Hormozgan Medical Journal
Year:2012 | Volume:16 | Issue:1|Papers Count:12

Introduction: This study was performed to evaluate the prevalence of low T3 syndrome among patients with heart failure and to assess the correlation between decreased levels of tri iodothyronin (T3) with mortality rate.Methods: In a prospective cross-sectional study, 91 patients with systolic heart failure were admitted to Mohammadi hospital in Bandar Abbas in 2008. Thyroid function test was done for every patient, then all of the cases were divided into two groups, according to 60£T3£120 mg/ml in normal T3 group and T3<60 mg/ml in low T3 group based on lab references. Mortality rate in these two groups was compared in a 8-months follow up.Results: Sick euthyroid syndrome was found in 31 (34.1%) cases. Mortality rate was 19.4% (6 cases) in low T3 group and 8.3% (5 cases) in normal T3 group. The association between mortality rate and decreased level of T3 was not statistically significant (P=0.12).Conclusion: This study did not show any significant correlation between mortality rate and decreased level of triodothyronin (T3).

Introduction: A number of studies have demonstrated that infectious mico organisms like helicobacter pylori may play a role in the process of atherosclerosis. We, here, aimed to investigate the effect of Helicobacter pylori DNA in atherosclerotic plaques in patients with coronary artery disease.Methods: In a cross-sectional study, 85 patients undergoing coronary artery bypass graft (CABG) in Jorjani heart center, Bandar Abbas, were enrolled. Using standard questionnaire, demographic and clinical data were gathered. Obtained specimens were processed and polymerase chain reaction (PCR) was carried out. Statistical analysis was performed with SPSS.Results: Helicobacter pylori DNA was detected within atherosclerotic plaques, in only 4 out of 85 patients (4.7%), whereas, 3 out of 85 control specimens from internal mammary artery were positive for presence of the mentioned bacteria. There was no difference between atherosclerotic plaque and thoracic biopsy in terms of Helicobacter pylori DNA positivity.Conclusion: We did not find any association between the presence of Helicobacter pylori and development of atherosclerosis.

Introduction: Teucrium polium (TP) is a plant which its anti-inflammatory and antimicrobial properties has been widely reported. In the present experiment, effect of hydroalcoholic extract of TP on skin wound healing in rats is investigated.Methods: 30 wistar rats randomly divided in 3 equal groups as follow: control (saline), 50 and 100 mg/ml of TP extract. One day after wounds induction, they were locally applied with saline (control), TP 50 mg/ml, or TP 100 mg/ml, accordingly. Wound areas were measured on days 1, 5, 9, 13 and 17. Data were analyzed using ANOVA for repeated measured data.Results: Wound area between control and both doses of TP extract was significantly different at 9th (P<0.005), 13th (P<0.005) and 17th (P<0.001) days. Wound healing percent between control and both doses of TP was also significantly different at 5th, 9th, 13th days (P<0.001), and 17th day (P<0.005). Furthermore, a significant different was shown between control and TP doses in the duration of complete wound healing (P<0.001).Conclusion: hydro-alcoholic extract of Teucrium polium accelerates skin wound healing process and decreases the duration of complete wound healing.

Introduction: The concept of life quality includes individual potential ability, following up of interests and quality of welfare feeling. Meta-analysis is a new method of study which evaluates the results of previous studies related to underlying subjects.Methods: Of 30 accomplished researches about effective agents in life quality of special patients, 17 researches were chosen for meta-analysis. These studies were selected, based on research methodology components such as research questions, statistical theories study population, sampling methods, research methods, statistical methods, validity and reliability of the questionnaires. Statistical analysis was performed by use of comprehensive meta-analysis software.Results: Combination of effect size by Schmitt and Huuts method shows that, variables such as self-care teaching, smoking, gender, marriage life, education and disease period are related to quality of life. There was no association between age and employment with the life quality.Conclusion: The findings of this study shown that individual, social, psychic and demography factors can influence the life quality of special patients. This information could be used in therapeutic schematization and medicine cares of patients. This information may increase the life quality of special patients.

Introduction: The health sector plays an important role in the structure of society, so that any investment in this sector influences the efficiency of economic and social activities. The most important requirements of economic reform in health sector, is the reform of budgeting methods and its resources distribution. The aim of this study was determination of the requirements for activity-based budget in Rudan health center.Methods: This was a descriptive, cross-sectional which was performed in 2008. In this study, 5 rural health centers, an urban health center and an urban were selected. In this study, the data related of each activity were collected and analyzed.Results: In this study, the budget of health funds under two rows of urban and rural program were investigated. Based on amount and unit cost of activities related to each program, required budget of rural health program, including family health activity, environmental health, school health, prevention and treatment of infectious diseases was about 42 billion Rials and suggested budget for urban health program, including family health activity, environmental health, school health, prevention and treatment of infectious and non infectious diseases, was 6 billion Rials.Conclusion: The current method of budgeting is not responding the real needs of health centers. Therefore, performance based budgeting method is recommended. In this method, type and amount of each activity will determinate the required budget estimate based on unit cost of each activity.

