In order to help older adults with cardiovascular disease navigate complex decisions, clinicians must know tenets of medical ethics and have good communication skills. The elements of decision making capacity and info...In order to help older adults with cardiovascular disease navigate complex decisions, clinicians must know tenets of medical ethics and have good communication skills. The elements of decision making capacity and informed consent are reviewed, using relevant clinical ex- amples to illustrate the basic concepts. The shared decision making model, by which clinician and patient work together to determine the plan of care, is described. Useful communication techniques to implement shared decision making are suggested.展开更多
Mitochondria are not only the main source of cellular energy but also participate in regulating key physiological processes such as intracellular oxidative stress,signal transduction,and apoptosis,which are crucial fo...Mitochondria are not only the main source of cellular energy but also participate in regulating key physiological processes such as intracellular oxidative stress,signal transduction,and apoptosis,which are crucial for maintaining the structure and function of the skin.Increasing evidence suggests that abnormalities in mitochondrial structure,function,and regulation are closely related to the occurrence and development of skin photoaging.However,the critical role of mitochondria in skin photoaging has yet to be thoroughly explored and studied.In this review,we summarize the roles of mitochondria in the occurrence and development of skin photoaging,aiming to provide new ideas and methods for the prevention and treatment of skin photoaging.展开更多
Objective:In today’s world with sweeping changes,nurses are responsible for providing high-quality and cost-benefit care,which would almost be impossible unless they achieve their high professional status.To date,no ...Objective:In today’s world with sweeping changes,nurses are responsible for providing high-quality and cost-benefit care,which would almost be impossible unless they achieve their high professional status.To date,no precise and comprehensive definition of professionalism in nursing has been evidently proposed.In fact,many of the previously proposed definitions are either complicated or ambiguous.Moreover,there is no consensus in the literature on an exhaustive definition for“a professional nurse.”The present study aimed to illustrate the concept of professionalism in nursing and identify its defining characteristics.Methods:In this study,concept analysis was conducted using Whittemore et al.’s method for the integrated review.A comprehensive search of electronic,scientific databases including Eric,PubMed,Scopus,Web of Science,EBSCO,PsychoINFO,Embass,MagIran,IranDoc,SID,and IRANMEDEX was carried out using the keywords such as professionalism,professional behavior,nursing professionalism(NP),professional attribute,and nursing.Results:In the present study,a comprehensive search of 11 electronic databases retrieved 5738 articles.Then,2837 duplicate articles were removed by endnote(version 8).Based on a preliminary examination of the titles and abstracts as well as the inclusion and exclusion criteria,1517 articles were excluded.In addition,137 articles were removed for scientific reasons.Finally,52 articles in English and Persian were selected.Content analysis of the articles revealed four major themes,namely,individual prerequisite,professional prerequisite,appropriate structure,and socio-individual factors.Conclusions:Professionalism in nursing is a major,multidimensional concept according to the literature that included individual prerequisites,professional prerequisites,appropriate structures,and socio-individual factors.In fact,professionalism in nursing comprises a wide range of personal characteristics,self-regulation,professional values,striving to acquire and enhance professional expertise,professional interactions,social,professional,and legal responsibility,and creation of a sense of belonging,and professional development.展开更多
Objective Considering the importance of out-of-hospital services,the emergence of home care nursing,and the need for an ethical framework in nursing practice,the present study aimed to explore the nurses’experience o...Objective Considering the importance of out-of-hospital services,the emergence of home care nursing,and the need for an ethical framework in nursing practice,the present study aimed to explore the nurses’experience of ethical values of home care nursing.Methods The data of the study was collected using face-to-face individual interviews.Through purposive sampling,20 nurses who worked in the home care centers in four cities of Iran in 2020 were interviewed.They shared their experiences of the ethical values of home care nursing.Then,the interviews were analyzed based on the content analysis approach and using Graneheim and Lundman method.Results In the present study,416 codes were extracted.Merging these codes based on the similarity,seven main themes,and 16 sub-themes were extracted.The themes included perception of the professional identity,respect for the client’s autonomy,respecting privacy,establishing human interaction,maintaining mutual safety,observance of justice,and cultural-religious competence.The sub-themes included responsibility,development of professional and inter-professional interactions,maintaining the professional status at home,providing the holistic artistic care,patient’s privacy,nurse’s privacy,and maintaining the confidentiality of information,respect for the client’s choice,honestly informing,empathetic interaction,adjusting the power positions,client's safety,nurse’s safety,establishing justice,respect for the religious beliefs at home and cultural sensitivity.Conclusion The participants stated that due to entering the patient’s privacy in the home care cases,the ethical values such as perception of the professional identity,privacy,family interactions’management,mutual security,and cultural-religious competence became doubly important compared to the hospital caring.展开更多
