مجله علوم پزشکی پارس
سال پنجم شماره 1 (پیاپی 4، بهار و تابستان 1386)

The present study was designed for determination of the pattern of antibiotic resistance of Escherichia coli (E. coli) isolated from urinary tract infection in Jahrom in aim of rapid and appropriate empirical management. A cross sectional study was carried out on 108 urine samples of patients with urinary tract infection in Jahrom hospitals and general practice in 2003. Antibiotic susceptibility was done by disk diffusion method and MIC. Gentamicin had at least effect on E. coli with 72.1% resistance. Co-trimoxazol and rifampin were the most effective oral antibiotics. 89.5 percent of E.coli were resistant to two or more antibiotics. The most associated resistance was co-trimoxazol- rifampin and cotrimoxazol- gentamicin. Based on this data gentamicin and co-trimoxazol were less effective for treatment of urinary tract infection, but nalidixic acid and ciprofloxacin were appropriate for empirical treatment.

The complications of surgical wounds (esp. wound infections) are considered as a major problem in surgery wards. Complications of surgical wounds are classified as early and late complications. Among common and early complications are hematoma, seruma and wound infection. In the recent years, the modern technology esp. Laparoscopic intervention has brought huge developments to general and specific surgical operations.

This study was carried out on 210 bedridden patients operated in Milad Hospital during a period from 82 -84. Patients were classified into two groups: group A (106 patients) and group B (104 patients) were respectively operated by open surgery and laparoscopy. Patients became candidate for the two methods on a randomized basis and the statistical test of this research has been proportional test and it was carried out in experimental method and in the form of clinical trial.

Out of 210 patients there were 130 female and 80 male patients. The rate of relative frequency of early complications were 8 and 1 respectively among 106 patients having undergone open surgical operations and 104 patients having undergone laparoscopic operations (P)

Fetal loss and recurrent abortion are responsible for significant emotional distress for couples desiring children. Regarding the etiologic importance, this study has been carried out to determine the serum level of C3 and C4 in women with recurrent miscarriage. This study was carried out in Shariatee hospital of Bandar Abbas university of medical sciences, during 2000 - 2001. 109 women with definite diagnosis of recurrent abortion or fetal loss as patients and 220 matched women with at least two successful deliveries and negative history of miscarriage as controls were studied. The sera of the patients and the controls were tested by SRID method for determining C3 and C4. Prevalence of reduced serum levels of C3 and C4 in the patients and the controls were 22.02% and 5% respectively and prevalence of reduced serum levels of C4 in the patients and the controls were 24.77% and 8.18% respectively. There was a significant difference between prevalence of reduced serum level of C3 and C4 in the patients and the controls (P < 0. 001). The results of this study suggest that complement system plays a significant role in recurrent miscarriage. Further studies are needed to explore the role of Immune system -classical pathway of complement system- in fetal loss and spontaneous abortion.

Nursing is a job that is based on ethical and legal commitments. One of the most responsibilities of every nurse is to know the rules and regulations of his/her job. This cross – sectional descriptive study conducted to determine. the nursing personnel opinion about their professional rules and responsibilities in Jahrom hospitals. Data collected by a two part questionnaire. The first part was demographic data and the second part contained 50 questions that 40 questions were about professional rules and regulations (part one), 7 questions about nursing duties (part two) and 3 questions about commission of professional crimes (part 3). The samples entailed all of the nursing personnel in 2 hospitals (271). Finally 167 questionnaires were analyzed by SPSS software. The percent of answering to each question is also determined. Result Findings showed that 60% of participants were from Ostad Motahari hospital (O.M.H.) and 40% were from Paymanieh hospital (P.H). Mean age of samples in (O.M.H) was 33.5 and in P.H was 29, also mean range of job time in O.M.H was 11.5 and in P.H was 7.5. 65.3% of personnel had B.S nursing degree and 23.4% were Aid nurses.The mean rank of questionnaire was 25. The mean rank of knowledge in 2 hospitals was 37.52, in O.M.H was 36.88 and in P.H was 38.48%. There was significant difference between the mean rank of knowledge in P.H (M=29.44 SD 3.14) and in O.M.H (M=28.03 SD 2.29) in part one (p=./000).Although there were not significant difference between the mean rank of knowledge and age, education, marriage, job time and type of responsibility. Assessing the answering to questions revealed that the knowledge of 135(80.8%) of personnel about taking oral consent and 95(56.9%) about the consent of a patient seeking help or nursing care over the phone,and 101(60.5%) about finding one of the parents and taking the consent before doing any relatively urgent treatment for their children was poor.Also 133(79.6%) didn’t know that damaging the patients is due to acting of commission of health care providers. 72(43.1%) said that if work problems occurred in their workplaces, they didn’t know to reffere to what Law-courts and 133(79.6%) said that if there had been some professional problems they didn’t support by their employers. The results showed that the mean rank of knowledge in three parts was higher than the mean rank of test but in part one the mean rank of knowledge in P.H was higher than O.M.H. May be the one reason is due to there are more B.S nursing graduates that work in P.H and passed the nursing ethics course. The knowledge of personnel about some important rules was poor. So the nurses must be educated about some professional rules and the course of nursing law must be added to nursing curriculum. Also by preparing notebooks and in service education, the knowledge of personnel must be increased.

Scorpion stings account for 10%-15 of all bites for many decades, scorpions is a known significant medical problem and social importance in middle east area, specially in underdeveloped tropical countries scorpion stings couse a wide range of sign and asymptotic Aim of study is a assessment of clinical present and management of scorpion bits in jahrom city The prospective study was done between 1380-82 and total of 63 cases of scorpion stings that refer to medical center were studied. Data included demographic and first aid managements were conducted by medical persons in referral cantors (nurses or doctors) Total 63 victims were studied (3.male and 33 female years mean (23/815/1). Upper extremities were the most common site of bite. The most common and systemic symptom was pain (%88/9) and anxiety (68/3%) respectively. Other significant symptom included Cardiac system with palpitation (46%), respiratory with dispread(%38/7)Male had more respiratory problem(p=0.017)the majority of victim used loc ad closure, and immobilization as a first aids. The most common administrated drags were analgesics (85%) and antihistamine (74/6%)and used specific drags for cardiac problem such as nifidipin or atropine. Based on the result, it seems that scorpion stings in this area not associated with serer life throated effects. Another significant points of the present study is low knowledge of oar medical staff about management of scorpion stigs finally it is important continue similar studios for better evaluation of various types of scorpions and their symptoms in the area.

Falls and accidents in the elderly leading to different kinds of physical damage and most common type of trauma in them that represent significant causes of morbidity and mortality in our country but are not well characterized. The purpose of this issue is to determine some epidemiologic aspects of trauma in seniors. We organized a cross sectional study of a series of patients aged 65 years old and older with all types of damages secondary to trauma, which has been referred to Shiraz Trauma Centers. Data were gathered from emergency rooms daily in winter 2004 and the follow up and outcome were gathered from patient's files in different wards. Data analysis was done with descriptive statistics using EPI info 2002 soft ware. The studied group was 207 patients who had including criteria. 61% were male and the reminder 39% were female. Most of patients were between 65-69 years old. The most common type of trauma in this age group was falling down.43% has been admitted to hospital more than five days and the average of the days admission was 7.63± 6.9 days. Occurring accident in home (29.3% of cases) was more common than other places. In hours between 6pm-12pm 35.27% of accidents happened. The highest fatality rate was among car accidents patients and was 12.3%. With attention to increasing of trauma in elderly people and also high rate of disability and mortality in this group, implementing preventive strategies in