Showing 6 results for Nasiri
Elmira Hassanpour, Nadereh Naderi Ravesh, Zahra Safavi Bayat, Malihe Nasiri, Kianoush Niroumand Zandi,
Volume 4, Issue 1 (9-2014)
Abstract
Background and Objectives: Considering the importance of thinking styles in individuals' decision making, this study was conducted to investigate the correlation between thinking styles with clinical decision making among nurses working in educational hospitals affiliated to Tabriz University of Medical Sciences. Materials and Methods: In this descriptive–correlational study, 196 nurses were recruited using random sampling method. Data were collected using the Thinking Styles Inventory and a researcher structured questionnaire. Data were analyzed using the Pearson correlation test and multiple regression analysis. Results: The results showed that hierarchical thinking had the most significant relationship with the clinical decision making (p<0.001 r=0.427). Conservative and internal thinking styles showed significant negative relationships with the clinical decision making (p<0.05 r=-0.201, r=-0.149, respectively). According to the multiple logistic regression analysis, type 1 thinking styles predicted better clinical decision makings and type 2 thinking styles were associated with low scores of clinical decision making. Nevertheless the relation intensity obtained from the test was poor (R2=0.171 p<0.001). Conclusion: Considering significant relationship between thinking styles with clinical decision making, further studies are recommended.
Miss Malihe Nasiri, Dr Soghrat Faghihzadeh, Dr Hamid Alavi Majd, Ms Noorosadat Kariman, Miss Nastaran Safavi,
Volume 4, Issue 2 (3-2015)
Abstract
Background and Objectives: Preeclampsia is the third leading cause of death in pregnant women. This study was conducted to evaluate the ability of longitudinal hematocrit data to predict preeclampsia and to compare the accuracy in longitudinal and cross-sectional data. Materials and Methods: In a prospective cohort study from October 2010 to July 2011, 650 pregnant women referred to the prenatal clinic of Milad hospital in Tehran were selected. The hematocrit level was measured in the first, second and third trimester of pregnancy and the participants were followed-up to delivery. The preeclampsia cases were recorded. The Covariance pattern and linear mixed effects models were applied for discriminant analysis of the longitudinal data. Statistical analyses were performed in the SPSS-20 and SAS-9.1. Results: The prevalence rate of preeclampsia was 7.2% (47 out of 650 women). The women with preeclampsia had a higher meanhematocrit values (difference=0.99 P=0.014). The sensitivities for longitudinal data and cross-sectional data in three trimesters were 91%, 54%, 72%, 51% and the specificities were 61%, 51%, 51%, and 47%, respectively. The positive predictive values were 70%, 52%, 59%, 49% and the negative predictive values were 87%, 53%, 64%, and 49%, respectively. Conclusion: The levels of hematocrit can be used to predict preeclampsia and to monitor the pregnant women. Measuring the hematocrit during the three trimesters regularly can help to identify women at risk for preeclampsia.
Mohammad Farajzadeh, Meimanat Hosseini, Fayegh Yousefi, Hamideh Hajnasiri, Jamileh Salavati,
Volume 6, Issue 2 (8-2016)
Abstract
Background and Objectives: Difficult intubation is one of the challenges for patients undergoing anesthesia that leads to severe complications and death. Obstructive sleep apnea is one of the factors that may be associated with difficult intubation. The present study was carried out to investigate the relationship between obstructive sleep apnea and difficult intubation in the elderly.
Materials and Methods: This cross- sectional study was conducted in 2015 from February to June on 175 elderly patients using convenience sampling method. In order to gather data Demographic form, Berlin questionnaire and Comark-Lehane Index were used. Data were analyzed by SPSS (version 18) Statistical software and Kolmogorov-Smirnov, independent t-test, Mann-Whitney-u, chi-square tests and Logistic Regression.
Results: The mean age and SD of samples were 69.9±9.3 years. There were 18 (26.9%) people with difficult intubation and 10 (9.3%) people with normal intubation at high risk of sleep apnea. The results of this study showed that there was a significant relationship between sleep apnea and difficult intubation, and the risk of sleep apnea in the elderly with difficult intubation was 3.6 times of those with normal intubation (p=0.002, OR=3.6, CI 95%= 1.5-8.9).
Conclusion: There is a relationship between obstructive sleep apnea and difficult intubation in the elderly. Therefore, a screening procedure to identify the elderly at high risk of sleep apnea that are candidate for anesthesia seems to be necessary.
Sedigheh Amir Ali Akbari, Atousa Dabirioskoei, Malihe Nasiri, Fatemeh Bayat,
Volume 8, Issue 1 (6-2018)
Abstract
Background: Lead exposure is one of the global health problems, especially among pregnant women.
