Journal of Clinical Research in Paramedical Sciences
Volume:2 Issue: 4, 2014

Many breast cancer patients experience mental disorders during their illness. Patients for coping with their illness، use different coping strategies. The aim of this study was to examine the relationship between psychological status and coping strategies in women with breast cancer in Kermanshah. This study was including 127 women with breast cancer. for estimating of Mental disorders used of DASS-42 questionnaire and for estimating of coping strategies used of Bylyngr and Mouse questionnaire (1981). Data by using of correlation coefficients proportional with level of variables were analyzed in SPSS-16 software package. The results of this showed that there was a significant positive relationship between Emotion-focused coping responses and Stress، Emotion-focused coping responses and Anxiety (quantitative and qualitative levels) with avoidant coping responses (p˂0/001). All women with breast cancer in the study، regardless of their mental disorder، in the first dealing with their illness used of avoidance coping strategies. But in the next step depending on stress and anxiety disorder are used different coping responses.

The invasion of microorganisms into the bloodstream and spread to different parts of body can cause disruption the functions of vital organs and even death. The proper and prompt treatment is essential and can significantly reduce morbidity and mortality rates. This study aimed to determine the frequency and the antimicrobial susceptibility of bacteria isolated from blood cultures in patients suspected to septicemia. In this study، blood samples of patients were cultured and isolated bacteria were identified using standard methods. Antibacterial susceptibility testing of isolated bacteria to selected antibiotics was performed using disk diffusion method based on CLSI recommendations. The results were analyzed using descriptive statistical indices. The results showed 17. 4% of the blood cultures were positive for bacteria. Isolated bacteria were 50% gram-positive included coagulase-negative Staphylococci and Staphylococcus aureus and 50% were gram-negative bacteria included Klebsiella، Acinetobacter، Enterobacter، and Serratia marcescensGram-positive isolates were resistant to to cefotaxime (75%) and penicillin (66. 5%). The gram-negative isolates were resistant to Co-trimoxazole (45%). Given the increased prevalence of infections caused by coagulase-negative Staphylococci، the use of antibiotics should comply with the results of antibacterial susceptibility testing. It is necessary to performed blood cultures and antibacterial susceptibility testing in suspected cases. For the treatment of septicemia، vancomycin for gram-positive and ciprofloxacin، amikacin and third generation of cephalosporins for gram-negative bacteria are more effective drugs.

Emergency unit is one of the basic aspects of giving service to patients and the staff participation can help improve quality management service giving aspect. The purpose of this study was determined relation between level of staffs participation and emergency performance in educational hospitals of Kermanshah. The study implemented by descriptive cross-sectional that its statistical community was performed 140 emergency unit staffs in educational hospitals in Kermanshah, Iran. They completed participation measurement questionnaire and emergency unit performance measurement checklist. At end description of staffs participation and hospital emergency unit performance presented by descriptive tables and relationship between participation level and demographic variables and units performance analyzed by Pearson correlation coefficient, X2 and ANOVA using SPSS 15 software. Finding of this study showed 62.6% of subjects were women and rest of them was men. Total mean age for them was 31.92±7.39. Participation rate men higher than women and few rate had low participation, however, this different wasn’t statistically significant. More than 60% of them had high level of participation but there wasn’t significant difference between units. However the relationship between personals participation and emergency unit performance was positive but this relation wasn’t meaningful, as statistical analysis, we suggest it should be carried out more study with large sample.

In spite of the physical and mental complications due to induced abortion، on communities، especially in society Muslim، this study to assess women’s attitude towards induced abortion in health care centers of the Social Development Research Center in Kermanshah. Descriptive – Analytical study designs were conducted among 400 women. These women who attended the Health Care Center and were married women in their fertility aged (15-49 years). A self-administered questionnaire was used to measure attitude of women’s towards induced abortion. A pilot testing was conducted for reliability and validity on questionnaire. The statistical was applied on the data descriptive – analytical. The ages average ranged from، 31. 3±12. 66 years، 34. 6% of Diploma graduates and 61. 2% were housewife. The negative attitude was 23. 3%، positive attitude were 18. 3%، and while the remaining participants were neutral attitude toward induced abortion. The results indicated that there is a significant association between attitude toward induced abortion، such as occupation، education level، and number of abortion (P = 0. 001)، the higher the number of abortion had the more positive attitude towards the induced abortion. Findings in this study showed that Majority of the participants had neutral attitude toward induced abortion. These indicate that it is need to planning to train women، which can be for prevention of the disproportionate.

