فهرست مطالب

  • Volume:16 Issue: 2, 2015
  • تاریخ انتشار: 1393/12/19
  • تعداد عناوین: 6
|
  • Bahman Bashardoust, Maryam Gavami, Nasrollah Maleki *, Hossein Doustkami, Shahram Habibzadeh Page 1
    Background
    Malnutrition, which is a powerful predictor of morbidity and mortality, is common in patients undergoing hemodialysis. Therefore, for a better overall outcome, adequate nutrition is very important for such patients..
    Objectives
    The current study mainly aimed to investigate the relationship between nutritional markers, anthropometric parameters such as body mass index (BMI), and routine laboratory parameters with mortality in patients undergoing hemodialysis..Patients and
    Methods
    The demographic characteristics, mortality rate, duration of hemodialysis, serum albumin concentration, total protein, triglyceride, cholesterol, blood urea nitrogen (BUN), and creatinine of 260 patients treated from May 2001 to July 2011 were analyzed, retrospectively. The patients were followed-up regularly for one year. Lastly, the year follow-up was completed by 90 patients..
    Results
    The results showed that statistically significant correlation between albumin serum levels (P = 0.001) and duration of hemodialysis (P = 0.001) with survival in patients undergoing hemodialysis. No statistically significant correlation was found between gender, BMI, triglyceride, cholesterol, BUN, and creatinine with survival in patients undergoing hemodialysis..
    Conclusions
    The results of the current study suggested that low serum albumin levels and duration of hemodialysis were strong predictors of mortality and morbidity among patients undergoing hemodialysis..
    Keywords: Mortality, Body Mass Index, Malnutrition
  • Kaynoosh Homayouni, Hajar Karimian *, Mahshid Naseri, Narges Mohasel Page 2
    Background
    Flatfoot in children is one of the most common conditions referred to physiatrists for evaluation and treatment. It is caused by the collapse of the medial longitudinal arch of the foot..
    Objectives
    The study aimed to determine the prevalence of flatfoot and factors that affect it in a population of children..Patients and
    Methods
    About 290 elementary school girls with an age range of 6 to 11 years were included in this study. For the assessment of flatfoot, navicular drop test was used. The generalized joint laxity was measured by Beighton score..
    Results
    Prevalence of flexible flatfoot was 34.9%. Flatfoot prevalence was highest among six-year-old and lowest among 11-year-old children (P < 0.001). Children with joint laxity were also at higher risk of flatfoot (P = 0.01)..
    Conclusions
    This study indicates that younger school-age children with excessive joint laxity are more predisposed to develop flatfoot..
    Keywords: Flatfoot, Prevalence, Joint Laxity
  • Mohammad Yazdani, Amid Yazdani, Kourosh Noori-Mahdavi, Mahmoud Kabiri, Shahzad Baradaran, Hamid Nasri * Page 3
    Background
    Renal stone disease is a common urologic disorder affecting a large number of patients around the world. Risk factors like anatomical abnormalities and genetic metabolic environmental and dietary parameters have important roles in urinary stone formation. One of its metabolic parameters is uric acid..
    Objectives
    The aim of this study was to evaluate the level of uric acid in serum and 24-hour urine samples of patients with urolithiasis and compare them with healthy general population..
    Materials And Methods
    This was a case-control study performed in the urology clinic of Noor hospital, affiliated to Isfahan University of Medical Sciences, between February 2009 and July 2010. Patients diagnosed with urolithiasis were enrolled as the case group. Healthy subjects from the general population were recruited as the control group. The patients were referred to the laboratory for checking the serum and 24 hour urinary uric acid levels..
    Results
    Forty five patients with renal stone and 90 healthy controls were enrolled. The level of serum uric acid was significantly higher among the patients (P = 0.003) and male patients had dramatically higher levels than females (P = 0.002); but, the urinary uric acid levels were not significantly different between the cases and the controls or the males and the females..
    Conclusions
    Serum uric acid level may be useful in the screening of renal stones, especially in patients with a positive history of this disease..
    Keywords: Uric Acid, Urolithiasis, Kidney
  • Seyed Masoom Masoompour, Peyman Petramfar, Pouya Farhadi, Hamideh Mahdaviazad * Page 4
    Background
    Evaluation of hospitals performance determines what hospitals really do, and define deficiencies with regard to the original standards and identify opportunities for improvement..
    Objectives
    We investigated trends in the performance of a hospital with capacity utilization measures used in Pabon Lasso (PL) model..
    Materials And Methods
    In this cross-sectional descriptive study from March 2008 to March 2012, we retrieved all performance data from the Hospital Information System of Shahid Faghihi Hospital, a public teaching hospital in Shiraz, Iran. Measurements included changes in the trend of three indices: bed turnover, bed occupancy rate, and average length of stay..
    Results
    The trends in hospital performance showed a decrease in mean (median) hospital stay from 6.77 (± 3.11) days in 2008 to 4.25 (± 2.70) days in 2012. In 2008, bed turnover was 50.03 times/year, bed occupancy rate was 92.9% and turnover interval was 0.51 days. In 2012, these indices were 60.8 times/year, 70.9%, and 1.74 days, respectively. These measures in PL model showed that Shahid Faghihi Hospital was located in zone 4 during 2008-2009, zone 1 during 2010-2011, and zone 3 during 2012, indicating an acceptable degree of efficiency and an optimal level of performance..
    Conclusions
    This hospital showed relative improvements in all capacity utilization measures in 2012. Future efforts should examine new interventions to further increase the hospital’s performance capacity..
    Keywords: Hospital, Utilization, Teaching
  • Amin Abolhasani Foroughi, Pouria Ostad, Masoume Nazeri * Page 5
  • Kamran Bagheri Lankarani * Page 6