فهرست مطالب fatemeh barzegar

Aging is said to be a special pattern of natural changes in life that occurs as people age With increasing age, the elderly suffer from several problems, including a decrease in hope, happiness, and self-esteem, which may affect self-care, especially nutrition. Therefore, the present study was conducted to investigate the relationship between nutrition and self-esteem and happiness of the elderly

The present study was a descriptive-analytical study of the correlation type, and following the ethical standards and obtaining informed consent from the company. The research began Research sampling in this study was by multi-stage method (proportional and simple random). First, among the 18 health centers of Amel city, 7 centers were randomly selected, then again, by simple random and lottery method from among the target population (elderly people), until reaching the desired volume of the study, in 1401 became Simple random sampling was done by preparing a list of people eligible for the study in the selected health care center, then we selected the required number of samples by lottery. The inclusion criteria included being over 60 years old, living in Amel City, the absence of problems such as acute mental disability, the absence of cognitive impairment (using AMT, Alzheimer's, and cancer), and the ability to communicate. Non-cooperation during the implementation of the study was considered as an exit criterion. The tools used included demographic questionnaires, cognitive status assessment, elderly depression, happiness, self-esteem, and instrumental activities. The data were analyzed with descriptive (frequency, mean, and standard deviation) and inferential (focal correlation and parameter estimates) tests.

The results showed that the average age of the participants (60 to 81 years) was equal to 65.92±4.64 and the average body mass index of the participants was 23.75±2.54. 14% of the elderly were underweight and 33% were overweight. 12% were at risk of malnutrition. Most of the elderly had high happiness (99%) and high self-esteem (59%). The correlation coefficient of happiness and self-esteem is 0.378. As a result, in this study, nutrition had no significant relationship with the self-esteem and happiness of the elderly. Also, the results showed that the happiness and self-esteem of the elderly had a significant positive relationship with each other(P<0.001). According to the value of P>0.050, there is no relationship between the self-esteem of the elderly and the total score of the supplementary examination and nutrition. According to the value of P<0.050, it means that there is a relationship between the self-esteem of the elderly and happiness, but by observing the value of R square=0.045, this relationship is very insignificant. It can be said that only 4% of self-esteem changes are due to happiness There is no statistically significant relationship between the family self-esteem component and happiness(P>0.05). In other components of self-esteem, there is a statistically significant relationship with happiness(P<0.05). Also, there is no relationship between happiness with the total score of the supplementary examination and the total score of nutrition, P>0.050

This research was a descriptive-analytical correlation study. The results of this study showed that there is a relationship between happiness and self-esteem of the elderly. However, there was no statistically significant relationship between self-esteem and nutrition of the elderly. In general, according to the results of this research, it is suggested to pay attention to the role of general self-esteem, social self-esteem, and occupational self-esteem in the happiness of the elderly. Considering the expansion of the elderly population in Iran and the importance of paying attention to the physical and mental health of the elderly, the results of this research can be useful for planning to improve the capabilities of the elderly.

Ventilator-associated pneumonia (VAP) is of special importance among nosocomial infections. We aimed to study the bacterial profile of VAP and their drug susceptibility pattern among intensive care unit patients at teaching hospitals affiliated with Mazandaran University of Medical Sciences.

In this retrospective cross-sectional study, the records of patients in the intensive care unit with ventilator-associated pneumonia were reviewed. After the growth of the bacteria, the colony identification of the grown bacteria were done based on microbiological and biochemical standard tests. To investigate the antimicrobial susceptibility pattern of isolates, the disk diffusion method was used according to the CLSI guidelines.

Out of 107 patients, 14 (13%) had a history of hospitalization over the last three months. The most common underlying diseases were ischemic heart disease (IHD), hypertension, and diabetes. The most common causes of hospitalization included cardiac diseases, COVID-19, and sepsis. The most common microorganism isolated was Enterobacter (23.4%), and the least abundant microorganisms were Proteus (n=1) and Staphylococcus saprophyticus (n=1). In general, colistin was the most sensitive among the examined gram-negative organisms.

Identifying the pattern of antibiotic resistance and the risk factors for ventilator-associated pneumonia are effective in delivering more efficient treatments and reducing the complications of this disease. Local epidemiological data should be collected at all centers as this information guides the initial empirical treatment with antibiotics, thereby preventing the development of more resistant strains. All these measures will reduce the morbidity and mortality of ventilator-associated pneumonia.

The spread of coronavirus disease 2019 (COVID-19) pandemic in all countries causing a global effort to discovered rugs or vaccines. The potential of 70 plant origin-flavonoids for inhibition of the main protease of COVID-19 was investigated the molecular docking approach. COVID-19 Docking Server was applied to check the inhibitor activity of the flavonoids in comparison to the native protease inhibitor of the main protease. Results suggest five compounds namely rutin, neohesperidin, poncirin, naringin, and theaflavin. For these compounds, the predicted binding energy was respectively -9.5, -9.2, -8.9, -8.8, and -8.8 kcal/mol in comparison to the -8.5 kcal/mol value for the native inhibitor. The hydrogen bond with residues Ser46, Gly143, His163 and hydrophobic interaction with residues Asn142, Gly143, Cys145, and Met165 are the major interaction between selected flavonoids with the main protease. Anti-GRP78 flavonoids naringin and poncirin are repurposing flavonoids for inhibition of Mpro of COVID-19 that previously their inhibitory effects were appeared by our using invitro analysis for GRP78. Also, rutin was proposed based on the consensus decision-making along with other studies for the inhibitory effect of flavonoids against the main protease of COVID-19.

