Hospitals In Rasht Research Articles

The Cardiopulmonary Resuscitation Success Rate and Its Related Factors in Patients Referred to Dr. Heshmat Hospital in Rasht, Iran

Background: Cardiopulmonary Resuscitation (CPR) is an emergency procedure for the return of spontaneous circulation in patients with cardiac arrest. Many factors can affect the success of CPR. Objective: This study aims to investigate the success rate of CPR and its related factors in patients referred to Dr. Heshmat Hospital in Rasht, Iran. Methods: In this retrospective cohort study, participants were 1008 patients who had underwent CPR in Dr. Heshmat Hospital in Rasht, Iran. Data were collected from April 2016 to March 2019 using the Utstein style standard form, which assesses related factors and the times related to CPR. The association between CPR outcome and demographic/clinical factors was examined using independent samples t-test, chi-square test, and multiple logistic regression analysis. Results: The CPR success rate was 34.8%. The CPR success rate was higher in patients with no asystole rhythm, short CPR duration, and in-hospital cardiac arrest. Compared to patients in CCU ward, those received CPR in other wards (except ICU) were more likely to have successful CPR. Furthermore, in patients with in-hospital cardiac arrest, the odds of successful CPR decreased with the increase of age. Conclusion: Since patients with asystole rhythm had the lowest success rate of CPR and this rhythm occurs due to delay in initiation of treatment at the end of cardiac arrest, early treatment of patients with cardiac arrest caused by ventricular tachycardia or ventricular fibrillation can increase the chances of a successful CPR.

Investigation of Involuntary Hospitalization in the Files of Patients Referred from Governing Board to Psychiatric Hospital

Introduction: Psychiatric hospitalized patients by judicial letters are important groups, which deprives the physician of authority to make decision. One of the medical principles is to patients' rights. Objective: The aim of this study to investigate the cases of people referred by the judiciary to Shafa center. Materials and Methods: This study was performed on the files of 217 people referred from governing board to Shafa Hospital in Rasht in 2018 and according to the checklist, the variables were extracted from files, such as demographic characteristics, referral reasons, criminal history, history of psychiatric disorders, and hospitalization in psychiatric hospital, and psychiatric diagnosis of the type of disorder. After collecting the data, they were analyzed by in IBM SPSS statistics version 21. Results: The highest population was male (96.8%), urban (78.8%), and single (57.6%). 78.3% had a history of hospitalization, 82.5% had a history of psychiatric illness. 99.9% of cases had a psychiatric diagnosis. The most common psychiatric diagnosis was schizophrenia with 37.5% of cases. In terms of the reason for referral, 49.9% were sent-out and hospitalization and 29.6% were in need of treatment. There was a significant relationship between the history of psychiatric disorder and criminal history. But there was no significant relationship between age, education, employment status and history of psychiatric disorder. Conclusion: The study showed that only for existence of a judicial letter, the label of a psychiatric patient can certainly not be affixed to the person. Also, the high percentage of the final diagnosis indicates a better relationship between governing board and the medical system in referring individuals. This issue again highlights the need for more communication between the judicial system and medical centers to refer patients.

The association between chronic endometritis and uterine fibroids.

