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indices

در نشریات گروه پزشکی
  • Ali Raee-Ezzabadi, Adel Eftekhari, Naeimeh Baghshahi, Mohammadhossein Dehghani, Najmeh Baghian
    Background

    Accreditation means systematic evaluation of health service centers with specific standards. One of the most important goals of the accreditation process is to improve patient safety. Patient safety visits are one of the most important standards for improving safety. One of the ways to increase the effectiveness of visits is holding feedback sessions.

    Objectives

    The present study was conducted with the aim of assessing the effect of feedback provision on improving patient safety indices based on the hospital accreditation model in Shahid Rahnemoon Hospital, Yazd.

    Methods

    The present study is a semi-experimental study with a before-and-after design that was conducted in Shahid Rahnemoon Hospital, Yazd, from September to December 2021 and January to August 2022. After each visit, formal feedback sessions were held with the attendance of patient safety team members and officials of the visited wards/units. Evaluation indicators included patient safety indicators in accreditation standards, such as error reporting, rate of unwanted events, and patient safety culture score. These were measured before and after feedback. The tools used were the patient safety standards evaluation checklist based on the accreditation model, the patient safety culture questionnaire, and other indicators extracted using documentation. The Patient Safety Culture Evaluation Questionnaire was completed by 360 nurses working in the hospital in the form of a census. Analysis was done using descriptive statistical tests and paired t-tests with STATA 14.2 software.

    Results

    Based on the results of the study, safety feedback was provided to increase patient safety indicators in different departments and units of hospitals [t = - 4.8652, w/df = 10, P = 0.0007, (P = 0.05)]. A significant difference was observed in the amount of error reporting (P = 0.031) and patient safety (P < 0.001) before and after the intervention. The degree of compliance with the dimensions of the patient safety culture had a statistically significant difference before and after the intervention (P < 0.001).

    Conclusions

    Providing a safety feedback program had a significant positive effect on the cons umption and consequences of the patient’s safety culture. Therefore, conducting regular safety visits and setting up a direct feedback program to each department/unit after the visit, and the follow-up of corrective measures, will lead to an increase in patient safety standards.

    Keywords: Feedback, Patient Safety, Indices, Accreditation, Hospital
  • Farzaneh Mosavat, Alper Sinanoglu, Zahra Khodadadi, Zahra Sadeghi Sabzevari
    Introduction

    Aging is accompanied by the gradual loss of teeth, which can cause several orofacial changes. This study aimed to compare panoramic radiomorphometric indices between dentate and totally edentulous patients.

    Materials and Methods

    One hundred panoramic radiographs were analyzed to measure six indices using Clinview 9.3 software: the gonial angle (GA), antegonial angle (AGA), condylar height (CH), ramus height (RH), mental index (MI), and mandibular cortical index (MCI). An independent sample t-test and Chi-square was used to compare the means of the measured data between dentate and edentate subjects and genders.

    Results

    In both genders, dentate people had greater left CH (p=0.05) and left GA (p=0.03). Men had greater RH in the dentate and edentate groups (p<0.001). No correlation was found between groups and genders in MCI scores.

    Conclusion

    CH index assessment as the function of the masticatory muscles and GA as residual ridge resorption were decreased in edentulous people. The findings highlight the importance of oral hygiene education and prosthetic rehabilitation of the edentulous.

    Keywords: Digital panoramic, Morphometric, Edentulous, Indices
  • فاطمه آلبویه، منیر نوبهار*، راهب قربانی
    هدف

    سندرم کرونر حاد یکی از شایع ترین بیماری های قلبی و اصلی ترین عامل ناتوانی و مرگ می باشد، تغییر شاخص های همودینامیک وضعیت بیماران را به خطر می اندازد. مطالعات نشان دادند زردچوبه بر میزان فشار خون، تنفس و درجه حرارت اثر دارد. با توجه به گرایش عمومی نسبت به مکملهای گیاهی، هم چنین عدم وجود عوارض جانبی زردچوبه، هدف این مطالعه تعیین اثر زردچوبه بر شاخص همودینامیک در بیماران سندرم کرونر حاد بود.

