Journal of Clinical Research in Paramedical Sciences
Volume:1 Issue: 3, 2012

Teucrium polium (TP) is a herbaceous plant of the Lamiaceae family which has many pharmacological properties such as anti-diabetic، anti-inflammatory، anti-nociceptive effects. There are some reports indicating the cardiovascular effects of TP such ashypotensive responses and also positive inotropic and cronotropic effects. The aim of this study was to investigate the activity of calcium channels on vaso relaxant extract of TP on isolated rat aorta. In this experimental study، 28 male Wistar rats randomlywere divided into 4 groups (n= 7). In groups 1 and 2، the effect of the extract (1، 2، 4 and 8 mg/ml) on contracted aorta by PE (10-6 M) in intact and denuded endothelium were investigated. In groups 3 and 4، the effect of the extract on contracted aorta by PE in the presence of Diltiazem (Dil)، (10-5 M) and Heparin، (50 mg/ml) were investigated respectively. Statistical analysis was carried out by SPSS software version 13 and the results were analyzed by student''s t-test and ANOVA. The extract significantly relaxed the contracted aorta by PE in both intact and denuded endothelium in concentration-dependent manner (P<0. 001، P=0. 002). All the extract concentrations (except 1، 2 mg/ml) significantly relaxed PE induced contraction in the presence of Dil (P<0. 001). The extract concentrations (except 1، 2 mg/ml) significantly relaxed PE induced contraction in the presence of Heparin (P<0. 001). The extract of TP has the relaxation effect on vascular smooth muscle. It seems، the relaxation was mediated by inhibition of voltage-and receptor-dependent Ca+2channels and may partly by inhibition the release of calcium from intracellular stores in vascular smooth muscle cells.

Organizational Citizenship Behavior (OCB) is defined as “individual behavior that is discretionary، not directly or explicitly recognized by the formal reward system، and that in the aggregate promotes the effective functioning of the organization.” The concept of organizational citizenship behavior، despite the highly importance especially in the midwifery، has received a little attention in the literature. This research was aimed to study OCB among midwives in Lorestan province. This cross-sectional، descriptive study was conducted among 384 midwives working in state hospitals and health centers in Lorestan recruitedby a multi stage cluster sampling. The respondents were asked to complete Podsak off organizational citizenship behavior questionnaire which encompasses five dimensions of OCB including sportsmanship، civil virtue، conscientiousness، altruism and courtesy. The data obtained was analyzed by using SPSS21 software. The results of this research showed that most of the respondents had desirable total Organizational Citizenship Behavior. The quality of dimensions of conscientiousness and courtesy were desirable while the quality of sportsmanship، civil virtue and altruism were relatively desirable. This research demonstrates the existence of high level of OCB among the midwives. The results can be used for furtherdevelopmentof health management strategies for enhancement of OCB. Researchers hope that the results of this study provide new possibilities for future studies to assess work ethic and organizational citizenship behavior (definition، related factors and outcomes).

Women are at high risk for developing type 2 diabetes and can be screened for Gestational Diabetes Mellitus (GDM). This study assessed the prevalence of postpartum glucose testing among women with the recent history of gestational diabetes and examined its related factors. Methods &Materials: For this cross-sectional study، 150 women referring to the clinics of KUMS (Kermanshah University of Medical Sciences) for following postpartum care were selected. Data were gathered using a validated and reliable and two-sectioned self-report questionnaire including questions regarding demographic data and disease scales. Data were analyzed using spss 21 software. 48. 7% of women with GDM completed postpartum glucose screening. Of these، 21. 9% had abnormal glucose test and 10. 9% had diabetes. Among the demographic factors، significant differences were detected among these people in comparison to those not referring to the clinics، including job، education، number of the family members، etc. For the disease factors، the results about the following items were significantly different: insulin administration during pregnancy (p=0. 026)، age of diabetes onset (p=0. 002)، family history of diabetes (p=0. 001)، and history of hospitalization during pregnancy (p=0. 002). Findings suggest a low rate of referral for postpartum glucose screening in women with a history of gestational diabetes. These results can help health care authorities to deal with the obstacles for referrals of the patients. Through identification of these patients after delivery، an opportunity for prevention of or postponing the onset of diabetes type 2 using diet care، exercising and weight loss can be provided.

Backgrand: Infertility is a health problem that causes adverse effects in personal، social and economic domains. Infertility in males has been associated with sperm dysfunctions such as low sperm count، immaturity، abnormality and lack of motilty. The color of turmeric is because of a substance called curcumin for which some anti-oxidative and anti-inflammatory properties have been identified. Although researchers have reported the anti-oxidant properties of curcumin، its effects on reproductive hormones، epididymis pathway، and sperm count and motility in nicotine-infected rats have not been investigated. Methodes: In this study، various doses of curcumin (10، 30 and 60 mg/kg) were administered intra- peritoneally to male mice for 28 consequent days and reproductive parameters as testosterone hormone، motility، morphology، testis weight and histology were analyzed and compared. The results indicated that increasing the dose of curcumin significantly increased reproductive indices such as sperm count، motility، testis weight and testosterone hormone in most of the groups (P≤05). It seems that curcumin increase the quality and quantity of reproductive indices in male mice.

