72 1563-0773 Lorestan University of Medical Sciences 1841 Evaluation of respect for patient's rights from the viewpoint of hospitalized patinents in Shohada Ashayer hospital of khorramabad city in 2013-2014 Astaraki peiman Mahmoudi ghafar ali Anbari khatereh Hosseini niloofar 1 5 2015 17 1 5 14 03 05 2015 03 05 2015 Background: Studying the situation of observance of patients' rights and interaction of those individuals who provide and receive health services are regarded as the most significant and salient parameters of qualitative evaluation of health services. This study was performed to determine respecting patients' bill of rights from the viewpoint of patients admitted to Shohada Ashayer hospital in 2013-2014. Materials and Methods: This cross-sectional study included 286 patients admitted to Shohada Ashayer hospital in 2013 and 2014. Respecting patients' bill of rights from their viewpoint was determined by a questionnaire. Results: The results demonstrated that respecting patients' bill of rights from the viewpoint of the patients was good in 11.2%, average in 86.7%, and poor in 2.1%. Older age, lower educational status, urban residence, shorter hospital admission, and admission to internal and infectious wards were related to better attitude (P<0.05). No significant relationships were found between gender and history of previous hospitalization, and respecting patients' bill of rights (P >0.05). Conclusions: In total, based on the obtained results ,it may be concluded that respecting patients' bill of rights from the viewpoint of patients is not considered as optimal. Therefore, it is necessary to identify the effective factors in this area to promote respecting patients' bill of rights.
1842 The prevalence of smears positive pulmonary tuberculosis in a prison Nazer mohammad reza Vaziri siavash Janbakhsh alireza 1 5 2015 17 1 15 27 03 05 2015 03 05 2015 Background: With regard to existence of all conditions for spreading tuberculosis(TB) in prison including overcrowding, HIV, Injection Drug Users (IDU), malnutrition and poverty, and on the other hand as TB is the most important cause of mortality / morbidity in HIV patients and prisoners, so prisons are one of the main sources of transmission of Multi Drug Resistance Tuberculosis (MDR-TB) to community. Thus an exhaustive investigation about it seems necessary. Materials and Methods: This descriptive study carried out on all of the volunteer prisoners of Kermanshah city central prison in the first 4 months of 2008.We scored clinical symptoms and sings according to WHO guideline and for the symptoms which were not in the guideline, were separately scored under the title of "total score". Then the prisoners who had WHO score 5 or total score≥8 or BMI<20 or a past history of TB treatment, were evaluated for TB. Finally prisoners with diagnosis of TB were tested for HIV and data was statistically analyzed. Results: 2030 (92.27%) from 2200 prisoners have been visited that 469 (23.1%) of them had WHO score (W≥5) 287 (14.3%) total score (T≥8) 159 (7/83%) BMI (B<20) and 14 prisoners had a past history of TB treatment. Total acquisition of score cut-off points was915 but after deleting overleaps, the net numbers of patients that could enter into the second stage were 612 (30.14%) and among them, 470 (76.8%) chest X-ray and from 198 (32.35%) smears were taken. Finally 5 smears positive pulmonary TB had diagnosed all cases had w≥5,but 4(80%)T≥8 and 2(20%) had BMI<20 and non of them had no past history of TB treatment. Conclusion: According to these results in addition to traditional methods, periodic active screening of TB should be accomplish accompanying with culture and chest X-ray to control the spread of TB in Prisons and its transmission to community as well as to save milliards of dollars. 1843 Assessment of disease severity and risk factors of diabetic ketoacidosis in diabetic patients in Khorramabad Shohada Ashayer hospital Kavyani mozhgan Abdollahian majid Anbari khatereh Sheikhi elham 1 5 2015 17 1 28 34 03 05 2015 03 05 2015 Background: Diabetic ketoacidosis is an acute complication of diabetes, and a medical emergency that is usually seen in type I diabetic patients. No manifestation of type I diabetes is sometimes diagnosed, particularly in children, and the disorder is accompanied by insulin deficiency, reduced size, and altered mental status. Materials and Methods: This descriptive epidemiological study included all the diabetic patients with diabetic ketoacidosis who had been hospitalized in Shohada hospital from June 2009 to June 2013. The records of the patients were studied and the necessary data were extracted considering the specified criteria. The data were then recorded in a questionnaire. Results: Thirty-eight cases with diabetic ketoacidosis were found in the hospital records. Most of the infected cases were female, and the complications was more prevalent in the age groups of 9-10 and 20-29 years. Discontinuation of insulin was the single most frequent predisposing factor. Most of the cases were severe, mostly in the females. Conclusion: The patients and their families' unawareness of the acute symptoms of the disease, and refusal of treatment, which led to the discontinuation of insulin use, were the probable causes of the severity of the disease in our study population. 