Identifying the Effective Items on the Quality of Doctors' prescriptions by using the Delphi Technique
Bahareh
Gharib
Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Kobra
Etminani
Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2018
per
Introduction: The medicine prescription is the main nucleus of communication among the physician, pharmacist and patient. Generally, a good prescription quality reflects good prescribing process and thus good quality healthcare. Prescribing without correct dose, frequency, route of administration, timing or duration of treatment leads to repetitive of therapeutic and is effective in poor quality prescription. The purpose of this study is to identify the main items that must be written in prescription and being observed by physicians, which are effective in the quality of the Doctors' prescription. Materials and Methods: This research is an applied study in which the items affecting the quality of doctors' prescriptions were identified by Delphi technique in three phases. The statistical populations of this study are twelve experts, managers, officials and experts of the Medical Council of the Mashhad Pharmaceutical Research Committee. Results: Based on the results of the Delphi technique, out of a total number of 35 items, 22 main items that should be written and observed in prescription by physicians, which are effective on the quality of physician prescriptions, were identified. Conclusion: Considering that one of the main forehead challenges of prescribing and rational use of drugs, is increasing the awareness of physicians about the principles of proper and scientific prescription. It is hoped that paying attention to these principles will reduce the medication errors in writing and interpreting the prescriptions as well.
Navid No
Mashhad University of Medical Sciences
2645-5919
21
v.
67
no.
2018
1
9
https://nnj.mums.ac.ir/article_11752_ba0203ca60f76500126194d06baafd5b.pdf
dx.doi.org/10.22038/nnj.2018.34249.1130
The Study of Biofilm and slime formation coded by icaA and icaD genes in Methicillin resistant Staphylococcus aureus containing mecA gene in Shahrud County (1396-1397)
Nazila
Arbab Soleimani
Assistant Professor of Microbiology, Department of Microbiology, Islamic Azad University, Damghan Branch, Damghan, Iran
author
Marmar
Valikhani
MSc in Microbiology, Department of Microbiology, Islamic Azad University, Damghan Branch, Damghan, Iran
author
elahe
Tajbakhsh
Associate Professor of Microbiology, Department of Microbiology, Islamic Azad University, Shahrekord Branch, Shahrekord, Iran
author
text
article
2018
per
Introduction: Currently, scientists hold the conviction that attachment and biofilm formation are theinitial factors in bacterial pathogenesis. The present study aimed to investigate the coexistence oficaA and icaD genes involved in the slime and biofilm production of methicillin-resistantStaphylococcus aureus containing mecA gene and their relations to its pathogenesis. Materials and Methods: In this descriptive cross-sectional study, 100 wound samples werecollected from one of Shahruod hospiltals in 2017. The isolation and purification of Staphylococcusaureus was performed. It should be noted that resistance to methicillin was investigated by KirbyBauer test. The study of slime production and biofilm formation were carried out using Congo redagar and 96 microtiter plate-based methods, respectively. The examination of the relationshipbetween mecA, icaA, and icaD genes was performed by Multiplex polymerase chain reaction. Results: In this study, 65 methicillin-resistant Staphylococcus aureus samples were isolated of which67% and 66.6% were able to form strong slimes with black colonies and strong biofilms,respectively. The coexistence of mecA, icaA, and icaD in 89.23 of the samples was observed. Conclusion: According to the results of the present study, there was a relation between pathogenesisand antibiotic resistance in methicillin-resistant Staphylococcus aureus, which should be consideredfor the treatment of the infection caused by this bacterium
Navid No
Mashhad University of Medical Sciences
2645-5919
21
v.
67
no.
2018
10
19
https://nnj.mums.ac.ir/article_12035_d903b13dcd8b31a8cdb0568e47381fc2.pdf
dx.doi.org/10.22038/nnj.2018.35379.1132
The influence of the puppet Kolah Ghermezi on the fear of admitting children aged 3 to 6 years
FARZANEH
ABBASIAN
MSc in Paediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Tayebeh
Reyhani
Department of Paediatrics, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
author
Seyed Mohsen
Asghari Nekah
Assistant Professor, Faculty of Educational Sciences and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran
author
Hamid Reza
Behnam Vashani
Instructor, Department of Paediatrics, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad,
Iran
author
text
article
2018
per
Introduction: Hospitalization can cause fear and stress in children; in addition, it can be considered as an important factor leading to delayed recovery. In this regard, the use of dolls can be associated with significant reduction in stress among children. Given that nurses' appearance in health centers plays a leading role, the nurses are recommended to wear well-designed and colorful clothing to attract children's trust and attention. The purpose of this study was to investigate the influence of wearing Kolah Ghermezi costume on fear of 3-6-year-old children admitted to hospital. Materials and Methods: 50 children aged 3-6 years of age admitted to the Department of Pediatrics, Imam Reza Hospital, Mashhad, Iran were participated in this randomized clinical trial. The subjects were then divided into two groups of control and intervention (n=25) using simple random sampling in 2016. Data were collected by means of a Child Fear Scale in order to investigate the fear level. The demographic sections of the Child Fear Scale questionnaires were filled in using interviews and subjects' records. Results: According to the results of the study, the means of fear in control and intervention groups were 63.0±4.3 and 26.27±7.7, respectively. Moreover, the difference was statistically significant (P<0.001). Conclusion: It can be concluded that the intervention with Kolah Ghermezi costume reduces fear in children; therefore, it is recommended to wear Kolah Ghermezi costume in Department of Pediatrics to reduce the child's fear.
