt had the most effect size and showed a significant difference versus plain (p = .018) and probiotic yogurt (p = .002). Regarding lipid profile, there were no significant differences between groups. Data from this study does not support the hypothesis that yogurt fortified with probiotic bacteria, Lactobillus acidophilus La‐5 and Bifidobacterium lactis Bb‐12 either alone or in combination with vitamin D might impose any increasing effect on serum level of vitamin D in comparison with vitamin D‐fortified yogurt.

Research paper thumbnail of Evaluation of Liver Enzyme Levels in Patients with SARS-CoV-2 Infection

Journal of Kermanshah University of Medical Sciences, 2021

Background: Although coronavirus disease 2019 (COVID-19) is a respiratory disease, it seems that ... more Background: Although coronavirus disease 2019 (COVID-19) is a respiratory disease, it seems that liver abnormalities are also prevalent in the patients. Objectives: The present study aimed to evaluate liver enzymes in COVID-19 patients. Methods: This descriptive, cross-sectional study was conducted on 111 COVID-19 patients admitted to Imam Reza Hospital in Kermanshah during September-November 2020. The required data were extracted from the hospital files, and data analysis was performed in the Excel software and SPSS version 21. Results: The mean age of the patients was 60.87 ± 15.85 years. 50.5% of patients were female. Among the patients, 38.7% had hypertension, 19.8% had diabetes, and 7.2% had cardiovascular diseases. Moreover, 34.2% of the patients had abnormal aspartate aminotransferase (AST), 17.1% had abnormal alanine aminotransferase (ALT), and 100% had abnormal lactate dehydrogenase (LDH). Conclusions: According to the results, hypertension, diabetes, and cardiovascular dis...

Research paper thumbnail of Investigation of Epidemiologic Toxicities Caused by Paraquat Herbicide and Comparing Factors Influencing These Patients’ Causality in Kermanshah Imam Khomeini Hospital (2002-2013)

International journal of Advanced Biological and Biomedical Research, 2013

Herbicide toxicities are considered as an important issue in public health programs of developing... more Herbicide toxicities are considered as an important issue in public health programs of developing countries. This investigation aims at studying epidemiologic toxicities caused by Paraquat herbicide and comparing factors influencing these patients’ causality in Kermanshah Imam Khomeini Hospital. In a descriptive-survey study, 9 patients poisoned by Paraquat herbicide were considered statistically. They visited Kermanshah Imam Khomeini Hospital during 2002-2013. Needed information obtained from patients’ medical files. SPSS21 software was used for data analysis. From 9 patients who were involved in this study ,5 of them died. 8 patients were male and just 1 of them was female. 66.7% of patients were single and 33.3% of them were married. 8 patients were poisoned intentionally. 77.8% of these patients were dialyzed. 5 of them had eaten more than 30cc. there was a significant relation between consumption amount and toxicity consequences (p=0.014). Results obtained from this study indic...

Research paper thumbnail of Psychometric Properties of the Persian Pittsburgh Sleep Quality Index for Adolescents

International Journal of Environmental Research and Public Health

Background: Both cross-sectional and longitudinal studies show that poor sleep is a health concer... more Background: Both cross-sectional and longitudinal studies show that poor sleep is a health concern related to further psychological and physiological issues during adolescence. To assess subjective sleep quality and sleep patterns among adults, the Pittsburgh Sleep Quality Index (PSQI) is a well and internationally established tool. Here, we established the psychometric properties of the Persian version of the PSQI for adolescents. Method: A total of 1477 adolescents (mean age: 15.47 years; 53.2% females) took part in the study. They completed a booklet on sociodemographic information, the Persian version of the PSQI for adolescents, and the Adolescent Sleep Hygiene Scale (ASHS). We relied on classical test reliability approaches of exploratory and confirmatory factor analyses. Results: Classical exploratory factor analysis yielded the seven-factor solution, with concurrent confirmation and overlap with the dimensions of the ASHS, although correlation coefficients were small to medi...

Research paper thumbnail of The Effect of Direct Observation of Procedural Skills Assessment Method on Clinical Performance of Radiology Students

Educational Research in Medical Sciences

Background and Objectives: Assessment is one of the most important factors involved in effective ... more Background and Objectives: Assessment is one of the most important factors involved in effective medical education. Direct observation of procedural skills (DOPS) assessment method requires direct observation of learners during the performance of clinical procedures on patients and providing appropriate feedback to learners. This research was carried out to evaluate the effect of DOPS assessment method on the clinical performance of radiology students at Kermanshah University of Medical Sciences. Methods: This study was performed on 30 undergraduate radiology students at the teaching hospitals of Kermanshah University of Medical Sciences in 2017. The participants were randomly divided into intervention and control groups. Data were collected via observation and completion of a researcher-made checklist before and after the apprenticeship course. The data were analyzed using independent t-test and paired t-test. Results: There was no significant difference between the groups regarding the demographic variables. There was no significant difference between the intervention and control groups in the mean score of students' clinical skills in pretest (P = 0.911), but the mean score in the intervention group with DOPS assessment method significantly increased in comparison with that of the control group at the end of the apprenticeship course (P = 0.001). Conclusions: The DOPS clinical assessment method significantly improves the practical and clinical skills and self-confidence of radiology students at clinical education centers and can be used as a more effective method than conventional clinical assessment methods.

