Pars Journal of Medical Sciences
Year:2022 | Volume:19 | Issue:4|Papers Count:9

Introduction: Prevalence of pacemaker 0. 4-1 Percentage of surgical site infections is reported in 14-16% of all nosocomial infections and is a common complication after cesarean section. The present study reports a case of covid-positive placenta abruption that develops a cesarean section infection a few days after emergency cesarean section. Case Report: The patient, a 34-year-old woman experiencing her fourth pregnancy, suffered severe vaginal bleeding and abdominal pain at 34 weeks of gestation and underwent emergency cesarean section at the diagnosis of placental abruption. 5 days after the operation, the patient was checked for Covid-19 PCR, which was positive. Because the patient had no clinical symptoms and was not a problem for women, he was discharged and was advised to visit on an outpatient basis. 5 days after discharge, the patient returned to the hospital with symptoms of abdominal pain and tenderness, fever, chills, and purulent discharge from the cesarean section and vaginal incision. The abscess at the site of the cesarean section was finally discharged with repair of the abdominal wall, in good general condition and with stable vital signs. Conclusion: Due to the recent spread of the corona pandemic, not much research has been done on its effects on pregnancy, fetus and placenta, and the manner of delivery and infection after cesarean section. But more research is needed to prove this, given the newness of the Corona pandemic, and there may be an effective link between covid 19 and placental abruption and an increased risk of surgical site infection.

Introduction: Following aseptic principles in the operating room plays an important role in preventing surgical site infections and reducing costs, but may sometimes be neglected. Gaining invaluable experiences of operating room staff is helpful. The study aimed to determine the experiences of operating room personnel about aseptic principles observation obstacles and factors affecting its observation in the operating room. Materials and Methods: This is a qualitative phenomenological study that has been performed in the Mazandaran University of Medical Sciences hospitals operating room. The operating room and anesthesia staff with an associate degree and more and at least one year of experience in the operating room were included in the study, voluntarily. The direct interview was in the form of semi-structured questions and this has been continued until the information saturation. Colaizzi 7-step method was used to analyze the data. Results: Overall, from the analysis of participants’,experiences related to the factors that affect the aseptic points and also their obstacles, 220 items were identified, which were divided into 10 subcategories, and finally 2 main themes emerged, including tips on operating room principles and techniques and tips on maintaining the patient's health. Conclusion: According to the sub-classes and main classes of this research about aseptic principles observation obstacles, in many cases, aseptic principles are observed experimentally. To fully implement the principles by personnel they must to be aware of the updated and standard instructions to prevent the infection with an appropriate method.

Introduction: Hemodialysis patients are at risk for viral hepatitis due to invasive procedures and frequent contact with blood and body fluids, this increases the importance of viral hepatitis in patients undergoing hemodialysis. The aim of this study was to determine the serological prevalence of hepatitis G virus (HGV) and its associated factors in hemodialysis patients in Jahrom-Iran. Material and Methods: This cross-sectional descriptive study was performed on 91 hemodialysis patients in Jahrom-Iran, 2021. The presence of anti-HGV antibodies in the serum of patients was evaluated by ELISA method. Demographic information, mean history of hemodialysis treatment and serum levels of liver enzymes were extracted from patients' records. The obtained data were statistically analyzed by SPSS-16 statistical software using descriptive statistics, T test and chi-square. Results: The prevalence of anti-HGV IgG and IgM were 5. 46% and 0%, respectively. The prevalence of antiHGV IgG was statistically significantly related to the history of blood transfusion and mean serum levels of ALT, AST, ALP (P<0. 05), but there was no statistically significant relationship with the mean age and sex of patients (P>0. 05). Conclusions: The prevalence of HGV in hemodialysis patients in Jahrom is equal to the average prevalence obtained in hemodialysis patients in other parts of the country. Further research is recommended to determine the role of this virus in causing hepatitis in hemodialysis patients.

