azam sharifi - Academia.edu (original) (raw)

Papers by azam sharifi

TMR Integrative Medicine, 2020

Additional file 3. List of excluded documents. List of excluded documents after full-text eligibi... more Additional file 3. List of excluded documents. List of excluded documents after full-text eligibility assessment.

Journal of Mazandaran University of Medical Sciences, 2019

Background and purpose: Ventilator-associated pneumonia is a common, serious and costly disorder ... more Background and purpose: Ventilator-associated pneumonia is a common, serious and costly disorder in intensive care units (ICUs) that rank first in hospital infections. So, appropriate interventions are needed to prevent this condition. Eucalyptus is a plant with antibiotic properties, therefore, current study aimed at investigating its effects on prevention of endotracheal tube-associated pneumonia in ICU. Materials and methods: A double-blind clinical trial was performed in 100 patients with endotracheal tube and on ventilator in ICU in Kermanshah Imam Reza Hospital, Iran. The patients were divided into two groups. In intervention group (n=50) 4 cc of 2 eucalyptus solution was mixed with 6 cc distilled water and in control group (n=50) 10 cc distilled water was given three times daily through a nebulizer kit connected to mechanical ventilation devices. Data on the rate of early and late pneumonia were compared based on CPIS criteria applying t-test and Chi-square. Results: The inci...

Journal of Kermanshah University of Medical Sciences, 2013

Background: Due to the increased growing heart diseases and necessity to do heart surgery, as wel... more Background: Due to the increased growing heart diseases and necessity to do heart surgery, as well as the importance role of rehabilitation in reducing patient’s mortality, patient’s promotion body image and quality of life should be proposed as one of the main goals of treatment interference. This research was performed with the goal to identify the process of rehabilitation period on the changes of body image quality of life. Methods: In this descriptive –analytical research, 51 patient’s body image quality of life was reviewed in four time period (before, during, ending, and one month after the rehabilitation). Patients were selected based on available sampling. The tools of two parts questionnaire information collection include demographic information and Body Image Quality of Life questionnaire (BIQLI). The obtained information was analyzed using descriptive statistics and repeated measures ANOVA. Results: In this research a statistically significant relationship was found be...

Journal of Kermanshah University of Medical Sciences, 2014

Background: Given the high prevalence of diabetes and osteoporosis in postmenopausal women and co... more Background: Given the high prevalence of diabetes and osteoporosis in postmenopausal women and conflicting reports about bone mineral density in type 2 diabetes, this study was conducted to compare bone mineral density in postmenopausal women with and without type 2 diabetes. Methods: In this case-control study, 64 postmenopausal women with type 2 diabetes and 64 healthy postmenopausal women (matched for age) were selected. Then lumbar spine and femoral bone mineral density measurements were performed using DXA. Data were analysed by SPSS-14 software using t-test and chi-square tests. Results: No statistically significant difference was reported between both groups in terms of body mass index, parity, menopausal age, calcium intake, serum levels of calcium, phosphorus and alkaline phosphatase. Also, postmenopausal women with type 2 diabetes had a slightly higher mean of bone mineral density in lumbar and femoral regions than non-diabetic women. But this difference was not statistica...

Systematic Reviews, 2021

Background Physical restraint (PR) is a routine care measure in many hospital wards to ensure pat... more Background Physical restraint (PR) is a routine care measure in many hospital wards to ensure patient safety. However, it is associated with many different professional, legal, and ethical challenges. Some guidelines and principles have been developed in some countries for appropriate PR use. The present study aimed to explore the principles of PR use for hospitalized elderly people. Methods This was an integrative review. For data collection, a literature search was conducted in Persian and English databases, namely Magiran, Scientific Information Database (SID), Scopus, Google Scholar, Web of Science, and PubMed as well as the websites of healthcare organizations and associations. Eligibility criteria were publication in English or Persian between January 1, 2010, and January 1, 2021, and description of the principles of PR use for hospitalized elderly people. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used for document screening ...

Background and Objectives: Miss care is a quality index, which has been identified for nursing ca... more Background and Objectives: Miss care is a quality index, which has been identified for nursing care and patient safety recently. However, no precise definition is available for the clinical dimensions and features of this concept. Thus, the present study aimed to analyze the concept of miss nursing care based on the hybrid model.Design: A concept analysis was conducted using a three-phase(theoretical phase, fieldwork phase and final analysis phase) hybrid method.Methods:In the theoretical phase, the concept of miss care was explored in reliable databases from 1998 up to 2018. Using COREQ guidelines ,in the field work phase, in-depth interviews were conducted with six nurses and the data were analyzed using content analysis method. In the last phase, the final analysis was carried out.Results: The results indicated miss care as a healthcare error as a kind of negligence in which the nurse provides unmanaged patient care due to the adversity of organizational and process background fa...

