فهرست مطالب

پرستاری و مامایی ارومیه - سال دوم شماره 4 (پیاپی 5، زمستان 1383)

نشریه پرستاری و مامایی ارومیه
سال دوم شماره 4 (پیاپی 5، زمستان 1383)

  • 44 صفحه،
  • تاریخ انتشار: 1384/01/30
  • تعداد عناوین: 5
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  • الهام احمد نژاد صفحه 148
    شیر مادر، کاملترین غذا برای کودک در شش ماه اول تولد است. متاسفانه در دهه های اخیر، به دلایل مختلف کودکان از این نعمت الهی بی نصیب می مانند. این در حالی است که تحقیقات بر مزایای شیر مادر و روش های صحیح شیردهی تاکید دارند، در این میان آنچه که باید مورد توجه واقع شود، حمایت از مادران شیرده به خصوص مادران کارمند، در جهت تامین امکانات رفاهی و آرامش روحی در محیط کار آنها می باشد، به طوری که کار و اشتغال مادر با وجود علاقه مندی و آگاهی و حفظ موقعیت شغلی منجر به قطع شیردهی در دوران حساس شش ماه اول تولد کودک نشود...
    کلیدواژگان: شیر مادر، شیرخوار، کارمند
  • رویا جاجوندیان صفحه 154
    زردچوبه گیاهی است که در طب سنتی از دیرباز دارای جایگاه ویژه ای است. گیاه آن پایا به ارتفاع یک و نیم متر با برگهای قاعده ای ساقه بدون دمبرگ با غلاف مشخص، گلهای این گیاه، به صورت سنبله ای محصور در دو برگچه ی سبز مایل به زرد می باشند. در اطراف ساقه زیرزمینی گیاه، غده هایی تولید می شود به رنگ زرد و به طول 3 تا 7 و قطر 1 تا 2 سانتی متر با سطحی نسبتا صاف که محل افتاده ی ریشه بر روی آنها دیده می شود این غده ها همان زردچوبه هستند. زردچوبه باعث کاهش ترشحات معده می شود، ضد زخم معده و دئودنوم است در غلظتهای بالا اثر باکتری کشی دارد...
    کلیدواژگان: زردچوبه، کورکومین، طب سنتی
  • مریم صالحیان صفحه 162
    بیماری عروق کرونر یکی از علل اصلی مرگ و میر در ایالات متحده آمریکا به شمار می رود، بر اثر این بیماری سالانه حدود 450000 نفر جان خود را از دست می دهند و حدود 1000000 نفر نیز آن را برای یک یا چندین بار تجربه می کنند. پارگی پلاک و متعاقب آن ایجاد ترومبوز در محل، شایع ترین مکانیسم زمینه ای بیماری زا در سندرم های حاد میوکارد شناخته شده است. پارگی پلاک به وسیله آغاز کننده های خارجی همچون، فعالیت فیزیکی، استرس های عاطفی همچنین بروز حوادث و وقایع نادر نظیر زلزله تسهیل می شود...
    کلیدواژگان: آ‎غاز کننده، سندرم حاد کرونر، انفارکتوس حاد میوکارد
  • فرهاد محمودفر، فریماه عاصی، تورج ملکی، بتول رضوی، مریم باراندوزی صفحه 170
    درد و التهاب از مشکلاتی است که بشر همواره از راه های مختلف درصدد رفع و یا کاهش آن بوده است. به کارگیری طب سنتی و استفاده از گیاهان داروئی و حتی مواد مخدر همراه با داروهای صفاقی برای تسکین یا پیشگیری از حملات درد از نمونه های مشابه می باشد. ترامادول (اولترام) یک داروی مسکن صناعی جدید با اثرات شبه گیرنده موی (M) ضعیف و تا حدی اثرات مهاری روی باز جذب نوراپی نفرین و سروتونین در C.N.S می باشد. عقیده بر این است که ترامادول عمدتا از طریق متابولیت فعالی که اثرات ضد دردی خفیفی مشابه پروتوکسی فن دارد، عمل می کند...
