Journal of Inflammatory Diseases
Volume:23 Issue: 1, 2019

Acinetobacter baumannii is an important agent of nosocomial infections. There are several reports on the presence of disinfectants-resistant Acinetobacter baumannii developed by qacE and qacEΔ1 genes in medical centers.   The current study aimed to assess the relevant antimicrobial susceptibility and to determine the frequency of genes encoding resistance to disinfectants in A. baumannii isolates. In the current cross-sectional study, 141 A. baumannii were collected from hospitals in Qazvin Province, Iran. All bacterial isolates were identified using standard laboratory methods and by the presence of the blaOXA-51-like gene. The antimicrobial susceptibility was determined by the standard Kirby- Bauer Test. Furthermore, the presence of qacE and qacEΔ1 genes was investigated using polymerase chain reaction and sequencing techniques. In total, 133 (94.32%) isolates suggested a Multidrug Resistance (MDR) pattern; 84 (59%) and 24 (17%) isolates harbored qacEΔ1 and qacE genes, respectively. There was a significant association between the presence of resistance genes and MDR patterns (P=0.001). The obtained results indicated a significant rate of resistance against disinfectants in Acinetobacter baumannii isolates among the studied hospitals; thus, more attention should be paid to the infection control committees of medical centers.

Death anxiety is a concerning and threatening issue among patients with Acute Myocardial Infarction (AMI). Self-esteem is considered as an internal factor against the inherent fear of approached death.  The present study aimed to determine the relationship between death anxiety and self-esteem among patients with AMI. A total of 216 patients with AMI hospitalized in Bu Ali Sina Hospital in Qazvin City, Iran, in 2016, participated in this descriptive and cross-sectional study. Data were collected using a demographic data questionnaire, Templer Death Anxiety Scale, and Rosenberg Self-Esteem Scale. Pearson’s correlation coefficient and multivariate regression tests were employed to analyze the obtained data. The Mean±SD age of the study patients was 60.25±10.58 years. Moreover, there was a positive and significant association between death anxiety and self-esteem of AMI patients. Multivariate regression analysis results suggested that age, economic status, religious beliefs, and self-esteem were predictors of death anxiety. The present study indicated increased death anxiety with increasing self-esteem. However, further studies in the different populations are recommended to confirm these results.

Maternal-Fetal Attachment (MFA) behaviors play an essential role in adapting to maternal concepts and promote maternal and fetal health.  The present study aimed to determine the MFA and some related factors in pregnancy. The present descriptive cross-sectional study was conducted on 200 pregnant women referring to health centers in Qazvin City, Iran, in 2015. A multistage sampling method (a division of urban areas, a random selection of health centers, & simple random sampling) was conducted. The required data were collected in a self-report manner using the Cranley's Maternal-Fetal Attachment Scale (MFAS) and a demographic and midwifery data questionnaire. The obtained data were analyzed in variance and Tukey's test.  The overall mean±SD score of attachment behaviors was 95.91±8.9; high attachment behaviors were observed in 65.5% of the study participants, while 34.5% had moderate attachment behaviors. A significant relationship was observed between attachment behaviors and several childbirths, the grade of pregnancy, educational level, and stress (P<0.05). However, no relationships were observed between attachment behaviors and mother’s age, gestational age, the history of stillbirth, abortion and infertility, participation in maternity preparedness classes, family income, and parental employment status (P>0.05). According to the obtained results, the majority of mothers had high attachment behavior scores. Moreover, some personal and midwifery characteristics were related to attachment behaviors. Therefore, it is recommended to pay more attention to the psychological dimensions of pregnant women along with other health dimensions in pursuit of modern midwifery goals.

Diabetes is the most prevalent complication in pregnancy, especially in pregnancies induced by In Vitro Fertilization (IVF). The present study aimed to evaluate the effect of an individual education program on gestational diabetes in pregnant women treated with IVF. This was a quasi-experimental clinical trial with a control group. It was performed on 170 women aged 20-45 years, undergoing IVF treatment. Apart from routine cares during pregnancy, the intervention group (85 people) benefited from 6 educational sessions, comprising modify diet, exercise activity, weight control, and daily habits. Demographic forms and three questionnaires, including the nutritional and lifestyle questionnaire, the 24-hour dietary recall questionnaire, and the physical activity questionnaire were completed by the subjects before and after the intervention. The data related to the lifestyle questionnaire, as well as the demographic and midwifery information were analyzed by inferential (logistic regression), and descriptive statistics; the 24-h dietary recall questionnaire’s data were analyzed using Nutrition 4. The statistical analysis of the two studied groups revealed no significant difference in the Gestational Diabetes Mellitus (GDM)  reduction between the intervention (8.2%) and control (20%) groups (P=0.23).  Although the individual training and lifestyle modification was not effective on the prevalence of GDM in pregnant women treated with IVF, this program combined with other practical protocols can be used to treat and prevent GDM.

