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Satisfaction of Janbazan and Azadegan Referring Health Center of Janbazan Foundation of Kerman City to Rcceive Medical Services in the Year 2003-2004
H. Shojaei Baghini, N. Nakhaee,
Volume 4, Issue 1 (9-2005)
Abstract

  Satisfaction of Janbazan and Azadegan Referring Health Center of Janbazan Foundation of Kerman City to Rcceive Medical Services in the Year 2003-2004

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  H. Shojaei Baghini1* , N. Nakhaee2

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  1-Academic Member, University of Medical Sciences, Kerman, Iran

  2- Assistan Professor of Community Medicine, University of Medical Sciences, Kerman, Iran

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  Background: After 16 years from the end of "Holy Defense" we are still confronted with physical and mental ailments of "Janbazan" (devoted c o mbatants) and "Azadegan" (captives).

  Regarding the pivotal role of clients’ perspectives on health services quality this study was conducted to assess the level of satisfaction of Janbazan and Azadegan who referred to Bonyad Janbazan in Kerman city, from the health services quality.

  Matherials and Methods: In this cross-sectional study during a 4 months period in 2004, 384 individuals of Janbazan and Azadegan were randomly selected (one from every ten clients) and were interviewed by a questionnaire consisting baseline questions and also 31 questions requesting the clients' level of satisfaction using Likert scale ranging from highly unsatisfied (score 1) to highly satisfied (score 5). Content validity of the questionnaire was established by an extensive literature review and an experts panel. To examine the internal consistency Cronbach's alpha was calculated as 0.97.

  Results: The mean ( ± SD) of age of the sample was 39.2 ± 5.8 and 99.7% were male. The highest mean satisfaction score (3.5) was to the question asking "How were the behaviour of physician " in out patient services and the highest unsatisfaction rate (41.7%) was related to the results of therapeutic interventions offered by the physicians.

  Conclusion: The result clarifies the need for promotion in provision of health services to these brave individuals.

 

  Key words: Holy Defense, Health services, Client satisfaction

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  * Corresponding author:Tel: (0341) 2518309, Fax:(0341)3221671, E-mail: nakhaeen@yahoo.com

  Journal of Rafsanjan University of Medical Sciences and Health Services, 2005, 4(1): 41-48


Attitudes of Women from Jiroft City About Prevention of Home Injuries in Children Under 5 Years Using Protection Motivation Theory in 2015
Ms T. Rahimi, Mr R. Faryabi, Mr A. Javadi, Dr S. Shojaei,
Volume 16, Issue 1 (4-2017)
Abstract

Received: 07/01/2017      Sent for Revision: 16/01/2017      Received Revised Manuscript:27/02/2017      Accepted: 01/03/2017

Background and Objective: Mothers' attitudes towards the possibility of an accident and its related preventive measures can affect children's injuries. Psychological theories and constructs provide an opportunity to explain how people's attitudes affect their decision making in adoption of a health behavior. This study examined attitudes of women from Jiroft city about prevention of home injuries in children under 5 years through Protection Motivation Theory (PMT) in 2015.

Materials and Methods: In this cross-sectional study, 204 mothers with children less than 5 years were selected from those who referred to health centers of Jiroft in 2015. In this regard, random cluster sampling method was applied. A self-administered questionnaire based on PMT was used to collect information. The data were then analyzed using descriptive statistical methods to investigate the distribution of responses to the questions. Later, one-way ANOVA and independent t-test were applied to observe the relationship between demographic variables and protection motivation.

Results: The age range of mothers was 16 - 49 years. History of domestic injuries was reported in 22.5 percent of participants. It was more than six months that 70.6 % of mothers were implementing safety measures at home. In threat assessment processes, mothers' most important attitudes were related to fear of home injuries (46.6 %); however, in coping assessment processes, it was related to perceived self-efficacy (51.9%).

Conclusion: The results showed that increase of fear and perceived self-efficacy in mothers has a greater role in their motivation to prevent home injuries. This can be considered as an appropriate strategy in planning health promotion interventions.

Key words: Attitude, Prevention, Home injuries, Protection motivation theory, Jiroft

Funding: This research was funded by Jiroft University of Medical Sciences.

Conflict of interest: None declared.

Ethical approval: The Ethics Committee of Jiroft University of Medical Sciences approved the study.