Abstract: Introduction: Today, increasing people's efforts for beauty and rejuvenation has led to the promotion of plastic surgery, which has provided the basis for increasing the likelihood of error and increasing patients' dissatisfaction with the results. Therefore, this study was conducted to investigate the frequency of complaints from plastic surgeons referring to the Forensic Medicine Organization of Fars Province between 2013 and 2020. Material and Methods: The present study was a descriptive study based on re-analysis of data. Examining the existing cases in the forensic medicine of Fars province, a total of 132 cases referred to this organization were in the Plastic Surgery Commission, of which 58 were related to complaints from plastic surgeons. Data were collected using a checklist and the results were analyzed using SPSS software version 21 and descriptive statistics tests. Results: In the review of 58 cases, the results showed that 49 of the complainants (84. 5%) were female and 9 (15. 5%) were male. The most common type of medical center was a private hospital with 28 cases (48. 3%), followed by a public hospital with 22 cases (37. 9%) and a private office with 6 cases (10. 3%). Out of 58 suspects, 24 (41. 4%) were acquitted and 34 (58. 6%) were convicted of negligence, and 55 (94. 8%) were male and 3 (5. 2%) were female. The most common cause of negligence was incompetence, which included 16 cases (66. 6%) followed by carelessness with 20. 8% and compound negligence (8. 3%),Also, the most common cause of complaints was cosmetic defects with 58. 6%. Conclusion: In general, this study showed that the most common reason for complaining to plastic surgeons is cosmetic defects and dissatisfaction with the results of the operation, and this requires plastic surgeons to better understand the results of the operation for the patient,Also, the most common cause of incompetence was the lack of skills, which indicates the importance of skills acquisition by surgeons.

Introduction: One of the metabolic responses to surgical stress is changes in serum glucose levels of patients undergoing surgery. Therefore, the aim of this study was to compare the blood sugar fluctuations of non-diabetic patients during orthopedic surgery in general anesthesia and spinal anesthesia. Material and Methods: In this cohort study, 60 patients with anesthesia classes 1 and 2 underwent orthopedic surgery under general anesthesia and spinal anesthesia. Patients were divided into 2 groups: general anesthesia and spinal anesthesia. A glucometer was used to measure patients' blood sugar. Hemodynamic symptoms and chills were also assessed. Results: Mean BS showed no significant difference between spinal anesthesia and general anesthesia groups in preoperative times, after spinal anesthesia or general anesthesia, at 30 minutes and 60 minutes postoperatively and in recovery (p> 0. 05). Intra-group comparisons with analysis of variance with repeated measures showed that the mean trend of BS at the time of the study was significant only in the spinal anesthesia group (p = 0. 006). The mean trend of BS in the spinal anesthesia group was reduced in the postoperative period compared to the preoperative period. Conclusion: Considering the importance of regulating blood sugar around surgery, the present study preferred spinal anesthesia to control the patient's blood sugar to some extent over general anesthesia,but confirmation of this finding requires more detailed studies.

Introduction: Asthma is the most common chronic respiratory disease and is a major cause of disability and has high economic costs. Therefore, the aim of this study was to evaluate laboratory diagnostic factors in patients with asthma. Material and Methods: The present study is a cross-sectional analytical study that by referring to the medical records department in the educational hospitals of Abadan University of Medical Sciences, information about age, sex, and laboratory diagnostic factors of patients with asthma admitted from March 21, 2019, to March 19, 2020 was received. Results: The results of this study showed that the statistical population of patients with asthma included 636 of which 344 (54. 1%) were female and 292 (45. 9%) were male and this difference was significant. Mean biochemical markers including blood sugar, triglycerides, liver markers such as SGOT, total and direct bilirubin, hematological factors such as mean ESR and INR were higher than normal and cardiac marker CK was lower than normal. Conclusions: The results of this study showed that in patients with hospitalized asthma, liver disorders (more in women than men), hyperbilirubinemia, hyperglycemia, hyperlipidemia and impaired cardiac marker, coagulation and inflammation are observed. As a result, more research and timely treatment should be done to prevent further complications of the disease.

