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Showing 6 results for Medicine
Sh Najafi, O Ilami , M Askari , M Rozi Talab , M Hosseini ,
Volume 20, Issue 3 (6-2015)
Abstract
Background & aim: Drug misuse is defined as inappropriate administration or usage of drug which can be preventable. The aim of study was to identify the consistency rate of drug record information between cardex and patients medical cards in teaching hospitals of Yasuj, Iran
Methods: The present descriptive sectional study was conducted in teaching hospitals of Yasuj in 2012. Case Sampling was convenience sampling. A number of 400 patient’s charts were selected and drug orders were compared with cardex and drug patient’s cards. Statistical analysis was performed by SPSS software and descriptive tests.
Results: Of 400 charts, only 1670 charts had drug orders and there were a total 337 of drug errors in cardex and drug cards. The highest rate of inconsistency of drug details was related to entering drug routes into cradex and drug cards that were reported 41% and 43.2 % respectively. In addition about 5% and 23.4% of administrated drugs were not recorded in cardex and drug cards. It is also indicated that 1% and 2.5 % of deleted drug orders in the chart were not deleted in cardex and drug cards.
Conclusions: There are relatively large numbers of inconsistency cases of drug details between cardex, drug cards and patient’s charts. It is necessary to clarify the issue, and also performed new methods of drug registration in the hospitals.
A Dalirrooy Fard, S Ehsani , R Khodri , H Bahram Moghadam,
Volume 25, Issue 0 (1-2021)
Abstract
Background & aim: Computed tomography (CT) scan of the chest is a common tool for imaging in pneumonia that is relatively easy and quick to detect. The aim of this study was to determine and evaluate the different characteristics of CT scan of patients with COVID-19 in Ahvaz hospitals.
Methods: The present survey was a descriptive-analytical retrospective study conducted in 2020. The statistical population included all patients referred to Corona Specialized Hospital who had positive COVID-19 and RT-PCR test and are hospitalized for treatment. Of these, 40 (22 men and 18 women) were included in the study. Patients who refused a CT scan of the chest or hospitalization, any coronary syndrome, any aortic or pulmonary embolism, or who were reluctant to participate were excluded from the study. All scans were reviewed and reported by a radiologist. The collected data were analyzed using Chi-square and t-test.
Results: Image analysis indicated that multiple involvement was observed in 37 cases (92.5%). Frosted glass opacity (GGO) was more observed in the posterior sections (p <0.001). Consolidation was more common in the posterior sections, with the posterior section of the right lower lobe (RLL) being more involved (p <0.001). Crazy paving was more common in part 6 of the right middle lobe (15%) (p <0.001). Halo and reversed halo were observed in only 1 patient (2.5) and 2 (5%), respectively.
Conclusion: In conclusion, a typical CT-Scan sign obtained for patients with COVID-19 in Ahvaz, Iran, was multipolar bilateral sub pleural ground-glass opacity (most seen in RLL posterior segment) followed by consolidation and crazy paving.
N Fitras, Gh Bahrami, Kh Rashidi, M Kiarostami , Mh Farzaei ,
Volume 27, Issue 1 (3-2022)
Abstract
Background & aim: Ulcerative colitis is an inflammatory disease of the large intestine that cannot be treated, but its symptoms can be controlled. In traditional medicine, for the basic treatment of colitis, it is necessary to first prevent this abnormal substance from leaking into the intestines. Pumpkin, scientifically known as Cucurbita moschata from the Cucurbitaceae family, has wound healing as well as anti-inflammatory properties. In this regard, the aim of the present study was to determine and evaluate the protective effects of hydroalcoholic extract prepared from the skin of the pumpkin plant in an animal model of ulcerative colitis.
Methods: In the present experimental study conducted in 2020, for extraction from the skin of the squash fruit, 150 g of the dried and crushed skin of the fruit was transferred to a glass percolator and using a solvent of water and ethanol in a ratio of 70 30: Extracted in three stages. 36 field rats were prepared and randomly divided into 6 groups (6 mice in each group). In order to induce colitis, 4% acetic acid was used to evaluate the effects of the extract obtained from pumpkin skin, this extract was administered by gavage in 3 doses for 6 days to mice. Finally, the studied mice were examined for macroscopic changes and histological studies. The collected data were analyzed using ANOVA statistical tests.
Results: In macroscopic examinations of the colon among different groups, in the healthy group the colon mucosa was completely normal. In the negative control group, side effects such as; Wounds, adhesions, thickening of the intestinal wall and severe inflammation were observed. In the groups receiving the extract in 3 doses, reduction of inflammation and wound healing was observed in mice with colitis, which showed the best results at a dose of 200 mg / kg. In the treatment of squash extract extract in a dose-dependent manner, it showed significant effects in inducing healing in acetic acid-induced colitis in mice (p<0.05).
Conclusion: Since the complications of colitis induction in the groups receiving pumpkin skin extract were significantly reduced compared to the control group, especially at a dose of 200 mg / kg, the results of this study can be groundbreaking. Clinical trial studies should be used in relation to ulcerative colitis and as a complementary drug to other treatments.
Zs Mir Moqtadaei, H Rezaei, N Dehghani, M Tahmasabi Sisakht,
Volume 27, Issue 4 (7-2022)
Abstract
Background & aim: Evaluation of training courses has an effective role to prevent wastage of resources and improve the quality of work. So far, the evaluation of the short-term electronic training course for medical students to prepare for the clinical competency exams of the general medicine course has not been done. Therefore, the purpose of this study is to evaluate the electronic training course for medical students to prepare for the clinical competency exams.
