مجله دانشکده پرستاری ارتش
سال نهم شماره 1 (پیاپی 17، بهار 1388)

Now, one of the major problems in clinical environment is nurses who are newly and low experience. Nurse Managers have to delegated authority and responsibility to them. So, they need to make a Plan. In this study, training the high experienced nurses as a mentors and assess the effect of their performance in orientation program on clinical competency promotion in newly nurses was the main aim.

This study was semi-experimental. After that experienced nurses selected and trained, they were set in the orientation program for newly nurses: their clinical competency was measured before and after in two groups by: cognitive and psychomotor. Factors Newly nurses clinical competency in nursing care delivery for 72 patients who were in medical-surgical wards was measured. Data were measured before and after intervention (3 months after entrance newly nurses in the hospital) in two groups by double blind method. All of the data were analysis by SPSS.

findings showed that newly nurses, clinical competency in first month were in primary level in two groups. But, after intervention newly nurses who were with mentors (case group) had clinical competency higher than the control group. Their competency was promoted from primary level no changed. (p=0.001. t=14.7): while in the control group clinical competency level no changed. (p=0.001. t=20.52).

Applying mentorship as a new strategy in orientation program for newly nurses could be promotion their clinical competency in short time.

This research is a comparative-descriptive study accomplished to examine the triage system in emergency department(ED) and was compared with international standards in the teaching hospitals of Tehran, Iran and Shahid Beheshty medical universities in 1386.

The research samples were all the patients in the ED and their chief complaints weren’t these disorders as follow psychiatric disorders, obstetric disorder, skin disorders, eye emergent disorders, poisoning and burns injury. The gathering data tool was a check list arranged according to quality indicators of Canadian Triage and Acuity Scale(CTAS).

The results showed: time to triage was <=10 minutes for %90/8 and triage duration was <= 5 minutes for %89/4. Also the proportion of patients who were examined within CTAS response time objective was %86/7 and %1/3 of patients decided to leave ED without being seen by a physician. Our study confirmed a strong relationship between CTAS acuity level and triage duration, arrival mode, brought by, level of consciousness, severity of pain and hospitalization (p<0.05). Also there was a relationship between triage time and age (p<0.05).

According to our result, It wasn’t found any obvious differences between triage system and international standards(time objectives of CTAS) in the EDs of studied hospitals

vaginal Candida sis is the most common vaginal infection which not only cause oral, vaginal, skin and lung lesion, but also can cause Septicemia, Endocarditic and Meningitis at the end of disease. This infection in pregnancy can transmit to new born baby and cause this effect.

In this study, patient were divided two groups (340 pregnant, 175 non pregnant) the information was given by microscope and cultivated on subourond – Dextrose agar medium. For terminal diagnosis, differential tests were used.

the results are as follow: from the 340 pregnant women, 108 persons and from 175 non pregnant women, 26 person had vaginal candidacies (vc). So the prevalence of (VC) among the pregnant women of Karaj is 31.76% and among the non pregnant women is 14.85%. The most rate of addiction among pregnant were in the age groups of 15-19 years old and 30-34 years old, and the least rate were in the age group of 40-44 years old. In non pregnant women The most rate of addiction were in age groups of 35-39 and the least rate were in the age group of 55-64 years old. The most addiction rate belong to pregnant which experienced their second pregnancy and the least rate belong to pregnant with their forth pregnancy.

the common agent of (VC) either in pregnant or in non pregnant were Candida alb cans, which in pregnant it is most common.

War is phenomena that were imposed nations over years. Wars destruction effects are very much، but one of the major problem that must be have in nation is male and female infertility. Fertility and reproductive health consist of expanded spectrum subjects that guarantee perfect human sexual and reproductive function.

This study is a literature review using systematic inquiry by web and library searching to achieving research goals. Published papers from 1996 to 2007 were surveyed by concise keywords to cover all of related areas.

Finding could be categorized into five main domain including:1- war effects on female fertility 2- war effects on male fertility 3- birth detects 4- abortion 5- infertility

According to results; most of child and maternity health problems ، could be occur in war due to un desire quality of health car and cur and poor access to health facility. So in attention to military health system missions one of the important tasks is built temporary emergency center to prevent fertility health problems.

web-based education has created on entirely new level of interest and momentum for distance education. Schools, colleges and universities and businesses are attempting to offer more of their instruction and training on the web and through other distance education delivery methods. Informational websites certainly have their use, but a teaching site will be most effective if it stimulates active learning. While in corporating active learning in a medical educational website is not difficult, it does require thought and planning.

This study is a review article based on the information and data, which is published in the Internet, journals and associated research.

Designing web-based learning involves more than simply putting together a colorful web page. On line curriculum requires the teacher to carefully construct a program that integrates principles of active learning, motivation and evaluation with creative web design. Based on composing several modeling techniques for web-based curriculum, especially Cook and Dupras modeling (2004) and Chien Chou and Chin-chung Tsai modeling (2002) we recommend below the key steps in developing a medical educational website: define target students and their needs, identify instructional objectives, determine technical resources and needs, secure commitment from all students and identify and address potential barriers to implementation, select the scope of subject content, organize sequence and structure, select presentation methods and media, design assessment activities and pilot the website before full implementation.

Uses from electrical devices are common method in surgeries. These devices can harmful for patients and staffs, especially when those have malfunction.

this study is a review article based on the information and data, which is in the Internet and Journals.

A good protocol for users can help to prevent of dangerous. This article suggest protocols

These protocols includes four goals: operating room safety, usage and maintenance of instruments, safety of patients and staffs, and problem solving when you use the electrical devices. Also each particle explains key points separately. Most key points related to electrocautery and fulguration. Because of many factors for checking instruments we need a good protocol. There is no standard and we should know about these complete protocols in hospitals for this reason. Therefore this protocol can help us to control our instruments and environment for safety. This protocol confirm by Iranian surgeons society.

Honey as a therapeutic agent has a history that dates back thousands of years; this fact assists in underpinning its therapeutic credentials. Until the first part of the 20th century, honey dressings were part of everyday wound care practice. With the advent of antibiotics views changed and honey was consigned to items of historical interest. Misuse of antibiotics, the emergence of resistant bacteria, and increasing interest in therapeutic honey have provided an opportunity for honey to be re-established as a broad-spectrum, antibacterial agent that is non-toxic to human tissue.

A growing body of research and empirical evidence have supported the re-discovery of medicinal grade honey as a wound management agent. Pre-clinical study results suggest that honey has therapeutic benefit; clinical study results have shown that honey effectively addresses exudate, inflammation, devitalized tissue, and infection. Honey-containing dressings and gels have been developed to facilitate the application of medicinal-grade honey to the wound. Case report: A 23 year – old woman presented with skin trauma. post 3 weaks treatment with honey had result.

The resurgence of interest in honey as a modern wound dressing offers opportunities for both patients and clinicians. Recent additions to the honey product range of dressings indicate commercial confidence in the future of therapeutic honey. The wheel has turned full circle and honey is being re-established as a valuable agent in modern wound care management