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Effect of Mothers' Participation in Preterm Infants' Care in NICU on Readmission Rates
T Aliabadi,F Bastani,H Haghani
Hayat Journal of Faculty of Nursing & Midwifery , 2011,
Abstract: Background & Aim: Despite technology development, rate of infants' hospitalizations is still high, which endures emotional and economic burden to families. The aim of this study was to investigate the effect of mothers' participation in care of preterm infant on readmission rate.Methods & Materials: In this randomized controlled trial, 100 mothers who had preterm infants (gestational ages: 30-37 weeks) with respiratory distress syndrome were recruited. Samples were selected using continuous random assignment. Collaborative programs for the intervention group were implemented in the form of an information session and presence and participation of mothers in their infants care. One month after discharge, readmission check list was completed. Data were analyzed using Chi-square and paired t tests.Results: Results showed that readmission rate was lower in the intervention group compared with the control group. The average length of stay in hospital was 6.96 in the intervention group and 12.96 in the control group (P<0.00).Conclusion: Participation of mothers in care of their infants reduced readmission rate.
Relationship between Preventive Behaviors and Knowledge Regarding Cardiovascular Diseases
M Imanipour,Sh Bassampour,H Haghani
Hayat Journal of Faculty of Nursing & Midwifery , 2008,
Abstract: Background & Aim: Modification of unhealthy life style is a preventive method in cardiovascular diseases. It seems that education which results in enhancing knowledge would improve the life style. For developing effective educational plans, it is required to evaluate the knowledge and performance of the patients. So, this study aimed to determine the relationship between the teachers' preventive behaviors and their knowledge on cardiovascular risk factors. Methods & Materials: This cross-sectional study was conducted in five zones of Ministry of Education in Tehran. Seven hundred and three teachers participated in the study. Multi-stage sampling was used to gather data using a self-report questionnaire consisted of demographic characteristics, risk factors of CAD, and related modifiable behaviors. Data were analyzed using Pearson coefficient test to determine correlations. Results: The results showed that the majority of participants (67%) had good knowledge on cardiovascular risk factors with the mean scores of 15.20±2.63 out of 20. Stress was found to be the most recognized risk factor (95.3%). Knowledge about diabetes (61.2%) and gender (17.6%) were in the lowest level. Regarding prevention, just 27.7% of the participants reported healthy nutrition. Some of the patients (35.6%) exercised regularly and majority of them (77.7%) were not active or passive smokers. Pearson coefficient did not find any significant relationship between knowledge level and preventive behaviors among teachers. Conclusion: According to our findings, teachers' knowledge level on cardiovascular risk factors was good; but it did not result in healthy practice. Therefore, providing effective educational programs about healthy life style can improve their daily life practices, as well as it can affect the knowledge and practice of their students about prevention of CAD.
Cryptococcal Meningitis: A Case Report
MT Haghi Ashtiani,H Haghani,N Makki
Iranian Journal of Pediatrics , 1995,
Abstract:
Anisotropy in Born-Infeld brane cosmology
Z. Haghani,H. R. Sepangi,S. Shahidi
Physics , 2011, DOI: 10.1103/PhysRevD.83.064014
Abstract: The accelerated expansion of the universe together with its present day isotropy has posed an interesting challenge to the numerous model theories presented over the years to describe them. In this paper, we address the above questions in the context of a brane-world model where the universe is filled with a Born-Infeld matter. We show that in such a model, the universe evolves from a highly anisotropic state to its present isotropic form which has entered an accelerated expanding phase.
