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Volume 1, Issue 1 (5-2013)
Abstract
Background and objectives: Triage is a function of the emergency ward carried out by nurses. Patients are required to be categorized according to their medical priorities. Since it is critical for nursing students to have sufficient information about the process of triage, the current study aimed to determine nursing students’ level of awareness of triage in the emergency ward.
Methods: This cross-sectional descriptive study used census sampling to select 124 nursing students in the 7th and 8th semesters during 2011-12. Data were collected via a researcher-made questionnaire consisting of three parts to assess demographic characteristics, awareness of triage, and decision-making in triage. Data were analyzed with descriptive and inferential statistics. All analyses were performed in SPSS version 15.0 at a significant level of 0.05.
Results: The students’ mean awareness score was 9.0 ± 2.7, i.e. they had low awareness of triage. While the participants had the highest awareness about level 1 triage (31.1 Percent), the x awareness of level 2 triage was the least (13.9 Percent). There was a significant difference in awareness between the students with and without an experience of working in an emergency ward (P< 0.05). The most important source of information was university courses. Lack of time and supervision were found responsible for the students’ low level of awareness.
Conclusion: The low awareness scores of the studied students about triage highlighted the need for more supervision during internship, emphasis on triage in university courses, and specialized triage training courses for the students.
Dr Ehsan Zarei, Dr Aziz Rezapoor, Dr Sima Marzban, Dr Payam Tabarsi, Vahid Bay,
Volume 5, Issue 1 (5-2017)
Abstract
Background & Objective: Diagnosis and treatment of tuberculosis requires high utilization of resources and costs and assessing the utilization of health care resources is always important for budgeting and long-term planning in a highly dynamic health care system. This study aimed to investigate the resources and service utilization pattern of patients with smear positive tuberculosis in the Azadshahr district, Golestan province.
Methods: In this retrospective and cross-sectional study, all new patients with smear positive pulmonary tuberculosis who were registered and successfully completed their treatment at the health network of Azadshahr County, from April 2013 to October 2015, were entered to the study (45 patients). Data were collected from the patients’ records at the health care facilities, telephone interviews with patients and registry book of patients in the tuberculosis unite of health network.
Results: The average duration of treatment and DOTS (Directly Observed Treatment, Short-Course) implementation was 195 and 158 days per patient, respectively. The average drug consumption was 741 pills and the average number of X-ray and laboratory tests (smear test) was 1.7 and 4.4 per patient, respectively. Each patient had been visited on average 8.8 times by physician and 27% of patients were hospitalized, their average length of stay was 1.8 days.
Conclusion: Our findings showed that the utilization pattern of resources and services in patients with tuberculosis was approximately consistent with protocols developed by World Health Organization (WHO) and Ministry of Health of Iran often.
Zahra Roustaeizade, Mohamad Hassan Akhavan Karbassi, Khatereh Kheirollahi, Ehsan Babaei Zarch,
Volume 6, Issue 3 (9-2018)
Abstract
Background and objectives: Recurrent aphthous stomatitis (RAS) is a painful ulcerative lesion and its incidence is 20% in the society. Myrtus communis (myrtex) has been effective in the treatment of RAS. In this study, two different concentrations (2.5% versus 5%) of myrtex extract were evaluated to discover the most effective concentration for the treatment of RAS.
Methods: In this randomized, double-blind clinical trial, 60 patients with RAS were evaluated. Thirty patients used myrtex extract 5% and thirty patients used myrtex extract 2.5% (10 drops on lesion for 20 seconds 5 times per day). The severity of pain and burning sensation experienced by patients were measured by visual analogue scale (VAS) and the size of the lesion was estimated by transparent calibrated grid Data analysis was done by running t-test and repeated measures statistical test.
Results: The mean of the largest RAS diameter before treatment was decreased in both groups 1 day and 7 days after treatment (P-value=0.000); however, these differences were not significant in both groups (P-value =0.401). Furthermore, the severities of pain and burning sensation were decreased in both groups (p-value = 0.000). Nevertheless, this decrease was similar in both groups (P-value = 964).
Conclusion: Treatment with different concentrations of myrtex extract is effective in decreasing RAS diameter, pain, and burning sensation. In addition, the therapeutic efficacy of two different concentrations of myrtex extract (2.5% and 5%) was similar in this regard.
Bahareh Yazdanparast Chaharmahali, Mohammad Ali Azarbayjani, Maghsood Peeri, Parvin Farzanegi Arkhazloo,
Volume 6, Issue 4 (12-2018)
Abstract
Background and objectives: Elderly is characterized by decreased cardiac function, which is widely associated with mitochondrial failure in cell death. Elderly causes heart apoptosis. Although the old heart is vulnerable to apoptosis, physical training and some supplements through different mechanisms could be effective in reducing apoptosis. The present study aimed to investigate the effect of interval training on some apoptotic parameters of Bax and Bcl2 cardiomyocytes in old female rats.
Methods: In an experimental study, 49 Wistar female rats (2 years old) were randomly assigned into 7 groups: control, saline, curcumin, moderate intensity training, moderate intensity training + curcumin, high intensity training, high intensity training + curcumin. The experimental groups received gavage doses of curcumin 30 mg / kg body weight three days a week via. The saline group also received the same amount of saline. Training groups had moderate and severe exercises on the treadmill for eight weeks, and three sessions per week. Forty-eight hours after the last training session and gavage, the animals were killed and their heart tissues were isolated to determine the levels of Bax and Bcl2.
Results: The results indicated that interval training and curcumin consumption could significantly increase the levels of Bcl2 and BAX and the BAX / Bcl2 ratio, the amount of which depends on the intensity of training. Moreover, the combination of training and curcumin had an antagonistic effect.
Conclusion: According to the results, physical activity and curcumin separately have a protective effect on the heart tissue; however, these two interventions do not enhance each other’s effect. Hence each one is suggested to be used separately.
