Showing 6 results for Bakhshi
Mahmoud Reza Gohari, Parisa Mokhtari Hesari, Zeynab Moghaddami Fard, Reza Khoda Bakhshi,
Volume 12, Issue 1 (5-2014)
Abstract
Background and Aim : identifying the risk factors for metastasis is major concern for treatment processes of cancer patients. Metastasis makes patients frail and increase hazard of death. It also decreases physical and psychological quality of life of patients. Aim of this study is determining of prognostic factors for metastasis of breast cancer using conditional regression model.
Materials and Methods: in this survival study, hospital records of 246 women with breast cancer who underwent surgery and treatment at hospital Fayyazbakhsh were used. Patients were followed until 2012 May and their final situations recorded. Metastasis free survival estimated with Kaplan-myier method. To determine the prognostic factors, a conditional regression model called PWP fitted. All statistical analysis was conducted with R software, version 2.10.
Results: 202 patients (82.1%) were alive until follow up and 44 patients (17.9%) died.54patients experience metastasis. 11 patients (4.7%) had two metastases. Most of metastases were shown in bone, liver, lung and brain. Median metastasis free survival (MFS) estimated 64 month. One, two and three year MFS were 88%, 80.1% and 76.6%, respectively. Lymph node involvement and HER2 were shown as prognostic factors for metastasis. Age, Esterogen Receptor, Prosterogen Receptor, Grade and tumor size were not significant ( P> 0.05).
Conclusion: number of lymph nodes involvement as a prognostic factor involve more nodes and increase risk of metastasis and death. Thus prognosis and treatment of cancer in early stages increase survival of patients.
Shabnam Hashemi Bakhshi, Zahra Jalili, Mahmoud Mahmoudi,
Volume 16, Issue 1 (6-2018)
Abstract
Background and Aim: Nowadays, the need for informing children and teens in different ages, about sexual problems, is felt more than ever before. Sexual training and education; such as every other original training, must be done at the right place and time. On the other hand, this training should be based on a systematic program and educational models to achieve the desire results. The aim of this study is to determine the effect of educational intervention on the BAZNEF Model on mother's skill about sexual care of their children, Tehran 2017.
Materials and Methods: This study was a quasi-experimental intervention with control group. Ninety six mothers of children aged 5-6 were selected in Tehran pre-schools. They were randomly divided into two groups; intervention and control. Data were collected by a researcher made questionnaire based on BAZNEF Model whose the validity and reliability were confirmed. After pre-test, according to educational needs, educational content and program were based on BAZNEF Model and that were conducted in the intervention group. Data were analyzed by SPSS23, independent t, Mann-Whitney and Chi- squar statistic tests.
Results: The mean scores of attitude, subjective norms, behavioral intention and behavior showed no significant difference before the education in both intervention and control group. However, the result showed compelling difference in mean scores of attitude, subjective norms, behavioral intention and behavior after the education (p<0/001).Enabling factors showed no important variation among intervention and control groups before and after the experiment.
Conclusion: The finding of current study confirmed the educational intervention, based on BAZNEF Model, was effective on mother's attitude, subjective norms, behavioral intention and behavior about sexual care of their children.
Mohammad Khamarnia, Arezo Ali Nezhad Ranjbar, Mahdiyeh Bakhshi,
Volume 17, Issue 2 (9-2019)
Abstract
Background and Aim: Accreditation is one of the important measures in the evaluation of health services. Today, the issue of accreditation has been established with the aim of creating and promoting a safety culture and quality of patient care. The purpose of this study was to determine the effect of accreditation on key and performance indicators of public hospitals in Zahedan before and after its implementation.
Materials and Methods: This descriptive-analytic cross-sectional study was conducted in 1396 in governmental hospitals of Zahedan University of Medical Sciences (Khatam-ol-Anbia and Ali ibn Abi Talib, AS). All of the key indicators of hospital performance were evaluated two years before the implementation of the accreditation (years 1391-1392) and two years after the implementation of the accreditation (1394-1395) in these hospitals. Data was collected using a form designed for study purposes. Descriptive statistics, tables and descriptive charts were used to draw information.
