Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
Nutritional assessment in hospitalized patients of orthopedic ward at hospital admission and discharge time in Shohadaye Ashayer hospital
5
12
FA
mahnaz
Mardani
Department of Nutrition, Faculty of Health and Nutrition
fatemeh
Seifi
University of Medical Sciences, Khorramabad, Iran.
farzad
Ebrahimzadeh
Department of Statistics,Faculty of Health and Nutrition,
Background: Malnutrition is one of the significant factors in extending hospitalization period, augmenting disease complications, enhancing treatment and hospitalization costs, and increasing deaths in hospitals. This study was conducted to investigate patients, nutritional conditions, before and discharge time in the orthopedic ward of Shohadaye Ashayer hospital in 2010.
Materials and Methods: In this cross-sectional descriptive study 283 patients, aged 18 and over, in the orthopedic ward were selected.A previously developed questionnaire containing 15 quantitative and qualitative factors was completed for subjects in two stages (at their hospital admission and their discharge time). The patients, weight and height were also measured during these two stages. The collected data were then analyzed using SPSS software.
Results: 12.7% of the patients had severe malnutrition, 7.4% had moderate malnutrition and 79.9% had mild malnutrition. The length of hospital stay was found to be an important factor in causing malnutrition. In this study significant statistical relationship was found between the length of hospital stay, sex, the recent 1-month weight loss, previous operation and the severity of malnutrition (P0.05).
Conclusion: Based on the findings of this study, it can be claimed that there is a significant statistical relationship between the length of hospital stay and the severity of malnutrition.
Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
Evaluation of the complaints against physicians and dentists to the office of vice chancellor for treatment of Lorestan university of medical sciences from 2007 to 2011
13
18
FA
siavash
Beiranvand
Department of Anesthesiology, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
ghafar ali
Mahmoudi
Department of Internal Medicine, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
peyman
Astaraki
Department of Internal Medicine, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
omid ali
papi
Department of Health, Faculty of Health, Lorestan University of Medical Sciences, Khorramabad, Iran.
vahid
Almasi
Clinical Research Center of Lorestan University of Medical Sciences, Khorramabad, Iran.
davood
ommi
Department of Anesthesiology, Faculty of Medicine, Shahid Beheshti University, Tehran, Iran.
noroddin
Beiranvand
Jondi Shapour University, Ahvaz, Iran.
Background: The complaints against physicians and dentists have been increasing at recent years. This complaints can waste the time and energy of these groups. The aim of this study was to determine the reasons of the complaints against physicians and dentists of the treatment centers of Lorestan province from 2007 to 2011.
Materials and Methods: This cross sectional study was approved by research committee of Lorestan university of medical sciences. In 2011, the referred complaints to the office of vice chancellor for treatment of this university from 2007 to 2011 were evaluated. The incomplete complaints were excluded. The data were analyzed by SPSS software (V. 16) and the results were presented as frequency and mean. There was no conflict of interest in this study.
Results: At the time span of the study 328 complaints had been recorded, among which 168 complaints were evaluated. The mean age of the patients was 34±11.2. 112 of the complainers were female. The most complaints were done against dentists, gynecologists, and orthopedists. 25% of the complaints were due to the side effects and the body injuries of the treatment and 22.6% of them were due to delinquency and lack of attention of the physicians.
Conclusion: With regard to the complaints, it seens that more close relations with the patients and more explanation to them about their disease and the treatment can prevent the formation of the complaints.
Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
The effect of narcotic addiction on thyroid function
19
23
FA
farhad
Shahsavar
Department of Immunology, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
mehrzad
Jafarzadeh
Department of Biochemistry, Faculty of Medicine
behnam
Asadifar
Department of Biochemistry, Faculty of Medicine
toomaj
Sabooteh
Student of Lorestan University of Medical Sciences, Khorramabad, Iran.
mina
Darand
Student of Lorestan University of Medical Sciences, Khorramabad, Iran.
