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This research is a descriptive study which had been preformed to identity theknowledge , Attitude and practice of the health Workers of south area inTehran and Quom about prevention of malaria disease in 1995. the sampleswere consist of 50 health workers, who had been selected by a class samplingmethod from a targer population . The data collection instruments were a questionnair and a check list.The questionnair had four separate sections as follow :l)The demographic with 8 questions2) The knowledge with 20 multiple choice questions3)The attitude section with likert type questions4) The evaluative Section of practice with 8 questions in order to analysis the data, it was used discriptive and deductive type of statistics.The information has been summerized in 17 tables and 11 graphs .The results Showed that: most of the subjects have had moderate knowledgeand practice about the prevention of malaria. a negative attitude showd thatthere is also asignificantrelationshipamongknowledge and practice withhaving affected patients also there is no significant relationship betweendemographic data and their attitudes Analysis of the data , it indicated a significant relation ship between knowldge and attiluds knowledge practice,also attitude and practice of health workers.At the end application of the results, findings and the suggestion, were madefor the future resercher,

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The adult age occurs when somebody reaches 65 years of age. It consists of gradually destruction of the structure and organism of the body during a long period. It leads to transformation of structure and process of different organs, such as: turning the hair white, hair falling, skin wrinkling, visual and hearing reducing, back curving, muscle power reducing, memory and perception disordering and reducing in capacity and function of pulmonary and cardiovascular systems.Theories presented in the field of the adult age consisting of: A) biological theories classified by three groups: 1. Immunity theory 2. Cellular aging theory 3. Free radical theory B) psychological theories Qsociological theories that are classified by four groups: 1. Theory of non-commitment 2. Activity theory 3. Continuity theory 4. Interaction theoryEach of the above theories provides justifications regarding the aging process and it is of importance to be aware of those theories in order to establish an information network for practically determinations regarding the adult age.

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Background & Aim: This study aimed to assess the relationships between iron and copper levels in maternal and cord serums together and with pregnancy outcomes.

Methods & Materials: An Analytical cross-sectional study was conducted among 370 pregnant women in labor and their neonates in Maryam, Akbarabadi and Imam hospitals in Tehran, Iran. Copper concentrations were measured using the standard atomic absorption spectrophotometer method and Iron concentrations were measured by a kit through RA 1000 method. Data were collected using a questionnaire and were analyzed using Spearman correlation, Chi- square and Logistic regression tests.

Results: The mean copper concentrations in the maternal and cord bloods at delivery were 114.52±37.4, 22.4±11.6 (μg/dl), respectively. The Iron levels were 119.2±64, 164.3±65.3 (μg/dl), respectively. Of all the mothers, 54.3% had copper deficiency, 1.1% Iron deficiency and of all the newborns, 44.7% had copper deficiency and 3.5% Iron deficiency. The Spearman Correlation analysis showed significant positive correlations between concentrations of each element in maternal serum with cord serum and also between maternal iron with maternal copper, and maternal iron with cord copper. The Chi-square analysis showed that there was a significant relationship between maternal copper deficiency and gestational hypertension (P<0.001). There were no significant relationships between these trace element levels at delivery with premature rupture of membranes and preterm labor. Logistic regression analysis showed a significant negative relationship between maternal copper levels and gestational hypertension (odds: 0.98, 95%CI: 0.97-0.99).

Conclusion: Maternal copper deficiency was rather high in the participants of the study (54.3%), and was related to incidence of gestational hypertension. These findings illustrated importance of trace elements during pregnancy. Providing suitable dietary recommendations and giving supplements during pregnancy can help to decrease maternal and fetal mortality and morbidity.

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Background & Aim: Poor sleep quality is a common problem among patients hospitalized in the CCUs. This study aimed to determine the effect of environmental factors modification strategies on quality of sleep among patients admitted to CCU.

Methods & Materials: This was a quasi-experimental study with a single-blinded design. Sixty patients admitted to the CCU of Shariati hospital were divided into two experiment and control groups. Sleep quality was measured in the first day of admission and three days later using the Pittsburgh sleep quality index in both groups. In the intervention group, we implemented a modified work environment between the two measurements. Data were analyzed using the Chi-squared and t-test in the SPSS v.18.

Results: Findings showed a significant decrease in sleep quality in the control group after hospitalization, compared with the intervention group (P<0.001). There were no statistically significant changes in the sleep quality before and after hospitalization in the intervention group (P=0.053).

Conclusion: Using environmental factors mitigation strategies can improve sleep quality of patients admitted to CCUs.