Objective:The aim of this study is to compare the effect of Vitamin D and Vitamin E supplementations,alone,and in combination,on reducing the intensity and duration of dysmenorrhea in women who were referred to the Ko...Objective:The aim of this study is to compare the effect of Vitamin D and Vitamin E supplementations,alone,and in combination,on reducing the intensity and duration of dysmenorrhea in women who were referred to the Kowsar gynecological clinics of Shahid Motahari Hospital of Urmia University of Medical Sciences.Materials and Methods:A double-blinded clinical trial was conducted on 112 women with dysmenorrhea who were randomly allocated into the four study groups.Finally,100 women complete the study and received capsules containing a placebo(n=25),1000 IU of Vitamin D(n=25),400 mg of Vitamin E(n=25),and 1000 IU of Vitamin D+400 mg of Vitamin E(n=25)every 24 h for 2 consecutive months at the beginning of the menstrual period.The pain intensity and duration among groups were compared before and after the intervention.Results:The mean menstrual pain duration in all three experimental groups(Vitamin E,Vitamin D,and the combination of them)was lower than the placebo group(all P<0.05),and the mean pain intensity scores in all three experimental groups were significantly lower than the placebo group(all P<0.05).The results(means)for all of the drugs administered at the end of the 2nd month were better than the 1st month(all P<0.01).Conclusions:Vitamin E and Vitamin D,as well as their combination,are recommended as an effective and safe treatment for the management of the complications of dysmenorrhea.展开更多
In this article,we comment on an article by Wang et al published in the World Journal of Diabetes.Existing treatments with oral medications can partially mitigate the toxicity of elevated blood glucose levels in patie...In this article,we comment on an article by Wang et al published in the World Journal of Diabetes.Existing treatments with oral medications can partially mitigate the toxicity of elevated blood glucose levels in patients with type 2 diabetes mellitus.However,these patients often require lifelong,costly medications,and many struggle with poor compliance.To address the limitations of pharmacological treatments,laparoscopic jejunal-ileal lateral anastomosis has become increasingly common in clinical practice and generally yields favorable outcomes.This procedure stimulates the secretion of larger amounts of glucagon-like peptide-1 by intestinal L cells,which in turn promotes pancreatic islet cell proliferation,reduces insulin resistance,and effectively controls glucose and lipid metabolism disorders.Nonetheless,further research is needed to fully explore its indications,contraindications,the enhancement of patients'quality of life and patients’satisfaction with the subjective experience of treatment and long-term effects.展开更多
Unhealthy relationship with death Our relationship with death is unhealthy,as the Lancet Commission on the Value of Death website pointed out clearly on their home page:“Modern health care has an unhealthy relationsh...Unhealthy relationship with death Our relationship with death is unhealthy,as the Lancet Commission on the Value of Death website pointed out clearly on their home page:“Modern health care has an unhealthy relationship with death.We are exploring how to make it healthier.”(Figure 1).展开更多
文摘In order to help older adults with cardiovascular disease navigate complex decisions, clinicians must know tenets of medical ethics and have good communication skills. The elements of decision making capacity and informed consent are reviewed, using relevant clinical ex- amples to illustrate the basic concepts. The shared decision making model, by which clinician and patient work together to determine the plan of care, is described. Useful communication techniques to implement shared decision making are suggested.
文摘Mitochondria are not only the main source of cellular energy but also participate in regulating key physiological processes such as intracellular oxidative stress,signal transduction,and apoptosis,which are crucial for maintaining the structure and function of the skin.Increasing evidence suggests that abnormalities in mitochondrial structure,function,and regulation are closely related to the occurrence and development of skin photoaging.However,the critical role of mitochondria in skin photoaging has yet to be thoroughly explored and studied.In this review,we summarize the roles of mitochondria in the occurrence and development of skin photoaging,aiming to provide new ideas and methods for the prevention and treatment of skin photoaging.
文摘Objective:In today’s world with sweeping changes,nurses are responsible for providing high-quality and cost-benefit care,which would almost be impossible unless they achieve their high professional status.To date,no precise and comprehensive definition of professionalism in nursing has been evidently proposed.In fact,many of the previously proposed definitions are either complicated or ambiguous.Moreover,there is no consensus in the literature on an exhaustive definition for“a professional nurse.”The present study aimed to illustrate the concept of professionalism in nursing and identify its defining characteristics.Methods:In this study,concept analysis was conducted using Whittemore et al.’s method for the integrated review.A comprehensive search of electronic,scientific databases including Eric,PubMed,Scopus,Web of Science,EBSCO,PsychoINFO,Embass,MagIran,IranDoc,SID,and IRANMEDEX was carried out using the keywords such as professionalism,professional behavior,nursing professionalism(NP),professional attribute,and nursing.Results:In the present study,a comprehensive search of 11 electronic databases retrieved 5738 articles.Then,2837 duplicate articles were removed by endnote(version 8).Based on a preliminary examination of the titles and abstracts as well as the inclusion and exclusion criteria,1517 articles were excluded.In addition,137 articles were removed for scientific reasons.Finally,52 articles in English and Persian were selected.Content analysis of the articles revealed four major themes,namely,individual prerequisite,professional prerequisite,appropriate structure,and socio-individual factors.Conclusions:Professionalism in nursing is a major,multidimensional concept according to the literature that included individual prerequisites,professional prerequisites,appropriate structures,and socio-individual factors.In fact,professionalism in nursing comprises a wide range of personal characteristics,self-regulation,professional values,striving to acquire and enhance professional expertise,professional interactions,social,professional,and legal responsibility,and creation of a sense of belonging,and professional development.