Research paper thumbnail of Investigation of epidemiologic toxicities caused by Paraquat herbicide and comparing factors influencing these patients’ causality in Kermanshah Imam Khomeini Hospital (2002-2013)

Herbicide toxicities are considered as an important issue in public health programs of developing... more Herbicide toxicities are considered as an important issue in public health programs of developing countries. This investigation aims at studying epidemiologic toxicities caused by Paraquat herbicide and comparing factors influencing these patients' causality in Kermanshah Imam Khomeini Hospital. In a descriptive-survey study, 9 patients poisoned by Paraquat herbicide were considered statistically. They visited Kermanshah Imam Khomeini Hospital during 2002-2013. Needed information obtained from patients' medical files. SPSS21 software was used for data analysis. From 9 patients who were involved in this study ,5 of them died. 8 patients were male and just 1 of them was female. 66.7% of patients were single and 33.3% of them were married. 8 patients were poisoned intentionally. 77.8% of these patients were dialyzed. 5 of them had eaten more than 30cc. there was a significant relation between consumption amount and toxicity consequences (p=0.014). Results obtained from this study indicated that most of toxicities were intentional. These results recommend paying attention to risky factors and toxicity consequences among population.

Research paper thumbnail of Comparison of Pregnancy Outcomes in Diabetic and Healthy Women

Journal of Health Reports and Technology

Background: Gestational diabetes is the most prevalent metabolic disorder during pregnancy. There... more Background: Gestational diabetes is the most prevalent metabolic disorder during pregnancy. Therefore, it is essential to recognize its outcomes and complications. Objectives: The present study aimed to compare pregnancy outcomes in diabetic and healthy women. Methods: This case-control study was conducted on 380 diabetic and healthy women, who were divided into two groups of 190, at Moatazedi Hospital in Kermanshah, Iran in 2019. The participants were selected via convenience sampling. Data were collected using a researcher-made checklist designed based on the family records of the participants. Data analysis was performed in SPSS version 22 using chi-square, Fisher’s exact test, and the Mann-Whitney U test. Results: A significant correlation was observed between gestational age, maternal body mass index, birth weight, infant’s height, mode of delivery (P < 0.01), preeclampsia (P = 0.01), and the family history of diabetes (P = 0.03) in the diabetic and healthy pregnant women. H...

Research paper thumbnail of Comparison of the Logical Use of Parenteral Antibiotics Before and After the Implementation of the Stewardship Program

Journal of Kermanshah University of Medical Sciences, 2021

Background: Excessive use of antibiotics has led to drug resistance. As such, stewardship program... more Background: Excessive use of antibiotics has led to drug resistance. As such, stewardship programs are implemented to control antibiotic use in hospitalized patients. Objectives: The present study aimed to evaluate the frequency of antibiotic use after the implementation of the stewardship program. Methods: This retrospective study was conducted on the patients admitted to Imam Reza Hospital in Kermanshah, Iran during 2017 - 2018. The required data were extracted from the pharmaceutical ward of the hospital. Data analysis was performed in SPSS version 24. Results: The median per capita numerical and Rial consumption of caspofungin and linezolid antibiotics increased after the implementation of the stewardship plan, while the consumption of imipenem, amphotericin, teicoplanin, colistin, meropenem, voriconazole, and vancomycin was observed to decrease. In addition, the median per capita of the numerical use of caspofungin and linezolid increased in the surgery ward, intensive care uni...

Research paper thumbnail of The Effect of Body Position on Pain Due to Nasal Continuous Positive Airway Pressure (CPAP) in Premature Neonates: A Cross-Over Clinical Trial Study

International Journal of Pediatrics, 2018

Background The most common cause of admission to neonatal intensive care units (NICU) is respirat... more Background The most common cause of admission to neonatal intensive care units (NICU) is respiratory distress syndrome. One of the respiratory assistance methods is using nasal continuous positive airway pressure (CPAP). Regarding the importance of pain control which is one of the major priorities in neonatal nursing care, this study aimed to evaluate the effect of body position on pain due to nasal CPAP in premature neonates. Materials and Methods In this cross-over clinical trial, 50 premature neonates who were receiving nasal CPAP admitted to the NICU of Imam Reza Hospital, Kermanshah, Iran, were included. The neonates were randomly placed at three body positions (fetal, supine, and prone positions). Pain was measured by Astrid Lindgren Children’s Hospital Pain Scale Neonates (ALPS-Neo) pain assessment scale. The collected data were analyzed using the SPSS software (Version 22.0). Results Significant difference existed regarding pain of nasal CPAP among body positions (p< 0.00...