1844 Educational needs of general practitioness about brucellosis (Khorramabad–Iran) Salarvand shahin MoayyedKazemi alireza Bahri narjes Toulabi tahereh 1 5 2015 17 1 35 42 03 05 2015 03 05 2015 Background: Brucellosis imposes considerable economical, veterinary and public health devastating effects on society. Considering the high prevalence of brucellosis in Lorestan province in Iran, this study aimed to determine the educational needs of general practitioners about brucellosis in Khorramabad- Iran. Materials and Methods: This cross-sectional study was conducted in 2013, Khorramabad- Iran. 140 general practitioners recruited using census sampling method. A researcher made questionnaire of 42 questions having four domains including prevention, diagnosis, treatment and follow up of brucellosis. Data were analyzed using SPSS16 with Pearson, Chi-square and Mann-withny tests. P value was considered statistically significant ˂ 0.05. Results: The results showed that 28.6% of the general practitioners had educational needs. The highest educational need was in diagnosis domain (78.6%) and the lowest educational need was in prevention area (17.1%). Assessment scores between male and female general practitioners had no statistical significant difference, but physicians, who were working in the village centers, had higher educational needs. Conclusion: Educational needs of general practitioners about brucellosis are moderate. Regarding the importance of early diagnosis and treatment of this disease, it is suggested to pay more attention to this issue in continuing medical education. 1845 A study of bacteria, fungi and biomass in particulate matter in ambient air of Khorramabad during summer and autumn 2012 Godini hatam Mirzaian mohammad taghi Sepahvand asghar Shams Khoramabadi ghodratollah 1 5 2015 17 1 43 54 03 05 2015 03 05 2015 Introduction: Particulate matter refers to the combination of atmospheric pollutants that a portion of this particulate is bioaerosol. The aim of this study was the evaluation of bacteria, fungi and biomass in particulate matter in ambient air of Khorramabad during summer and autumn 2012. Materials and Methods: This study was a cross sectional study that conducted in Khorramabad city during summer and fall 2012. Sampling has been done via high-volume sampler. The special cultures were used for cultivation and determination of fungal and Heterotrophic Plate Count (HPC (and Bradford method were used to determine bacteria and protein as biomass indicator, respectively. Relationship between these variables with metrological parameters was evaluated too. Results: The highest PM10 in July (257.18 µg/m3) and lowest in September (92.45 µg/m3) had been recorded. The highest amount of bacteria and fungi were measured as monthly in November (605 No/m3) and December (120 No/m3), respectively. The highest of protein concentration was measured in August, September and December (27-30 µg/m3). With the increase in PM10, biomass concentration in the air showed a meaningful increase. Conclusion: Biomass concentration in the air increased with increasing PM10 but it had no significant effect on the concentration of bacteria and fungi in the air. Meteorological factors such as temperature, humidity, wind speed, solar radiation and the amount of exposure time had a significant impact on bioaerosol concentrations in the air. 1846 A survey of causes of the opium tendency and addiction in patients with the diagnosis of opium poisoning in Khorramabad educational hospitals Mahmoudi ghafar ali Nourmohammadi hasan Azizpourfard younes farhadi ali 1 5 2015 17 1 55 62 03 05 2015 03 05 2015 Background : Less phenomenon, such as addiction has threatened the human societies. Despite the risks and complications of addiction, victims of this deadly trap are added every day. So we decided to study the causes of tendency to opium substances in patients with the diagnosis of drug poisoning and addiction in educational hospitals of Khorramabad city. Materials and Methods: A descriptive epidemiologic study on 100 patients diagnosed with addiction and intoxication with informed consent conducted in 2014. The research instrument was a questionnaire consisting of two parts, the first part of the information on individual characteristics and the second was to determine the factors associated with opioid use in patients, the questions in the field of employment, economic, educational, family and social factors. After data collecting, statistical analysis was performed. Results: 11 females and 89 males were studied, and the most frequent age group was 30-39 years. 81% were urban and 19% rural. Enjoyment and physical capacity for work, to get rid of the problems of life, relieve mental and neurological disorders, colored with bad friends, unemployment, low cost and availability of opiates, were the most common causes of fendency to substance use. Conclusion: Individual, familial, economic and social factors coordinated toward substance use. It is hoped that the results of this study to increase the awareness of officials and planners in the policy implementation and provide preventive and controlling measures to prevent addiction and its consequences. 