The Effects of Calcium Supplement on Serum Lipoprotein in Obese Adults Receiving Energy Restricted Diet
M Shalileh,F Shidfar,SH Eghtesadi,H Haghani
Iranian Journal of Public Health , 2009,
Abstract: Background: Coronary heart disease is one of the most important problems of public health. One risk factor is dyslipidemia. Evidence from molecular and animal research and epidemiologic investigations indicate that calcium intake may influence lipid metabolism.But intervention studies have produced conflicting results.Objective of this study was to determine the effects of calcium supplementation on serum lipid profiles in the face of caloric restriction in obese adults."nMethods: A double blind randomized placebo-controlled trial on 40 adults with Body Mass Index (BMI)>25kg/m2 was con-ducted in Iran University of Medical Sciences in 2006.Subjects were maintained for 24 weeks on a balanced deficit diet (-500 kcal/d deficit) and randomly assigned to two groups with 1000 mg ca/d as calcium carbonate, or placebo. A General Linear Model was used for the analyses."nResults: There were no significant differences in variables at the 12th and 24th week between the two groups (P> 0.015). But the total cholesterol, LDL-C decreased significantly at the 12th and 24th week in the two groups compared to the initial values (P< 0.05). Ratios of TC/HDL-C,TC/LDL-C and LDL-C/HDL-C decreased significantly at the 12th and 24th week compareddto baseline only in the calcium group (P< 0.05). Similarly, TG and VLDL-C decreased significantly at the 24th week compared to baseline only in the calcium group (P< 0.05)."nConclusions: Twenty four weeks of supplementation with 1000 mg ca/d did not have any effect on serum lipoprotein beyond what can be achieved in an energy restricted diet
Comparison Study of Memory Status in War-PTSD Veterans With Depression and Non- Veterans Depressed Patient
Radfar Sh,Tahereh Jazayeri S,Haghani H,Habibi M
Tehran University Medical Journal , 2012,
Abstract: Background: Cognitive problems in patients with post-traumatic stress disorder (PTSD) include poor concentration and impaired memory. Prevalence of PTSD in all aspects of life is 8% in USA. Regarding the importance of memory in functional levels, this study was performed to review memory status in these patients. Methods: Fifty male war veterans with PTSD and major depression and 50 male non-veterans with depression participated in this study performed at psychiatric outpatient ward in Baqiyatallah hospital during 2008-2009. The patients met the DSM-IV diagnostic criteria. Depression severity, sex, age, educational level, and marital status were matched in both groups. A psychologist completed demographic and Mississippi questionnaires, PTSD checklist (PCL), beck depression Inventory and wechsler memory scale. The collected data were analyzed using SPSS software (version 11.0). A P-value smaller than 0.05 was considered significant.Results: The mean age of the veterans and non-veterans was 43.9±4.7 and 42±9.4 years, respectively. Memory status did not differ between the two groups (P>0.05). There was no statistically significant correlation between duration and severity of PTSD with memory impairment (P>0.05). A negative correlation was found between personal and general information with re-experiencing in the veterans (P<0.05). Impaired memory was correlated with age greater than 45, educational level lower than high school diploma, severity of depression and longer participation in war. Conclusion: Although both PTSD and major depression affected memory, but memory status did not differ between patients with PTSD and depression and patients with chronic depression.
The impact of training on the application of palliative methods for labor pain reduction
Geranmayeh M,Rezaeipour A,Haghani H,Akhoondzadeh E
Hayat Journal of Faculty of Nursing & Midwifery , 2006,
Abstract: Background & Aim: The severe pain of labor is the important cause of fear and anxiety in pregnant women. This study has been performed to evaluate effect of education on midwives practice. Methods & Materials: This is a quasi-experimental study. That was done 59 midwives in the labor wards of non-educational of Guilan University of Medical Sciences Hospital. Data gathered by a questioner, which its validity was done by panel of experts and reliability by test-retest. 59 midwives were chosen by quota sampling and participated in a one-day workshop. Pretest and post-test questioner completed before and after four months of education by all midwives. Data analyzed by descriptive and inferencing statistical methods with SPSS. Results: The paired t-test results showed that midwives practice about pain relieving methods changed significantly after workshop (p<0.005). Analytical methods demonstrated that there was no significant difference between mean practice scores and demographic characteristics of midwives. Conclusion: This study showed that teaching through workshop can improve the use of pain-relieving methods by midwives in labor wards especially more simple and efficacious methods.
