ORIGINAL_ARTICLE
Therapeutic Potential of Traditional Indian Herbal Medicine in COVID-19: A Narrative Review
Background: Coronavirus disease 2019 (COVID-19) has become a global challenge to the health care system. A novel agent to combat this deadly virus is still a matter of research. Herbal molecules have served humanity since the beginning. Objectives: This narrative review aims to study the antiviral properties of medicinal plants, which are already effectively used in the past against various viruses. It derives the importance of exploration of such phytochemicals, which can be complementarily used to treat COVID-19. Methods: Studies related to traditional medicine and treatment for viruses were retrieved from databases including PubMed, Google scholar until December 2020 using the keywords SARS-CoV-2, COVID-19, Immunological, Phyto-chemicals, Traditional Medicine. The resulting publications were analyzed to develop a narrative review on the traditional Indian phytochemicals that have been shown to effectively treat various viral infections and potentially treat or prevent COVID-19. Results: Many of the researches are showing that Indian herbal compounds have a significant potential against viral diseases. Plants like Azadirachta indica, Withania somnifera, Tinospora cordifolia, Ocimum basilicum, and many more have been shown tremendous antiviral, anti-inflammatory, and immune-modulatory activities. Conclusion: Phytochemicals obtained from the herbs can be helpful in the treatment and prevention of SARS-CoV-2via various modes such as inhibition of attachment, penetration, uncoating, replication, assembly, and release of respiratory viruses. Further analysis of the potential phytochemicals in treating SARS-CoV-2 in clinical trials is warranted.
https://www.jhpr.ir/article_130859_d3032716db37175344b23ad0d24fc287.pdf
2021-06-01
42
50
10.34172/hpr.2021.09
SARS-CoV-2
COVID-19
Immunological
Phyto-chemicals
traditional medicine
Snigdha
Singh
drsnigdhasingh5@gmail.com
1
Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Bhopal, India
AUTHOR
Danish
Javed
danish.ayush@aiimsbhopal.edu.in
2
Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH), All India Institute of Medical Sciences (AIIMS), Bhopal, India
AUTHOR
Sukhes
Mukherjee
sukhes.biochemistry@aiimsbhopal.edu.in
3
Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Bhopal, India
AUTHOR
Rishabh
Mittal
drrish376@gmail.com
4
Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Bhopal, India
AUTHOR
Nidhi
Chourasia
ninnichourasia123@gmail.com
5
Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Bhopal, India
AUTHOR
Amit
Agrawal
dramitagrawal@gmail.com
6
Department of Neurosurgery, All India Institute of Medical Sciences (AIIMS), Bhopal, India
AUTHOR
Ashwin
Kotnis
ashwin.biochemistry@aiimsbhopal.edu.in
7
Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Bhopal, India
LEAD_AUTHOR
ORIGINAL_ARTICLE
Factors Influencing Turnover Intention of Physicians in Deprived Areas
Background: The lack of specialist physicians is a major concern in developing countries, especially in deprived cities. Objectives: This study aimed to identify the predictive variables of the turnover intention of physicians working in an undeveloped and deprived city in Iran. Methods: Participants were 100 physicians working at North Khorasan University of Medical Sciences, Iran. The data were collected using a standard questionnaire of Turnover Intention, Interpersonal Conflict, Work-Family Conflict, Work Overload, and Organizational Support scales. We proposed a hybrid methodology to identify factors influencing turnover intention, which combines clustering and classification methods. RStudio 1.1, SPSS Clementine 12, and SPSS 22 programs were used for data analysis. After data clustering, we made a CART decision tree model for each cluster and used the variable importance feature of SPSS Clementine to discover the factors influencing turnover intention in each cluster. Results: We found two significant clusters of physicians’ turnover intention. In both clusters, interpersonal conflict (work ambiguity and work conflict) was the most important predictor of physician turnover intention, but physicians in the first cluster compared to the second had a higher turnover intention. In cluster 1, work overload, organizational support, and work-family conflict were respectively the predictors of physician turnover intention and in cluster 2, organizational support, work-family conflict, and final work overload were respectively the predictors of physician turnover intention. Conclusion: Cultural differences and the resulting interpersonal conflicts are the most important predictors of physician turnover intention in deprived areas. Turnover intention predictions of physicians with a longer work experience are different from that of others, and human resource managers must implement appropriate strategies to keep physicians in the deprived areas.