    مواد و روش ها

    در این کارآزمایی بالینی سه سوکور، 270 بیمار سندرم کرونر حاد بخش مراقبت ویژه بیمارستان کوثر سمنان از آذر 1399 تا اسفند 1400 وارد مطالعه شدند. سپس با بلوک بندی تصادفی سه تایی در سه گروه مداخله، درمان نما و شاهد (هر گروه 90 بیمار) مورد ارزیابی قرار گرفتند. گروه مداخله قرص 500 میلی گرمی زردچوبه را ساعت 9 صبح بعد از صبحانه به مدت سه روز دریافت کرد. گروه درمان نما، قرص 500 میلی گرم نشاسته، اویسل و لاکتوز را ساعت 9 صبح بعد از صبحانه به مدت سه روز دریافت کرد. گروه شاهد فقط مداخلات روزمره را دریافت کردند. شاخص های همودینامیک سه روز متوالی، قبل و نیم ساعت بعد از مداخله با مانیتور پویندگان راه سلامت ثبت گردید.

    یافته ها

    میانگین کاهش تعداد ضربان قلب در گروه مداخله در روز اول (001/0=P)، روزدوم (001/0P<) و روز سوم (001/0P<) به طور معنی داری از گروه درمان نما بیش تر بوده است. هم چنین میانگین کاهش تعداد ضربان قلب گروه مداخله با گروه شاهد در روز اول تفاوت معنی دار نداشت (999/0P>)، اما روز دوم (001/0P<) و روز سوم (001/0P<) کاهش بیش تری داشت. فشارخون سیستولیک و دیاستولیک گروه مداخله از درمان نما (001/0P<) و در گروه مداخله با شاهد (001/0P<) کاهش بیش تر و اشباع اکسیژن خون شریانی در گروه مداخله از درمان نما (001/0P<) و در گروه مداخله از شاهد (001/0P<) افزایش بیش تری داشت. درجه حرارت و تعداد تنفس تفاوت معنی داری نداشت.

    نتیجه گیری

    نتایج نشان داد زردچوبه می تواند سبب کاهش تعداد نبض، فشارخون سیستول و دیاستول و افزایش اشباع اکسیژن خون شریانی شود، بنابراین استفاده از این روش ساده و مقرون به صرفه، در بخش مراقبت ویژه پیشنهاد می شود. انجام مطالعات بیش تر برای ارزیابی تاثیر زردچوبه بر شاخص همودینامیک توصیه می شود.

    کلید واژگان: سندرم کرونر حاد، زردچوبه، شاخص ها، همودینامیک، کارآزمایی بالینی
    Fateme Aleboye, Monir Nobahar*, Raheb Ghorbani
    Introduction

    Acute coronary syndrome, the most common form of heart disease, is the main cause of disability and death. It impairs the hemodynamic indices, leading to endangering the patients' condition. Curcuma Longa modulates blood pressure, breathing parameters, and temperature. The present study aimed to investigate the possible protective effects of Curcuma Longa on hemodynamic indices in acute coronary syndrome patients.

    Materials and Methods

    In this triple-blind clinical trial, 270 patients with acute coronary syndrome from the Coronary Care Unit in Kowsar Hospital in Semnan were included in the study from December 2019 to March 2021. Then, they were randomly divided into three groups, including the sham, intervention, and control groups (n=90). The intervention group received 500 mg of Curcuma Longa tablets. The sham group received 500 mg starch, Oisel, and lactose tablets. Drugs were administrated at 9 am, soon after breakfast, for 3 days. The control group received only the routine interventions. Before and 30 min after the intervention, the hemodynamic indices were recorded on 3 consecutive days using hemodynamic monitoring equipment (Pouyandegan Rah Saadat).

    Results

    The average heart rate was significantly decreased in the intervention group than in the sham group (P=0.001 for day 1), (P<0.001 for day 2), and (P<0.001 for day 3). The average heart rate was significantly decreased in the intervention group than in the control group on the 2nd and 3rd days (P<0.001). Systolic and diastolic blood pressure were significantly decreased in the intervention group than in the sham, and control groups (P<0.001). Arterial blood oxygen saturation was significantly increased in the intervention group than in the sham and control groups (P<0.001).

    Conclusion

    Curcuma Longa reduces pulse rate, as well as systolic and diastolic blood pressure, and enhances arterial blood oxygen saturation in a triple-blind clinical trial study. The protective effects of Curcuma Longa on hemodynamic indices may highlight the use of this simple and affordable intervention in Coronary Care Units.

