Hormozgan Medical Journal
Year:2014 | Volume:18 | Issue:4|Papers Count:17

Introduction: Hypospadias is a common congenital malformation in boys. One of the common surgical techniques for correction of hypospadias is (Tubularized Incised Plate urethraplasty=TIP). Meatal stenosis and fistula formation are known post-operative complications. The purpose of our study was to evaluate the effect of early urethral dilatation in prevention of post operative complications.Methods: A randomized clinical trial including 60 patients with distal hypospadias who underwent tabularized incised plate urethroplasty with or without dilatation was conducted in Bandar Abbas children hospital in 2011. Patients were divided in two groups. The number of the patients and mean age were not different in two groups. Urethral dilatation was started in first group at two weeks following surgery and continued for six months. The patients of second group were followed without urethral dilatation. All patients were followed for occurance of complications for one year. Chi-Square and t-test were used to compare the groups.Results: In the first group the early fistula, late fistula, stenosis, hematoma, urinary infection, cutaneous necrosis, and wound dehiscence were developed in 16.7%, 6.7%, 10%, 26.7%, 13.3%, 10%, and 20% of the patients, respectively. In the second group these complications were seen in 10%, 6.7%, 3.3%, 13.3%, 6.7%, 3.3%, and 6.7% of the patients, respectively. Statistical analysis of results showed no significant differences between two groups in rate of complications.Conclusion: Early urethral dilatation after urethroplasty has no significant effect on postoperative complications.

Introduction: Bender Gestalt test is one of the most famous neuropsychological tests that is simple and it can be used to examine brain injuries. The objective of this research was to investigate the validity, diagnostic strength and the replicability of the Bender Visual-Motor Gestalt Test in patients with traumatic brain injury (TBI). Methods: 240 participants were tested in a case-control study to examine the validity of this test in two groups included 120 patients with TBI and normal cases. All participants were involved in the study by non-probability and consecutive sampling method. The normal group was matched with the TBI group in terms of age, gender and education level. The Bender Gestalt Test, neurological and dissectional information questionnaire, the demographic variable lists of the patients and the mini-mental examination test (MMSE) were used to collect the data. Results: Findings showed that patients with TBI showed more frequency in Gestalt test's dozen errors than the normal group. The discriminant validity coefficient showed that, in total 98.3% of the participants had been placed correctly in two normal and patient groups. The concurrent validity coefficient with the MMSE was -0.53 and the item-total correlation of this test were in a range of 0.10 to 0.48. The replicability results of this test among three examiners through intraclass correlation coefficient (ICC) calculations were 0.81 and the cronbach's Alpha coefficient for the total sample was 0.85. Conclusion: This test has an acceptable discriminant and replicability strength. Regarding the obtained validity and reliability coefficients, it is recommended that this test be applied with the paraclinical diagnostic tools (such as CT-scan and MRI) as the screening tools in patients with TBI.

Introduction: Prematurity remains the main cause of mortality and morbidity in infants and a problem in the care of pregnant women world-wide. This study describes the risk factors for having a live preterm delivery in Bandar Abbas Shariati Hospital. Methods: In this case-control study, we studied 300 neonates who were borned in Shariati hospital in 2011 and divided them into two groups: case group (100 mothers with premature neonates) and control group (200 mothers with term infants). Risk factors that were studied include maternal age and job, parent's knowledge, the history of preterm birth, uterine abnormality, maternal systemic and infectious disease, prenatal care, placental abnormality, trauma in pregnancy, maternal low weight gain in pregnancy, the number of previous pregnancy, inter pregnancies gap, maternal smoking, membrane abnormality, previous abortion, pregnancy with assisted reproductive therapy. Data collection and analysis were performed using SPSS 16 and t-test and Chi-Square were used to analyze the significance of the results. Results: The results show that in mothers with preterm birth, prolong premature rupture of membrane 27.92 times, uterine and cervical anomaly about 15 times, preeclamcia 5.26 times, the history of preterm birth 4.96 times, family dependency 2.67 times, urinary tract infection 2.24 times and diabetes 2.18 time more exposed to prematurity than mothers with term birth (P<0.05).Conclusion: According to this study prolong premature rupture of membrane, uterine and cervical anomaly, preeclamcia and history of preterm birth are the most important risk factors for preterm delivery.

