فهرست مطالب

Thrita - Volume:1 Issue: 4, Jun 2013

Thrita
Volume:1 Issue: 4, Jun 2013

  • تاریخ انتشار: 1391/12/15
  • تعداد عناوین: 9
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  • Shokofeh Radfar, Mahdi Aghaie, Mahdi Motashaker, Arani, Sima Noohi, Amin Saburi Page 113
    Background
    Achievement in university education may be related to one’s emotional intelligent (EI) as well as his/her social skills and emotional control. Therefore, it is also probable that the EI be associated with academic and occupational achievement in medical students.
    Objectives
    The aim of this study was evaluation of the relation between EI and academic achievement of students working in the medical field..
    Materials And Methods
    This cross-sectional study was conducted on medical students of Baqiyatallah University of Medical Sciences between 2010 and 2011 who had completed at least two academic semesters. Valid Bar-On inventory and average academic scores were used for evaluating EI and academic achievement, respectively. Pearson test was performed to analyze the data..
    Results
    One hundred-fifty medical students were enrolled (mean age 23.17 ± 2.17 years and all were male). The mean of EI score were 303.14 ± 39.32 and 340.11 ± 35.00 in undergraduate and graduated medical students, respectively. There was a significant correlation between EI score and academic achievement (P = 0.001, correlation coefficient: 0.305). Problem solving ability, stress tolerance and self-awareness from all fields showed significant relation with academic achievement (P < 0.05)..
    Conclusions
    According to the results, EI -especially in problem solving ability, stress tolerance and self-awareness fields- was related to the academic achievement. Therefore, enhancing such abilities may improve the academic and occupational achievement of the medical students..
    Keywords: Emotional Intelligence, Educational Status, Students, Medical
  • Hussein Dargahi Page 120
    Background
    Psychological capital with components of hope, self efficacy, optimism, and resiliency has been recently proposed to bring positive psychology to the workplace.
    Objectives
    We investigated Psychological Capital states of employees of the Tehran university of medical sciences (TUMS) headquarter offices in Tehran, Iran..
    Materials And Methods
    A cross-sectional, descriptive and analytical study was conducted among all (1260) employees of the Tehran university of medical sciences headquarter offices in Tehran, Iran during the 2010-2011 time period. They were asked to respond to the PsyCap questionnaire, consisting of four subscales include hope, optimism, self-efficacy and resilience, each comprising of six items. Data were recorded and analyzed by SPSS software, using Chi-square statistical methods..
    Results
    Descriptive statistics showed that the mean for positive psychological capital score was 4.05 (SD = 0.43), state of hope was 4.2 (SD = 0.64), optimism was 4.03 (SD = 0.85), self-efficacy was 3.9 (SD = 0.67), and resilience was 4.06. It seems that TUMS employees score higher in hope state subscale of positive psychological capital inventory..
    Conclusions
    The relatively upper scores on the positive psychological states may be explained by the fact that TUMS employees worked and lived under good job that more likely to be associated with higher organizational performance. This is similar to USA sample and incompatible with Chinese workers. This study finding is only a first step towards an empirical examination of PsyCap states of psychological capital in Iran. However, our findings show the potentially important role of PsyCap capacities in health care organizations in Iran..
    Keywords: Psychological Capital, Workforce, Positive Psychology
  • Mohammad Vahedian, Adeleh Alinia, Reza Attarzadeh, Habibollah Esmaeeli Page 127
    Background
    The studies show low level of physical activity among girls in different societies. Moreover, there are some cultural barriers for Iranian women exercising in public places. In addition, physical activity declines precipitously with increased age among adolescents, especially in girls..
    Objectives
    The aim of this study was to identify the relation between physical activity level and the structures of Trans-theoretical model (TTM)..
    Materials And Methods
    This cross-sectional study was conducted on 423 female students of Tonekabon in Iran. Participants completed the demographic questionnaires, the TTM’s structural questionnaires as well as the international physical activity questionnaire short form for assessing the levels of physical activity (IPAQ-SF)..
    Results
    The age mean of the students was 15.34 ± 0.67 years. The balance decisional questionnaire (69.19 ± 8.35) and process of change (56.81 ± 12.76) questionnaire received the highest average scores. The majority of the students (67.4%) were at the pre-operational stage (pre-contemplation, contemplation, preparation); while 257 (60.8%) of students reported to have light physical activity or no activity. Self-efficacy had the strongest correlation with the levels of physical activity..
    Conclusions
    We identified the self-efficacy structure as the most effective factor of physical activity performance. Thus, enhancing the self-efficacy may be useful in order to promote the practice of physical activity..