    Keywords: Acute Coronary Syndrome, Curcuma Longa, Hemodynamic, indices, Clinical Trial
  • Mojgan Cheshmekaboodi, Roghayeh Ershad Sarabi, Ali Mohammadi *
    Background

     The most important factor representing the performance and utilization of hospital services are hospital indicators.

    Objectives

     The aim of study was comparison performance indices before and after health reform plan in Kermanshah and compared with the standard of the Iranian Ministry of Health.

    Methods

     the study was comparative and descriptive-analytical that performed cross-sectional in 2017 and conducted in seven educational hospitals in Kermanshah. The data were related to 37 indices in five areas from hospitals that were submitted to the Department of Statistics in Deputy of Treatment. The data were collected using data extraction form. The validity of the form was confirmed by 7 experts. Data analyzed using SPSS 20.

    Results

     results showed that comparing indices of bed and hospital stay, patient indices, and indicators for outpatient and inpatient department services from para-clinical services except endoscopic increased and the mortality indices decreased. Comparing indices with Pabon-laso and standards show that status of some indices for several years before and one year after health reform plan were in unfavorable condition.

    Conclusions

     results showed that the implementation of the health reform plan may have caused changes in most of the indicators, but these changes were significant in a few number of indices. So it is needed that policymakers evaluate indices periodically.

    Keywords: Hospital, Performance, Health Reform Plan, Indices
  • Fatemeh Semnani, Elham Afzal, Mohsen Shati
    Background and Objectives

    Public – Private Partnership can increase the efficiency of health care in hospitals that is the main aim of a good management in a healthcare sector. The purpose of this study was to investigate the performance and the efficiency indices of important wards of Hasheminejad Kidney Center as a public hospital from 2004 to 2012 in order to measure the advantages of this partnership.

    Methods

    This practical and cross-sectional study was performed in winter 2014. The performance and efficiency indices (2004-2012) were calculated and drawn in Excel software. Then, the researcher investigated the causes of increasing or decreasing of indices and analyzed them based on the evidences.

    Resultss

    It was shown that the performance and efficiency indices were increasing during these years, and the causes of the slight decrease in some cases were investigated.

    Conclusion

    It was concluded that all hospitals by applying some model of partnership will be able to change their hospitals, if they apply this partnership systematically and based on the scientific and experimental model.