Introduction: One of the most common problems among women during pregnancy is Urinary Infection (UI). Pregnant women are highly susceptible to UI due to body changes and because of its potential complications on mothers and their fetuses, UI receives particular attention.The current study aimed at investigating the modifiability of behaviour of the pregnant women in the field of urinary infections based on the health belief model. Methods: This is a quasi-experimental intervention study. The samples involved 110 pregnant women who attended Health Center in Behbahan (Khuzestan Province) and were randomized to case and control groups. The reliability and validity were established before conducting the study and the tool of the study included a designed questionnaire based on the Health Belief Model (HBM). Before the intervention, the participants in both groups were asked to fill in a questionnaire and the pregnant women of the experimental group received a five session educational program according to (HBM). There was no intervention in control group. One month after intervention, both groups were evaluated by re-completing the questionnaire. And finally, Statistical tests such as Independent t-test, Paired t-test and Chi- Square were used for analysis of data in both groups.Results: The results of an independent t-test revealed that before intervention there were no significant differences between the mean scores of the pregnant women's behaviour in the two groups concerning behavioral prevention of urinary infection such as the way of cleanness and wearing clothes, eating habits, urinary habits, and sexual behaviour. After intervention, however, significant differences were observed between the mean scores of all aforesaid variables (P<0.05). The Paired t-test showed that there were significant differences between the mean scores of the variables in case group before and after educational intervention (P<0.05), whereas the mean scores of control group changed trivially and no significant differences were observed.Conclusion: The findings of current study confirmed the effectiveness of educational intervention based on Health Belief Model in modification of behaviour of the pregnant women in the field of urinary infections.

Introduction: The effective method of treatment of Polycystic Overy Syndrome (PCOS) is lifestyle modification. The aim of this study was to evaluate the effect of 12 weeks aerobic exercise on DHEAso4, 17OH-Progestron Concentrations, number of follicles and menstrual condition of women with PCOS. Methods: In this clinical trial, 40 PCOS patients lean (BMI<20) and obese (BMI>25) randomly divided into two trained and sedentary control groups. DHEAso4, 17OH-Progestron Concentrations, number of follicles and menstrual condition were measured before and after the program (12-week exercise training program, aerobic exercise at 60-80% of maximal heart rate, 25-30 min/day, 3 days/week). Results: Decline of DHEAso4, 17OH-Progestron Concentrations were significant after exercise in obese group (P=0.023, P<0.0001). The number of follicles right and left ovaries decreased significantly after exercise in two groups lean and obese (Right; P=0.019, P=0.041 and Left ovary; P=0.005, P=0.008). Menstrual situation was improved after exercise in obese and lean groups (P=0.028, P<0.0001). The body weight decreased significantly after exercise in obese groups (P<0.0001). Conclusion: It seems that a term of exercise with weight loss can induce decline of DHEAso4 and 17OH-Progestron. In addition, exercise lead to improved menstrual condition and reduction of number of ovarian follicles per groups of lean and obese.

Introduction: The aim of this study was to examine the effect of two concurrent resistance-plyometric and small sided game methods on pro-inflammatory in youth soccer players. Methods: 30 youth soccer players with a range of 14 to 17 years of age were divided randomly in three groups, SSG (n=8), resistance-plyometric (n=11) and control (n=11). Height, weight, BMI and VO2max of the subjects were measured. The next day, blood samples from the anterior brachial vein of subjects were taken. The experimental groups participated in their exercise program (8 week, 2 sessions per week plus three current sessions). All variables were measured again after 8 weeks. In order to compare data within groups' Dependent t-test was used and for comparison between groups Independent t-test was used by SPSS 17. Results: The findings showed that after 8 weeks of SSG training plasma level of IL-6 and TNF-a increased significantly. The results in other groups did not show significant change (P³0.05). Conclusion: SSG training can induce a catabolic environment in youth soccer players' body.