Salmand, 2021

Objectives: One of the fundamental responsibilities of nurses in care is to prevent harm to the p... more Objectives: One of the fundamental responsibilities of nurses in care is to prevent harm to the patients and others. Many nurses use physical restraints to achieve this goal. Considering that the use of physical restraints in older patients is associated with physical and psychological complications and ethical issues, it is important to identify the nurses’ perceptions of using physical restraint in hospitalized older adults. This study aims to evaluate the psychometric properties of the Persian version of Perception of Physical Restraint Use Questionnaire (PRUQ) to be used in caring for hospitalized older adults in Iran. Methods & Materials: This is a methodological study with a descriptive cross-sectional design that was conducted in hospitals in Kermanshah (Western Iran) in 2019. After obtaining permission from the developers of PRUQ, translation to Persian was performed according to standard protocol of World Health Organization. Then, the Persian version was completed by 330 n...

National Journal of Physiology, Pharmacy and Pharmacology, 2018

Background: Today, the accidents and catastrophes causing trauma are one of the fundamental healt... more Background: Today, the accidents and catastrophes causing trauma are one of the fundamental health needs of industrial world, and also a prevalent cause of mortality, especially in Iran. Thus, pre-hospital and emergency medical system care are considered one of the important factors in an effective trauma system. Aims and Objectives: The aim of this study was to evaluate the knowledge and clinical skills of emergency medical staff confronting trauma. Materials and Methods: In this cross-sectional study, based on the calculated sample size, 79 medical emergency technicians working in Alborz province-wide emergency centers were randomly selected. Data collected were included demographic information, “clinical skill checklist,” including 9 skills and a written exam. Content validity of the “clinical skill checklist” has been evaluated and confirmed by 10 professors and specialists. Furthermore, reliability coefficient of all skills was equal to 0.82. The researcher observed the medical emergency personnel skills and then completed the “clinical skill checklist.” Data were analyzed by SPSS Version 20, and statistical tests including independent t-tests and correlation coefficient of Pearson. Results: The results of the study indicated that knowledge of technicians in the field of trauma was poor in 5.1%, moderate in 91.1%, and fair in 3.8%. Furthermore, evaluation of trauma skills indicated that 51.9% had high skills and 48.1% moderate skills. Comparing the skill level with the ideal skill levels showed a significant gap in all sub-scales of skills (0.01). Pearson correlation test showed no significant association between knowledge and trauma skills. Conclusion: Due to the significant distance between scores of the present participants and the optimum level and also given the importance of the work of emergency staff as first responders, it is expected that higher quality education held for all emergency service providers can provide good and high-quality services to help-seekers.

BMC Research Notes, 2019

Objective The present study aimed to investigate the prevalence and the reasons of issuing permis... more Objective The present study aimed to investigate the prevalence and the reasons of issuing permission for therapeutic abortion in department of forensic medicine, Kermanshah-Iran. Results There were a total number of 428 applications for issuing permits. The most common reasons of issuing permit for therapeutic abortion were fetal and maternal problems, specifically cerebral abnormalities (70.8%), and anencephaly (30.3%). Furthermore, 354 (82/7%) out of 428 applications were able to get the legal permit and 17.3% of the applications did not receive permission, which was mainly due to “the lack of maternal indication”. Increased knowledge of physicians and clinical personnel on indications of therapeutic abortions and related regulations would lead to the implementation of strategies which prevent void referrals to the department of forensic medicine and a better execution of therapeutic abortion law. By improving the health condition of pregnant women who seek pregnancy termination,...