How to cite this article: Rahimi T, Faryabi R, Javadi A, Shojaei S. Attitudes of Women from Jiroft City About Prevention of Home Injuries in Children Under 5 Years Using Protection Motivation Theory in 2015. J Rafsanjan Univ Med Sci 2017; 16(1): 17-30. [Farsi]


The Effect of Physical Activity during Pregnancy on Development of Social Skills in Infants: A Short Report
N. Shojaeian, M. Shojaei, A. Ghasemi,
Volume 16, Issue 4 (7-2017)
Abstract

Background and Objective: Maternal physical activity during pregnancy has been associated with promoting the skills of offsprings and their development; however, many mothers reduce their activity during this period. Due to lack of sufficient studies in this field, the aim of this study was to determine the effects of physical activity during pregnancy on social development among offsprings in the first and three months of life.

Materials and Methods: This trial was performed on 40 mother-infant pairs who were clients of health care centers in Bojnourd during 2015-2016. The samples were randomly assigned into the experimental and control groups. The experimental group benefited from 16 sessions physical intervention and the control group did not have any regular physical activities. Finally, communication and personal-social skills of infants in both groups were evaluated by Ages and Stages Questionnaire III (ASQ 3) in two periods of one and three months. Data were analyzed using repeated measures ANOVA (2 × 2).

  • The results showed that in communication skill subscale, the main effect of group (F1=39.04, P=0.001) and the main effect of time (F1=90.13, P=0.001) were significant, but the interaction between the group and time effect (F1=0.495, P=0.487) was not reported significant. In contrast, there was a statistically significant difference in personal-social skill in the variables of group (F1=29.53, P=0.001) and time (F1=87.95, P=0.001). Also, the interaction of two variables was significant and selected training impacted the personal-social skill of infants in one and three months (F1=6.54, P=0.015).
  • : According to the findings, it seems that activity in pregnancy can lead to improvement of social skills of infants and also, its effects are persistent during the time. Therefore, it is recommended that pregnant women do physical activities with medical approval.

Key words: Physical activity, Pregnancy, Social skills, Infants

Funding: This research was funded by Islamic Azad University Science and Research Branch of Tehran.

Conflict of interest: None declared.

Ethical approval: The Ethics Committee of North Khorasan University of Medical Sciences approved the study.

How to cite this article: Shojaeian N, Shojaei M, Ghasemi A. The Effect of Physical Activity during Pregnancy on Development of Social Skills in Infants: A Short Report. J Rafsanjan Univ Med Sci 2017; 16(4): 381-88. [Farsi]


The Evaluation of the Most Commonly Prescribed Drugs in the Medical Offices Prescriptions for the Persons Insured by Iran Health Insurance Organization in Kerman Province During 2014-2015: A Short Report
A. Shojaei, M. Nasri, E. Babaahmadi,
Volume 16, Issue 10 (2-2018)
Abstract
 
 
Background and Objectives: The culture of prescribing and taking medicine as a strategic commodity, which plays a fundamental role in the economy and health of the family and society, is an issue of great importance  that needs to be considered by the policy makers in the medical system. The purpose of this study was to determine the prescription of drug items in  the medical offices prescriptions for the persons insured by Iran Health Insurance Organization in Kerman Province during 2014-2015.
Materials and Methods: This article was a descriptive study and the statistical population of the study  included all drug prescriptions of insured persons in Health Insurance General Directorate of Kerman province in 2014-2015, who  were sent to the General Directorate by the pharmacies. Available data in the database and health insurance processor were received from the province and analyzed by descriptive statistics using census method.
Results: Metformin tablets 500 mg, Losartan 25 mg, ASA 80 mg, Atoroastatin 20 mg, Metoprolol 50 mg, Glibenclamide 5 mg, Amiludipine 5 mg, Nitroglycerin 2/6 mg, Metronidazole 250 mg, and Calcium D were the 10 common drug items of the Kerman province in  both 2014 and 2015. Anti-hypertensive drug groups, analgesics, antidiabetic agents, antibiotics, vitamins, lipid lowering drugs, antidepressants, vasodilators, anticonvulsants ,and antacids were the 10 most common groups in Kerman province that, over the years 2014-2015,  had more than 60% of the frequency of prescribed medications in the insured persons’ prescriptions.
Conclusion: It seems that the control and supervision of prescribing these drugs and drug groups can have a major impact on the pharmaceutical market.
Key words: Drug items, Drug groups, Insured persons, Health insurance, Kerman province
 
Funding: This study was funded by Health Insurance Organization.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Health Insurance Organization approved the study.
 
