ORIGINAL_ARTICLE
The Relationship between Contextual Factors and Spiritual Needs with Spiritual Well-being in Patients with Cancer Diseases
Aim and Background: Exposure to cancer causes physical, psychological, and spiritual crisis. Spiritual health coordinates different aspects of human life to one another, and it is the vital aspect of human life for the adaptation to the disease. This study aimed at investigating the relationship between spiritual needs and contextual factors regarding spiritual well-being in cancer patients. Methodsand Materials: This is a descriptive correlational study. The participants were 141 patients with cancer diseases (female 76, male 65) from Sari city selected through convenience sampling. The data were collected using the spiritual well- being scale, spiritual needs scale, and contextual dimension scale. Results: For data analysis, stepwise regression analysis was used. Results of statistical analyses showed that there was a significant and positive correlation between scores on the components of spiritual needs and spiritual well- being. Therefore, the subscales of the spiritual needs, such as "religious needs" (P<0.001), "existentialistic needs” (P<0.001), "needs for inner peace”(P<0.001), and "actively giving needs” (P<0.001) had positive correlation with spiritual well-being. Furthermore, among all components of spiritual needs, religious needs, existentialistic needs, and actively giving needs had a stronger predictive power in family flexibility. There were also significant correlations between “behavioral "(P<0.001), "political"(P<0.001), “governmental "(P<0.001), "public health"(P<0.001), “medical "(P<0.001), and "employment"(P<0.001) dimensions of and spiritual well- being, and all these factors had the highest degree of variance in spiritual well- being. Conclusion: It is concluded that religious needs and contextual dimension, as two psychological constructs, can play a significant role in creating spiritual well-being.
https://smsj.sums.ac.ir/article_45795_e6613f58037b74689741a50bbd0e7251.pdf
2019-10-01
335
356
10.30476/smsj.2019.83221.1053
Spiritual Need
Contextual Factors
Spiritual Well- being
Cancer patients
Mohammad
Ahangarkani
m_ahangarcani@yahoo.com
1
Ph.D. Student in psychology, Department of clinical of Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran
AUTHOR
Isaac
Rahimian Boogar
i_rahimian@yahoo.com
2
Ph.D. in Health Psychology, Associate Professor, Department of clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran
LEAD_AUTHOR
Shahrokh
Makvand Hossein
sh.makmand@yahoo.com
3
Ph.D. in Psychology, Associate Professor, Department of clinical of Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran
AUTHOR
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21. Usefi A.R, Ghassemi G.H, Sarrafzadegan N, Malek S, Baghaei A, Rabiei, K. Psychometric properties of the WHOQOL-BREF in an Iranian Adult sample- community. Mental Health Journal 2009: 46 (2): 139-147. (In Persian)
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22. RasouliNejad M, Shibani, H, Muharrami J. Relationship of Spirituality with Commitment and Responsibility in Students (Case Study of Payame Noor University of Damghan). Culture at Islamic University2014: 4 (1):119-139. (In Persian)
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23. Mahmoodishan G, Alhani F, Ahmadi F, Kazemnejad A. Iranian nurses’ perception of spirituality spiritual care: A qualitative content analysis study. Journal of Medical Ethics and History of Medicine 2010: 3 (6): 1-8. (In Persian)
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45
ORIGINAL_ARTICLE
The Efficiency of a Comprehensive Management Information System in Organizing the Growth Centers of Shiraz University of Medical Sciences
Introduction: Today, organizations feel that they need accurate, relevant, and timely information in order to properly fulfill their assigned tasks. The Management Information System (MIS), a type of Information System (IS), has a significant impact on organizations' performance. This study aimed at investigating the effectiveness of a comprehensive management information system in organizing incubator centers of Shiraz University of Medical Sciences. Materials and Methods: A comprehensive management system was developed in 2017-18 to collect information for technology incubator centers and companies based in Shiraz University of Medical Sciences using a model based on modern research methods in management. This system was then physically installed at Shiraz University of Medical Sciences and was used in six technology incubator centers of Shiraz University of Medical Sciences. The efficiency of the information management system of the technology incubator centers was studied and analyzed using descriptive methods through questionnaires designed based on Likert's five-point scale; SPSS and EXCEL software applications were also used. Findings: The result of this research showed the participants’ satisfaction with the indicators related to the design, installation and implementation phases, and also the increased speed of users’ responsiveness, the reduced times of data entry, user satisfaction, experience of interaction with the system, reduced workload, accuracy and precision of information, and increased relationship between incubator centers and companies. Conclusion: The present study concluded that proper implementation of management information system can be effective in improving personnel performance, managers' decisions, and productivity of growth centers in developing and supporting knowledge-based companies. By reviewing and upgrading the management dashboard, the performance of the system can be improved to meet national needs at any time and as a result, it will save time.
https://smsj.sums.ac.ir/article_45796_04493f941bd50aa2d8df9544b951ad05.pdf
2019-10-01
357
368
10.30476/smsj.2019.81737.1003
Management Information System
Incubator
Assessment
effectiveness
Nahal
Aarabi
aarabi@sums.ac.ir
1
Ph.D Student of Information Technology Management, Hamedan Branch, Islamic Azad University, Hamedan, Iran
AUTHOR
Rouhollah
Tavallaee
tavallaee.r@gmail.com
2
Assistant Professor, Department of Management, Imam Hossein Comprehensive University, Tehran, Iran
AUTHOR
Hashem
Montaseri
hmontase@sums.ac.ir
3
Associate Professor, Department of Quality Control, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
AliReza
Slambolchi
alireza.slambolchi@gmail.com
4
Assistant Professor, Department of Management, Hamedan Branch, Islamic Azad University, Hamedan, Iran
AUTHOR
Tavallaee R, Feili M. Concepts and New Applications of Knowledge Management; 2016. P: 9-11. (Persian)
1
Senn J .Information Technology, Principles, Opportunities, Pearson Educathon, INC; 2004. P: 115-121.
2
Jane P.Laudon. Management Information System; 2018. P: 245-261.
3
Hamidi H. Familiarity with Technology Technology Incubator Centers of Shiraz University of Medical Sciences; 2015. P:3-21. (Persian)
4
Horri A. Generalities of Information, Communication, and Knowledge Science. 2011; 4(12):29-31. (Persian)
5
Kumar .LC, Cariappa CM, Arora BM. Improving medical stores management through automation and effective communication. Medical Journal Armed Forces India. 2016; 72(1):61-6 .
6
Moradi Gh ,Sarbaz M, Kimiafar N , Setayesh Y. The Role of Hospital Information System (HIS) in Improving the Performance of Dr. Sheikh Hospital in Mashhad, Journal of Health Information Management, Isfahan University of Medical Sciences & Health Services.2008; 5(2):159-166. (Persian)
7
Zare Fazlellahi Z, Lotfnejad A, Jebraeili M, Maleki M. Evaluation of Implementation of Hospital Information System in Imam Khomeini Hospital of Urmia, Journal of Health Information Management, Isfahan University of Medical Sciences. 2011; 8(5): 731-737. (Persian)
8
Nematollahi M, Sharifian R, Parvin S. Evaluation of the Hospital Information System of Namazi Hospital in Shiraz from Users' Perspectives in 2010. 2010; 3(2): 2-9. (Persian)
9
Vatanpour H. Health technology development centers of Iranian Medical Universities; 2017. P: 70-93. (Persian)
10
Moghimi SM, Ramazani M. Knowledge Management and Information Technology; 2015. P: 12-18. (Persian)
11
Esmaili H, Kheiri S. Basic Training of SPSS Software, Mashhad University of Medical Sciences; 2006. P: 15-26. (Persian)
12
Panagiotis T. Antecedents of Task Innovation: The role of Management Information Systems.2013; 73: 683-691.