Results: Based on the results of the study, the duration of stay of patients after the implementation of the accreditation scheme in hospitals has improved somewhat and decreased by 0.5 days to 4 days in 1395. The rate of cesarean delivery has risen from 49.2% in 1391 to 56.8 in 1395. The percentage of flat occupancy has risen to over 90 percent in 1395. The bed rotation distance was reduced by 31.1%, and releasing by personal desire in 1395 was 9% lower than in 1394. The personal satisfaction score of the emergency releasing by personal desire also dropped by 7%. It should be noted that there was no change in the net mortality index before and after the validation.
Conclusion: Accreditation has had a favorable impact on hospital performance indicators of course, the implementation of the healthcare reform plan may also have an impact on this. In general, the implementation of accreditation in the hospitals of the country can reduce the problems in this sector and provide more quality services to clients. Also, for better implementation of this program, emphasis on mortality and cesarean section rates can lead to improved hospital performance.
Leila Afzali, Sogand Ghasemzadeh, Maryam Hashemi Bakhshi,
Volume 17, Issue 3 (12-2019)
Abstract
Background and Aim: The purpose of this study was to determine the effect of family-based interventions on clinical symptoms and social skills of hyperactive children.
Material and Methods: This was a quasi-experimental study with pre- and post-test. A total of 28 school students with attention deficit hyperactivity disorder (ADHD) referring to a Psychiatric and Rehabilitation Counseling Center along with their parents were selected using the available sampling method as the main sample of the study. They were then divided into two equal groups ─ an experimental group receiving intervention (family therapy) and a control group receiving no intervention. The research tools were the Inderbitzen and Foster Adolescents Social Skills Questionnaire (CWS, 1992) and the Conners Parent Questionnaire (1999). Multivariate analysis of covariance was used to analyze the data.
Results: Analysis of the data showed that family-based interventions can lead to increases in social skills and decrease clinical symptoms in children with ADHD.
Conclusion: It is concluded that family-based intervention can result in enhancing social skills and reducing clinical symptoms in children with attention deficit hyperactivity disorder.
Ensiyeh Babaie, Fereshteh Bakhshian, Aram Karimian, Reza Saadatmehr,
Volume 17, Issue 3 (12-2019)
Abstract
Background and Aim: Considering that a person’s identity in formed during adolescence and that such identity formation is of particular importance in this period and the many factors that play important roles in it, the present study was conducted to determine the factors related with identity formation among high school students in Mazandaran Province, Iran.
Materials and Methods: This was a descriptive-analytic cross-sectional study. The participants were 394 high school students in Mazandaran Province, Iran selected by random cluster sampling. Data were collected using 3 questionnaires, namely, the Benion and Adams Identity Scale Questionnaire (EOM-EIS-2), the Identification Factors Questionnaire and a Demographic Questionnaire. For data analysis, Wilcoxon, Spearman correlation and linear regression tests were used.
Results: Over half (51.8%) of the participants were girls and 48.2% boys. The results of regression analysis showed that the factors studied (family, personality, school, community and culture and media) could explain 22.7%, 11.2%, 10.5% and 21.2% of the variance in turbulent, early, delayed and advanced self-identification in adolescents, respectively.
Conclusion: Based on the results of this study, it is recommended to organize parenting and student training courses and make the school environment more favorable for the students, as well as include extracurricular activities in the school to help students identify themselves more easily.
Ramezan Ebrahiminia, Yaser Bakhshi, Saber Sadeghi,
Volume 18, Issue 4 (3-2021)
Abstract
Background and Aim: Insects associated with dead bodies are very diverse and very important in decomposition and recycling of the carcasses. The present study was conducted in the Margoon region of Kohgiluyeh and Boyer Ahmad province (Iran) to determine the species diversity of carrion insects associated with decomposing remains of different animals.
Materials and Methods: Different cadavers of domestic goat, rat and chicken were collected and carrion insects were sampled from them in different seasons during one year.
Results: In total, 21 species of carrion insects including 13 necrophages, 3 predators, 3 omnivores and 2 casual species were collected and identified.
Conclusion: Based on the data, the order Coleoptera (beetles) was the most diverse group as regards species among the orders collected, and the highest diversity was observed during spring. Two species, namely, Thanatophilus rugosus and Saprinus maculatus were reported to be new in the south west of Iran. Furthermore, our results show that the species diversity of carrion insects in the region studied was rather high.