Research paper thumbnail of Paraquat

Research paper thumbnail of The Association Between Nutritional Status and Sleep Health

Sleep is one of the most important factors that influence mental and physical health components d... more Sleep is one of the most important factors that influence mental and physical health components different factors can affect sleep quality and quantity such as nutritional status. This study investigated the association between nutritional status and sleep status. This cross-sectional study was conducted in 2015 with presence 190 employees of Kermanshah university of medical sciences (KUMS) with aged 37/24±9/63 years from both sexes. The subjects were selected by convenience sampling. Data was collected by a questionnaire including Demographic information, Anthropometric measurement, sleep questionnaire and Food frequency questionnaire (FFQ). Data was analyzed by SPSS 20 software using Chi-Square test, univariate and multivariate logistic regression analysis for founding the association between nutritional status with quantity and quality of sleep. In this research we found out quality of sleep in subjects with normal weight was 3 times higher than people who was overweight or obese...

Research paper thumbnail of The effect of yogurt co‐fortified with probiotic and vitamin D on lipid profile, anthropometric indices and serum 25‐hydroxi vitamin D in obese adult: A Double‐Blind Randomized‐ Controlled Trial

Food Science & Nutrition, 2020

Abstract Vitamin D deficiency can be regarded as one of the overgrowing health problem in all of ... more Abstract Vitamin D deficiency can be regarded as one of the overgrowing health problem in all of the world. Evidence from a clinical trial suggested a role for probiotic bacteria in increasing vitamin D. However, probiotic's effect is strain specific and this effect should be confirmed about different strains. The objective was to determine if yogurt fortification with probiotic bacteria, Lactobillus acidophilus La‐B5, Bifidobacterium lactis Bb‐12 either alone or in combination with vitamin D can be a complementary treatment for vitamin D deficiency. The end‐points were vitamin D, cardio metabolic lipid profile, anthropometric indices (weight, height, waist, hip, fat mass, lean body mass) and dietary intake. A 10‐week parallel‐group, double‐blind, randomized and controlled trial was conducted on 140 obese men and women. The participants were randomly allocated to receive 100 grams either 1) plain low‐fat yogurt or 2) probiotic yogurt or 3) vitamin D‐fortified yogurt or 4) probiotic and vitamin D cofortified yogurt. All groups received low‐calorie diet. Vitamin D increased significantly in group 4 (p = .008), group 3 (p = .001) and group 1 (p = .012 with no difference between groups. Vitamin D‐fortified yogurt had the most effect size and showed a significant difference versus plain (p = .018) and probiotic yogurt (p = .002). Regarding lipid profile, there were no significant differences between groups. Data from this study does not support the hypothesis that yogurt fortified with probiotic bacteria, Lactobillus acidophilus La‐5 and Bifidobacterium lactis Bb‐12 either alone or in combination with vitamin D might impose any increasing effect on serum level of vitamin D in comparison with vitamin D‐fortified yogurt.

Research paper thumbnail of Evaluation of Liver Enzyme Levels in Patients with SARS-CoV-2 Infection

Journal of Kermanshah University of Medical Sciences, 2021

Background: Although coronavirus disease 2019 (COVID-19) is a respiratory disease, it seems that ... more Background: Although coronavirus disease 2019 (COVID-19) is a respiratory disease, it seems that liver abnormalities are also prevalent in the patients. Objectives: The present study aimed to evaluate liver enzymes in COVID-19 patients. Methods: This descriptive, cross-sectional study was conducted on 111 COVID-19 patients admitted to Imam Reza Hospital in Kermanshah during September-November 2020. The required data were extracted from the hospital files, and data analysis was performed in the Excel software and SPSS version 21. Results: The mean age of the patients was 60.87 ± 15.85 years. 50.5% of patients were female. Among the patients, 38.7% had hypertension, 19.8% had diabetes, and 7.2% had cardiovascular diseases. Moreover, 34.2% of the patients had abnormal aspartate aminotransferase (AST), 17.1% had abnormal alanine aminotransferase (ALT), and 100% had abnormal lactate dehydrogenase (LDH). Conclusions: According to the results, hypertension, diabetes, and cardiovascular dis...