13
Delavi MR, Ghorbani H, Simakani F. Evaluation of Hospital Information System in Ten Public Hospitals Affiliated by Isfahan University of Medical Sciences. Health Information Management Journal, Isfahan University of Medical Sciences. 2013; 10(1): 159-166. (Persian)
14
Laudon KC , Larden J. Management Information Systems; 2011.P: 326-354.
15
Lester J, Koehler V. Fundamentals of Information Studies; 2010. P: 110-123.
16
Chen J, Z Zhu. Intellectual capital: a new model and empirical study, Journal of Intellectual Capital. 2004; 5(1): 195-212.
17
Emmett S. Excellence in Warehouse Management. How to minimize costs and maximise value; 2005. P:116-124.
18
Gioriyan H, Rabiee M. Decision-making and Determining Government Policy. 2015; 10: 174-182.
19
Reybod A. Learning step by step SPSS; 2016. P: 61-78.
20
ORIGINAL_ARTICLE
The Comparison between the Psychological Profile of Female Students Using Cosmetic Rhinoplasty and a Control Group
Background: Cosmetic rhinoplasty is one of the most commonly used surgeries among young people, especially female students. Some psychological personality traits are the mainstay of this kind of cosmetic surgery. Therefore, the present study was conducted to compare the psychological profile of female students using cosmetic rhinoplasty and that in the control group. Methods: The population of this study consisted of all female students in Zand Institute of Higher Education. Among them, 30 students with cosmetic rhinoplasty as an experimental group and 30 students without cosmetic rhinoplasty as a control group were randomly selected. The Minnesota Multiphasic Personality Inventory (MMPI) was used to collect the data, and multivariate analysis of variance (MANOVA) was used to analyze the data. Results: The results showed that from the 8 clinical scales of MMPI, scores of hypochondriasis and Psychasthenia in female students using cosmetic rhinoplasty were significantly higher than the scores in the control group. There was no significant difference in other clinical scales between the two groups. Conclusion: Anxiety, obsession, perfectionism, fear, and hypochondriasis, which include obsessive and extreme attention to the body and its appearances, were significantly higher in female students of cosmetic rhinoplasty than those in the control group. Therefore, the need for psychological intervention and counseling is absolutely necessary in order to eliminate the unnecessary cosmetic rhinoplasty.
https://smsj.sums.ac.ir/article_45797_eb9cfa2f534856784f13e0a3da17dd77.pdf
2019-10-01
369
376
10.30476/smsj.2019.82279.1023
Psychological profile
Cosmetic Rhinoplasty
Students
Kourosh
Banihashemian
kouroshcpsp@yahoo.com
1
Ph.D., Assistant Professor, Department of Psychology, Zand Institute of Higher Education. Shiraz, Iran
LEAD_AUTHOR
Najmeh
Dara
najmehdara1@yahoo.com
2
B.Sc Student, Department of Psychology, Zand Institute of Higher Education, Shiraz, Iran
AUTHOR
Tahmasbi S, Tahmasbi Z, Yaghmaie F. Factors related to cosmetic surgery based on theory of reasoned action in shahrekord students. J Holist Nurs Midwifery. 2014; 24 (4):53-61.
1
Pirahari N, Bidaran S. Discourse analysis of cosmetic surgery of face. Journal of woman and society. 2018. 8(32): 229-246.
2
Niknam M, Fararoui M, Kamkar A, Fouladi N, Mohamadi A. Comparison Of Perfectionism In People Who Have Cosmetic Rhinoplasty Surgery And Control Group In Yasouj City. Payavard. 2012; 6 (1):52-60.
3
Danesh S, Foroozandeh E. The Big 5 Personality and Body Image in Cosmetic Surgery. Journal of Psychology and Psychiatry. 2018; 5(1): 115-128.
4
Sohrabi F. Assessment of psychopathological profile in applicants for cosmetic surgery. Journal of Fundamentals of Mental Health. 2011; 13(51): 260-269.
5
Baghban Boosari M, Mousavi SV, Nemati Sh, Rezaei S. Mental health status before and after cosmetic rhinoplasty. J Gorgan Univ Med Sci. 2016; 18 (2):84-90.
6
Khanjani Z, Papapour J, Saba G. Comparison of psychopathology in people seeking cosmetic surgery with controls. pajoohande. 2012; 17 (1):26-31.
7
Masoudzadeh A, Karkhaneh yousefi M, Tirgiri A. A Comparison of Personality Pattern and General Health Condition between Individuals Seeking Cosmetic Nose Surgery and Those of the Control Group. Daneshvar Medicine. 2009; 16 (82):53-58.
8
Heidari Pahlavian A. The study of psycho-socail factors and epidemiological characteristics of the people who attempted suicide in Hamadan. IJPCP. 1997; 3 (1 and 2):19-32.
9
Graham J R. Assessing personality and psychopathology. Translate by Yaghoobi H and Kafee M. arjmand pub. Tehran. Iran. 2010. 99-102. (Persian)
10
Fitzpatrick S, Sherry S, Hartling N, Hewitt P, Flett G & Sherry D. Narcissism, perfectionism, and interest in cosmetic surgery. Plast Reconstr Surg 2011; 127(6): 176-7.
11
Phillips KA, Pinto A, Menard W, Eisen JL, Mancebo M, Rasmussen SA. Obsessive-compulsive disorder versus body dysmorphic disorder: a comparison study of two possibly related disorders. Depress Anxiety 2015; 24 (6):399-409.
12
Totonchi J, Fakhari A, Kolahi F. Psychological symptoms associated with Satisfaction after rhinoplasty surgery. Med J Tabriz University 2007; 2(29): 71-6. (Persian)
13
Ghaeni Hesarouiyeh A, Moosavi E, Mirzaei R, Setoodezadeh S. The Relationship between Body Dysmorphic Disorder and Symptoms of Depression, Obsessive-Compulsive Disorder, and Social Phobia in Cosmetic Surgery Patients in Tehran. 2016 7(4):137-148. (Persian)
14
Naieni1 A S, Goljanian Tabrizi A, Ghorbani J. Journal of Otorhinolaryngology & Facial Plastic Surgery. 2016. 2(3): In press.
15
Fisher PL. Obsessive compulsive disorder and body dysmorphic disorder. J Behave ther 2009; 2:117-32.
