The relationship between attitude of nurses toward the patient safety and missed nursing care: A predictive study.

BACKGROUND: Positive attitude of nurses toward patient safety can play a major role in increasing the quality of nursing care and reducing missed nursing care. This study was conducted to determine the relationship between the Attitude of Nurses Toward Patient Safety and missed nursing care. METHODS: This study was conducted in 2021 at the hospitals of Tabriz University of Medical Sciences (Iran). In the present study, 351 nurses were included in the study by using a stratified random sampling method. Data collection tools were demographic questionnaire, missed nursing care questionnaire, and patient safety attitudes questionnaire. Missed Nursing Care Questionnaire includes 24 items, such as patient movement, rotation, evaluation, training, discharge planning, medication prescription, scored on a 4-point Likert scale ranging from score 1 (I miss rarely), score 2 (I miss occasionally), score 3 (I miss usually), and score 4 (I miss always). The highest score is 96 and the lowest score is 24 on this scale. A higher score indicates a higher possibility of missed care. RESULTS: The mean total (standard deviation) of missed nursing care was 32.76 (7.13) (score range: 24-96) and the mean total score of nurses' patient safety attitudes was 53.19 (18.71) out of 100. Results of the present study showed that nurses' patient safety attitudes are at a moderate level and have a significant inverse relationship with the incidence of missed nursing care (P<0.001). CONCLUSION: According to the results and given the relationship between patient safety attitudes and missed nursing care, it is essential to use individual and organizational interventions to increase patient safety attitudes in various dimensions in nurses and consequently to reduce missed nursing care and improve the quality of healthcare.

The incidence of hip fracture in Shiraz, Iran: a promising rate comparing to previous studies.

We evaluate the incidence of hip fracture in 50 years old or above in southwest of Iran. Age-adjusted incidence rates of hip fracture, standardized to the 2000 US white population, were 79.55 per 105 in total and 66.51 and 92.37 per 105 in male and female, respectively. INTRODUCTION: Osteoporosis-related hip fracture is associated with considerable morbidity, mortality, and costs in older people. The aim of this study was to evaluate the incidence rate of hip fracture in the capital of Fars Province, southern Iran. METHODS: This study was conducted in Shiraz, Iran, from September 1, 2011, to August 30, 2012. All 50-year-old or above patients with hip fracture diagnosis, lived in Shiraz at least 6 months prior to hospital admission, were included in this study. All statistical analyses were performed using SPSS, version 18.0, and Microsoft Excel 2007 software. RESULTS: The mean age of 608 patients was 75.95 ± 11.07 and 353 (58.3%) were female. Age-adjusted incidence rates of hip fracture, standardized to the 2000 US white population, were 79.55 per 105 in total and 66.51 and 92.37 per 105 in male and female, respectively. The adjusted incidence rate of neck of the femur fracture (30.62 per 105 versus 23.49 per 105, p = 0.61) and intertrochanteric fracture (40.48 per 105 versus 28.5 per 105, p = 0.74) were higher in females than males but the differences were not statistically significant. Under the age of 65 years, the incidence rate of hip fracture was significantly higher in men, but after 65 years, it was higher among women. CONCLUSION: The rate of osteoporotic hip fracture was relatively low in southern Iran. However, by aging population, this rate will increase and health policy makers should implement targeted osteoporosis screening and management programs.

Effect of diet contains sesame seed on epididymal histology of adult rat / Efecto de la dieta con semillas de sésamo sobre la histología del epidídimo de la rata adulta

Sesamin is a major lignan constituent of sesame seed and considered as a key factor in a number of beneficial effects on human health. Sesame leaves intake improve and increase epididymal spermatocytes reserve in adult male sprague dawley rat. The present study was aimed to investigate the effects of contain sesame seed on epididymis histologhical structure. Thirty adult male rats were divided into two groups of 15 rats each. The regimen group received diet containing 30% sesame seed, while the control group received diet along 12 weeks. The right epididymis were removed and minced into several pieces on a specimen bottle containing normal saline for some few minutes to allow the sperms to become motile and swim out and sperm parameters were analyzed. Left epididymis were divided into three sections and fixed into bouin,s solution for further investigation. Serum FSH and LH concentration were estimated by ELISA technique, Testosterone concentration was done by using Chemo-Luminance method. The body weight gained during the treatment period did not differ significantly among groups. The mean epididymal sperm motility and count of the experimental group was significantly higher than control group. LH levels significantly increased in experimental group compared to controls but significant changes in FSH and testosterone levels were not observed in both groups. The results obtained showed that the mean epididymal diameter of the tubular, lumen and epithelium in three parts were not significant in two groups. It can be concluded that sesame seed improves sperm parameters (motility and count) and also can increase LH. But diet contains sesame seed did not affect on epididymal tissue and body weight.

La sesamina es un importante componente de los lignanos en las semillas de sésamo, y se considera un factor clave en una serie de efectos beneficiosos para la salud humana. La ingesta de sésamo podría mejorar y aumentar la reserva de espermatocitos en el epidídimo en ratas macho adultas Sprague Dawley. El presente estudio tuvo como objetivo investigar los efectos de una dieta que contiene semillas de sésamo sobre la histología del epidídimo de rata Wistar adultas. Treinta ratas macho fueron divididas en dos grupos de 15 animales. El grupo con régimen especial recibió una dieta que contuvo 30% de semillas de sésamo, mientras que el grupo control recibió una dieta estándar durante 12 semanas. El epidídimo del lado derecho fue removido y se cortó y maceró en varios trozos sobre un recipiente de vidrio conteniendo una solución salina normal, durante algunos minutos para permitir que los espermatozoides se volvieran móviles y nadaran fuera; luego los parámetros espermáticos fueron analizados. El epidídimo del lado izquierdo se dividió en tres secciones y se fijó en solución de Bouin para análisis adicionales. Las concentraciones séricas de FSH y LH se estimaron mediante la técnica ELISA, y la concentración de testosterona mediante el método quimioluminencia. El peso corporal obtenido durante el período de tratamiento no difirió significativamente entre los grupos. La motilidad media de espermatozoides del epidídimo y recuento del grupo experimental fue significativamente mayor que el grupo control. Los niveles de LH fueron significativamente mayores en el grupo experimental; no se observaron cambios significativos en los niveles de FSH y testosterona en ningún grupos. Los resultados obtenidos mostraron que el diámetro medio del epidídimo, lumen y epitelio en tres partes diferentes no mostraron cambios significativas en ambos grupos. Se puede concluir que las semillas de sésamo mejoran los parámetros espermáticos (motilidad y recuento), y también puede aumentar la LH. Sin embargo, la dieta que contiene semillas de sésamo no afectó el tejido del epidídimo y peso corporal.