مجله علوم پزشکی پارس
سال نوزدهم شماره 4 (پیاپی 58، زمستان 1400)

Prevalence of pacemaker 0.4-1 Percentage of surgical site infections is reported in 14-16% of all nosocomial infections and is a common complication after cesarean section. The present study reports a case of covid-positive placenta abruption that develops a cesarean section infection a few days after emergency cesarean section.

 The patient, a 34-year-old woman experiencing her fourth pregnancy, suffered severe vaginal bleeding and abdominal pain at 34 weeks of gestation and underwent emergency cesarean section at the diagnosis of placental abruption. 5 days after the operation, the patient was checked for Covid-19 PCR, which was positive. Because the patient had no clinical symptoms and was not a problem for women, he was discharged and was advised to visit on an outpatient basis. 5 days after discharge, the patient returned to the hospital with symptoms of abdominal pain and tenderness, fever, chills, and purulent discharge from the cesarean section and vaginal incision. The abscess at the site of the cesarean section was finally discharged with repair of the abdominal wall, in good general condition and with stable vital signs.

Due to the recent spread of the corona pandemic, not much research has been done on its effects on pregnancy, fetus and placenta, and the manner of delivery and infection after cesarean section. But more research is needed to prove this, given the newness of the Corona pandemic, and there may be an effective link between covid 19 and placental abruption and an increased risk of surgical site infection.

Following aseptic principles plays an important role in preventing surgical site infections and reducing costs, but may sometimes be neglected.Utilizing valuable experiences of operating room staff is helpful. The aim of this study was to determine the experiences of operating room personnel in the factors affecting the observance of aseptic principles in the operating room.

This is a qualitative phenomenological study that was performed in the operating room of hospitals of Mazandaran University of Medical Sciences. The operating room and anesthesia staff with an associate degree and more and at least one year of experience in the operating room were included in the study if satisfied. The direct interview was in the form of semi-structured questions until information saturation continued. Colaizzi 7-step method was used to analyze the data.

In total, from the analysis of participants' experiences related to aseptic points, 220 items were identified, which were divided into 10 subcategories, and finally 2 main themes emerged, including: tips on operating room principles and techniques and tips on Maintaining the patient's health.

Considering the sub-classes and main classes of this research, in many cases, aseptic principles are observed experimentally and it is necessary to be aware of the updated standard instructions to prevent infection in order to fully implement the principles in different categories of personnel.

Hemodialysis patients are at risk for viral hepatitis due to invasive procedures and frequent contact with blood and body fluids, this increases the importance of viral hepatitis in patients undergoing hemodialysis. The aim of this study was to determine the serological prevalence of hepatitis G virus (HGV) and its associated factors in hemodialysis patients in Jahrom-Iran.

This cross-sectional descriptive study was performed on 91 hemodialysis patients in Jahrom-Iran, 1400. The presence of anti-HGV antibodies in the serum of patients was evaluated by ELISA method. Demographic information, mean history of hemodialysis treatment and serum levels of liver enzymes were extracted from patients' records. The obtained data were statistically analyzed by SPSS-16 statistical software using descriptive statistics, T test and chi-square.

The prevalence of anti-HGV IgG and IgM were 5.46% and 0%, respectively. The prevalence of anti-HGV IgG was statistically significantly related to the history of blood transfusion and mean serum levels of ALT, AST, ALP (P<0.05), but there was no statistically significant relationship with the mean age and sex of patients (P>0.05).

The prevalence of hepatitis G virus in hemodialysis patients in Jahrom is equal to the average prevalence obtained in hemodialysis patients in other parts of the country. Further research is recommended to determine the role of this virus in causing hepatitis in hemodialysis patients.

Today, increasing people's efforts for beauty and rejuvenation has led to the promotion of plastic surgeries, which has provided the basis for increasing malpractition and patients' dissatisfaction with the results.

The present study was a descriptive study based secondary data analysis. Examining the existing cases in the forensic medicine of Fars province, a total of 132 cases referred to this organization were in the Plastic Surgery Commission, of which 58 were related to complaints from plastic surgeons.Out of 58 suspects, 24 (41.4%) were acquitted and 34 (58.6%) were convicted, and 55 (94.8%) were man and 3 (5.2%) were woman. The highest cause of negligence was incompetence, which included 16 cases (66/6%). In addition there was carelessness with 20.8% and compound negligence (8.3%); also, the most common cause of complaints was cosmetic defects with 58.6%.

In general, this study showed that the most common reason for complaining to plastic surgeons is cosmetic defects and dissatisfaction with the results of the operation, and this requires plastic surgeons to explain the results of the operation for the patient better. ; Moreover, the most common cause of litigation was incompetence, which indicates the importance of skills acquisition by surgeons.

Surgical stress causes the transmission of a series of neurological and hormonal messages from the site of injury to the control centers, which causes physiological reactions. One of the metabolic responses to surgical stress is changes in serum glucose levels of patients undergoing surgery.

In this cohort study, 60 patients with anesthesia classes 1 and 2 underwent orthopedic surgery under general anesthesia and spinal anesthesia. Patients were divided into 2 groups: general anesthesia and spinal anesthesia. A glucometer was used to measure patients' blood sugar.