16
ORIGINAL_ARTICLE
Effects of Swaddled and Conventional Bathing Methods on Physiological Parameters among the Premature Infants in Neonatal Intensive Care Unit
Background: Bathing in Neonatal Intensive Care Units (NICU) is regarded as a stressful experience for premature infants. Reducing stress is an important challenge in bathing preterm infants. Swaddle bathing can be used as a low-stress and an appropriate bathing method for premature infants. Given the limitations of the researches carried out on this bathing method, the present study was conducted with the aim to determine the effects of swaddled and conventional bathing methods on physiological parameters among the premature infants in NICU. Methods: In this randomized clinical trial study, 50 premature infants who were hospitalized in NICU and were eligible for the study were divided by random allocation into two intervention and control groups. The infants in the intervention group were bathed using the swaddle bathing method, and the infants in the control group were bathed using the conventional bathing method. Heart rate, respiratory rate, and blood oxygen saturation were measured 10 minutes before and 10 minutes after the bathing. Findings The mean heart rate (p = 0.002) and respiration (p <0.001) after bathing were significantly higher in the conventional bathing group than in the swaddle bathing group. Also, the mean blood oxygen saturation after bathing in the conventional bathing group was significantly lower than in the swaddle bathing group (p <0.001). Conclusion: Given the positive impact of swaddled bathing in reducing physiological stress responses, swaddled bathing can be used as a suitable and safe bathing method in NICU.
https://smsj.sums.ac.ir/article_45798_144c2fd610c193a4e6c85bbc28fb1f7a.pdf
2019-10-01
377
388
10.30476/smsj.2019.83474.1065
Bath
Infant
Premature
Intensive care units
Maryam
Paran
mparan90@gmail.com
1
Instructor, Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Science, Shiraz, Iran
AUTHOR
Mitra
Edraki
mitraedraki@yahoo.com
2
Instructor, Community Based Psychiatric Care Research Center, Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Science, Shiraz, Iran
AUTHOR
Seyed Mostajab
Razavi Nejad
razavimo@sums.ac.ir
3
Assistant Professor, Neonatal Research Center, Pediatric Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Farnoosh
Azizi
farnoosh7265@gmail.com
4
Instructor, Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Shiraz University of Medical Science, Shiraz, Iran
LEAD_AUTHOR
Mary B, Jane W, Kliegman R, Stanton B, Geme J. Nelson Textbook of Pediatrics: Elsevier Health Sciences; 2015.
1
Zahadatpour Z, Edraki M, Mr SmRa. Impact of Lullabies on Changes in Heart Rate during Tubal Tracheal Suction in Premature Infants. Iranian Journal of Pediatric Nursing. 2018;5(1):11-20. (In Persian)
2
Soleimani F, Zaheri F, Abdi F. Developmental outcome of low birth-weight and preterm newborns: a re-view of current evidence. Tehran University Medical Journal TUMS Publications. 2013;71(9):551-61.
3
Montirosso R, Del Prete A, Bellù R, Tronick E, Borgatti R, Group NACfQoLS. Level of NICU quality of developmental care and neurobehavioral performance in very preterm infants. Pediatrics. 2012;129(5):e1129-e37.
4
Edraki M, Paran M, Montaseri S, Nejad MR, Montaseri Z. Comparing the effects of swaddled and conventional bathing methods on body temperature and crying duration in premature infants: a randomized clinical trial. Journal of caring sciences. 2014;3(2):83.
5
Maree C, Becker P. The effect of developmentally supportive positioning (DSP) on preterm infants'stress levels. Health SA Gesondheid. 2008; 12(1).
6
Torkzahrani S, Soleimani F, Rafiey H, Salavati M, Nasiri M. Using Donabedian's model to evaluate quality of developmental care in neonatal intensive care units. Journal of North Khorasan University of Medical sciences. 2016;8(2):225-35.
7
Caka SY, Gozen D. Effects of swaddled and traditional tub bathing methods on crying and physiological responses of newborns. Journal for Specialists in Pediatric Nursing. 2017;23(1):e12202.
8
Hall K. Practising developmentally supportive care during infant bathing: reducing stress through swaddle bathing. 2008;4(6):198-201.
9
Paran M, Edraki M, Montaseri S, Razavi Nejad M. A comparison between the effects of swaddled and conventional bathing methods on some behavioral responses in premature infants. Iranian Journal of Neonatology IJN. 2016;7(4):35-40.
10
Jabraeili M, Hosseini S, Bagher SM, Ghojazadeh M, Safaei A. The Effect of Tub Bathing on Body Temperature in Preterm Infants: Randomized Clinical Trial. Evidence Based Care. 2015;5(2):57-64. (In Persian)
11
Bembich S, Fiani G, Strajn T, Sanesi C, Demarini S, Sanson G. Longitudinal responses to weighing and bathing procedures in preterm infants. The Journal of perinatal & neonatal nursing. 2017;31(1):67-74.
12
Bryanton J, Walsh D, Barrett M, Gaudet D. Tub bathing versus traditional sponge bathing for the newborn. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2004;33(6):704-12.
13
Tapia-Rombo C, Morales-Mora M, Alvarez-Vazquez E. Variations of vital signs, skin color, behavior and oxygen saturation in premature neonates after sponge bathing. Possible complications. Revista de investigacion clinica; organo del Hospital de Enfermedades de la Nutricion. 2003;55(4):438.
14
Lee Haek. Effects of sponge bathing on vagal tone and behavioural responses in premature infants. Journal of clinical nursing. 2002;11(4):510-9.
15
Quraishy K, Bowles SM, Moore J. A protocol for swaddled bathing in the neonatal intensive care unit. Newborn and Infant Nursing Reviews. 2013;13(1):48-50.
16
Fern D, Graves C, L'Huillier M. Swaddled bathing in the Newborn Intensive Care Unit. Newborn and Infant Nursing Reviews. 2002;2(1):3-4.
17
Tahmasbi H, Mahmoodi G, Mokhberi V, Hassani S, Akbarzadeh H, Rahnamai N. The Impact of Aromatherapy on the Anxiety of Patients Experiencing Coronary Angiography. Zahedan Journal of Research in Medical Sciences. 2012;14(3):51-5.
18
Morelius E. Stress in infants and parents: studies of salivary cortisol, behaviour and psychometric measures: Linkoping; 2006.
19
Symington A, Pinelli J. Developmental care for promoting development and preventing morbidity in preterm infants. Cochrane Database Syst Rev. 2006;2.
20
Sinpru N, Tilokskulchai F, Vichitsukon K, Boonyarittipong P. The Effects of Clinical Nursing Practice Guideline for Swaddling on Pain Relief from Heelstick in Neonates. J Nurs Sci. 2009;27(1):32-45.
21
Esmkhani AH, Etemadi A, Nasirnejhad F. Self-efficacy and its relationship with mental health & academic achievement of girl students. 2010;2(8):13-25.
22
Caka SY, Gozen D. Effects of swaddled and traditional tub bathing methods on crying and physiological responses of newborns. Journal for Specialists in Pediatric Nursing. 2018;23(1):e12202.
23
Ceylan SS, Bolւşւk B. Effects of Swaddled and Sponge Bathing Methods on Signs of Stress and Pain in Premature Newborns: Implications for Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing. 2018;15(4):296-303.
24
Quraishy K, Bowles SM, Moore J. A Protocol for Swaddled Bathing in the Neonatal Intensive Care Unit. Newborn Infant Nurs Rev. 2013;13(1):48-50.