Research can be considered as the essential component of progress in every country. The purpose of this study is to determine the barriers to performing research activities from the viewpoint of faculty members in Kermanshah University of Medical Sciences. This cross – sectional study was performed in 2011 on all 229 faculty members، using a questionnaire consisting of a demographic section and a research barrier one in Likert scale. Data analysis was performed using the software SPSS 16. Organizational barriers were found to have a high frequency، there is a significant relationship between organizational factors and research factors (P < 0. 001). Including insufficiency of the income from doing research، inapplicability of the research findings، and tough formalities to mention just the major ones. Personal factors were found to be important، too the highest frequencies were related to family problems and unwillingness to perform research. the findings indicate the necessity of eliminating research barriers on the part of the vice – chancellor of Research & Technology of the university and related authorities. In addition، some actions like material and non-material incentives and providing opportunities for research can be important measures to improve both the quality and quantity of research projects.

Most important consequences of cardiopulmonary resuscitation (CPR) are Restoration functions of the heart and lung. Despite abundant advances in medical sciences، the prognosis remains poor for patients who have CPR. This study was done to determine the success rate of CPR in patients with cardiopulmonary arrest during a six months training in selected health centers were studied in Kermanshah in 2011-2012 In this prospective study 320 samples were selected with the use of purposive sampling method. The researcher made Information form was used for data gathering whose face and content validity and Kappa coefficient reliability r= 0. 79. Data were analyzed with STATA9 software and statistical tests such as، relative risk (RR) and successfully revived Poll، chi-square test and Fisher Accurate. The initial success rate of cardiopulmonary resuscitation were 15. 3%، final (discharged live from the hospital) 10. 6 and six months of successful CPR 8. 12 percent. There was no Significant difference in the success rate of initial resuscitation statistically significant deference in different age categories، But the amount successful initial resuscitation patients were higher in morning (P=0. 02). The results showed that the initial success rate of CPR inside and outside the country، especially on the night shift toward lower levels، however patient survival at six months is an acceptable level. According to this study finding suggested appropriate distribution of the Medical team in all shifts were done to successfully CPR and exactly flow- up after Successful resuscitation and hospital discharge were done.

Today، medical education provides the human force that runs the health care system; therefore it requires continuous upgrade by studying the current state and identifying its strengths and weaknesses. Students as recipients of training are the best source for identifying the existing problems. This study reviews the quality of clinical education from the perspective of medical students. This descriptive analytic study was done on 119 samples that selection with convenience sampling. Data collection questionnaire including questions about demographic information، goals of the educational program، the performance of the teacher، and the learning environment، was distributed among samples. Validity of this questionnaire in previous studies was reported 0. 88 through test re-test method. The data was analyzed using SPSS 15 software and descriptive and analytic statistics tests. From 130 distributed questionnaires، 119 were completed and returned. The results showed 57. 7% of the students were female and the average age was 24 ±4. 1 years. Generally، 61. 3% of students believed that the conditions in different examined fields، almost meet their expectations. The average score achieved in fields such as the goals of the program and the performance of the teacher was higher over the rest of the fields. According to the results of this study، it seems the educational programs offered in the course of clinical training، must be revised. Reduction of the number of students، improving accommodation and means of training are among the various factors which can help upgrade the quality of clinical education and consequently improve the satisfaction of the students.

Thrombocytopenia is a common disorder in patients who admitted to the intensive care unit (ICU) that has been showed as a bad prognostic factor for mortality and has a various causes. The aim of this study was to determine the prevalence of thrombocytopenia and its relation to bacterial sepsis as one of causes of this disorder in patients who admitted to the ICU. This study was a retrospective analysis of all patients who hospitalized in ICU of a teaching hospital affiliated to Kermanshah University of Medical Sciences from 2012 to 2014. Of 387 patients، 231 patients (59. 6%)، at least one time، afflicted by thrombocytopenia. There wasn’t any significant difference between age and gender by thrombocytopenia incidence (P>0. 05). Totally، 76 patients (19. 6%) had positive blood culture that 58 cases (76. 3%) occurred in thrombocytopenic patients. The results of this study was determine that thrombocytopenia incidence is a good prognostic factor in morbidity and mortality of patients who hospitalized in ICU. Also، bacterial sepsis as a major causes of thrombocytopenia incidence in ICU.