Introduction: Poisoning is a major health problem worldwide and one of the most common reasons for visiting emergency departments (EDs). The object of this study was to determine the epidemiological characteristics of poisoned patients referred to emergency department of Bandar Abbas Shahid-Mohammadi hospital in 2011-2012.Methods: In a cross-sectional study between March 2011 and February 2012 all the paitents admitted through ED for further evaluation and treatment were investigated. Data were gathered from direct interviewing and patient’s medical files by using a checklist and analyzed by SPSS version 16 using descriptive statistical tests, Chi-Square and t-test. Results: Poisonings comprised 3.6% of emergency department patients. During the study period, 493 patients with drug or chemical exposure were admitted. Of them, 52.1% were male and 47.9% were female. 75.7% were between the ages of 14-29 years. Benzodiazepines (23.1%) followed by Tramadol (20.1%) were the most common cause of poisonings. Intentional poisonings constituted the majority of cases (67%). The mean age of suicidal cases was lower (23.3 vs 30.3). The majority of patients were single (52.9%), unemployed (58.4%) and living in urban centers (75.3%). 26% of patients had a diagnosed psychiatric disease, 13% had previous suicidal self-poisoning and 32.3% were addicted. 2.2% of patients were died during hospital stay.Conclusion: In this study, poisonings most commonly occur as intentional and mostly by pharmaceutical agents. The prevalence was higher in younger individuals than other groups. According to these findings, the authorities have to prevent its further occurance by screening of psychiatric diseases in poisoning cases and early treatment of them, as well as limiting easy availability of drugs.

Introduction: Today, the incidence of violence such as verbal violence physical violence, including battering, sexual harassment is defined conflicts, especially in work environments around the world. The aim of this study was to investigate violence against emergency department nurses of Shahid Mohammadi hospital in Bandar Abbas.Methods: This study was a cross - sectional descriptive study which was conducted in 2012-2013, the population of nurses in the emergency department of shahid Mohammadi hospital, with at least one year of work experience ranging from formal contracts and are recruiting in all of them (88 women and 13 men) were enrolled in this study. The researcher made questionnaire including open and closed questions was used for data collection. By using SPSS software, Chi-Square test was used for statisrical analysis.Results: Verbal abuse, threat and physical violence had the highest prevalence of violence. Night shift work, lack of police intervention, long-term care services, the main risk factors for violence are the most violent patients, and the shift is 7 nights to 12 nights. In the majority of cases (94%), nurses were not well trained on how deal with violence and also report an incident.Conclusion: In this study, the prevalence of violence over a period of one year, which is higher than the foreign studies of the consideration and study. Hence a proper and comprehensive research, prevention programs, such as raising the general culture, involvement of nurses with higher responsibility and high-speed action in emergencies, the sensitizing concerned authroties with the aim of reducing violence, is necessary.

Introduction: Kawasaki disease (KD) is an acute febrile vasculitis mainly affecting children, with two types of presentation, namely, typical and atypical. It is the most critical cause of coronary artery complications and if not treated on time and appropriately, complications may occur in up to 25% of the patients will get. Patients: This study reports five rare cases of incomplete KD Who has been admitted with diagnosis of Bacterial Meningitis, Staphylococcal Septic Arthritis, Herpetic Gingivostomatitis, Viral Hepatitis and prolonged Fever. Since there was no response to treatment, with impression of Atypical Kawasaki patient has been evaluated and treated. Conclusion: Atypical presentation of the disease led to misdiagnosis and prolonged process of diagnosis. Due to the increasing number of atypical Kawasaki cases and the probability of coronary artery disorder, it is recommended that atypical Kawasaki be considered in the differential diagnosis of the disease in the patients with fever of over five days without any clinical cause.

Pain is neuroanatomically, psychologically and neurophysiologically complicated and its first function is protecting all alive creature body. This issue is so questionable and interesting that people who don’t feel pain how face this sensation and what problems threaten them. So many researchers by using 73 references, articles from electronical and library references have done a clinical study about CIPA which is a rare disorder of neuropathic disorders. These patients have no sensation toward pain and paiful stimulations and no sweating. This disorder has been occurred by genetic mutation and has been under study from 1996 to 2012. Which un health – care tream can reduce their complications by early diagnosis and thereaputic and preventive interventions.