Background:Some studies reported the association between fibroids with uterine inflammation. By considering this hypothesis, the formation and recurrence of uterine fibroids can be prevented by diagnosis and treatment of inflammation, and complications and costs can be reduced. This study aimed to evaluate the association between chronic endometritis and uterine fibroids in non-menopausal women.Materials and Methods:This prospective case-control study was performed on non-menopausal women referred to Al-Zahra Hospital in Rasht during April 2019-April 2020. Non- menopausal women of reproductive age (20-55 years old) with abnormal uterine bleeding who were candidates for hysteroscopy based on medical history and ultrasound reports were included in this study. The case group with fibroids were divided into two groups of intramural and subserosal myoma group and submucosal group based on the location of fibroids. The control group was patients with abnormal uterine bleeding complaints and no uterine fibroid. Endometrial specimens were examined by a pathologist for histological and immunochemistry assessments. In interpreting the results of endometrial biopsy, a positive result was indicated by the presence of one or more plasma cells per 10 high power field. Data were gathered by a form including age, parity, history of recurrent miscarriage, patient’s complaint (abnormal uterine bleeding), hysteroscopic results (submucosal myoma-polyp-normal), uterine histology (polyp, endometritis, and hyperplasia) and prevalence of chronic endometritis based on plasma cell in the biopsy. Data were analyzed by SPSS software version 21. Data were reported by descriptive statistics including number, percent, mean and standard deviation. The normality of quantitative data was assessed by the Kolmogorov- Smirnov test. Mann-Whitney U test, Chi-square and Fisher exact tests were used to compare groups and logistic regression was used to control the effect of confounders.Results:The incidence of chronic endometritis was 39% (38 out of 97) and a higher incidence of chronic endometritis was noted in the case group than the control group (46% vs. 31%), No significant difference was observed between the two groups (P > 0.05). However, the incidence of chronic endometritis in women with submucosal myoma was higher than the intramural and subserosal groups (64% vs. 37%) (P = 0.04). To control the effect of age on the rate of chronic endometritis in both groups, no significant effect was observed in logistic regression.Conclusions:The results showed the overall incidence of chronic endometritis was higher than previous studies and also the incidence was higher and more significant in women with submucosal myoma than in the intramural and subserosal group. As in this study, authors assessed the association between chronic endometritis and uterine fibroids, further studies assessing the cause and effect relationships are recommended.

HOMA-IR index in non-diabetic patient, a reliable method for early diagnosis of liver steatosis.

Background:NAFLD is one of the most common liver diseases in the world. HOMA-IR as an indicator of insulin resistance is commonly used in clinical trials in NAFLD patients. The aim of this study was to evaluate the application of HOMA-IR index in the diagnosis of NAFLD.Methods:This study was performed on 54 patients with NAFLD and 54 non-NAFLD patients that referred to Razi Hospital in Rasht during 2019-2020. FibroScan was used to diagnose NAFLD in the patient group and ultrasound was used to rule it out in the control group. Metabolic and hepatic parameters were measured for each patient. Data were entered into SPSS 22 software and the necessary analyses were performed.Results:The mean age of the subjects in the study was 44.01±13.12 years and ranged from 18 to 75 years. 72.2% of people affected by NAFLD were men (p <0.001) .The optimal cut-off point for HOMA-IR in NAFLD was 1.65 with a sensitivity of 89.7% and a specificity of 76.9% in men and 1.90 with a sensitivity of 86.7% and a specificity of 82.9% in women. Overall, the optimal cut-off point for HOMA-IR in NAFLD was 1.75 with a sensitivity of 87.0% and a specificity of 81.5%. In addition, the results showed that there was no significant relationship between steatosis and hepatic fibrosis with HOMA-IR index.Conclusion:The results showed that HOMA-IR can be used as a reliable criterion for early detection of NAFLD.

Evaluation of demographic and rare clinical characteristics of patients with thoracic carcinoid tumor in Razi and Aria Hospitals of Rasht during 2006-2016.

Carcinoid tumors are malignant neoplasms of neuroendocrine cells. This study tended to evaluate the demographic and rare clinical characteristics of patients with thoracic carcinoid tumor during 2006-2016 at Razi and Aria Hospitals in Rasht. The present study was performed on records of 43 patients with lung carcinoid tumors referred to Razi and Aria Hospitals of Rasht during 2006-2016. Information on age, gender, rare clinical symptoms, smoking history, diagnosis tools, treatment, and outcome were analyzed. Of 43 patients treated with definitive diagnosis of carcinoid tumor pathology, 31 patients had typic carcinoid tumor and 12 patients with atypic carcinoma (mean age 43.14 ± 15.16 years). The most common clinical symptom was cough and hemoptysis. Two cases presented with cushing syndrome, The most common diagnostic method in this study was simultaneous use of both CT scans and bronchoscopy. In 95.3% of cases, the tumor was pulmonary and in 4.7% of cases, it was extrapulmonary. Right lower lobe was the most common site of tumors and most of the surgeries used were lobectomy. This study showed that the most common clinical sign of thoracic carcinoid is cough and the tumor is pulmonary in 95.3% of cases. Right lower lobe was the most common site of tumors and most of the surgeries used were lobectomy. outcome was good.

