Journal of Clinical Research in Paramedical Sciences
Volume:2 Issue: 3, 2013

Acute Respiratory Infection especially Pneumonia are causes of approximately 20% of death in children. The aim of this study was to evaluate epidemiological feature and laboratory finding of Pneumonia in under 5 years old children in Imam Reza hospital during 2006-2010. In this Cross- Sectional Study 1024 Pneumonia patients aged 0 to 5 years that from April 2006 to March 2010 were admitted in Imam Reza Hospital in Kermanshah، were studied. Data، were entered in SPSS 16 software and analyzed using descriptive statistical methods (Mean، Median، frequency and). Of 1024 patients is studied، 647 cases (63. 2%) were male. Mean age patients is 9. 94 9. 78 months. Prevalence of illness was higher in cold months. 21% of patients had a previous history of pneumonia. The common symptoms was cough and fever. Mean hospitalization of patients was 6. 36 There were significant relation between sex and fever (P=0. 012) and Anorexia (P=0. 26). The most common drugs that usedin the treatment of pneumonia was Ceftriaxon. The mortality rate was 1. 1%. Mean WBC Count and ESR were 11. 9× ±52. 5× and 26. 24±21. 21، respectively. Pneumonia is one of the important causes of hospitalization in under 5 years old children that can have variable clinical feature.

Nursing is arguably one of the most dangerous jobs. Since nurses are the largest providers of health care services in the community، their quality of life should be desirable to provide the high-quality care to the patients. The aim of this study was to examine the quality of life and its related factors among nurses in Kashan Shahid-Beheshti hospital during 2013-2014. This study was a descriptive cross-sectional study. The participants were selected using a stratified random sampling technique from Data were collected from the participants using the demographic and Short Form 36-item Health Survey questionnaires (SF-36). Finally، data were analyzed using SPSS software version 11. 5 along with statistical tests (t-test، variance analysis، Tukey post-hoc and Cruskal-Wallis tests). The mean quality-of-life scores in the cases were 65. 78 for social role performance and 47. 96 for physical role performance. The mean quality-of-life score in the emergency department nurses was higher than that of the nurses from the other hospital departments. Moreover، there was a significant correlation between the different dimensions of quality of life with gender، work experience and also work place. According to the results of this study، the quality of life among the nurses participated in this study was at a moderate level. Moreover، social performance of the nurses is more desirable than the other quality of life dimensions.

Down syndrome is the most common chromosomal abnormality due to 21 trisomy that usually is accompany with congenital heart diseases. About fifty present of children with Down syndrome have heart defects. This study was designed for the aim of abundance percents of septal heart defects in children with Down syndrome at Imam Reza and Imam Ali hospitals in Kermanshah. This study was down for 89 patients with Down syndrome. Data’s were achieved by echocardiography results and files of patients admitted at Imam Reza and Imam Ali hospitals during 2002 – 2011 in Kermanshah. Data’s were included septal defects، age، sex، history of mother،s abortion، pregnant mother،s age، patients mortality، parent،s relative and history of family diseases. Ventricular and atrial septal defect respectively were 15 patients [9 girls (10. 1%) and 6 boys (6. 74%)] and 11 cases [6 girls (6. 74%) and 5 boys (5. 6%)]. History of parents heart diseases was 22 [13 mothers (14. 6%) and 9 fathers (10. 11%)]، 10 patients (11. 2%) were dead and parent،s relative were 53 cases (59. 6%). History of mother،s abortion was 17 (19. 3%). The most incidence was in mother،s age (between 21-30 age years old) include 35 cases (39. 32%). Abundance percents of ventricular septal defects were more than atrial septal defects and were related to sex. On the other hand these defects were more in children of mothers with family relative، low ages (under twenties and also between 21-30 years age old)، history of heart diseases and also history of abortions.

Preoperative anxiety is a most common problem problems for patients during the surgery process. The purpose of this study was to examine the effect of Ayatalkorsi reading on preoperative anxiety of patients undergoing surgery in Emam Reza hospital at Kermanshah University of Medical Sciences (KUMS)، Iran 2013. Methods and Materials: This study was a quasi-experimental research. 80 patients who were scheduled to undergo a surgery randomly assigned to two groups: control (n=40) and case (n=40). Data collection tool was Spilberger''s anxiety inventory. Both groups completed the questionnaire in two times، the first time was the evening of day and second time was one hour before surgery. The subjects in case group received a printed version of Ayatalkorsi and were asked to read it once while in control group، no intervention was done except receiving their routine care. Data were analyzed with SPSS 16، using T student and Chi square tests. The results showed that anxiety mean score in both groups a moderate to high in day before surgery. But in operation day anxiety mean score in case group was more less than control group. A significant differences was found (P<0/001). According to the results، it can be concluded that the reading of Ayatalkorsi can decrease the preoperative anxiety. Thus this method can be recommended as a non-pharmacological strategy which is a safe and cheap procedure in patients waiting for surgery.

Menstruation occurs only in women and is a period of fertility cycle in women. Good healthy behavior has definite effect on preventing infection and supplying special physical and psychological needs is girls during this period. This study was aimed to determine menstrual health of high school students of Kermanshah، 2010. Present descriptive-analytical study was conducted on 535 girl students in Kermanshah، 2010. The data gathering instrument was a three-sectioned questionnaire including 33 closed questions، which its validity and reliability were confirmed by content validity and split-halves method، respectively. The knowledge was categorized as weak group (score≤20) and good group (score ≥21) and the performance was categorized as weak (1-13)، intermediate (14-20) and good (21-27) groups. Statistical analysis was performed using SPSS/v16 software and descriptive-analytical tests. Of total students، 53. 7% had good knowledge but 65. 2% had intermediate performance. The knowledge was associated significantly with the year of students education، educational level of mothers، fathers job، educational level of fathers، economical status، educational fieldand the residence (p<0. 001). The association between knowledge and performance was significant (p<0. 001). The rate of good knowledge and good performance were higher in urban students (p<0. 001). Although the rate of good knowledge was higher than good performance، it is unsatisfactory for bringing menstrual hygiene. Thus، the girl students should be educated about the importance of menstruation and its health especially in rural regions.

According to side effects of chemical drugs، recently much attention has been paid to plants as a drug. The present study aimed to determine the antibacterial effect of six plant extracts on some pathogenic bacteria. In an experimental study، at first the six plant extracts including Cinnamon، Turmeric، Thyme، Peganum harmala، Citrus aurantium and Achillea were prepared. Next، with regard to the minimum Inhibitory concentration (MIC) and standardized broth micro dilution method concentrations of each extract successively 62 to 12000 μg/ml prepared and then a 0. 5 McFarland unit concentration of eight bacteria including standard Staphylococcus aurous (standard strain)، Pseudomonas aeruginosa، Staphylococcus aurous، Enterococus Faecium، Escherichia coli، Salmonella typhi، Shigella dysenteriae and Klebsiella Pneumonia was obtained. The prepared compound was diluted back to 1 in a thousand. All the extracts were able to inhibit the growth of all bacteria. In general، Peganum harmala and Turmeric were the most inhibitor so that their MIC against shigella dysenteriae was 62 and 125µg/ml، respectively. Cinnamon was the third against shigella dysenteriae and the standard Staphylococcus aurous strains at a concentration of 1000 µg/ml. Achillea، Citrus aurantium and Thyme had not a considerable inhibitory against all bacteria. In general، Peganum harmala، Turmeric and Cinnamon had a higher antibacterial activity and can be used as a food preservative and a drug compound for treatment.