25
ORIGINAL_ARTICLE
The Attitudes of Single Female Employees to Marriage and its Relationship with Consumption of Cultural Products in Shiraz University of Medical Sciences
Introduction: Currently, cultural consumption is one of the most common ways of forming and constructing identity, affecting the choices like attitudes towards marriage. The purpose of this study was to investigate the attitude of single female employees of Shiraz University of Medical Sciences towards marriage and its link with the amount of cultural products consumption among this population. Methods: This was a cross-sectional study. Using the theoretical framework of the research, cultural products considered in this study had five components: 1- cultural activities, 2-study books, newspapers and magazines, 3 - using satellite programs, 4 - using the Internet, and 5 - using internal media programs (TV, radio, and cinema). These components were measured using a 14-item questionnaire based on a six-point Likert scale. To gather the data, respondents were asked to specify their cultural consumption, according to six points, from ‘not at all’ to ‘very high’. The responses of the respondents were gathered in each case and were considered as a cultural consumption. The statistical population of the study was single female employees working in Shiraz University of Medical Sciences. The sample size was 345, and the data were collected by a survey method, using a questionnaire. Results: The findings of this research showed that a considerable number, 39.1%, had a negative attitude towards marriage which is indicative of changing attitude towards marriage. Furthermore, all of the components of cultural consumption affected attitude towards marriage. In addition, findings showed that use of Internet and subscription to social networks like telegram (BETA=-0.618) had the most significant effect on the single female employees’ attitudes towards marriage. Discussion and Conclusion: Considering that Internet and membership in virtual networks have a great impact on females’ attitudes towards marriage, it is recommended that interventions through virtual networks be made in order to improve females’ attitudes towards marriage.
https://smsj.sums.ac.ir/article_45799_7a59ec31e733e0d856e760d4a0d8d074.pdf
2019-10-01
389
400
10.30476/smsj.2019.82359.1024
Cultural Consumption
Single female employees
Attitude
Marriage
Modernization
Zeinab
Kavehfirouz
zkavehfiruzeh@yahoo.com
1
Ph.D., Sociology Group, Kharazmi University of Tehran, Tehran, Iran
AUTHOR
Aazam
Sarem
a.sarem90@gmail.com
2
M.Sc. in Social Science Research, Kharazmi University of Tehran, Tehran, Iran
LEAD_AUTHOR
Hosseini H. Ethnic differences in marriage behaviors of women and their attitude towards girls' marriage in Orumieh. Journal of Population Association of Iran. 2010; 5(9): 11.
1
Zandi M, Kazemipour SH. The Role of Demographic and Socio-economic Factors of 15 Years in Tehran - on Youth Cultural Goods Consumption.Journal Management System. 2016.8(2):74-76.
2
Ajili H, Baigi M.Autopsy way of life in capitalist society. Culture Counseling Journal 2013; 4(13):95.
3
Mehdizadeh M. Cultural consumption and active media and audiences. Media Journal 2012; 23(4):40.
4
Kalatari A, Rostamalizadeh V, Nasimafza A. Education and cultural consumption in Tehran.Quarterly of Social Studies and Research in Iran Journal 2013; 2(1):117.
5
Kazemipour SH. Measurement of the attitude ' youth towards marriage and recognition of its effects and consequences.Journal of Culture in the Islamic University 2009;13(2): 76-95.
6
Servaty L, Weber K. The Relationship between Gender and Attitudes towards Marriage. Journal of Student Research 2010; University of Wisconsin-Stout 1-10.
7
ORIGINAL_ARTICLE
The Effect of Time Management Training on Stress and Burnout of Nurses in Educational Hospitals of Zahedan University of Medical Sciences 2018
Background: Stress and burnout are among the challenges that nurses face, and the proper use of time can lead to its reduction. The purpose of this study was to identify the effect of time management training on stress and job burnout among nurses in hospitals affiliated to Zahedan University of Medical Sciences. Methods: This was a quasi-experimental study which were conducted sampling 120 nurses, using a convenience sampling method. Intervention group samples were selected from Imam Ali hospital and the control group from Khatam al-Anbia hospital in Zahedan. Data were collected through demographic, ENSS job stress, and Maslach burnout questionnaires. In the interventional group, after completing the questionnaires, time management training was conducted in four sessions by two groups of 30 people per week for 90 minutes. This intervention included lectures using educational aids and PowerPoint for eight weeks. After the final time management training session, the burnout and stress questionnaires were again completed in the intervention group and the control group. Data were analyzed through Independent and paired t-test, and chi-square. Results: Findings showed that there was a significant difference between the mean scores of job stress scores after time management training in the intervention and control groups (P> 0.001). Mean changes in emotional exhaustion and depersonalization scores and personal achievement of burnout after time management training were significantly different between the intervention and control groups (P < 0. 001). Conclusion: Given the importance of time management in nursing, nurse managers should hold in service time management training courses for their employees, nurses.
https://smsj.sums.ac.ir/article_45800_97d1c122992a327d4945534bf98b2de2.pdf
2019-10-01
401
412
10.30476/smsj.2019.83493.1062
Job Stress
Job Burnout
Time Management Training
sajede
bampoori
sajedebampoori@gmail.com
1
MS Student in Medical Surgical Nursing, School of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran
AUTHOR
Mahnaz
Ghaljeh
ghaljeh.m@gmail.com
2
Assistant Professor, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
LEAD_AUTHOR
Ali
Navidian
alinavidian@gmail.com
3
Professor, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
AUTHOR
Biganeh J, Abolghasemi J, AlimohamadiLI I, Ebrahimi H, TorabiRI Z, Ashtarian A. Survey of Occupational Stress Effects on Burnout among Nurses. Journal of Knowledge & Health Shahroud University of Medical Sciences 2018; 13(1):10-19 (Persian)
1
Rezaei S, Hosseini M, Falahi M. Effect of communication skills teaching in job stress level among nurses occupying in rehabilitation center. TUMJ. 2006; 64 (1):21-6.
2
Kabirzadeh A, Mohseni SB, Asgari Z, Bagherian FE. Rate of general health, job stress and factors in medical records workers. Health InformationManagment. 2007; 4(2): 215 - 222.
3
Magnago TS, Lisboa MT, Griep RH, Kirchhof AL, Guido LD. Psychosocial aspects of work and musculoskeletal disorders in nursing workers. Revista Latino-americana de Enfermagem. 2010;18(3):429-35
4
Enjezab B, Farnia F. Occupational stress & psychological-behavioral responses. JSSU. 2002; 10(3):32-8.
5
Van PB, Timmermans O, Weeks S, Wouters K, Franck E. Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events--a cross-sectional survey. International journal of nursing studies. 2014; 51(8):1123-34.
6
Epstein DG. Extinguish workplace stress. Nursing management. 2010; 41(10):34-7.
7
Hersch RK, Cook RF, Deitz DK, Kaplan S, Hughes D, Friesen MA, et al. Reducing nurses' stress: A randomized controlled trial of a web-based stress management program for nurses. Applied nursing research. 2016; 32:18-25.
8
Afshari M, Moghimbeigi A, Hazavehei SM, Rezapur-Shahkolai F. Effect of a model-based educational program for mothers, on home-related injury prevention among under-five-year children in rural Twiserkan, Iran. The Turkish journal of pediatrics. 2017 Nov 1; 59(6):648-56.
9
Lin SH, Liao WC, Chen MY, Fan JY. The impact of shift work on nurses' job stress, sleep quality and self‐perceived health status. Journal of nursing management. 2014; 22(5):604-12.