    کلیدواژگان: ترامادول، مورفین، ضد دردی
  • معصومه همتی مسلک پاک، حمیده خلیل زاده، ژاله زنان بخش، مولود رادفر صفحه 175
    پوکی استخوان شایعترین بیماری متابولیک استخوان است که در بین زنان یائسه و مسن، بیشتر دیده می شود. اختلال با کاهش توده کل استخوانی، تغییر در ساختار آن و افزایش احتمال شکستگی مشخص می شود. در حال حاضر با توجه به افزایش طول عمر، زنان حدود یک سوم دوران زندگی خود را پس از یائسگی می گذرانند و به لحاظ آسیب پذیر بودن این قشر از جامعه لازم است که با عزم و اراده به فاکتورهای موثر در ایجاد پوکی استخوان آگاهی یابند و با انجام مداخلاتی باعث توقف فرآیند استئوپروز و یا کندی آن شوند. با توجه به اهمیت مسئله پژوهشگران بر آن شدند که تحقیقی با هدف تعیین عملکرد کارکنان زن دانشگاه علوم پزشکی در پیشگیری از پوکی استخوان انجام دهند...
    کلیدواژگان: پوکی استخوان، عملکرد، کارکنان زن
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  • E. Ahmadneghad Page 148
    Introduction
    Breast milk is the most complete food for infants during the first six months of their life. Unfortunately, in the recent decades, they are deprived from this Divine affluence, for different reasons. Whereas the studies are insisted in advantages of breast milk and correct breast feeding methods. Among theses, supporting of breast feeders specially employed mothers must be taken in consideration, in order to secure their convenience and mental tranquillity in work fields, so that mother's occupation, despite their interest and awareness, doesnt lead to breast feeding cut off during the important first six months period. Method & Materials: This is a descripto/cross sectiono/Retrospective study carried out between two groups of mothers including school teachers and employees working in Urmia hygienoremedial centers. We used simple random sampling method and a questionnaire for sampling and data gathering.
    Results
    the administrative obstacles mentioned in this study included postpartum leave, longness of working hours, lack of managers cooperation and breastfeeding time, lack of keeping the infants in workshops, undesired economical condition, etc.
    Discussion
    Increasing the postpartum leave up to at least six months, and securing workshops possibilities along with necessary education of employees and managers, and drawing their attention to the breastfeeding importance are among the instances that can be done in order to supporting of employed breast feeders for their successful feeding. Meanwhile by conducting necessary education in the field of correct breastfeeding methods and creating interest in mothers we can continue this process. We hope that doing these kinds of supports lead to increasing breastfeeding among female employees of institutes and offices of the country.
  • R. Jajvandian Page 154
    Introduction
    Turmeric (curcuma longa) has been considered as a plant with special place in traditional medicine. This permanent plant has about 1.5 meters height with basal leaves of pedicle and specified sheat without petiole, and the flowers are hyacinthine covered with two yellowish green brackets. Some tubercles are produced around the underground pedicles that are yellow with 3‑7 cm length and 1‑2 cm diameter with relatively smooth surface with obvious fallen root marks on them, these tubercles are called turmeric. Turmeric is antiduodenal and peptic ulcers and reduces gasteric secretions. Because of phototoxicity of its curcumin, it can cure some skin disorders (e.g. psoriasis and viral infections). Cyclo curcumin has antinematodal activity. Turmeric extract decreases blood cholesterol, phospholipids and Triglyceride levels and so, which is suitable for treating cardiovas cular diseases. It plays a condign role in lowering blood pressure that associate with antagonistic effects of adrenergic, histaminergic and atropine, too. It has anti‑infammatoric effects, that reduces histamine levels and increases cortisol production. It has an inhibitory effect on cancers and Neoplasia too. As an antioxidant and hypolipidemic agent, it plays a major role in protecting of brain tissues against damages caused by ethanol. Turmeric is effective in wound healing and treatment of liver diseases. The alcoholic extract of turmeric causes a significant reduction in testicular weight and testosterone concentration and causes infertility. Oral consumption of curcumin prevents cataract. It is less effective than phenylbutazone in treatment of Rheumatoidal Arthritis. Turmeric is contraindicated in Hepatotoxicity, cholelithiasis and pregnancy. The main effects of turmeric are due to its curcumin.