    Keywords: Public-Private Partnership, Efficiency, Performance, Hospital, indices, Hasheminejad Kidney Center
  • Bahiye Aalaei *, Farahnaz Sadoughi
    Introduction
    Nowadays none of the fields of human knowledge has remained unaffected by informatics and information technology. Health and treatment categories are no exception to this, too. Therefore, this study was conducted aiming at evaluating the financial information system of educational hospital of JundiShapuor University of Medical Sciences in Ahvaz.
    Methods
    This research was an applied type in nature drawing upon a descriptive method. The study was carried out in hospitals affiliated to JundiShapuor University of Medical Sciences in 2013 to 2014 in Ahvaz. A questionnaire was made to evaluate the strengths and weaknesses of the financial information system. Data received from participants who were willing to answer the questions. Content validity of the questionnaire was confirmed by the experts and its reliability was measured using SPSS software and Cronbach’s alpha method (89%).
    Conclusion
    The findings revealed that financial information system indices such as precise and correct financial calculations, support and classification of information, detailed services to patient report, report of purchase requests of sections, insurance bills of patients, and provision of processed financial information to the internal beneficiaries (as strong points) had a higher average than the features of communication with the internal and external information system and maximization of capital (as weak points).
    Results
    The results of this study showed that the financial information system is in a moderate upward situation, which has improved and upgraded the financial information system of Ahwaz hospitals..
    Keywords: Hospital Information System, Financial Information Management Systems, Hospitals, Indices
  • Hassan Emami *, Reza Radfar
    Background and scope: The current situation in Iran suggests a good basis for advancement in biotechnology industries because the patents for many hi-tech medicines registered in developed countries are ending. Biosimilar and technology-oriented companies without patents will have the opportunity to enter the biosimilar market and move toward innovative initiatives. The present research proposed a model by which one can evaluate commercialization of achievements obtained from research with a focus on the pharmaceutical biotechnology industry.
    Methodology
    This is a descriptive-analytic study where mixed methodology is followed by a heuristic approach. The statistical population was experts active in pharmaceutical biotechnology and those at universities and research centers in Iran. Structural equations were employed in this research.
    Findings: The results indicate that there are three effective layers within commercialization in the proposed model. These are a general layer (factors associated with management, human capital, legal infrastructure, communication infrastructure, technical and executive infrastructures, and financial factors), industrial layer (internal industrial factors and pharmaceutical industry factors), and a third layer that included national and international aspects. These layers comprise 6 domains, 21 indices, 41 dimensions, and 126 components.
    Conclusion
    Compilation of these layers (general layer, industrial layer, and national and international aspects) can serve commercialization of research and development as an effective evaluation package.
    Keywords: evaluation, commercialization indices, research, development, indices, pharmaceutical biotechnology
  • Maryam Ramin, Farideh Golbabaei, Hojat Kakaei, Rooholah Ghasemi
    Thermal stress is a well-recognized health hazard in the workplace. In addition to the health deficits, working in the heat can affect significantly on the productivity of some industries located in rough environments. The current indices used to evaluate the environment are either flawed or difficult to implement. The focus of this review is upon heat stress indices used in Iran to evaluate occupational thermal stress. In this systematic review, the research team searched both bibliographic, citation databases for related heat stress articles in Iran over the past 50 yr. Different search engines were used, and the search strategy was the same in the all searched databases. Twenty papers reviewed through bibliographic database and 30 papers reviewed through citation database. Then the total identified was 50 papers and thesis. Fifteen duplicate papers were removed and finally, 35 were included. In particular, there is a review about the wet-bulb globe temperature (WBGT) index, and an overview of other heat stress indices may be undertaken. These principles and methods are combined to illustrate how one may evaluate the risk of heat illness. Three general areas of research are briefly reviewed: climate change, clothing effects, and physiological parameters. These topics are compared with the published researches from other countries. Over the years in Iran, too much emphasis has been placed on the academic accuracy of an index at the expense of practicability. In addition, the studies in Iran showed few detailed researches with a target of preventive measures and intervention to mitigate adverse effects and there is no strong focus on sustainable development.
