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  1. Article ; Online: Investigating the validity and reliability of the GLFS-25 questionnaire by factor analysis in the elderly hospitalized at the intensive and cardiac care units

    Hamid Taghinejad / Elham Mohammadyari / Hamed Tavan / Anis Mohammadyari

    Heliyon, Vol 9, Iss 7, Pp e18111- (2023)

    2023  

    Abstract: Introduction: Geriatric Locomotive Function Scale-25 (GLFS-25) is a 25-item tool most commonly used to diagnose locomotive syndrome in the elderly. The purpose of the present study was to investigate the validity and reliability of the GLFS-25 ... ...

    Abstract Introduction: Geriatric Locomotive Function Scale-25 (GLFS-25) is a 25-item tool most commonly used to diagnose locomotive syndrome in the elderly. The purpose of the present study was to investigate the validity and reliability of the GLFS-25 questionnaire using factor analysis. Materials and methods: This descriptive-analytical study was conducted on 186 elderly people. The GLFS-25 questionnaire contains 25 items, and each item is scored on a five-point Likert scale from 0 to 4. Data were analyzed by SPSS V.19 software. Descriptive (frequency, percentage, mean, and standard deviation) and inferential (Cronbach's alpha, correlation coefficient, Bartlett test, KMO index, scree plot, and factor analysis) statistics were used to present the findings. Results: Factor analysis revealed two hidden factors in the four dimensions of the questionnaire (i.e., pain, daily activities, social relations, and mental health). The first factor, named mobility and its consequential concerns), with a variance percentage of 74.323, had an effect on questions No. 19, 11, 25, 16, 6, 24, 5, 4, and 3. The second factor, named the problems and risks associated with daily and social activities, with a variance percentage of 78.680, had an effect on questions No. 17, 22, 7, 18, 14, 20, 13, 9, 12, 8, 10, 21, 2, 15, 1, and 23. Cronbach's alpha coefficient among the questionnaire's dimensions was 78.4%. Conclusion: The GLFS-25 questionnaire can be used as a valid and reliable tool to diagnose locomotive syndrome in the elderly.
    Keywords Elderly ; Locomotive syndrome ; Factor analysis ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
    Subject code 306
    Language English
    Publishing date 2023-07-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Factors Affecting Medication Errors from the Perspective of Nursing Staff

    Masoumeh Shohani / Hamed Tavan

    Journal of Clinical and Diagnostic Research, Vol 12, Iss 3, Pp IC01-IC

    2018  Volume 04

    Abstract: Introduction: Medication administration is a key responsibility of nurses. If this duty is not properly accomplished, it can cause serious threats to the health and safety of patients. Aim: To explore factors affecting the frequency of medication errors ... ...

    Abstract Introduction: Medication administration is a key responsibility of nurses. If this duty is not properly accomplished, it can cause serious threats to the health and safety of patients. Aim: To explore factors affecting the frequency of medication errors from the perspective of nurses in educational hospitals of Ilam, Iran. Materials and Methods: The present descriptive analytical study was conducted on 120 nurses randomly selected from teaching hospitals of Ilam. A two part standard questionnaire was used. Its first part was on the participants demographic information. The second part consisted of three domains including 11 questions on the factors associated with nursing, seven questions on the factors associated with wards, and four questions on the factors associated with nursing management. Data analysis was performed using the SPSS software, version 19.0. The significant p-value was considered less than 0.05. A total of 120 completely filled questionnaires were obtained and this formed the study data. Results: The participants included 50 (42%) males and 70 (58%) females. In all the three domains, the most frequent factors resulting in the incidence of medication errors included: occupational fatigue exhaustion (58.5%), nurses personal neglect (56%), heavy workload in wards (65.6%), and inadequate staffing and high nurse/patient ratios (69.7%), respectively. Conclusion: Fatigue, personal carelessness, heavy workload, inadequate staffing and high nurse/patient ratios are the important and effective factors causing medication errors. Reducing the number of nurse's shifts during the month and increasing the number of personnel per shift are recommended.
    Keywords iran ; medicinal errors ; nursing profession ; Medicine ; R
    Language English
    Publishing date 2018-03-01T00:00:00Z
    Publisher JCDR Research and Publications Private Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Arbitrary Use of Insulin and Its Consequence

    Masoumeh SHOHANI / Hamed TAVAN

    Iranian Journal of Public Health, Vol 47, Iss

    2018  Volume 8

    Abstract: Arbitrary Use of Insulin and Its ... ...

    Abstract Arbitrary Use of Insulin and Its Consequence
    Keywords No Keywords## ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2018-08-01T00:00:00Z
    Publisher Tehran University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Evaluating the Effect of Using Training CDs on the Patients with Type II Diabetes

    Hamid TAGHINEJAD / Hamed TAVAN

    Iranian Journal of Public Health, Vol 47, Iss

    2018  Volume 2

    Abstract: No Abstract### ...

