Showing 8 results for Mahmoudi
Ghafar Ali Mahmoudi , Raheleh Asaee ,
Volume 10, Issue 1 (yafteh 2008)
Abstract
Abstract Background: poisoning is one of the most common medical emergencies. Every year many people refer to emergency wards due to poisoning and some of them are treated and some die because of severe complications. Most patients who refer to emergency wards are those who commit intentionally to suicide. This study is conducted to determine the prevalence of poisoning with pesticide (organophosphate and organochlorine) in persons referred to Shohada Ashaier hospital of Khorramabad in the first six months in 2006. Metrials and methods: Required information of poisoned people with poisoning pesticide (organophosphate and organochlorine) were collected using questionnaires which were distributed among the subjects. Results: In this study 153 patients including 118 patients who poisoned with organophophate and 35 patents with organochlorine were studied. Most of the patients (34.6%) aged between 21-71 years including 57.5% female and 42.5% male and their education was about under secondary school, 91.5% of them attempted to suicided. The total mortality rate was 12 that 7 of them died by toxifications with organochlorine and 5 cases by organophosphate, which in turn was due to their respiratory complications like ARDS and aspiration pneumonia. Conclusion: findings indicate that due to high prevalence and mortality of poisoning with pesticides, this problem should be taken into consideration.
Siavash Beiranvand, Ghafar Ali Mahmoudi , Peyman Astaraki , Omid Ali Papi, Vahid Almasi , Davood Ommi, Noroddin Beiranvand ,
Volume 15, Issue 1 (5-2013)
Abstract
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.
Peiman Astaraki , Ghafar Ali Mahmoudi , Khatereh Anbari , Niloofar Hosseini ,
Volume 17, Issue 1 (5-2015)
Abstract
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.
Ghafar Ali Mahmoudi , Hasan Nourmohammadi , Younes Azizpourfard, Ali Farhadi,
Volume 17, Issue 1 (5-2015)
Abstract
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.
Peyman Astaraki , Ghafar Ali Mahmoudi , Khatereh Anbari , Behzad Mohammad Souri , Leila Dosti ,
Volume 17, Issue 2 (9-2015)
Abstract
Background: Authorizing abortion in some cases of fetal and maternal diseases which was implemented by passing its law in 2005, a major change in therapeutic abortion was performed in Iran,s health system. Although there may be cases of illegal abortion, but our study examined legal abortion of Lorestan province in 2013, which led to increase in awareness of health professionals about indications of therapeutic abortion, the time to do it and answer to related questions. Materials and Methods: In this epidemiological and cross-sectional study, all applications for abortion permission, received by Lorestan legal organization in 2013, were studied. The data were recorded in a questionnaire and analyzed using SPSS software. Results: From 205 cases during a year, 144 of them obtained permission for abortion of which 88% issued for fetal abnormalities and 12% due to illness of the mother. The most common diseases in the fetus were, the brain and skull abnormalities, and in the mothers, cardiovascular diseases and hematologic abnormalities were the highest. In these cases, the most frequency belonged to the age group of 25-34 years. For 61 requests, permission for abortion had not been issued. High gestational age (26 cases) and diseases of the brain and skull, were the most common reasons of request for abortion. Conclusion: Abortion means therapeutic abortion and with the increase in the authorized therapeutic abortion, the illegal abortion will be reduced and leads to increase in the health of pregnant women. By increasing awareness of the medical staff about permitted therapeutic abortion and related laws, a correct and better guidance of pregnant women, we can help them to have a healthy community. As well as the problems of obstetricians and gynecologists, in this field, will be decreased.
Firozeh Amini Bezanjanii , Razagh Mahmoudi, Kiumars Amini,
Volume 18, Issue 2 (9-2016)
Abstract
Background : Pseudomonas aeruginosa is an opportunistic pathogen and the cause of 10% to 15% of nosocomial infections.Virulence genes of Pseudomonas aeruginosa is one of the most aggressive mechanisms and the issue of medical opinion is important. The expression of many genes is controlled and regulated in pathogenic bacteria Pseudomonas aeruginosa gene by a system called Quorum Sensing (QS). QS controls and regulates cell-to-cell communication system using small molecules in single-celled organisms SMs. This study was aimed at defining the prevalence of QS genes in Pseudomonas aeruginosa isolated from human resources.
Materials and Methods: Initially 60 samples of Pseudomonas aeruginosa from human intestinal samples were prepared and confirmed by culture-specific diagnostic tests. Multiplex PCR test was performed to detect genes. Antimicrobial susceptibility of the isolates against 10 antimicrobial agents was determined using standard disk diffusion method.
Results: Multiplex PCR results showed that the frequency of the desired genes rhlR 5 %, lasR 48.3% and lasI 60%. The genes lasB, apr, rhlAB and rhlI were not detected in any of the samples. According to antibiogram, the most resistance was against amikacin, amoxicillin and cefotaxime and the most susceptibility was to ciprofloxacin and ceftazidime.
Conclusion: This study shows high prevalence of Quorom Sensing genes in Pseudomonas aeruginosa isolates of human origin.
Sedighe Mirzadeh, Razagh Mahmoudi, Qumars Amini,
Volume 18, Issue 3 (12-2016)
Abstract
Background : Salmonella enterica serotype Enteritidis is one of the most important cause of non-typhoidal salmonellosis, a clinically less severe infection than typhoid fever. The present study aimed to detection of virulence genes in the S. enteritidis isolated from the food samples by multiplex-PCR method.
Materials and Methods: In this descriptive cross-sectional study was performed during a year in 2014 on the 1250 no duplicative and non-repetitive food samples. M-PCR assay was done in order to detection of invA ،ttrC، mgtC، spi4D and agfA genes.
Results: Totally, sixty S. enteritidis strains were obtained from the poultry meat (38 strains, 61.6%) and the eggs (23 strains, 38.3%), respectively. The highest and lowest prevalence of these genes were related to mgtC (51.6%) and spi4D (1.3%).
Conclusion: Evaluation of virulence genes in the S. Enteritidis isolated from food samples are useful because of the incidence of the virulence elements and efficiency of M-PCR in the epidemiological study and evaluation of intraspecies genes transfer in the various samples.
Reza Dadgar, Mohamad Jahani, Ghahreman Mahmoudi,
Volume 19, Issue 2 (10-2017)
Abstract
Background : Health systems in order to confirmity with changing conditions and responding to community needs, community needs to change and continuous improvement of their structure, function, and subsequent evaluationindicators. Therefore the purpose of this study was to evaluate effect of health system reform plan on performance indicators.
Materials and Methods : This study was a cross-sectional descriptive study using data from the years 1392 to 1394, the years before and after the implementation of healthcare reform was carried out. The population consisted of all hospitals of the Lorestan University of Medical Sciences (14 Hospitals). For data analysis using SPSS version 16, Paired sample T tests and Wilcoxon software were used.
Results: After health system reform plan all indicators had better than before and this development was significant in all cases. After health reform plan average length of stay was slightly increased (0.5%), although this was not significant statistically (P = 0.653). Before the health reform plan, the difference between the average bed occupancy indicator only for educational and non-educational centers were significant statistically (p = 0/05), but after the reform mean for all the indicators except indicator of average length of stay (p = 0/038), was significant.
Conclusion: The health system reform plan has been positive changes in indicators of hospital performance. Therefore, while considering the current trend of continuous improvement, the continuity of the project was advised based on the results of this study.