Performance of KLF4 and Wnt1 genes expression fluctuations in tumoral and margin tissues of colorectal cancer in an Iranian population

Introduction and objectiveColorectal cancer is the third leading cause of death in the world. The disease can be prevented and treated with early diagnosis. The KLF4 and Wnt1 genes, in their natural state, participate in cell growth, proliferation, and differentiation by activating a variety of transcription factors and regulating the expression of some genes. This study aimed to investigate the expression of KLF4 and Wnt1 in tumoral and margin tissues of colorectal cancer and also normal tissues in an Iranian population. Materials and methodsIn this case study, 30 specimens of tumoral tissues of colorectal cancer and 30 margin tissues or non-neoplastic counterpart tissues, as well as 20 samples of normal colorectal tissues were collected from patients referred to the Surgery room of Razi Hospital in Rasht, Iran, 2019. The Real-Time PCR technique was used to evaluate the expression of genes. SPSS software and ANOVA statistical tests, t-test, regression were used to analyze the data. P-value values of 0.05 were considered significant. ResultsThe expression of KLF4 gene in tumoral tissues was reduced (p = 0.01) in comparison to margin tissues but had no significant relationship with tumor characteristics. The expression of Wnt1 gene in tumoral specimens was significantly increased (p = 0.001). Also, a significant relationship was observed between Wnt1 gene expression and tumor stage (p = 0.001) and tumor grade (p = 0.003). ConclusionThe data showed that there is a significant relationship between Wnt1 and KLF4 gene expression of colorectal cancer and may be used in diagnosis and treatment.

Evaluation of patient social support, caregiver burden, and their relationship with the course of the disease in patients with bipolar disorder.

Bipolar disorder is a chronic disorder that causes significant effects on the patient and exerts a significant care burden on caregivers. This study aimed to investigate the social support of patients, caregivers' burden and their impact on the clinical course of the disease. The study included 85 patients with bipolar disorder type I and II (in the recovery phase of the disease) and their caregivers in the age range of 18 to 60 years. It was conducted in Shafa psychiatry Hospital in Rasht (Guilan, Iran, 2020). To assess social support and burden, patients and caregivers completed the Multidimensional Perceived Social Support Scale (MSPSS) and Caregiver Burden Inventory (CBI), respectively. Clinical variables were also obtained from patients' medical records; Then ANOVA, MANOVA, Independent T-test were used to compare the data and Regression Analysis and Spearman correlation coefficient were used to find the relationships between variables. It was showed that increasing patient social support is associated with reducing caregiver burden. Among the clinical variables, less social support and more caregiver burden were associated with longer duration of illness (p < .0029, p < .012), decrease in last recurrence time (p < .0013, p < .0001), increased number of hospitalizations (p < .0001, r = -.43 and p < .0001, r = +.49), decreased response to treatment (p < .0001, p < .0001), and reduced follow-up (p = .001, OR = 1.12 and p = .001, OR = 0.95). The relationship between low social support and high caregiver burden and their significant effect on the disease course indicates a vicious cycle that affects patients, caregivers, and the clinical course of the disease. Therefore, it seems that interventions to break this cycle can change the situation in favor of patients and caregivers and improve the clinical course of the disease.

High Seroprevalence of SARS-CoV-2 (COVID-19)-Specific Antibodies among Healthcare Workers: A Cross-Sectional Study in Guilan, Iran.

