Introduction & Objective: Tissue injury after surgery produces painful sequelae Environmental fac... more Introduction & Objective: Tissue injury after surgery produces painful sequelae Environmental factors can also be effective on a patient’s pain. In most pain control pharmacological methods are used but they can be associated with various complications. Use of complementary medicine and non-pharmacological methods for reduction of pain is considered a simple, effective method, and often without specific complications, but despite the many benefits, few studies have been conducted on clinical effects. So this study was performed with the aim to determine the effect of massage of Hugo point on severity of pain in patients undergoing laparoscopic cholecystectomy. Methods and Implementation procedure: The present research was a clinical trial study. The sample size of this study included 52 patient candidates for laparoscopic cholecystectomy who were eligible for inclusion in the study. Sampling was conducted in surgical wards of Shahid Beheshti Hospital, Shohadaye Gomname Hospital and Razi Surgery Center of Yasuj city. Samples were divided into two groups based on random allocation blocks. Data collection tools included questionnaires of demographic information, vital signs Check list and numerical scale measurement of severity of pain . Interventions related to each group were conducted based on intervention protocol and based on compliance guidelines (six times measurements for each group). Data, after gathering, were investigated and compared by SPSS software, version 20 and by descriptive statistics (mean, standard deviation) and analysis test (Wilcoxon, Kruskal-Wallis and Tukey). Findings: Results of this research indicated that the effect of massage of Hugo point on severity of pain in patients, was effective and in all six interventions and measurements resulted in a considerable significant reduction of pain compared to pre-intervention. Also, the comparison with the control group was significantly different, so that on a numerical scale the survey severity of pain was 0-10, mean of severity of pain at the end of study in the control group was 7.1 to 4, and in massage group reached from 7.7 to 1.3. Although in both groups, the severity of pain was reduced, this reduction in the intervention group compared to the control group was more prominent. Conclusion: According to the results of this study performing intervention massage of Hugo point lead to effectively and significantly reduce pain in comparison with the control group, in patients undergoing laparoscopic cholecystectomy. Therefore, it is suggested massage of the Hugo point as part of nursing interventions and side interventions and routine care nursing should be used.
Introduction & Objective: Tissue injury after surgery produces painful sequelae Environmental fac... more Introduction & Objective: Tissue injury after surgery produces painful sequelae Environmental factors can also be effective on a patient’s pain. In most pain control pharmacological methods are used but they can be associated with various complications. Use of complementary medicine and non-pharmacological methods for reduction of pain is considered a simple, effective method, and often without specific complications, but despite the many benefits, few studies have been conducted on clinical effects. So this study was performed with the aim to determine the effect of massage of Hugo point on severity of pain in patients undergoing laparoscopic cholecystectomy. Methods and Implementation procedure: The present research was a clinical trial study. The sample size of this study included 52 patient candidates for laparoscopic cholecystectomy who were eligible for inclusion in the study. Sampling was conducted in surgical wards of Shahid Beheshti Hospital, Shohadaye Gomname Hospital and Razi Surgery Center of Yasuj city. Samples were divided into two groups based on random allocation blocks. Data collection tools included questionnaires of demographic information, vital signs Check list and numerical scale measurement of severity of pain . Interventions related to each group were conducted based on intervention protocol and based on compliance guidelines (six times measurements for each group). Data, after gathering, were investigated and compared by SPSS software, version 20 and by descriptive statistics (mean, standard deviation) and analysis test (Wilcoxon, Kruskal-Wallis and Tukey). Findings: Results of this research indicated that the effect of massage of Hugo point on severity of pain in patients, was effective and in all six interventions and measurements resulted in a considerable significant reduction of pain compared to pre-intervention. Also, the comparison with the control group was significantly different, so that on a numerical scale the survey severity of pain was 0-10, mean of severity of pain at the end of study in the control group was 7.1 to 4, and in massage group reached from 7.7 to 1.3. Although in both groups, the severity of pain was reduced, this reduction in the intervention group compared to the control group was more prominent. Conclusion: According to the results of this study performing intervention massage of Hugo point lead to effectively and significantly reduce pain in comparison with the control group, in patients undergoing laparoscopic cholecystectomy. Therefore, it is suggested massage of the Hugo point as part of nursing interventions and side interventions and routine care nursing should be used.
