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Article ; Online: Mental Health of Healthcare Workers During the Third Wave of the COVID-19 Pandemic

Mahdieh Saeri / Atefeh Vaezi / Negah Tavakolifard / Shaghayegh Haghjooy Javanmard

Advanced Biomedical Research, Vol 12, Iss 1, Pp 266-

Did We Forget them after the First Wave?

2023 Volume 266

Abstract: Background: Since December 2019, countries experienced different numbers of COVID-19 pandemic waves. The COVID-19 pandemic led to adverse psychologic problems in the communities and among healthcare workers (HCWs), but the dynamic of these problems ... ...

Abstract	Background: Since December 2019, countries experienced different numbers of COVID-19 pandemic waves. The COVID-19 pandemic led to adverse psychologic problems in the communities and among healthcare workers (HCWs), but the dynamic of these problems through different waves needs to be established more. Materials and Methods: This cross-sectional study was conducted in October 2020, through the third wave of the COVID-19 pandemic, in Isfahan, Iran. We studied HCWs' depression, anxiety, and stress using Depression, Anxiety, Stress Scale-21 (DASS-21) and insomnia using Insomnia Severity Index (ISI) questionnaires. Multiple linear regression was used to evaluate the association of some characteristic factors with different psychologic symptoms. Results: Our results showed that about 80% of HCWs had one or more psychological problems. The prevalence of depression, anxiety, stress, and insomnia was 46.0%, 50.2%, 44.6%, and 66.5%, respectively. Female sex, working in ICU, and having a history of chronic disease were predictors of psychological symptoms in our participants. Conclusion: HCWs' mental health state could be underestimated or neglected. The third pandemic wave negatively affected the mental health of the HCWs. Since mental health problems of HCWs may reduce the quality of care, the potential impact of not addressing this issue should be highlighted.
Keywords	anxiety ; covid-19 ; depression ; health personnel ; mental health ; stress ; psychological ; pandemics ; sleep initiation and maintenance disorders ; Medicine ; R ; Biology (General) ; QH301-705.5
Subject code	150
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Investigating the effectiveness of innovative intervention based on compassion, awareness, resilience, and empowerment on burnout in nurses of two educational hospitals in Isfahan

Alireza Safaeian / Negah Tavakolifard / Azita Roohi

Journal of Education and Health Promotion, Vol 11, Iss 1, Pp 65-

2022 Volume 65

Abstract: BACKGROUND: Burnout is a syndrome of emotional exhaustion, depersonalization, and low professional efficacy that health workers, especially nurses, experience the highest rates of this. Burnout causes stress and negative attitude towards work and feeling ...

Abstract	BACKGROUND: Burnout is a syndrome of emotional exhaustion, depersonalization, and low professional efficacy that health workers, especially nurses, experience the highest rates of this. Burnout causes stress and negative attitude towards work and feeling unable to perform tasks in the person. The purpose of this study was to investigate the effect of a method called compassion, awareness, resilience, and empowerment (CARE) on nurses' burnout. MATERIALS AND METHODS: This study was a semi-experimental study with control group, the statistical population in this study was nurses of Kashani Hospital in Isfahan as intervention group and nurses of Al-Zahra Hospital as control group. The samples were selected by stratified sampling. For both groups before and after and 3 months after the intervention, the burnout questionnaire (Maslach Burnout Inventory) was completed. The intervention was performed in 5 sessions of 90 min 1 day a week. Data were analyzed by SPSS version 25 software (IBM Inc., USA) and independent t-test, repeated measures analysis of variance and Chi-square test and Friedman test, significance level was set at P < 0.05. RESULTS: The comparison of mean and intensity of burnout and two dimensions of emotional exhaustion and depersonalization showed a difference between the two groups and this difference was statistically significant (P < 0.05). Mean of Individual performance also had a statistically significant difference between the two groups (P < 0.05), but its intensity did not change. CONCLUSION: CARE method can be effective in burnout of nurses and it can be used as a practical method. This training program can be implemented both preservice and in-service for health workers.
Keywords	awareness ; burnout ; compassion ; empowerment ; resilience ; Special aspects of education ; LC8-6691 ; Public aspects of medicine ; RA1-1270
Subject code	796
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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Article ; Online: The Relationship between Some Risk Factors and Colorectal Cancer

Negah Tavakolifard / Ehsan Iravani / Alireza Mortazavi

مجله دانشکده پزشکی اصفهان, Vol 37, Iss 551, Pp 1245-

2020 Volume 1251

Abstract: Background: Colorectal cancer (CRC) is one of the most common cancers of gastrointestinal system. The purpose of this study was to determine the relationship between some of less-studied life style risk factors, sleep quality and the level of physical ... ...

