Journal of Isfahan Medical School
Year:2023 | Volume:41 | Issue:719|Papers Count:3

Background: The aims of this study were to determine the prognosis of patients with heart infarction who were also diagnosed with COVID-19 disease and investigate its relationship with underlying diseases and blood factors and the severity of pulmonary involvement. Methods: This cross-sectional descriptive study gathered data from medical records of patients hospitalized in Alzahra, Chamran, and Khorsheed hospitals in Isfahan city betveen 2020 and 2021. The study included Individuals over 18 years old who were diagnosed with myocardial infarction and positive polymerase chain reaction (PCR) test placed under angiography.The variables examined included age, gender, comorbidities, medications, smoking history, vaccination status, laboratory findings, echocardiography, angiography, and mortality. The data were analyzed using logistic regression.  Findings: A total of 65 patients were examined. The most common comorbidity was hypertension (55.4%) and the most prevalent symptom was chest pain (84.6%). There was a decreased in Left ventricular ejection fraction (38.2%), which was significant in patients with ST-elevation myocardial infarction (33.5% vs. 43.7%, P = 0.0009). Thrombosis was observed in 14 patients, which was more common in the ST-elevation myocardial infarction (STEMI) group compared to the non-ST-elevation myocardial infarction (NSTEMI) group (30.8% vs. 7.7%, P = 0.03). The most involved artery was LAD (60%). There was no significant association between the severity of COVID-19 and myocardial infarction subtypes. Moreover, these subgroups did not exhibit a significant association with mortality rates. Conclusion: Our study did not find a significant association between the severity of COVID-19 and myocardial infarction subtypes.

Background: The study was designed to identify influential factors on sensory processing patterns and describe the pattern in neonates from birth to 6-month-old with premature birth.Methods: In a cross-sectional study in 2021, 79 neonates from birth to 6 months (corrected age) who were hospitalized for a few days to 1 month, were recruited by the simple sampling method. Their sensory processing patterns were evaluated by sensory profile2-birth-to 6 months with 6 sub-scales of general, auditory, visual, and tactile, movement; and oral processing in 25 questions. The validity and reliability of the sensory profile were (0.95) and (0.72-0.95).Findings: The Mean of the total score (52.6 ± 19.08) indicated that 54.4% of the participants exhibited abnormal sensory processing patterns. There was a significant relationship between sensory processing and sensory patterns with gestational age, birth weight, chronological age, and length of stay in the care unit. Tactile processing, patterns was significantly different between neonates, according to the time of hospitalization less than 1 week and more than 2 weeks. There are no significant differences between sensory processing patterns and gender, gestational age, and birth weight. The mean of Auditory, tactile and oral processing was different between the 2 groups of infants; less than 1-month chronological age and more than 1-month age. The total score of sensory profiles showed significant differences between infants with gestational age less than 32 weeks and more than 32 weeks.Conclusion: The length of stay Infants was exposed to disadvantageous sensory stimulation for a long time which contribute to early development.

Background: COVID-19 impacts individuals not only physically but also spans various psychological, social, and economic dimensions of their lives. This study aimed to identify the lived experiences of individuals who recovered from COVID-19 while being hospitalized, using a qualitative phenomenological approach.Methods: This qualitative study, utilizing a phenomenological strategy was conducted with individuals who had recovered from COVID-19. They had a history of hospitalization in the COVID-19 department of Peymaniyeh hospital in Jahrom city between March 2021 and May 2021. Participants were chosen via convenience sampling and continued until theoretical saturation was reached. Data was collected through semi-structured, interviews with 19 individuals (11 men and 8 women) who had recovered from COVID-19 after being discharged from the hospital. The study's accuracy was confirmed using the Guba and Lincoln method.Findings: The participants' age range was 27 to 73 years, and 68.43% had a history of hospitalization in the ICU or isolation ward. From the data analysis, ten main themes were extracted, including "anxiety due to severity of symptoms," "role disruption," "thoughts related to death," "various disease complications," "denial of illness," " effects of quarantine," "social isolation," "reduced societal participation," "self-medication and dilemma of vaccine use," and "non-utilization of the vaccine".Conclusion: This study underscores the multi-faceted impact of COVID-19 on patients' lives, including psychological, social, family, and occupational challenges. The identified topics can contribute to the development of counseling and support services to help individuals cope with these challenges and improve the overall quality of life of COVID-19 patients and their families.