samaneh mirzaei - Academia.edu (original) (raw)
Papers by samaneh mirzaei
BMC infectious diseases, Feb 23, 2024
Introduction It is important to identify the relationship between the COVID-19 vaccination status... more Introduction It is important to identify the relationship between the COVID-19 vaccination status and the prognosis of this disease in hospitalized patients to gain a more accurate picture of their status and the effect of vaccination, as well as take necessary measures to improve their medical care. Thus, the present study was conducted to investigate the relationship between the vaccination status of hospitalized COVID-19 patients and the disease severity index in terms of clinical, imaging, and laboratory criteria. Methods This research is a descriptive-analytical cross-sectional study. the study population consisted of patients with a positive RT-PCR test for coronavirus, admitted to COVID-19 departments of teaching hospitals in Yazd, Iran, during two months in the sixth peak of COVID-19. The patients' data comprised demographic information (age, sex, and underlying disease), clinical information (length of hospital stay, length of ICU stay, and vaccination status), disease outcome (mortality and intubation), laboratory information (ESR, CRP, and NLR), and imaging information (lung involvement percentage), and finally, the relationship between patients' vaccination status and disease severity indices were analyzed with the chi-square test, independent t-test, and logistic regression analysis at a 95% confidence interval (CI). Findings According to research findings, the duration of hospitalization was 5.25 ± 2.34 and 6.11 ± 3.88 days in groups of patients with complete and incomplete vaccination, respectively (P = 0.003). The lengths of ICU stay were 6 ± 4.63 and 5.23 ± 3.73 days in both groups of patients admitted to the ICU (P = 0.395). Furthermore, there were significant relationships between the ICU admission rates, endotracheal intubation, mortality rate, the lung involvement score in the chest CT scan, and the NLR with the vaccination status.Multivariate regression analysis indicated that DM, IHD, NLR, CT scan score and vaccination status were related to patients' in-hospital mortality. Conclusion Complete vaccination of COVID-19 led to a milder disease in terms of clinical, imaging, and laboratory criteria of patients and decreased the possibility of hospitalization in ICUs, intubation, and mortality in patients.
Authorea (Authorea), Feb 10, 2022
The present study aimed to report a case with COVID-19 with a history of chronic diseases, beta t... more The present study aimed to report a case with COVID-19 with a history of chronic diseases, beta thalassemia intermedia, and DM. A 25-year-old man visited with covid 19 and treatment with IFN-β1a. According to the present report, the use of IFN-β1a was effective as a treatment option for COVID-19.
Critical Care Research and Practice
Introduction. Proper oxygen therapy is crucial in hospitals, particularly intensive care units, t... more Introduction. Proper oxygen therapy is crucial in hospitals, particularly intensive care units, to ensure safety and accuracy. The role of nurses during oxygen therapy is vital, as their knowledge and correct performance significantly impact patients’ clinical conditions. A study was carried out to examine the knowledge and performance of nurses regarding safe oxygen therapy. The study aimed to identify the obstacles hindering safe oxygen therapy and assess the impact of training on the knowledge and performance of intensive care nurses. Methods. This study was conducted among the ICU nurses at Shahid Rahnemoun Teaching Hospital in Yazd, Iran. The study method is a sequential combination of descriptive, qualitative, and educational phases. The first stage involved examining the knowledge and performance of 80 ICU nurses in oxygen therapy. The study employed content analysis to elaborate on participants’ perspectives on safe oxygen therapy challenges and potential solutions. The thir...
Background:Bad news refers to the category of news that create negative changes in a person's... more Background:Bad news refers to the category of news that create negative changes in a person's understanding or expectations of his present and future. Breaking bad news (BBN) is a stressful task that may have disturbing effects on the professional performance and general health of the medical staff. Pre-hospital emergency staff often needs to break bad news to the patient or his family. This study was conducted to determine the effect of Guided group Reflection training on the ability and comfort of BBN in pre-hospital emergency staff. Methods:This quasi-experimental study was conducted on a total of 95 operational staff of the pre-hospital emergency ward in Yazd, Iran, in two groups: the case and the control groups. For the case group, a 4-hour training workshop on BBN was held, and then a group was formed in virtual space to discuss and exchange opinions about the scenarios of encountering and reflecting on it. Data collection tools were SPIKES Questionnaire and the Convenienc...