How to cite this article: Shojaei A, Nasri M, Babaahmadi E. The Evaluation of the Most Commonly Prescribed Drugs in the  Medical Offices Prescriptions for the Persons Insured by Iran Health Insurance Organization in Kerman Province During  2014-2015: A Short Report. J Rafsanjan Univ Med Sci 2018; 16(10): 991-6. [Farsi]
 
 

The Effects of Ethanolic Extract of Artemisia oliveriana on Expression of icaA, icaD, and ebps Genes in MRSA: A Short Report
Gh . Shojaei, A. Akhavan Sepahy, R.i Rafiei Tabatabae, K. Tahvildari,
Volume 17, Issue 2 (5-2018)
Abstract
Background and Objectives: Expression of genes related to biofilm formation in methicillin-resistant staphylococcus aureus (MRSA) can play an effective role in biofilm formation and pathogenicity. Due to the significance of antimicrobial activity of Artemisia species against biofilm producer genes,  this study aimed to evaluate the effect of ethanolic extract of Artemisia oliveriana on the expression of icaA, icaD, and ebps genes in MRSA.
Materials and Methods: This was a laboratory study. First, Artemisia oliveriana  extract was prepared and then, the minimum inhibitory concentration (MIC) of growth for the extract of the plant against s. aureus strains containing mecA was obtained by microdilution method . Then, at the lower concentrations, levels of expression in the icaA, icaD, and ebps  genes in MRSA were determined by Real-Time PCR, and the results were analyzed through repeated measures ANOVA.
Results: The MIC of ethanolic extract of A. oliveriana was 512 μg/ml. The reduction of the expression of the genes in the standard sample after 4, 8, and 16 hours was significant in the Artemisia  oliveriana group (p<0.05).
Conclusion: The ethanolic extracts of Artemisia oliveriana had a significant effect on the expression of the genes involved in biofilm formation and this expression reduction was not seen in the housekeeping DNA gyrase-B as a reference gene.
Key words: Artemisia oliveriana, Biofilm, Real-Time PCR, Staphylococcus aureus, Methicillin
 
Funding: This study did not have any funds.
Conflict of Interest: None declared.
Ethical approval: The Ethics Committee of Islamic Azad University, North Tehran Branch approved the study.
 
How to cite this article:  Shojaei Gh, Akhavan Sepahy A, Rafiei Tabatabaei R, Tahvildari K. The Effects of Ethanolic Extract of Artemisia oliveriana on Expression of icaA, icaD, and ebps Genes in MRSA: A Short Report. Univ Med Sci 2018; 17 (2): 169-76. [Farsi]
 
 
The Role of Adrenergic Receptors on Neural Excitability and Synaptic Plasticity: A Narrative Review
N. Ahmadirad, M. Zare, M. Janahmadi, Y. Fathollahi, A. Shojaei, S. J. Mirnajafi-Zadeh,
Volume 18, Issue 10 (1-2020)
Abstract
Adrenergic receptors have an important role in neural excitability and synaptic plasticity. Despite a lot of studies on these receptors, their exact role in brain disorders accompanied with hyperexcitability has not been determined. There are also controversies on their role in synaptic plasticity. In this review article, the important studies done in this regard have been reviewed to achieve a good summary of the effects of these receptors on neuronal excitability and synaptic plasticity. Despite the controversial results that have been reported in previous studies, it seems that alpha-1 and alpha-2 receptors decrease the neuronal excitability during seizure. Alpha 1A receptors, by acting on inhibitory interaneurons and increasing the GABAergic activity, are primarily responsible for the inhibitory function of alpha-1 receptors in reducing neuronal excitability, while beta-1 receptors may increase the excitability by increasing glutamate release. Moreover, alpha-1 receptor activity mostly induces long-term weakening in synapses. On the other hand, beta-adrenergic receptors increase the neuronal excitability and induce long-term potentiation through increasing both the glutamate release and the neurogenesis.
Key words: Alpha-adrenergic receptor, Beta-adrenergic receptor, Seizure, Neural excitability, Synaptic plasticity
 
Funding: This research hasn’t been funded.
Conflict of interest: None declared.
Ethical approval: None declared.
 