Objectives: In this regard, the present study aimed to investigate the correlation between blood lead and blood indicators in healthy pregnant women.
Methods: This correlational study was conducted on 80 pregnant women hospitalized in Ayatollah Mousavi Hospital in Zanjan during 2015. After receiving informed consent, 3.5 mL of their blood samples were taken for measuring the blood lead and indicators. Then, Symex was used to analyze hematologic indicators, followed by utilizing potentiometric method and Ion3 to measure blood lead level. Finally, data were analyzed by SPSS software, (version 22) applying Pearson correlation coefficient and linear regression. A P-value of less than 0.05 was considered statistically significant.
Results: The mean blood lead of the subjects was 6.24±1.74 μg/dL. Based on the results, a significant correlation was found between blood lead and hemoglobin (Hb: r=-0.39, P<0.001), mean corpuscular volume (MCV: r=-0.26, P=0.02), mean corpuscular hemoglobin (MCH: r=0.27, P=0.013), mean corpuscular hemoglobin concentration (MCHC: r=-0.327, P=0.003), and platelet number (Plt: r=0.359, P= 0.001). However, no significant correlation was observed between blood lead and other platelet and blood indicators.
Conclusion: Overall, blood lead affects blood indicators. Therefore, it is suggested to plan and implement strategies to reduce exposure to lead in the environment, especially for pregnant women.
Sepideh Dinmohammadi, Giti Ozgoli, Shabnam Towfighi, Malihe Nasiri, Fatemeh Bayat,
Volume 14, Issue 2 (8-2024)
Abstract
Background: Pregnancy is a physiological phenomenon accompanied by numerous physical and psychological changes. Fear of contracting diseases such as coronavirus disease 2019 (COVID-19) or other illnesses for which scientific knowledge is still incomplete can create anxieties in pregnant women, impacting their mental health.
Objectives: The present study aimed to determine the association between fear of infection with COVID-19 and the mental health of pregnant women.
Methods: A cross-sectional study was conducted on 164 pregnant women attending Ayatollah Mousavi Hospital in Zanjan, Iran, in 2021. Participants were randomly selected. Data were collected using demographic questionnaires, the Depression, Anxiety, and Stress Scale (DASS-21), and the Fear of Disease Coronaviruses Scale (FDCS). Data were analyzed using Spearman’s correlation coefficient and simple linear regression in SPSS 21 software.
Results: Results demonstrated that 23.4% of participants experienced anxiety, 18.2% experienced depression, and only 1.2% experienced stress. Fear of infection was positively and significantly correlated with anxiety (r= 0.18, p=0.01). Additionally, income adequacy (r= -0.24, p=0.002), perceived economic status (r= -0.16, p=0.04), and spousal support (r= -0.19, p=0.01) were also negatively and significantly correlated with fear of infection.
Conclusion: Findings reveal that the COVID-19 pandemic can culminate in fear and anxiety in pregnant women. Spousal support during this sensitive period and feelings of marital satisfaction can relieve anxiety in women.
Ehsan Koshki , Mohammad Zarezadeh, Khadijeh Nasiriani,
Volume 14, Issue 2 (8-2024)
Abstract
Background: Emergency medical services (EMSs) organize care provided to patients in out-of-hospital settings, playing a crucial role in minimizing physical and psychological harm resulting from diseases and emergencies. Consequently, pre-hospital emergency is an integral component of healthcare systems, requiring performance standards to improve outcomes for injuries and other illnesses. Thus, the effective utilization of modern management methodologies is essential in this context.
Objectives: The current study aimed to determine the impact of the Lean Six Sigma (LSS) program on performance standards of pre-hospital emergency.
Methods: This single-group quasi-experimental study with a pretest-posttest design was conducted on 50 pre-hospital emergency personnel in Koohdasht County in 2023 using a census method. The research tool included a performance standard measurement checklist, completed through observation before and after implementing the LSS method. Data were analyzed using the paired t-test in SPSS v.18 software.
Results: The findings revealed that the majority of participants held bachelor’s degrees (54%), were contractual employees (56%), and were all male. There was a statistically significant difference in the mean score of the performance standards in the personnel (p=0.001), equipment (p<0.001), and overall (p<0.001) dimensions before and after the intervention.
Conclusion: Based on the findings, the implementation of the LSS program was able to enhance the performance standards of pre-hospital emergency in the personnel and equipment dimensions, and overall. Hence, the use of this method is recommended in other centers and other dimensions affecting the performance standards of pre-hospital emergency.