Journal of Disaster and Emergency Research, 2019
Introduction:Accidents are one of the most important causes of injury and death across the world,... more Introduction:Accidents are one of the most important causes of injury and death across the world, including Iran. The epidemiological data play a key role in taking effective strategic decisions for their prevention and control. This study was conducted to determine the Frequency of different types of accidents in children aged under 5 years living in Yazd province, Iran. Methods: In this cross-sectional study, data on 2489 children under 5 years referred to hospitals in Yazd province were collected from March, 2015 to March, 2016, using the accidents registration forms and the related software. Chi-square test was incorporated to analyze the results using SPSS version 19. Results: The frequency of accidents in boys was 1460 (58.7%) and in girls 1029 (41.3%). Accidents occurred most frequently in April-May (n: 245, 9.8%) and the winter (n: 693, 27.8%). 93.3% of accidents occurred in the urban areas, 4.4% in the rural areas and 2.3% in outside the city and the villages. The total nu...
Journal of Disaster and Emergency Research, 2019
Introduction: Hospitals have a very important role in responding to disasters. Since nurses are o... more Introduction: Hospitals have a very important role in responding to disasters. Since nurses are one of the largest group of the health team and play multi-roles in patient treatment, improvement of their knowledge and skills helps them to act better in disasters.The purpose of this study was to investigate the effect of a disaster management training program on the level of knowledge, attitude, and practice of nursing staffs. Methods: The present interventional study was conducted in Shahid Rahnemoon Hospital, Yazd, Iran in 2018. At first, 40 nurses were randomly selected and their level of knowledge, attitude, and practice was measured using the questionnaire of nurses’ preparedness in disasters. The questionnaire consisted of 72 items; The total attainable score was 132 in the questionnaire. Then, the disaster preparedness training program was implemented. The program was conducted in the form of a one-day workshop for eight hours. One month after the education program, the nurses...
Sultan Qaboos University Medical Journal, 2016
Advanced Journal of Emergency Medicine, 2020
Introduction: Resilient schools can warranty students’ health and survival at disasters. It is ob... more Introduction: Resilient schools can warranty students’ health and survival at disasters. It is obligatory that schools be prepared for natural challenges through local programs. Considering the great population of students, disaster-resilient schools can be a safe and suitable environment for students at the time of disaster. Objective: This study aims to identify certain operational strategies for establishing schools resilient to natural disasters. Method: This qualitative study was based on conventional content analysis. Using purposive sampling method, 24 experts in the fields of health in disasters, construction engineering, psychology, teaching, and administrative management participated in the study. Maximum variation sampling continued until data saturation was achieved. The data collected via unstructured interviews were analyzed with Graneheim and Lundmen’s conventional content analysis. Results: Content analysis resulted in four main categories as operational strategies f...
Journal of Renal Injury Prevention, 2016
In the current study, we assessed the effects of clinical and laboratory indices and their change... more In the current study, we assessed the effects of clinical and laboratory indices and their changes in restless leg syndrome in hemodialysis patients. It is known that several laboratory indices affect this syndrome. The elevated level of blood glucose in these patients, measurement of the blood glucose index in these patients seems mandatory.
Journal of Biology and Today's World, 2015
Hepatocellular carcinoma (HCC) cancer is a lethal cancer and early diagnosis of HCC is very impor... more Hepatocellular carcinoma (HCC) cancer is a lethal cancer and early diagnosis of HCC is very important for improving the survival rate of patients. Measurement of Alfa-Fetoprotein (AFP) in combination with iconography and liver biopsy are commonly used in the diagnosis of liver cancer as well as HCC. Despite the wide use of AFP in HCC diagnosis and introducing this tumor marker as the gold standard biomarker for HCC detection, the specificity and sensitivity of AFP used in screening for HCC is very controversial. In recent years, along with development of molecular biology and extensive research about ethnology of cancers and simultaneously advances in technology, researchers identified new tumor markers in this disease. In the latest researches various biomarkers including embryonic antigen, protein antigens, cytokines, enzymes and isoenzymes and related genes for effective early diagnosis and monitoring of hepatocellular carcinoma are introduced. In this review, a summary of the data of various studies that discuss new tumor markers involved in hepatocellular carcinoma and classification of these biomarkers was investigated.
