فصلنامه نوید نو
پیاپی 71 (پاییز 1398)

Measurement of health system performance can provide decision-makers with timely and relevant information on the performance of this system. Accordingly, Iran's Ministry of Health and Medical Education has considered the issue of the country's health care system responsiveness in the third, fourth, and fifth health plans of the country. Therefore, this study aimed to assess the staff responsiveness level to patients referred to private and public Hospitals in Mashhad during 2018.

This cross-sectional study was conducted based on an analytical method. The study population included patients referring to hospitals in Mashhad. The data were collected using a two-section standard responsiveness questionnaire (i.e., demographic information and eight responsiveness components) which was scored based on a Likert scale. Furthermore, the data were analyzed in SPSS software (version 20) through descriptive statistics (i.e., frequency, percentage, mean and standard deviation), as well as t-test, and Pearson correlation coefficient. A P-value less than 0.05 was considered statistically significant.

In total, 200 questionnaires were distributed in four public and three private hospitals. The mean total score of the responsiveness questionnaire was obtained at 3.4±0.8, which was assessed as moderate. Pearson correlation coefficient showed a significant relationship between the components of the questionnaire (P<0.001). Based on the results of the Student Test, a significant difference was observed between public and private hospitals regarding the total score and different components investigated in this study.

The findings of this study indicate that patients rated the level of staff responsiveness as moderate in hospitals in Mashhad. Therefore, there is a capacity to improve the staff responsiveness levels in these hospitals.

Mastitis is one of the most common diseases in dairy cows which causes irreparable damages to the livestock industry in Iran and other regions worldwide. Klebsiella pneumonia based on K capsular antigen include serotypes, such as K1, K2, K5, K54, and K57. The aim of this study was to detect this bacterium in clinical and subclinical mastitis cases of cows and determine its common capsular serotypes.

In this study, milk samples were collected from 100 lactating cows with mastitis from a large dairy farm in Chaharmahal and Bakhtiari in the second half of 2017. Klebsiella pneumonia strains were isolated after microbial culture and molecular confirmation. The presence of K capsular antigens in these isolates was assessed using Polymerase Chain Reaction method.

Out of 100 samples, 20 samples (20%) were found infected with Klebsiella pneumonia using microbial culture and 16S-23S ITS gene tracing. The frequency of capsular antigens K1, K2, K5, K54, and K57 were 0.8%, 2.4%, 0, 1.2%, and 0.4% respectively. Moreover,the capsular antigen K2 with a frequency of 2.4% and K5 with a frequency of 0% had the highest and lowest frequency, respectively. The data were analyzed using SPSS 21 AND EXCEL through the chi-square test with a 95% confidence interval.

According to the results, Klebsiella pneumonia bacteria had a low frequency in the samples of the present study. Therefore, it is hoped that the diagnosis and evaluation of these bacterial agents which lead to the effective development of mastitis control and prevent Klebsiella pneumonia by providing a national program, thereby reducing the costs of this disease.

This study aimed to investigate the effect of narrative therapy onthe anxiety levels of second-grade elementary students.

This semi-experimental study was conducted using a pretest-posttest design with a control group. The target population of this study was the second-grade elementary female students at Shohadaye Taxirani School located in district 14 in Tehran, Iran, in the academic year 2019.  Based on census sampling, 30 students were selected among those who obtained the highest scores in the Spence anxiety test. Subsequently, they were assigned randomly into the experimental (n=15) and control (n=15) groups. The experimental group received 10 sessions of cognitive-behavioral narrative therapy for 45 min. On the other hand, the control group received routine practices. At the end of narrative therapy, both groups were evaluated using the scales mentioned. The data were analyzed in SPSS software (version 21) through descriptive statistics and analysis of multivariate covariance.

According to the result, the experimental group obtained a significant decrease in the total score of anxiety and its subscales after intervention, compared to the control group (P<0.05).   

Since the findings of this study are in line with those of other studies, it can be concluded that narrative therapy has positive effects on reducing anxiety levels in children.

One of the most important causes of death worldwide is cardiovascular diseases with blood pressure and diabetes as the leading causes of these diseases. Due to the high correlation between them, the associated factors can be more accurately investigated. Therefore, this study was conducted with the purpose of application of Bivariate Logistic Regression Model in the determination of factors associated with diabetes and hypertension among 35-65 years old  people in Mashhad.

