Microbiology
Hamidreza Baghani Aval; Mehran Ekrami Toroghi; Faezeh Haghighi; Yaser Tabarraie
Volume 25, Issue 5 , November and December 2018, , Pages 687-693
Abstract
Background: Urinary tract infection is the most common infectious diseases and increasing resistance to antimicrobial agents in bacteria is a major problem around the world in treatment of urinary infections. This study was conducted to identify causative agents of urinary tract infection and to determine ...
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Background: Urinary tract infection is the most common infectious diseases and increasing resistance to antimicrobial agents in bacteria is a major problem around the world in treatment of urinary infections. This study was conducted to identify causative agents of urinary tract infection and to determine their susceptibility to antibiotics in hospitalized and out patients referred to the Vase’ee Hospital in Sabzevar.Methods: This descriptive cross-sectional study was performed on 256 individuals hospitalized and out patients older than eighteen age in the Sabzevar Vase’ee hospital. Identification of bacteria was performed using biochemical tests and their susceptibility was determined by disk diffusion method. The data were analyzed using t-test, Chi-square and Fisher’s exact test with percentage error 5%.Results: Of 256 patients, 59.7 % and 40.3% were female and male, respectively. The most frequently isolated pathogen were Escherichia coli (50.8%), Klebsiella (17.6%), Coagulase-Negative Staphylococci (15/62%), Enterobacter (7.8%). E. coli as most common pathogen of urinary tract infections showed the most resistance to ampicillin and the least resistance to Imipenem indicated. In total, regardless of the type of bacteria, the highest resistance was against amoxicillin and the lowest resistance was against Imipenem.Conclusion: Considering the frequency of urinary tract infections and in order to prevent serious complication, a survey of regional resistance pattern and timely treatment can control development of resistant bacteria.
Nursing
zahra ghazi; naser mogharrabian; mohammad gholizade; yaser tabaraei; Mostafa Rad
Volume 25, Issue 3 , July and August 2018, , Pages 309-315
Abstract
introduction:Nausea is a common symptom of general anesthesia and its control with non-pharmacological methods is one of the most important goals of nursing. one of the ways to increase the quality of nursing care is evidence-based method. The purpose of this study was to determine the effect of ambulation ...
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introduction:Nausea is a common symptom of general anesthesia and its control with non-pharmacological methods is one of the most important goals of nursing. one of the ways to increase the quality of nursing care is evidence-based method. The purpose of this study was to determine the effect of ambulation according to the evidence-based method on nausea in patients after inguinal hernia surgery.Method:This single-blind clinical trial was conducted on 60 patients who underwent inguinal hernia surgery in Shahrood imam-Hossein-Hospital in 1395. Patients were randomly divided into two groups: test and control.intensity of nausea was measured at 3,6,9 and 12 hours after surgery and before discharge time.The data were analyzed in SPSS16 using Fisher test, likelihood ratio, Kolmogorov Smironov,K2Pearson,K2Friedman,and Wilcoxon.Findings:In first stage(before first ambulation), nausea intensity in experimental group was less than patients of control group(3.30VS3.57). In second stage (before second ambulation), nausea intensity in experimental group was less control group(3.03VS3.53). In third stage (before third ambulation), nausea intensity in experimental group was less than control group(2.73VS3.6).In fourth stage(before fourth ambulation), nausea intensity in experimental group was less than of control group patients(2.96VS3.63). In fifth stage (before discharge) nausea intensity in experimental group was less than patients of control group(2.03VS3.13).Results:according to results,an evidence based procedure is effective in reducing the intensity of nausea following inguinal hernia surgery.Considering the cost and fewer complications and ease of implementation of this method, it can be recommended as a care strategy in reducing nausea. Keyword: inguinal hernia, nausea, ambulate, evidence based nursing
Maliheh Dalili
Volume 25, Issue 3 , July and August 2018, , Pages 429-440
Abstract
جهت همگام شدن با تحولات ایجاد شده در امر آموزش و گذار از یادگیری سنتی به سمت یادگیری الکترونیکی، پژوهش حاضر به بررسی یکی از زیر ساخت‌های مورد نیاز یعنی آمادگی فراگیران ...