Journal of Medical Education and Development, 2020
Introduction: Peer instructor teaching is an educational model in which senior students teach to ... more Introduction: Peer instructor teaching is an educational model in which senior students teach to their classmates or junior students. Clinical supervision is a formal, systematic, and continuous that the inexperienced person reviews and improves their performance by receiving advice from a supervisor or expert. Clinical education is a vital component of the medical science curriculum and the quality and control of its stressors are important. The purpose of this study was to combine peer instructor training model with clinical supervision on the status and stressors of clinical nursing education. Methods: This is a quasi-experimental study in which a combined Peer instructor teaching and clinical supervision program was implemented. The research samples were 60 nursing students of Yazd nursing and Midwifery College who were studying in third and sixth semesters. They were selected by purposive sampling method. Data gathering tools included a four-part questionnaire including demogra...
PLOS ONE
Background In addition to their educational role, resilient schools have a good capacity in respo... more Background In addition to their educational role, resilient schools have a good capacity in response to disasters. Due to the large student population, the schools can be a safe and secure environment during disasters, in addition to maintaining their performance after. Given the role and importance of the schools, the impact of culture and environment on resilience, without any indigenous and comprehensive tool for measuring the resilience in Iran, the study aimed to design and psychometrically evaluate the measurement tools. Method This study was conducted using a mixed-method sequential explanatory approach. The research was conducted in two main phases of production on items based on hybrid model and the psychometric evaluation of the tool. The second phase included validity (formal, content and construction) and reliability (multiplex internal similarity, consistency and reliability). Result The integration of systematic and qualitative steps resulted in entering 91 items into ...
BMC Ophthalmology
Background Superficial eye disorders are one of the most common complications of improper eye car... more Background Superficial eye disorders are one of the most common complications of improper eye care in intensive care units that can lead to corneal ulcers and permanent eye damage. The aim of this study was to determine the effect of the implementation of eye care protocol on the incidence of infection and superficial eye disorders in patients admitted to intensive care units. Methods This study was a cross-over clinical trial that was performed on 32 patients admitted to the intensive care unit with reduced or no blink reflex following loss of consciousness or receiving sedatives. The eye of the test group received eye care according to the protocol and the eye of the control group received the routine care of the ward. The data collection form included demographic and clinical information and the clinical score scale of superficial eye disorders, which were completed in 7 days for both eyes. Data analysis was performed by McNemar and Cochran tests with a 95 % confidence interval. ...
Backgrounds: Stroke is known as the second leading cause of death and the first leading cause of ... more Backgrounds: Stroke is known as the second leading cause of death and the first leading cause of disability in developing and underdeveloped countries and the annual absolute numbers of people with stroke, stroke survivors, stroke-related deaths, and overall stroke burden have shown an increasing trend. This study was aimed to investigate the time trend of calls for suspected stroke received by the Emergency Medical Servicesand to predict this trend for the next 5 years inShiraz, Iran.Methods: This was a descriptive-analytical ecological study with time seriesdata. The required data were extracted from Shiraz Emergency Medical Center between2013and2019. ITSM 2000, Excel 2013 and SPSS, version 19.0 were used to analyze and predict the data.Results: During 2013-2019, a total of 844004 calls were received by EMS call center in Shiraz city, of which 6620 calls were suspected of strokes. The number of suspected cases of stroke between 2013and2016demonstrated a steady trend in a certain r...
Trauma monthly, 2019
Introduction: Schools have many roles and capacities before and after disasters. Resilience plays... more Introduction: Schools have many roles and capacities before and after disasters. Resilience plays an important role in maintaining schools’ performance after disasters. This study systematically reviewed the literature to identify the components of school resilience in emergencies and disasters.Methods: In this study, Scopus, Web of Science, PubMed, and Google Scholar databases were systematically searched using “resilience”, “risk”, “disaster”, “emergency” and “school” as keywords. In total, 8,053 studies were reviewed in several stages and eventually, 26 articles were selected. Other articles were excluded due to the lack of inclusion criteria or being irrelevant. Five other articles were included in the study by reviewing the references. Finally, 31 relevant articles were analyzed. The quality of the articles was assessed based on the PRISMA checklist.Results: The evaluation of articles based on content analysis resulted in the emergence of 4 themes, 11 subthemes, and 99 codes. T...