Abstract	Background: Colorectal cancer (CRC) is one of the most common cancers of gastrointestinal system. The purpose of this study was to determine the relationship between some of less-studied life style risk factors, sleep quality and the level of physical activity, with colorectal cancer. Methods: This cross-sectional study was conducted in Alzahra hospital, Isfahan, Iran. 50 newly diagnosed patients with colorectal cancer were entered from admitted patients considering as the patient group, 42 first-degree relatives of them as 1st healthy group, and 58 admitted patients without any cancer diagnosis (randomly selected) as the 2nd healthy group. Demographic characteristics, smoking, alcoholic beverages and carbonated drinks intake, fast food consumption, physical activity level [based on International Physical Activity Questionnaire (IPAQ) short form] and sleep quality (based on Pittsburg Sleep Quality Questionnaire) were collect by the researcher. Variables were analyzed using chi-square and one-way ANOVA tests, then variables with P-value of less than 0.250 were analyzed through multivariate logistic regression model, and the odds ratio (OR) of each factor was calculated. Findings: Age, level of education, and body mass index (BMI), as well as no history of diabetes mellitus and positive history of cholecystectomy were higher in the patient group than in the two healthy groups; but the differences were not statistically significant (P > 0.050). Male gender was significantly associated with OR of colorectal cancer in patient group compared with both healthy groups (OR = 2.86 and OR = 3.57 with 1st and 2nd healthy groups, respectively). Conclusion: The risk of colorectal cancer is higher in men than in women.
Keywords	colorectal cancer ; sleep quality ; life-style ; Medicine ; R ; Medicine (General) ; R5-920
Subject code	610
Language	Persian
Publishing date	2020-01-01T00:00:00Z
Publisher	Vesnu Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Adherence of general practitioners to the national hypertension guideline, Isfahan, Iran

Amir Vatani Nezafat / Negah Tavakolifard / Atefeh Vaezi

International Journal of Preventive Medicine, Vol 11, Iss 1, Pp 130-

2020 Volume 130

Abstract: Background: High systolic blood pressure is the leading risk factor for global mortality. Applying effective strategies to control hypertension is a rising concern. Guidelines are approved to be effective in the management of patients with cost-effective ...

Abstract	Background: High systolic blood pressure is the leading risk factor for global mortality. Applying effective strategies to control hypertension is a rising concern. Guidelines are approved to be effective in the management of patients with cost-effective interventions. The aim of this study is to evaluate the adherence of family physicians working in Isfahan health centers to the national hypertension guideline, in 2019. Methods: Using a cross-sectional study, the practice of 43 physicians selected by a multistage sampling method from the perspective of hypertension management was observed in 377 visits. The data gathering form was designed according to the national hypertension guideline. Adherence to the guideline was evaluated by dividing the earned score by the most score one can earn. Data were analyzed using Independent T-test, Pearson correlation and linear regression model. Results: The mean score of adherence to the national hypertension guideline was 33.6 ± 16.42%. There was a significant association between physician's sex, years passed from graduation, type of occupation contract, type of university of education, and attending empowerment class and adherence to the national hypertension guideline. Conclusions: The results of our study show that family physicians just follow one-third of the recommendations in the national hypertension guideline.
Keywords	family ; guideline ; guideline adherence ; hypertension ; iran ; physicians ; Medicine ; R
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Investigation of salivary C-reactive protein and interleukin-18 for the diagnosis of neonatal sepsis

Behzad Barekatain / Najmeh HasanGhalyaei / Majid Mohammadizadeh / Negah Tavakolifard

Journal of Research in Medical Sciences, Vol 26, Iss 1, Pp 131-

2021 Volume 131

Abstract: Background: Neonatal sepsis is a leading cause of death in neonates worldwide. The investigation of biomarkers for the early diagnosis of neonatal sepsis is in progress with controversial outcomes. The current report aims to evaluate the values of ... ...

