Journal of Disease and Diagnosis
Volume:1 Issue: 2, Sep 2012

Medical information plays a pivotal role in collecting health information which can be used to determine the main health problems at national and international levels and to change main health policies. Patient management is impossible without having accurate information regarding prevention, treatment and recovery of diseases. Thus, in this issue of International Electronic Journal of Medicine (IEJM), a brief review on coding systems in Iran is published. Daily increase in the number of hospitalized patients and the high volume of medical information have highlighted the need for information systems to store, maintain, retrieve and analyze information of the patients' records. These systems are potentially helpful in data summarizing and categorizing. Coding software can facilitate these processes and reduce the possibility of errors, costs and time consumption. Still, it seems that currently used software need to be improved. Here we will review the most common coding applications used in Iran.

Cesarean surgical site infection (SSI) occurs in 3% to 17% of patients who undergo cesarean delivery. SSIs increase postcesarean maternal morbidity and health costs and cause longer hospital stays. Therefore, we designed a study to assess the effects of normal saline and cefazolin irrigation on the incidence of SSIs. In this study, 200 participants were divided into 3 groups with a 2:1:1 ratio. All pregnant women who underwent cesarean after 6 hours passed their rupture of membrane and were admitted to Shariati Hospital of Bandar Abbas were eligible for our study. Patients with immunodeficiency, coagolopathy, allergy to penicillin or cefazolin, history of immunosuppressive drug use, gestational diabetes mellitus or preeclampsia were excluded from the study. Age, gestational age, hours passed from rupture of membrane, the duration of surgery, anemia (Hb < 11), number of vaginal exams and duration of hospitalization were collected from the patients. The SPSS 13 software was used to analyze the collected data and descriptive statistics, one way ANOVA and chi-square were used. A p-value of < 0.05 was considered as significant (clinicaltrials.gov ID= NCT01566734). The mean age of the participants was 25.8 ± 5.6. The incidence of SSIs was 2.5% among all the participants. In this study, 0 patients (0%) of the cefazolin group, 1 patient (2%) of the normal saline group and 4 (4%) of the control group developed SSIs. No significant relation was seen between age, the number of vaginal exams, mean gestational age, duration of surgery, anemia and the type of irrigation. The results of this study show that normal saline or cefazolin irrigation does not decrease the incidence of SSIs. However, these solutions might have a different impact on high-risk patients.

The symptoms of infections caused by Toxoplasma gondii range from asymptomatic or mild to severe infection in pregnant women, which results in severe congenital infection, abortion or fetal still birth. The aim of this study was to assess the risk factors and seroepidemiology of toxoplasmosis in pregnant women in their first trimester in Bandar Abbas. This cross-sectional study was conducted on 600 pregnant women who were in their first trimester. Demographic data and risk factors were collected using a questionnaire. Also, blood samples were taken from each subject to detect IgM and IgG antibodies by ELISA method. Data was entered into the SPSS 16 software and descriptive statistics, chi-square and t- test were used for analysis. The mean age of the participants was 26.7± 5.89 years. IgG seropositivity was 41.93%. No significant difference was seen in housewives and working women (p=0.221). No significant relation was seen between seropositivity and parity (p=0.06). No significant relation was seen between gardening, owning a cat and consumption of raw or undercooked meat and seropsitivity (p>0.05), and only raw eggs consumption was significantly related to serpositivity (p=0.032). No significant correlation was seen between abortion and seropositivity (p=0.138), however, still birth had a significant correlation with seropositivity (p=0.049). According to the results, public education about toxoplasmosis transmission and lab testing before pregnancy may be effective in preventing congenital toxoplasmosis.

Despite potential benefits of CPOE (Computerized Physician Order Entry) systems, recent studies have cast some doubts on their role in reducing errors. CPOE systems with poorly designed interfaces have proven to cause dissatisfaction and introduce new kinds of errors in the ordering process. The main objective of this study is to identify problems related to a CPOE medication system’s design and determining their severities. This cross sectional study investigated the views of nurses of Hormozgan Medical Science University regarding implementation of Computerized Physician Order Entry system. Data was collected using a researcher made questionnaire. The questionnaire content validity and reliability was previously approved. Data was analyzed by SPSS 20 software using frequency distribution, percentage and test mining. Among the participants, 95.5% agreed to use a medical document system, 87.8% declared that it saved staff's time. About 97.7% considered it as a help to achieve a high level of patient safety and 90% thought that it would increase the reliability of data. About 86.8% were concerned about the privacy issues of CPOE and 334 (83.4%) people thought that this system lacks the support of medical staff. CPOE increases the quality and safety of healthcare. Using CPOE systems improves the security and quality of health care and reduces errors. Therefore, according to present conditions, implementation of this system must be taken under consideration.

Anxiety is one of the most common mental disorders of community that affects the quality of life. Hospitals are associated with human’s life and death and their environment is very stressful. The aim of this study was to determine the prevalence of anxiety among medical students of Hormozgan University of medical sciences. This cross-sectional study was carried out in Hormozgan University of Medical Science in 2006-2007. In this study, 919 students were randomly selected. The S7A7-x Spilberger questionnaire was used to collect data. The first part of this questionnaire contained questions regarding age, gender, educational field, smoking, interest the educational field, and having free time in the weekly program. The second part evaluated the status of state anxiety. Data was entered into the SPSS 18 software and descriptive statistics, chi square and t test were used for analysis. Among 919 students, 596 (64.9%) were female and 323(35.1 %) were male. The average age of the participants was 21.7 ± 1.8. The level of anxiety was significantly related to gender, the students' interest in their academic field, smoking and amount of free time (P < 0.05). Also, the level of anxiety was higher among medical students. According to the results, it is recommended to educate coping skills to the students and conduct programs that prevent anxiety disorders in order to increase quality of life of students of all medical fields. Also, studies need to be carried out to identify the risk factors of anxiety in students.