JOURNAL OF ILAM UNIVERSITY OF MEDICAL SCIENCES
Year:2002 | Volume:10 | Issue:34-35|Papers Count:9

To assess the emergency services quality at Kerman Bahonar hospital, a questionnaire was given to 660 referees on a descriptive, cross -sectional study in Jan. 1991. The results showed that about %87 of the patients had referred due to car accidents while the rest had come due to sudden pain feelings in their bodies. The average time from the accident moment to the patient's entering into the doctor's office was about 60 minutes, from the entrance to examination start point 4 minutes ,the time taken to receive the tests , results 40 minutes ,the time wasted to do the first consultation 60 minutes, the patients' wait time from the start point to receive the tests' final results 72 minutes, and preparation times wasted before undergoing operations at emergency and general operation wards were 10 and 20 minutes respectively. Comparing the mentioned services with the international standards, they proved to be of a lower quality. To promote the quality of such services, it is recommended to apply more competent managers along with present or at least on call orthopedists at the ward, since about 33% of the clients had fractures or needed an orthopedic consultation.

The study has aimed the mental status of fresh students to the university in 2000.80, using general health questionnaires, 175 students (116 females and 62 males) were evaluated. The variables covered; sex, field of study, marital status and hurtability in the eye of the questionnaire. The cut -Point was considered 23 upwards.The findings implied an average of 24.9 for the female and 23.89 for the male. Among the female 62(53%) scored above 23 while 22(37%) of the male did it .There was no significant difference on educational fields between the groups. The most signs were among medical, anesthesia, lab sciences and nursing students. In general, the female expressed more complains in all the fields of studies. On the marital status the average score for the married male was 24.38 while it was 17 for the married female, a difference that proved no significant consideration statistically. The most signs were reported to be out of social affairs disorders, anxiety, depression and physical problems. The results, in fact, necessitate more efforts to extend the current cultural, accommodative and consultative services.

To perform the study, 71 students of 6-18 years old were selected by chance among 11 exceptional education centers in 2001. By bio -chemical and hematologic methods, 6-8 cc of the samples' blood was tested. Ferritin was applied as iron deficiency indicator while SI. , TIBC. and TC. were used as iron excess indicators. The relation between malnutrition and body iron was considered through applying indicators of age and height.The findings showed that the students' iron deposits had been emptied out, while there was no iron excess one. In spite of insignificant difference, Feritinin density of the students' serums with malnutrition was lower than that of the healthy ones. Finally, to prevent the aenemia among such groups of students, a concentration assessment of serum feritinin as a screentest is recommended.

Cyclosporine A (CSA) is currently regarded as one of the common Immunosuppressive agents in organ transplantation among autoimmune patients and GVHD prevention after bone marrow transplantation. It exerts its effects through inhibition of (IL -2, 3, 4) queue expression and IL -2R IFN -r and GM - CSF. The monitoring of CSA is a useful approach to reduce the risk of graft rejection and to prevent its toxicity.This monitoring is performed to obtain optimal doses of CSA peak and exact levels in each patient. To assess the level of CSA in the blood, there are multi-technical methods such as HPLC, RIA, FPIA,... .In this study, Cyclosporine - A (CSA) was conjugated bovine serum albumin (BSA) by glutaraldehyde chemical cross - linker .CSA - BSA conjugate was injected to rabbits and goats subcutaneously in order to obtain CSA specific anti - sera increase in antibody titer was achieved after two times injections.Goat and rabbit sera are detected casein - CSA in a titration of 1: 12000 and 1:8000 respectively. Hyper immune goat and rabbit sera were subjected to caprylic acid precipitation and IgG fraction was conjugated to horse radish peroxidas .These antibodies were able to detect standard levels of CSA (minimum amount =100 mg/ml) in an indirect Elisa assay .The findings suggest these antiserums to be used in the detection of CSA in RBC ,whole blood and patients sera by multi-technical methods, e.g: Immunohistochemistry , immunocytochemistry and Immunofleurescens in future.

Here, a 2 year-old child admitted for a probable fever and convulsion is described in the view of clinical signs, disease diagnosis and condition report. Pulmonary listening confirmed no wheezing sound and the patient had no signs of fever or respiratory distress. There was no disease precedence among the family except for the cerebral failure which had led to his mother's death a week before. The patient had already been attacked by 2 tonic and clinic convulsions (the first for 10 minutes and the second for about 20 minutes) before being admitted. During the admission, the patient underwent various tests and radiographic examinations and in spite of prescribing anti -convulsion as well as antidistress drugs to control his repeated convulsions the condition was all unchanging. At last, the patient proved affected by a secondary hypoxia.

This cross-sectional, descriptive study was performed to evaluate the approaches of handling the scorpion bitten cases at Abu -Zaid - Abad (an area related to Aran and Bidgol) in 1998, since it is considered aural as well as urban problem in the region. Questionnaires and interviews were used to collect information from 420 residents of 7-80 years old at the area .To assess the general knowledge, variables of the scorpions' living area, place, color , the body part exposed to bite, bite time, considering the bitten emergent cases, the way to deal with the bitten and preventive measures were covered by the research. There were 9 questions of 1 to 3 points to assess the knowledge rate. The 420 studied cases covered; 38.5% females, 61.5% males, 19% illiterate and 81% literate people. 25.5% showed no knowledge. In general, the knowledge rate among the female and the illiterate was lower than that of the male and the literate. According to 70.4% beliefs, foot was more exposed to bite than other body parts. 39% believed the wall cracks were the place for scorpions to live in. While 46.2% suggested the area reconstruction as a preventive measure against scorpion presence. Considering the lack of knowledge and different approaches to deal with bites, a primitive method of training for the residents is recommended to prevent any physical as well as economic losses through the related authorities.

This interventional study has assessed the educational effects of pregnancy cares on the health centers' staff knowledge in Ilam. In the research those involved in giving cares during pregnancy course were elected as samples. The samples were 34 people, selected in a census method. First, questionnaires covering questions on pregnancy cares were distributed among the studied units. Having the filled -out questionnaires gathered back, educational pamphlets in the field were handed to the samples .Having the pamphlets studied by them, the same questionnaires were given to be answered by them again. Then the results were compared. Mcnemar & T. test were used in the search. The findings implied no significant relation between knowledge and age, delivery times, Professional precedence and educational degrees variables. (P>0.05)

This descriptive study has been performed to assess the application rate of B.C.G vaccine at 40 health centers of Ilam medical university. The samples were 40 people selected by a census method.The findings implied the vaccination technique used at most the centers (45%) proved good quality. The least (25%) had average quality .Most the units (47.5%) showed good activity in preserving and keeping the vaccines as well as in observing cold chains. The least (15%) had average quality. The coverage level was also good at most of the units (62.5%). Further more, poor action was reported at no unit. The majority of the units (60%) had already passed anti Tb. courses. A significant relation was seen between the units and some of their specifications such as education level and residential situation (P<0.05). In general, the results showed that B.C.G application at these centers was acceptable, while there were problems with needed possibilities, education level, supervision and control which necessitate some measures by related bodies.