    Abstract No Abstract###
    Keywords No keywords## ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2018-02-01T00:00:00Z
    Publisher Tehran University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Comparison of the thickening of donor skin graft with conventional method (using vaseline gas) and platelet-rich plasma topical application

    Vahid Hatami / Hamed Tavan / Sajad Hatami / Ali Delpisheh / Mina Mamizadeh

    Tehran University Medical Journal, Vol 79, Iss 10, Pp 773-

    2021  Volume 779

    Abstract: Background: Healing involves complex processes that are not yet fully known. The wound healing process consists of three stages. In all these stages, normal wound healing requires platelet activation, release of cytokines and growth hormones, and ... ...

    Abstract Background: Healing involves complex processes that are not yet fully known. The wound healing process consists of three stages. In all these stages, normal wound healing requires platelet activation, release of cytokines and growth hormones, and chemotaxis and cell differentiation. Platelets play a key role in homeostasis and wound healing and growth factor production of more than 30 carried out by them. Platelets regulate the healing process with their chemotactic effect. Antilogous PRP platelet count in about 3 to 5 times increase and consequently also increases the number of growth factors, for this reason, they are being used in surgical procedures and clinical therapy. Methods: At Ilam Medical Center in Imam Khomeini Hospital, 20 patients with two similar donor graft sites were gradually selected to participate in a clinical trial from January to March 2017. The two regions have the same skin graft patients, an area of Honor conventional and other areas with the topical administration of platelet-rich plasma That immediately after surgery and in the days after the fifth and eleventh, eightieth and after washing the wound with a topical serum Physiology rubbed on the wound and thus treated The rate of wound healing clinically and using X-ray photo-checked and compared. Results: Seven are male and thirteen are female and the age range of patients is between 17 and 67 years. After collecting wound healing times in two groups, we used the means comparison method to evaluate the effect of PRP on wound healing rate and analyzed the results (T-Test). Because the data followed a normal distribution, we used the Independent T-test method, which resulted in 0.416, which was higher than the alpha level equal to 0.05. Conclusion: In this study, we found that PRP had a positive effect on wound healing time and increased the speed of wound healing. It is suggested that the effect of the PRP method on various organs that have not been tested before, be discussed in future studies.
    Keywords graft ; treatment ; wounds ; Medicine (General) ; R5-920
    Subject code 610
    Language Persian
    Publishing date 2021-12-01T00:00:00Z
    Publisher Tehran University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: The frequency, related cause of disease, and treatment of hepatitis B virus infection

    Gholamreza Kalvandi / Ghobad Abangah / Yousef Veisani / Hassan Nourmohammadi / Mohamad Golitaleb / Hamed Tavan

    Journal of Research in Medical Sciences, Vol 27, Iss 1, Pp 15-

    A systematic review and meta-analysis in Iran

    2022  Volume 15

    Abstract: Background: Hepatitis B virus (HBV) is one of the most dreadful viruses causing high mortality rates and serious damages to hepatocytes. The aim of this study was to assess the frequency, related causes/risk factors, and treatments of HBV infection in ... ...

    Abstract Background: Hepatitis B virus (HBV) is one of the most dreadful viruses causing high mortality rates and serious damages to hepatocytes. The aim of this study was to assess the frequency, related causes/risk factors, and treatments of HBV infection in Iran by systematic review and meta-analysis. Materials and Methods: The data were obtained by a literature search in the PubMed, Scopus, SID, and Web of Sciences databases. Keywords included prevalence, risk factors, causes, treatment, and HBV. The Persian equivalents of these keywords were also searched. The time span included 2004 to2021. The Q and I2 statistics were used to check heterogeneity among studies. The data were analyzed using Stata (version 14). Results: The frequencies of HBV infection and its pharmaceutical therapy were P = 6% (95% confidence interval [CI]: 4–9, I2 = 95.2%, P < 0.001) and 19% (95% CI: 18%–30%, I2 = 98.9%, P < 0.001), respectively. The most common risk factors/causes of HBV were narcotic consumption, blood-related factors, and transmission from infected individuals with the respective frequencies of 27% (95% CI: 16%–38%, I2 = 88.7%, P < 0.001), 32% (95% CI: 11%–53%, I2 = 99.8%, P < 0.001), 25% (95% CI: 10%–41%, I2 = 99.3%, P < 0.001), and 15% (95% CI: 7%–22%, I2 = 98.4%, P < 0.001), respectively. Conclusion: The most important causes of HBV infection were transmission from infected people, narcotic consumption, and blood-related factors. The main therapeutic intervention for HBV was pharmaceutical therapy.
    Keywords hepatitis b virus ; frequency ; treatment ; meta-analysis ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Return to work in cancer patients

    Hamed Tavan / Arman Azadi / Yousef Veisani

    Indian Journal of Palliative Care, Vol 25, Iss 1, Pp 147-

    A systematic review and meta-analysis

    2019  Volume 152

    Abstract: Context: Diseases and accidents bring about the disorder at someone's job insofar as one is not able to return to her/his previous work. These cases are related to the amount of occurred accidents, type of disease, and one's job. Aim: The aim of this ... ...