    Keywords: Heat stress, WBGT, Occupational health, Indices
  • Neda Behzadnia, Babak Sharif Kashani, Mohsen Mirhosseini, Ahmadreza Moradi, Golnar Radmand, Zargham Hossein Ahmadi *
    Background
    In patients with advanced heart failure, significant improvement in pharmacological and non-pharmacological treatment strategies has conferred better survival rates and quality of life..
    Objectives
    This is a report on echocardiographic findings in heart transplantation (HTx) patients in their first 5 postoperative months..Patients and
    Methods
    Twenty patients undergoing HTx between September 2009 and July 2010 whose clinical and echocardiographic findings had been registered monthly for 5 months after HTx were enrolled..
    Results
    Eleven males and five females at a mean age of 33 years [range = 17-58 years] were enrolled in the study. The mean of the left ventricular ejection fraction (LVEF) was 52 ± 8.2 % and 58 ± 2.5 % on the first day and at 5 months after HTx, respectively. There was no LV enlargement at 5 months'' follow-up. The right ventricle (RV) was mildly enlarged, but the reduced baseline RV function showed improvement at the 5th postoperative month (mean TAPSE was 11.7 ± 3.3 mm on the first post-HTx day versus 17.2 ± 6.3 mm after 5 months; P < 0.005). The pulmonary arterial pressure was slightly elevated at baseline, and it showed no significant decrease 5 months after HTx. More than 90% of the cases showed only mild tricuspid regurgitation at 5 months'' follow-up. The tissue Doppler imaging-derived velocities of the medial and lateral mitral annuli and the tricuspid annulus demonstrated a gradual increment during the follow-up and reached their highest value at 5 months'' follow-up..
    Conclusions
    The cardiac grafts at 5 months'' post-HTx follow-up were characterized by normal LV dimensions and EF. Also, RV dysfunction and tricuspid regurgitation were frequent findings, but they were not associated with the clinical signs of congestive heart failure, morbidity, and mortality in the majority of our patients..
    Keywords: Heart Transplantation, Echocardiography, Indices
  • Ali Naghizadeh, Ommolbanin Motamed Rezaei*, Ahmad Reza Yari
    Background
    Environment health of schools that is described briefly in section four of schools health implementation program of Iran, is one of the primary determinants of students’ health. Undoubtedly, physical environment has a very important role on the education efficiency of children in the schools and nobody can neglect the importance. The primary aim of this study was to evaluate conditions of environment health in schools of Khaf city.
    Materials And Methods
    This cross sectional survey was performed in all schools of Khaf city by use a census. The data were collected by means of a questionnaire. A face to face interview method was used to obtain data. Finally, data were statistically processed by means of Excel and SPSS version 13.
    Results
    The results of the present study showed that most of schools had good building conditions. But only 4 (9.5%) schools were equipped with health care services. Also, 13 (31%) schools out of the 42 schools had no good green space. Parameters of physical environment in all school were good. But about healthy water foundations, 19 (45.2%) schools had no good conditions.
    Conclusion
    The findings of the present survey suggest that poor conditions of healthful environment especially problems regarding safe water supply, can be attributed to lack of authorities knowledge about environment health regulations. In most cases qualitative educational aspects were considered and little attention was paid on qualitative items.
    Keywords: environmental health, schools, Indices, Khaf
  • رحمت الله مرزبند، علی اصغر زکوی
    مقدمه
    با وجود پذیرش بعد معنوی سلامت از طرف محافل علمی و سازمان جهانی بهداشت، چالش هایی در مفهوم سلامت معنوی وجود دارد. هدف از مطالعه حاضر، شناسایی شاخص های سلامت معنوی از دیدگاه آموزه وحیانی می باشد.
    روش
