1 1029-7863 Hamadan University of Medical Sciences 515 Medicine & Clinical Sciences A Comparative Study of the Effect of Multimedia and Traditional Methods on the Learning and Satisfaction Level in the Course of Neurosurgery Technology (Spinal Column) in Students Imani Behzad b Noroozi Nahid c Bastami Maryam d Merajikhah Amirmohammad e b Assistant professor, Department of Operating Room, School of Paramedicine, Hamadan University of Medical Sciences, Hamadan, Iran c Student Operating Room (MSc), Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran d Student Operating Room (MSc), Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran e Student Operating Room (MSc), Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran 1 10 2019 18 1 1 6 04 08 2019 11 10 2019 Background and Objective: Multimedia learning as a student-learning method, is one of the phenomena of the modern world that has emerged in the knowledge-based society. The purpose of this study was to determine the effect of multimedia teaching patterns on learning and satisfaction level of neurosurgery technology lessons compared to the traditional teaching method in operation room undergraduate students of Hamadan University of Medical Sciences. Materials and Methods: The present study is a quasi-experimental interventional study that performed on all operation room undergraduate students (n=32) in the para-medical school. The first part of the neuroscience lesson was taught in the traditional way and the second part was taught using multimedia software. In the end, learning and satisfaction level of students in both stages were assessed through written tests and satisfaction questionnaires. Data were analyzed by SPSS v.23 software. Results: According to the paired t-test, the comparison of students' scores in traditional and multimedia methods showed a significant statistical difference (P= 0.001). Also, according to paired t-test, in comparing the students' satisfaction level with traditional and multimedia methods showed a significant statistical difference (P= 0.004). Conclusion: Based on the findings, designing educational software can be an effective strategy to enhance learning in the operating room students.
524 Rehabilitation Comparing the Word Definition Skill between Children with Cochlear Implant and Normal Children Ezazi Leyla f Safaeyan Sediqe g Sobhani Rad Davood h Tayarani Niknezhad Hamid i Rajaee parisa j Zavi Mahdiye k Solati Asieye l Golestani Kiarash m f M.Sc of Speech and Language Pathology, Department of Speech Therapy, Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran g M.Sc of Speech and Language Pathology, Department of Speech Therapy, Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran h PhD of Speech and Language Pathology,Department of Speech Therapy, Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran i PhD of Linguistics,Implant Center of Khorasan Razavi, Mashhad, Iran j Bachelor of Science Student of Speech And Language Pathology, Department of Speech Therapy, Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran k Bachelor of Science Student of Speech And Language Pathology, Department of Speech Therapy, Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran l Bachelor of Science Student of Speech And Language Pathology, Department of Speech Therapy, Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran m Bachelor of Science Student of Speech And Language Pathology, Department of Speech Therapy, Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran 1 10 2019 18 1 7 14 26 08 2019 09 10 2019 Background and Objective: Word definition is a linguistic and metalinguistic skill related to the development of language, academic success and intellectual function. There is a little research in the field of word definition in children with cochlear implant (CI) in Iran. Therefore, the purpose of this study was to examine and compare the word definition in children with CI with normal children. Materials and Methods: In this cross-sectional study, 22 children with CI and 22 normal children aged 6 to 8 years were selected in an available manner to assess the word definition by using the test conducted by Mohammadi and et.al (2009). The inclusion criteria included being monolingual, congenital impairment, using of the CI device, operating up to three years of age, the presence of any comorbidity and getting the early intervention. Exclusion criteria included the lack of cooperation of the examinee. It was used SPSS v.19 for statistical analysis. Mean, standard deviation, minimum and maximum scores were calculated. Also, it was used, the Mann-Whitney test to determine the significant differences of the scores of variables. Results: The normal group gained the highest scores in the three section, functional (p = 0.003) and structural (p <0.001) aspects, and have a higher score in the total word definition test (p <0.001). Conclusion: The weakness of hearing in impaired children in vocabulary definition skill demonstrate their semantic and syntactical deficits. There were aligned studies with our results in specific language impairment which are expected to be considered by speech and language pathologists (SLPs) in their interventional planning. 