https://www.jhpr.ir/article_127870_0bbcd15bcc350110ce5de6817a8b379a.pdf
2021-06-01
51
58
10.34172/hpr.2021.10
turnover intention
Work Ambiguity
Work Conflict
organizational support
work-family conflict
Work Overload
Zahra
Nikkhah-Farkhani
z.nikkhah@ub.ac.ir
1
Business Management Department, University of Bojnord, Bojnord, Iran
LEAD_AUTHOR
Azadeh
Soltani
a.soltani@ub.ac.ir
2
Department of Computer Engineering, University of Bojnord, Bojnord, Iran
AUTHOR
ORIGINAL_ARTICLE
Highlighting the Relevance of Motivation and Job Satisfaction of Nurses in Ghanaian Hospitals
Background: Provision of quality and accessible health services comes with its challenges. Therefore, the need to highlight how motivation and job satisfaction can impact nurses’ performances at the Korle-Bu teaching hospital. Objectives: The research aimed to practically highlight nurses’ motivation and job satisfaction by identifying what constituted motivation packages of nurses and how the work they did could give them satisfaction at the Korle-Bu teaching hospital. Methods: The research employed a qualitative method with a case study design. In-depth interviews and focus group discussions (data triangulation) were used for primary data collection. A total of 40 respondents, including ten key informants, were selected using the purposive and convenience sampling techniques. Results: The research found that the recognition of needs of nurses, improved remunerations, enhanced conditions of service of the nurses’, regular payment of nurses’ salaries’, the institution of study leave with pay policy, among others, were considered as factors that could contribute to nurses’ motivation and job satisfaction. These findings are consistent with the findings of other studies. Again, the study found that professional allowances paid to nurses, reduced rent, and the like are current motivation packages directed at nurses at the Korle-Bu teaching hospital. Conclusion: It is important to state that for motivation to accomplish its intended purpose, there is the need for the hospital to identify the individual needs to satisfy to enhance job satisfaction.
https://www.jhpr.ir/article_130861_819d6e0d7e8450fb5fbf03a874dcc7a2.pdf
2021-06-01
59
64
10.34172/hpr.2021.11
Motivation
Job Satisfaction
Remuneration
Salaries and Fringe Benefits
Hospitals
Health Services
Charles
Botchwey
chaboat08@yahoo.com
1
Department of Health Administration and Education, Faculty of Science Education, University of Education, Winneba, Kumasi, Ghana
LEAD_AUTHOR
ORIGINAL_ARTICLE
Age and the Length of Hospital Stay in Patients With Sepsis at the ICU Admission can Prolong the Duration of Endotracheal Intubation
Background: Endotracheal intubation (EI) associated with mechanical ventilation (MV) is frequently performed in critically ill patients admitted to intensive care unit (ICU) with sepsis. Objectives: This study aimed to assess the impact of important factors on the duration of tracheal intubation in patients with sepsis at the ICU admission. Methods: Adult patients admitted to the mixed medical–surgical ICUs with sepsis at the ICU admission who needs prolonged mechanical ventilation (PMV) (≥ 21 days) were included in this retrospective secondary analysis study. The primary outcome was ICU mortality. Baseline demographic and clinical characteristics of all patients were assessed as risk factors associated with the duration of MV by univariate and multivariate Binary logistic regression. Results: Eighty-five patients required more than 21 days of MV. Out of the 85 patients, 52 (61.2%) patients were intubated within 30 to 34.50 days and 33 (38.8%) patients had intubation within 34.51 to 65 days, and categorized as PMV and very prolonged MV groups, respectively. Two parameters were significantly associated with very prolonged MV which are as follows: older age 1.229 (95% CI: 1.002-1.507, P = 0.048) and long hospital stay (LOS) 2.996 (95% CI: 1.676-5.356, P < 0.001). No significant survival difference was observed between the two groups of study. (33.3% vs. 25%, P = 0.406). Conclusion: Our observations showed that the older age and LOS as pre-ICU stay in patients with positive sepsis at the ICU admission can prolong the duration of intubation. In addition, no significant survival difference was observed between patients with PMV and very prolonged MV.