یشٍّضپ ِلاقه :ِهذقه ٖاضبٕيث تحت ٝث عيِبيزٕٛٞ ضٛط ٗيٍ٘بئ ْٚاسٔ ضز َٛط هي ٜبٔ 10 ضبث ٖسق زضاٚ تؿيف ... more یشٍّضپ ِلاقه :ِهذقه ٖاضبٕيث تحت ٝث عيِبيزٕٛٞ ضٛط ٗيٍ٘بئ ْٚاسٔ ضز َٛط هي ٜبٔ 10 ضبث ٖسق زضاٚ تؿيف ضز ٖظٛؾ َٛ اض ٝثطدت ئ .سٙو فٞبو زضز ٗيا تٟخ يضبٌظبؾ ي٘لاٛط تسٔ زطف بث عيِبيزٕٛٞ تيٕٞا طيثبت يؾضطث ضٛظٙٔ ٝث ٝؼِبطٔ ٗيا .زضاز يزبيظ لأا زبٕپ ٝؿيو ٚ ٖظٛؾ ٖزطو زضاٚ ظا يقب٘ زضز تسق طث دي .سق ْبد٘ا عيِبيزٕٛٞ ٖاضبٕيث ضز يلٚطػ يبٞ :یسرزب شٍر ٝؼِبطٔ ٗيا ٝجق يثطدت ٝو زٛث يٚض طث 40 بتؾضبٕيث يسيضٚ ي٘بيطق َٛتؿيف ياضاز عيِبيزٕٛٞ ضبٕيث زعي ٖٕٛٙٞض سيٟق ٖ َبؾ ضز 94 ضز .سق ْبد٘ا ٗيا ٝؼِبطٔ تسق زضز ٗيح زضاٚ ٖزٕٛ٘ ٖظٛؾ يبٞ يلٚطػ ٜزبفتؾا بث ظا دي ٝؿيو ٚ لأا زبٕپ بث ؼبيمٔ يزسػ ٜظاس٘ا يطيٌ تسق زضز ٜظاس٘ا يطيٌ سق . ٝيعدت ٚ ُيّحت بٞ ٜزاز ث ب ظا ٜزبفتؾا بث ؽ٘بيضاٚ عيِب٘آ ٖٛٔظآ يبٞ ٜظاس٘ا يضاطىت ٚ ضاعفا ْط٘
Journal of Education and Health Promotion, 2020
OBJECTIVES: This study discussed about challenges and opportunities of institutional accreditatio... more OBJECTIVES: This study discussed about challenges and opportunities of institutional accreditation in Iranian medical universities. The lesson learned of the first round of the accreditation would direct initiatives and solutions for future accreditation. METHODOLOGY: This research is a qualitative content analysis research that studied the experience of the survey visit teams. Semistructured interviews with a purposive sampling approach were done to reach data saturation. Constant comparative method was used to analyze the data. RESULTS: The emergent themes were incompatible scheduling with accreditation workload, accreditation sustainability, the weakness of the survey instrument, advantage of the survey instrument, the quality of evaluators' survey, the opportunity of progress for universities, accreditation perspective, defendable cost opportunity, perceived injustice, and the leading strategies. In this study, the relationship between categories and themes was shown with a ...
Journal of Education and Health Promotion, 2020
BACKGROUND AND OBJECTIVES: School resilience is defined as risk-reducing strategies used to creat... more BACKGROUND AND OBJECTIVES: School resilience is defined as risk-reducing strategies used to create a safe environment for students when faced natural disasters. Resilient schools, in addition to their educational role, provide a suitable capacity for responding to disasters and rehabilitation after the incidence. This study determined the level of disaster resilience of schools in Yazd, central Iran. MATERIALS AND METHODS: This is a descriptive-analytic study conducted among 400 schools and 367 participants in Yazd, 2018. To collect data, we used the school resilience in disasters questionnaire (α =0.95 and intraclass correlation coefficient = 0.97 [95% confidence interval: 0.96–0.98]) containing 48 questions. We also analyzed the gleaned data through the Pearson correlation coefficient, one-way ANOVA, and independent t-test. RESULTS: The total score of school disaster resilience was 153.30 ± 29.57. In these schools, the function had the highest (47.76 ± 13.96), and safety had the l...