513 Basic Sciences Association the Study of between CGA rs6631A>T Gene Polymorphism with the Risk of Male Infertility Moradi Samira n Ghorbian Saeid o n Department of Molecular Genetics, Ahar Branch, Islamic Azad University, Ahar, Iran o Department of Molecular Genetics, Ahar Branch, Islamic Azad University, Ahar, Iran 1 10 2019 18 1 15 22 02 08 2019 09 10 2019 Background and Objective: The CGA gene encodes alpha subunit of glycoprotein hormones that are involved in the fertility process. The aim of this study was to evaluate the association between glycoprotein hormones, alpha polypeptide (CGA) rs6631A> T gene polymorphism with the risk of men infertility with azoospermia or severe oligozoospermia. Materials and Methods: This study was conducted in a case-control study on 200 blood samples consisting of 100 samples of severe oligozoospermia or azoospermia men and 100 blood samples of healthy men with normal fertility and lack of a family history of infertility. In this study, we used PCR-RFLP method to evaluate genotype frequencies of CGA polymorphism. Results: The genotype frequencies of CGA gene polymorphism for AA, TA and TT was 27%, 51% and 22% and 24%, 47% and 27%, in control and case groups, respectively. There was no significant difference in genotype frequencies between two groups (P> 0.05). In addition, there was no significant difference in allele frequency between two groups (P=0.424, OR=0.852, CI=0.576-1.261). Conclusion: The results of this investigation showed that nucleotide change in CGA gene was not significantly associated with the risk of azoospermia or severe oligozoospermia; therefore, this polymorphism may not be a prognostic biomarker in male infertility. 527 Basic Sciences Designing Nursing Knowledge Management Questionnaire Khalili Arash p Khalili Marziyeh Ebrahimi Horyat Fariba Hassanian Zahra Marzieh p Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran Masters of Pediatric Nursing, Yasuj University of Medical Sciences, Yasuj, Iran Masters of Pediatric Nursing, Hamadan University of Medical Sciences, Hamadan, Iran Chronic Disease (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran 1 10 2019 18 1 23 29 03 09 2019 06 10 2019 Background and Objective: Increasing nurses' participation in policy, planning and decision making of their organizations is a new priority in capturing and disseminating knowledge, and from frontline nurses, it was expected that they will produce and manage their professional knowledge as active employees of knowledge. The purpose of this study was to design a nursing knowledge management questionnaire. Materials and Methods: The present study was a correlation study to design a content domain of the questionnaire, a basic questionnaire was developed after field research and a extensive library studies of 27 items. To determine the index and content validity ratio, the questionnaire was given to 10 faculty members of Hamadan University of Medical Sciences. For internal consistency and repeatability, the questionnaire was filled out for 84 nurses working in Besat Hospital in Hamadan. Reliability was determined using Cronbach's alpha and Pearson correlation coefficient. Results: content validity ratio was finally 0.84 and content validity index in the factor of being simple were 0.99%, relevant 92.9% and clarity 98.3%, respectively. The content validity index was 96.4%. The reliability of the questionnaire was calculated using Cronbach's alpha test (0.84) and Pearson correlation coefficient (0.90). Conclusion: The final questionnaire of knowledge management with 21 items has high reliability and validity and it is a standard tool for nursing filed. 521 Rehabilitation Development of Syllable Structure in Azeri-speaking Children Mirzaee Majid Khoshhal Zeynab MSc. student of speech therapy, faculty of rehabilitation, Ahvaz Jundishapur University of Medical Sciences MSc of speech therapy, lecturer in speech & language pathology, faculty of rehabilitation, Tabriz University of medical science 1 10 2019 18 1 30 36 11 09 2019 08 10 2019 Background and Objective: The length and complexity of syllable structure in the utterances of the children increase with ageing. According to the role of the syllable in the speech process, performance of developmental studies on syllable acquisition in children are essential. The present study aimed to investigate the development and attainment of syllable structure and the distribution of syllable pattern in Azeri-speaking children. Materials and Methods: This longitudinal study was conducted on seventeen Azeri-speaking children (18-24 months old) selected by the cluster sampling method from Tabriz’s kindergartens and followed for 6 months. A researcher-made vocabulary sheet, vocabulary list, and verbal play were used to record children's expressive vocabulary. After collecting each child's vocabulary list, the target vocabulary was classified by syllable number and syllable structure. The data were analyzed by using descriptive statistics. Results: In children aged 18 and 19 months, 67% of vocabulary words were monosyllable, 24% bisyllable, and 9% more than bisyllable. The highest amount of syllable pattern production for monosyllable and bisyllable was CVC (36%) and CVCV (52%), respectively. Distribution of syllable patterns changed with age, as well as patterns became more complex. In these two months, the rate of usage of open and closed syllables was 35% and 65%, respectively; this ratio was constant with age. Conclusion: The children produced coda consonants before they were able to distinguish vowel length. Closed syllables were earned earlier than the vowel length, and obstruent consonants at the syllable coda position before sonorant consonants. At first, the children were not able to distinguish vowel length, but with age, they showed short and long vowels representation. 511 Other The Webometric Evaluation for Hamadan University of Medical Sciences in Comparison with Top-ranked World and Iranian Medical Universities Farashi Sajjad Bashirian Saeed Zareian Sepideh Autism Spectrum Disorder Research Center, Hamadan University of Medical Sciences, Hamadan, Iran Department of Public Health, School of Health, Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran Vice-Chancellor for Research and Technology, Hamadan University of Medical Sciences, Hamadan, Iran 1 10 2019 18 1 37 48 28 07 2019 20 10 2019 Background and Objective: Considering the increasing importance of world web wide for the promotion of scientific/educational level of universities, the quality of web presence has been the center of attention during recent years. In this study, the quality of web presence for Hamadan University of Medical Sciences has been investigated using several criteria. Materials and Methods: The criteria consist of measures for