Background & aim: Emotional intelligence is an ability to control the emotions of oneself. The ai... more Background & aim: Emotional intelligence is an ability to control the emotions of oneself. The aim of this study was to investigate the relationship between the components of emotional intelligence and academic achievement, and also depression in students of medical science. Methods: In this sectional study the emotional questionnaire (EQI) and USDI questionnaire were used. To evaluate the academic achievement the difference in average scores of 300 students of Yasuj University of Medical Sciences were used during the academic term. Data were statistically analyzed using ANOVA, t-tests and descriptive statistics (mean ± SD). Results: Results indicated that there was significant relationship between emotional intelligence and academic achievement (p<0.05). Overall, 80 percent of students had moderate and good emotional intelligence. 12.7% of students had excellent intelligence while 67.7% of them suffered from depression. Conclusion: Improving education and the student's level...
Background & aim: Hepatitis B risk factors are a main consideration among jobs related to healthc... more Background & aim: Hepatitis B risk factors are a main consideration among jobs related to healthcare. There is a high risk of hepatitis B infection in health care workers, compared to the general population due to higher exposure to patients infected with the virus. The aim of this study was to evaluate the immunity against hepatitis B virus and frequency of HBsAg positive cases among medical staff of Shahid Beheshti hospital in Yasuj, Iran. Methods: The present cross-sectional, descriptive and analytical study was conducted by interviewing 270 personnel of Shahid Beheshti Hospital of Yasuj in 2016. After completing the questionnaire which included demographic and review vaccination records, 5 ml of blood was taken from the participants. Using an ELISA kit specific antibody levels against hepatitis B virus and HBsAg were measured. The data were analyzed by descriptive statistics and chi-square.
Results: A total of 112 patients (41.5%) of the subjects were male and 158 (58.5%) were female. The results indicated that Seven (6.2%) had no immunity against hepatitis B virus, 68 (25.1%) had border immunity and 195 (72.2%) had complete immunity. 9 patients (3/3 %) were infected with hepatitis B. Among these participants, 5 patients (55.6%) were female and 4 (44.4%) were male. None of had any sign of obesity, smoking, high risk sexual behavior, blood transfusion and did not develop jaundice. Conclusion: The present study revealed that the Frequency of HBsAg positive cases was in the expected range, and that the samples studied had a favorable safety level.
زمینه و هدف: از جمله عوامل خطر ابتلای افراد به ویروس هپاتیت B حضور در مشاغل مرتبط با بهداشت و درم... more زمینه و هدف: از جمله عوامل خطر ابتلای افراد به ویروس هپاتیت B حضور در مشاغل مرتبط با بهداشت و درمان است. بالا بودن خطر ابتلا به عفونت هپاتیت B در کارکنان بهداشتی- درمانی، نسبت به افراد عادی جامعه به علت مواجهه بیشتر با بیماران آلوده به ویروس میباشد. هدف این مطالعه تعیین وضعیت ایمنی در مقابل ویروس عامل هپاتیت B و فراوانی موارد مثبت HBsAg در کادر درمانی بیمارستان آموزشی-درمانی شهید بهشتی شهر یاسوج بود. روش بررسی: این مطالعه مقطعی، توصیفی- تحلیلی با روش نمونه گیری تمام شماری بر روی 270 نفر پرسنل شاغل در بیمارستان آموزشی- درمانی شهید بهشتی وابسته به دانشگاه علوم پزشکی یاسوج در سال 1395 انجام شد. پس از تکمیل پرسشنامه محقق ساخته شامل؛ اطلاعات دموگرافیک و بررسی سوابق واکسیناسیون از آنها 5 میلی لیتر خون لخته گرفته شد. با استفاده از کیت الایزا میزان آنتی بادی IgG اختصاصی علیه ویروس عامل هپاتیت B و HBsAg سرم اندازه گیری شدند. داده ها با آزمون های آماری توصیفی و مجذور کای تجزیه و تحلیل شدند. یافته ها: تعداد 112 نفر (5/41 درصد) از افراد مورد مطالعه مرد و 158 نفر (5/58 درصد) زن بودند. تعداد 7 نفر(6/2 درصد) فاقد ایمنی در مقابل ویروس عامل هپاتیت B، 68 نفر(1/25 درصد) دارای ایمنی مرزی و 195 نفر (2/72 درصد) دارای ایمنی کامل بودند. تعداد 9 نفر(3/3درصد) مبتلا به هپاتیت B بودند. از این بین 5 نفر(6/55 درصد) زن و 4 نفر(4/44 درصد) مرد بودند. هیچ کدام سابقه چاقی، استعمال دخانیات، رفتار پرخطر جنسی، تزریق خون و ابتلا به یرقان نداشتند. نتیجه گیری: مطالعه حاضر نشان داد، میزان فراوانی موارد مثبت HBsAgدر محدوده مورد انتظار قرار دارد و نمونه های مورد بررسی از سطح ایمنی مطلوبی برخوردار بودند.