This analytical cross-sectional study was performed on a cross-sectional phase of Mashhad study data. The variables included demographic information, employment status, smoking, BMI, physical activity, anxiety, depression, cholesterol, triglyceride, and waist to hip ratio (WHR). In this regard diabetes and high blood pressure were considered as dependent variables. Analyses were performed using R3.4.4 software at a significant level of P

The results of the study revealed a significant relationship between diabetes and some variables such as, age, education level, BMI, WHR, anxiety, depression, cholesterol, and triglyceride  (P <0.05). Furthermore, high blood pressure was found to be significantly associated with age, sex, employment status, BMI, WHR, anxiety, cholesterol, and triglyceride (P <0.05).

In terms of correlation, it is proposed to use a bivariate model instead of one-variable models to obtain more accurate results. Given that most of the relevant factors were controllable variables in lifestyle, it would be better to focus on the public education and prevention in order to promote a healthy lifestyle in the community.

Evaluation of patient satisfaction (PS) is one of the basic indices of quality improvement systems of healthcare services. Considering the importance of this subject, this study was conducted to standardize patients' satisfaction questionnaire referring to emergency department of Najmie hospital.

This analytical cross-sectional study was carried out on 538 patients that came to Najmie subspecialty hospital during 2017 using proportional stratified sampling method. In this study, after checking content validity, we used the confirmatory-explanatory factor analysis and alpha method in order to examine construct validity and reliability, respectively. In addition, SPSS software (version 24) and AMOS software (version 24) were used to analyze the data. The significance level was considered 0.05.

Study population in this study consisted of 538 subjects, including 200 (37.2%) women and 338 (62.8%) men. Results of the explanatory factor analysis showed that three factors with the expression higher than 67% of the total variance and Kaser-Meyer-Olkin Index were equal to 0.93. These three factors were confirmed with the confirmatory factor analysis (RMSEA=0.05, PCFI=0.63). It should be noted that the reliability of the questionnaire was reported as 0.93 using the Cronbach's alpha method.  

Because the validity and reliability indices of the patients' satisfaction questionnaire in the emergency department of Najmie hospital were reported at a desirable level, it is confirmed that this questionnaire can be used as a valid and reliable tool for the measurement of PS in the emergency departments.

Infertility is the inability to conceive after one year of unprotected intercourse. The aim of the present study was to determine the knowledge of the students about infertility at Lorestan University of Medical Sciences, Khorramabad, Iran.

This cross-sectional study included 350 students at Lorestan University of Medical Sciences, Khorramabad, Iran. The participants were selected using a multistage random sampling method. The data were collected via a questionnaire which sought information regarding demographic characteristics (10 items) and knowledge about infertility (20 items). Subsequently, the data were analyzed in SPSS software (Version 16) through one-way ANOVA and Mann-Whitney test.

The results showed a difference between different age groups and different academic fields regarding the mean scores of knowledge about infertility (P<0.05). Moreover, a significant difference was observed between males and females in terms of the mean knowledge score (P<0.05). However, regarding the mean scores of knowledge, there was no difference among the students whose parents had different educational levels. In addition, no significant difference was observed between married and single students in terms of the mean score of knowledge about infertility.  

According to the obtained results and given the differences in students' knowledge about infertility in different fields of study, it can be concluded that training courses in different academic disciplines can have effects on the improvement of students' knowledge about infertility. Therefore, it is suggested that education authorities pay more attention to this issue and improve students' knowledge about infertility due to its importance and increasing rate of this condition.

Aortic dissection is a non-prevalent disease leading to high mortality rate in the absence of diagnostic delay , whereas its immediate treatment significantly increases the survival rate of the patients.

Here we report a 58-year-old man patient admitted to coronary care unit of Imam Khomeini Hospital of Shirvan,Iran, with severe chest pain and sweating and primary diagnosis of acute coronary syndrome. Thereafter, the difference in blood pressure between patient’s hands captured one of the nurses’ attention and the doctor was informed quickly. The doctor ordered the CT angiography of thorax with a suspicion of dissection. According to CT findings, the final diagnosis of the patient was aortic dissection, and the patient was immediately transferred to a medical center in the nearby province for advanced medical interventions.

Early therapeutic intervention in acute aortic dissection prevents further complications and decreases the mortality associated with this disease. In the case of this patient, the performance of accurate and timely medical and nursing examinations led to quick diagnosis and rescued his life.