Background This study was conducted to evaluate the anti‐SARS‐CoV‐2 IgM and IgG antibodies among healthcare workers in Guilan. Methods This cross-sectional study was conducted on 503 healthcare workers. Between April and May 2020, blood samples were collected from the healthcare workers of Razi Hospital in Rasht, Guilan, Iran. Enzyme-linked immunosorbent assay (ELISA) was used for the detection and quantitation of anti‐SARS‐CoV‐2 IgM/IgG antibodies by using kits made by Pishtaz Teb Company, Tehran, Iran. Results From a total of 503 participants, the result of the anti‐SARS‐CoV‐2 IgM antibody test was positive in 28 subjects (5.6%) and the anti‐SARS‐CoV‐2 IgG antibody test was positive in171 subjects (34%). Participants in the age group of 35–54 years were significantly more likely to have a positive anti‐SARS‐CoV‐2 antibody test than the age group of 20–34 years (odds ratio = 1.53, 95% CI: 1.04–2.25, P=0.029). Also, physicians were significantly more likely to have a positive antibody test than office workers (odds ratio = 1.92, 95% CI: 1.04–3.54, P=0.037). The wide range of symptoms was significantly associated with the positive anti‐SARS‐CoV‐2 antibody test. The most significant association was observed between fever and a positive anti‐SARS‐CoV‐2 antibody test (odds ratio = 3.03, 95% CI: 2.06–4.44, P < 0.001). Conclusion The results of the current study indicated that the seroprevalence of COVID-19 was high among healthcare workers of Guilan Province. It seems that this finding was due to the earlier exposure to COVID-19 and the lack of awareness and preparedness to deal with the pandemic in Iran, compared to other countries.

Comparison of Biochemical and Pathological Parameters and Parenteral Nutrition of ICU Patients Under Supervision of Dietitians and Surgeons.

Background: Nutrient imbalance can frequently occur in patients with indications for parenteral nutrition (PN) after gastrointestinal surgery. This study aimed to compare the recommendations of a surgeon to those of a dietitian in the field of parenteral nutrition.Methods: This study was performed on 256 patients undergoing gastrointestinal surgery who received PN, which included 120 patients who received PN based on recommendations of the surgeons and 136 patients who were referred to receive PN under the supervision of a dietitian in Razi Hospital in Rasht, Iran. Data on PN and clinical outcomes of the patients were collected.Results: Patients under the supervision of dietitians received higher vitamin B complex and lipids and lower vitamin A and vitamin E than the surgeon-supervised patients (all P < 0.001). In the group receiving PN under the supervision of a surgeon, the level of blood glucose (207 vs. 182, P < 0.01), sodium (138 vs. 136, P = 0.01), potassium (3.97 vs. 3.53, P < 0.01), and white blood cell count (9.83 vs. 9.28, P < 0.01) increased significantly at the end of the PN compared to baseline. In the group receiving PN under the supervision of a dietician, the level of serum Cr (1.23 vs. 1.32, P = 0.04), Mg (2.07 vs. 1.84, P < 0.01), and pH (7.45 vs. 7.5, P = 0.03) significantly improved after receiving parenteral nutrition compared to baseline.Conclusion: The amounts of nutrients recommended for PN by the surgeon and dietitian were different. Implementation of dietitian recommendations in critically ill patients under PN can improve patients' clinical parameters.