Background and purpose: Regarding to the importance role of nasal carrier of Staphylococcus aureu... more Background and purpose: Regarding to the importance role of nasal carrier of Staphylococcus aureus in hospital setting and their importance in transmission of bacterium to other personnel and patients, the aim of the present study were, frequency of nasal carriers, determination of antibiotic resistance pattern and genotyping of S. aureus isolated from personnel of ShahidBeheshti hospital in Yasuj city by agr typing method. Material and methods: In this cross-sectional study a total of 347 samples collected from the personnel nasal of ShahidBeheshti Hospital for identification of S. aureus. Cefoxitin containing disk and detection of mecA gene were used for identification of methicillin resistance isolates. Antimicrobial susceptibility pattern of isolates were tested against 15 different antibiotics by Disc Agar Diffusion method. Multiplex-PCR method were used for agr typing of S. aureus isolates. Results: Ninety three (26.8%) of personnel carried S. aureus in their nasal which among them 9 isolates identified as a MRSA. Among agr group, agrI (40.9%) and agrIII (40.9%) were the prominent genotypes. All of the isolates were resistant to Penicillin. The resistance rate to erythromycin and Co-trimoxazole were 12.9% and 5.38% respectively. Most of the isolates were sensitive to other antibiotics. Conclusion: According to the low resistance rate of S. aureus, it is appear that eradication of nasal carrier state would be possible. S. aureus with agr type I and III has an important role in nasal colonization in comparison with other agr type. Key word: Staphylococcus aureus, Nasal carrier, agr type, Antibiotic resistance
Background and goal: Hepatitis B virus is serum hepatitis factor and in the virus group Hepadna, ... more Background and goal: Hepatitis B virus is serum hepatitis factor and in the virus group Hepadna, is classified. Among the risk factors for the infection of jobs in healthcare high risk of hepatitis B infection in health care workers, compared to the general population is due to higher exposure to HBV-infected patients. In this group of people infected needle contact with mucosal surfaces contaminated liquids transferred important way. This study aimed to assess the level of immunity to hepatitis B in staff of Shahid Beheshti Hospital in Yasouj city was designed. Materials and Methods: This cross-sectional descriptive study was conducted. The study population consisted of all medical personnel working in the Shahid Beheshti Hospital in 2014 were related to Yasouj medical science university. Sampling all the numbers, all the personnel who have inclusion criteria and wish to participate in the scheme were enrolled and finally 270 health care workers in Shahid Beheshti medical science university in 2014 were selected. After completing the questionnaire included demographic and review vaccination records, 5 ml of blood was taken from them. After separating serum using an ELISA kit specific IgG antibody levels were measured against hepatitis B virus. Data collected using descriptive statistics, chi-square test were analyzed. Results: The results showed that 97.4 percent of employees surveyed in specific IgG antibody titer against hepatitis B virus surface antigen over 10 international units per liter, which is considered safe, and in 2.6% (n = 7) of the antibody titer was below 10 units that are deemed unsafe. Of these, 22.5% (n = 68) of the headlines, between 10 and 100 that is border safety. Conclusion: This study showed that the samples examined have a favorable safety level. Safety and the safety of those without borders have knowledge about these people, according to their risk, their immunization as soon as possible. However, people with a history of vaccination, they were not acceptable level of safety have come under scrutiny in addition to receiving this vaccine and a review of the level of antibodies, if they test negative, about the preventive measures to be applied.