    Keywords: Motor Activity, Self Efficacy, Students
  • Madineh Jasemi, Vahid Zamanzadeh, Azad Rahmani, Alireza Mohajjel, Fahime Alsadathoseini Page 133
    Background
    Nursing documents are vital for delivery of good and safe healthcare. Previous studies in Iran have shown that nursing documentation were inappropriate for evaluating patient's care but unfortunately not too many studies has examined the cause for this deficiency..
    Objectives
    To explore adequacy of nursing documentation and nurse's knowledge about the process.
    Materials And Methods
    The study was a cross-sectional study. The data were collected from 170 nurses who selected to participate in the study with census sampling method from 32 Medical–Surgical units at four university hospitals in Tabriz. For assessing the quality of nurse's documents, 2040 documents that were selected with simple random sampling were reviewed for content based on nursing process, legal accuracy, chronology and common items in flow sheets. Checklists were provided covering four areas: nursing records, drug interventions, vital sign and I&O of fluids. Nurse's knowledge were evaluated by prepared questionnaires. The instruments were evaluated for content validity. Estimation of inter- rater reliability was calculated for checklists and Kuder Richardson 21 was used for checking the reliability of nurse's knowledge questionnaire. Data was analyzed by SPSS software using One-way ANOVA and independent t test..
    Results
    The results showed that all of nursing records and vital sign flow sheets had average quality and insufficient information in legal accuracy, nursing care processes, and common items’ sections in vital sign flow sheets but most of fluids I & O flow sheets (81.4%) and drug interventions (85.9%) had good quality; however some degree of deficiency was present in these two sections, too. Most participants (85.9%) had limited knowledge regarding nursing documentation process..
    Conclusions
    Considering deficiencies in various parts of nursing documents such as nursing care processes, legal accuracy and some common items in vital sign and I & O fluid flow sheets and considering the nurse's insufficient knowledge towards nursing documentation, further coaching of nurses and encouraging them to work towards better documentation is needed for resolving nursing documentation insufficiencies.
    Keywords: Documentation, Nursing, Knowledge
  • Farahnaz Khajehnasiri, Seyed Bagher Mortazavi, Abdol Amir Allameh, Shahin Akhondzadeh Page 139
    Background
    Depression and sleep disorders are more prevalent among rotational shift workers than regular day workers. People with sleep disorders have higher inflammatory and pre-inflammatory cytokines than those in the control group.
    Objectives
    The present study was conducted to investigate serum level of high sensitivity C-reactive protein (hsCRP), Interleukin-6 (IL-6) and cortisol among depressed rotational shift workers at Iran petroleum industry.
    Materials And Methods
    In this cross sectional study, 136 shift workers were studied based on the inclusion and exclusion criteria. Demographic information was collected using a self-administered general questionnaire and depression score was gathered according to 21-question Beck depression inventory. Also, weight and height were measured to calculate body mass index and history of disease was collected based on their occupation profile at health center of Tehran Shahid Tondgoyan oil refinery.
    Results
    Mean and standard deviation of serum concentration of hsCRP, IL-6 and cortisol were 1.03 ± 1.56, 1.24 ± 1.24 and 13.12 ± 3.93 respectively; while mean and standard deviation of depression score and BMI were 14.07 ± 3.84 and 24.92 ± 3.65, respectively. Depression score had a positive correlation with rotational shift work experience and work experience (r = 0.218 and r = 0.212, respectively, P < 0.05). An inverse relation was found between serum concentrations of cortisol and age, work experience and BMI (r = -0.236 and P < 0.05, r = -0.174 and P < 0.05, r = -0.288 and P < 0.05, respectively). IL-6 and hsCRP had a positive relation with each other (r = 0.616, P < 0.001). Serum concentration of hsCRP had a positive correlation with BMI (r = 0.241, P < 0.01).
    Conclusions
    There was no significant correlation between depression score and inflammatory markers among depressed shift workers. However, depression score had a significant correlation with shift work experience
    Keywords: Depression, Hydrocortisone, Cytokines
  • Ahad Azami, Koosha Paydary, Sanam Ladi Seyedian, Hamid Emadi Koochak, Ali Khalvat, Seyed Reza Najafizade, Seyed Ahmad Seyed Alinaghi Page 145
    Background
    Due to the increase of HIV patients’ survival, rheumatologic symptoms associated with HIV such as septic arthritis, psoriatic arthritis and other manifestations have increased. Also, diseases such as systemic Lupus Erythematosus (SLE) and Rheumatoid Arthritis (RA) can be intensified during AIDS..
    Objectives
    The aim of this cross-sectional study was to evaluate the prevalence and nature of rheumatologic manifestations in HIV positive patients, Tehran, Iran.