Comparative study of the need for re-intervention after chest tube remove in two groups with and without chest x-ray in Patients Admitted into Razi and Poursina hospital in Rasht city

Introduction: The most common types of injuries following blunt or sharp trauma of lungs and the pleural space are pneumothorax, hemothorax and hemopneumothorax, which in most cases are resolved through supportive care and thoracostomy (use of chest tubes). Removal of the CT (chest tube) can result in complication such as pneumothorax and accumulation of fluid in the pleural space. Despite the lack of a standard guideline regarding the management of patients post CT removal, it is advised to procure a CXR as a means of a conservative approach. However, most of the findings acquired from the post CT removal CXR are not clinically significant and in the case of patients requiring intervention, there are almost always clinical signs and symptoms present. Considering the prior statements, the lack of a standard guideline even in the general and thoracic surgery references, show cases the importance of this study. This study is set upon proving that, the omission of post CT removal CXR in asymptomatic patients will not have an impact on the clinical outcome of the case and will reduce the costs as well as the patients' exposure to radiation and hospital stay. Methods: This study is designed as cross-sectional study with a sample size of 200 patients who were hospitalized for CT insertion in the Surgery clinic of Razi and Poursina Hospitals in Rasht between 21/4/2019 and 20/4/2020 and matched our entry criteria. The patients were divided into 2 groups of 100, with one group being monitored without CXR and the other with the use of CXR. Some forms were designed as checklists for the task of data collection. The data analysis was done through Fisher's exact test, Chi square test and Mann Whitney U test. In addition, the Significance level was set at 0.05 (p value ≤ 0.05). Result: Out of the 200 patients included in our study, 120 were male (60%) and the rest (40%) were female. The most common underlying disease in both groups (with and without CXR) of our study was Hip fracture. In both groups, The most frequent reason for CT insertion was pleural effusion (36% and 43% in with CXR and without CXR groups respectively), but the difference between the 2 groups was not statistically significant (p = 0.597). In most of the cases, 1 CT was inserted and there was no statistically significant difference between the 2 groups. The difference between the 2 groups regarding the need for intervention (11 cases in the CXR group and 6 cases in the Non CXR group) was also statistically insignificant. The duration of hospital stay did not show a statistically significant difference between the 2 groups (p = 0.644). Conclusion: Our study suggests that whether a post CT removal CXR is obtained or not, will not make a statistically significant difference in the number of interventions, the cause of intervention, and the number of inserted CTs and the duration of hospital stay. Therefore, it can be suggested that the need for reintervention in post CT removal patients can be determined through clinical signs, symptoms and the surgeon's judgment, without the need for a routine CXR.

The effect of Substituting blood sampling through routine direct venipuncture with intravenous cannulation on the accuracy of hematologic results in children

Background: In pediatric care settings, intravenous cannulation (IVC) is usually needed for diverse purposes. Considering the painfulness and invasiveness of sampling by direct venipuncture (DVP), using a painless and less invasive method would be promising. Therefore, this study aimed to compare the effect of substitution of routine DVP with direct blood sampling through IVC on the accuracy of hematologic results. Materials and Methods: This was a cross-sectional study conducted on 5-14-year-old children admitted to the emergency ward of 17th Shahrivar Pediatric Hospital in Rasht, north of Iran. After discarding only one ml of blood, paired-samples were taken from IVC and DVP and analyzed for 30 most frequently requested electrolytes, hematologic, and blood gas tests. The similarity of the obtained results by the two methods indicated the probability of substituting DVP with IVC and was defined by the absence of significant statistical difference (P&gt;0.05). Results: The comparison between the mean of hematologic factors by two methods showed significant similarity between groups regarding all parameters (P&gt;0.05) except the mean of red blood cell count in the two groups (P&lt;0.05). Assessing the level of electrolytes by two collection methods showed that there was a significant similarity between the mean of all parameters (P&gt;0.05) except for phosphorus (P=.002). Furthermore, assessing the level of electrolytes showed a significant similarity between the potential of hydrogen, partial pressure of carbon dioxide, bicarbonate, and buffer base in the two groups (P&gt;0.05). However, there was a significant difference between partial pressure of oxygen, base excess, and O2 saturation in the two collection methods (P&lt;0.05). Conclusion: Based on the promising results obtained in this study, it seems that these methods could be interchangeably used, and IVC can be an alternative method for DVP by discarding the minimum amount of blood and less invasiveness in children.