10
Yau SY, Xiao XY, Lee LY, Tsang AY, Wong SL, Wong KF. Job stress among nurses in China. Applied Nursing Research. 2012 Feb 1; 25(1):60-4
11
Chang EM, Hancock KM, Johnson A, Daly J, Jackson D. Role stress in nurses: review of related factors and strategies for moving forward. Nursing & health sciences. 2005; 7(1):57-65.
12
Maurier WL, Northcott HC. Job uncertainty and health status for nurses during restructuring of health care in Alberta. Western Journal of Nursing Research. 2000; 22(5):623-41.
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Pradas-Hernández L, Ariza T, Gómez-Urquiza JL, Albendín-García L, Emilia I, Cañadas-De la Fuente GA. Prevalence of burnout in paediatric nurses: A systematic review and meta-analysis. PloS one. 2018; 13(4):e0195039.
14
You L-m, Aiken LH, Sloane DM, Liu K, He G-p, Hu Y, et al. Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe. International journal of nursing studies. 2013; 50(2):154-61.
15
Kanai‐Pak M, Aiken LH, Sloane DM, Poghosyan L. Poor work environments and nurse inexperience are associated with burnout, job dissatisfaction and quality deficits in Japanese hospitals. Journal of clinical nursing. 2008; 17(24):3324-9.
16
Dehghan Nayeri N, Salehi T, Ali Asadi Noghabi A. Quality of work life and productivity among Iranian nurses. Contemporary nurse. 2011; 39(1):106-18.
17
Vahey DC, Aiken LH, Sloane DM, Clarke SP, Vargas D. Nurse burnout and patient satisfaction. Medical care. 2004; 42(2):II57.
18
Gillespie M, Melby V. Burnout among nursing staff in accident and emergency and acute medicine: a comparative study. Journal of Clinical Nursing. 2003; 12(6):842-51.
19
Andolhe R, Barbosa RL, Oliveira EMd, Costa ALS, Padilha KG. Stress, coping and burnout among Intensive Care Unit nursing staff: associated factors. Revista da Escola de Enfermagem da USP. 2015; 49(SPE):58-64.
20
Wu H, Ge CX, Sun W, Wang JN, Wang L. Depressive symptoms and occupational stress among Chinese female nurses: the mediating effects of social support and rational coping. Research in Nursing & Health. 2011; 34(5):401-7.
21
Zhong X & etal. Study on the Relationship among Work-family Conflict, Job Burnout and Achievements of Nurses. Journal of Nursing Science. 2009; 19.
22
Gregg M. Counterproductive: A brief history of time management. Durham, NC: Duke Univ. Press; 2018.
23
McKenzie A. Time Productivity Management. Translated by Mohammad Reza Rezapour, Tehran: Chameh Publications; 2006.
24
Ba ezat F, Abib N. Investigating the Relationship between Time Management and Job Stress among Alzahra University Staff, Unpublished Research Project, Shahid Beheshti University; 2004. (Persian)
25
Ravari A, Alhani F, Anoosheh M, Mirzaie-Khalilabadi T. The pattern of time management in college students of Kerman University of Medical Sciences in the year 2006. Ṭibb-i junūb. 2008; 11(1):76-84. (Persian)
26
Häfner A, Stock A, Oberst V. Decreasing students’ stress through time management training: an intervention study. European Journal of Psychology of Education. 2015; 30(1):81-94.
27
Hashemizadeh H. Analysis of relation between time management behaviors and occupational stress of medical surgical ward's head nurses of educational hospitals depend on Shaheed-Beheshti Medical University of Tehran–Iran. Neuropsychiatrie de l'Enfance et de l'Adolescence. 2012;5(60):S159. (Persian)
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Azemian A. The standards of professionalism in nursing: the nursing instructors’ experiences. Evidence Based Care. 2014; 4(1):27-40.
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Baklacioglu Yildiz D, Fidanci B, Boyraz G, Kiziler E. Time Management Skills of Nursing Students. 2016.
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Elrassas HH, Shorub EM, El-Okda E-S. Testing burnout syndrome as a psychiatric disorder among nursing staff of different medical settings. Middle East Current Psychiatry. 2016; 23(4):208-14.
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Peyman N, Rastegar KE. Effect of an educational program on job tension management in nurses, based on self-efficacy theory. Modern Care Journal 2012; 9 (1): 1-9. (Persian)
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Nekoeyan N, Nejat H, Akbari H. The Effectiveness of Time Management Training on Occupational Stress of Nurses. National Conference on Organizational Behavior in Nursing 2012.
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Sherbafinegad J, Lakdizaji S, Namdar H, GHoochanzadeh M, Fartash Naemi A. Job stressors in nursing. J Nurs Midwifery Tabriz. 2008; 10:26-30.
35
Maslach C, Susan E. Jackson & Richard L. Schwab. All rights reserved in all media. Published by Mind Garden, Inc., www.mindgarden.com
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Abdi F, Khaghanizade M, Sirati M. Determination of the amount Burnout in Nursing Staff. J Behav Sci. 2008; 2(1):51-9.
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Nazariyan A. valuation of psychological burnout syndrome among nurses in mental hospitals and Non-psychics and their coping mechanisms. Master's Degree in Clinical Psychology. Islamic Azad University, Roodehen Branch; 1997 (Persian)
38
Rostami Z, Abedi MR, Schaufeli WB, Ahmadi SA, Sadeghi AH. The Psychometric Characteristics of Maslach Burnout Inventory Student Survey: A Study Students of Isfahan University. Journal of Research in Zahedan Medical Sciences. 2014; 16(9):55-8. (Persian)
39
Zoghi L, Ajilchi B, Nobahar Z. The relationship between time management and job stress in female police managers and staff. Police Knowledge Quarterly. 2016;15(4):141-167. (Persian)
40
Lambert MD, Torres RM, Tummons JD. The Influence of Time Management Practices on Job Stress Level among Beginning Secondary Agriculture Teachers. Journal of agricultural education. 2012; 53(1):45-56
41
Jamshid Malek B. Investigating the Relationship between Time Management and Job Burnout of West Azarbaijan Tax Administration Staff in Fiscal Year; 2007.
42
Azizi Moghaddam A. "Investigating the Relationship between Time Management and Job Burnout of School Managers 85". Unpublished article.2006 - Mahabad in the academic year 8
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44
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45
ORIGINAL_ARTICLE
The Relationship between Social Capital on Tendency to Explicit and Tacit Knowledge Sharing Among Nurses of Namazi Hospital
Background: Knowledge sharing is an important factor in gaining competitive advantage for organizations. Since knowledge sharing involves social interactions among employees, social capital can play a role in the formation of shared knowledge. The aim of this study was to investigate the relationship between social capital and the tendency to knowledge sharing among nurses. Methods: This study is a descriptive survey. Among 950 clinical nurses, 274 of them responded to a standardized questionnaire survey (Hau & et. al. 2013) which was based on a Likert spectrum by classified random sampling method. The data were analyzed through path analysis using SPSS 15. Finding: The results showed that social capital with the tendency to tacit knowledge sharing (T= 5.74, β=1.35), social capital with organizational rewards (T=4.91, β=1.32), social capital with pleasure (T=6.82, β=3.39), and social capital with a mutually beneficial effect (T=10.78, β=1.73) had a positive and significant relationship. Relationships between pleasure with tendency to tacit knowledge sharing (T=5.91, β=0.14), pleasure with tendency to explicit knowledge sharing (T=4.13, β=0.08), and pleasure with reciprocity interaction (T=5.64, β=0.10) were also positive. The relationship between reciprocity interaction with the tendency to tacit knowledge sharing (T= -2.85, β=-0.21) was inverse and significant. The relationship between organizational rewards and pleasure (T=-2.05, β=-0.22) and organizational rewards with reciprocity interaction (T=3.66, β=0.12) were also significant. The results showed that fitting the model is desirable. Conclusion: There is a direct relationship between social capital and tendency to tacit knowledge sharing and indirectly tendency to explicit knowledge sharing of nurses. Moreover, among the three individual incentives (reward, enjoyment, and reciprocity interaction) the enjoyment and reciprocity can have a very important role in the relationship between social capitals and tendency to knowledge sharing, especially tacit knowledge sharing among nurses, but the reward is not really effective.
