Journal of Clinical Research in Paramedical Sciences
Year:2015 | Volume:4 | Issue:1|Papers Count:9

Background: Tissue engineering has the potential to create organ and tissue in the form of de novo. Scaffolds are based on structures existing in the extracellular matrix. The trend of successful use of scaffolds is growing rapidly in organ transplantation and in order to expedite such successful use, structures similar to the target tissue are to be used.The coverage of PCL with Gelatin is devised to enable the surface properties of polymer to have hydrophilicity and permeability.This study is to investigate the cell behavior towards Gelatin-coated poly-caprolactone supramolecular nanofibers polymer.Methods: Poly-caprolactone supramolecular nanofibers were prepared by electrospinning method, and were coated with gelatin. Poly-caprolactone supramolecular covered with gelatin has been investigated by FTIR, and scaffolds morphology has been investigated by scanning electron microscope (SEM). L929 fibroblast cells have been cultured on scaffolds, and their cellular activity has been assessed first by MTT test and then has been stained with DAPI to confirm the presence of cells on the nanofibers.Results: The results showed that L929 fibroblast cells, when cultured on nanofibers, such nanofibers can create three-dimensional topography to support the cell growth and cell proliferation, Gelatin-coated poly-caprolactone supramolecular nanofibers has had impact on their biocompatibility. Meantime, MTT assay has confirmed the biocompatibility of the resulting graph.Conclusion: Gelatin- coated poly-caprolactone supramolecular nanofibers, leads to improved surface properties of polymer and to suitable cell behavior.

Background: Patients’ safety is a critical component of health care systems. As health care organizations continually strive to improve, there is important growing recognize of establishing a culture of patients' safety. The aim of this study was to measure personnel perceptions in patient safety culture in governmental and Non-governmental hospitals in Kermanshah.Methods: This descriptive- analytic study was done with 872 samples in 2013 with as census sampling in physicians, nurses, and Para clinical personnel. Data collection was carried by using the Hospital Survey of Patient Safety Culture questionnaire (HSOPSC). Data were analyzed by the software for Windows, ver.20by using Chi-square, Mann–Whitney U, kruskal-wallis and correlation coefficient tests.Results: Among the dimensions of patients' safety culture in Kermanshah hospitals 49.7% was suitable and 50.3 % inappropriate. No significant statistical difference were seen in all hospitals. Findings of this study be shown there is no correlation were been in patient safety culture and gender, employment status, level of literacy and duty classification) P>0.05).Conclusion: Patients’ safety cultures in personnel of hospitals in Kermanshah University of Medical Sciences were not suitable and improving patients' safety culture should be a priority among hospital administrators.

Background: The use of telehealth programs in rural areas has led to increase access to health care services for patients in these areas. Implementing the activities in the proper places can be accompanied with achieving a higher efficiency. This study aimed to identify and prioritize the factors influencing places of rural health centers equipped with telehealth services using Analytical Hierarchy Process.Methods: This study was a descriptive cross sectional study and performed in 2014. Participants were 30 persons including expert people working in network development and faculty members of health information management and technology department. The data collection tools were two researcher-made questionnaires. The tools' validity and reliability were previously confirmed. We used SPSS (version 16) and Expert Choice (version 11) for data analyses.Results: Findings of this study revealed that all criteria and sub-criteria for electronic services quality evaluation have been confirmed. Among these criteria and sub-criteria, "population", "access" and "the communication networks” had the highest priority and “distance from military areas” had the lowest priority.Conclusion: The identification and prioritization of the affecting factors on the determination of places of health centers with telehealth services are key elements in equity distribution of these centers. Furthermore, this proper distribution leads to appropriate access to high quality health care services, saving time and money, and reducing unnecessary transfer. Additionally, these can increase the quality of planning and the quality of life in patients particularly in remote areas.

Background: The one of the main issues in behavioral studies is recognition the ways to deal with stressful situations. The aim of this study was to examine the relationship between coping styles and perceived stress among nurses in hospitals and Medical Sciences universities of Kermanshah.Methods: this is a descriptive-analytical of cross sectional study.The research sample consisted of 282 nurses in intensive care units and ordinary randomly selected from among nurses in health centers Kermanshah and responded to the questionnaire.Data using both descriptive statistics and inferential statistics SPSS 20 software using independent t-test, Pearson correlation and multiple regression analyzes were performed.Results: The result showed that between coping style and perceived stress coping style and perceived stress avoidance relation does not exist (P<0.05) and it was a positive significant relation between excitement circuit styles and intensity of perceived stress (P<0.01) also it was a negative significant relation between issue circuit coping style and perceived stress intensity (P<0.01) Conclusion: Stress can have negative impacts on clinical practice and mental health of nurses and implementation of an efficient coping strategies to reduce stress and improve mental health nurses can help to increasing the quality of nursing care.

