Jahrom University of Medical SciencesPars Journal of Medical Sciences2717-02847420221225The accuracy of Edinbourgh postpartum depression test.The accuracy of Edinbourgh postpartum depression test.1670026410.29252/jmj.7.4.1FALeilaMosllanejad0000-0003-2688-9664SaedSobahniuanJournal Article20221225Postnatal depression is a keyconcept for mother infant mental health ,Evidence of its impact on mother –infant relationship has been increasingly in recent years.
Therefore optimal intervention is important for women and their babies mental health .Identifying risk factors of postnatal depression and developing screening system are needed
Method :
Validation of EDPS was conducted on a 230 sample of women who were within their 8 week postpartum. structured diagnostic was beck depression inventory that was used as the gold standard test.
Result :
The study of sensitivity , specifty and predictive values indicated that ,the best (sensitivity in this test was (64.58),specify(76/5),positive predictive value (62),and negative predictive value was (79/2),fulse positive rate( 34/1),true positive rate( 23/4),accuracy of test( 72/6).
Conclusions:
It was concluded that values for the validity were respectable , but not excellent , the EPDS is a useful as a screening tools inside other clinical method for assessing postnatal depressionPostnatal depression is a keyconcept for mother infant mental health ,Evidence of its impact on mother –infant relationship has been increasingly in recent years.
Therefore optimal intervention is important for women and their babies mental health .Identifying risk factors of postnatal depression and developing screening system are needed
Method :
Validation of EDPS was conducted on a 230 sample of women who were within their 8 week postpartum. structured diagnostic was beck depression inventory that was used as the gold standard test.
Result :
The study of sensitivity , specifty and predictive values indicated that ,the best (sensitivity in this test was (64.58),specify(76/5),positive predictive value (62),and negative predictive value was (79/2),fulse positive rate( 34/1),true positive rate( 23/4),accuracy of test( 72/6).
Conclusions:
It was concluded that values for the validity were respectable , but not excellent , the EPDS is a useful as a screening tools inside other clinical method for assessing postnatal depressionhttps://jmj.jums.ac.ir/article_700264_52288e0689f2002d5d7280c27deed610.pdfJahrom University of Medical SciencesPars Journal of Medical Sciences2717-02847420221225Survey side effect of intravenous Streptokinase in old patients with acute myocardial infarction.Survey side effect of intravenous Streptokinase in old patients with acute myocardial infarction.71470026510.29252/jmj.7.4.2FAMohammadShojaieMohammadHashemAbdiJournal Article20221225Introduction: Myocardial infarction is one of the most common causes of death in worldwide. Venous thrombolytic therapy is one of important treatment in acute phase of this disease. Although, benefit of thrombolytic therapy is approved in patients with age less than 75 years but beneficial effect of this treatment in old patients is controversial. The aim of our study is evaluation of venous Streptokinase side effect in old patients.
Methods: This cross- sectional descriptive study was done on 100 patients with acute myocardial infarction that received venous Streptokinase and blood, cardiovascular and allergic side effects were evaluated. Then these data was analyzed by SPSS.
Results: Our patients consist of 82 men and 18 women with mean age of
11.7 years Old. ± 61.7 .These patients divided to two groups under and above 70 years old. Although, cardiac complications were the most common side effect of Streptokinase in both group but we didn’t find any meaningful difference Streptokinase’s side effects between two groups except for sinus bradycardia (p=0.04) and hypotension (p=0.02).
Conclusions: Although, There were a few complications of Streptokinase in old patients but this treatment in these patients especially in centers without emergency angioplasty facility should be consider.Introduction: Myocardial infarction is one of the most common causes of death in worldwide. Venous thrombolytic therapy is one of important treatment in acute phase of this disease. Although, benefit of thrombolytic therapy is approved in patients with age less than 75 years but beneficial effect of this treatment in old patients is controversial. The aim of our study is evaluation of venous Streptokinase side effect in old patients.
Methods: This cross- sectional descriptive study was done on 100 patients with acute myocardial infarction that received venous Streptokinase and blood, cardiovascular and allergic side effects were evaluated. Then these data was analyzed by SPSS.