    Materials And Methods
    This cross-sectional investigation was done on 200 HIV infected patients from 2009 to 2010. Demographic characteristics (age and sex), the route of HIV transmission and the duration of infection, existence of any concurrent infection such as hepatitis B (HBV) and hepatitis C (HCV) infections, last CD4 count, regimen and duration of the anti-retroviral therapy, presence of any musculoskeletal manifestation and joint disease and their quantity and quality were obtained. Patients were also examined by a clinician and information was recorded via checklists. Data were analyzed using SPSS software and reported as means and percentages.
    Results
    Two hundred HIV patients including 153 male and 47 female participated in the study. Sixty three patients (31.5%) had musculoskeletal manifestations. The most prevalent complaints were arthralgia in 25 patients (39.7%), myalgia in seven patients (11.1%) and unspecified spondyloarthritis in four patients (6.3%). Also, a borderline association was observed between HBV-HIV co-infection and presence of musculoskeletal findings (P = 0.047)..
    Conclusions
    Considering the high prevalence of rheumatologic manifestations in patients with HIV/AIDS and its probable relation to the quality of life of patients, there is a pressing need for evaluating patients in this regard, especially among patients who are receiving highly active anti-retroviral therapy (HAART) and experience better clinical responses..
    Keywords: HIV Infections, Rheumatology, Prevalence
  • Mohammad Mahdi Zamani, Seyedeh Hamideh Mortazavi, Marzieh Aligholi, Hodiseh Mahmoud Janlou, Samira Khodi Aghmiuni, Malihe Sadat Pormasjedi, Meibod, Naghmeh Ghanadian, Mehrdad Azin, Mahmoud Ghazi Khansari Page 149
    Background
    Heat, chemical and organic pollution are three types of environmental pollution, caused by refinery and petrochemical industries. Problems caused by hear and chemical pollutants are currently resolved to some extent but organic pollution such as Poly Aromatic Hydrocarbons (PAHs) are still considered as important problems of industry and environment..
    Objectives
    A laboratory study was carried out to investigate the effects of native bacterial mixed culture (BMC) isolated from mixtures of refinery and petrochemical wastewaters for treatment of wastewaters of refinery and petrochemical industries..
    Materials And Methods
    All bacteria were isolated from two refineries and two petrochemical plants of Iran. Several bacterial strains from both kinds of wastewater were mixed and two final stock culture collections (BMCa and BMCb), showed the ability to improve the growth among strains. BMCa was added to the refinery wastewater (activated sludge influent sample) and BMCb was added to petrochemical wastewater (activated sludge influent sample). The effects of continuous and non-continuous aeration at high and low pressures, along with the effects of nutrient addition in the beginning of experiment versus sequential addition at specific time intervals, were studied.
    Results
    Native BMC, when continuous high level aeration was used, decreased chemical oxygen demand (COD) in refinery and petrochemical wastewaters for about 81% and 63%, respectively. Gradual addition of nutrients increased COD removal of refinery and petrochemical wastewaters to 85% and 87%, respectively.
    Conclusions
    Native BMCs from mixture of refineries and petrochemical wastewaters can be an effective method of wastewater treatment of both regional refinery and petrochemical plants. High pressure continuous aeration and gradual nutrient addition to the native BMCs can improve bioremediation of organic wastewater in different industries..
    Keywords: Agricultural Inoculants, Environment, Petroleum, Waste Management
  • Hadi Haji Zadeh Falah, Alireza Amir Maafi, Gelayol Chatrnour, Sina Khajeh Jahromi, Hannan Ebrahimi Page 155
    Introduction
    Appendiceal mucocele is a term referring to the abnormal accumulation of mucus into the lumen of appendix regardless of the underlying cause. Mucocele alone is not considered a rare finding in routine appendectomy. However, the coexistence of multiple small intraluminal globoid bodies as “myxoglobulosis” or “caviar appendix” is a rare finding..Case Report: We report a 54 year old woman with complaint of abdominal pain who subequnetly had a surgery with the final diagnosis of peritonitis due to perforated peptic ulcer. During the operation, a jejunal mass and appendiceal dilation were observed incidentally. By histopathologic examination, a diagnosis of submucosal leiomyoma for jejunal mass, nonspecific ulceration for peptic specimen and cystadenoma with myxoglobulosis for appendix specimen was made. She had an uneventful postoperative course and after five months, she reported that she had not experienced any discomfort or pain.
    Conclusion
    This report presents a rare case of appendiceal myxoglobulo­sis secondary to mucinous cystadenoma, which was in­cidentally found in patient with peritonitis due to peptic ulcer disease..
    Keywords: Appendectomy, Mucocele, Appendix