BMC infectious diseases, Feb 23, 2024
Introduction It is important to identify the relationship between the COVID-19 vaccination status... more Introduction It is important to identify the relationship between the COVID-19 vaccination status and the prognosis of this disease in hospitalized patients to gain a more accurate picture of their status and the effect of vaccination, as well as take necessary measures to improve their medical care. Thus, the present study was conducted to investigate the relationship between the vaccination status of hospitalized COVID-19 patients and the disease severity index in terms of clinical, imaging, and laboratory criteria. Methods This research is a descriptive-analytical cross-sectional study. the study population consisted of patients with a positive RT-PCR test for coronavirus, admitted to COVID-19 departments of teaching hospitals in Yazd, Iran, during two months in the sixth peak of COVID-19. The patients' data comprised demographic information (age, sex, and underlying disease), clinical information (length of hospital stay, length of ICU stay, and vaccination status), disease outcome (mortality and intubation), laboratory information (ESR, CRP, and NLR), and imaging information (lung involvement percentage), and finally, the relationship between patients' vaccination status and disease severity indices were analyzed with the chi-square test, independent t-test, and logistic regression analysis at a 95% confidence interval (CI). Findings According to research findings, the duration of hospitalization was 5.25 ± 2.34 and 6.11 ± 3.88 days in groups of patients with complete and incomplete vaccination, respectively (P = 0.003). The lengths of ICU stay were 6 ± 4.63 and 5.23 ± 3.73 days in both groups of patients admitted to the ICU (P = 0.395). Furthermore, there were significant relationships between the ICU admission rates, endotracheal intubation, mortality rate, the lung involvement score in the chest CT scan, and the NLR with the vaccination status.Multivariate regression analysis indicated that DM, IHD, NLR, CT scan score and vaccination status were related to patients' in-hospital mortality. Conclusion Complete vaccination of COVID-19 led to a milder disease in terms of clinical, imaging, and laboratory criteria of patients and decreased the possibility of hospitalization in ICUs, intubation, and mortality in patients.
Authorea (Authorea), Feb 10, 2022
The present study aimed to report a case with COVID-19 with a history of chronic diseases, beta t... more The present study aimed to report a case with COVID-19 with a history of chronic diseases, beta thalassemia intermedia, and DM. A 25-year-old man visited with covid 19 and treatment with IFN-β1a. According to the present report, the use of IFN-β1a was effective as a treatment option for COVID-19.
Critical Care Research and Practice
Introduction. Proper oxygen therapy is crucial in hospitals, particularly intensive care units, t... more Introduction. Proper oxygen therapy is crucial in hospitals, particularly intensive care units, to ensure safety and accuracy. The role of nurses during oxygen therapy is vital, as their knowledge and correct performance significantly impact patients’ clinical conditions. A study was carried out to examine the knowledge and performance of nurses regarding safe oxygen therapy. The study aimed to identify the obstacles hindering safe oxygen therapy and assess the impact of training on the knowledge and performance of intensive care nurses. Methods. This study was conducted among the ICU nurses at Shahid Rahnemoun Teaching Hospital in Yazd, Iran. The study method is a sequential combination of descriptive, qualitative, and educational phases. The first stage involved examining the knowledge and performance of 80 ICU nurses in oxygen therapy. The study employed content analysis to elaborate on participants’ perspectives on safe oxygen therapy challenges and potential solutions. The thir...
Background:Bad news refers to the category of news that create negative changes in a person's... more Background:Bad news refers to the category of news that create negative changes in a person's understanding or expectations of his present and future. Breaking bad news (BBN) is a stressful task that may have disturbing effects on the professional performance and general health of the medical staff. Pre-hospital emergency staff often needs to break bad news to the patient or his family. This study was conducted to determine the effect of Guided group Reflection training on the ability and comfort of BBN in pre-hospital emergency staff. Methods:This quasi-experimental study was conducted on a total of 95 operational staff of the pre-hospital emergency ward in Yazd, Iran, in two groups: the case and the control groups. For the case group, a 4-hour training workshop on BBN was held, and then a group was formed in virtual space to discuss and exchange opinions about the scenarios of encountering and reflecting on it. Data collection tools were SPIKES Questionnaire and the Convenienc...