    Abstract Context: Diseases and accidents bring about the disorder at someone's job insofar as one is not able to return to her/his previous work. These cases are related to the amount of occurred accidents, type of disease, and one's job. Aim: The aim of this study was to evaluate the factors that affect return to work (RTW) in cancer survivors using a systematic review and meta-analysis design.Methods: This is a systematic review and meta-analysis study. We searched the PubMed, Scopus, SID, Google, Elsevier, Google Scholar and Web of Science databases using following keywords: Return to work, cancer patients, employment status, cancer survivors from 2002 to 2017. The rate of return to work in cancer patients based on age group and risk factors was calculated using subgroup analysis. Data were analyzed using STATA software (version 11.1). Results: The total sample size was 4675 people with a mean of 668 in each study. The frequency of studies in the world consists mainly of five studies (71.5%) from Europe continent (the Netherlands and Denmark) and two studies (28.5%) from Asia continent (Iran and Japan). The overall rate of RTW estimated at 72% (68%–77%). The percentage of RTW in Asia and Europe was 57% (50%–65%) and 52% (43%–60%), respectively. Surgery had the highest percentage of treatment options in patients with cancer with 46% (25%–68%), followed by radiotherapy and chemotherapy with 37% (29%–46%) and 36% (23%–49%), respectively. Breast cancer and gastrointestinal cancer were the most and less common type of cancers with 36% (19%–54%) and 16% (7%–26%), respectively. Conclusion: The overall rate of RTW estimated at 57%. Nonetheless, the faster diagnosis and regular screening could improve the survival rate of cancer patients and the increase of RTW.
    Keywords Cancer patients ; cancer survivors ; employment status ; meta-analysis ; return to work ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Evaluation of Risk Management Knowledge among Nurses in Medical Training Hospital of Ilam

    Hamid Taghinejad / Zainab Suhrabi / Hamed Tavan

    Journal of Clinical and Diagnostic Research, Vol 13, Iss 6, Pp LC21-LC

    2019  Volume 23

    Abstract: Introduction: Risk management is one of the most important concepts of clinical administration in health care system. It includes different interventions planned and performed to improve and provide safety of services for the clients. Aim: To evaluate ... ...

    Abstract Introduction: Risk management is one of the most important concepts of clinical administration in health care system. It includes different interventions planned and performed to improve and provide safety of services for the clients. Aim: To evaluate the status of risk management in the three state hospitals of medical education in Ilam (western Iran). Materials and Methods: In the present descriptive analytic study, 112 registered nurses were randomly selected. The necessary data was gained through the risk management questionnaire as follows: nurses knowledge about risk management (8 items) organising how to manage risks (8 items), policies and procedures (6 items), risk management training (8 items), organisational status of risk management (6 items), monitoring, analysis, evaluation and control of risk (9 items). The questionnaire of 45 items was provided in 5-choice format in accordance to the Likert Scale. The least score was 45, while the most was 225, divided into 4 levels of weak, average descending, average ascending and good sections. The data analysis was done using SPSS V.19. Results: The results showed that 56 people (50%) of the staff were male and 56 (50%) were female. Totally, the average score of risk management was 115.53, while the staff’s knowledge about of risk management was 22.62±5.32 (the highest score), policies and procedures on risk management was 20.48±5.7 (the lowest score). Conclusion: A total of 57.14% of the investigated cases showed an average descending score of 90-134. A finding that necessitates an educational program on risk management dimensions as an essential measure. Accordingly, determination of educational programs on risk management dimensions, application of appropriate executive procedures and approaches besides establishment of supervising programs at hospitals are suggested.
    Keywords administration ; staff members ; state hospitals ; Medicine ; R
    Subject code 300
    Language English
    Publishing date 2019-06-01T00:00:00Z
    Publisher JCDR Research and Publications Private Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: A comparative study on the efficacy of Atorvastatin on change CRP, LDL by systematic review and meta-analysis

    Alireza Khatony / Samiramis Qavam / Hamed Tavan

    Tehran University Medical Journal, Vol 77, Iss 7, Pp 405-

    2019  Volume 414

    Abstract: Background: Coronary artery disease today is a major contributor to mortality and morbidity from cardiovascular disease. The drug, interventional and surgical methods are used to treat coronary artery stenosis. Statins are the most commonly used drugs ... ...

