Qom University of Medical Sciences Journal
Year:2023 | Volume:16 | Issue:12|Papers Count:7

Background and Objectives The coronavirus disease 2019 (COVID-19) pandemic caused a crisis in health care systems such that the treatment/care of patients 19 faced big challenges. This study aims to investigate the challenges related to treatment/care of patients hospitalized in Forgani Hospital in Qom, Iran. Methods This study was conducted using the qualitative content analysis approach in 2020 Forgani Hospital in Qom, Iran. Eleven patients with COVID-19 were selected using a purposive sampling method. Data collection tool was in-depth semi-structured interview. Data analysis was done using the conventional content analysis method. Results The results of content analysis led to identification of three main themes including lack of disease knowledge, human recourse and equipment shortage, and individual-family and social concerns. Conclusion Hospitalized patients with COVID-19 in Qom face various challenges due to the unknown etiology of the disease, lack of experience and sufficient medical staff, and personal and family concerns. Therefore, it is recommended to make proper planning for the management and control of pandemics in the future.

Background and Objectives Marriage is one of the effective factors that can promote mental health and lifestyle and reduce the risk of individual and social disorders. This study aims to prioritize the criteria for partner selection according to the perceptions of female students of Qom University of Medical Sciences (QUMS) in 2017. Methods This is descriptive-analytical study with a cross-sectional design was conducted in 2017. The study population consists of all single female students of QUMS, of whom 373 were selected by multi-stage sampling method. The instrument was the 22-item Preference Criteria of Spouse Selection Inventory (PCSSI) with acceptable validity and reliability. Data were analyzed in SPSS software, version 20 statistical software using descriptive statistics and Friedman’, s test, Chi-square test, t-test, and one-way analysis of variance. Results The age range of the participants was 18-38 years, and their semester range was 1-15. The results of Friedman test showed a significant difference between the mean ranks of partner selection criteria. Mental health had the highest priority, while being from the same ethnicity had the lowest priority. There was a significant negative correlation between age and importance of partner selection criteria (P<0. 001). In addition, there was a significant difference between students with associate degree and the students with bachelor’, s degree, master’, s degree, and PhD degree in terms of the importance of partner selection criteria (P<0. 001). Conclusion Female students of QUMS pay more attention to mental health, responsibility, and chastity criteria in choosing a partner.

Background and Objectives Health system policy is one of the most important issues for policy makers and managers in the health system. This study aims to present a health system policy model based on the statement of “, the second phase of the revolution”,and using the economic resistance approach. Methods This is a qualitative study using grounded theory. Participants were selected by purposive and snowball sampling techniques. The data was collected by conducting in-depth and semi-structured interviews with 11 faculty members, deputies, and managers of Arak University of Medical Sciences and Qom University of Medical Sciences in Iran. The concepts for the paradigmatic model were extracted after open, axial, and selective coding. Then, the structural equation modeling was conducted using non-parametric partial least squares method. Results Initially, 408 codes were obtained, which were reduced to 260 after screening using the content validity index. In this regard, 40 sub-themes and 13 main themes were extracted which included: Causal factors (management issues, human resources management, processes/methods), strategies (priority of prevention over treatment, health resource management, cultural enrichment, promotion of human capital in healthcare, and improvement of methods), intervening factors (economic, social, technological, and political), contextual factors, governance factors, and consequences (promoting the society health, improving economic efficiency of medical universities). Conclusion The health system policy model based on the economic resistance approach can help promote the society health and improve the economic efficiency of medical universities in Iran.

Background and Objectives Women during pregnancy are high risk for contracting coronavirus disease 21019 (COVID-19), and vaccination is probably the best way to prevent it during this period. This study aims to survey perceptions of COVID-19 vaccination among Pregnant Mothers in Qom, Iran. Methods This is a qualitative study using the content analysis approach, Semi-structured interviews were used to collect information. Participants were 22 pregnant mothers living in Qom city who were eligible for vaccination, but had not yet been vaccinated. Results The results of content analysis led to the extraction of three main themes: vaccine acceptance (lack of knowledge and awareness, lack of trust in news, advice from others), vaccine safety (unknown side effects of vaccine on the mother and the fetus/newborn), and vaccine effectiveness (effectiveness of the vaccine for the mother and the fetus/newborn). Conclusion The pregnant mothers in Qom avoid COVID-19 vaccination during pregnancy due to the lack of knowledge and awareness, lack of trust in the news, and advice from others. They are also worried about the unknown side effects of the vaccine on the mother, the fetus or newborn and have no knowledge of the effectiveness of the vaccine for the mother, the fetus or newborn.

Background and Objectives Validation of the tools used for assessing the quality of life (QoL) can help address the problems of patients with COVID-19 in Iran. Therefore, this study aims to validate the electronic form of the Persian version of health-related quality of life (HRQoL) questionnaire for Iranian patients with COVID-19. Methods This is a psychometric study. The study population included all patients with COVID-19 in Tehran, Iran. Samples were selected by a cluster sampling method. In this regard, 100 patients were selected for determining the criterion validity and 330 were selected for assessing the convergence validity. The research data were collected electronically by using Hlubocky et al. ’, s HRQoL questionnaire and the World Health Organization quality of life-BREEF (WHOQoL-BREF) questionnaire. Content validity, convergence validity, and factor analysis methods were used to evaluate the psychometric properties of the Persian HRQoL. The reliability was assessed by internal consistency and split-half methods. Results The results of exploratory factor analysis showed that the questionnaire had two factors. It had also good validity and reliability. The second-order confirmatory factor analysis confirmed its two-factor structure. Its score had good relationship with the score of WHOQoOL-BREF. Conclusion The electronic form of the Persian HRQoL can be used to assess the QoL of patients with COVID-19 in Iran.

Background and Objectives One of the effective methods for preventing infectious diseases, especially in children, is vaccination,if children are not fully, correctly and timely immunized, infectious diseases will threaten their lives. The present study aims to evaluate the effect of an educational intervention based on the health belief model (HBM) on timely vaccination of children in Qom, Iran Methods This is an interventional study that was conducted on 100 mothers referred to comprehensive health centers in Qom, Iran for the 2-month and 4-month vaccination of their children with a delay of more than 10 days. After dividing them into two groups of intervention and control by the block randomization method (4 blocks), questionnaires were completed by both groups. Then, the intervention group received the online educational materials for two months. Two months later, the questionnaires were completed by both groups again and the time of their visit was checked. Results The mean score of practice in both groups increased after two months, which was higher in the intervention group and this difference was significant (P<0. 001). Conclusion HBM-based educational programs can be used to increase immunization coverage of children in Qom, Iran.

Background and Objectives Dentigerous cyst (DC) is the second most common developmental odontogenic cyst. On radiographic images, it usually seen as a well-defined unilocular radiolucency in the area surrounding the crown of an unerupted tooth. This study aims to report a case of giant DC in a 9-year-old boy who was treated conservatively. Case Report This study reports a rare case of a mandibular DC associated with the crown of unerupted canine in a 9-year-old boy complained of swelling for about 5 months who had been treated by marsupialization. Conclusion Conservative treatments for the large inflammatory DCs in children can lead to good results, ensuring the normal development of teeth, and proper bone repair.