Journal of Disaster and Emergency Research, 2019
Introduction:Accidents are one of the most important causes of injury and death across the world,... more Introduction:Accidents are one of the most important causes of injury and death across the world, including Iran. The epidemiological data play a key role in taking effective strategic decisions for their prevention and control. This study was conducted to determine the Frequency of different types of accidents in children aged under 5 years living in Yazd province, Iran. Methods: In this cross-sectional study, data on 2489 children under 5 years referred to hospitals in Yazd province were collected from March, 2015 to March, 2016, using the accidents registration forms and the related software. Chi-square test was incorporated to analyze the results using SPSS version 19. Results: The frequency of accidents in boys was 1460 (58.7%) and in girls 1029 (41.3%). Accidents occurred most frequently in April-May (n: 245, 9.8%) and the winter (n: 693, 27.8%). 93.3% of accidents occurred in the urban areas, 4.4% in the rural areas and 2.3% in outside the city and the villages. The total nu...
Journal of Disaster and Emergency Research, 2019
Introduction: Hospitals have a very important role in responding to disasters. Since nurses are o... more Introduction: Hospitals have a very important role in responding to disasters. Since nurses are one of the largest group of the health team and play multi-roles in patient treatment, improvement of their knowledge and skills helps them to act better in disasters.The purpose of this study was to investigate the effect of a disaster management training program on the level of knowledge, attitude, and practice of nursing staffs. Methods: The present interventional study was conducted in Shahid Rahnemoon Hospital, Yazd, Iran in 2018. At first, 40 nurses were randomly selected and their level of knowledge, attitude, and practice was measured using the questionnaire of nurses’ preparedness in disasters. The questionnaire consisted of 72 items; The total attainable score was 132 in the questionnaire. Then, the disaster preparedness training program was implemented. The program was conducted in the form of a one-day workshop for eight hours. One month after the education program, the nurses...
Sultan Qaboos University Medical Journal, 2016
Advanced Journal of Emergency Medicine, 2020
Introduction: Resilient schools can warranty students’ health and survival at disasters. It is ob... more Introduction: Resilient schools can warranty students’ health and survival at disasters. It is obligatory that schools be prepared for natural challenges through local programs. Considering the great population of students, disaster-resilient schools can be a safe and suitable environment for students at the time of disaster. Objective: This study aims to identify certain operational strategies for establishing schools resilient to natural disasters. Method: This qualitative study was based on conventional content analysis. Using purposive sampling method, 24 experts in the fields of health in disasters, construction engineering, psychology, teaching, and administrative management participated in the study. Maximum variation sampling continued until data saturation was achieved. The data collected via unstructured interviews were analyzed with Graneheim and Lundmen’s conventional content analysis. Results: Content analysis resulted in four main categories as operational strategies f...
Journal of Renal Injury Prevention, 2016
In the current study, we assessed the effects of clinical and laboratory indices and their change... more In the current study, we assessed the effects of clinical and laboratory indices and their changes in restless leg syndrome in hemodialysis patients. It is known that several laboratory indices affect this syndrome. The elevated level of blood glucose in these patients, measurement of the blood glucose index in these patients seems mandatory.
Journal of Biology and Today's World, 2015
Hepatocellular carcinoma (HCC) cancer is a lethal cancer and early diagnosis of HCC is very impor... more Hepatocellular carcinoma (HCC) cancer is a lethal cancer and early diagnosis of HCC is very important for improving the survival rate of patients. Measurement of Alfa-Fetoprotein (AFP) in combination with iconography and liver biopsy are commonly used in the diagnosis of liver cancer as well as HCC. Despite the wide use of AFP in HCC diagnosis and introducing this tumor marker as the gold standard biomarker for HCC detection, the specificity and sensitivity of AFP used in screening for HCC is very controversial. In recent years, along with development of molecular biology and extensive research about ethnology of cancers and simultaneously advances in technology, researchers identified new tumor markers in this disease. In the latest researches various biomarkers including embryonic antigen, protein antigens, cytokines, enzymes and isoenzymes and related genes for effective early diagnosis and monitoring of hepatocellular carcinoma are introduced. In this review, a summary of the data of various studies that discuss new tumor markers involved in hepatocellular carcinoma and classification of these biomarkers was investigated.