 

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  Background & Aim: Family caregivers play major role in caring for the patients with dementia. Meanwhile, they are at risks of various diseases. Caring for a person with Alzheimer’s disease carries a significant physical, socioeconomic and psychological burden. This study described the impact of cognitive-behavioral management on burden and problems borne by family caregivers of patients with Alzheimer's disease .

  Methods & Materials: This non-randomized controlled clinical trial was conducted on 70 family caregivers of patients with Alzheimer’s disease. The participants were subjected to experimental and control groups. The Zarit Burden Interview was used to assess the burden experienced by family caregivers of the patients. Data were then analyzed using inferential and descriptive statistical parameters (mean and SD) and paired sample t-test on the difference between the scores of pre-test and post-test . 

  Results: The mean level of caregivers’ burden as measured by ZBI was 44.56± 6.77 and 42.57±5.98, in experimental and control groups before intervention respectively. Caregivers’ burden score was 39.54±5.88 and 44.86±5.87, in experimental and control groups after intervention respectively. Results showed a significant decrease in the training group’s score (P<0.001) .

  Conclusion: Given the obtained results indicating the effectiveness of cognitive- behavioral management in reduction of caregivers’ burden, the present study can be helpful in achieving an effective solution to decrease stress among family caregivers of patients who suffer from Alzheimer's disease .

  

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Background & Aim: Male andropause begins with hormonal, physiological and chemical changes, and usually occurs in men between the ages of 40 to 55 years. These changes affect their quality of life. Hence, the current study investigated the quality of life of men with andropause and its related factors.

Methods & Materials: This preliminary cross-sectional study was conducted through the census method on 80 males aged 40 to 60 years, employed at the schools of Tehran University of Medical Sciences. Data were collected in 2014 using a demographic questionnaire, the Short-Form 36 (QOL) questionnaire, and the Persian version of the Aging Males' Symptoms (AMS) questionnaire. Data were analyzed by SPSS software v.22 through descriptive and inferential statistics (Independent t-test, one-way ANOVA, Pearson’s Correlation Coefficient and Stepwise multivariate Regression). The level of significance was set at 0.05.

Results: The mean age of the andropausal men was 47.6±4.79 years and the majority (38.8%) of the samples were in the 45-49 age group. The mean quality of life score was 61.75±13.52. Stepwise regression showed a significant relationship between age and the scores of overall quality of life, physical and psychological health dimensions. Moreover, significant associations were observed between the overall quality of life score and the andropause severity, and between physical health dimension and sleep hours per day.

Conclusion: This study indicates that andropause lowers the quality of life, and age, andropause severity and sleep hours affect the quality of life in the andropausal men.

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Background & Aim: Error always occurs in the health system and it can lead to irreparable consequences. Therefore, error prevention must be taken into account by the health systems. Detection of factors contributing to error is a key factor for the prevention of error. Hence, the aim of this study was to explore factors contributing to nursing error in emergency department.

Methods & Materials: This study was conducted using a qualitative approach. 17 emergency nurses participated in this study. Semi-structured interview was used to collect the data. Sampling was started as the purposive sampling and continued until the saturation of data was reached. Data were analyzed using the Elo & Kyngas (2008) qualitative content analysis approach. To achieve trustworthiness, participants were selected with maximum variation in terms of age, gender, work experience, and educational background.

Results: The analysis of data led to the emergence of 500 open codes and four categories including the predisposing factors of nurse-related error, predisposing factors of organization-related error, predisposing factors of error related to the culture of emergency department and predisposing factors of patient-related error.

Conclusion: Factors contributing to nursing errors in emergency department were very wide and multifactorial. Identifying the factors contributing to error is a first step to prevent errors. For reducing nursing error, nursing managers should pay special attention to the contributing factors of error identified by this study and implement interventions to reduce and mitigate these factors.