Abstract	Background: Neonatal sepsis is a leading cause of death in neonates worldwide. The investigation of biomarkers for the early diagnosis of neonatal sepsis is in progress with controversial outcomes. The current report aims to evaluate the values of salivary C-reactive protein (CRP) and interleukin-18 (IL-18) for the diagnosis of neonatal sepsis. Materials and Methods: In this cross-sectional study, 89 neonates, including 49 neonatal septic case and 40 healthy group admitted at the neonatal intensive care unit, were evaluated. The salivary samples of IL-18 and CRP were measured before the antibiotic therapy initiation, as soon as blood samplings. Sepsis diagnosis was confirmed by the positive blood culture. The diagnostic values of the biomarkers were determined using the receiver operating characteristic curve (ROC curve) analysis. Besides, the sensitivity, specificity, negative predictive value (NPV), positive predictive value (PPV) positive likelihood ratio (LR+), negative likelihood ratio (LR-), and diagnostic accuracy were measured. Results: Salivary CRP level was remarkably higher in septic case than healthy group (5.2 ± 4.61 vs. 3.5 ± 1.7; P = 0.02), while salivary IL-18 was not different between the groups (0.1 ± 0.29 vs. 0.04 ± 0.19; P = 0.25). The ROC curve for IL-18 showed insignificant values (P = 0.37). The ROC curve of salivary CRP showed area under the curve of 0.63 (95% confidence interval: 0.51–0.74; P = 0.03) with the sensitivity, specificity, PPV, NPV, LR+, LR − and diagnostic accuracy of 44.9% (31.8–58.7), 80% (65.2–89.5), 73.3% (55.5–85.82), 54.2% (41.6–66.3), 60.6% (50.29–70.18), 2.24 (1.57–3.2), and 0.68 (0.63–0.75) at the cutoff of 4.55 ng/L, respectively. Conclusion: Based on the findings of the current study, salivary CRP can be considered a biomarker for the early diagnosis of neonatal sepsis, while no statistical values for salivary IL-18 were detected. Due to the significance of neonatal sepsis, further evaluations are strongly recommended.
Keywords	c-reactive protein ; interleukin-18 ; neonatal sepsis ; saliva ; Medicine ; R
Subject code	610
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Which site is better for skin sensor temperature probe in newborns under open care system for prevention of hypo – hyperthermia

Behzad Barekatain / Alireza Sadeghnia / Mina Johari / Maryam Marofi / Negah Tavakoli-Fard / Mehryar Mehrkash

International Journal of Preventive Medicine, Vol 13, Iss 1, Pp 132-

2022 Volume 132

Abstract: Background: Choosing the right temperature probe location is important, especially in VLBW infants. We aimed to determine five points of the skin surface and compare them with the axillary temperature of potentially suitable locations as well as the best ...

Abstract	Background: Choosing the right temperature probe location is important, especially in VLBW infants. We aimed to determine five points of the skin surface and compare them with the axillary temperature of potentially suitable locations as well as the best location for skin probe placement. Methods: In a cross-sectional study, 400 neonates with gestational age above 26 weeks were enrolled. The axillary temperature was measured using a mercury thermometer at 0 and 30 min. Then, the body temperature was measured using a surface probe on the five skin areas, including the thoracic area, epigastric region, RUQ area, hypogastric area, and left flanking area. Data recorded were compared with the axillary temperature at 0 and 30 min. Results: Mean neonatal axillary temperatures at 0 and 30 min were 36.60 and 36.61, respectively. The mean temperature was recorded using skin probes at 0 and 30 min in the thoracic region (36.34 and 36.35) in the epigastric region (36.45 and 36.47), in the RUQ region (36.50 and 36.52), in the Flank region (36.26 and 36.20), and in the hypogastric region (36.24 and 36.26). The lowest mean difference recorded by surface probes with the temperature measured by the thermometer in the axillary region was related to the surface probe RUQ (mean difference: 0.1 and 0.09), which was not statistically significant. Conclusions: RUQ area probe has the lowest difference with the temperature calculated using the thermometer in the axillary region and is the best place to put the skin probe for prevention of hypo/hyperthermia.
Keywords	hyperthermia ; hypothermia ; infant ; newborn ; radiant warmer ; temperature probe ; Medicine ; R
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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Article ; Online: Clinical symptoms of COVID-19 and their association with disease outcome

Negah Tavakolifard / Mina Moeini / Asefeh Haddadpoor / Kamal Heidari / Mostafa Rezaee / Zahra Amini

Advanced Biomedical Research, Vol 11, Iss 1, Pp 2-

2022 Volume 2

Abstract: Background: COVID-19 pandemic placed immense pressure on health systems. The current study aimed to evaluate the symptoms of COVID-19 in Isfahan province and their association with disease outcome. Materials and Methods: In this cross-sectional study, ... ...