Journal of Medical Education and Development, 2020
Introduction: Peer instructor teaching is an educational model in which senior students teach to ... more Introduction: Peer instructor teaching is an educational model in which senior students teach to their classmates or junior students. Clinical supervision is a formal, systematic, and continuous that the inexperienced person reviews and improves their performance by receiving advice from a supervisor or expert. Clinical education is a vital component of the medical science curriculum and the quality and control of its stressors are important. The purpose of this study was to combine peer instructor training model with clinical supervision on the status and stressors of clinical nursing education. Methods: This is a quasi-experimental study in which a combined Peer instructor teaching and clinical supervision program was implemented. The research samples were 60 nursing students of Yazd nursing and Midwifery College who were studying in third and sixth semesters. They were selected by purposive sampling method. Data gathering tools included a four-part questionnaire including demogra...
PLOS ONE
Background In addition to their educational role, resilient schools have a good capacity in respo... more Background In addition to their educational role, resilient schools have a good capacity in response to disasters. Due to the large student population, the schools can be a safe and secure environment during disasters, in addition to maintaining their performance after. Given the role and importance of the schools, the impact of culture and environment on resilience, without any indigenous and comprehensive tool for measuring the resilience in Iran, the study aimed to design and psychometrically evaluate the measurement tools. Method This study was conducted using a mixed-method sequential explanatory approach. The research was conducted in two main phases of production on items based on hybrid model and the psychometric evaluation of the tool. The second phase included validity (formal, content and construction) and reliability (multiplex internal similarity, consistency and reliability). Result The integration of systematic and qualitative steps resulted in entering 91 items into ...
BMC Ophthalmology
Background Superficial eye disorders are one of the most common complications of improper eye car... more Background Superficial eye disorders are one of the most common complications of improper eye care in intensive care units that can lead to corneal ulcers and permanent eye damage. The aim of this study was to determine the effect of the implementation of eye care protocol on the incidence of infection and superficial eye disorders in patients admitted to intensive care units. Methods This study was a cross-over clinical trial that was performed on 32 patients admitted to the intensive care unit with reduced or no blink reflex following loss of consciousness or receiving sedatives. The eye of the test group received eye care according to the protocol and the eye of the control group received the routine care of the ward. The data collection form included demographic and clinical information and the clinical score scale of superficial eye disorders, which were completed in 7 days for both eyes. Data analysis was performed by McNemar and Cochran tests with a 95 % confidence interval. ...
Backgrounds: Stroke is known as the second leading cause of death and the first leading cause of ... more Backgrounds: Stroke is known as the second leading cause of death and the first leading cause of disability in developing and underdeveloped countries and the annual absolute numbers of people with stroke, stroke survivors, stroke-related deaths, and overall stroke burden have shown an increasing trend. This study was aimed to investigate the time trend of calls for suspected stroke received by the Emergency Medical Servicesand to predict this trend for the next 5 years inShiraz, Iran.Methods: This was a descriptive-analytical ecological study with time seriesdata. The required data were extracted from Shiraz Emergency Medical Center between2013and2019. ITSM 2000, Excel 2013 and SPSS, version 19.0 were used to analyze and predict the data.Results: During 2013-2019, a total of 844004 calls were received by EMS call center in Shiraz city, of which 6620 calls were suspected of strokes. The number of suspected cases of stroke between 2013and2016demonstrated a steady trend in a certain r...
Trauma monthly, 2019
Introduction: Schools have many roles and capacities before and after disasters. Resilience plays... more Introduction: Schools have many roles and capacities before and after disasters. Resilience plays an important role in maintaining schools’ performance after disasters. This study systematically reviewed the literature to identify the components of school resilience in emergencies and disasters.Methods: In this study, Scopus, Web of Science, PubMed, and Google Scholar databases were systematically searched using “resilience”, “risk”, “disaster”, “emergency” and “school” as keywords. In total, 8,053 studies were reviewed in several stages and eventually, 26 articles were selected. Other articles were excluded due to the lack of inclusion criteria or being irrelevant. Five other articles were included in the study by reviewing the references. Finally, 31 relevant articles were analyzed. The quality of the articles was assessed based on the PRISMA checklist.Results: The evaluation of articles based on content analysis resulted in the emergence of 4 themes, 11 subthemes, and 99 codes. T...