Background and goal: Hepatitis B virus is serum hepatitis factor and in the virus group Hepadna, ... more Background and goal: Hepatitis B virus is serum hepatitis factor and in the virus group Hepadna, is classified. Among the risk factors for the infection of jobs in healthcare high risk of hepatitis B infection in health care workers, compared to the general population is due to higher exposure to HBV-infected patients. In this group of people infected needle contact with mucosal surfaces contaminated liquids transferred important way. This study aimed to assess the level of immunity to hepatitis B in staff of Shahid Beheshti Hospital in Yasouj city was designed. Materials and Methods: This cross-sectional descriptive study was conducted. The study population consisted of all medical personnel working in the Shahid Beheshti Hospital in 2014 were related to Yasouj medical science university. Sampling all the numbers, all the personnel who have inclusion criteria and wish to participate in the scheme were enrolled and finally 270 health care workers in Shahid Beheshti medical science university in 2014 were selected. After completing the questionnaire included demographic and review vaccination records, 5 ml of blood was taken from them. After separating serum using an ELISA kit specific IgG antibody levels were measured against hepatitis B virus. Data collected using descriptive statistics, chi-square test were analyzed. Results: The results showed that 97.4 percent of employees surveyed in specific IgG antibody titer against hepatitis B virus surface antigen over 10 international units per liter, which is considered safe, and in 2.6% (n = 7) of the antibody titer was below 10 units that are deemed unsafe. Of these, 22.5% (n = 68) of the headlines, between 10 and 100 that is border safety. Conclusion: This study showed that the samples examined have a favorable safety level. Safety and the safety of those without borders have knowledge about these people, according to their risk, their immunization as soon as possible. However, people with a history of vaccination, they were not acceptable level of safety have come under scrutiny in addition to receiving this vaccine and a review of the level of antibodies, if they test negative, about the preventive measures to be applied.
Introduction: Nowadays, suicide is one of the main social and mental health problems in the world... more Introduction: Nowadays, suicide is one of the main social and mental health problems in the world. It is the third death factor among adolescents and the seventh among the youth. As Iran s population is young, paying attention to the problem is necessary. The objective of the study was epidemiological investigation of suicide and the associating factors in Boyer-Ahmad County. Materials and methodology: In this descriptive-analytical study, all cases of attempting suicide, which were on randomly selected days in one year (2008-2009), were reviewed and finally 157 cases participated in the project. They had turned to the emergency department every week over one year or had been admitted to the hospitals in Yasuj and had been willing to cooperate with the project. Through the use of SPSS statistical software and reporting the central and dispersion indicators, frequency distribution table and chi-square test, the data was analyzed. Findings: Fifty two percent of the population under study was female and %51 was residing in urban areas. The highest grades of the cases attempting suicide were related to Saturdays and Thursdays with %20 and May. June, February. March with %12. Suicide has been attempted most among the age group of 19-25. Sixty six percent of the injured had attempted suicide by means of drug and poison, %33 through self-immolation and %1 by hanging themselves. Seven percent of the suicide attempters died, %45 was damaged and %48 was physically recovered. The death rate resulting from the use of drug was %1, self-immolation %16 and hanging %100. Self-immolation has been attempted most by the use of petroleum (%87) and then petrol (%13). Mean and standard deviation of treatment duration were 56.1 2.3. The rate of attempting suicide and its 95% confidence interval was estimated 80.74 (77.73 and 83.75) individuals among females, 50.31 (47.69 and 52.91) among males and 65.04 (62.24 and 67.84) among total population from among one hundred individuals. Death rate resulting from suicide as well was estimated 9.34 (7.44 and 10.24) individuals among females, 5.33 (4.13 and 6.53) among males and 7.34 (5.83 and 8.84) among total population from among one hundred people. Discussion and conclusion: In the region under study, the rate of attempting suicide and the resulting death is higher than the national average and lower than the rate in Ilam a province in Iran. Comparing with Christian, Buddhist and some Muslim countries like Turkey, these rates are lower, but higher compared with Saudi Arabia, Kuwait and the Emirates. Mostly, family conflicts and love failure are the causes of attempting suicide; and appropriate and sustainable solutions are to be reviewed and become operational for prevention and treatment of this health and medical problem.
