مجله دانشگاه علوم پزشکی تربت حیدریه
سال دهم شماره 4 (زمستان 1401)

Periodontal diseases and dental caries are common causes of tooth loss in developing countries such as Iran. Health literacy is one of the factors involved in promoting oral health and in the meantime, mothers have an important role in ensuring the oral health of their children.Therefore, this study was conducted to investigate the effect of family-centered empowerment model on oral health literacy of primary school mothers.

This semi-experimental study was conducted with the participation of 60 mothers with primary school children. 4 sessions of the program according to the stages of the empowerment model based on needs assessment were used in the test group during one month. After the end of the intervention and one month after the implementation of the program, the oral health literacy tool was given to the test and control group again and completed. Data were analyzed using SPSS version 16 software and independent t, Mann-Whitney, Fisher's exact and chi-square statistical tests.

The two groups were homogeneous in terms of demographic variables. Before the intervention, the mean score of health literacy in the two groups was not significantly different (p<0.05), but after the intervention, the mean score of reading comprehension, number comprehension, listening, and decision making in the intervention group was significantly higher than the intervention group. It was control. (P<0.05).

Education based on the family-centered empowerment model increased the oral health literacy of mothers of primary school children.

Antibiotic contaminants observed in waters have become a significant concern in recent years. In this study, a new engineered nanosorbent was developed to remove fluoroquinolone antibiotic from water

Nanoabsorbent (IL@GCN@IL) was prepared by immobilizing a bi-cationic ionic liquid on a substrate of graphitic carbon nitride (GCN). The performance of this nanoabsorbent was evaluated under various parameters such as adsorbent dose, antibiotic concentration, time and temperature. Generalized regression neural network (GRNN) and response surface method (RSM) were used to model the removal.

This nanoabsorbent showed a good absorption performance, so that the removal precentage of ciprofloxacin (CPF) was 96.23%. The adsorption process followed the Freundlich isothermal pseudo-second-order kinetic model, indicating a heterogeneous chemisorption process

This nanoabsorbent showed good reusability and can be an ideal and promising candidate for removing antibiotic pollutants from aqueous solutions. Overall, this study highlights the potential of engineered nanosorbents as effective adsorbents for the removal of antibiotic contaminants from water, which can have significant implications for water treatment and environmental protection.

Rheumatoid arthritis is a chronic autoimmune disease characterized by an inflammatory polyarthritis that preferentially affects small joints. Some factors such as old age, systolic blood pressure and LDL, ESR, GFR are effective in the occurrence of cardiovascular diseases in these patients. The present study was conducted with the aim of determining the relationship between serum uric acid level and severity of clinical symptoms in rheumatoid arthritis patients.

In this descriptive-analytical study, the required data were collected from all the files of patients referred to rheumatology clinics of Birjand University of Medical Sciences in 2019. The investigated variables included age, ESR, CRP, RF, Anti ccp, serum uric acid level and DAS28 level of the patients. Data were analyzed with the help of SPSS version 22 software and statistical tests of Mann and Tiny, Kraskal-Wallis and Spearman's correlation coefficient. The error rate was less than 0.05.

In this study, the majority of subjects (74.4%) were women and the rest were men. The average age of the patients was 47.25±14.36. The mean serum uric acid level of the patients was 6.286±1.46. According to the results, there was a significant relationship between the serum uric acid level and the clinical symptoms of the patients (P=0.001, X2=17.271).

Considering the relationship between serum uric acid level and severity of clinical symptoms in patients with rheumatoid arthritis, it seems that this index can be used as an indicator to determine the severity of clinical symptoms in these patients.

Education and achieving academic success is the protective factor of teenagers and young people against the harmful effects of low socio-economic status. The current research was based on qualitative phenomenological method in order to understand the concept of academic success from the point of view of students with low socio-economic status, parents and teachers of disadvantaged areas.

The current research was conducted with a qualitative approach and a phenomenological method. The participants included 49 people who were selected by purpose-based sampling. The data collection method was semi-structured interview. To analyze the data, the seven-step Claysey model was used. The collected data were organized in the form of categories and concepts related to each category.

After analyzing the data of the study, 22 subthemes and 6 main themes were obtained to define academic success. Examining the lived experiences of these activists showed that the academic positive perspective, attachment to success, academic creativity, academic lifestyle, role competence and the achievement context are the themes that give meaning to academic success in less privileged areas.

Based on the obtained results, the perception of less privileged students towards the phenomenon of academic success was different from the previous definitions of academic success and it is a mental, emotional and behavioral process including the academic positive perspective, attachment to success, academic creativity, academic lifestyle, role competence and being in the achievement context.

Psychological empowerment is a reflection of the employees' understanding of the control of the work environment and psychologically it is a motivating force that increases their performance. This variable has been measured in some jobs, but due to different job conditions, it can have different results. Therefore, this study was conducted with the aim of determining the relationship between psychological ability and performance and job satisfaction in midwives working in Mashhad Medical Sciences Hospitals.