Results: Our patients consist of 82 men and 18 women with mean age of
11.7 years Old. ± 61.7 .These patients divided to two groups under and above 70 years old. Although, cardiac complications were the most common side effect of Streptokinase in both group but we didn’t find any meaningful difference Streptokinase’s side effects between two groups except for sinus bradycardia (p=0.04) and hypotension (p=0.02).
Conclusions: Although, There were a few complications of Streptokinase in old patients but this treatment in these patients especially in centers without emergency angioplasty facility should be consider.https://jmj.jums.ac.ir/article_700265_1bab8e14e14ec93f4db180ed3ddbb3fb.pdfJahrom University of Medical SciencesPars Journal of Medical Sciences2717-02847420221225Anthropometric Measurements and its Relation to Hypertension in Cardiovascular Diseased PatientsAnthropometric Measurements and its Relation to Hypertension in Cardiovascular Diseased Patients162270026610.29252/jmj.7.4.3FAZohrehMazloomNajmehHejaziMaryamEkramzadehJournal Article20221225Objectives: Obesity is one of the modifiable risk factors in cardiovascular disease (CVD). The prevalence of obesity in patients with cardiovascular disease is 25-35% especially android obesity. This study design to determine the anthropometric measurements and its relation to hypertension in CVD patients.
Method and material: This cross-sectional study determines the anthropometric measurements of 180 CVD patients referred to Motahhari clinic in Shiraz. Subjects were selected using simple sampling and anthropometric
Data were analyzed by using SPSS# 11، qualitative statistic and chi-square test.
Results: 45% of patients in the study had BMI of 25-29.9 and 20.1 % had BMI of ≥30. In addition 46.3% of women had skin fold thickness between15 th to 25th percentile and 27.8% of men had skin fold thickness on50 th to 75th percentile.
The WHR of 97.2% of women and 26.3% of men was abnormal (>0.8 and 1 respectively). No statistically significance relation was seen between anthropometric measurements and hypertension.
Conclusion: obesity prevalence is significantly high in CVD patients and it appears that most of the women with CVD had central obesity and excess subcutaneous Truncal-abdominal fat and men had higher skin fold thickness.Objectives: Obesity is one of the modifiable risk factors in cardiovascular disease (CVD). The prevalence of obesity in patients with cardiovascular disease is 25-35% especially android obesity. This study design to determine the anthropometric measurements and its relation to hypertension in CVD patients.
Method and material: This cross-sectional study determines the anthropometric measurements of 180 CVD patients referred to Motahhari clinic in Shiraz. Subjects were selected using simple sampling and anthropometric
Data were analyzed by using SPSS# 11، qualitative statistic and chi-square test.
Results: 45% of patients in the study had BMI of 25-29.9 and 20.1 % had BMI of ≥30. In addition 46.3% of women had skin fold thickness between15 th to 25th percentile and 27.8% of men had skin fold thickness on50 th to 75th percentile.
The WHR of 97.2% of women and 26.3% of men was abnormal (>0.8 and 1 respectively). No statistically significance relation was seen between anthropometric measurements and hypertension.
Conclusion: obesity prevalence is significantly high in CVD patients and it appears that most of the women with CVD had central obesity and excess subcutaneous Truncal-abdominal fat and men had higher skin fold thickness.https://jmj.jums.ac.ir/article_700266_128cdedfba6e5e6374fdc85d5c78c428.pdfJahrom University of Medical SciencesPars Journal of Medical Sciences2717-02847420221225Influence of aerobic exercise and Ramadan fasting on fluctuation of some blood hormonesInfluence of aerobic exercise and Ramadan fasting on fluctuation of some blood hormones233470026710.29252/jmj.7.4.4FAAsgharNiksereshtMaryamJahromiNarjesBasiratSaeidSobhanianJournal Article20221225Introduction: The metabolic and physiological response of the body to physical activities under optimal nutrition is recognized. However, the effect of physical activities under fasting situations has rarely been studied. In the present study, the effect of aerobic exercises on the fluctuation of some blood hormones of the fast people was examined.
Method: Forty healthy male non athletic were randomly selected and divided into two experimental and control groups. The experimental group under go an aerobic program in Ramadan fasting with %70 heart rate reserve for three days in a week for the whole month. Thyroid hormones(TSH,T4,T3),Insulin were measured in four stages: before, after and in 15th,29th day Ramadan .the samples before and after Ramadan month were collected after 12 hour fasting over night and the 15th and 29th Ramadan samples were collected before breaking fast from left brachial vein.