Navid No
Mashhad University of Medical Sciences
2645-5919
21
v.
67
no.
2018
20
29
https://nnj.mums.ac.ir/article_11925_826be03341363e59057dafec858b916d.pdf
dx.doi.org/10.22038/nnj.2018.36253.1134
Distribution of virulence factors in biofilm formation strains of Pseudomonas aeroginosa isolated from hospital infections in Shahrekord Township
Hassan
Momtaz
Professor of Microbiology, Department of Microbiology, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran.
author
Mehrnoush
Eskandari
Post graduated of Microbiology, Department of Microbiology, Falavarjan Branch, Islamic Azad University, Isfahan, Iran
author
Farzaneh
Zabihi
Post graduated of Microbiology, Department of Microbiology, Shahrekord Branch, Islamic Azad University, Shahrekord, Iran
author
text
article
2018
per
Background and Aim: Pseudomonas aeroginosa is one of the widespread clinical-caused infections which has many stringency factors and causes different clinical infections in humans and animals. This study was performed to investigate the relationship between biofilm formation and virulence factors distribution in Pseudomonas aeroginosa strains isolated from clinical samples. Materials and Methods: In this study, 33 isolates of Pseudomonas aeroginosa were isolated from different clinical infections from the patients hospitalized in hospitals and treatment centers of Shahrekord city in the first 6 months of 1397. Then the ability of biofilm formation was investigated with the microtiter plate method and with the presence of most commonly virulence factors included pudA, phzI/II/H/M, apr, picH/N, exoU/S/Y/T, toxA, lasA/B, algD/U and pilA/B genes in these isolates using multiplex PCR method. Results: In this study, 30 isolates had the ability of formation of powerful biofilm. The types of genes were detected in them which among these genes exoU and exoT genes were recognized as commonly stringency factors with the affluence of %93.33 and %86.66 respectively. Conclusion: The presence of some virulence genes especially exotoxin-caused genes, lasA/B and Pilli-caused genes in these isolates indicated the importance role of these factors in Pseudomonas aeroginosa in biofilm formation and colonizing on epithelial surfaces.
Navid No
Mashhad University of Medical Sciences
2645-5919
21
v.
67
no.
2018
30
40
https://nnj.mums.ac.ir/article_12048_df24d7eaa5b5d07b0b9562f63883d82a.pdf
dx.doi.org/10.22038/nnj.2018.36164.1133
Frequency of application of complementary and traditional medicine methods in residents of Bojnourd
shima
nikbakht
MSc Student in Health Care Management, Shirvan Center of Higher Health Education and Imam Khomeini Hospital, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
Davood
Davoodi
Pharm.D, Razavi Pharmaceutical Service, Mashhad, Iran.
author
Sima sadat
Hejazi
PHD. Student of Nursing, Lecturer, Department of Nursing, Bojnurd Faculty of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
Farzaneh
Heidari
Nursing Student of Research Committee, Shirvan Center of Higher Health Education, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
Amin
Ghafoor derakhshan
Nursing Student of Research Committee, Shirvan Center of Higher Health Education, North Khorasan University of Medical Sciences, Bojnurd, Iran.
author
text
article
2018
per
Introduction: Over the recent years, the use of a variety of complementary medicine methods hasaccelerated in many countries. The aim of this study was to determine the frequency of using varioustypes of complementary medicine and the satisfaction levels in terms of treatment and the preventionof diseases in Bojnourd citizens. Materials and Methods: This cross-sectional study with a descriptive design was performed oncitizens over 15 years of age in Bojnourd using a multi-stage sampling method in 2015. The datawere collected by a researcher-made questionnaire used in similar studies. Subsequently, the datawere analyzed using descriptive statistics and t-test in SPSS software (version 21). P-value less than0.05 was considered statistically significant. Results: Totally, 367 participants with the mean age of 27.28 ± 9.86 years were included in thestudy. 84.65% and 76.56% of the subjects used at least one of the complementary medicine methodsthroughout their lives or over thepast year, respectively. The most frequently used methods includedherbal medicine (72.5%), cupping (29.2%), spa treatments (25.6), and prayer (24.8). However,chiropractic (5.0%), homeopathy (1.1%), and acupressure (2.2%) were among the least frequentlyused alternatives. The participants used complementary medicine to treat the most commondisorders, such as musculoskeletal problems (30.86%), anxiety and mental disorders (22.96%), and headache and migraine (7.4%). No significant association was found between gender and variables,such as the amount and manner of using complementary medicine, and the familiarity withcomplementary medicine methods. Conclusion: Considering the high frequency of using different types of complementary medicine,especially herbal medicine, it is essential to increase people's awareness about the proper and optimaluse of these methods.
