International Journal of Hospital Research
Volume:10 Issue: 1, Winter 2021

The aim of this study was to compare the effectiveness of cognitive rehabilitation treatment (NB software) and metacognitive therapy (MCT) on depression and perceived anxiety and cognitive skills (attention and working memory) of adolescents living in boarding schools.

This research was conducted in Tehran as a semi-experimental type of research with control group and follow-up stage (PPF). The statistical population includes all adolescents living in welfare boarding schools in the age group of 15 to 18 years and in the city of Tehran in 1398. In the first stage, 100 volunteers were selected as available to participate in the research. 60 people were selected through purposive sampling and randomly drawn in three groups of 20 people.

The first group underwent cognitive rehabilitation treatment in 8 individual sessions. The second group was treated with 8 metacognitive group sessions and the third group was not treated as a control group. From these 60 people, pre-test and post-test were taken and in the last stage, about six months later, in the follow-up stage, the first and second groups were followed up again and the data were compared. Mankova and Bonferroni alpha statistical models were used to analyze the results.

The outcomes of data analysis showed that depression and anxiety in the group undergoing metacognitive therapy had a greater reduction than the other group and also improved memory function and attention, after 8 sessions of training with NB software more improvement than treatment has metacognition. Also, the data in the follow-up stage show the persistence of the treatment effect on the subjects.

while no previous studies have assessed the association of mental fatigue and quality of life, together with the well-being of nurses;‎ The purpose of this study was to investigate the relationship between mental fatigue and quality of life with the psychological well-being of nurses.

Methods :

The research method was descriptive-correlational. The statistical population of the study consisted of all nurses of public hospitals in Abhar city during 2019-2020 among them 190 nurses were selected by random sampling method and Estes (1996) mental fatigue questionnaire. Data were analyzed using the Pearson correlation coefficient and regression analysis.

The results showed that there is a significant positive relationship between quality of life and its components with psychological well-being and a negative significant relationship between mental fatigue and psychological well-being. Also, the results of regression analysis revealed that almost 71% of the variance of nurses' psychological well-being was predictable based on the variables of quality of life and mental fatigue (p <0.01).

Therefore, it can be concluded that quality of life and mental exhaustion are variables related to psychological well-being, which requires the attention of hospital authorities towards improving these variables with proper psychological intervention.

Fascioliasis is an often-neglected zoonotic disease caused by liver fluke Fasciola hepatica and Fasciolagigantica.Human is an accidental final host by ingestion of contaminated plants and water by metacercariae. Most of the patients present with upper abdominal pain and eosinophilia. Diagnosis is made on clinical findings with imaging and libratory tests (like stool and biliary aspirate examination, ELISA, or intradermal test to detect antibody). It occurs worldwide with a high incidence in the Middle East, North Africa, and South America and currently is an emerging infection in Iraq. We believe fascioliasis in Sulaymaniyah governorate is an underestimated, not well studied health problem that must be taken into consideration as an emerging infestation in our locality. To identify the characteristic clinical presentations, laboratory and radiological findings, and response to treatment in patients with fascioliasis in our locality

A retrospective case series, including all cases of Fasciola hepatica, admitted to Sulaymaniyah teaching hospital in the Kurdistan region of Iraq between January 2019 and January 2020. Inclusion criteria were any case of fascioliasis diagnosed by ELISA and radiological findings. The data were taken from medical records and direct interviews with the patients.

The case series included 15 patients (12 females and 3 males), the mean age was 40.2 years (range, 25–54 years). Thirteen patients(86.67%) had a history of watercress ingestion. Abdominal pain was the main symptom present in all fifteen (100%) and right upper abdomi nal tenderness was the most prominent sign present in ten patients (66.67%). The two prominent laboratory abnormalities were positive enzyme-linked immunosorbent assay (ELISA) in all (100%) and eosinophilia in thirteen patients (86.67%). The most abnormal CT findings were livers multiple nodular micro-abscesses like lesions in seven(46.67%) patients. Two patients presented with biliary obstruction. Triclabendazole was given to all patients with six months follow up.

Fascioliasis is indeed an emerging disease in our region, it should be considered in the differential diagnosis of patients with the hepatic or biliary disease with eosinophilia and a history of watercress ingestion

Due to the risks and side effects of anesthesia drugs, concerns have increased in recent years and therefore studies have shifted to neuraxial anesthesia methods. The aim of this study was to evaluate the effect of fluid therapy on spinal complications after elective surgery.

This single-blind clinical trial study was performed on 120 patients undergoing elective surgery with spinal anesthesia. The samples were randomly divided into two groups of intervention (A) and control (B) (60 people in each group). Data were collected using visual analogue scale (VAS) at hours 4, 7, 24, 48, 72 and 7 days postoperatively via phone. SPSS software version 22 was used for analysis. The significance level of all statistical tests was considered 0.05.

The mean headache up to 72 hours after surgery in the experimental group and in the intervention group up to 48 hours after surgery increased and then decreased. In the study of other spinal complications (low back pain) in participating patients, the average rate of low back pain increased to 72 hours after surgery in the experimental group and in the intervention group up to 48 hours after surgery and decreased after that.

PDPH. The results of our study generally showed that fluid therapy reduces the process of headache and low back pain in patients. However, due to the limited sample size and little information in this regard, more research is needed on the causes of complications of spinal anesthesia, such as the effect of anesthetics, dose, patient experience of pain, quality of postoperative education to prevent complications, and adherence to treatment by the patient are needed.