Background: Fruits and vegetables rich in antioxidant compounds which scavenges free radicals. In... more Background: Fruits and vegetables rich in antioxidant compounds which scavenges free radicals. In this research, the hepatoprotective effect of cherry fruit aqueous extracts was studied. Methods: Fruits of the cherry were collected; the seeds were removed and extracted by maceration method. For in vitro antioxidant activity, Diphenylpicryl Hydrazyl (DPPH), Trolex Equivalent Antioxidants Capacity (TEAC) and Ferric Reducing Antioxidant Power (FRAP) was carried out. Total phenol and flavonoid contents were also determined. For in vivo study, 28 wistar male rats were prepared and divided into negative control, plant control, carbon tetrachloride control (toxin) and treatment groups. At the end of 14 days, for evaluation of hepatoprotective effects of extracts, animals were exsanguinated by diethyl ether anesthesia. Blood samples were collected by heart puncture and the serum was used for assay of Aspartate Transaminase (AST), Alanine Transaminase (ALT), Alkaline Phosphatase (ALP), Total Bilirubin (TB) and albumin. All results are expressed as mean ± Standard Deviation (SD). Statistical analysis was calculated by one way analysis of variance (ANOVA). Results: Total phenol and Flavonoid contents were reported 930 mg/kg GAE and 380 mg Rutine in one Kg of fresh fruit respectively. In vitro antioxidant activity of extract in FRAP 4.8, DPPH 9.3 Mm trolox and TEAC 2.8 /kg fresh fruit were reported. There was a significant increase in hepatic enzymes activities and bilirubin level in carbon tetrachloride group compare to negative control. The extraction of cherry in 500 mg dose was able to alleviate the induced damages compare to toxic group (p<0.05).
In this study the antioxidant properties of hydro-alcoholic and aqueous extracts of Red capsicum ... more In this study the antioxidant properties of hydro-alcoholic and aqueous extracts of Red capsicum and Mentha piperita were examined. The fruit of Red capsicum and Mentha piperita leaves were collected dried in shade and extracted by maceration method by distilled water and ethanol-water solvents. Diphenyl Pyciryl hydrasyl (DPPH), trolex equivalent antioxidant capacity (TEAC), ferric reducing antioxidant power (FRAP), hydroxyl and superoxide radicals scavenging activities, total phenolic and flavonoids (TP) content were determined. Results are expressed as mean ± standard deviation .Analysis of variance (ANOVA) followed by Tukey's multiple comparison. Total phenol content of Mentha piperita and Red capsicum were12.50 –15.30 and 36.40 –41.27 respectively. Flavonoid levels in Mentha piperitaand and Red capsicum were reported 1.1-96.0and 14-27 mg rutin/g dried extract. Antiradical activity of DPPH of Mentha piperita and Red capsicum samples were 67-77-50 and 35-44% inhibition respectively. FRAP value was reported with maximum activity in Mentha piperita 4470 (mM iron) /g extract. The higher level of scavenging activities in TEAC, Hydroxyl and superoxide radicals were exhibited in Mentha piperita hydroalcoholic extracts. Phytochemical contents and antioxidant potential hydro-alcoholic extracts of Mentha piperita were exhibited more than Red capsicum.
Suicide is one of the major social and mental health problems throughout the world. Suicide is th... more Suicide is one of the major social and mental health problems throughout the world. Suicide is the third cause of death in adolescents and seventh in youth's death. Regarding young population of country and increase in the suicide rate in recent years it is necessary to study suicide effective factors. This study aims to determine influence of effective factors on suicide in study area. Materials and methods: In this evidence-based case study all suicide committers were investigated who were randomly selected in each day of a weak during one year in emergency ward or hospitals of Yasuj and were consented to participate. 157 suicide and two subjects for each attempt were studied which were matched by gender and age as control. Chance and confidence interval 95% were estimated for effective factors in committing suicide. Suicide committing model was calculated and reported based on various factors using multivariate logistic regression and SPSS software. Findings: the widely used way for committing suicide was consuming drugs and self-immolation and the highest mortality was related to self-immolation. Suicide committing chance in individuals suffering from mental disorder, physical disorder, death of relatives, history of committing suicide, weakness in religious beliefs increases 12, 11.70, 10.75, 7.48 and 6.50 times, respectively. Discussion and conclusion: the most common cause of suicide as family struggles and emotional problems, so it is necessary to investigate and operate suitable and continuous solutions for prevention and care. [Marziyeh Hosseini, Reza Ghafarian Shirazi, Abasali Karimi, Mohamad Taher Rezanejad, Hamid Reza Ghafarian Shirazi, The study of committing suicide and its related factors in a control case study. J Am Sci 2013; 9(8s):9-14]. (ISSN: 1545-1003). http://www.jofamericanscience.org. 3