Navid No
Mashhad University of Medical Sciences
2645-5919
21
v.
67
no.
2018
41
52
https://nnj.mums.ac.ir/article_12114_452bdc5cd891a5bfc938141c39570836.pdf
dx.doi.org/10.22038/nnj.2018.36710.1137
Synthesis of 5-3-bromo phenyl and 5-3 choloro phenyl- 1,3,4 oxadiazol-2 eyl piridin-2-eyl methanol and evaluation of antibacterial activity
Mahnaz
Karimi
MSc student in Microbiology ,Department of Microbiology, Faculty of Basic Science, Shahrekord Branch, Islamic Azad University, Iran
author
elahe
Tajbakhsh
Associate Professor of Microbiology ,Department of Microbiology, Faculty of Basic Sience, Islamic Azad University, Shahrekord Branch, Iran.
author
Ali
Souldozi
1. Department of Microbiology, Faculty of Basic Science, Shahrekord Branch, Islamic Azad University, Iran.
2. Associate Professor, Faculty of Science, Urmia Branch, Islamic Azad University, Iran
author
text
article
2018
per
Introduction: Oxadiazole derivatives that are highly bioavailable, for example, can be a good alternative to antimicrobials and may have a better effect on the same drugs than those of the host. The aim of this study was to evaluate the antibacterial properties of oxadiazole synthesized derivatives and compare it with common antibacterial drugs on some pathogenic bacteria. Material and Methods: In this study in a single process reaction of N- isocyanimino triphenyiphosphorane, carboxylic acid derivatives and 2-pyridinecarbalhyde in acetonitrile solvent, new derivatives of Oxadiazole were attained. The structures of synthesis compounds were surveyed and established by the use of IR, H-NMR and C-NMR spectrometer. The synthesized compounds were tested for their antimicrobial activity against Entrococcus faecalis PTCC 1788 and Proteus vulgaris PTCC 1861 by disc diffusion method and Minimal Inhibitory Concentration (MIC) and determination of Minimal Bactericidal Concentration (MBC). Results: The results that show all the synthesized compounds had antibacterial activity against E. faecalis, but they did not have that much influence on P. vulgaris. Discussion: This is important that the synthesis of oxadiazole compounds has antibacterial nature which is a single-process reaction and it was accomplished with high efficiency and in a very short time.
Navid No
Mashhad University of Medical Sciences
2645-5919
21
v.
67
no.
2018
53
65
https://nnj.mums.ac.ir/article_12049_200863c5131110fbb88a3793c76a1708.pdf
dx.doi.org/10.22038/nnj.2018.35160.1131
Dental waste, medical waste, waste management, dental offices, review
Ali
Pakfetrat
MSc in Environmental Health Engineering, Army 550 Hospital , Mashhad, Iran
author
morvarid
Irani
PhD candidate of reproductive health, Student Research Committee, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IR Iran
author
zahra
hadizadeh-talasaz
PhD candidate of reproductive health, Student Research Committee, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, IR Iran
author
text
article
2018
per
Background & Objectives: Today, one of the most important environmental issues is dental solid wastes due to its high contents of toxic, pathogen and hazardous agents. The aim of this review study was to evaluate of dental wastes produced in dental offices. Materials & Methods: In this review study, Persian and English articles that published during 1997 to 2018 with keywords of dental solid waste، solid waste management، disposal waste، hazards، biomedical waste، dental clinics were searched in PubMed, Magiran, Google Scholar, Iranmedex, Scopus, Irandoc and SID databases. Results: A total of 15 studies which were extracted from 245 articles related to the role of dental wastes produced in dental offices were studied. The results of latest research articles in this field were discussed and summarized. Conclusion: It is suggested that dentists should be trained to reduce, separate and recycle the wastes in accordance with relevant rules and regulations. Because the segregation of recyclable parts from dental wastes can lead to reduction of a large amount of wastes and so that the costs of collection, transportation, disposal and disinfecting will be reduced
Navid No
Mashhad University of Medical Sciences
2645-5919
21
v.
67
no.
2018
66
76
https://nnj.mums.ac.ir/article_12047_bb14d35697bf486f3e472f09b40ef202.pdf
dx.doi.org/10.22038/nnj.2018.36378.1135