From accident to hospital: measuring inequality in pre-hospital emergency services in a city in the North of Iran

PurposeAs a human right, people need to arrive early at the hospitals when they are injured in traffic accidents. Both the mean and equality of the time of arriving at the hospital are important. This study aimed to investigate inequality in arrival time of emergent traffic accident patients to the hospital in 2018–2019 in a city in the North of Iran.Design/methodology/approachThe authors extracted the data from the Guilan province trauma system databank in Poursina Hospital in Rasht in 2018 and 2019. The Gini coefficient was used to calculate inequality, and a regression model was estimated for determining the reason for inequality in time to receive hospital services.FindingsThe study showed that patients’ arrival time from the time of the accident to the time of arrival to the hospital was 64.48 ± 47.63 min (minimum of 9 min and maximum 462 min). Gini coefficient was 0.31 (p <0.001), which does not show high inequality. Regression results showed that the transfer time of patients by car was 40 min longer (p-value <0.001) than ambulances (p = 0.036). In children, the transfer time was 42 min less (p = 0.003). Other variables did not explain the inequality (p > 0.05).Originality/valueAccording to the time of arrival of patients and Gini index, in Rasht, inequality in providing services is not in a bad condition. This indicates that the emergency department does not systematically transport people to the hospital late.

Structural model of the relationship between psychological capital and perceived social support with anxiety through mediation of burnout in female nurses

IntroductionThe aim of this study was to investigate the structural model of the relationship between psychological capital and perceived social support with anxiety through the mediation of burnout in female nurses.Method This research is based on the purpose of the applied type and in terms of data collection method, it is a descriptive research of correlation and structural equation modeling and the statistical population of this study includes all female nurses working in public and private hospitals in Rasht in 1398. 700 people. According to Morgan's table, the background of researches related to the research subject, the criterion for entering and leaving the research and using the sampling method available from Poursina, Razi, public hospitals, according to Morgan table. Rasool Akram (PBUH), Amir al-Momenin, Velayat and Al-Zahra (PBUH) as well as private hospitals in Pars, Gil, Arya, Famili, and Ghaem (AS) were selected as a sample and to the Lutans (2007) Psychological Capital Questionnaire, Support Questionnaire Multidimensionally Perceived Social Responses Zimet et al. (1998), the Maslash & Leiter (2015) Occupational Burnout Questionnaire, and the Zank Anxiety Anxiety Scale (1971). To answer the research hypotheses, Pearson correlation coefficient and structural equation modeling using maximum likelihood using Spss22 and AMOS22 software were used.Results Findings showed that the direct effect of burnout on this variable (0.27) is positive and significant at the level of 0.001. The direct effect of psychological capital (-0.19) and social support (-0.43) on job burnout is negative and significant at the level of 0.001. Psychological capital and social support also account for a total of 25% of changes in burnout.Conclusion In the present study, psychological capital and social support are inversely related to job burnout

Effect of cisplatin chemotherapy on the inner ear function and serum prestin concentration.

One of the main side effects of chemotherapy with cisplatin is irreversible sensorineural hearing loss. This study was conducted to assess the correlation between the serum prestin concentration as a potential cochlear biomarker and audiologic findings in patients after cisplatin chemotherapy. A total of 52 patients aged 18-75years were included in this prospective study. All the subjects were recruited from the radiotherapy and oncology center of a tertiary hospital in Rasht, Iran. Audiologic parameters evaluations and serum prestin concentrations were measured at baseline and after 1-3weeks of chemotherapy. The inner ear function was evaluated by pure-tone audiometry (PTA) and distortion product of otoacoustic emission (DPOAE). A repeated-measure analysis of variance was performed to evaluate the relationship between the PTA, DPOAE, serum prestin concentration and cumulative cisplatin dose. Fifty-two patients (36 females) participated in this study. The PTA results showed that ototoxicity was more frequent among the patients with a high cumulative dose of cisplatin (χ2 trend = 15.25; P < 0.001). DPOAE responses revealed that 38.5% of the patients had ototoxicity change after 40-80mg of cisplatin administration. After receiving 40-80mg of cisplatin, serum prestin concentration increased from 130 to 230pg/ml. There is a significant positive correlation between prestin concentration after receiving more than 80mg of cisplatin and the ototoxic changes in the DPOAE response. The present study showed correlations between prestin concentrations and ototoxicity diagnosis by DPOAE findings. An early rise in prestin concentration is particularly important and an early sign of hearing loss. Future studies are recommended to investigate the effect of varying doses of cisplatin on prestin concentration and any association between ototoxicity and clinicopathological features.