Although it is thought that drug abuse causes changes to thyroid function, the exact mechanism is still not well defined. Therefore, after a preliminary study, the aim of this supplementary study was to investigate the effect of narcotic addiction on thyroid function by measuring TBG. Materials and Methods: This research was conducted as a case - control study on 106 narcotic addicts and 106 healthy controls in Tehran. For measurement of TBG were used from serum samples of these individuals. Results: The TBG amount in case group was significantly increased compared with the control group (p<0.005). Discussion and Conclusion: The result of this supplementary study showed that the narcotic addiction can affect the thyroid function by increasing TBG. Indeed, this finding confirmed the main result of our preliminary study.
Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
The evaluation of the causes of complaint to Khorramabad Medical Council Organization from 2006 to 2011
25
31
FA
sedighe
Nadri
Department of Anesthesiology, Faculty of Medicine
ardeshir
Sheikhazadi
Department of Forensic Medicine, Tehran University of Medical Sciences, Tehran, Iran
khatereh
Anbari
Department of Social Medicine Faculty of Health, Lorestan University of Medical Sciences, Khorramabad, Iran
reza
Mikaeili
Lorestan University of Medical Sciences, Khorramabad, Iran
Background : Complaint against physicians is one of the problems that every physician may be subjected to it during practice. According to the existing statistics, the number of complaints is increasing in Iran. Identification of these causes may be effective in preventing such complaints. This research was conducted to identify the causes of complaints made to the Medical Council Organization of Khorramabad from 2006 to 2011.
Materials and Methods: This study is descriptive cross-sectional and retrospective. To carry out the research, all of the complaints to the Medical Council Organization of Khorramabad from early 2006 to 2011, were studied. The required data were transferred from the files to the questionnaires. Finally, the collected data were entered into statistical software and analyzed with statistical tests.
Results: In this research, 260 complaints made to the Medical Council Organization of Khorramabad were studied. A major part of the complaints was made against public hospitals(68.8%). The highest cause of complaints was recklessness(55.4%), while the lowest state was neglecting public regulations(21%). Of the 260 cases of complaints investigated by the preliminary committee, 80 cases (30.8%) were recognized as negligence and 180 cases (69.2%) were considered as non-negligence. According to the disciplinary committee, of the 260 cases, 61 cases (23.5%) were recognized as negligence and 199 cases (76.5%) were considered as non-negligence.
Conclusion: Observing medical ethics and career commitment, establishing proper communication by physicians and treatment staff with patients and their companions, lack of exaggerating the treatment results, continuous study and updating medical knowledge, physician’s adequate skill and experience, lack of applying the methods which he has never passed their training courses, proper selection of patients, and obtaining the informed consent of patients and aquittance may lead to reduce the number of complaints against physicians.
Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
Isolation of native microorganisms producing cholesterol oxidase enzyme from soil, water, wastewater of leather and soap factories, and dairy products
33
41
FA
hamed esmaeel
Lashgarian
Department of Biochemistry and Genetics
kiana
Shahzamani
Department of Biology, Faculty of Sciences, , Lorestan University, Khorramabad, Iran
jamshid
Raheb
National Institute for Genetic Engineering and Biotechnology (NIGEB), Tehran, Iran
Background : Cholesterol oxidase (CHO) is an enzyme that catalyzes cholesterol oxidation and produces hydrogen peroxide (H2O2). This enzyme is produced by certain pathogenic and non-pathogenic microorganisms and is a commercially important enzyme in the world which has found wide application in various industries. The aim of the study was to isolate native bacteria producing CHO and their identification using microbial, biochemical and molecular methods.
Materials and Methods: A total of 187 samples were collected from wastewater of leather and soap factories, soil, dairy products, and stagnant water. After the samples were cultured, the bacteria were identified using the microbial and biochemical tests. Then, the methods of colorimetric and browning of culture medium were applied to select the colonies producing CHO.PCR 16s rRNA technique was used for final confirmation of obtained strains.
Results: Of the 187 collected samples, two microbial samples were isolated, both of which from the soil samples. The results of the biochemical tests showed that the two bacteria were Rhodococcus. Both methods of colorimetric and browning of culture medium confirmed the activity of CHO. Molecular identification of these strains were also confirmed by sequencing 16s rRNA gene.
Conclusion: In this study, native bacteria producing CHO were isolated. These two bacteria were classified as Rhodococcus using morphological, biochemical and molecular methods.
Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
The evaluation of poisoning mortality in the admitted patients in Shohada Ashayer hospital of Khorramabad from 2006 to 2010
43
50
FA
ghafar ali
Mahmudi
Department of Internal Medicine, Faculty of Medicine
peyman
Astaraki
Department of Internal Medicine, Faculty of Medicine
ali
Farhadi
Department of Internal Medicine, Faculty of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
yousof
Nazari
Lorestan University of Medical Sciences, Khorramabad, Iran
Background: One of the most common causes of death in the world is poisonings. Investigation and study of causes of poisoning mortalities play an important role in making decisions and improve standards for the prevention of adverse events. Therefore, for better understanding of causes and effects resulting in the death of poisoned patients, we decided to study mortality due to toxic poisoning in admitted patients in Shohada hospital during the years 2006-2010.
Materials and Methods: This cross-sectional study carried out on died patients due to poisoning in Shohada hospital during the years 2006-2010 and needed information were analyzed using descriptive statistics such as frequency distribution tables, cross-tabulation, mean, standard deviation and ratio.
Results: Of the 13,090 patients admitted to hospital for poisoning, 124 people died due to severe complications, of them 58.9% were men. The majority of the patients were single (51.6%), urban residents (77.4%) and having diploma (43.5%). 73.4% of the patients died from suicide and 26.6% of the patients died from drug abuse, alcohol or carbon monoxide poisoning. The most used toxins were pesticides (53.2%), opiates (21.8%), sedative - Hypnotic drugs (10.5%).
Conclusion: Poisoning with pesticides, especially Rice tablet (Aluminium Phosphid)and opium devoted the highest causes of poisoning and mortality than the other drugs and toxins in Lorestan.
Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
Study of relationship between climatic variables and incidence of asthma attacks leading to hospitalization in the children's hospital of Khorramabad city
51
58
FA
mehran
Lashanizand
Agricultural and Natural Resources Research Center of Lorestan, Khorramabad, Iran
sara
Gholamrezaie
Islamic Azad University, Khorramabad, Iran
Background : Asthma is one of the commonest chronic childhood diseases and one of the main factors of hospital admission at these ages. The main causes of increasing death due to asthma are inability in the diagnosis and piddling the severity of the diseases, delay in the recourse and inappropriate treatment. Therefore the early diagnosis of children at risk for urgent admission in special care unit and also identifying environmental factors of incidence and intensification of this disease play an important role in its management.
Materials and Methods: In this study the relationship between climatic variables (temperature, evaporation, relative humidity, sunny hours, wind direction and speed, number of days with frost), and number of asthma attacks leading admission of children in Ayatollah Madani hospital( The only children's hospital) in Khorramabad city was studied .In order to identify the climatic variables that are effective in the incidence of children asthma attacks, multiple regression statistical stepwise method has been used. In this method, 10 climatic independent variables with a dependent variable of children asthma attacks during a 9-year period from 2007 to 2009 were studied, and three climatic variables have been known in three steps.
Results: : In the first Step, monthly average of sunny hours variable (with coefficient of correlation 37.15%) and the amount of p=0.058 was entered into the model and the variable accuracy was confirmed. In the second step the absolute minimum temperature variable (with coefficient of correlation 31.5%) and assumption of being fixed first variable as compared with dependent variable entered to regression model, and in the third step, number of days with frost variable (with coefficient of correlation 9.5%) was entered into the model and the multiple correlation coefficients (78.15%) was yield. The results have indicated that among the climatic variables, monthly average of sunny hours variable with inverse correlation , the minimum absolute temperature and average monthly number of days frost with direct correlation have the most correlation with children asthma attacks.
Conclusion: Comparison of the results of this study with other researches illustrates that effective variables in thermal environmental conditions such as the absolute minimum temperature and frost days have good correlation with asthma attacks. But considerable point is the types of variables that in the past researches between sunny hours and number of days with frost, and the mentioned disease no relationship has been shown.
Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
Soy milk consumption, inflammation, coagulation and oxidative stress among type 2 diabetic patients with nephropathy
59
70
FA
maryam sadat
Miraghajani
Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
ahmad
Esmaillzadeh
Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
mozhgan
Mortazavi
Kidney Diseases Research Center and Division of Nephrology, Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan , Iran
maryam
Mirlohi
. Department of Food Sciences and Technology, Faculty of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
leila
Azadbakht
Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Background : Nephropathy is a common complication of diabetes and it is the major cause of disability and death among these patients. We aimed to determine the effects of soy milk on inflammation, coagulation and oxidative stress among type 2 diabetic patients with nephropathy.