Introduction: Evaluation of objective experiences of health services users is essential for evidence-based health policy-making and planning. Accordingly, research on postpartum quality of life has attracted increasing attention. The aim of this study was to determine factors affecting postpartum quality of life of women in Shiraz. Materials and Methods: This cross-sectional study was performed among 1050 mothers in Shiraz in 1400. A proportional multistage stratified sampling method was used to select participants. Data were collected using two general and specific scales for measuring postpartum quality of life. Data were analyzed using analysis of variance and multiple linear regression. Results: Multiple linear regression showed that water birth (β, =0. 83, P=0. 001), natural vaginal delivery (β, =0. 70, P=0. 002), housekeeping (β, =0. 71, P=0. 011), university education (β, =0. 68, P=0. 028), basic education (β, =0. 23, P=0. 043), and living in the cities (β, =0. 21, P=0. 041) had the greatest impact on the postpartum quality of life of women, respectively (R2=0. 861, df=7). Conclusion: Findings indicate that method of delivery, level of education, employment status and place of residence were among the most important factors affecting postpartum quality of life. Identification of determinants of postpartum quality of life considering clinical justifications and economic analysis can provide the necessary evidence for the selection of appropriate childbirth methods.

Introduction: Oxidative stress, through the production of reactive oxygen species (ROS), has been proposed as the root cause underlying the development of diabetes and its related complications such as testicular tissue damage. Antioxidants supplementation have been reported to improve testicular function and oxidative stress-induced in diabetes. The study aimed to determine the Coenzyme Q10 (CoQ10) effects on the oxidative status in the testicular tissue of streptozotocin-induced diabetic rats. Materials & Methods: In the experimental study, 30 male Wistar rats were studied. The rats were randomly divided into four 5-rat groups including: saline, sesame oil (as a vehicle), healthy group treated with CoQ10 (10 mg/kg/day), diabetic (induced with streptozotocin: 55 mg/kg), and CoQ10-treated diabetic (10 mg/kg/d). Then, levels of Malondialdehyde (MDA), Total Oxidant Status (TOS), and Total Antioxidant Capacity (TAC) and Oxidative stress index) OSI were measured in the homogenized of testicular tissue. Results: Analysis of data showed a significant decrease in the level of testis MDA (P < 0. 001), TAC (P = 0. 03) and OSI (P = 0. 03) in the CoQ10-treated diabetic group compared to the diabetic rats. No significant change was observed in the TOS (P > 0. 05) level in diabetic rats' testis treated with CoQ10 compared to diabetic rats. Conclusion: Collectively, our results demonstrated the possible effects of CoQ10 in attenuating diabetes-induced oxidative damage, in testicular tissue.

Introduction: Jahrom Cancer Research Center is a neo-center that has been get started since 2016 and so far no study has been done to determine the coverage of patients referred to this center. The aim of this study was to estimate the coverage of patients referred to the Cancer Research Center and in addition to determine the sensitivity of the cancer registration system during the study years. Materials & Methods: In this study, the information of breast cancer patients has been extracted from three data sources (death, cancer registration system and cancer research center). The corrected number of cases of breast cancer was estimated using log linear method, during the study years. The coverage of patients referred to the Cancer Research Center and the sensitivity of the registration system were calculated based on the estimated number of cases. Results: In the study, 205 patients with breast cancer referred to the Cancer Research Center between 2016 and 2019, and the coverage of breast cancer patients by this center were 62%. The sensitivity of the breast cancer registration system was estimated to be 53. 9% in Jahrom University of Medical Sciences. Conclusion: The present study showed that a relatively acceptable coverage of breast cancer patients referred to this center. But the sensitivity of the breast cancer registration system is low despite the population base cancer registry system. Increasing interaction and cooperation between the cancer registry system and the Cancer Research Center could have a significant impact on increasing the sensitivity of cancer registry system.