https://smsj.sums.ac.ir/article_45801_a6934edabce7658d761f5a767114217a.pdf
2019-10-01
413
422
10.30476/smsj.2019.81489.0
Social capital
Reciprocity Interaction
Tendency to tacit knowledge sharing
Tendency to explicit knowledge sharing
Monireh
Askarinejad
dr.askarinejad@gmail.com
1
Assistant Professor, Management group, Payame Noor University, Tehran, Iran
AUTHOR
Elham
Ghobadi Azad
ghobadigh55@gmail.com
2
Master of Managment, Payamenoor Tehran Gharb University, Tehran, Iran
LEAD_AUTHOR
Pour S, Saeid M. Explaining the Effective Factors on Attitude and Behavior Based on Knowledge Sharing (Case Study: Nurses of the Hospital of 17 Shahrivar). Organizational Behavior Studies Quarterly. 2013;2(3):43-70.
1
Mooghali A, Bahmanyari H, Daneshvar B, Masoumi4 R. The Relationship between Social Capital and Knowledge Managementamong Staff Personnel of Shiraz University of Medical Sciences. Meida. 2015;6(2):40-51.
2
Panahi S, Watson J, Partridge H. Towards tacit knowledge sharing over social webtools. Journal of Knowledge Management. 2013;3(17):379-97.
3
Wang S, Noe RA. Knowledge sharing: A review and directions for future research. Human Resource Management Review. 2010;20(2):115-31.
4
Hung SY, Lai HM, Chang WW. The influence of intrinsic andextrinsic motivation on individuals’ knowledge sharing behavior. International Journal of Human–Computer Studies. 2011;69(6):415-27.
5
Kankanhalli A, Tan BCY, Wei KK. Contributing knowledge to electronic knowledge repositories: An empirical investigation. MIS Quarterly. 2005;29:113–43.
6
Moshal BS. Organizational Behaviour. New Delhi: Ane Books Pvt; 2015.
7
Moshal BS. Principles of management. New Delhi: Ane Books Pvt; 2015.
8
Kim B, Han I. The role of trust belief and its antecedents in a communitydriven knowledge environment. Journal of the American Society for Information Science and Technology. 2009;60(5):1012–26.
9
Alvani M, Nategh T, Farahi MM. The role of social capital in the development of organizational knowledge management. ManagementScience. 2006;2(5):35-70.
10
Sarlak M, Eslami T. Knowledge Sharing in Sharif University of Technology: Social Capital approach. Public Administration. 2011;2(8):1-18.
11
Wang Z, Wang N. Knowledge sharing, intellectual capital and firm performance. Management Decision. 2014;58-230:(2)52.
12
Beigzadeh Y, Spoukeh J, Hosseinpour R. The relationship between social capital and knowledge sharing in the country's administrative system (Case Study of Culture and Islamic Guidance in Western Azerbaijan province). International Conference on Management, Challenges and Solutions; Shiraz2013.
13
Ghafourian M. The effect of social capital's dimensions on customer-oriented employees with the role of knowledge sharing (Case Study: Staff of Maskan Bank in Yazd Province). Yazd: Islamic Azad University; 2014.
14
Yen Y-F, Tseng J-F, Wang H-K. The effect of internal social capital on knowledge sharing. Knowledge Management Research & Practice. 2015;13(2):214-24.
15
Hau YS, Hau YS, Kim, B., Lee H, Kim YG. The effects of individual motivations and social capital on employees’ tacit and explicit knowledge sharing intentions. International Journal of Information Management. 2013;33(2):356-66.
16
Yang SC, Forn CK. Social capital, behavioural control, and tacit knowledge sharing—A multi-informant design. International Journal of Information management. 2009;29(3):210-8.
17
Aghaz A, NeginTaji F. Organizationaltrust: key factor in the actual sharing of knowledge. Journal of Management Science. 2012;7(82):67-86.
18
Chang HH, Chuang SS. Social capital and individual motivations on knowledge sharing Participant involvement as a moderator. Information and Management. 2011;48(1):9–18
19
ORIGINAL_ARTICLE
The Effectiveness of Psycho-educational Intervention on the Burden of Family Caregivers of Patients with Bipolar Disorder
Background: Caring for a patient with a mental disorder is a responsibility that has a lot of psychological burden for family members. In recent years, psychotherapy, especially psychosocial interventions, along with drug therapy has been given greater attention. One of these family-based interventions is the psycho-educational intervention of the family. The purpose of this study was to investigate the effectiveness of psycho-educational intervention on the burden of family caregivers of patients with bipolar disorder. Methods: This is a quasi-experimental study conducted in the psychiatric hospital affiliated to Bushehr University of Medical Sciences in 2018. The research sample consisted of 31 main caregivers of patients with bipolar disorder who participated in 6 group training sessions. Before and after the intervention, Zarit psychological burden questionnaire was completed by caregivers. Data were analyzed by SPSS 19 software, Chi-square, Pearson correlation, and T-test. Results: The mean age of caregivers was 45.77 ± 12.62. The mean psychosocial burden of caregivers in the pretest was 66.45 ± 14.73. The results of the study showed that after participating in educational sessions, the average of psychological burden in caregivers with mean of 38.3 ± 10.53 was significantly decreased (P = 0.000). Conclusion: Considering the effectiveness of psycho-educational interventions on the burden of family caregivers in patients with bipolar disorder, it is suggested to use psycho-educational interventions in psychiatric wards for caregivers in bipolar patients.
https://smsj.sums.ac.ir/article_45802_c0882ab1836fccca67d805ef2f3fcc33.pdf
2019-10-01
423
432
10.30476/smsj.2019.82834.1038
education
Burden
Family caregivers
Bipolar Disorder
Elham
Mirshah
mirshah70@gmail.com
1
Instructor, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Shekufe
Zarei
shekufezaree@yahoo.com
2
Instructor, Department of Nursing, Bandar Abbas Islamic Azad University, Bandar Abbas, Iran
LEAD_AUTHOR
Masoud
Bahreini
msdbahreini@yahoo.com
3
Associate Professor, Faculty of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr, Iran
AUTHOR
Kim H, Rapoport, S, Rao J. Altered expressions of apoptotic factors and synaptic markers in postmortem brain from bipolar disorder patients. Neurobiology of disease .2013; 37: 596-603.
1
Ogilvie AD, Morant N, Goodwin GM. The burden on informal caregivers of people with bipolar disorder. Bipolar Disord. 2005; 7: 25–32.
