Journal of Clinical Research in Paramedical Sciences
Year:2014 | Volume:3 | Issue:1|Papers Count:8

Background: Despite the development in maternal care peripartum hysterectomies are increasing. The purpose of this study is the survey incidence rate, indications, demographic features and complications of peripartum hysterectomies in Kermanshah’s hospitals, 2007-2011.Methods: 81 patients in 5 hospitals were studied during the years 2007-2011 in Kermanshah. Postpartum hysterectomy had been done on them during or within 24 hours after delivery.Results: The rate of peripartum hysterectomy was one out of 1000delivery.The mean age of mother was 34.3 years and the mean parity was 2.9.in 70. 4% during cesarean and in 29.6% after vaginal delivery hysterectomy was done. 44 cases (54.3%) placenta adhesion, 19 cases (23.4%) uterine rapture, and 13 cases (13.4%) uterine atony were operated (hysterectomy). Cor pulmonale was the most common complication due to extensive bleeding and transfusion in 39 cases (48.1%). Vesicle trauma in 13 cases and ureteral trauma in 7 cases occurred. Maternal death occurred in two cases.Conclusion: The amount of hysterectomy peripartum was similar to developed countries and lower than neighbor Asian countries. The highest rate was from placenta adhesion and then uterine rapture. Uterine rapture is also considered as a cause of maternal death. Decrease in cesarean without medical indications and paying more attention during vaginal delivery decreases peripartum hysterectomy and maternal death.

Background: there is a great concern for the possible adverse effects of cell phones and noise waves and it looks these weaves effects on the individuals’ health. Thus, the present study was conducted to examine the effect of cell phone waves, severity noise, and simultaneous effect of cell phone waves and severity noise on sperm motility and sexual hormones in adult male rats.Methods: this experimental study was performed on twenty eight Wistar adult male rats (200-250 gr). The animals were randomly assigned to four groups (n=7): control group, two-week exposure to cell phone simulated waves group, exposure to noise group, and simultaneous exposure to cell phone simulated waves and sound group. The means of sperm motility in all groups were determined with criterions of WHO and sexual hormones concentration of blood plasma in all groups were determined by RIA. The results were analyzed by one-way ANOVA statistical technique followed by Tukey test using SPSS (version 16) software.Results: sperm motility in the exposure to cell phone simulated waves and simultaneous exposure to cell phone simulated waves and noise groups decreased significantly compared to control group (P<0.05). The testosterone hormone concentration of blood plasma in all exposure groups decreased significantly compared to control group (P<0.05).Conclusion: exposure to cell phone waves and simultaneous exposure to cell phone simulated waves and sharp noise can cause a significant decrease in sperm motility and also, can cause a significant decrease the testosterone hormone concentration in adult male rats resulting in abnormality fertility.

Introduction: Pseudomonas aeruginosa and Enterobacter cloacae are the most common organisms involved in clinical disease among patients admitted in ICUs. The treatment of these infections is often difficult due to several virulence factors and drug resistance mechanisms. The aim of this study was to evaluate multidrug-resistance pattern among clinical P. aeruginosa and E. cloacae isolates collected from ICUs.Methods: In total, 82 and 49 P. aeruginosa and E. cloacae isolates were collected from ICUs of Tehran and Qazvin hospitals. The species identification was performed by standard laboratory methods. Antimicrobial susceptibility and multidrug resistance (MDR) pattern were further evaluated by Kirby-Baure method according to CLSI guideline.Results: In this study, the highest resistance rate was shown to cefpodoxime (98.8%) and cefotaxime (97.6%) in P. aeruginosa and to amoxicillin-clavulanic (98%) acid and ampicillin (95.9%) in E. cloacae isolates. Twenty six (53.1%) E. cloacae and 43 (52.4%) P. aeruginosa isolates showed the multidrug resistance pattern.Conclusion: The present study showed the considerable frequency of MDR pattern among P. aeruginosa and E. cloacae isolates collected from studied hospitals. Therefore, there is need for efficient infection control and appropriate therapeutic practices, especially in ICUs.

Introduction: Continuous attention to monitoring employees' job satisfaction through medical imaging centers need to optimize the performance of radiographers role in the application of ionizing radiation to produce images of diagnostic quality skills, is of even greater importance. The aim of this study was to evaluate employees' job satisfaction in imaging centers in the hospitals of Kermanshah University of Medical Sciences in 2012.Methods: In this cross -sectional descriptive study job satisfaction of all radiographers of target centers were studied. The data collection instrument was the researcher made questionnaire that was used after validity and reliability was confirmed.Results: Results showed that Overall job satisfaction of employees was in the target centers of 58.1 percent. The highest levels of job satisfaction, in dimension of job satisfaction was Satisfaction with supervision staff within 56.2% and Maximum rate of job dissatisfaction related to job security with 74.3%, respectively.Conclusion: With regard to the finding the main reason for job dissatisfaction in imaging centers with the lack of job security for employees, vocational training and promotion was a proportional increase salaries of employees and their advantages is that we can reform the management and supervision of financial support to promote the job satisfaction of employees take steps.

