مجله دانشکده پزشکی اصفهان
پیاپی 719 (هفته سوم تیر 1402)

The aims of this study were to determine the prognosis in heart infarction patients who were also suffering from COVID-19 disease and its relationship with underlying diseases and blood factors and the severity of pulmonary involvement.

This cross-sectional descriptive study extracted data from the medical records of patients hospitalized in Alzahra, Chamran, and Khorsheed hospitals in Isfahan city from 2020 to 2021. Individuals over 18 years old diagnosed with myocardial infarction and positive polymerase chain reaction (PCR) test placed under angiography were included in the study. Variables studied included age, gender, comorbidities, medications, smoking history, vaccination status, laboratory findings, echocardiography, angiography, and mortality. Logistic regression analysis was used to analyze the data.

A total of 65 patients were examined. The most common comorbidity was hypertension (55.4%) and the most common symptom was chest pain (84.6%). Left ventricular ejection fraction decreased (38.2%), and this decrease was significant in patients with ST-elevation myocardial infarction (33.5% vs. 43.7%, P = 0.0009). Thrombosis was observed in 14 patients, which was more common in the ST-elevation myocardial infarction (STEMI) group than in the non-ST-elevation myocardial infarction (NSTEMI) group (30.8% vs. 7.7%, P = 0.03). The most involved artery was LAD (60%). There was no significant association between the severity of COVID-19 and myocardial infarction subtypes. Moreover, these subgroups did not show a significant association with mortality rates.

No significant association was found between the severity of COVID-19 and myocardial infarction subtypes in our study.

The study was designed to determine influential factors of sensory processing patterns and describe the pattern in neonates from birth to 6-month-old with premature birth.

In a cross-sectional study in 2021, 79 neonates from birth to 6 months (corrected age) who were hospitalized for a few days to 1 month, were recruited by the simple sampling method. Their sensory processing patterns were evaluated by sensory profile2-birth-to 6 months with 6 sub-scales of general, auditory, visual, and tactile, movement; and oral processing in 25 questions. The validity and reliability of the sensory profile were (0.95) and (0.72-0.95).

The Mean of the total score (52.6 ± 19.08) showed that the sensory processing pattern of 54.4% of participants was abnormal. There was a significant relationship between sensory processing and sensory pattern with gestational age, birth weight, chronological, age, and the time of stay in the care unit. Tactile processing, pattern was significantly different between neonates, according to the time of hospitalization less than 1 week and more than 2 weeks. There are no significant differences between sensory processing patterns and gender, gestational age, and birth weight. The mean of Auditory, tactile and oral processing was different between the 2 groups of infants; less than 1-month chronological age and more than 1-month age. The total score of sensory profiles showed significant differences between infants with gestational age less than 32 weeks and more than 32 weeks.

The length of stay Infants was exposed to disadvantageous sensory stimulation for a long time which contribute to early development.

COVID-19 not only affects individuals physically but also impacts their lives in various psychological, social, and economic aspects. This study aimed to identify the lived experiences of individuals who recovered from COVID-19 while being hospitalized, using a qualitative phenomenological approach.

This study was conducted using a qualitative method and with a phenomenological strategy in people who recovered from the disease of COVID-19, who had a history of hospitalization in the corona department of Peymaniyeh hospital in Jahrom city between March 2021 and May 2021. The participants were selected through convenience sampling and continued until theoretical saturation was reached. Data were collected through semi-structured, interviews with 19 individuals (11 men and 8 women) who had recovered from COVID-19 after being discharged from the hospital. The study's accuracy was confirmed using the Guba and Lincoln method.

The participants' age range was 27 to 73 years, and 68.43% had a history of being hospitalized in the ICU or isolation ward. From the data analysis, ten main themes were extracted, including "anxiety due to the severity of symptoms," "role disruption," "thoughts related to death," "various disease complications," "denial of illness," "quarantine effects," "social isolation," "reduced presence in society," "self-medication and dilemma of vaccine use," and "not using the vaccine".

This study highlights the impact of COVID-19 on various aspects of patients' life, including psychological, social, family, and occupational challenges. The identified topics can contribute to the development of counseling and support services to help individuals cope with these challenges and improve the overall quality of life of COVID-19 patients and their families.