Changes in Opioid Poisoning Pattern in Children: A Retrospective Study in Rasht, Iran

Background: Poisoning comprises about 7% of accidents in children under 5-year-old and 2% of all pediatric deaths in developing countries. To warn against and prevent future potential poisoning with opioid substances, this comparative study was conducted on pediatric cases referred to the 17th Shahrivar Hospital in Rasht, Iran, in 2006 and 2018. Methods: In this retrospective, cross-sectional study, all hospitalized pediatric cases diagnosed with opioid poisoning in 2006 and 2018 were investigated systematically. The demographic data, such as age, gender, city or village of residence, the poisoning substances involved, and the clinical outcomes were extracted from the medical records and entered on an appropriately-designed form. The data analysis was performed, using SPSS software, version 21. Results: Fifty pediatric cases were examined with a mean age of 44.38±3.8 months old. Among these cases, 14 children had been poisoned, 13 of whom with opium and one with morphine in 2006; while in 2018, 36 children had been poisoned with methadone and only one with opium. Conclusion: Comparing years 2006 with 2018, a considerable increase in pediatric opioid poisoning cases was observed with a tendency toward methadone being the substance involved. The occurrences might be due to unsafe access of unaware children to this drug, especially after the initiation of methadone maintenance treatment for opiate addicts, who were mainly the parents or relatives living in the same household.

The Effect of Perceived Organizational Climate on the Performance of Nurses in Private Hospitals

Background: The appropriate organizational climate and subsequent proper performance are goals that challenge hospital managers to achieve successful outcomes. A positive working climate motivates and enhances nurses' performance. Objectives: There was to identify the relationship between perceived organizational climate and nurses' performance. Methods: This is a cross-sectional descriptive study that is performed on nurses working in the private hospitals in Rasht, Iran. The data were collected through two questionnaires of organizational climate and job performance that its validity and reliability were confirmed. SPSS24 and descriptive and inferential statistics were used for data analysis. Results: According to the mean score obtained more than half of the nurses report a positive assessment of the climate in the hospitals. Also, less than one-third of nurses had a ideal level of performance regarding nurses' job performance. Also, the relationship between perceived organizational climate and the level of nurses' performance with the personal and occupational skills of nurses was emphasized. Finally, the relationship between perceived organizational climate and nurses' job performance was statistically significant (P ≤ 0.048). Conclusions: According to the results, the perceived organizational climate has a positive relationship with nurses' performance level. Therefore, managers and practitioners of private hospitals in Rasht should ultimately improve nurses’ performance by improving the organizational climate and by emphasizing variables such as providing work-related facilities, paying attention to nurses' interests, emphasizing team building, participating in decision-making, improving customer service, paying attention to hospital reputation improving relationships among staff and improving compensation practices.

The association between the levels of anti-Müllerian hormone (AMH) and dietary intake in Iranian women.