Abstract	Background: COVID-19 pandemic placed immense pressure on health systems. The current study aimed to evaluate the symptoms of COVID-19 in Isfahan province and their association with disease outcome. Materials and Methods: In this cross-sectional study, which was conducted on patients with a definite diagnosis of COVID-19, as a part of the investigations performed by the Deputy for Public Health of the Isfahan University of Medical Sciences, the frequency of underlying diseases, and general, respiratory, gastrointestinal, neurological, renal, cardiac, dermal, hearing symptoms are assessed using a checklist. The participants were followed up 1 month after definitive diagnosis, and the outcome of the disease (recovery or death) was recorded. Results: Of 300 patients, 143 (47.4%) were male and 157 (52.6%) were female. The mean age of patients was 43 ± 17.84 years. Muscle pain and fatigue were the most common early symptoms (63% and 60.3%, respectively). Age, sex, level of education, and occupation of patients and general, respiratory, and gastrointestinal symptoms and underlying diseases of respiratory disease showed a statistically significant association with the disease outcome (P < 0.05). Conclusion: General, respiratory, and gastrointestinal symptoms were associated with an increased risk of death due to COVID-19. General, visual, and hearing symptoms, and diabetes, cardiovascular diseases, and respiratory disease had a statistically significant association with the hospitalization of patients.
Keywords	signs and symptoms ; covid-19 ; death ; hospitalization ; Medicine ; R ; Biology (General) ; QH301-705.5
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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Article ; Online: Risk Factors Assessment of Needle-Stick Injury among the Healthcare Workers of Alzahra Hospital, Isfahan, Iran

Alireza Safaeian / Negah Tavakolifard / Setareh Zand

مجله دانشکده پزشکی اصفهان, Vol 36, Iss 506, Pp 1463-

2019 Volume 1471

Abstract: Background: Occupational exposure to body fluids, and consequently the blood-borne infections, is an important risk to healthcare workers. Needle-stick injury (NSI) causes occupational injuries, and imposes heavy health, as well as psychological and ... ...

Abstract	Background: Occupational exposure to body fluids, and consequently the blood-borne infections, is an important risk to healthcare workers. Needle-stick injury (NSI) causes occupational injuries, and imposes heavy health, as well as psychological and economic burdens on the individual, health system and community. In this study, we evaluated the risk factors of NSI in Alzahra hospital, the largest hospital of Isfahan City, Iran. Methods: This case-control study was carried out on 200 healthcare workers of Alzahra hospital affiliated to Isfahan University of Medical Sciences (100 cases and 100 controls). A total of 100 employees with NSIs were selected as cases and compared with 100 of those who had not NSIs as controls. Job content questionnaire (JCQ), job factors (job title, work experience, shift work, employment status, and department of activity), and NSIs characteristics (exposure severity, type of procedure, type and characteristics of tools) were asked and compared between the groups. Findings: There was a significant association between left dominant hand (P = 0.020), and history of participation in educational classes (P = 0.010) with NSIs. Highest rate of needle-stick was among nurses (72% in controls vs. 65% in cases), those with rotational shifts (80% in controls vs. 72% in cases), and those with less than 15 years of work experience (52% in controls vs. 46% in cases); but the differences were not statistically significance (P > 0.050 for all). Logistic regression analysis showed that social support [odds ratio (OR) = 0.85, P < 0.001)], psychosocial demand (OR = 1.07, P = 0.001), gender (OR = 0.44, P = 0.010), the dominant hand (OR = 0.52, P = 0.040), and participation in educational classes (OR = 0.24; P = 0.005) were risk factors of NSIs. Conclusion: Participating in training classes by healthcare worker can play a crucial role in preventing NSIs. Attitude to skill, decision-making power, physical activity, and social support have a significant relationship with NSIs, and should be planned comprehensively in health care centers.
Keywords	Needle-stick injuries ; Occupational injuries ; Risk factors ; Medicine ; R ; Medicine (General) ; R5-920
Subject code	360
Language	Persian
Publishing date	2019-02-01T00:00:00Z
Publisher	Vesnu Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Effect of training through short message service on compliance and mean blood pressure of hypertensive patients

