Journal of Clinical Research in Paramedical Sciences
Volume:2 Issue: 2, 2013

Scorpion sting is an acute health problem in the tropical regions. Because of severity of complication and difficulties in treatment for healthcare workers, awareness of the prevalence of this problem can be useful. This study was done to determine the prevalence of scorpion sting in tropical regions of Kermanshah province during 2009-2010. in this descriptive-analytical study, all records related to scorpion sting patients in tropical regions of Kermanshah including Sarpolzahab, Ghasreshirin and Gilanegharb during 2009-2010 years were studied by census method. Data collection tool was a checklist. Data was analyzed by SPSS-20 software using descriptive and analytical tests. The prevalence of scorpion sting was 334.37/100,000 of inhabitants in 2009 and 339.07/100000 in 2010. Mean and SD of age was estimated 30.55±16.99 and 60.6% was male and the rate of men was higher in Ghasreshirin (P<0.001). scorpion sting in rural area (59.6%) and summer (52.9%) was more common. 48.4% of bites were happened in hands and 47.5% of patients were injured during midnight to 6 o’clock in the morning. 92.9% of patients had mild symptoms, Anti scorpion serum was prescribed to 88.8% of victims and 94.5% of samples were discharged after outpatient treatment. The relation between Anti scorpion injection and clinical symptoms was not significant. Prevalence of scorpion sting was relatively high in tropical areas of Kermanshah, therefore it is strongly recommended for educating the inhabitants about how to prevent the scorpion sting and preliminary treatment, through the mass media.

the observance of patients' rights is a legal principal and is one of the main responsibilities of health care centers. This study aimed to survey hospitalized patients
satisfaction in this regard. Five hundred hospitalized patients and their families were selected by quota sampling from educational hospitals of Kermanshah University of Medical Sciences (KUMS). The data were gathered by researcher-constructed questionnaire through
interviewing by participants. The data were analyzed by SPSS version 18 software. The satisfaction levels of the participants according to the five domains of questionnaire were 40.7, 60, 53.5, 80.1, and 55 percent respectively. Overall patients' satisfaction was 55.5 percent. There was not statistically significant relation between
some of the participants' demographics (e.g. gender, marital status, residence, and literacy level) and participant's satisfaction, while there was statistically significant relationship between the participant's age and history of hospitalization and their satisfaction. The findings showed intermediate level of satisfaction among the study participants according to observing of patient's rights in our health care centers. Therefore, it seems essential that the educational program be implemented for health care providers for promoting their commitment in this regard.

Shigella species are the most important agent of diarrheal diseases that is known as shigellosis. In this study we investigated the prevalence of shigella species and their antimicrobial susceptibility pattern isolated from hospitalized patients in Kermanshah from 2007 to 2013. In this cross - sectional study demographic data and results of CRP and ESR tests of all hospitalized shigellosis patients were studied. The susceptibility of bacteria was assed using disk diffusion method. The results were analyzed with SPSS 16. Of the total 3977 patients, 129 cases (3.24%) were diagnosed as Shigellosis. The highest rate of infections were seen in under 10 years old patients. The CRP (C-Reactive Protein) test were positive in 79.1% of patients which was meaningful as statistically (p<0.01). Results of antimicrobial susceptibility testing showed that all of isolates were resistant to Cotrimoxazole and tetracycline. The lowest resistant rate of was against cefixime and ciprofloxacin. The results of this study indicated a low prevalence rate of shigellosis and the other hand a high resistance rate of shigella species to some antibiotics. The physicians should pay special attention to prescribe appropriate antibiotics to treatment of this infections in order to reducing of their mortality.

It is a matter of controversy whether core stability exercise is preferred to other types of exercise for chronic low back pain. Lumbopelvic stability is an important element in low back pain. No study was found using Lumbopelvic stability tests in comparing core stability and other exercises. The single leg squat, dip test and runner pose test appear to be suitable as tests for lumbopelvic stability. The aim of this study was to compare “core stability” and “General exercise” using these tests and also Oswestry disability questionnaire and pain intensity. Mothods: Fourty-three non-specific chronic low back pain subjects were alternately allocated in one of two exercise groups. For both groups, a 16-sessions exercise program was provided. Before and after training: 1- video was recorded while subjects performing the tests, 2- Oswestry disability questionnaire was filled, 3- Pain intensity were measured by visual analogue scale. The test videos were scored by three physiotherapists. Statistical analysis revealed a significant improvement in stability test scores (P= 0/020 and P= 0/041) and reduction in disability (p < 0/001) and pain (p < 0/001) within each group. No significant difference was seen between two groups in the three outcomes (P= 0/41), (P= 0/14) and (P= 0/72) respectively. Insignificant difference in two groups may indicate either unspecificity of core stability exercise to increase lumbopelvicstability or equal effectiveness of two exercises on improving lumbopelvic stability or even insensitivity of our tests to assess stability change in two groups after the training regarding this sample size.

The aim of this study was to investigate the effect of balancing exercises based on feel-deep receiver on dynamic balance in adolescent scoliosis patients. Scoliosis patients were identified using special tests such as Adams test. The cases of study were randomly divided into two experimental (n=12) and control (n=12) groups. Average angle of Cobb and mean age, mean height and mean weight in two groups were measured. Experimental group received three sessions a week for three months and exercised for 80 minutes. The data were analyzed using statistical tests and SPSS18 software. Significant level of results considered as P < 0/05. Results of this study showed that there is significant difference in Cobb angle in the experimental group before and after treatment (p<0.01). Patients had a significant improvement in balance function. But there was not significant difference between Cobb angle and balance in scoilosis patients. Exercise also leads to decreased postural deviations and fluctuations of 12± 2.04 to 9±3.38 degrees. Results of this study showed that exercises based on balancing movements reduced Cobb angle and raised balance in adolescent scoliosis patients.

The aim of this study was to determine serum levels of Procalcitonin (PCT) in patients with Systemic inflammatory response syndrome (SIRS) for rapid differential diagnosis of sepsis from other causes SIRS. In this study 58 patients afflicted by SIRS were evaluated witch all of patients had positive blood culture had serum levels PCT >10 ng/ml and we observed significant different between positive and negative blood culture patients (P<0.01). The results of this study showed serum levels of PCT had a high sensitivity for differential diagnosis of SIRS due to sepsis.