Prolonged and obstructed labor is an important cause of maternal deaths. Most deaths have been occurred because of inability to detect a prolonged labor. The partograph is a tool which can graphically monitor the progress of labor and delivery. This study was conducted to determine the length of the first stage of labor and pregnancy outcomes by using partograph. Methods & Materials: In this descriptive study، data of 365 nulliparous pregnant women who came to the delivery ward of Imam Reza hospital in Kermanshah during June - July 2010was collected. Data was analyzed by SPSS software version 20. In total، 92. 3% of the women had a normal vaginal delivery indicating the cesarean rate 7. 7%. The cervical dilatation of 89. 6% was normal and it reached the maximum in less than 14 hours. 75. 9% of mothers had an average contraction of 40 seconds and only 0. 8 % had meconium in their amniotic fluid. Bradycardia was seen in 1. 1%. Failure to progress of labor in 14. 8% of cases has occurred and induction by oxytocin was helpful. In 91. 2% of cases، the placenta and membranes were completely removed. This study was found a relationship between the use of the partograph and birth outcomes as the majority of the mothers had a vaginal delivery and only a limited number of those had cesarean delivery. Partograph is an accurate instrument which can reflect the labor’s state and can warn us when there is a risk and help to take the most appropriate actions.

Radiation workers in diagnostic and therapeutic options are exposed to long-term low levels of ionizing radiation، that may be harmful to the health for this persons. In this study، we investigate the effectiveness of ionizing radiation on blood parameters in radiation and other wards workers in Kermanshah hospitals (2012). In this comparative analytical study that were undertaken in 2012، some blood parameters in 49 radiation workers of Kermanshah hospitals (cases) and also 49 persons who worked in other wards and had nothing to do with radiation but were matched with the cases regarding intervening variables were assessed. The data was analyzed using SPSS20 and statistical tests such as Student''s t-test. The meaningless level of tests considered as p<0. 05. According to findings of this study، there are no statistically significant differences in blood parameters between radiation and other wards workers (p>0. 05). Results of this study showed that long-term low levels of ionizing radiation does not significant effects on the blood parameters in radiation workers.

The prevalence of cardiovascular diseases areas major health problems are increasing. There are many factors related this high prevalence including stress، working environment، job and lifestyle. Nurses are at risk for heart diseases. Since nurses have been recognized as an important part of any healthcare systems، this study was aimed to identify the relationship between work shift and risk factors in heart diseases. This study was a descriptive analytical and sectional research conducted on 400 nurses working in the emergency and intensive words of educational hospitals of Kermanshah University of Medical Sciences. A cluster sampling method was used. The data collection tool was a questionnaire and a check list for recording sample blood test results. Data was analyzed by using SPSS software version 16 and descriptive and analytical statistics formula. The results of this study showed that 57. 5% of these subjects were female with an average age 30. 8 years. Moreover 88/8 %had a BS degree in nursing and 79. 8% were in shift work. The major risk factor was hyper triglyceridemia identified in 30. 8% of the subjects. Furthermore، the results indicated a significant relationship between overtime working hours with the prevalence of systolic and diastolic hypertension، high triglycerides، high total cholesterol and ''high-density lipoprotein cholesterol'' lower than normal (p‹0. 001). According to the results، most cardiovascular risk factors appear to be in the nurses working in overtime hours. The results did not show a high prevalence of the risk factors compared to the other studies'' findings about the other people، so further research was recommended to do

Effective education in medicine need to an effective course plan for obtain frame work for an effective clinical teaching and Students’ viewpoints is essential for achieving to coureplan assessment. This study was designed to Evaluation of Achieving to course plan content from the Viewpoint of medical Clerkship at Kermanshah University of Medical Sciences in 2012. This study was a descriptive-analytic study; choosing 489 medical students in 14 clinical education groups through census sampling method in Kermanshah imam raze hospital. Data collection was done by using a researcher- made questionnaire. Content and face validity was confirmed and reliability was confirmed (r=0. 75). Data were analyzed using SPSS16 and statistical test x2 and U mann-whitney at (P<0. 05). The finding indicated that Achieving to course plan content was evaluated as desired achieved by 65. 7 % of students، intermediate achieved by 29% and undesirable achieved only by 5. 3% of students. No significant differences were observed between major and minor group (P=0. 9) but were statistically significant associations between major groups achievement in internal medicine group (P<0. 001). Result of this study emphasis for used of comprehensive course plan in all of levels of medical sciences education applied to achieve effective learning promotion.

The assessment of care quality from patients'' point of view is a valuable criterion for the healthcare management. This issue can help managers to identify strengths and weaknesses of an optimum care and treatment. This study was aimed to assess perceived care services in patients using SERVQUAL Model through collection of the patients'' perspectives hospitalized at educational and medical centers of Kermanshah University of Medical Sciences 2013. The participants received and completed the standardized SERVQUAL scale including five evaluation dimensions، i. e. tangibility، reliability، responsiveness، assurance and empathy. This scale was completed in two times، from the view of client expectation for service quality and the client actual perception for service quality. The service quality level was categorized based on a Likert scale ranged from «very bad to very good» and marked from (1 to 5 score). The data was analyzed using SPSS software version 21 and applied different descriptive and inferential statistic formula such as ANOVA tests for analysis. The results showed that total mean of the actual perception for service quality was at a good level (3. 65). In comparison، the mean scores of both mentioned parts; a significant difference was found (P<0. 001). The lowest gap was about empathy dimension (-0. 66) and the highest gap was about reliability domain (-1. 09). Therefore، it is recommended to promote the quality of services and patients'' satisfaction; the weaknesses، particularly regarding planning and management fields، needs to be addressed and improved.