this study was conducted with the purpose of studying health promoting behaviors in male and fema... more this study was conducted with the purpose of studying health promoting behaviors in male and female students of Medical Sciences University in Yasouj, considering the importance of health promoting behaviors in students. Materials and methods: this study was implemented for a year on students of medical sciences university in Yasuj. Data were gathered using HPLP II questionnaire. Data were analyzed using SPSS software Ver.20 and descriptive statistics like mean, cumulative and absolute frequencies and inferential statistics chi-square considering α=0.05. Findings: total score of health promoting behaviors was desirable in 51.2% of students. In feed element students had the highest score (49.6%). Results showed significant relationship between variables faculty, major and education of father with health promoting behaviors. Conclusion: scores for half of students were desirable which seems that this is not suitable for students of medical sciences university which must promote healthy behaviors in society. Therefore, there is a need to required trainings and resolving barriers of health promoting behavior in students. Conclusion: Health promoting and maintain must be considered in all life stages and there should be attempts to guarantee health and longevity with suitable education. It seems that the score of health promoting behaviors in students of Yasuj University of Medical Sciences is lower than score obtained in similar studies. Therefore it is necessary that university authorities pay attention to it and provide facilities and resolve problems to create a healthy lifestyle between students which results in students who will promote healthy lifestyle. [Mohamd Taher Rezanejad, Nazanin Ghafarian Shirazi, Marziyeh Hosseini, Mohammad Hossein Bahadornejad, Hamid Reza Ghaffarian Shirazi. Study of Health-promoting behaviors of male and female students. Yasuj University of Medical Sciences, Yasuj 2012. J Am Sci 2013;9(8s):1-4]. (ISSN: 1545-1003). http://www.jofamericanscience.org. 1
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Methods and Implementation procedure: The present research was a clinical trial study. The sample size of this study included 52 patient candidates for laparoscopic cholecystectomy who were eligible for inclusion in the study. Sampling was conducted in surgical wards of Shahid Beheshti Hospital, Shohadaye Gomname Hospital and Razi Surgery Center of Yasuj city. Samples were divided into two groups based on random allocation blocks. Data collection tools included questionnaires of demographic information, vital signs Check list and numerical scale measurement of severity of pain . Interventions related to each group were conducted based on intervention protocol and based on compliance guidelines (six times measurements for each group). Data, after gathering, were investigated and compared by SPSS software, version 20 and by descriptive statistics (mean, standard deviation) and analysis test (Wilcoxon, Kruskal-Wallis and Tukey).
Findings: Results of this research indicated that the effect of massage of Hugo point on severity of pain in patients, was effective and in all six interventions and measurements resulted in a considerable significant reduction of pain compared to pre-intervention. Also, the comparison with the control group was significantly different, so that on a numerical scale the survey severity of pain was 0-10, mean of severity of pain at the end of study in the control group was 7.1 to 4, and in massage group reached from 7.7 to 1.3. Although in both groups, the severity of pain was reduced, this reduction in the intervention group compared to the control group was more prominent.
Conclusion: According to the results of this study performing intervention massage of Hugo point lead to effectively and significantly reduce pain in comparison with the control group, in patients undergoing laparoscopic cholecystectomy. Therefore, it is suggested massage of the Hugo point as part of nursing interventions and side interventions and routine care nursing should be used.
Methods and Implementation procedure: The present research was a clinical trial study. The sample size of this study included 52 patient candidates for laparoscopic cholecystectomy who were eligible for inclusion in the study. Sampling was conducted in surgical wards of Shahid Beheshti Hospital, Shohadaye Gomname Hospital and Razi Surgery Center of Yasuj city. Samples were divided into two groups based on random allocation blocks. Data collection tools included questionnaires of demographic information, vital signs Check list and numerical scale measurement of severity of pain . Interventions related to each group were conducted based on intervention protocol and based on compliance guidelines (six times measurements for each group). Data, after gathering, were investigated and compared by SPSS software, version 20 and by descriptive statistics (mean, standard deviation) and analysis test (Wilcoxon, Kruskal-Wallis and Tukey).
Findings: Results of this research indicated that the effect of massage of Hugo point on severity of pain in patients, was effective and in all six interventions and measurements resulted in a considerable significant reduction of pain compared to pre-intervention. Also, the comparison with the control group was significantly different, so that on a numerical scale the survey severity of pain was 0-10, mean of severity of pain at the end of study in the control group was 7.1 to 4, and in massage group reached from 7.7 to 1.3. Although in both groups, the severity of pain was reduced, this reduction in the intervention group compared to the control group was more prominent.