This paper aimed to assess the association between AMH with dietary intake of adult women referred to the infertility clinic of Al-Zahra Hospital in Rasht, Iran. This cross-sectional study was performed on 234 adult women referred to the infertility clinic of Al-Zahra Hospital, Rasht, Iran. The participants were categorized into two groups based on their AMH levels. Participants' data on lifestyle and anthropometry as well as blood samples were collected. Dietary intakes were assessed by a validated food frequency questionnaire (FFQ). Serum AMH concentration was negatively associated with the intake of fast foods (P = 0.002) and saturated fats (P = 0.040). These associations remained significant after adjustments for age, rural or urban location, and education. Additional adjustments for body mass index (BMI) and physical activity did not change the results. The results remained significant after further adjustments for menstrual age, menstrual pattern, and oral contraceptive pills. Fast foods and saturated fats were significantly associated with lower AMH concentrations and modifying the amount of these dietary components may be an important strategy for increasing the reservation of ovaries in women. Future longitudinal studies are warranted to confirm these findings and to identify the underlying mechanisms.

Evaluation of the Prevalence of Psychiatric Readmission and Associated Factors in Shafa Psychiatric Hospital in Rasht During 2017-2019

Background: Hospital readmission is one of the important priorities of health systems due to its impact on the cost and quality of hospital care and imposing an additional burden on the health system. Complications are much more severe in patients who are readmitted to the hospital, with high mortality, increased length of stay, and a 25% increase in medical costs. Objective: This study aimed to evaluate the prevalence of psychiatric readmission and associated factors in Shafa Psychiatric Hospital in Rasht during the years 2017-2019. Methods: The research method is descriptive-analytical and applied in terms of results. The statistical population of this study consisted of all patients admitted to Shafa Hospital of Rasht during 2017-2019. Sampling method: This study was a convenience sampling with a sample size of 196 people. Data were entered into SPSS 24 software. Descriptive data were expressed as mean, SD, frequency (percentage of frequency). Binomial and χ2 tests were also used to compare the frequency of the 2 groups in a population. Results: The results of this study showed that having a criminal record significantly increases the frequency of readmission, involuntary hospitalization, being single, and not having a readmission risk job. Conclusion: On the basis of the results, it is suggested that the follow-up of patients and providing hospitalization for emotional support and recommendation for appropriate medication can be helpful and reduce the rate of readmission.

Comparison of Maternal predictive factors for Underweight between Low Birth and Normal Weight at Al-Zahra Hospital in Rasht in 2018

Comparison of Maternal predictive factors for Underweight between Low Birth and Normal Weight at Al-Zahra Hospital in Rasht in 2018

Translation, Cultural Adaptation, and Psychometric Features of the Persian Version of the Copenhagen Multi-Centre Psychological Infertility-Fertility Problem Stress Scales (COMPI-FPSS)

Aims: This study was conducted for translation, cultural adaptation, and validation of the Persian version of the Copenhagen multi-centre psychological infertility-fertility problem stress scales (COMPI-FPSS).&#x0D; Study Design: This study was a methodological study.&#x0D; Place and Duration of Study: This research was done in an infertility clinic of an educational hospital in Rasht (north of Iran), from November 2019 to January 2020.&#x0D; Methodology: This study was performed in two phases including tool translation and psychometric testing. Totally, 200 infertile people selected through convenience sampling among subjects met inclusion criteria were included in the study. After obtaining permission from the original tool designer, the COMPI-FPSS (14 items) was translated into Persian using the forward-backward method. Face, content, and construct validity, as well as internal consistency (Cronbach's alpha coefficient and McDonald's coefficient omega) were evaluated, and test-retest was conducted. The data were analyzed using exploratory factor analysis (EFA) by SPSS software Ver. 16.&#x0D; Results: EFA led to retaining of 11 items with 3 factors of “personal domain”, “marital domain”, and “social domain”, which explained 54.42% of the total variance. Cronbach's alpha coefficient for the whole questionnaire was calculated as 0.89; also the overall McDonald's coefficient omega of the questionnaire was equal to 0.82. The correlation between the two test administrations with a 14-day interval was estimated as 0.93.&#x0D; Conclusion: The Persian version of the COMPI-FPSS with 11 items and 3 factors had the desired cultural adaptation, validity, and reliability and it is recommended to use it in the future studies and infertility treatment centers.