ghr. sharifzadeh

Hospital triage is a necessary function of the emergency department which is done by emergency nurses. There is little available information of student's knowledge about hospital triage in the emergency department. The present study aimed at assessing BUMS' student's Knowledge about hospital triage in Birjand in 2011.

This was a cross- sectional analytical study whose subjects were all the senior students of medicine, nursing, and emergency medical service. The tool for collecting data was a researcher designed questionnaire consisting of 25 questions divided into three sections: demography information, familiarity with hospital triage (15 questions), and making decisions on hospital triage proceedings (10 questions). Total grade of knowledge was 25. The obtained data was analysed by means of SPSS, statistical tests including and independent t, and one-way variance analysis at the significant level α=0.05.

totally, 120 students whose mean age was 23±2.01 were assessed. Their mean knowledge was 7.3±2.4, which shows their weakness in this respect. No significant difference was observed in the mean knowledge of the students regarding sex, field of study, and average.

Medical students little knowledge of hospital triage can be due to lack of exclusive triage educational courses and not having emergency departments make evidence- based decisions.

Thalassemia patients are more susceptible to hepatitis than the normal population due to the frequent blood transfusion. This study was performed to determine the immune response of children with major β-thalassemia, by measuring anti-HBS antibody following the last HBV vaccine injection. This study was carried out on all thalassemic children under the care of Iran Thalassemia Foundation (38 cases) in Birjand, receiving three standard intramuscular recombinant HBV vaccines. The children’s mean age was 9.2±4.6 years. Based on the time lapsed since their last vaccine injection, the subjects were divided into two groups of ≤5 years and >5 years. Based on the serum level of anti-HBS-antibody, the subjects were categorized as good responders (anti-HBS>100 IU/lit), low (anti-HBS=10-100 IU/lit), and non-responders (anti-HBS<10 IU/lit). The mean ranges of anti-HBS level in the above-mentioned groups were 99.7 and 43.3 IU/lit, respectively. Out of 38 individuals, 13 (34.2%) were good responders, 9 (23.7%) low and 16 (42.1%) non responders. Standard HBV vaccination in thalassemic children results in an immune response in 57.9% of subjects. Therefore, assessment of anti-HBS-antibody 5 years after the last vaccination is recommended.

Hepatitis B is a major problem occurred in patients with thalassemia major due to repeated blood transfusion. Regarding its acute and chronic complications (Fulminant hepatitis, Cirrhosis, Hepatic neoplasm), vaccination could be helpful in thalassemia patients. Immune suppression due to frequent blood transfusion iron blood persistent hemolytic, decreased anti-HBS-Ab level after HBV vaccination.

This descriptive study was performed in South Khorasan in 2007 on 38 patients with major thalassemia. All patients have received Hepatitis B vaccine. A questionnaire containing some questions about demographic characteristics was filed for all patients including: age, sex, frequency of blood transfusion in year. The blood samples of patients were tested to detect serum markers including HBS Ag, anti-HBS with ELISA method. The results were analyzed by using SPSS.

Of 38 patients with major thalassemia, 20 (52.6 %) were male and 18 (47.4 %) were female. Average age of patients was 9.2±4.6. 37 patients (97.4 %) have transfusion >12 time in year. All of patients were negative for HBS Ag and anti-HBC. 16 patients (42.1 %) was anti-HBS Ab positive and 22 patients (57.9 %) was anti-HBS-Ab negative. Based on the Serum levels of anti HBS-Ab, subjects were categorized as: Good responder (anti HBS> 100 IU/lit) (34.2 %) Low responder (anti-HBS 10-100 IU/lit) (23.7 %) Non responder (anti-HBS < 10 IU/lit) (42.1 %). 34/2 % of patients that over 5 years lapsed since last vaccine injection were responders. Statistical analysis has not shown significant relationship between age, sex and anti-HBS-Ab (p> 0.05) and time lapsed since last vaccination in two groups (p> 0.05).

Immune response in children with thalassemia major lower than normal children and we recommended determining the antibody level after the last vaccination and if necessary, booster dose gives them.