The health industry is a competitive and lucrative industry that has attracted many investors. Therefore, hospitals must create competitive advantages to stay in the competitive market. Patient satisfaction with the services provided in hospitals is one of the most basic competitive advantages of this industry. Therefore, identifying and analyzing the factors affecting the increase of patient satisfaction is an undeniable necessity that has been addressed in this study.

Because patient satisfaction characteristics used in hospitals may have a hidden relationship with each other, data mining approaches and tools to analyze patient satisfaction according to the questionnaire used We used the hospital. After preparing the data, the characteristics mentioned in the questionnaire for patients, classification models were applied to the collected and cleared data, and with the feature selection methods, effective characteristics Patients were identified and analyzed for satisfaction or dissatisfaction.

Based on the findings of the present study, it can be concluded that the factors of patient mentality of the physician's expertise and skill, appropriate and patient behavior of the physician and food quality (hoteling) respectively have a higher chance of increasing patient satisfaction with Establish services provided in the hospital.

Comparing the approach used in this study with other studies showed that due to the hidden effects of variables on each other and the relatively large number of variables studied, one of the best options for analyzing patient satisfaction questionnaire data, Use of data mining tools and approaches

 The present study was conducted to investigate the relationship between determination and critical thinking in students of Jahrom Hospitals. 

 This descriptive and correlational study was performed with the participation of 189 people in the fields of operating room, nursing and medicine in the academic year 2019-2020. Data collection tools were the Richi and Gambrill Resolution Questionnaire and the California Critical Thinking Questionnaire. Data analysis was performed based on statistical software SPSS16. 

The average score of critical thinking boldly 4/08 ± 0/11 and 4/13 ± 0/10 respectively which was adequate. 33.33% of boys and 58.73% of female students had low level of determination and 2.12% of male students and about 1% of female students had high level of determination. Single students had lower levels of determination and critical thinking than married students. 28.57% of indigenous students and 65% of non-native students had a low level of determination and about 0.5% of indigenous students and 1.6% of non-native students had a high level of determination. But these students had a higher level of critical thinking. There was a direct correlation between student assertiveness and critical thinking (r = .908), which was statistically significant (p = .001). 

 University education requires the training of knowledgeable and capable people especially in the epidemic such as covid -19. To achieve these goals, it is necessary to review the educational strategies of the students' curriculum to improve students' critical thinking skills.

Misunderstanding between couples in marital relationships leads to dissatisfaction and low quality of life. The main purpose of this study is predicting the level of marital satisfaction based on emotional cognitive regulation and quality of marital relationships.

The present study is an applied research in terms of purpose and non-random sampling (available) in terms of data collection method. The statistical population of this study is "married women in 22 districts of Tehran city in spring 2019" and according to Morgan table, the sample size is 384 people. Skewness and Kurtosis tests, Pearson correlation test and multiple-regression model were used in SPSS 23 software to analyze the questionnaire data of this research in the inferential statistics section.

Findings of the research show that there is a significant relationship between marital satisfaction with positive cognitive emotional regulation and quality of marital relationships. Furthermore, a significant relationship between marital satisfaction and positive cognitive emotional regulation components is observed at the level of 0.004. The results of the third hypothesis show that there is a significant relationship between marital satisfaction and the components of marital quality at the level of 0.000.

The results of regression analysis for the main hypothesis of the study showed that cognitive emotional regulation has a high ability to predict marital satisfaction. According to the results, the regression analysis results showed that cognitive emotional regulation (positive) and the quality of marital relationships have a high ability to predict marital satisfaction.

Three-dimensional conformal radiotherapy (3DCRT) is an advanced radiation treatment technique that shapes the radiation beams to match the shape of the tumor and it is used to treat brain tumors while avoiding radiation to the healthy tissue surrounding brain tumor.  the purpose of this study is to evaluate the dosimetric data (the planning target volume (PTV), dose homogeneity, dose of organs at risk (OARs)) among the patients with a brain tumor by using three-dimensional conformal radiotherapy (3D-CRT). 

In eight patients with brain tumors being treated by 3DCRT, the target, lenses of eyes, optic nerves, brain stem, and open chiasm were contoured. Two opposed lateral fields were used. The prescribed photon beam dose was depending on the type of tumor, in general for all cases is divided into 20 fractions using 6 MV photons.

The comparison of 3D-CRT outcomes for all patients showed that the most common location of a tumor in the brain was in GBM in temporal and frontal parts of the brain and consist about 25% to total types of tumor in the brain for patients in this study, more than 62.5% of patients were treated with doses more than 4400 cGy the homogeneity index was better for patient No. 1 than other patients (0.0694). The mean dose for the Right lens was higher for patient No. 8 than for other patients was (1530 cGy). While in the left lens the mean dose was higher in patient No. 3 than in other patients was (1501 cGy), and the mean dose for both lenses in all plans for all patients was less than ≤10 Gy (the standard tolerance value). The highest mean dose received by the left optic nerve in patients number 2 was (3339 cGy), and the more mean dose received by the right optic nerve in patients number 2 was (3645 cGy), but in both two sides of the optic nerve the mean doses them less than ≤ 50 Gy the standard tolerance value. The mean dose received by Brain stem for all patients was less than ≤ 50 Gy tolerance dose. The mean dose received by Open Chiasm for all patients was less than ≤ 54 Gy tolerance dose

This study showed that 3DCRT spared the volume of the healthy tissue surrounding the brain tumor to be irradiated to achieve the most accurate treatment delivery to best planning target volume.  the application of 3D-CRT was successful in justification of radiation dose to lower than tolerance dose in all evaluated brain tissues.