  • M. Salehian Page 162
    Coronary heart disease (CHD) is the leading cause of death in the United States each year about 450.000 people die from CHD, and 1.000.000 experience an initial or recurrent coronary event. Plaque rupture and it's its subsequent thrombosis at the site of the plaque rupture is the most common underlying pathophysiological mechanisms of acute coronary syndromes. Plaque rupture may be precipitated by external triggers (including physical activity and emotional stress or rare events such as earthquakes) imposed on coronary plaque. In this article the impressions and importance of emotional stress and physical activities as triggers of acute my car dial complaints especially AW and their pathophysiological consequences are reviewed and strategies for preventing are given.
  • F. Mahmoodifar, F. Asi, T. Maleki, B. Razavi, M. Barandouzi Page 170
    Introduction
    Pain and inflammation are among those problems that human being are intended to relief or lower it. Application of traditional medicine and using pharmaceutical plants and even Narcotic Materials associated with peritoneal drugs for preventing from pain episodes or relieving it are some resembling examples. Tramadol (Ultram) is a newer synthetic analgesic drug with weak mu () agonist effects and some inhibitory effects on norepinephrine and serotonin reuptake in C.N.S. It is believed to act mainly through an active metabolite that has weak analgesic effects similar to those of propoxyphene. Methods & Materials: In this experimental study 36 mice with similar race and gender with weight range of 20‑25 gr. were chosen and devided into three morphine, tramadol and control groups, then morphine and tramadol were injected intraperitoneally diluted in 0.5cc distilled water for each mouse of first and second groups. After 45 minutes, the cases were assessed under "Tail flick analgesia meter" with 40 º Intensity and Double blind method.
    Results
    According to the study findings there were a significant difference among the three groups pain tolerance time (p<0.05) mean tolerance time was 4.675 in control group, 15.75. with 1,2 and 3 mg/ml in tramadol group respectively.
    Discussion
    Paying attention to the study results, high concentrations of tramadol is needed to obtain the similar analgesic effects of morphine. As it mentioned above the morphine group with 1mg/ml dose had the same effect as tramadol of 3 mg/ml.
  • M. Hemmati, H. Khalilzadeh, Dj Nanbakhsh, M. Rodfar Page 175
    Introduction
    osteoporosis is the most common metabolic bone disorders, which it is more prevalent among menopausal and older women, this disorder is characterized by reduction of total bone mass and change in bone structure and increasing bone fracture susceptibility. Nowadays paying attention to increasing life expectancy, women spend abour one third of their life time post ‑ menopausally and considering damageability of this group of the community it is necessary for them to obtain information about the osteoporosis causing factors and doing some interventions for stopping it or slowing down its progress, so being attentive to the importance, of this problem we decided to carry out a study with the aim of appointing Urmia University of Medical Sciences female employees practice regarding osteoporosis prevention. Method & Materials: The study samples were chosen by purposive sampling method in a descriptive study. The data gathering tool was a question about demographic characteristics second 20 questions regarding practice of women about preventive programs.
    Results
    The study finding indicated the mean age of the samples was 38.6 yrs.. most of them (80%) were licentiated, 76.7% were married and 40% had two children. Among them didnt engage to swimming (53.3%) and morning exercise (56.6%), regular control of bone density (93.3%) and consuming calcium supplements (73.4%). Regarding the samples practice about prevention from osteoporosis the study findings showed that 37.16% had a weak, 36.32% had a moderate and 26.52% had an acceptable practice respectively.
    Discussion
    The results of this study indicated that the practice of the samples were inappropriate due to knowledge deficit about the osteoporosis process and it's remedial regimen, so education and informing must tabe in consideration as a main object that can be done by tv, news papers, magazines and other media.