    Abstract Background: Coronary artery disease today is a major contributor to mortality and morbidity from cardiovascular disease. The drug, interventional and surgical methods are used to treat coronary artery stenosis. Statins are the most commonly used drugs for stenosis and coronary artery disease. Low-density lipoprotein (LDL) The purpose of this study was to evaluate the effect of atorvastatin on LDL and C-reactive protein (CRP) reduction in patients. Methods: This study was a systematic review and meta-analysis. Articles were selected using the keywords of atorvastatin, LDL, C-reactive protein (CRP) and reduction, and searches in Scopus, Google Scholar and PubMed databases from March 2003 to February 2018. For this purpose, all analytical, clinical trials, cross-sectional, and case-control studies were searched and collected in association with the efficacy of atorvastatin on low density lipoprotein and CRP. Results: In the initial search, 90 papers were found and evaluated. Finally, 20 papers were analyzed. The studies were published. The total sample size was 21609 persons with an average sample size of 1080 in each study. Twenty studies were entered into the final analysis. The LDL-lowering rate was 51 mg/dl with atorvastatin (I2=98.48, P<0.001). Also, CRP reduction before and after administration of atorvastatin was 1.99 (0.96-3.03) and 0.76 (0.08-1.43), respectively. The results of meta-regression of age-related studies showed that LDL levels were low in studies with lower age, and LDL levels were low in studies with higher age. The results of a meta-regression study of atorvastatin in terms of body mass and the association of low-density lipoprotein with atorvastatin showed that in those with a higher body mass, low-density lipoprotein decreased. Conclusion: According to the results, the use of atorvastatin reduces the amount of C-reactive protein (CRP). The rate of low density lipoprotein (LDL) reduction was better and faster in young and obese people. It is recommended that people have a proper diet and ...
    Keywords atorvastatin ; c-reactive protein ; lipoproteins ; meta-analysis ; systematic review ; Medicine (General) ; R5-920
    Subject code 610
    Language Persian
    Publishing date 2019-10-01T00:00:00Z
    Publisher Tehran University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: The incidence of major cardiovascular events relied coronary vessels after angioplasty and stent types complications

    Siros Norozi / Alireza Rai / Ebrahim Salimi / Hamed Tavan

    Tehran University Medical Journal, Vol 75, Iss 10, Pp 722-

    2018  Volume 729

    Abstract: Background: Cardiovascular diseases alone have become the leading cause of death worldwide. One of the treatment methods cardiovascular disease is angioplasty. This study aimed to investigate the clinical results after coronary artery angioplasty, based ... ...

    Abstract Background: Cardiovascular diseases alone have become the leading cause of death worldwide. One of the treatment methods cardiovascular disease is angioplasty. This study aimed to investigate the clinical results after coronary artery angioplasty, based on the incidence of major cardiovascular events with emphasis on stent types. Methods: In this retrospective cross-sectional study, the prevalence of risk factors (age, history of previous illness and previous surgery) was assessed by using a case file for patients undergoing coronary angioplasty and stent placement during the years 2006 to 2016 and found during the follow-up. The place of the study was the Imam Ali Hospital's educational center affiliated to Kermanshah University of Medical Sciences, Iran, from July to September 2017. Results: In this study, 1188 patients undergone to stent containing 909 non-drug stents, 504 sirolimus-eluting stents and 316 paclitaxel-eluting stents. Patients were followed-up one to five years. During follow-up, 98 patients involved major cardiovascular events, 6 cases involved with death and 91 patients involved with myocardial infarction. 1729 of patients undergone angioplasty and during follow-up, 91 patients had stent restenosis. In this study stent restenosis showed the highest correlation with the incidence of major cardiovascular events. With a view to stent type in lesions with stent restenosis, 61.7% was in non-drug stent, 23.5% was in paclitaxel-eluting stent and 14.8% was in sirolimus-eluting stent. This study also showed that despite the superiority of sirolimus-stained stents, there was no difference between paclitaxel-stained stents and non-drug stents in clinical outcomes and restenosis. Conclusion: The results showed that the syringes impregnated with sirolimus have better quality. Also, stents that have a smaller diameter or need dilatation in the procedure have a worse prognosis and cause more complications in the patient.
    Keywords coronary angioplasty ; cross-sectional studies ; prognosis ; stents ; Medicine (General) ; R5-920
    Subject code 616 ; 610
    Language Persian
    Publishing date 2018-01-01T00:00:00Z
    Publisher Tehran University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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