Background: manpower in any organization, resulting in improved individual and organizational performance and achieve the goals of the screw. The main objective of this study is to examine the relationship between the components of the Five Factor Model of Personality and Social lazy employees of Kermanshah University of Medical Sciences in 2014.Methods: This study was descriptive correlation. The research samples consisted of 203 employees working in Kermanshah University of Medical Sciences were selected through stratified random sampling was used. The NEO Personality Inventory data collection tool properties (NEO) and social laziness sets. Reliability using Cronbach's alpha coefficient was calculated. Descriptive statistics (percentage, mean, standard deviation and variance) and inferential statistics for research hypotheses test (Pearson correlation coefficient and regression) were used to analyze data from SPSS18 software.Results: Results showed that among all the independent variables, personality traits (Neuroticism, Extraversion, and Openness to Experience, Agreeableness and Conscientiousness) to a variable relationship with the dependent variable, Openness to Experience There is social laziness (P<0.05). Also, the results of multiple regression of independent variables on the dependent variable of social laziness indicates that the former variables, Conscientiousness and Extraversion variables significantly explain the social laziness stems (P<0.05). The coefficient of determination shows that 15.7% of the variance in social laziness by other variables, personality traits (Neuroticism, Openness to Experience, and Agreeableness) is unjustified.Conclusion: The results show that the personality of many aspects of their performance and ultimately organizational performance-'s impact.

Background: Risky sexual behaviors are considered as one kind of risky behaviors that have severe physical, emotional and economical consequences. Emotional Intelligence is a kind of emotional information processing which helps to better compatibility and compliance and leads to individuals take logical decision. This study aimed to assess any probable correlation between emotional intelligence and risky sexual behaviors in students.Methods: This study was conducted on 740 nursing students who were selected by stratified random sampling method from Jundishapur, Arvand, Dezfol, Shostar as well as Islamic Azad branch of Khozestan province Medical Universities in 2013. Data was collected by researcher-made and emotional intelligence (Brad Berry–Graves) questionnaires and were analyzed by SPSS19 software using descriptive (mean and standard deviation) and analytic (T-test, ANOVA and chi-square tests).Results: Emotional intelligence of most students (74.19%) was in high range. Frequency of students’ risky sexual behaviors was 13.8%. Based on t-test a significant difference was seen between total emotional intelligence (P=0.049) as well as self-awareness (P=0.003) and social consciousness (P=0.014) subscales in students with and without risky sexual behaviors. Indeed, students without risky sexual behaviors possessed higher emotional intelligence.Conclusion: So that there was a significant difference between total emotional intelligence in students with and without risky sexual behaviors, development of emotional intelligence can be a good solution to prevent risky sexual behaviors and contribute to individual and community well-being.

Background: Today, problems such as lack of filing space, the high volume of paper documents and expedite in access to patient medical records, induced to increasing of hospital’s attention to the use of imaging technique in medical record department. The aim of this study was to survey the application of document imaging for storage of medical records of hospitals in Iran.Methods: This descriptive cross-sectional study was performed in 2012-2013. Data were collected from all hospitals in Iran (890 hospitals). Instrument for data collection was a checklist that sent to hospitals by ministry of health. Data were analyzed using descriptive statistics in SPSS (version 16) software.Results: The results showed that 14.9% of hospitals using document imaging for storage medical record in addition to the traditional filing approach. The most of the forms (65.9%) were Scanned using black and white method.73.2% of the hospitals have scanned the selected medical record forms from patient record according to their policies.Conclusion: The result of the study indicates the challenges regarding the use of documents imaging approach in hospitals in Iran. Thus, the development a comprehensive guideline for implementing and using document imaging in medical record department by the ministry of health recommended.

Background: Multiple choice questions are the most current tools to evaluate the learning in medical science. The purpose of this study is determining Correlation of quality and quantity index of multiple choice questions exams of residency promotion in Kermanshah University of medical sciences in 2013.Methods: For done of this descriptive collative study 950 MCQs tests that designed by in six residency medical groups were analyzed. Quantity data was collected by discrimination index and difficulty level and the quality data by percent of Taxonomy I& II & III questions. Data was analyzed by SPSS-18 software and independent T test and Chi-square and person's test.Results: In total tests Taxonomy I 42.8, Taxonomy II 32.8 and Taxonomy III 24.4 were been. Mean of difficulty level was 0.64 (±0.24) and Mean of discrimination index was 0.26 (±0.23). A significant statistically reversed correlation was observed with Pierson's test (P=0.001) in difficulty level and discrimination index. This finding was seen in percent of questions without structural defects with mean of 75.23 % (±13.23 (P=0.041). No significant statistically correlation was observed between difficulty level and Taxonomy levels and between discrimination index and Taxonomy levels.Conclusion: The study showed that reversed correlation was observed in difficulty level and discrimination index and design of simple and very hard tests induced decreasing discrimination index. In future suggested to designer of exams in medicine with selection of appropriate difficulty level and discrimination index obtain better quality of residency promotion exams.

There are alloantibody in the patient with hematologic disorders like acute leukemia and multiple blood transfusion. These alloantibodies are IgM and IgG antibodies against alloantigens of platelets like HLA antigen.Platelets resistant was detected in 2-30% of patients with blood transfusion and in 50% patients case a unsuitable respond to platelet transfusion in patients.In this descriptive analytic Study anti platlet antibodes were detected by lymphocytotoxicity method in 18 patients that received blood and blood components in Imam Reza and Taleghani hospitals.Anti HLA antibodies detected in 9 of 18 sample of patients with blood disorder and malignance. The mean of old in samples was 24.5 years.Anti HLA antibodies were detected in 50% of study patients. There were not significant related in anti HLA antibodies and FFP, platelet rates and times of hospitalization. But between ratty and times of pack cell transfusion and anti HLA antibodies a significant related was seen.