Marjan Movahedi / Reza Khadivi / Reza Rouzbahani / Negah Tavakoli-Fard

International Journal of Preventive Medicine, Vol 10, Iss 1, Pp 200-

2019 Volume 200

Abstract: Background: Hypertension has been one of the early mortality and morbidity in human societies. Training and consequently compliance increase will lead to improve treatment progress and disease control. The study aimed at the effect of training through ... ...

Abstract	Background: Hypertension has been one of the early mortality and morbidity in human societies. Training and consequently compliance increase will lead to improve treatment progress and disease control. The study aimed at the effect of training through short message service (SMS) on blood pressure mean and compliance scale in hypertensive patients. Hypertension control is essential to prevent early mortality. Methods: This study is a randomized controlled clinical, uni-center, single-blinded. The study was managed in a health-care center subordinated to Medical University of Isfahan, Iran, in 2017. Sampling was a convenient method therefore the researchers implemented it for 188 hypertensive patients who were allocated randomly into two groups: SMS group and control group. First, all patients filled the compliance questionnaire, and their blood pressure was measured. Afterward, the intervention group would be texting daily for 1 month containing a training text. During 1 and 2 months after intervention, all patients' blood pressure will be measured, and then the questionnaire had been filled 2 months after intervention, again. Results: Systolic blood pressure mean decreased from 136.23 ± 15.91 to 121.70 ± 14.43 and diastolic blood pressure mean decreased from 91.95 ± 8.24 to 86.64 ± 7.86 in the intervention group according to analysis of variance through repeated measurement and is significantly different in comparison with control group (P < 0.001). Compliance scale increased from 72.95 ± 7.65 to 85.40 ± 5.62 based on dependent t-test which was significantly different with the control group (P < 0.001). Conclusions: SMS training would be an effective method to control hypertension.
Keywords	compliance ; hypertension ; short message service ; training ; Medicine ; R
Subject code	796
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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Article ; Online: Prevalence of Musculoskeletal Disorders among the Specialty Residents in Different Years and Fields in School of Medicine, Isfahan University of Medical Sciences, Iran, 2016

Alireza Safaeian / Behrang Khalili / Negah Tavakolifard / Seyed Alireza Mortazavi

مجله دانشکده پزشکی اصفهان, Vol 35, Iss 460, Pp 1823-

2018 Volume 1829

Abstract: Background: High prevalence of musculoskeletal disorders is one of the serious problems of today's society, especially in the working class, and has a high prevalence in healthcare community staff, according to some studies. The purpose of this study was ...

Abstract	Background: High prevalence of musculoskeletal disorders is one of the serious problems of today's society, especially in the working class, and has a high prevalence in healthcare community staff, according to some studies. The purpose of this study was to evaluate the prevalence of musculoskeletal disorders in specialty residents of different fields and years in School of Medicine, Isfahan University of Medical Sciences, Iran, in 2016. Methods: In this cross-sectional study, 400 residents from all specialty fields in Isfahan University of Medical Sciences were randomly selected. Musculoskeletal disorders of the auxiliaries were assessed using self-administered standard Nordic questionnaire. Data were analyzed using SPSS software. Findings: There was a significant difference in presence of pain during the last week between the specialty residents of different fields (P < 0.001). The presence of pain during the last week was more prevalent among the specialty residents of urology (90.0%), internal medicine (87.2%), neurology (86.2%), ophthalmology (81.3%), orthopedic surgery (80.0%), pathology (72.2%), and anesthesiology (71.4%) than the other fields. There was no significant difference between the specialty residents of different years according to the pain location (P > 0.050). Conclusion: The prevalence of musculoskeletal disorders among the specialty residents in different years is similar; but in some fields that have more shift works and physical activity, pain may be more prevalent than the other fields.
Keywords	Musculoskeletal diseases ; Prevalence ; Resident ; Medicine ; R ; Medicine (General) ; R5-920
Subject code	001
Language	Persian
Publishing date	2018-02-01T00:00:00Z
Publisher	Vesnu Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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