Accident-induced disability and death in women causes undesirable effects and imposes significant costs on individuals, families, and society; this is because of the critical role of women in family and community.  This study aimed to investigate the accidents in women living in Qazvin Province, Iran, and its related risk factors from 2006 to 2015. This descriptive study was conducted on 61954 women referring to hospitals due to accidents in Qazvin Province. The obtained data were analyzed using frequency distribution, Chi-squared test, logistic regression, and multivariate analysis. The prevalence rate of accidents among women was 14.1%. Most of the accidents occurred in the age of 19-28 years, in the spring, and in the neighborhoods of the injured women. Trauma (25.3%), and traffic accidents (20.1%) were the leading causes of accidents in the studied women.  Injuries, and accidents among women living in Qazvin Province had a high incidence; mostly women in the younger age groups were affected. Therefore, considering the importance of protecting the health of female population in promoting health and maintaining public safety, planning for the prevention of accidents and incidents in this population is crucial.

Many scholars agree that one of the most important dimensions of public sector is the Public Service Motivation (PSM) of employees.  We investigated the psychological aspects associated with occupational and organizational factors, as well as the moderating role of the environment on PSM from the viewpoint of employees of Qazvin University of Medical Sciences. This descriptive cross-sectional study was conducted between 180 employees of Qazvin University of Medical Sciences in 2018. Kim and Vandenabeele, Hackman and Oldham's Job Diagnostic Survey, and two researcher-made questionnaires were used in the current research. All statistical tests were performed at the error level of 0.05. Structural equations with partial least squares method have also been used. The psychological aspect of profession has the most significant impact on the employee's job motivation. Moreover, the feeling of satisfaction has the strongest association with the operation of public interest; and knowledge of the results of the least effective. In the case of variables affecting the psychological condition of the organization, the individual's perception about the spatial design of the organization, the most and most variable of the individual's feelings of membership in the organization has the least effect.  Human Resource Management is the most important task of managers, and to increase the effectiveness of government agencies performance, the human resources motivation system should be improved.

Emergency action plans and procedures importance in occupational health issues in Iran's industry.  Research was conducted to evaluate the emergency action plan based on HSE-MS standards. This article is a cross-sectional descriptive-analytic study that was conducted in a large food industry company in 2017. A questionnaire was designed and used based on HSE-MS and OGP standard for providing an emergency response plan. Validity index: CVR: 0.83, CVI: 0.98. Cronbach's alpha was adopted to test reliability α:0.88 for ERP questionnaire and α:0.93 for knowledge questionnaire, both reliability and validity were acceptable. Risk assessment was performed by the FMEA method, and the result was analyzed.  Questionnaire analysis showed that 73% frequency of response was yes, which can be acceptable. Also, the system failure point based on the questionnaire was determined by determining severity, frequency, and detection probability, 436 activity was evaluated. The result showed that 28 of the risk with a priority number of over 300 and 58 risks were above the risk level of 150 and 13 risks were risky at a critical level. (two risk factor higher than 6). Noncompliance cases were in the design and planning scenarios of emergency and relief and rescue instruction. Therefore training program and operational maneuvers for ammonia chamber room, CIP+CBH chemical storage depot and boiler had a high priority for the highest risk program indicators.

Hutchinson-Gilford Progeria Syndrome (HGPS), a rare genetic condition occurs one in every 8 million live births. HGPS is characterized by premature aging in various organs. The average survival rate of the affected patients is 13 years, and their most common causes of death are myocardial infarction and stroke. This disease occurs due to a gene mutation in the chromosomes of the patient. There is no definitive treatment for progeria, and most patients die at the age of 8 to 10 years. Scientists are interested in identifying this syndrome, as it may reveal the signs of a natural aging process at an early age. The studied patient was older than the global average with no cardiovascular disease and suffered from appendicitis.