Research paper thumbnail of Investigation of Epidemiologic Toxicities Caused by Paraquat Herbicide and Comparing Factors Influencing These Patients’ Causality in Kermanshah Imam Khomeini Hospital (2002-2013)

International journal of Advanced Biological and Biomedical Research, 2013

Herbicide toxicities are considered as an important issue in public health programs of developing... more Herbicide toxicities are considered as an important issue in public health programs of developing countries. This investigation aims at studying epidemiologic toxicities caused by Paraquat herbicide and comparing factors influencing these patients’ causality in Kermanshah Imam Khomeini Hospital. In a descriptive-survey study, 9 patients poisoned by Paraquat herbicide were considered statistically. They visited Kermanshah Imam Khomeini Hospital during 2002-2013. Needed information obtained from patients’ medical files. SPSS21 software was used for data analysis. From 9 patients who were involved in this study ,5 of them died. 8 patients were male and just 1 of them was female. 66.7% of patients were single and 33.3% of them were married. 8 patients were poisoned intentionally. 77.8% of these patients were dialyzed. 5 of them had eaten more than 30cc. there was a significant relation between consumption amount and toxicity consequences (p=0.014). Results obtained from this study indic...

Research paper thumbnail of Psychometric Properties of the Persian Pittsburgh Sleep Quality Index for Adolescents

International Journal of Environmental Research and Public Health

Background: Both cross-sectional and longitudinal studies show that poor sleep is a health concer... more Background: Both cross-sectional and longitudinal studies show that poor sleep is a health concern related to further psychological and physiological issues during adolescence. To assess subjective sleep quality and sleep patterns among adults, the Pittsburgh Sleep Quality Index (PSQI) is a well and internationally established tool. Here, we established the psychometric properties of the Persian version of the PSQI for adolescents. Method: A total of 1477 adolescents (mean age: 15.47 years; 53.2% females) took part in the study. They completed a booklet on sociodemographic information, the Persian version of the PSQI for adolescents, and the Adolescent Sleep Hygiene Scale (ASHS). We relied on classical test reliability approaches of exploratory and confirmatory factor analyses. Results: Classical exploratory factor analysis yielded the seven-factor solution, with concurrent confirmation and overlap with the dimensions of the ASHS, although correlation coefficients were small to medi...

Research paper thumbnail of The Effect of Direct Observation of Procedural Skills Assessment Method on Clinical Performance of Radiology Students

Educational Research in Medical Sciences

Background and Objectives: Assessment is one of the most important factors involved in effective ... more Background and Objectives: Assessment is one of the most important factors involved in effective medical education. Direct observation of procedural skills (DOPS) assessment method requires direct observation of learners during the performance of clinical procedures on patients and providing appropriate feedback to learners. This research was carried out to evaluate the effect of DOPS assessment method on the clinical performance of radiology students at Kermanshah University of Medical Sciences. Methods: This study was performed on 30 undergraduate radiology students at the teaching hospitals of Kermanshah University of Medical Sciences in 2017. The participants were randomly divided into intervention and control groups. Data were collected via observation and completion of a researcher-made checklist before and after the apprenticeship course. The data were analyzed using independent t-test and paired t-test. Results: There was no significant difference between the groups regarding the demographic variables. There was no significant difference between the intervention and control groups in the mean score of students' clinical skills in pretest (P = 0.911), but the mean score in the intervention group with DOPS assessment method significantly increased in comparison with that of the control group at the end of the apprenticeship course (P = 0.001). Conclusions: The DOPS clinical assessment method significantly improves the practical and clinical skills and self-confidence of radiology students at clinical education centers and can be used as a more effective method than conventional clinical assessment methods.

Research paper thumbnail of Investigation of epidemiologic toxicities caused by Paraquat herbicide and comparing factors influencing these patients’ causality in Kermanshah Imam Khomeini Hospital (2002-2013)

Herbicide toxicities are considered as an important issue in public health programs of developing... more Herbicide toxicities are considered as an important issue in public health programs of developing countries. This investigation aims at studying epidemiologic toxicities caused by Paraquat herbicide and comparing factors influencing these patients' causality in Kermanshah Imam Khomeini Hospital. In a descriptive-survey study, 9 patients poisoned by Paraquat herbicide were considered statistically. They visited Kermanshah Imam Khomeini Hospital during 2002-2013. Needed information obtained from patients' medical files. SPSS21 software was used for data analysis. From 9 patients who were involved in this study ,5 of them died. 8 patients were male and just 1 of them was female. 66.7% of patients were single and 33.3% of them were married. 8 patients were poisoned intentionally. 77.8% of these patients were dialyzed. 5 of them had eaten more than 30cc. there was a significant relation between consumption amount and toxicity consequences (p=0.014). Results obtained from this study indicated that most of toxicities were intentional. These results recommend paying attention to risky factors and toxicity consequences among population.