A total of 60 patients underwent orthopedic surgery under general anesthesia and spinal anesthesia. The spinal anesthesia and general anesthesia groups were similar in terms of gender, age, weight, and fluid intake. Mean BS showed no significant difference between spinal anesthesia and general anesthesia groups in preoperative times, after spinal anesthesia or general anesthesia, at 30 minutes and 60 minutes postoperatively and in recovery (p> 0.05). . Intra-group comparisons with analysis of variance with repeated measures showed that the mean trend of BS at the time of the study was significant only in the spinal anesthesia group (p = 0.006). The mean trend of BS in the spinal anesthesia group was reduced in the postoperative period compared to the preoperative period.

Considering the importance of regulating blood sugar around surgery, the present study preferred spinal anesthesia to control the patient's blood sugar to some extent over general anesthesia; but confirmation of this finding requires more detailed studies.

 Asthma is the most common chronic respiratory disease and is a major cause of disability and has high economic costs. Therefore, the aim of this study was to evaluate laboratory diagnostic factors in patients with asthma.

 The present study is a cross-sectional analytical study that by referring to the medical records department in the educational hospitals of Abadan University of Medical Sciences, information about age, sex, and laboratory diagnostic factors of patients with asthma admitted from March 21, 2019, to March 19, 2020 was received.

 The results of this study showed that the statistical population of patients with asthma included 636 of which 344 (54.1%) were female and 292 (45.9%) were male and this difference was significant. Mean biochemical markers including blood sugar, triglycerides, liver markers such as SGOT, total and direct bilirubin, hematological factors such as mean ESR and INR were higher than normal and cardiac marker CK was lower than normal.

 The results of this study showed that in patients with hospitalized asthma, liver disorders (more in women than men), hyperbilirubinemia, hyperglycemia, hyperlipidemia and impaired cardiac marker, coagulation and inflammation are observed. As a result, more research and timely treatment should be done to prevent further complications of the disease.

Evaluation of objective experiences of health services users is essential for evidence-based health policy-making and planning. Accordingly, research on postpartum quality of life has attracted increasing attention. The aim of this study was to determine factors affecting postpartum quality of life of women in Shiraz.

This cross-sectional study was performed among 1050 mothers in Shiraz in 1400. A proportional multi-stage stratified sampling method was used to select participants. Data were collected using two general and specific scales for measuring postpartum quality of life. Data were analyzed using analysis of variance and multiple linear regression.

Multiple linear regression showed that water birth (β=0.83, P=0.001), natural vaginal delivery (β=0.70, P=0.002), housekeeping (β=0.71, P=0.011), university education (β=0.68, P=0.028), basic education (β=0.23, P=0.043), and living in the cities (β=0.21, P=0.041) had the greatest impact on the postpartum quality of life of women, respectively (R2=0.861, df=7).

Findings indicate that method of delivery, level of education, employment status and place of residence were among the most important factors affecting postpartum quality of life. Identification of determinants of postpartum quality of life considering clinical justifications and economic analysis can provide the necessary evidence for the selection of appropriate childbirth methods.

Oxidative stress, through the production of reactive oxygen species (ROS), has been proposed as the root cause underlying the development of diabetes and its related complications such as testicular tissue damage. Antioxidants supplementation have been reported to improve testicular function and oxidative stress-induced in diabetes.The study aimed to determine the Coenzyme Q10 (CoQ10) effects on the oxidative status in the testicular tissue of streptozotocin-induced diabetic rats.

In the experimental study, 30 male Wistar rats were studied. The rats were randomly divided into four 5-rat groups including: saline, sesame oil (as a vehicle), healthy group treated with CoQ10 (10 mg/kg/day), diabetic (induced with streptozotocin: 55 mg/kg), and CoQ10-treated diabetic (10 mg/kg/d). Then, levels of Malondialdehyde (MDA), Total Oxidant Status (TOS), and Total Antioxidant Capacity (TAC) and Oxidative stress index) OSI were measured in the homogenized of testicular tissue.

Analysis of data showed a significant decrease in the level of testis MDA (P=0.001), TAC (P=0.029) and OSI (P=0.033) in the CoQ10-treated diabetic group compared to the diabetic rats. No significant change was observed in the TOS (P=0.529) level in diabetic rats' testis treated with CoQ10 compared to diabetic rats.

Collectively, our results demonstrated the possible effects of CoQ10 in attenuating diabetes-induced oxidative damage, in testicular tissue.

Jahrom Cancer Research Center is a neo-center that has been get started since 2016 and so far no study has been done to determine the coverage of patients referred to this center. The aim of this study was to estimate the percentage of patients referred to the Cancer Research Center and in addition to determine the sensitivity of the cancer registration system during the study years.

In this study, the information of breast cancer patients has been extracted from three data sources (death, cancer registration system and cancer research center). The corrected number of cases of breast cancer was estimated using log linear method, during the study years. The percentage of patients referred to the Cancer Research Center and the sensitivity of the registration system were calculated based on the estimated number of cases.

In the study, 205 patients with breast cancer referred to the Cancer Research Center between 2016 and 2019, and the coverage of breast cancer patients by this center were 62%. The sensitivity of the breast cancer registration system was estimated to be 53.9% in Jahrom University of Medical Sciences.

The present study showed that a relatively acceptable percentage of breast cancer patients referred to this center. But the sensitivity of the breast cancer registration system is low despite the population base cancer registry system. Increasing interaction and cooperation between the cancer registry system and the Cancer Research Center could have a significant impact on increasing the sensitivity of cancer registry system.