Armaghane Danesh
Year:2017 | Volume:21 | Issue:10 (117)|Papers Count:9

Background and aim: Nausea and vomiting are one of the most common and unpleasant side effects of surgery and anesthesia, which causes spasms, aspiration, need more medicine. The researchers express several drugs and methods to reduce transmission of its complications. The aim of this study was to determine the effect of fluid therapy on nausea and vomiting after abdominal surgery.Methods: In this double blind clinical trial study, 120 patients 15-60 years undergoing general participated in Bojnurd. Patients were randomly divided into three groups. Group 1 received adequate intra-operative fluid therapy. Group 2 received pharmacological intervention with dexamethasone 0.1 mg per kg of body weight along with induction of anesthesia- and group 3 -without prophylactic intervention-. The research tools included demographic, visual analogue scale and recorded the number of vomiting. The visual analog scale was used to assess the severity of nausea. In order to assess the severity of vomiting, frequency count was considered as retch or vomit. The scientific validity of content validity was used for data collection. For reliability, the correlation coefficient was used. Based on self-reporting scale, the severity and incidence of nausea and vomiting were evaluated in three stages- post-op, 2 and 6 hours post-op - the data were analyzed with SPSS software.Results: Result showed that the three groups were homogeneous in terms of confounding variables. According one-way ANOVA, the difference between severity and incidence of nausea and vomiting was significantly different among the three groups in the recovery phase. So that based on post hoc test, the difference between the control and fluid therapy with dexamethasone group was significant, and both dexamethasone and fluid therapy had no significant differences in terms of these variables together. Based on the findings the incidence of vomiting was relatively low over time.Conclusion: Regarding the effect of adequate fluid resuscitation on nausea and vomiting after abdominal surgery, this procedure can reduce nausea and vomiting after surgery by low cost and less damage.

Background and aim: Non-alcoholic steatohepatitis is a part of broad spectrum of chronic non-alcoholic fatty liver disease. The aim of present study was to evaluate the effect of 12 weeks vitamin E supplementation and aerobic training on liver enzymes level of non-alcoholic steatohepatitis patients (NASH).Methods: In the present quasi-experimental study, 30 NASH patients, aged 25-50 years were participated, and divided into three groups of vitamin E (n=10), aerobic training (n=10) and combination (aerobic training plus vitamin E, n=10) randomly. Vitamin E Supplementation and aerobic training combination groups consumed 400 IU per day of Vitamin E Supplementation. Also in the group of aerobic exercise and combined, exercise program including the increasing activity of anaerobic (running on a treadmill with increasing intensity every two weeks 5%) was carried out three times a week for 12 weeks. Data evaluation were analyzed using t-test, ANOVA and Scheffe.Results: A significant differences was observed ALT (intra-group) of vitamin E (p=0.0001) aerobic exercise (p=0.0001) and combination (p=0.001), respectively. There was a significant difference was seen among pre– post training in AST in supplementation (P=0.001), aerobic training (P=0.001) and combination (P=0.002) groups. But no significant difference in ALP level observed (P>0.05). In comparison among the groups, a significant differences was observed between groups ALP vitamin E, combination aerobic exercise but no significant difference was observed among the groups at the levels of ALT and AST.Conclusion: The results of this study showed that vitamin E supplementation and aerobic training can improve non-alcoholic steatohepatitis Patients (NASH).

Background and aim: Nursing staff are always at risk of work-related musculoskeletal disorders which is the most important health problems among nurses. This study aimed to assess the prevalence of musculoskeletal disorders in nursing personnel.Methods: This cross-sectional study was conducted in 2014. In this study, 200 nurses in teaching hospitals in Shiraz were selected by random cluster sampling. The Nordic questionnaire was used for data collection. The data was analyzed using t tests and chi-square tests.Results: Results showed that 100 percent of the study population in the last 12 months, at least one organ of the body's involved in musculoskeletal disorders. Most problems were related to the back (12.7), knees (12.6) and lower back (12.4). Significant relationship was observed between sex and the prevalence of musculoskeletal disorders of the neck. Moreover, a significant association was seen between age and prevalence of musculoskeletal disorders in the leg.Conclusions: Nurses have a high prevalence of musculoskeletal disorders and risk factors associated with the job is complex.

Backgrounds and aim: Increase in addiction in the community and the plight of its people demand for improving the problems of addicts, indicate a need for individuals to interventions and training expertise.The aim of this study was to investigate the effectiveness of group selection theory on thequality of drug addicted life.Methods: This study is an quasi-experimental design with pretest-posttest and follow up with the control group. The study population included: all addicted people who referred to ahvaz addiction treatment center in 2015.50 addicts were selected by using of available sampling and randomly divided into two experimental group (number=25) and control group (number=25). The participants were completed the quality of life inventory in three stages (pre-test, post-test and follow-up after 60 days). The experimental group was received group training of the concepts of selection theory of 10 sessions of 90 minutes per week.Statistical data were analyzed using of covariance (ANCOVA) analysis.Results: Group training theory led to a significant difference among pretest, posttest, and follow-up of quality of addicted people life (p<0.001). In this case, the post-test and follow-up, after controlling of pretest score, the experimental group compared to the control group higher quality of life was reported.Conclusion: Group training of selected theory about the role of choosing a behavior, five senses the importance of self control, the role of effective behavior, the way of need fulfilment, responsibility, self worth, Quality world, seven destructive behavior, seven caring behavior, faiure identification and success identification can result in increasing the quality of life for addicted people.