2
Haresabadi M, Bibak B, Hosein zadeh, Bayati M, Arki M, Akbari H. Assessing burden of family caregivers of patients with schizophrenia Admitted in IMAM REZA hospital Bojnurd 2010. Journal of North Khorasan University of Medical Sciences. 2012; 4(2): 165-171.
3
World Health Organization. Investing in mental health. Geneva, Switzerland: World Health Organization; 2003.
4
Pompili M, Harnic D, Gonda X, Forte A, Dominici G, Innamorati M, et al. Impact of living with bipolar patients: Making sense of caregivers’ burden. World J Psychiatry. 2014; 4(1): 1–12.
5
Hudson P, Quinn K, Kristjanson L, Thomas T, Braithwaite M, Fisher J, et al. Evaluation of a psycho-educational group programme for family caregivers in home-based palliative care. Palliat Med. 2008; 22(3): 270-80.
6
Navidian A, Bahari F. Burden Experienced by Family Caregivers of Patients with Mental Disorders. Pakistan Journal of Psychological Research. 2008; 23 (1-2):19-28.
7
Corsentino E, Molinari V, Gum A, Roscoe L. Family caregivers' future planning for younger and older adults with serious mental illness (SMI). Journal of Applied Gerontology. 2008; 27: 466-485.
8
Bhattacharjee D, Rai AK, Singh NK, Kumar P, Munda SK, Das B. Psychoeducation: a measure to.strengthen psychiatric treatment. Delhi Psychiatry Journal. 2011; 14(1): 33-39.
9
Perlick D, Miklowitz D, Lopez N, Chou J, Kalvin C, Adzhiashvili V. Family-focused treatment for caregivers of patients with bipolar disorder. Bipolar Disord. 2010; 12: 627-37.
10
Ghoshchian chobmasjedi S, Makvand hoseini Sh, Najafi M, Bigdeli E. Comparison of the effectiveness of Psycho-individual training and psycho-family education on the symptoms of depression and mania of type I bipolar patients undergoing drug therapy. Quarterly of Clinical Psychology Studies Allameh Tabataba’i University. 2017; 7(27): 181-203.
11
Awad A G, Voruqanti L N. The Burden of Schizophrenia of Caregivers: A Review. Pharmacoeconomics. 2008; 26 (2): 149-162.
12
Zarit SH, Todd PA, Zarit JM. Subjective burden of husbands and wives as caregivers: A longitudinal study. Gerontologist. 1986; 26: 260-266.
13
Gutierrez-maldonado J, Caqueo-urizar A. Effectiveness of a Psycho-educational Intervention for Reducing Burden in Latin American Families of Patients with Schizophrenia. Quality Life Research. 2007; 16(5): 739-747.
14
Girma E, Moller-Leimkuhler AM, Dehning S, Mueller N, Tesfaye M, Froeschl G. Self-stigma among caregivers of people with mental illness: toward caregivers’ empowerment. J Multidiscip Healthc. 2014; 7: 37-43.
15
Rahmani F, Ebrahimi H, Ranjbar F, Asghari E. [The effect of group psychoeducational program on attitude toward mental illness in family caregivers of patients with bipolar disorder]. Hayat, Journal of School of Nursing and Midwifery, Tehran University of Medical Sciences. 2015; 21(4): 65-79.
16
Hubbard AA, McEvoy PM, Smith L, Kane RT. Brief group psychoeducation for caregivers of individuals with bipolar disorder: A randomized controlled trial. J Affect Disord. 2016; 200: 31-36.
17
de Souza MS, da Silva RA, Molina MA, Jansen K, de Lima Ferreira L, Kelbert EF, Soares JM, de Mattos Souza LD. Six-session caregiver psychoeducation on bipolar disorder: Does it bring benefits to caregivers? Int J Soc Psychiatry. 2016; 62(4): 377-85.
18
Fallahi Khoshknab M, Sheikhona M, Rahgouy A, Rahgozar M, Sodagari F. The effects of group psychoeducational programme on family burden in caregivers of Iranian patients with schizophrenia. J Psychiatr Ment Health Nurs. 2014; 21(5): 438-46.
19
Vaghee S, Salarhaji A, Asgharipour N, Chamanzari H. [Effects of psychoeducation on stigma in family caregivers of patients with schizophrenia: a clinical trial]. Evidence Based Care Journal. 2015; 5(16): 63-76.
20
Candini V, Buizza C, Ferrari C, Caldera MT, Ermentini R, Ghilardi A, et al. Is structured group psychoeducation for bipolar patients effective in ordinary mental health services? a controlled trial in Italy. J Affect Disord. 2013; 151(1): 149-55.
21
Colom F. Keeping therapies simple: psychoeducation in the prevention of relapse in affective disorders, The British Journal of Psychiatry.2011; 198: 338-40.
22
Miklowitz D. Bipolar disorder: A family-focused treatment approach. Guilford Press; 2010.
23
Dour H, Wiley J, Roy‐Byrne P, Stein MB, Sullivan G, Sherbourne C. Perceived social support mediates anxiety and depressive symptom changes following primary care intervention. Depression and anxiety. 2014; 31: 436-42.
24
Gumus F, Buzlu S, Cakir S. Effectiveness of individual psychoeducation on recurrence in bipolar disorder; a controlled study. Archives of psychiatric nursing. 2015; 29: 174-9.
25
ORIGINAL_ARTICLE
The Study of Clinical Application and Anticancer Mechanism of Alpha-lactalbumin and Oleic Acid Composition
Milk protein, alpha-lactalbumin, is one of the proteins that many researchers have done a lot of research on its structure and function. In the late nineties, a completely different activity of α-LA was discovered. When α-LA is present in a conformation that has been partially unfolded, it can form a complex with oleic acid (OA), which specifically has an anti-cancer activity. The complex between human α-LA and OA has been called HAMLET (Human Alpha-lactalbumin Made LEthal to Tumor cells). The cell death mechanism by HAMLET has not yet been determined. However, it has been shown that HAMLET interacts with various cellular organelles including nuclei, lysosomes, mitochondria, proteases, and ribosomes. Apoptosis, autophagy, and disorders in the structure of chromatin are three different cytotoxic pathways activated in response to HAMLET. In this study, a summary of the structure, antitumor mechanisms, and clinical applications of this complex will be presented.
https://smsj.sums.ac.ir/article_45803_dc0667c9cf2cba535eb2a4adebaea56e.pdf
2019-10-01
433
444
10.30476/smsj.2019.79284.0
HAMLET
cancer
Oleic acid
Alpha lactalbumin
apoptosis
Pooneh
Mokarram
mokaram2@gmail.com
1
Associate Professor of Clinical Biochemistry, Department of Biochemistry, Shiraz University of Medical Sciences, Shiraz, Iran
LEAD_AUTHOR
Hamid
Behrouj
h.behrooj68@gmail.com
2
PhD Candidate in Clinical Biochemistry, Department of Biochemistry, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Sedigheh
Rezayi
sedighe.rezayi@yahoo.com
3
M.Sc. student of Clinical Biochemistry, Department of Biochemistry, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
Morvarid
Siri
morvarid.siri@gmail.com
4
M.Sc. student of Clinical Biochemistry, Department of Biochemistry, Shiraz University of Medical Sciences, Shiraz, Iran
AUTHOR
HÅKANssoN A, Zhivotovsky B, Orrenius S, Sabharwal H, Svanborg C. Apoptosis induced by a human milk protein. Proceedings of the National Academy of Sciences. 1995; 92(17):8064-8.