This descriptive correlational study was conducted with the participation of 85 midwives. Study data were collected through demographic information form and Spritzer psychological ability, Minnesota job satisfaction and Patterson job performance questionnaires. Data analysis was done in spss software version 19 and using Kolmogorov-Smirnov, Spearman correlation coefficient, regression, Kruskal-Wallis and Mann-Whitney tests. The significance level of P was less than 0.05.

The results of this research showed that the average age of the participants in the study was 33.31 ± 8.1. In general, there was a positive and significant relationship between psychological ability, job satisfaction and job performance (0.491, rs=p<0.001), (0.6, rs=p<0.001). Also, there was a positive and significant relationship between job satisfaction and job performance (0.6, rs=p<0.001). There was a significant relationship between all the components of psychological capability, satisfaction and job performance, but the regression result showed that among the components of psychological capability, only the variable of feeling meaningful and effective had a significant relationship with changes in job satisfaction and job performance scores.
The mean age of the participants in the study was 33.31 ± 8.1. There was a direct and significant relationship between psychological ability, job satisfaction and job performance (0.491, rs=p<0.001), (0.6, rs=p<0.001). Also, a direct and significant relationship was observed between job satisfaction and job performance (0.6, rs=p<0.001). Among all the components of psychological ability, only the variable of feeling meaningful and effective had a significant relationship with changes in job satisfaction scores and job performance.

Psychological empowerment, feeling meaningful and effective were predictors for job satisfaction and performance. Trying to improve the empowerment of employees and considering solutions to increase feeling meaningful and effective can be considered a valuable strategy by managers.

The Ministry of Health, Treatment and Medical Education at Iran has stated that the promotion of breastfeeding is one of the important strategies for the growth and survival of children. This study was conducted with the aim of explaining mothers' experiences of infants breastfedding challenges in southeast Iran.

This qualitative study was conducted in Zahedan with the highest birth rate in the iran in 2023. Interviews were conducted with women who referred to health centers and had children under one-year-old and had stopped breastfeeding. participants were included in the study by purposeful sampling method. Sampling was done until data saturation. The content analysis method was used to analyze the data.

Data analysis led to the emergence of four main themes and 17 classes including: 1. Factors related to the mother (including classes of mother's illness, physical and hereditary characteristics, mother's malnutrition, use of medicine, lack of breastfeeding, superstitions and religious reasons), 2. Factors related to child (including child’s illness and the child’s unwillingness to consume breast milk), 3. Factors related to the family (including not having enough time, having two infants at the same time, a long interval between two pregnancies and the distance of the child from the mother) and 4. the characteristics of the infant formula (including infant's dependency on milk powder in intermittent use, giving more weight to the infant and not waking the infant at night).

The findings of the present study indicate more emphasis on the issue of education and giving more awareness to mothers. mothers' awareness about Breastfeeding could play an important role in continuing the exclusive feeding of the child.

As a pandemic disease, Covid-19 has no proven specific treatment. Predicting the patient's condition and preventive treatments are helpful in helping patients recover, so this study was conducted with the aim of investigating the effect of using the MEWS tool in predicting mortality due to covid-19 disease.

This study was conducted by searching Persian scientific databases such as SID, Magiran, Iran medex, with the keywords of mortality, modified early warning system, covid-19, prevention, corona virus and for studies published in in English, the keywords MEWS Score, Mortality, Predicting, covid19, corona virus, modify early warning score are used in Scopus, PubMed, Web of Science, Science Direct and finally Google Scholar. The year limit was not applied to search for articles. Exclusion criteria included review articles and articles without full text.

From the total of 45 searched articles, 15 articles were included in the study. The findings showed that the use of the MEWS tool during the admission of patients with covid-19 helps in predicting the patient's clinical condition and the course of his disease, as well as estimating the adopted treatment process and its effectiveness.

With the proper use and practical training of this tool to nurses and their proper follow-up, timely treatment and proper monitoring of clinical symptoms, the mortality caused by covid-19 can be predicted to a high extent.

Palliative care is a useful approach to overcome the symptoms of the disease and improve the quality of life of patients with chronic obstructive pulmonary disease. This care is not implemented sufficiently or it is only implemented in cancer patients. The current study aimed to analyze the concept of palliative care in patients with chronic obstructive pulmonary disease.

The present study was conducted with the Walker and Avant approach in eight steps by searching for studies from reliable databases using the keywords "palliative care", "chronic obstructive pulmonary disease", "integrated palliative care", "COPD". The inclusion criteria of accurate english articles were between 2000 and 2022. Finally, 9 articles related to the concept were analyzed.

Palliative care is a complex and multidimensional concept in patients with chronic obstructive pulmonary disease. Due to progressive weakness caused by chronic disease, Ineffective treatment, Inability to take care of oneself, Fear of death And separation from the family, physical, emotional and psychological problems require palliative care for the patients and their families.

The conceptual definition of palliative care in patients with chronic obstructive pulmonary disease can help healthcare providers to better understand this concept for the well-being of the patient and family through the relief of symptoms, improvement of quality of life and finally death with dignity.