Background and aim: Biofilm formation is one of the most notable mechanisms that contributes to antibiotic resistance in P.aeruginosa, The aim of this study was to determine the effects of methanol extrac of Quercus brantii, Pistacia atlantica, Elaeagnus angustifolia Leaves on biofilm formation P. aeruginosa strains.Methods: this study is an experimental study, that extraction with Maceration (powder mixed with 80% methanol) using rotary evaporator method. done. The minimum inhibitory concentration of extracts was determined by broth microdilution. Biofilm formation was investigated using the microtiter plate and stained with crystal violet. Collected data were analyzed using ANOVA and Duncan test.Results: The minimum inhibitory concentration of Quercus brantii, Pistacia atlantica, Elaeagnus angustifoliaextracts against Pseudomonas aeruginosa was 0.625 mg/ml whereas, the Minimum bactericidal concentration ofQuercus brantii jaft was 1.25 mg/ml and for Pistacia atlantica and Elaeagnus angustifoliawere 2.5 mg/ml. The mean percentage of of Pseudomonas aeruginosa biofilm inhibition by extracts of Quercus brantii (jaft), Pistacia atlantica, Elaeagnus angustifolia were 60.24, 57.35, and 72.63 % respectively.Conclusion: Methanolic extracts of medicinal plants Quercus brantii, Pistacia atlantica, Elaeagnus angustifoliahas anti-bacterial and anti-biofilm effect against Pseudomonas aeruginosa. So that Elaeagnus angustifoliaextract had a capability to inhibit biofilm formation and also showed a significant difference compare to Quercus brantii jaft, Pistacia atlantica extract. With further study it can be used of these extracts as a supplement to inhibit bacterial biofilm.

Background and aim: Liver abscesses are the most common type of visceral abscess. The rare cases of liver abscess caused byF. hepatica infection has been reported. F. hepatica is Liver trematode common to humans and animals.F. hepatica have global emission and common in temperate, hot and humid zones especially in areas where livestock farming is common. The aim of this article is to report a case of liver abscess which was infected with F. hepatica.Case Report: This Report is related to patient who initially diagnosed with liver abscess and taken medication for liver abscess, with no properly treated and refer by relapsing fever. After radiological studies and positive serology for F. hepatica the patient was undergo the treatment of fascioliasis and liver absecess. following the treatment the fever and liver lesion waer disappeared. Reports of patients who initially diagnosed with liver abscess antibiotic treatment was that the abscess was not properly treated Result: Given that, the new focus on F. hepatica infection which have been reported in southern Iran, in the all cases with fever and liver abscess in this geographic areas, F. hepatica considered in the differential diagnosis.

Background and aim: With an aging population, considering the factors affecting the quality of life more than ever is necessary. The aim of current research was to investigate the effectiveness of cognitive existential therapy on quality of life of elderly people.Methods: The current research is semi experimental with pre and post test with control group.Statistical population of research consists of all elderly people in Kahrizak nursing homes. In the first phase, the participants were selected through purposive sampling method and after responding to the quality of life questionnaire and obtaining score for enter to research they were divided in two groups of experimental and control (N=12 per group) using random sampling method. The experimental group participated in 10 sessions of group counseling based on cognitive- existential approach and control group received no intervention. The gathered data were analyzed using covariance analysis.Results: There was no difference between pre-test and control groups, but the mean scores of post-test experimental and control groups were statistically significant. and cognitive group therapy improves quality of life is (p=0.001). Therefore it seems that cognitive-existential group therapy increase quality of life of elderly people.Conclusion: Cognitive Existential Group therapy utilizes concepts such as death, meaning, cognitive distortions and responsibility could increase the level ofquality of life of elderly people.Thus interventions based on this approach could be useful in improving the quality of life.

Background and aim: Nowadays talented human resources are considerd as the most important and valuable organizational asset. Proper management of these major asset, the the most essential task manager and the progress of any organization in this field is fierce competition with competitor. The aim of this study was to develop a model system for talent management in universities in the country.Methods: In this study the population was composed of 10 Azad Universities university faculty members include of specialists and human resource managers at the national level the country.Data were collected from questionnaires that approved by Cronbach's alpha reliability was used.Interpretive Structural Equation Modeling were applied for interactive display input and output elements. Input and output components of the talent management system to help Grounded theory and literature were identified. The data were analyzed by t-test and Vlnykaksvn.Results: The results showed that talent management can lead to individual and organizational elevation, as the highest level of academic performance. The research findings indicate that the results or outputs of individual talent management, are prior to the organizational results.Conclussion: Based on the findings and outcomes obtained, it is recommended to university authorities to identify talent, develop their talents and try their best to maintain their dominant reality.