Introduction: Environmental tobacco smoke (ETS) exposure is a threat for health worldwide. The aim of this study was to determine the environmental tobacco smoke (ETS) exposure in people over 15 years old in Bandar Abbas, Iran.Methods: In this cross-sectional study a total of 387 subjects were selected by cluster sampling method. Data were collected by a questionnaire including demographic characteristics and questions related to environmental tobacco smoke (ETS) exposure. Data were analyzed by SPSS Software.Results: 44.4% of subjects were male and 55.6% female. The results showed that 98.4% and 93.5% of subjects had been exposed to cigarette and hookah smoke, respectively. 12.7% and 14.7% of subjects revealed to be always and often exposed to cigarette smoke, respectively and just 1.6% did not expose to cigarette smoke. 52.2% of subjects exposed to cigarette smoke at public transportations and 31.3% at home. 93.4% of subjects exposed on hookah smoke at home. There was no significant difference between males and females regarding environmental tobacco smoke exposure.Conclusion: The majority of the subjects were exposed to environmental tobacco smoke. Preventive efforts and educational programs are necessary to inform people regarding the harmful effects of environmental tobacco smoke.

Introduction: The aim of this study was comparison of prevalence of three subtypes of attention deficit hyperactivity disorder (ADHD) and combined type in female and male primary school children in Arak.Methods: This cross–sectional study was carried on 2000 (960 girls and 1040 boys) students of primary schools, in Arak in 1388-1389 academic years. Intelligence Raven scale, and Canner, s questionnaire (parents and teachers) were used to confirm the disorders, KSADS- E questionnaire (Schedule for Affective disorder and Schizophrenia epidemiological version) and demographic characteristics questionnaires were completed for all cases. Data were analyzed by using Chi-Square test and logistic regression.Results: The results show that 2.3, 3.5 and 2.7 percent of children had one of attention deficit, hyperactivity-impulsivity or combined type of disorders, respectively. The findings showed that, prevalence of hyperactivity and attention deficit disorder was decreased with age, while combined type of disorder was increased with age. The prevalence of hyperactivity and attention deficit disorders in boys and girls was not significantly different but in the combined type disorder (ADHD) this difference was significant (P<0.05).Difference between girls and boys in co-morbidity of ADHD disorders (attention deficit, hyperactivity, and combined type) and psychiatry disorders (conduct, depressive, urinary incontinence, tic, schizophrenia oppositional, obsessive- compulsive, manic, social phobia), was not statistically.Conclusion: Prevalence of the disorder subtypes was different among age groups and gender but, it was not statistically different between co-morbidity of ADHD disorders and psychiatry disorders.

Introduction: Osteoporosis is a silent and preventable disease that mostly affects women. Osteoporosis prevention requires enhancing knowledge and awareness of students. The purpose of this study was to assess the effectiveness of education of osteoporosis on knowledge among high school female students in Bandar Abbess.Methods: In this interferencive study, 480 students were selected using cluster sampling method. Data were gathered using a two-part questionnaire including demographic and knowledge items. After the baseline measurement, the students were randomly allocated into intervention and control groups. Two educational sessions were held for the intervention group. At the end of the sessions, educational booklets were distributed among the students. The educational strategies included giving lectures, and practicing physical exercises. After 3 weeks, the participants completed the questionnaires again. The results were analyzed using descriptive statistics and t-test for paired data by SPSS.Results: The results showed that the mean of knowledge score was significantly different between two groups after the intervention (P<0.0003).Conclusion: Regarding the effect of education on enhancing students' awareness about osteoporosis prevention, designing educational programs could be beneficial.

Introduction: Child abuse is a major clinical and health problem. It requires seriousattention due to a lot of multilateral long- term effects. Major cases of severe child abuse referred to hospitals and health centers. Thus physicians should have awareness and enough knowledge about the risk factors, diagnostic symptoms and the consequences of maltreatment. This study aims to determine the degree of knowledge of general physiciansemployed in health centers of Hormozgan province about maltreatment with children.Methods: This is a cross–sectional study and data collection was done through a researcher made questionnaire. 149 health physicians working in Hormozgan province were participated in the study. Total knowledge scores were divided in to three categories: poor (scores between 14-0); intermediate (between 16-15) and good (between 21-17). The data was analyzed by Chi-square and t-test using SPSS software.Results: The results showed that 15.7% of physicians fell in the poor group, 56.5% in the intermediate and 27.8% in the good category.Conclusion: This study showed that general practitioners in the province don't have enough knowledge about child abuse. Authorities should plan educational programs to promote their knowledge and the methods that they can manage child abuse in the society.

Introduction: Information about perspective of nurses on continuing medical education is important in promoting the program. The present study was aimed to determine the perspective of nurses, working in medical-Education hospitals, on continuing education programs.Methods: In this descriptive study, 184 nurses working in medical-education hospitals of Kohkiloyeh and Boyer-Ahmad were participated. A questionnaire was developed in five sections: demographic and content-area information, management information, satisfaction information, and motivation information. The collected data was analyzed using SPSS.Results: Based on the results, at most, 63% of the participants in the study were satisfied with agreement of the contents with new scientific discoveries, 63% were satisfied with the appropriateness of the contents with their needs, and 52% were satisfied with the management of the programs. In general, nurses had average evaluation, about the contents of the program, management, satisfaction, and motivation in continuing education programs.Conclusion: The majority of nurses, participating in continuing educational programs, had average evaluation towards content of the program, program management, satisfaction with programs, and motivation for participation. It is suggested to review the various parts of the programs and implement the requirement evaluation before any education progress.