    در پژوهش حاضر، از روش تحلیلی اسنادی و مفهومی استفاده شد. برای این منظور با مراجعه به منابع دست اول، از قبیل کتب معجم قرآنی و تفسیری از قبیل المیزان، نمونه، تفاسیر موضوعی و نیز جستجو در پایگاه های اینترنتی مختلف مقالات و نشریات مرتبط با معارف قرآنی و روان شناسی، طب و دین اطلاعات لازم جمع آوری و سپس مورد تجزیه و تحلیل واقع شد.
    یافته ها
    در رویکردهای معاصر، عده ای معنویت را در حد مجموعه ای از توانایی های به هم مرتبط و یا نوعی هوش تلقی کرده اند. گروهی هم معنویت را جریان و رویکردی می دانند که به رضایت باطنی منتهی می شود. لیکن در آموزه وحیانی، بدون در نظر گفتن معنایی معقول، نمی توان از معنویت سخنی گفت؛ چنین معنایی جز خداوند چیز دیگری نمی باشد. سلامت معنوی در بردارنده مولفه های شناختی، احساسی، رفتاری و پیامدی می باشد. انسان معنوی، برخوردار از اندیشه یا تعقل ویژه نسبت به خدا، انسان و خلقت و رابطه متقابل آنها می باشد. تعقلی که پرده ظواهر را دریده و به حقیقت باطنی دست یافته است. همه زندگی او جهت گیری الهی پیدا می کند. از حالات معنوی ویژه ای چون حب به خداوند، دگر دوستی، توکل و شرح صدر برخوردار است از سلامت جسمی و روانی بیشتری بهره می برد.
    نتیجه گیری
    شاخص های سلامت معنوی، تنها سنخی از رفتارها و یا احساسات روانشناختی از قبیل رضایت باطنی و یا آرامش درونی نیست. بلکه سلامت معنی معطوف به همه زندگی انسان معنوی می گردد. ارایه چنین تصویری از معنویت مبتنی بر معرفت شناسی، انسان شناسی و جهان شناسی قرآنی می باشد.
    کلید واژگان: آموزه قرآنی، سلامت معنوی، شاخص ها، معنویت
    R. Marzband, A. A. Zakavi
    Notwithstanding the acceptance of the spiritual dimension of health by the scientific circles and the WHO, the progress of the thought of the spiritual health has been very slow in the State health plans. Since, there are challenges in the concept of the spiritual health. The present study aims at identifying the indices of the spiritual health from the perspective of the revelatory teaching. The documental and conceptual analysis method has been used in this review research. For this purpose, necessary information has been collected and then analyzed by referring to first-hand sources such as Quranic index and interpretation books like Al-Mizan, and also searching in different internet databases and the papers and publications related to Quranic knowledge, psychology, medicine and religion. In the contemporary approaches, some ones have regarded spirituality as limited to a collection of correlated abilities and/or a kind of intelligence. Also a group considers spirituality as a flow and approach which leads to the intrinsic complacence. In the revelatory teaching, however, spirituality may not be mentioned without considering a reasonable meaning. Such a meaning cannot be anything else except God. The spiritual health includes cognitive, emotional, behavioral and consequential components. The spiritual man enjoys a special thought or thinking toward God, man, creation and their mutual relations. This thinking has torn the curtain of appearances and has attained the intrinsic truth. All his life finds a divine orientation. He enjoys special spiritual states such as love of God, altruism, reliance on God and tolerance; he benefits from more physical and mental health. Therefore, the indices of the spiritual health are not merely a kind of behaviors and/or psychological feelings such as the intrinsic complacence and/or the internal peace. Rather, the spiritual health deals with the all life of the spiritual man. Presenting such an image of spirituality is based on Quranic epistemology, anthropology and cosmology.
    Keywords: Meaning, spirituality, Quranic teaching, indices, health
  • محمود عباسی، فریدون عزیزی، احسان شمس گوشکی، محسن ناصری راد، مریم اکبری لاکه
    مقدمه
    از زمان ورود مفهوم سلامت معنوی توسط موبرگ (1971م.) تاکنون تعاریف متعددی در مورد این مفهوم ارائه شده است و در روش سنجش آن نه در تحقیقات تجربی و نه در تعابیر متداول اتفاق نظری وجود نداشته است. هدف اصلی این مقاله ارائه یک تعریف جامع از سلامت معنوی و تعریف عملیاتی مولفه ها و شاخص ها و تحلیل مقیاس های سنجش سلامت معنوی براساس فرهنگ بومی ایران است.
    روش
    این مطالعه بر مبنای یک رویکرد روش شناختی است. داده ها با روش اسنادی گردآوری شده است. برای تحلیل مفهومی داده ها از روش واکر و آوانت (2005م.) استفاده شده است. پس از گردآوری داده ها، فضای مفهوم واژه ای سلامت معنوی ترسیم شده و موقعیت کالبدی مولفه ها و شاخص های آن تعیین گردیده است.
    یافته ها
    معنویت حالتی از بودن است لیکن سلامت معنوی حالتی از داشتن است. سلامت معنوی به برخورداری از حس پذیرش، احساسات مثبت، اخلاق و حس ارتباط متقابل مثبت با یک قدرت حاکم و برتر قدسی، دیگران و خود اطلاق می شود که طی یک فرآیند پویا و هماهنگ شناختی، عاطفی، کنشی و پیامدی شخصی حاصل می آید. شناخت معنوی، عواطف معنوی، کنش معنوی و ثمرات معنوی مولفه های اصلی سلامت معنوی اند.
    نتیجه گیری
    سلامت معنوی آدمیان را بایستی برمبنای فرایندی از کنش متقابل انسان در جهان هستی و یک قدرت برتر و حاکم قدسی تعریف کرد. در سنجش سلامت معنوی افراد دیدگاه ما نسبت به سلامت معنوی نباید تحت بررسی واقع شود بلکه در این سنجش باید شناخت ها، کنش ها، عواطف و ثمرات شخصی افراد مورد بررسی قرار گیرد.