1847 Assessment of relationship among sleepiness with polysomnographic parameters in patients with OSA Mozafari abolfazl Rezaie mohsen Mohebi siamak 1 5 2015 17 1 63 70 03 05 2015 03 05 2015 Background: Sleepiness that occurs at inappropriate or undesirable times or that interferes with daytime activities is generally considered excessive daytime sleepiness. Obstructive Sleep Apnea (OSA) is one of the most common causes of excessive daytime sleepiness. The aim of this study is to finds out the most important nocturnal polysomnographic parameters influencing daytime sleepiness in patients with OSA. Materials and Methods: Considering the inclusion and exclusion criteria, 112 patients referred to Baqiyatallah subspeciality sleep clinic in Qom city were selected. Patients, demographic and Epworth Sleepiness Scale (ESS) data were gathered and then comparison among ESS with polysomnography and anthropometric parameter was performed. Chi-square was used for analysis of qualitative parameters. Data analysis was done by SPSS v.18. P value was significant (˂0.05). Results: The mean age of the cases was 55.07 with male frequency 58.9% and female 41.1%. Body mass index was 34.34, apnea hypopnea index 43.62, mean Arousal Index 30.64 and mean ESS was 12.83. There was significant relationship among ESS>10 with arousal index (p=0.009) and mean O2 saturation (p=0.029), But we didn’t detected correlation between ESS>10 with other polysomnographic parameters. Conclusion: According to the data, the most important parameters of sleepiness in obstructive sleep apnea patients were sleep fragmentation and mean O2 saturation. 1848 The effect of foot massage on night sleep quality in hemodialysis patients Ariamanesh farhad Malekshahi farideh Safari mehdi 1 5 2015 17 1 71 77 03 05 2015 03 05 2015 Background : Studies have shown, about 20 to 80 percent of hemodialysis patients have sleep problems that can lead to reduction of their quality of life. With regard to high number of hemodialysis patients in the present age, promoting the level of their health issues are deemed important. In this regared, the purpose of this research was to determine the effect of foot massage on night sleeping in hemodialysis patients. Materials and Methods: This experimental clinical trial design, was conducted on 80 hemodialysis patients, admitted to the hemodialysis wards of Shahid Rahimi and Shohada hospitals of Khorramabad city in 2014. Data gathering was done by Pittsburg questionnaire and Sleep Log, by which the sleep condition of the subjects was assessed before and after the night of massage therapy. The treatment was Stroke Foot Massage, carried out during dialysis for 10 minutes, three times a week, for four consecutive weeks. Results: Changes in the Pittsburg questionnaire score indicated that, using foot massage can improve sleep quality of hemodialysis patients and sleep hours increased and generally sleep condition was progressively improving each week than the week before (p<0/001). Conclusion: According to the results of this study, foot massage has a favorable impact on sleep quality in hemodialysis patients undergoing hemodialysis and can be applied and trained as a useful method to improve sleep quality of patients in hemodialysis wards. 1849 A survey of quality gap of Khoramabad medical emergency services using SERVQUAL model Toushmal gholamreza Hakak mohammad Heidary heshmatollah 1 5 2015 17 1 78 86 03 05 2015 03 05 2015 Background : Awareness of perceptions and expectations of receivers of health centers services, as well as determination of gap between these two subjects can play an important role in better services rendering of these centers. Thise survey was conducted to evaluate quality of emergency centers of Khorramabad city by use of SERVQUAL model in 2012. Materials and Methods: This analytic-descriptive research was carried out on 400 people receiving services of Khorramabad emergency centers, selected using continuous sampling method. Data was gathered using standard SERVQUAL questionnaire and then analyzed by SPSS software, descriptive and inferential statistics such as Kruskal-wallis, paired T test And ANOVA. Results: The results showed that there was negative gap of quality in all five dimensions of services (sensible thing, guarantee and trust, responsibility, and empathy). The most quality gap was in empathy aspect and the least belonged to politeness and trust, and this gap among all dimensions, exception for trust, was statistically significant. But no significant statistical relation was found between age, sex and educational level and quality gap score. Conclusion: Expectation of customers in all dimensions was higher than their perceptions, and it should promote the quality of all dimensions, specially empathy. It is suggested to evaluate services quality in these centers and other centers periodically to promote their quality of services. 