基金This research was extracted from PhD thesis and was reviewed by Research Council of Isfahan University of Medical Sciences,Isfahan,Iran and approved with Grant No:398,547.
文摘Objective Considering the importance of out-of-hospital services,the emergence of home care nursing,and the need for an ethical framework in nursing practice,the present study aimed to explore the nurses’experience of ethical values of home care nursing.Methods The data of the study was collected using face-to-face individual interviews.Through purposive sampling,20 nurses who worked in the home care centers in four cities of Iran in 2020 were interviewed.They shared their experiences of the ethical values of home care nursing.Then,the interviews were analyzed based on the content analysis approach and using Graneheim and Lundman method.Results In the present study,416 codes were extracted.Merging these codes based on the similarity,seven main themes,and 16 sub-themes were extracted.The themes included perception of the professional identity,respect for the client’s autonomy,respecting privacy,establishing human interaction,maintaining mutual safety,observance of justice,and cultural-religious competence.The sub-themes included responsibility,development of professional and inter-professional interactions,maintaining the professional status at home,providing the holistic artistic care,patient’s privacy,nurse’s privacy,and maintaining the confidentiality of information,respect for the client’s choice,honestly informing,empathetic interaction,adjusting the power positions,client's safety,nurse’s safety,establishing justice,respect for the religious beliefs at home and cultural sensitivity.Conclusion The participants stated that due to entering the patient’s privacy in the home care cases,the ethical values such as perception of the professional identity,privacy,family interactions’management,mutual security,and cultural-religious competence became doubly important compared to the hospital caring.
文摘Objective:The aim of this study is to compare the effect of Vitamin D and Vitamin E supplementations,alone,and in combination,on reducing the intensity and duration of dysmenorrhea in women who were referred to the Kowsar gynecological clinics of Shahid Motahari Hospital of Urmia University of Medical Sciences.Materials and Methods:A double-blinded clinical trial was conducted on 112 women with dysmenorrhea who were randomly allocated into the four study groups.Finally,100 women complete the study and received capsules containing a placebo(n=25),1000 IU of Vitamin D(n=25),400 mg of Vitamin E(n=25),and 1000 IU of Vitamin D+400 mg of Vitamin E(n=25)every 24 h for 2 consecutive months at the beginning of the menstrual period.The pain intensity and duration among groups were compared before and after the intervention.Results:The mean menstrual pain duration in all three experimental groups(Vitamin E,Vitamin D,and the combination of them)was lower than the placebo group(all P<0.05),and the mean pain intensity scores in all three experimental groups were significantly lower than the placebo group(all P<0.05).The results(means)for all of the drugs administered at the end of the 2nd month were better than the 1st month(all P<0.01).Conclusions:Vitamin E and Vitamin D,as well as their combination,are recommended as an effective and safe treatment for the management of the complications of dysmenorrhea.
文摘In this article,we comment on an article by Wang et al published in the World Journal of Diabetes.Existing treatments with oral medications can partially mitigate the toxicity of elevated blood glucose levels in patients with type 2 diabetes mellitus.However,these patients often require lifelong,costly medications,and many struggle with poor compliance.To address the limitations of pharmacological treatments,laparoscopic jejunal-ileal lateral anastomosis has become increasingly common in clinical practice and generally yields favorable outcomes.This procedure stimulates the secretion of larger amounts of glucagon-like peptide-1 by intestinal L cells,which in turn promotes pancreatic islet cell proliferation,reduces insulin resistance,and effectively controls glucose and lipid metabolism disorders.Nonetheless,further research is needed to fully explore its indications,contraindications,the enhancement of patients'quality of life and patients’satisfaction with the subjective experience of treatment and long-term effects.
文摘Unhealthy relationship with death Our relationship with death is unhealthy,as the Lancet Commission on the Value of Death website pointed out clearly on their home page:“Modern health care has an unhealthy relationship with death.We are exploring how to make it healthier.”(Figure 1).