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Background & Aim: Depression is common among cardiac patients, especially patients with heart failure and leads to a poor prognosis. This study aimed to assess the effect of exercise on depressive symptoms in patients with heart failure, attending the Cardiac Rehabilitation Center.
Methods & Materials: In this clinical trial, 60 patients with NYHA class II and III heart failure who referred to the Cardiac Rehabilitation Center of Shafa Hospital affiliated to Kerman University of Medical Sciences in 2015 were randomly assigned into two groups of 30 patients. Subjects in the intervention group participated in a supervised 8-week exercise program, 3 days per week, while those in the control group only received standard routine care. Data were collected before and after the intervention by the demographic form and the Personal Health Questionnaire Depression Scale (PHQ-8). Data analysis was done by Chi-Square, Wilcoxon, Mann-Whitney U and Nonparametric ANCOVA tests using the SPSS version 21 and R software.
Results: The two groups were homogeneous in terms of depression score before the intervention. The median and interquartile range of the score of depression were 10 (5.25) in the control group and 8.5 (9.25) in the intervention group which showed a significant difference (P=0.042). By adjusting the variables of the duration of the disease and the pre-test scores of depression symptoms by non-parametric covariance test, the difference between the two groups was also significant.
Conclusion: Exercise can reduce depressive symptoms in patients with heart failure.
Clinical trial registry: IRCT201605107844N10
 

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Background & Aim: Postpartum depression disorder is a common psychosocial disorder with negative consequences for the mother and child. On the other hand, attention training technique can be more effective than other techniques for intervention in the cognitive-attention syndrome. Therefore, the present study was conducted to determine the effectiveness of attention training technique on the symptoms of depression, anxiety and metacognitive beliefs in patients with postpartum depression.
Methods & Materials: This study was conducted in a single-case experimental design using a multiple baseline design in eight sessions during one-, three- and six-month follow-ups on two patients, referred to the psychology and psychiatry unit of Tabriz Red Crescent in 2018. The Beck Depression Inventory, the Beck Anxiety Inventory and Metacognitive Beliefs Questionnaire were used to collect the data. Data analysis was performed using the Excel software as a graphical analysis and then based on the percentage of improvement, effect size and clinical significance.
Results: At the end of treatment, a significant reduction was observed in the symptoms of depression (61% remission), anxiety (48% remission) and metacognitive beliefs (83% remission) in patients with postpartum depression.
Conclusion: The results of this study showed that attention training technique can be effective in the treatment of patients with postpartum depression. However, further studies are needed in this area.
Clinical trial registry: IRCT20171227038096N1
 

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Background & Aim: Frustration is one of the important psychological consequences for the elderly in the nursing home. Spiritual care is a unique aspect of nursing care that can be a strong response to the dealing with frustration. The aim of this study was to determine the effect of spiritual care education on hope in the elderly residents of nursing homes.
Methods & Materials: The present study was a before-and-after semi-experimental study, conducted in 2018 on 35 elderly residents of nursing homes in Hamadan, assigned into two groups of intervention (35 people) and control (35 people). At the beginning of the study, both groups completed the Schneider hope scale. For the intervention group, the intervention based on spiritual care was performed in three sessions. The post-test was performed for both groups after one month. Spearman correlation and Kruskal-Wallis tests were used to analyze the data through the SPSS software version 16.
Results: There was no significant difference in overall hope score between the groups of intervention (22.94±9.80) and control (25.94±3.86) before the intervention (P=0.085); but after the intervention, there was a significant difference between the intervention (42.94±6.04) and control (23.80±4.09) groups (P<0.001).
Conclusion: Considering the positive effect of spiritual care on hope in the elderly in this research, planning for spiritual education is essential in this group of people.
 

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Background & Aim: Childhood vaccination as the most common iatrogenic pain is the main source of pain, anxiety and stress in children and parents, which is often done without pain management. Therefore, given the importance of pain control in children, and the recognition and application of pain control methods by the health team members, this study was conducted to evaluate the effect of ShotBlocker on vaccination pain in 6-month-old infants.
Methods & Materials: In this clinical trial study, 80 infants referred to Mehrshahr health center in Birjand in 2018-2019, were selected using the convenience sampling method based on the study criteria, and then randomly assigned to the control or experimental groups. In the experimental group, 20 seconds before the injection until the end of the injection, pressure was applied to the injection site with a ShotBlocker. The control group only received routine care. The pain status in the two groups was measured using the Pain Behavioral Response Scale (FLACC) 15 seconds after injection, and also the duration of crying from the time of vaccine injection to the end of crying was compared between the two groups. Data was analyzed using descriptive and inferential statistics including Mann-Whitney, t-test, and analysis of covariance at the significance level of less than 0.05.
Results: The study results revealed the mean pain intensity (4.32±0.99), duration of crying (14.4±3.92), and the time of onset of crying (4.05±0.933) were lower in the experimental group than those of in the control group (P<0.001).
Conclusion: Considering that ShotBlocker is effective in reducing pain intensity, the duration of crying and delay in onset of crying, it is recommended to use this simple, safe, and low-cost device to manage pain during vaccine injection.
Clinical trial registry: IRCT20191128045534N1