Effect of Open and Closed System Endotracheal Suctioning on Vital Signs of ICU Patients
M. Zolfaghari,A. Nikbakht Nasrabadi,A. Karimi Rozveh,H. Haghani
Hayat Journal of Faculty of Nursing & Midwifery , 2008,
Abstract: Background & Aim: Nowadays, mechanical ventilators are being used for some patients in ICUs due to various physiological and clinical causes. Keeping endotracheal tube clean and open is necessary in order to improve the patient's oxygenation. This study aimed to investigate the effects of open and closed system endotracheal suctioning on vital signs of patients in ICU. Methods & Materials: In this quasi-experimental study, 40 patients from Shariaty Hospital's ICU were selected using convenience sampling method. Data was collected using a record sheet. The sheet consisted of demographic characteristics and vital signs including blood pressure, mean arterial blood pressure, heart rate, respiratory rate, and arterial blood oxygen saturation percentage. Endotracheal suctioning was done randomly in 90 minute intervals once using closed method and once using open method. All patients were hyper oxygenated by Ambo bag for 2 minutes before and after the procedures. The patients' vital signs were checked and recorded using SIEMENS 680 2xi monitor before, and 2 minutes and 5 minutes after the procedures. Data were analyzed using SPSS software. Results: Systolic and diastolic blood pressures, and heart rate showed higher increase 2 and 5 minutes after the open method compared to close method (P<0.001). Arterial blood oxygen saturation percentage reduced in the open method more than in the closed one 2 and 5 minutes after the procedure (P<0.001). No significant difference was seen in the patients' respiratory rate in two methods (P>0.05). Conclusion: Closed endotracheal suction system results in lower disturbances in the vital signs than the open system. Therefore, for better results, the closed endotracheal suctioning is suggested.
The conformity of BPP and vibroacoustic stimulation results in fetal non reactive non stress test
M. Modarres,M. Mir Mohammad Ali,H. Haghani,R. Arami
Tehran University Medical Journal , 2006,
Abstract: Background: The most frequently used test for evaluation of fetal health is the Non Stress Test (NST). Unfortunately it has a high incidence of false positive results. The combination of vibroacoustic stimulation with the NTS has been shown to reduce non reactive results. Methods: A tests assessment method was chosen with a simple randomized sampling. 40 pregnant women with non reactive NST in the first 20 minutes who received VAS in one of Tehran University's Hospitals were compared with BPP scores. A vibroacoustic stimulation was applied for a 3 seconds on the maternal abdomen and fallowed within 10 minutes.Data collection tools were NST, sonography instruments ,NST result paper, tooth brusher, watch, demographic questioner and check list. Data analysis was made by descriptive static and by using the Fisher's Exact Test (with level of significant at p<0/05). All statistical analysis were performed using an spss/win. Results: After VAS, 70% of non reactive tracing became reactive. All cases with fetal reactivity response after a VAS had a subsequent BPP score of 8 (negative predictive value of 100%). False positivity of VAS was lower than NST. Conclusion: VAS offers benefits, by decreasing the incidence of non reactive test and reducing test time. VAS lowers the rate of false positive NST. VAS is safe and allows more efficient of prenatal services. This test could be used as a rapid antepartum test to predict fetal well-being.
The Assessment of the effects of verbal and performance education on nurses' skill in the use of metered dose inhaler
M. Bagheri Nesami,M.A. Mohseni Bandpey,H. Haghani
Journal of Mazandaran University of Medical Sciences , 2007,
Abstract: Background and purpose: Inhaled drugs increase the effect of medications prescribed in the treatment of chronic airways diseases with fewer side effects compared to other methods. There are many users of metered dose inhaler (MDI), but the rate of improper use in patients, nurses and general practitioners is high. The purpose of this study was a) to assess the rate of MDI misuse in patients compared to nurses and b) to evaluate the effect of verbal and practical education in the use of MDI in nurses.Materials and Methods: Following ethical approval from Medical Ethics Board of the Mazandaran University of Medical Sciences, the present study was carried out in two separate stages. In the first stage which was a cross-sectional study, 110 subjects (55 nurses and 55 patients) were recruited from Mazandaran University Hospitals through a non-randomly and purposeful sampling method. A 0 -100 scale check list was used to measure the skill of nurses and patients in the use of MDI. In the second stage, a randomized clinical trial was designed to assess the effect of verbal and practical education in the use of MDI on 55 nurses (experimental group=25, control group=30). Nurses in the experimental group only, received the education and they were then asked to administer MDI after three weeks.Results: The mean score for patients' skill was 63+37 which was not significantly correlated with age. The two lowest scores were related to slow inspiration (52.7%) and coordination between inspiration and using MDI (52.8%). The mean score for nurses' skill was 51±21/2. The lowest score was related to performance of a deep exhalation and holding the spray at 2.5-5cm distance (21.8%).Data analysis indicated that there was a significant difference between pre and post education score in the experimental group using paired t-test (P=0.0001, T=16.26). There was also a significant difference between the experimental and control group on MDI skill using t-test (p=0.0001, T=-8.19).Conclusion: The results of this study demonstrate that patients had higher score compared with nurses in the use of MDI. It is also shown that educational program may have an important role in improving nurses' skill in the administration of MDI.
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