Journal of Cellular Biochemistry, 2016

This article has been accepted for publication and undergone full peer review but has not been th... more This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as

Introduction: Subclinical hypothyroidism is the compensatory stage before overt hypothyroidism. I... more Introduction: Subclinical hypothyroidism is the compensatory stage before overt hypothyroidism. In overt hypothyroidism, risk of ischemic heart disease increases due to elevation of lipoprotein (a) as atherogenic agent, but evidence for subclinical hypothyroidism is one of the controversial issues in researches. According to the atherogenic lipoprotein (a) and other serum lipids, this study is conducted to compare the serum lipoprotein (a) and other serum lipids in patients with subclinical hypothyroidism and euthyroidism. Materials and Methods: In this descriptive-analytic study 90 persons (60 with subclinical hypothyroidism and 30 euthyroid state) are participated and these referred to Imam Reza and Taleghani Hospitals which are located in Kermanshah. The sampling method is selected with available sampling methods. After differentiating data by age, sex and underlying disease (liver, kidney, drugs), then they were subjected to determination lipoprotein (a) and other serum lipids profile tests. Findings: In both cases and controls, 16/7% were men and 83/3% were women. Based on results, there is no significant difference between serum lipoprotein (a), triglycerides, cholesterol, HDL and LDL in both statistical groups (P>0/05). Also there is no association between lipoprotein (a) and other serum lipids (P>0/05). Conclusion: Serum levels of lipoprotein (a) and other serum lipids in young patients with normal weight with subclinical hypothyroidism is not increase, thus it can be concluded early treatment is not necessary for them.

The American Journal of Cardiology, 2011

Patients with bicuspid aortic valve (BAV) may gradually develop significant valve dysfunction, wh... more Patients with bicuspid aortic valve (BAV) may gradually develop significant valve dysfunction, whereas others remain free of dysfunction. Factors that determine the prognosis of BAV remain unclear. Because endothelial progenitor cells (EPCs) have a role in the repair of endothelial surfaces after injury, we hypothesized that EPCs may also be involved in preventing BAV degeneration. Accordingly, we compared EPC level and function in patients with BAV with versus without valve dysfunction. The study group included 22 patients with BAV and significant valve dysfunction (at least moderate aortic regurgitation and/or at least moderate aortic stenosis). The control group included 28 patients with BAV without valve dysfunction. All patients had 1 blood sample taken. Proportion of peripheral mononuclear cells expressing vascular endothelial growth factor receptor 2, CD133 and CD34 was evaluated by flow cytometry. EPC colony-forming units (CFUs) were grown from peripheral mononuclear cells, characterized, and counted after 7 days of culture. The 2 groups had similar clinical characteristics except for higher prevalence of hypertension in the dysfunctional valve group. Number of EPC CFUs was smaller in the dysfunctional valve group (32 CFUs/plate, 15 to 42.5, vs 48 CFUs/plate, 30 to 62.5, respectively, p ‫؍‬ 0.01), and the migratory capacity of the cells in this group was decreased. In addition, the proportion of cells coexpressing vascular endothelial growth factor receptor 2, CD133, and CD34 tended to be smaller in the dysfunctional valve group. In conclusion, patients with BAV and significant valve dysfunction appear to have circulating EPCs with impaired functional properties. These findings require validation by further studies.

BMC Geriatrics, 2020

Background: Using physical restraint (PR) for hospitalized elderly people is a major nursing chal... more Background: Using physical restraint (PR) for hospitalized elderly people is a major nursing challenge. It is associated with different physical and mental complications and ethical dilemmas, though many nurses still use it to ensure patient safety. Nurses' perceptions are one of the most important factors affecting PR use. This study aimed to evaluate Iranian nurses' perceptions about PR use for hospitalized elderly people. Methods: This cross-sectional descriptive-correlational study was conducted from July to December 2019. Participants were 270 hospital nurses who were purposively recruited from intensive care units and medical and surgical wards of three teaching hospitals in Kermanshah, Iran. Data were collected using a demographic questionnaire and the Perceptions of Restraint Use Questionnaire (PRUQ). The SPSS software (v. 23.0) was used for data analysis through the independent-sample t test, the one-way analysis of variance, and the multiple regression analysis. Results: The total mean score of PRUQ was 4.08 ± 0.12 in the possible range of 1-5. The most important reasons for PR use were to prevent patients from falling out of bed and to prevent them from pulling out catheters. The total mean score of PRUQ had significant relationship with participants' age, work experience, and history of receiving PR-related educations (P < 0.05), but had no significant relationship with their gender, educational degree, and affiliated hospital ward (P > 0.05). Conclusion: This study suggests that nurses attach high importance to PR use for hospitalized elderly people. Healthcare policy-makers at national and hospital levels are recommended to provide nurses with PR-related educations in order to reduce the rate of PR-related complications.