مجله علوم پزشکی پارس
پیاپی 2 (بهار 1384)

Guttate psoriasis is a disease characterized by round to oval shaped lesions with silvery or gray scales on an erythematous base and several millimeters to one centimeter in diameter. Its lesions are generalized, discrete and distributed predominantly on the trunk and proximal extremities and occasionally on face, ears, scalp and rarely on palms and soles. The disease is predominantly seen in children and young adults. It seems that focal streptococcal infections have an effective role in the development of disease. This study was performed in order to determine the relationship of streptococcal infections and A.S.O titer prior to treatment. In 17 patients, throat culture was done and in all of patients the history of upper respiratory tract infection was questioned period. of illness, sex and age of the patients were recorded and the data were analyzed.

During 2 years, we selected 22 patients with guttate psoriasis. All of them were biopsies and A.S.O titre prior to treatment. In 17 patients, throat culture was done and in all of patients the history of upper respiratory tract infection was questioned. Period of illness, sex and age of the patients were recorderd and the data were analyzed.

Fourteen out of 22 cases (63.63%) had an A.S.O titer equal to grater than 250 TODD units prior to treatment. Eleven cases (50%) had a history of upper respiratory tract infection two weeks before illness.

It seems that streptococcal infections play an effective role in the development of disease. It is necessary that throat culture and A.S.O titer be checked in these patients and suitable antibiotics was prescribed.

Nursing is a stressful occupation.Stress has many effects on health and well beingof nurses. The experience of work related stress generally detracts from the quality of nurse working lives, increases minor psychiatric morbidity and may contribute to some forms of physical and social illness.The aim of this study was to determine physical, spiritual and social stress – related symptoms in health care providers working at hospitals of Jahrom.

This cross – sectional descriptive study was conducted to determine the physical, spiritual and social stress – related symptoms in nurses and midwiferise. The sample consisted of 246 nurses, Midwifery, Technician and graduate diploma in nursing personnel. Data was collected by a two part questionnaire which assessed demographic data and had 55 questions about stress – related symptoms. Primary data analyzed by descriptive statistics and central parameters in the SPSS software.

Physical stress – related symptoms were 5.461(SD=±4.09), spiritual stress – related symptoms were(M=2.200,SD=±2.2) and social stress– related symptoms were 2.373(SD=±2.343).There were highest level of these symptoms in faculty who worked 4-6 shift per week. Also the highest level was in In this Reserchfaculty that worked in screen ward and then in surgiced, Medical, OR and OB wards. Also stress – related symptoms was highest in midwiferies than B.A nursing groups and graduate diploma in nursing. In married was higher than singles, in women higher than men and in 21-30 years old groups more than other groups. The most common findings of physical stress test were: sleep disorders(74%) and Exercise infrequently(67.8%).The most common results of spiritual stress test were: Have a morbid fear of death (44.5%) and having doubt about ability to succed (30.4%). The most common results of social stress test were: Don’t know or care about their neighbours(43%) and seldom take their family out (32.7%).

The results of this sutyde indicate that there are many types of stress- related symptoms in nurses. So appropriate interventions for recognition and applying measures to prevent, control and decrease stress. Using the methods of reducing stress improve the attitude of nurses to their jobs and decline in ill- health and a consequent decrease in rates of absenteeism and increase in quality of patien care.