Conclusion: According to the results of this study performing intervention massage of Hugo point lead to effectively and significantly reduce pain in comparison with the control group, in patients undergoing laparoscopic cholecystectomy. Therefore, it is suggested massage of the Hugo point as part of nursing interventions and side interventions and routine care nursing should be used.
Methods: The present cross-sectional, descriptive and analytical study was conducted by interviewing 270 personnel of Shahid Beheshti Hospital of Yasuj in 2016. After completing the questionnaire which included demographic and review vaccination records, 5 ml of blood was taken from the participants. Using an ELISA kit specific antibody levels against hepatitis B virus and HBsAg were measured. The data were analyzed by descriptive statistics and chi-square.
Results: A total of 112 patients (41.5%) of the subjects were male and 158 (58.5%) were female. The results indicated that Seven (6.2%) had no immunity against hepatitis B virus, 68 (25.1%) had border immunity and 195 (72.2%) had complete immunity. 9 patients (3/3 %) were infected with hepatitis B. Among these participants, 5 patients (55.6%) were female and 4 (44.4%) were male. None of had any sign of obesity, smoking, high risk sexual behavior, blood transfusion and did not develop jaundice.
Conclusion: The present study revealed that the Frequency of HBsAg positive cases was in the expected range, and that the samples studied had a favorable safety level.
روش بررسی: این مطالعه مقطعی، توصیفی- تحلیلی با روش نمونه گیری تمام شماری بر روی 270 نفر پرسنل شاغل در بیمارستان آموزشی- درمانی شهید بهشتی وابسته به دانشگاه علوم پزشکی یاسوج در سال 1395 انجام شد. پس از تکمیل پرسشنامه محقق ساخته شامل؛ اطلاعات دموگرافیک و بررسی سوابق واکسیناسیون از آنها 5 میلی لیتر خون لخته گرفته شد. با استفاده از کیت الایزا میزان آنتی بادی IgG اختصاصی علیه ویروس عامل هپاتیت B و HBsAg سرم اندازه گیری شدند. داده ها با آزمون های آماری توصیفی و مجذور کای تجزیه و تحلیل شدند.
یافته ها: تعداد 112 نفر (5/41 درصد) از افراد مورد مطالعه مرد و 158 نفر (5/58 درصد) زن بودند. تعداد 7 نفر(6/2 درصد) فاقد ایمنی در مقابل ویروس عامل هپاتیت B، 68 نفر(1/25 درصد) دارای ایمنی مرزی و 195 نفر (2/72 درصد) دارای ایمنی کامل بودند. تعداد 9 نفر(3/3درصد) مبتلا به هپاتیت B بودند. از این بین 5 نفر(6/55 درصد) زن و 4 نفر(4/44 درصد) مرد بودند. هیچ کدام سابقه چاقی، استعمال دخانیات، رفتار پرخطر جنسی، تزریق خون و ابتلا به یرقان نداشتند.
نتیجه گیری: مطالعه حاضر نشان داد، میزان فراوانی موارد مثبت HBsAgدر محدوده مورد انتظار قرار دارد و نمونه های مورد بررسی از سطح ایمنی مطلوبی برخوردار بودند.
Material and methods: In this cross-sectional study a total of 347 samples collected from the personnel nasal of ShahidBeheshti Hospital for identification of S. aureus. Cefoxitin containing disk and detection of mecA gene were used for identification of methicillin resistance isolates. Antimicrobial susceptibility pattern of isolates were tested against 15 different antibiotics by Disc Agar Diffusion method. Multiplex-PCR method were used for agr typing of S. aureus isolates.
Results: Ninety three (26.8%) of personnel carried S. aureus in their nasal which among them 9 isolates identified as a MRSA. Among agr group, agrI (40.9%) and agrIII (40.9%) were the prominent genotypes. All of the isolates were resistant to Penicillin. The resistance rate to erythromycin and Co-trimoxazole were 12.9% and 5.38% respectively. Most of the isolates were sensitive to other antibiotics.
Conclusion: According to the low resistance rate of S. aureus, it is appear that eradication of nasal carrier state would be possible. S. aureus with agr type I and III has an important role in nasal colonization in comparison with other agr type.
Key word: Staphylococcus aureus, Nasal carrier, agr type, Antibiotic resistance