Methods: The present cross-sectional descriptive study was conducted in 2020-2021 and Kirkpatrick's model was used to evaluate the course. The statistical population included 69 students in the internship stage, who entered the study. Students' satisfaction was determined by means of a valid and reliable researcher satisfaction form, their learning rate was determined by using 17 tests designed by the academic staff of the university and its validity and reliability were confirmed, their behavior was designed by analyzing the results of the clinical competence test. Its validity was confirmed by preparing a two-dimensional table for the supply and reliability test. The study population was medical students of the internship stage of Yasuj University of Medical Sciences, who were selected by the full number method. The collected data were analyzed using SPSS software and descriptive statistics including mean and standard deviation.
Results: The total satisfaction of the course in the first period of the course was 4.03 with a standard deviation of 0.12 and in the second period was 4.11 with a standard deviation of 0.15. A total of 35 students participated in 8 exams in the first course and 34 students participated in 17 exams in the second course. The number of admissions in the first clinical competency test was 15 and in the second clinical competency test was 25.
Conclusion: Students' satisfaction with participating in this course was appropriate and participation in this course increased the acceptance rate of students in the clinical competency test. It is suggested to provide conditions for students of other universities to participate in this course.
M Zarenezhad , H Abidi , A Doroudchi , H Hosseininezhad , Dr Z Ehsaei , M Zoladl ,
Volume 28, Issue 2 (4-2023)
Abstract
Background & aim: Post-traumatic stress disorder (PTSD) is the most common psychological consequence of traumatic events, which is usually accompanied by functional impairment, which is often accompanied by other psychological disorders. The purpose of this study was to investigate the indicators of post-traumatic stress disorder (PTSD) in trauma patients referred to the examination department of the General Administration of Forensic Medicine of Fars province.
Methods: The present study was a cross-sectional one conducted in the years 2020 and 2021. In the present study, 160 participants were selected accidentally among people who experienced trauma and referred to the forensic medical examination centers in Shiraz. In this study, people with the age of 18 years or more who agreed to participate in the study and who were referred for the purpose of evaluating injuries caused by trauma, were included in the study. In this study, the participants were evaluated using the Trauma Exposure Questionnaire (PCL-5) and DSM-5 post-traumatic stress disorder levels.
Results: In the present study, 160 people referred to the forensic medical examination unit were examined, including 91 men (56.87%) and 69 women (43.12%). Of these, 75 people (46.87%) qualified for PTSD based on ICD-10 criteria. The average age of the subjects was 45.67 ± 11.96 years, the youngest of whom was 18 years old and the oldest was 75 years old. Among the subjects studied, 9 people (12.00%) had a history of drinking alcoholic beverages, 6 people (8.00%) had a history of addiction, and 26 people (34.66%) had a history of smoking. On the other hand, 13 of the participants in this study had a history of visiting psychiatrists and psychologists and taking medication for psychological disorders. PTSD clinical evaluations measured in the studied subjects showed subclinical PTSD in 15 people, clinical form in 31 people, sub-group I PTSD in 7 people, sub-group II PTSD in 13 people, sub-group III PTSD in 6 people and Subgroup IV PTSD was observed in 3 people.
Conclusion: The results of this study indicate a considerable frequency of post-traumatic stress disorder (PTSD) in trauma clients referred to the examination department of the General administration of Forensic Medicine in Shiraz. Psychological support for victims of traumatic events is of great importance in order to prevent secondary complications and prevent chronic PTSD in people.
L Gholami , Ps Eslamnik , M Mohammadi Sartang , K Amini , S Afroughi ,
Volume 29, Issue 1 (3-2024)
Abstract
Abstract
Background & aim: Birth injuries can be defined as a disruption in the function of the baby's body due to adverse events during birth, which can be avoidable or unavoidable. Despite careful antenatal care, birth trauma usually occurs in long and difficult labors or fetal malformations, although it may also occur in deliveries that are initially unproblematic. Therefore, the purpose of the present study was to determine and investigate the causes of newborn injuries in childbirth processes in the cases referred to the legal medical department of Kohgiluyeh and Boyer Ahmad province, Iran, during the years 2010-2020.
Methods: The present retrospective cross-sectional descriptive study was conducted with the aim of investigating newborn injuries during childbirth. Its statistical population includes all complaint cases in the fields of gynecology and midwifery in the Forensic Medicine Department of Kohgiluyeh and Boyar Ahmad provinces during 10 years (2010-2020). The data collection tool included a checklist and a form containing the desired information, which was prepared and completed by the researcher using the files referred to the Department of Legal Medical Commissions. The collected data were analyzed using chi-square statistical tests.
Results: The results indicated that 58 cases were investigated, 39 babies died at birth or shortly after birth and the reason for their complaint was the death of the baby, 19 babies were born alive and the reason for their complaint was birth injury. Infant injuries include; hypoxic-ischemic as the most common injury; Neuro-skeletal injuries, which include Orb-Duchen's paralysis as the most common injury in this group, and bone fractures, including; Fractures were humerus, clavicle, scapula and femur. 39 babies died, of which 10 babies had nerve damage, 8 people died of meconium aspiration, 4 people died due to asphyxia and other cases, moreover the results exposed that one person had a bruised tissue damage.
Conclusion: The results of the present study indicated that the causes of infant mortality and the disorders that occur in them can be influenced by various factors, and by identifying the cause of errors and omissions, preventable maternal and infant complications can be reduced.
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