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جهت همگام شدن با تحولات ایجاد شده در امر آموزش و گذار از یادگیری سنتی به سمت یادگیری الکترونیکی، پژوهش حاضر به بررسی یکی از زیر ساخت‌های مورد نیاز یعنی آمادگی فراگیران جهت پیاده سازی و اجرای موفقیت آمیز نظام یادگیری الکترونیکی در دانشگاه علوم پزشکی سبزوار می پردازد. پژوهش حاضر از نوع توصیفی-پیمایشی بود که برروی 218 نفر از دانشجویان دانشگاه علوم پزشکی سبزوار که در نیمسال اول تحصیلی 93-94 مشغول به تحصیل بودند، انجام گرفت، روش نمونه‌گیری به صورت تصادفی طبقه ای بود. میزان آمادگی برای یادگیری الکترونیکی با استفاده از پرسشنامه استاندارد آمادگی یادگیری الکترونیکی که روایی آن توسط تعدادی از متخصصان تایید شده و پایایی پرسشنامه نیز توسط آلفای کرونباخ بدست آمده() مناسب تشخیص داده شدنتایج نشان داد که بین دانشجویان رشته‌های مختلف و آمادگی یادگیری الکترونیکی آنان تفاوت معناداری وجود دارد.تجزیه و تحلیل یافته ها نشان داد که دانشجویان دانشگاه علوم پزشکی سبزوار جهت شرکت در دوره‌های یادگیری الکترونیکی از عدم آمادگی برخوردارند. لذا توصیه می گردد با فراهم آوری زیرساخت های مورد نیاز و برگزاری دوره های آموزشی و تاکید بر اهمیت یادگیری الکترونیکی در عصر حاضر در جهت ارتقای آمادگی آن گام برداشت.
Nursing
Mahdi Jafarzadeh Fakhari; Yaser Tabaraie; Mahdi Motakef far; Salime Azizi
Volume 25, Issue 1 , May and June 2018, , Pages 111-117
Abstract
Introduction:Depression is one of the most common psychiatric disorders in patients with diabetes that its incidence in addition to the impact on the course of treatment, can be changed the prognosis. This study aimed to determine the effects of progressive muscle relaxation on depression in patients ...
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Introduction:Depression is one of the most common psychiatric disorders in patients with diabetes that its incidence in addition to the impact on the course of treatment, can be changed the prognosis. This study aimed to determine the effects of progressive muscle relaxation on depression in patients with type 2 diabetes. Methods & Materials: This study was a clinical trial that conducted on 77 patients who referred to Diabetes center of Sabzevar city. The participants completed the Beck Depression Inventory and if they earned 14-28 (mild to moderate depression), included to study. Then, participants after consent, were divided Randomly into two groups of progressive muscle relaxation (n= 37) and control (n= 40).relaxationperformed 2 times a week for 20-30 minuteswithin 6 weeks, under the supervision of a researcher. Beck Depression Inventory was completed at the end of the sixth week again.In analytic measurements of this study used of statistical analysis in SPSS software (Version 16). A P value of < 0.05 was considered to be statistically significant. Results: The mean depression score after intervention in relaxation group compared to control group was ranged from 20.91±4.20 to 11.29±2.85 and from 20.60±4.21 to 19.99±3.61, respectively.According to independent t-test, there was significant differencebetween case and control groups (P<0/001). Paired t-test showed statistically significant difference in terms of depression scores before and after intervention(P<0/001); while in control group had not any statistical significancy (p=0.204) Conclusion:Progressive Muscle Relaxation is effective way to reduce depression in patients with diabetes type 2.