https://www.jhpr.ir/article_122190_d4444c9e481b5aae3fa5b10ef44dc805.pdf
2021-06-01
65
70
10.34172/hpr.2021.12
Sepsis
Intensive Care Unit
Endotracheal Intubation
Prolonged Mechanical Ventilation
Farshid
Rahimibashar
fr_rahimibashar@yahoo.com
1
Department of Anesthesiology and Critical Care, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
AUTHOR
Amir
Vahedian-Azimi
amirvahedian63@gmail.com
2
Trauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Mahmood
Salesi
smahmood1360@yahoo.com
3
Chemical Injuries Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Masoum
Khosh Fetrat
drkhoshfetrat@yahoo.com
4
Departments of Anesthesiology and Critical Care, Khatamolanbia Hospital, Zahedan University of Medical Sciences, Zahedan, Iran
LEAD_AUTHOR
ORIGINAL_ARTICLE
Identifying the Factors Affecting the Management of Addiction Treatment Clinics: A Qualitative Study
Background: Due to the expansion of addiction treatment clinics and the costs that these clinics incur on the government and the families of addicts, monitoring the performance of these clinics and the need to pay attention to the principles of management, efficiency, and effectiveness is essential. Objectives: The present study was conducted to identify the factors affecting the management of addiction treatment clinics. Methods: The present study is a descriptive-applied and cross-sectional study conducted in 2019. Experts and academic experts have been considered as the research community, and 18 people were selected as the research sample by the purposeful snowball method. Data collection tools were the review of relevant national and international documents as well as semi-structured exploratory interviews. Finally, after collecting information from the interview sections and reviewing the sources, the data foundation and coding methods (open, axial, and selective) were used to classify the data.Results: The findings of the study showed that the effective factors in the management of addiction treatment clinics are dimensions such as organization, planning, control, guidance as well as leadership and treatment management. Conclusion: According to the findings of this study, it can be concluded that the effective factors in the management of addiction treatment clinics can be a good basis to evaluate managers so that the policies and programs of the organization can be upgraded, modified, and reviewed.
https://www.jhpr.ir/article_118147_4c76d42485ed6d2f1e963494c8a96d38.pdf
2021-06-01
71
74
10.34172/hpr.2021.13
Clinical Management
Addiction Cessation
Treatment Management
Iraj
Abdi
dr.irajabdi@yahoo.com
1
Department of Health Services Management, School of Medical Sciences and Technologies, Science and Research Branch, Islamic Azad University, Tehran, Iran
AUTHOR
Ali
Komeili
a.komeili@srbiau.ac.ir
2
Department of Health Services Management, School of Medical Sciences and Technologies, Science and Research Branch, Islamic Azad University, Tehran, Iran
LEAD_AUTHOR
Leila
Riahi
dr.l.riahi@gmail.com
3
Department of Health Services Management, School of Medical Sciences and Technologies, Science and Research Branch, Islamic Azad University, Tehran, Iran
AUTHOR
Seyed Jamaledin
Tabibi
sjtabibi@yahoo.com
4
Department of Health Services Management, School of Medical Sciences and Technologies, Science and Research Branch, Islamic Azad University, Tehran, Iran
AUTHOR
ORIGINAL_ARTICLE
Relationship Between Educational Justice and Academic Burnout in Medical Interns
Background: Poor teaching and lack of proper relations between teacher and student and various other causes affect students’ academic burnout. Objectives: Present study was conducted to determine the relationship between educational justice and academic burnout in medical interns of Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Methods: This study was descriptive and analytical. The number of samples was equal to 300 medical interns identified and entered by the census sampling method. Data were completed by two questionnaires (researcher-made educational justice and burnout standard) whose reliability and validity were confirmed. Data were analyzed by SPSS Version 22. Results: There was no significant relationship between educational justice and academic burnout (P>0.05). Also, educational justice was below average and academic burnout was above average. There was a significant relationship between educational justice score and gender (P < 0.05), and there was no critical relationship with other demographic variables (P>0.05). There was no significant relationship between academic burnout score and all demographic variables (P>0.05). Conclusion: This study concluded that causes other than educational justice have been influential on students’ academic burnout. Hence, it suggested that studies be conducted on high academic burnout and identify influential variables. On the other hand, although the relationship between the two variables was not significant, due to the low level of educational justice, the university’s need for fair educational opportunities, especially professors, should be considered.