How to cite this article: Ahmadirad N, Zare M, Janahmadi M, Fathollahi Y, Shojaei A, Mirnajafi-Zadeh S J. The Role of Adrenergic Receptors on Neural Excitability and Synaptic Plasticity: A Narrative Review. J Rafsanjan Univ Med Sci 2020; 18 (10): 1049-64. [Farsi]
Effect of Different Patterns of Molar Teeth Extraction on Memory in Rats: A Short Report
N. Pourgholamali, S. Shojaeepour, R. Shojaeipour, F. Jahanimoghadam,
Volume 19, Issue 8 (11-2020)
Abstract
Background and Objectives: Tooth extraction is one of the ways to treat dental diseases. The aim of this study was to determine the effect of different molar tooth extraction patterns on short-term and middle-term memory in rats.
Materials and Methods: In this experimental study, 45 male Wistar rats were divided into three groups: control group (C) without pulling, pulling group 1 (E1) by pulling bilateral maxillary molars, and pulling group 2 (E2) by pulling the left maxillary and right mandibular molars. The Maurice Watermase test was performed to assess spatial memory. Tukey’s test was used to analyze the data.
Results: In short-term memory tests, the number of visits to the target area was significantly lower in group E1 than in group C (p=0.003). In group E2, the time spent in the target area and the distance traveled in the target area was longer than group E1.
Conclusion: This study explained that the molar teeth extraction may impair the memory ability.
Keywords: Molar tooth extraction, Short term memory, Middle-term memory, Rat
 
Funding: This research was funded by Neuroscience Research Center, Kerman University of Medical Sciences. 
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Neuroscience Research Center, Kerman University of Medical Sciences approved the study (IR.ATU.REC.98000078(.
 
 
How to cite this article: Pourgholamali N, Shojaeepour S, Shojaeipour R, Jahanimoghadam F. Effect of Different Patterns of Molar Teeth Extraction on Memory in Rats: A Short Report. J Rafsanjan Univ Med Sci 2020; 19 (8): 899-906. [Farsi]
The Frequency of Antibiotic Resistance of Clinical Isolates of Clostridioides difficile to Commonly Used Antibiotics in Hospitalized Patients of Educational Hospitals of Kerman City During 2018-2020
Mohammadsaeed Shojaei, Farokh Rokhbakhsh-Zamin, Ebrahim Rezazadeh Zarandi, Farhad Sarafzadeh, Sayed Mohammad Reza Khoshroo,
Volume 21, Issue 9 (12-2022)
Abstract
Received: 18/09/22 Sent for Revision: 23/10/22 Received Revised Manuscript: 13/12/22 Accepted: 14/12/22
Background and Objectives: Clostridioides difficile (C. difficile) is one of the main causes of antibiotic-associated diarrhea. It is important to find out the pattern of its antimicrobial susceptibility for reducing prevalence and also treating C. difficile infection (CDI). This study aims to investigate the antimicrobial resistance of C. difficile to commonly used antibiotics, especially vancomycin and metronidazole, as the most effective antibiotics against the bacterium.
Materials and Methods: In this descriptive study, 417 diarrheal stool samples were taken from hospitalized patients of educational hospitals of Kerman City from 2018 to 2020. The samples were cultured on cycloserine-cefoxitin fructose agar (CCFA), and suspected C. difficile colonies were isolated. Identification of the cdd-3 gene for definitive diagnosis of C. difficile was performed. Antibiotic resistance test was conducted by the disk-diffusion method using vancomycin, metronidazole, rifampin, amoxicillin-clavulanic acid, erythromycin, imipenem, ciprofloxacin, and clindamycin disks. The results were reported as numbers and percentages.
Results: A total of 68 (16.3%) isolates of C. difficile were taken from the samples. Most C. difficile strains were susceptible to vancomycin and metronidazole, while the highest rate of resistance was related to ciprofloxacin and clindamycin. The prevalence of multi-drug resistant (MDR) strains was 77.9%.
Conclusion: The results of this study showed that vancomycin is still the best antibiotic for treating CDI. Also, the frequency of the isolates resistant to CDI-inducing antibiotics (erythromycin, clindamycin, ciprofloxacin) and MDR isolates was high. Therefore, the spread of resistant strains of C. difficile can be prevented by appropriate antibiotic prescription.
Key words: Clostridioides difficile, Antibiotic resistance, Multi-drug resistant (MDR), Kerman

Funding: This study did not have any funds.
Conflict of interest: None declared.
Ethical approval: The Ethics Committee of Kerman University of Medical Sciences approved this study (IR.KMU.REC.1398.082).
How to cite this article: Shojaei MohammadSaeed, Rokhbakhsh-Zamin Farokh, Rezazadeh Zarandi Ebrahim, Sarafzadeh Farhad, Khoshroo Sayed Mohammad Reza. The Frequency of Antibiotic Resistance of Clinical Isolates of Clostridioides difficile to Commonly Used Antibiotics in Hospitalized Patients of Educational Hospitals of Kerman City During 2018-2020. J Rafsanjan Univ Med Sci 2022; 21 (9): 955-70. [Farsi]
 
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