Methods: This randomized crossover controlled clinical trial was conducted on type 2 diabetic patients with nephropathy. This study had two trial phases, each for 4 weeks and one washout period for two weeks. Patients were randomly assigned to consume a diet containing soy milk, or a diet containing cow’s milk.
Results: Soy milk consumption, in comparison to cow’s milk, resulted in a significant reduction in D-dimer level. This significant effect remained even after adjustment of cofounding factor (carbohydrate intake). However, soy milk consumption had no significant effects on inflammation and oxidative stress levels.
Conclusion: Soy milk consumption for 4 weeks could decrease serum D-dimer level in type 2 diabetic patients with nephropathy.
Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
Study of psychometric properties and factorial structure of the Beck Cognitive Insight Scale(BCIS) in a nonclinical iranian sample
71
82
FA
rahim
Yousefi
Department of Psychology, Faculty of Educational Sciences and Psychology
jalil
Fathabadi
Department of Psychology, Faculty of Educational Sciences and Psychology, Shahid Beheshti University, Tehran, Iran.
balal
Izanlo
Department of Psychology, Faculty of Educational Sciences and Psychology, Tehran University, Tehran, Iran
Background: Cognitive insight is a complex and multidimentional concept. The clinical measurements of insight have focused primarily on patients’ unawareness of their having a mental disorder and of their need for treatment. Modern approaches have focused on some of the cognitive processes involved in patients’re-evaluation of their anomalous experiences and of their specific misinterpretations. The aim of this study was the examination of factor structure of the Beck Cognitive Insight Scale (BCIS) in a nonclinical iranian sample.
Materials and Methods: For this purpose, 476 university students, completed the Beck Cognitive Insight Scale (BCIS). The data were analyzed by LISREL and SPSS softwares.
Results: The results showed that 2 main factors: Self-reflectiveness and Self-certainty which had been revealed primarily by Beck and his colleagues (2004) have been obtained as independent subscales in this research too.
Conclusion: The results provided tentative support for the factor structure of the BCIS, and suggest that the BCIS is a valid measure to use in a non-clinical population.
Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
The effect of the school games on the locomotor skills of male students suffering from attention deficit hyperactivity disorder (ADHD)
83
91
FA
fereshte
Amouzadeh
Faculty of Physical Education
nahid
ShetabBoushehri
Faculty of Physical Education, Chamran University, Ahvaz, Iran
abdolrahman
Mehdi pur
Faculty of Physical Education, Chamran University, Ahvaz, Iran
Background: the motor function of children with ADHD is lower than normal children, therefore, the goal of this study was to investigate the effect of the school games on the locomotor skills of the first to third grade male students of Khorramabad primary schools suffering from ADHD.
Materials and Methods: In order to do the research, 20 male students out of 40 with ADHD were selected. These students were classified into two control and experimental groups, each containing 10 subjects (similar average age P=0.649, manipulation skill P=0.85). The training group was then subjected to 18 forty five-minute long sessions of school games. The locomotor skills of these students were assessed using the Ulrich's tool. The Kolmogorov-Smirnov test was applied to study the normal distribution of the data, while paired samples t-test and independent samples t-test were used to compare the means in a significant level of P<0.05.
Results: The results suggested that the data conformed to a normal distribution, and that school games could significantly improve the manipulation skills of the experimental group. Furthermore, the findings demonstrated that, the experimental group in comparision with the control group is superior in terms of the manipulation skills.
Conclusion: Based on the results of this study, it is suggested that the school games be incorporated into the educational curriculum of the ADHD suffering students to ensure the improvement of their locomotor skills.
Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
The influence of low-intensity resistance training versus high-intensity resistance training on left ventricular structure and function of healthy adolescent boys using Echocardiography
93
104
FA
asghar
Kianzadeh
Faculty of Physical Education and Sport Sciences
maghsood
Peeri
Department of Sport Physiology, Faculty of Physical Education and Sport Sciences, Islamic Azad University, Central Tehran Branch, Tehran, Iran
mohammad ali
Azarbayjani
Department of Sport Physiology, Faculty of Physical Education and Sport Sciences, Islamic Azad University, Central Tehran Branch, Tehran, Iran
bahman
Hasanvand
Faculty of Physical Education and Sport Sciences, Khorramabad Branch, Islamic Azad University, khorramabad, Iran
farid
Bahrami
Faculty of Physical Education and Sport Sciences, Boroujerd Branch, Islamic Azad University, Boroujerd, Iran
hosein
Omidi
Department of Sport Management, Faculty of Physical Education and Sport Sciences, Islamic Azad University, Central Tehran Branch, Tehran, Iran
Background: The study on the influence of different protocol of resistance training on left ventricular of adolescent boys dose have its limitation. The aim of this study was to determine the influence of low-intensity resistance training versus high-intensity resistance training on left ventricular structure and function of healthy adolescent boys by echocardiography.
Materials and Methods: Twenty-four subjects volunteers, 15 to 18 years old were randomly assigned to three groups in the eight-member low-intensity resistance training (40% to 60% maximum strength), high-intensity resistance training (70% to 90% maximum strength) and control group. Protocol training was conducted 8 weeks, 3 sessions. Variables were measured using one and two-dimensional echocardiography at rest and special formulas.
Results: In the post-test to pre-test, in low-intensity resistance training group means values, left ventricular posterior wall thickness at end-systole (P=0.028) and resting heart rate (P=0.017) showed significant increase and decrease respectively. In post-test, it was shown a significant increase means values left ventricular posterior wall thickness at end-systole and left ventricular mass index in low-intensity resistance training group than high-intensity resistance training group (P=0.007 and P=0.005 respectively) and control group (P=0.005 and P=0.0015 respectively) and mean value left ventricular mass in low-intensity resistance training group than high-intensity resistance training group (P<0.007).
Conclusion: Low-intensity resistance training than high-intensity resistance training in healthy adolescent boys caused some changes in left ventricular structure and function, probably these changes were associated with increased volume and pressure load.
Lorestan University of Medical Sciences
Yafteh
1563-0773
15
1
2013
5
1
Identification of KPC-producing Klebsiella pneumoniae in clinical samples in Iran
105
114
FA
fereshte sadat
Hashemizadeh
Department of Biology, Faculty of Advanced Medical Technologies , Tehran University of Medical Sciences, Tehran-Iran
behnam
Zamanzad
Department of Microbiology, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord-Iran
saeed
Jahandideh
Department of Pharmaceutical Biotechnology, Pasteur Institute of Iran, Tehran-Iran
najmeh
Ansari
Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
abolfazl
Gholipour
Department of Microbiology, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord-Iran
forough sadat
Hashemizadeh
Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran
reza
Mirnejhad
Background :Nowadays beta lactamase-producing multiple-drug resistance Klebsiella pneumoniae is as an important factor in nosocomial infections which has produced therapeutic difficulties in worldwide. The purpose of this study was to identify KPC-producing K. pneumoniae (blakpc) in clinical samples in Iran.
Materials and Methods: After identification of isolates in species level using cultural and biochemical methods, the susceptibility tests were carried out on 180 isolates of K. pneumoniae using disk diffusion method. Also MIC (Minimum inhibitory concentrations) was determined for meropenem and imipenem. Then all isolates of Klebsiella were considered for presence of blakpc gene by PCR.
Results: In this study of 202 isolates of Klebsiella, 180 isolates (89.1%) of K. pneumoniae and 22 isolates (10.9%) of Klebsiella oxytoca were isolated from patients. More than 55% of isolates showed multiple-drug resistance and also above 40% resistance to imipeneme and meropeneme was recorded. The MIC of isolates which were resistant to carbapenemes was above 32µg/ml.The PCR results showed that 22 cases (11.9%) of isolates had blakpc gene which most of them had been isolated from urine and blood samples of patients who were hospitalized in the ICU and pediatrics.
Conclusion: Regarding the existence of blakpc gene in K. pneumoniae and possibility of transformation of these genes to the other bacteria, reconsideration in antibiotics consumption patterns and more attention to nosocomial infections control criteria are inevitable.