Religious pluralism is coined by John Hick (1912-2019). While  Hick analyzes religions from a non-religious outlook and prefers this discourse over religious approaches, at the same time he considers religion as the right path to reach truth and salvation. The religious pluralists have introduced some of the Muslim mystics and poets pluralists, however, they have neglected the 6th-century mystic poet, Ain al-Quzaat Hamedani (492-525 A.H.). This research, with a descriptive-analytical method, aims to investigate the relationship between the views of Ain al-Quzaat and religious pluralism according to today's standards. The findings of the research show that Ain al-Quzaat Hamedani does not fit into any of the new and modern perspectives but, his views, as a religious scholar are understandable in the approaches of pluralists in his historical context and he believed that all non-Abrahamic religions have the truth. Therefore, a broader model should be designed to understand the thoughts of Ain al-Quzaat in the field of theology.

The present systematic review and meta-analysis study revealed that CT imaging features with high sensitivity can help diagnose patients with Covid-19 to be able to choose an appropriate treatment. In general, it seems that from a perspective, strategies and strategies to deal with the new corona virus worldwide, in four areas including strategies to combat social stigma caused by coronation, psychological such as strategies to combat fear and panic due to coronary heart disease, physical economic and in countries with religious places and behaviors and rituals, in the field of spiritual health can be examined. The aim of current study was to evaluate the radiological findings of patients with COVID-19. 534 studies were reviewed, of which the full text of 94 studies was reviewed and finally seven studies were selected for meta-analysis. Sensitivity and Specificity of ground glass opacity with other features in CT findings in diagnosis of COVID-19 was (ES, 0.92 95% CI 0.87, 0.96. P=0.00) and (ES, 0.67 95% CI 0.63, 0.72. P=0.00), Respectively. From another perspective, coping strategies with the new coronavirus can be considered in two categories: public coping strategies and public or private coping strategies. From the third point of view, coping strategies with Covid-19 can be divided into pre- and post-corona strategies. It seems that future review studies on issues such as: Critical evaluation of other new coronavirus coping strategies from different perspectives and based on the above divisions will pave the way for policymakers, officials and non-governmental organizations in the field of Covid-19 struggle.

Unfortunately, many medical staff in hospitals and referral centers became ill, and some died due to frequent encounters with patients and severe cases of the disease. In the meantime, the issue of the spread of nosocomial infections should never be overlooked, and it should be thought that all attention should be focused on coronavirus, as the interaction between the virus and other strains of nosocomial infections is completely unknown. These measures are especially important in intensive care units for the care of Covid-19 patients, because the spread of this infection in these wards is strongly and exponentially associated with high mortality due to the disease. The outbreak of Covid-19 disease affected almost every country in the world, leading to more than 44 million cases and 1.2 million deaths by the end of October 2020. Another important point is the application of special and intensive protocols in the referral centers of patients in such a way as not only to prevent the spread of infection from disease to another patient but also to minimize the chances of infection of care and treatment personnel.

 Inflammatory pain is the spontaneous hypersensitivity to pain that occurs in response to tissue damage and inflammation. Recently herbal remedies have been considered for less complications. The two topical products of Capsicum (Capex Topical cream) Apium graveolens and Mentha (CM lotion) can reduce the inflammatory. Since Capex Topical cream causes skin irritation, it seems that its composition with the other product could probably reduce this complication.

 This experimental study was performed on 60 patients referred to orthopedic clinic of Shahid Yahyanejad Hospital, Babol in 2018. Patients were randomly divided into three treatment groups. Data collection was done by a researcher-made questionnaire, which included two parts of individual characteristics and the severity of pain. The severity of pain was measured by visual analogue scale (VAS) before intervention and two and four weeks after the intervention. Data were analyzed using SPSS-16 software and P < 0.05 was considered as significant.

 The results showed that the intensity of pain after use of each of the products decreased in all three groups. In addition, our results demonstrated that application of Capex Topical Cream was more effective that use of CM lotion in decreasing the pain intensity (P < 0.05). Moreover, the intensity of pain after topical application of the combined lotion of CM and Capex Topical cream significantly decreased (P < 0.05), however the decrease in pain intensity using combined solution was not significant compared to application of Capex Topical cream or CM lotion alone.

 The present study showed that the use of all topical products reduces the severity of pain and due to the less side effects and complications such as skin irritation in application of combined solution and better acceptance by patients, it could be suggested the use of combined solution as a better alternative to reduce inflammatory pains.