Introduction: Epidemiological studies suggest convincing evidence for a meaningful relationship between type 2 diabetes and dementia. It also shows that type 2 diabetes is a major cause of Alzheimer's disease. Given the Iranian population's profile of about 31 million middle-aged people, in the next two decades, older people will form a large population. On the other hand, the increase in Alzheimer's in the elderly is due to the prevalence of this disorder and the adverse effects and adverse effects in the next two decades. And so far, quantitative research has been conducted to investigate the risk of Alzheimer's disease in diabetic patients in Khuzestan province. Therefore, this study titled "The communication Between Diabetes and Alzheimer's Disease: study on diabetic patients referring to health centers in three cities of Khuzestan province" was done. Materials and Methods: This retrospective cross-sectional descriptive study was conducted on diabetic patients hospitalized in Shoushtar, Behbahan, and Abadan, between 2015 to 2017. The files of these patients who were diagnosed with diabetes and referred to medical centers in the mentioned cities that were extracted from medical records of city hospitals and entered the study. Data were then entered into SPSS software version 20. Data were analyzed using descriptive statistics, analytical tests and the significance level of P <0.05. Results: In this study, the mean age of patients was 57.00 ± 46.23 years. A statistically significant relationship was found between diabetes and those with Alzheimer's disease (p = 0.006). However, there was no significant relationship between diabetes and those with a history of cardiovascular disease (p = 0.09). There was no significant relationship between education and those with Alzheimer's disease (0.06). But a statistically significant relationship was found between jobs with those with Alzheimer's disease (0.003). Conclusion: In this study, there was a significant relationship between diabetes and those with Alzheimer's disease. Therefore, this study showed the risk of Alzheimer's disease in diabetic patients in the three mentioned cities. More epidemiological and clinical research is needed to investigate the relationship between these two diseases in a wider and larger volume.
Introduction: Nowadays The health care systems around the world face many challenges and in many cases, health care is accompanied by many question Therefore, evidence-based practice, as an essential factor for improving health care is more emphasis. This study aimed to investigate the knowledge and attitude of nursing students of Dezful university of medical sciences toward evidence-based nursing. Method: This descriptive-analytical study was conducted in the second semester of the academic year of 2017-2018 at the Faculty of Nursing and Midwifery of Dezful university of medical sciences. The data collection tool was a standard questionnaire "Knowledge, attitude and practice of undergraduate nursing students about evidence-based practice". Data were analyzed using descriptive and analytical statistics in SPSS software. Results: The results showed that knowledge and attitude toward evidence-based practice with access to medical evidence from the Internet (p = 0/001, r = 0/273) and journal clubs (p = 0/000, r = 0 / 306) and the use of reference books and referring to them (p = 0/000, r = 0/401), there is a statistically significant relationship (p=0/01, r=0/277). This means that the mean scores of knowledge and attitudes among students most in search of scientific evidence in various ways (internet and journal clubs and reference books), as well as easier access to evidence, were significantly higher than other students. Conclusion: Evidence-based nursing is a process that is Emphasis on the latest findings will take the best decisions in order to raise the quality of care. Therefore, it is better for students to become fully acquainted with this concept and learn it. although The students' attitudes toward evidence-based practice was moderate; But with proper planning educational reforms in the education of nursing students, can be an important step in the development and promotion of evidence-based practice picked up.
Introduction: Excessive stress impairs performance and reduces the productivity of employees in organizations. Therefore, stress is one of the issues that is being explored in the field of management and organizational behavior. Therefore, organizations in their program have a lot of attention to studying, controlling and reducing stress in the workplace, in order to reduce the cost of physical and psychological damage to stress. And it also boosts the productivity of its employees. Stress management can be very important in using educational programs. This systematic review was conducted with the aim of determining educational interventions in reducing nursing job stress.G Materials and Methods: In this systematic review using articles published in the last 25 years about educational interventions to reduce nursing job stress. It was conducted in English and Persian by searching articles in search engines, sites and authoritative scientific databases SID, Magiran, Google Scholar, Embase, Researchgate, ScienceDirect, PubMed, Springer. In the first stage, 35 papers were found. Of these, 10 related articles that have been published in the last 25 years have been reviewed.G Results: In this study, ten articles have reviewed that show the positive effect of training on reducing the stress of nurses. One of these studies was to investigate the effect of critical thinking training on occupational stress on nurses. Revealed a significant reduction in the job stress score among the subjects of the critical thinking training group and These results were also significant in comparison with the control group.G Conclusion: Many workplaces suffer from work stress in workplaces but they are not aware of the proper solution to prevent and manage this stress. It can be said that the implementation of vocational stress management training programs by increasing the level of employees' awareness of how to manage occupational stress, how to better manage time and also to modify work interactions to reduce job stress, this problem can be reduced among employees. And it can improve your job satisfaction day by day.
Introduction: Diabetes is the most common metabolic disease and a major global challenge that is the leading cause of death in the industrialized and developing world. Therefore, this study was performed on some influential factors on severity of diabetic foot ulcers and predisposing of limb amputation. Materials and Methods: In this cross-sectional descriptive-analytic study, 4436 cases of diabetic patients admitted to Khatam-ol-Anbia hospital of Shoushtar from 2010 to 2016 were studied. The data in this study included three sections: demographic information, ulcer severity based on Wagner’s criterion, and clinical and laboratory data. Then data were analyzed using descriptive and analytical statistical tests. Results: This study included 4436 patients with diabetes with a mean age of 54.36 ± 42.68 years. 421 patients (9.4 percent) had a history of diabetic foot ulcers. Also, 385 patients (8.6%) had a history of limb amputation. In this study, 596 patients (13.4%) had a history of smoking and the relationship between smoking and drug use with the severity of ulcer was significant (p = 0.006). In this study, in the majority of patients with diabetic foot ulcers (60.3%) had severity of ulcer based on Wagner’s criterion was second grade. In terms of bacteriology, 57.7% of the patients during the admission period had cultures of the ulcer site discharge, that the most commonly of mass in 26.7% of cases was Staphylococcus aureus. In this study, the relationship between type of bacteria and severity of ulcer and limb amputation was significant (P <0.05), This means that the ulcers that had negative coagulase-staphylococcus bacteria, were higher the severe ulcer and amputations. Conclusion: In this study, the relationship between type of bacteria and severity of ulcer and limb amputation was significant, this means that the ulcers that had negative coagulase-staphylococcus bacteria, were higher the severe ulcer and amputations.
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