https://www.jhpr.ir/article_119694_7e673e79ca44f9af960e260bcf179c22.pdf
2021-06-01
75
79
10.34172/hpr.2021.14
Educational Justice
Academic burnout
Medical Interns
Arash
Malakian
malekianarash@gmial.com
1
Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
AUTHOR
Mehdi
Sayyah
sayahbargard@gmail.com
2
Education Development Center (EDC), Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
AUTHOR
Kowsar
Motamed
mohammad.motamed96@gmail.com
3
Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
LEAD_AUTHOR
ORIGINAL_ARTICLE
Pachymeningitis in a Patient With Granulomatosis With Polyangiitis; A Case Report
Inrtoduction: Granulomatosis with polyangiitis (GPA) is a systematic and necrotizing vasculitis with positive autoimmune antibodies. Some studies have reported the prevalence of eye involvement between 40%-50% of cases. Retro orbital granuloma is a rare complication of GPA which should be treated by surgical involvements, while pachymeningitis can be diagnosed by MRI and treated by medical management. In this study, we tried to present a case of GPA with optic neuritis and typical central nervous system (CNS) involvement, while there were no definite features of sinusitis or kidney injuries. Case Presentation: A 15-year-old girl was admitted because of blurred vision in her left eye. She was a known case of GPA three years ago with initial features, including left facial nerve paresis due to pan-sinusitis and pulmonary cavity. Neurologic evaluations, including sensory and motor features, were normal, too. Ophthalmologic examinations showed that visual acuity of the right eye was good, while the visual acuity in the left eye decreased to the point of finger counting at a distance of 20 cm. The left eye Marcus gunn test was positive (3+); anterior and posterior eye segments were normal. The patient was evaluated by brain MRI with gadolinium and a pathologic enhancement in the left cavernous was seen which had a pressure effect on the optic nerve. She was treated by intravenous methylprednisolone followed by rituximab. Conclusion: Reporting orbital mass in a patient who had GPA can be supposed as granuloma which needs a biopsy to confirm a diagnosis. In our case, the imaging manifestation was heterodox for granuloma, while neurosurgical consultation recommended drug treatment for pachymeningitis.
https://www.jhpr.ir/article_127872_76ca67a3155ddd3f28ccfc17345ab7be.pdf
2021-06-01
80
82
10.34172/hpr.2021.15
GPA
Pachymeningitis
Granuloma
Orbit
Gholam Hossein
Alishiri
ghalishiri@gmail.com
1
Chemical Injuries Research Center, Systems Biology and Poisonings Institute, Department of Rheumatology, Faculty of Medicine, University of Medical Sciences, Tehran, Iran
AUTHOR
Ehsan
Rahmanian
drrahmanianehsan@yahoo.com
2
Student Research Committee, Department of Rheumatology, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR
Mahsa
Ramezanpour
ramezanpour.mahsa@yahoo.com
3
Student Research Committee, Department of Rheumatology, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
ORIGINAL_ARTICLE
Non Invasive Ventilation a Threat for Health Care Workers in COVID-19 Outbreak
https://www.jhpr.ir/article_129430_94d3dc09d46cb847b993d0bce378561c.pdf
2021-06-01
83
84
10.34172/hpr.2021.16
Ventilation, Oxygen Therapy, Nurses, COVID-19, Noninvasive Ventilation
NIV
Yaser
Saeid
yasernurse84@yahoo.com
1
Trauma Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Mohammad Ali
Sheikh Beig
sheikhbeigali@gmail.com
2
Nanobiotechnology Atherosclerosis Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
AUTHOR
Malihe Sadat
Moayed
msmoayed@gmail.com
3
Trauma Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
LEAD_AUTHOR