Showing 6 results for قلب
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Volume 1, Issue 1 (5-2013)
Abstract
Background and objectives: Despite the long history of cardiopulmonary resuscitation (CPR), there are still major concerns about poor CPR team performance in hospitals. While only 10-15 percent of those undergoing CPR leave the hospitals alive, the statistics vary in different countries. Since addressing the barriers to successful CPR may help prevent the potential risks to future patients, the present study aimed to identify such barriers from the perspective of nurses.
Methods: In a descriptive-analytic study in 2011, 200 nurses, including 68 men (34 percent) and 132 women (66 percent), employed at four teaching hospitals affiliated to Golestan University of Medical Sciences (Iran) were randomly selected. Data were collected through a researcher-made questionnaire. Descriptive (frequency, mean, and standard deviation) and inferential statistics were applied for data analysis. All analyses were performed with SPSS version 16 .
Results: The majority of nurses (83 percent) had an experience of working with a CPR team. The participating nurses suggested absence of timely clinical CPR (98 percent), lack of regular standard in-service training (98 percent), lack of CPR equipment and supplies in the wards (92 percent), lack of efficient communication among team members (90 percent), and underlying diseases of the patients (88 percent) as the most important barriers to successful CPR.
Conclusion: Considering the poor performance of CPR teams in hospitals, management of this challenge requires more attention of planners and hospital authorities. Holding standard retraining programs to update the staff’s knowledge and improve their skills would be essential to forming a competent and cohesive CPR team.
Imaneh Bagheri, Robabeh Memarian, Ebrahim Hajizadeh, Behrooz Pakcheshm,
Volume 2, Issue 1 (5-2014)
Abstract
Background & Objective: Myocardial infarction is one of the most common coronary artery diseases. One of the educational needs of patients, is how to perform sexual activities. Unfortunately, this issue is not being taught to patients, leading to problems in patients and their partners. This study was aimed to determine the effect of sex education on patients and their spouses› satisfaction after myocardial infarction.
Method: This Quasi-experimental, non-randomized study was performed on 60 patients with myocardial infarction and their spouses in the city of Yazd whom were divided into two groups of experimental and control (60 in each group),in the year 1392. The main method of this study was the education and preparation of nurses and then educating patients by trained nurses and to assess sexual satisfaction based on the standard Larson›s questionnaire. The data were then statistically analyzed using SPSS version 16 using paired, independent t-test.
Results: The average sexual satisfaction of patients in the experimental group before the intervention was 81.93 ± 12.47 and after the intervention 82.50 ± 12.57 While in the control group before the intervention the average satisfaction was 83.10 ± 17.36 and after 6 weeks 75.30 ± 15.42. Also the mean sexual satisfaction of partners in the test group before and after the intervention was 81.30 ± 12.47 and 82.07 ± 12.28 respectively. In the control group before the intervention, the average score was 82.50 ± 17.21 and after intervention it was 74.57 ± 15.30. There was significant difference between patients and spouses› sexual satisfaction scores in the experimental and control groups before and after the intervention (P=0.001).
Conclusion: Sex education increased the sexual satisfaction among the tested group. Therefore, it is suggested to include programs in order to prepare nurses in terms of sex education of patients and their spouses in cardiac intensive wards.
Samaneh Haji Hosseini,
Volume 3, Issue 1 (5-2015)
Abstract
Background and Objectives: With respect to lack of information about the effect of intensity differences, type of sport participation and their relationships with the other health factors such as cardiorespiratory fitness (CRF), the present study was conducted to evaluate the associations between sports participation, levels of Physical Activity (PA) and CRF.
Methods: The present analytical study was conducted on 406 undergraduate students aging 18-21 years from Gorgan University of Agricultural Science and Natural Resources in second semester of 2014. CRF was tested with Rockport Walk Test among all participants. Sports participation was assessed by Ledent questionnaire and habitual physical activity (PA) data was evaluated using metabolic equivalent (METs) self-reported questionnaire. All analyses were carried out using SPSS version 20.0. An independent T-test, Chi-square statistic, ANOVA and regression were employed to analyze data statistically.
Results: The participants with desired CRF and acceptable levels of PA were significantly engaged more active in organized or unorganized sport activities and also competitive sports compared to others (P < 0.05). Individuals with at least 3 hours of moderate to vigorous PA per day had a better CRF (P<0.05).Regression results showed that participation in any level of competitive sports regardless of winning or loss guarantee the CRF to some extent.
Conclusion: Participation in competitive sports along with adopting active life style (2:30 min PA with moderate intensity and 30 min of competitive sport) may increase the chance of gaining CRF.