Introduction: Defense of human rights is for preserving human beings. Demanding and observance of patient rights requires introduction and awareness of groups that are involved with patients. So the purpose of this study is surveying awareness rate and nursing and midwifery student's attitude about doing human rights charter in Kermanshah of medical School, 2012.Methods: The present study was done by descriptive – analytic and sectional method in 2012. The study societies are all the nursing and midwifery. The study samples involve third and fourth year students that enter study by census method and using questionnaire. Data using SPSS 12 they were be analyzed.Results: In this study, 90 students were assessed for the level of awareness in %55.6 of students, moderate %34.4 good, %10 poor, respectively. The attitude rate of students in %47.8 good attitude, %38.9 intermediate, and %13.3 attitude weak the rights of patients. Results There is meaningful association between the level of knowledge and age and Marriage (P<0.001). In addition there is attitude rate and sex (P<0.013) and data source (P<0.001) correlation was found.Conclusion: According to results, importance of subject, student's direct relations with patients, the average awareness and students attitude, it's necessary that authorities provide facilities for increasing student's attitude and awareness.

Introduction: Cryptosporidiosis is caused by various species of protozoan Cryptosporidium. This disease has more importance in children and immunosuppressive individuals. In this study, some of the epidemiologic features of infection with Cryptosporidium in diarrheic and non-diarrheic Children admitted to some hospitals of Kermanshah city were studied from 2011-12.Methods: In this descriptive study, 480 diarrheic and 220 non diarrheic Children in the ages of ≤15 years old were studied. Epidemiological information of Patients was collected using a questionnaire. Stool samples of the patients concentrated by formalin-ethyl acetate concentration technique and after staining with modified Ziehl-Neelsen, were examined for presence of oocysts of Cryptosporidium by light microscope. The intensity of infection in each sample was detected using a semi quantitative method. The data were analyzed using SPSS 21 software.Results: Of the 700 studied children, 15 (2.14%) were found to be infected with Cryptosporidium. Nine of the patients were female and six of them were male. The highest and lowest rate of infection were seen in the age groups of 4-6 (6.25%) and 13-15 (0.83%) years old, respectively There was statistical difference between the rate of cryptosporidial infection in diarrheic and non-diarrheic children. The intensity of infection in most of the children (93.3%) was assessed as 1+. Most of the patients were living in urban areas.Conclusion: Although the overall rate of infection with Cryptosporidium showed a significant decrease compared to previous years, but it seems that this infection especially in diarrheic children under 5 years old must be in consideration.

Background: The pressures resulting from physical, mental and social fluctuations play a significant role in causing depression and decreasing the happiness in the elderly. The perceived social support and religious beliefs are among some parameters which influence their life satisfaction. Taking this into account, this study intends to examine the effect of social support and religious attitudes on the life satisfaction in the elderly living in the town of Borujen.Method: This study which is descriptive-analytical in nature was conducted on 105 of the elderly living in the town of Borujen. Data were gathered by using a questionnaire consisting of 3 variables i.e. social support, religious beliefs and the level of life satisfaction developed based on the following three questionnaires: Canty-Mitchell's Social Support Questionnaire (2000), Golriz and Brahnew's religious belief questionnaire and Dinner, Emmons, Larsen and Griffin's questionnaire for life satisfaction. The reliabilty of the developed questionnaire was found to be 0.83% using Cronbach coefficient a. The gathered data were analyzed using descriptive statistics, Pearson correlation analysis and step-by-step multiple regression analysis.Method: Based on the findings of the study, the mean score for the level of life satisfaction among the elderly living in the town of Borujen was found to be 22.46. There was a statistically significant relationship between the social support and the level of life satisfaction in the elderly (P<0.001). The addition of the religious belief variable was accompanied by an increase in the social support and the level of life satisfaction in the elderly living in the town of Borujen (P<0.001).Conclusion: Given the need of the elderly to the social support from their surrounding people, it can be inferred that the social support and religious belief play a significant role in their level of life satisfaction promoting their life satisfaction.

Introduction: M. genitalium is a member of genital Mycoplasmas which is an important factor for sexually transmitted diseases (STD) in men and women. M. genitalium often causes urethritis, cervicitis, vaginitis and acute endometritis. This study aimed to determine the frequency of M. genitalium infection in women with cervicitis.Methods: In this descriptive- analytic study, 223 women with cervicitis were sampled using cervical swab. Then the bacterial DNA was extracted and PCR was carried out using specific primers for the detection of M. genitalium MgPa operon gene.Results: Of the 223 women who had cervicitis, 11 individuals (4.9%) showed M. genitalium infection and the maximum rate was for the age group 35-26 year old. Of women who had the history of abortions 2 (4.5 %) cases were infected with M. genitalium and in women with the history of infertility no infection was found. Vaginal discharge was found in 178 women and this group had the lowest infection rate. However, the highest infection rate was found in women with dysuria. Couples who used condom showed the least infection rate.Conclusion: A considerable proportion of women with cervicitis had M. genitalium infection, although in compare to some countries, it is a low rate. The infection was more common in the age groups with sexual activity which indicates the necessary of education and counseling to prevent or reduce the rate of infection.