    کلید واژگان: سلامت معنوی، شاخص ها، معنویت، مقیاس ها، مولفه ها
    M. Abbasi, F. Azizi, E. Shamsi Gooshki, M. Naseri Rad, M. Akbari Lakeh
    Background
    Various definitions have been provided on the concept of the spiritual health since its introduction by Moberg (1971) and there has been no agreement on its method of measurement either in the empirical research or in the common interpretations. The main purpose of this paper is to present a comprehensive definition of the spiritual health and the operational definition of the components and indices and the analysis of the measurement scales of the spiritual health based on the aboriginal culture of Iran.
    Method
    this study is based on a methodological approach. Data have been collected by a documental method. It is used of Walker and Avant (2005) method for conceptual analysis. The space of the literal concept of the spiritual health has been delineated and the corporal position of its components and indices has been determined after data collection.
    Results
    spirituality is a state of being, but the spiritual health is a state of having. What is today raised about the spiritual health in the scientific literature, rather deals with the influence of spiritual teachings and beliefs on the individual's health and the improvement process of their diseases that are discussed in a medical ground; but attitude on the spiritual health in Iran includes a broader and more comprehensive concept.
    Conclusion
    the spiritual health of the humans must be defined based on a process of the interaction between man in the world of being and a superior and sovereign sacred power. In measuring the spiritual health of the individuals, our attitude toward the spiritual health should not be examined, rather, the, personal cognitions, actions emotions and outcomes of the individuals should be studied in this measurement.
    Keywords: components, conceptual analysis, indices, spiritual health, scales
  • محمدحسن نجفی، مرتضی طاهری، علی اصغر دادگر، مهرداد رادور
    هدف
    نیفیدیپین یک داروی کلسیم کانال بلوکر از گروه هیدروپیریدین است که بطور وسیع بعنوان وازودیلاتور در درمان هیپرتانسیون و بیماری ایسکمیک قلبی استفاده می شود. افزایش حجم لثه یکی از عوارض جانبی مصرف دارو می باشد. در این تحقیق، شیوع بیماری های لثه و افزایش حجم لثه را در بیماران قلبی تحت درمان با نیفیدیپین مورد بررسی قرار داده ایم.
    مواد و روش ها
    در این مطالعه مقطعی، 16 بیمار قلبی مصرف کننده نیفیدیپین 20 بیمار دارای اختلالات قلبی که نیفیدیپین مصرف نمی کردند، مقایسه گردید. تمام بیماران از نظر بیماری های پریودنتال و افزایش حجم لثه با اندکس های پریودنتال اندکس راسل؛ پلاک اندکس سیلنس و لو (PI) و اندکس افزایش حجم لثه میلر و دم یا GO مورد ارزیابی قرار گرفتند.
    نتایج
    بین دو گروه نیفیدیپین و شاهد از لحاظ سن، جنس، اندکس راسل و اندکس PI هیچ تفاوت معنی داری وجود نداشت، اما درصد شیوع هیپرپلازی در گروه نیفیدیپین در ناحیه دندان های قدامی فک پایین شدیدتر بود که از نظر آماری معنی دار نبود (P=0.05). شیوع افزایش حجم کلینیکی لثه مرتبط با دارو درمانی مزمن با نیفیدیپین پایین است.
    نتیجه گیری
    هیپرپلازی ناشی از نیفیدیپین بطور مستقیم با سطح تحصیلات و بهداشت دهان در ارتباط است.
    کلید واژگان: نیفیدیپین، اندکس، پلاک، افزایش حجم لثه، بیماری پریودنتال (پریودنتایتیس)
    M. Taheri, Aa Dadgar, Mh Najafi*, M. Radvar
    Purpose
    Nifedipine is a calcium blocking agent of the dihydropyridine group widely used as a vasodilating agent for the treatment of hypertension and ischemic heart disease. Gingival enlargement is a known side effect of nifedipine use. This study was conducted to determine the prevalence of periodontal disease and gingival enlargement in nifedipine treatment patients. Methods and Material: In a cross sectional study data from 16 patients taking nifedipine were compared with those of 20 patients with cardiac disorder who had not been treated with nifedipine. All patients were examined for the presence of periodontal disease and gingival enlargement using 3 different indices: Periodontal index (Russel), Plaque index (Silness and Loe) and gingival overgrowth index (GO) (Miller and Damm).
    Results
    Between the nifedipine and control groups, there was no significant difference for age, sex, PI (Russel), and PI (Silness & Loe). But prevalence of gingival overgrowth and its severity were greater in the anterior and inferior teeth in the nifedipine group (P=0.05). Prevalence of clinically significant overgrowth related to chronic medication with nifedipine is low.
    Conclusion
    Severity of hyperplasia induced by nifedipine directly depended on the level of education and oral hygiene.
    Keywords: NIFEDIPINE, INDICES, PLAQUE, GINGIVAL OVERGROWTH, PERIODONTAL DISEASE (PERIODONTITIS)
نکته
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