یشٍّضپ ِلاقه :ِهذقه ٖاضبٕيث تحت ٝث عيِبيزٕٛٞ ضٛط ٗيٍ٘بئ ْٚاسٔ ضز َٛط هي ٜبٔ 10 ضبث ٖسق زضاٚ تؿيف ... more یشٍّضپ ِلاقه :ِهذقه ٖاضبٕيث تحت ٝث عيِبيزٕٛٞ ضٛط ٗيٍ٘بئ ْٚاسٔ ضز َٛط هي ٜبٔ 10 ضبث ٖسق زضاٚ تؿيف ضز ٖظٛؾ َٛ اض ٝثطدت ئ .سٙو فٞبو زضز ٗيا تٟخ يضبٌظبؾ ي٘لاٛط تسٔ زطف بث عيِبيزٕٛٞ تيٕٞا طيثبت يؾضطث ضٛظٙٔ ٝث ٝؼِبطٔ ٗيا .زضاز يزبيظ لأا زبٕپ ٝؿيو ٚ ٖظٛؾ ٖزطو زضاٚ ظا يقب٘ زضز تسق طث دي .سق ْبد٘ا عيِبيزٕٛٞ ٖاضبٕيث ضز يلٚطػ يبٞ :یسرزب شٍر ٝؼِبطٔ ٗيا ٝجق يثطدت ٝو زٛث يٚض طث 40 بتؾضبٕيث يسيضٚ ي٘بيطق َٛتؿيف ياضاز عيِبيزٕٛٞ ضبٕيث زعي ٖٕٛٙٞض سيٟق ٖ َبؾ ضز 94 ضز .سق ْبد٘ا ٗيا ٝؼِبطٔ تسق زضز ٗيح زضاٚ ٖزٕٛ٘ ٖظٛؾ يبٞ يلٚطػ ٜزبفتؾا بث ظا دي ٝؿيو ٚ لأا زبٕپ بث ؼبيمٔ يزسػ ٜظاس٘ا يطيٌ تسق زضز ٜظاس٘ا يطيٌ سق . ٝيعدت ٚ ُيّحت بٞ ٜزاز ث ب ظا ٜزبفتؾا بث ؽ٘بيضاٚ عيِب٘آ ٖٛٔظآ يبٞ ٜظاس٘ا يضاطىت ٚ ضاعفا ْط٘
Journal of Education and Health Promotion, 2020
OBJECTIVES: This study discussed about challenges and opportunities of institutional accreditatio... more OBJECTIVES: This study discussed about challenges and opportunities of institutional accreditation in Iranian medical universities. The lesson learned of the first round of the accreditation would direct initiatives and solutions for future accreditation. METHODOLOGY: This research is a qualitative content analysis research that studied the experience of the survey visit teams. Semistructured interviews with a purposive sampling approach were done to reach data saturation. Constant comparative method was used to analyze the data. RESULTS: The emergent themes were incompatible scheduling with accreditation workload, accreditation sustainability, the weakness of the survey instrument, advantage of the survey instrument, the quality of evaluators' survey, the opportunity of progress for universities, accreditation perspective, defendable cost opportunity, perceived injustice, and the leading strategies. In this study, the relationship between categories and themes was shown with a ...
Journal of Education and Health Promotion, 2020
BACKGROUND AND OBJECTIVES: School resilience is defined as risk-reducing strategies used to creat... more BACKGROUND AND OBJECTIVES: School resilience is defined as risk-reducing strategies used to create a safe environment for students when faced natural disasters. Resilient schools, in addition to their educational role, provide a suitable capacity for responding to disasters and rehabilitation after the incidence. This study determined the level of disaster resilience of schools in Yazd, central Iran. MATERIALS AND METHODS: This is a descriptive-analytic study conducted among 400 schools and 367 participants in Yazd, 2018. To collect data, we used the school resilience in disasters questionnaire (α =0.95 and intraclass correlation coefficient = 0.97 [95% confidence interval: 0.96–0.98]) containing 48 questions. We also analyzed the gleaned data through the Pearson correlation coefficient, one-way ANOVA, and independent t-test. RESULTS: The total score of school disaster resilience was 153.30 ± 29.57. In these schools, the function had the highest (47.76 ± 13.96), and safety had the l...