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Svensson M, Sabharwal H, Hهkansson A, Mossberg A-K, Lipniunas P, Leffler H, et al. Molecular characterization of α–lactalbumin folding variants that induce apoptosis in tumor cells. Journal of Biological Chemistry. 1999; 274(10): 6388-96.
2
Svanborg C, إgerstam H, Aronson A, Bjerkvig R, Düringer C, Fischer W, et al. HAMLET kills tumor cells by an apoptosis-like mechanism—cellular, molecular, and therapeutic aspects. Advances in cancer research. 2003; 88: 1-29.
3
Gustafsson L, Hallgren O, Mossberg A-K, Pettersson J, Fischer W, Aronsson A, et al. HAMLET kills tumor cells by apoptosis: structure, cellular mechanisms, and therapy. The Journal of nutrition. 2005; 135(5): 1299-303.
4
Svensson M, Hهkansson A, Mossberg A-K, Linse S, Svanborg C. Conversion of α-lactalbumin to a protein inducing apoptosis. Proceedings of the National Academy of Sciences. 2000; 97(8): 4221-6.
5
Svensson M, Mossberg AK, Pettersson J, Linse S, Svanborg C. Lipids as cofactors in protein folding: Stereo‐specific lipid–protein interactions are required to form HAMLET (h uman α‐lactalbumin m ade le thal to t umor cells). Protein Science. 2003; 12(12):2805-14.
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Pettersson J, Mossberg A-K, Svanborg C. α-Lactalbumin species variation, HAMLET formation, and tumor cell death. Biochemical and biophysical research communications. 2006;345(1):260-70.
8
Iyer LK, Qasba PK. Molecular dynamics simulation of α-lactalbumin and calcium binding c-type lysozyme. Protein engineering. 1999; 12(2): 129-39.
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Permyakov EA, Berliner LJ. α‐Lactalbumin: structure and function. FEBS letters. 2000; 473(3): 269-74.
10
Svensson M, HAKANSSON A, Mossberg A, LINSE C, Svanborg C. Conversion of-lactoglobulin to a protein inducing apoptosis. Proc Nat Acad Sci USA. 2000; 97: 42214226.
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Mossberg AK, Mok KH, Morozova‐Roche LA, Svanborg C. Structure and function of human α‐lactalbumin made lethal to tumor cells (HAMLET)‐type complexes. The FEBS journal. 2010; 277(22): 4614-25.
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Lin Y, Sun X, Hou X, Qu B, Gao X, Li Q. Effects of glucose on lactose synthesis in mammary epithelial cells from dairy cow. BMC veterinary research. 2016 Dec; 12 (1):81.
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Pettersson-Kastberg J, Mossberg A-K, Trulsson M, Yong YJ, Min S, Lim Y, et al. α-Lactalbumin, engineered to be nonnative and inactive, kills tumor cells when in complex with oleic acid: a new biological function resulting from partial unfolding. Journal of molecular biology. 2009; 394(5): 994-1010.
14
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15
Svensson M, Fast J, Mossberg AK, Düringer C, Gustafsson L, Hallgren O, et al. α‐Lactalbumin unfolding is not sufficient to cause apoptosis, but is required for the conversion to HAMLET (h uman α‐lactalbumin m ade le thal to t umor cells). Protein Science. 2003; 12(12): 2794-804.
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Fast J, Mossberg AK, Svanborg C, Linse S. Stability of HAMLET—A kinetically trapped α‐lactalbumin oleic acid complex. Protein Science. 2005; 14(2): 329-40.
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Mok KH, Pettersson J, Orrenius S, Svanborg C. HAMLET, protein folding, and tumor cell death. Biochemical and biophysical research communications. 2007; 354(1): 1-7.
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Casbarra A, Birolo L, Infusini G, Dal Piaz F, Svensson M, Pucci P, et al. Conformational analysis of HAMLET, the folding variant of human α‐lactalbumin associated with apoptosis. Protein science. 2004; 13(5): 1322-30.
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Tolin S, De Franceschi G, Spolaore B, Frare E, Canton M, de Laureto PP, et al. The oleic acid complexes of proteolytic fragments of α‐lactalbumin display apoptotic activity. The FEBS journal. 2010; 277(1): 163-73.
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21
Knyazeva EL, Grishchenko VM, Fadeev RS, Akatov VS, Permyakov SE, Permyakov EA. Who is Mr. HAMLET? Interaction of human α-lactalbumin with monomeric oleic acid. Biochemistry. 2008;47(49):13127-37.
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Kamijima T, Ohmura A, Sato T, Akimoto K, Itabashi M, Mizuguchi M, et al. Heat-treatment method for producing fatty acid-bound alpha-lactalbumin that induces tumor cell death. Biochemical and biophysical research communications. 2008; 376(1): 211-4.
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Hkansson A, Andréasson J, Zhivotovsky B, Karpman D, Orrenius S, Svanborg C. Multimeric α-lactalbumin from human milk induces apoptosis through a direct effect on cell nuclei. Experimental cell research. 1999; 246(2): 451-60.
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Düringer C, Hamiche A, Gustafsson L, Kimura H, Svanborg C. HAMLET interacts with histones and chromatin in tumor cell nuclei. Journal of Biological Chemistry. 2003; 278(43): 42131-5.
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Hallgren O, Aits S, Brest P, Gustafsson L, Mossberg A-K, Wullt B, et al. Apoptosis and tumor cell death in response to HAMLET (human α-lactalbumin made lethal to tumor cells). Bioactive Components of Milk: Springer; 2008. p. 217-40.
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Gustafsson L, Aits S, ضnnerfjord P, Trulsson M, Storm P, Svanborg C. Changes in proteasome structure and function caused by HAMLET in tumor cells. PLoS One. 2009; 4(4): e5229.
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Brest P, Gustafsson M, Mossberg A-K, Gustafsson L, Duringer C, Hamiche A, et al. Histone deacetylase inhibitors promote the tumoricidal effect of HAMLET. Cancer research. 2007; 67(23): 11327-34.
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Kِhler C, Gogvadze V, Hهkansson A, Svanborg C, Orrenius S, Zhivotovsky B. A folding variant of human α‐lactalbumin induces mitochondrial permeability transition in isolated mitochondria. European journal of biochemistry. 2001; 268(1): 186-91.
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Kِhler C, Hهkansson A, Svanborg C, Orrenius S, Zhivotovsky B. Protease activation in apoptosis induced by MAL. Experimental cell research. 1999; 249(2): 260-8.
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Hallgren O, Gustafsson L, Irjala H, Selivanova G, Orrenius S, Svanborg C. HAMLET triggers apoptosis but tumor cell death is independent of caspases, Bcl-2 and p53. Apoptosis. 2006; 11(2): 221-33.
31
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Mossberg AK, Wullt B, Gustafsson L, Mهnsson W, Ljunggren E, Svanborg C. Bladder cancers respond to intravesical instillation of (HAMLET human α‐lactalbumin made lethal to tumor cells). International journal of cancer. 2007; 121(6): 1352-9.
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Schenkman E, Lamm DL. Superficial bladder cancer therapy. The Scientific World Journal. 2004; 4: 387-99.
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