1850 The determination of contribution of emotional intelligence and parenting styles components to predicts positive psychological components Ebrahimi moghadam hosein Fekraty mahin 1 5 2015 17 1 87 94 03 05 2015 03 05 2015 Background: Since the essential of positive psychological components, as compliment of deficiency oriented approaches, has begun in recent days,we decided to take into account this new branch of psychology which scientifically considers studying forces of human, as well as because of the importance of this branch of psychology, we also tried to search the contribution of emotional intelligence and parenting styles components to predict positive psychological components. Materials and Methods:In this cross sectional study 200 psychological students of Azad university (Rudehen branch) selected using cluster sampling method. Then they were estimated by Bradbery and Grivers emotional intelligence questionnaire , Bamrind parenting styles and Rajayi et al positive psychological components questionnaire. Research data was analyzed using descriptive statistics (mean and standard deviation), inferential statistics (multiple regression and Pierson correlation coefficient) and SPSS software. Results:Among the components of emotional intelligence, the component of emotional self consciousness (β=0.464) had the greatest predictable , and reaction leadership showed no predictability in this research between parenting styles , authority parenting styles had positive significance relationship with positive psychological components. And no significant relationship was found between despot parenting styles and positive psychological components. Conclusion: Regarding the results of this research and importance of positive psychological components, it is suggested to treat the emotional intelligence from childhood and to learn it to parents and remind them the parenting way to decrease the satisfaction of individuals which leads to promotion of society mental health. 1851 A comparative study of the effects of Clotrimazole and Salvia officinalis extract against vaginal Candida albicans isolated from women with candidacies vaginitis Banaeian-Boroujeni shayesteh Mobini gholamreza Rafeian Kopaei mahmoud Rasti Boroujeni maryam Sereshti manizhe Validi majid 1 5 2015 17 1 95 103 03 05 2015 03 05 2015 Background: Vaginal Candidiasis is the most common vaginitis in women and Clotrimazole is the choice treatment. The side effects of drugs and microorganisms resistant are big problems in medicine and herbal therapy seems to be suitable alternative. This study was carried out to evaluate the antifungal effects of Clotrimazole and Salvia officinalis on vaginal C. albicans. Materials and Methods: A vaginal sample of 100 women with vaginal candidiasis was collected in the tube containing 1cc of normal saline. These samples were cultured and 24 C. albicanses were identified which entered to the study. Then C. albicans was cultured in Sabouraud dextrose agar media which contained clotrimazole or extract of Salvia officinalis and MIC 50% and 90% were determined. Results: The Salvia officinalis inhibited the growth of C. albicanses. The mean concentration of Clotrimazole was 0.65±0.55 µg/ml in MIC 50% and 4.8 ± 3.59 µg/ml in MIC 90% . The mean concentration of Salvia officinalis was 24.04± 24.2 mg/ml in MIC 50% and 56.2± 28.4 mg/ml in MIC 90. Salvia officinalis with 1.25 and 20 mg/ml concentration inhibited the growth of standard strain of C. albicans PTCC5027 up to 50% ane 90%, respectively. Conclusion: Salvia officinalis has inhibitory effect against Candida albicans and might be effective in vaginitis due to this microorganism. 1852 A study of Salmonella Spp. contamination in egg of ducks and turkeys, consumed in Fars province Ghorbani ranjbary ali Naji shahriar Zarei abdollah Ghorbani ranjbary nazanin 1 5 2015 17 1 104 109 03 05 2015 03 05 2015 Background : Salmonella is a short rod shape, gram-negative, non-encapsulated, aerobic and anaerobic options that cause food poisoning in humans. Raw food of animal origin, particularly meat and eggs of birds have important role in the transfer of this disease. Since duck and turkey eggs are very important in the transmission of Salmonellosis and consuming of local and non-industrial eggs of ducks and turkeys in this area is common, the present study was performed to clarify the prevalence of salmonella contamination. Materials and Methods: In the present study, 300 native duck and turkey eggs were collected and transferred to the lab. In laboratory after sampling from surface of the eggs shell were disinfected with 80% ethanol and contents of 5 duck and turkey eggs, sparately mixed in special dishes. After 24 hr incubation at 37°C with a swab in selenite - F broth were inoculated. Samples were transferred to Salmonella - Shigella agar from selenite-f environment. After incubation in 37°C, colonies suspected to Salmonella were evaluated. Suspicious colonies in the TSI and lysine decarboxylase environments were inoculated. And bacteria that had reactions related to Salmonella, were studied by PCR with specific primers for Salmonella and serotypes of Salmonella Enteritidis and Salmonella Typhimurium. Results: A total of 300 eggs of ducks and turkeys ,7 cases (2.3%) were contaminated with Salmonella, and from 7 unclean egg s shell , 1 case of turkey egg shell (0.66%) was infected with Salmonella Typhimurium. And 6 duck eggs shell (4%) were infected, that all of the serotypes were Salmonella Typhimurium. Conclusion: Regarding the present study, and other researches, it can be concluded that the Salmonella infection in the duck and turkey eggs were less than poultry eggs and it seems that vertical transmission of Salmonella in the turkeys and ducks was less than poultry.