evaluating the quality of website content and features, the quality of web-based activities of affiliated persons and the contribution of different traffic sources on total website traffic. These measures have been obtained using search engines. Finally, affiliated centers of Hamadan University of Medical Sciences have been ranked according to the Webometrics ranking system. Results: The results of this study show that the direct access to the website of Hamadan University of Medical Sciences has lower contribution to the total traffic size in comparison with other universities. Furthermore, the results show some deficiencies for the way that website has been designed. Conclusion: The current study suggests changing of the pattern of web-based activities for affiliated persons, also the optimization of the website of Hamadan University of Medical Sciences. The obtained results besides the categorical-based ranking of subunits of Hamadan University of Medical Sciences can be used by university administrators to develop more effective strategies in order to improve the webometric ranking of the university. 529 Other Attitude, Adherence, and Nursing Students' Knowledge, about Preventive Standard Precautions of Blood Borne Diseases Fatahi Azad Khalili Zahra Seyedtabib Maryam MSc Student in nursing, Department of Medical Surgical Nursing, Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran. Instructor, Chronic Disease (Home Care) Research Center, Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran. PhD student, Department of Biostatistics and Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran. 1 10 2019 18 1 49 56 23 09 2019 01 11 2019 Background and Objective: The risk of transmission of various infections, always threatened nursing students life and leads to a high cost for diagnosing and treatment of these diseases. Therefore, nursing students must have the knowledge and proper functioning concerning standard precautions. This study aimedto determine knowledge, attitude and adherence of nursing students of the preventive standard precautions of Blood borne diseases. Materials and Methods: In this descriptive-analytical study among the 2-8 semester nursing students of Hamadan Nursing and Midwifery School, 119 students were entered into the study by available. Knowledge, attitude and nursing student's adherence were assessed using questionnaire. The scores were reported at three grades weak, moderate and good. Data analysis was performed using SPSS v.16 and using the Pearson correlation coefficient and regression tests. Results: There was a direct relationship between knowledge with attitude (r=0.627) and adherence (r=0.254). Most students have a good knowledge (51.3%) and attitude (100%) and moderate adherence (53.8%). The results indicated the predictive role of gender on students' knowledge and attitude. The predictive role of the semester, the experience of the student job and have family working in the medical team were observed in the students' knowledge, attitude and adherence, respectively. Conclusion: Research findings indicate the urgent need for infection control training courses for students to increase their knowledge and attitude and subsequently to improve adherence to standard precautions. 543 Health Sciences The demographic and Psychological determinants of performing Mammography among the Employed Women in Medical Professions in western Iran: the Role of Threat Appraisal and Coping Appraisal Bashirian Saeed Barati Majid Mohammadi Younes Moaddab Shoar Leila Dogonchi Mitra Associate Professor of Health Education, Research Center for Health Science and Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran Assistant Professor, Research Center for Behavioral Disorders and Substances Abuse and Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran Assistant Professor of Epidemiology, Modeling of Non-communicable Diseases Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran Assistant Professor of department of Radiation Oncology, Hamadan University of Medical Sciences, Hamadan, Iran PhD of Health Education and Health Promotion, School of Public Health, Hamadan University of Medical Sciences, Iran 1 10 2019 18 1 57 63 13 11 2019 21 12 2019 Background and Objective: Breast cancer is the most prevalent cause of cancer-related mortality among women. Mammography and early detection of breast cancer a play the important role in the treatment process. The current study aimed to determine the demographic and psychological determinants of performing Mammography screening among employed women in western Iran. Materials and Methods: In this cross-sectional study, 164 employed women of age 40 years and over in Hamadan medical professions, were included in the study in 2018 using a stratified random sampling. The data were collected using a researcher-made questionnaire consisting demographic characteristics and protection motivation theory constructs. The data were analyzed using descriptive analysis and logistic and linear regression. Results: The mean age of the study population was 46.68 ± 4.39 years. 6.1% of the people performed mammography on a regular basis.The regression analysis indicated that threat appraisal had more important role in mammography compared to coping appraisal.Moreover, protection motivation was the most important predictor constructs of mammography behavior (R2 = 0.17).There was also a significant relationship between mammography and demographic variables such as pre-existing health condition (P = 0.001), family history of breast cancer (P = 0.005) and menopausal status (P = 0.001). Conclusion: Protection motivation theory is an effective framework for educational interventions to prevent breast cancer. Furthermore, considering the threat appraisal and intention are the most important effective structures of the motivation protection theory on mammography, and therefore, codifying the training programs with the purpose of increasing perceived threat appraisal and intention is suggested.