Akram Gazerani, Sara Shirdelzadeh, Sima Joharinia, Mohammad Ali Dashti, Mohammad Amin Younesi Herawi,
Volume 4, Issue 2 (10-2016)
Abstract
Background and Objectives: Cardiac massage is the first and most important step during Cardio Pulmonary Resuscitation (CPR). Effective massage restores blood flow to the brain and heart and plays a remarkable role in a successful CPR. Exhaustion of treatment team during resuscitation is one of the factors which may lead to reduced quality of resuscitation massages or failure in some cases. The aim of this study was to design, construct and evaluate a new cardiac massage facilitator to improve the quality of CPR in adult patients.
Methods: In this study, the massage facilitator was designed and registered as a glove which was worn by rescuers during cardiac massage (number of invention: 80797). A load cell sensor was placed under the surface of the glove and the facilitator could be displayed number and depth of massage in centimeters. In order to evaluate the efficiency of the designed system, an experimental study was conducted among 30 emergency students. All statistical analyses were performed by SPSS 19 software using Pearson correlation and independent sample t-test. P-values lower than 0.05 were considered to be significant.
Results: The mean age of all participants was 23.41±2.02 years, the mean height was 175±4.43 centimeters and the mean weight was 65.45±5.02 kilograms. The instrument validity was evaluated using standard validation method of concurrent validity. Our findings revealed a significant correlation between the cardiac massage facilitator and Sim Pad system (more than 0.9). Accordingly, the validity of cardiac massage facilitator was confirmed. While assessing the efficient massage criteria during cardiac massage facilitator utilization, the massage possessed suitable depth (less than 5 cm) in 98% of participants. The numbers of massages were at least 100 massages per minute in 93% of participants.
Conclusion: The results showed that designed system could be used as an effective tool to improve quality of cardiac massage in CPR.
Dr Ahmad Jameii Khosroshahi, Mahmood Samadi, Dr Elnaz Skandartaj, Dr Agha Ali Yar-Makooyi, Farid Karkon Shayan,
Volume 5, Issue 1 (5-2017)
Abstract
Background & Objective: Pulmonary Arterial Hypertension (PAH) is one of the common complications of congenital heart diseases in children. The natriuretic peptides such as BNP, ANP and NT-Pro BNP are secreted in response to atrial and/or ventricular stretch. The aim of this study was to evaluate the correlation between pulmonary hypertension with BNP serum level and the quantity of left to right shunt based on echocardiography findings in children with congenital heart disease.
Method: In an analytical-descriptive study, 30 children with congenital heart disease after going through echocardiography and being confirmed to have one of VSD, ASD or PDA, were enrolled. The BNP serum level, quantity of the left to right shunt and systolic pulmonary pressure were measured.
Results: In the present study, 13 patients were male (43.3%) and 17 (56.7%) were female. The average BNP serum level of patients was 194.9 ± 21.2 (pg/ml). There was a significant relationship between systolic pulmonary pressure and BNP level among patients (P<0.001). There was also a positive correlation between average serum level of BNP and quantity of the left to right shunt (P=0.018).
Conclusion: On the basis of echocardiography findings, there was a positive correlation between systolic pulmonary pressure with BNP serum level and the quantity of left to right shunt. Therefore, it can be helpful among patients whom the pulmonary arterial pressure cannot be measured for any reason.
Bahareh Yazdanparast Chaharmahali, Mohammad Ali Azarbayjani, Maghsood Peeri, Parvin Farzanegi Arkhazloo,
Volume 6, Issue 4 (12-2018)
Abstract
Background and objectives: Elderly is characterized by decreased cardiac function, which is widely associated with mitochondrial failure in cell death. Elderly causes heart apoptosis. Although the old heart is vulnerable to apoptosis, physical training and some supplements through different mechanisms could be effective in reducing apoptosis. The present study aimed to investigate the effect of interval training on some apoptotic parameters of Bax and Bcl2 cardiomyocytes in old female rats.
Methods: In an experimental study, 49 Wistar female rats (2 years old) were randomly assigned into 7 groups: control, saline, curcumin, moderate intensity training, moderate intensity training + curcumin, high intensity training, high intensity training + curcumin. The experimental groups received gavage doses of curcumin 30 mg / kg body weight three days a week via. The saline group also received the same amount of saline. Training groups had moderate and severe exercises on the treadmill for eight weeks, and three sessions per week. Forty-eight hours after the last training session and gavage, the animals were killed and their heart tissues were isolated to determine the levels of Bax and Bcl2.
Results: The results indicated that interval training and curcumin consumption could significantly increase the levels of Bcl2 and BAX and the BAX / Bcl2 ratio, the amount of which depends on the intensity of training. Moreover, the combination of training and curcumin had an antagonistic effect.
Conclusion: According to the results, physical activity and curcumin separately have a protective effect on the heart tissue; however, these two interventions do not enhance each other’s effect. Hence each one is suggested to be used separately.