Results: The comparison between experimental and control groups showed that insulin and T3 level had not difference (p>0/05).increase of TSH and decrease of T4 in experimental group in 29th Ramadan were significant compare to the control group. (p=0.036 & p=0.015 respectively).
Conclusion: Aerobic exercise during fasting cause increasing TSH & T4. it seems that thyroid and hypophysis gland secretion are influenced by exercise that can be due to increase in active tissue metabolism and thyroid hormone role in body adaptation mechanism to provide active tissue demands.Introduction: The metabolic and physiological response of the body to physical activities under optimal nutrition is recognized. However, the effect of physical activities under fasting situations has rarely been studied. In the present study, the effect of aerobic exercises on the fluctuation of some blood hormones of the fast people was examined.
Method: Forty healthy male non athletic were randomly selected and divided into two experimental and control groups. The experimental group under go an aerobic program in Ramadan fasting with %70 heart rate reserve for three days in a week for the whole month. Thyroid hormones(TSH,T4,T3),Insulin were measured in four stages: before, after and in 15th,29th day Ramadan .the samples before and after Ramadan month were collected after 12 hour fasting over night and the 15th and 29th Ramadan samples were collected before breaking fast from left brachial vein.
Results: The comparison between experimental and control groups showed that insulin and T3 level had not difference (p>0/05).increase of TSH and decrease of T4 in experimental group in 29th Ramadan were significant compare to the control group. (p=0.036 & p=0.015 respectively).
Conclusion: Aerobic exercise during fasting cause increasing TSH & T4. it seems that thyroid and hypophysis gland secretion are influenced by exercise that can be due to increase in active tissue metabolism and thyroid hormone role in body adaptation mechanism to provide active tissue demands.https://jmj.jums.ac.ir/article_700267_1203eed1aef6f0126db049d6b657cac8.pdfJahrom University of Medical SciencesPars Journal of Medical Sciences2717-02847420221225A survey of the Prevalence of Self-medication and the Factors Affecting it in PregnantMothers Referring to Health Centers in Arak city, 2009A survey of the Prevalence of Self-medication and the Factors Affecting it in PregnantMothers Referring to Health Centers in Arak city, 2009344270026810.29252/jmj.7.4.5FAMohsenShamsiAkramBayatiJournal Article20221225 Abstract:
Introduction: Self-medication is one of the most health problem specially in population women for locating sensitive period imstance pregnancy. The purpose of this study was to assess prevalence self medication and some factors effected in mothr with pregnancy in Arak city.
Materials: Through a descriptive- cross sectional study 400 women with pregnancy referring health centers Arak city random selected and then interviewed through a questionnaire.
Results: Result indicated that %12 of all women committed self medication . The most common disease for which they were used were respiratory ، Anemia and Alimentary respectively. The most common factors underlying self drug consumption were negligence of the disease، and don’t accsses insurance and inability to offord the visit fees of the physicans. Adminsterated drug consumption was more prevalent among 25 to 35 years old women and less prevalent below 20 years . It was also more prevalent among governmwnt employees. Morther relationship between a selfmedication and age ، Job and litracy level (P<0/05).
Conclusion: Since drug production demand high expenses and self administration may induce harmful side-effectes specially in women social locating in sensitive period pregnancy that cause abnormality birth thus necessarily reform in the cultural and don’t use self medication in women recommended. Abstract:
Introduction: Self-medication is one of the most health problem specially in population women for locating sensitive period imstance pregnancy. The purpose of this study was to assess prevalence self medication and some factors effected in mothr with pregnancy in Arak city.
Materials: Through a descriptive- cross sectional study 400 women with pregnancy referring health centers Arak city random selected and then interviewed through a questionnaire.
Results: Result indicated that %12 of all women committed self medication . The most common disease for which they were used were respiratory ، Anemia and Alimentary respectively. The most common factors underlying self drug consumption were negligence of the disease، and don’t accsses insurance and inability to offord the visit fees of the physicans. Adminsterated drug consumption was more prevalent among 25 to 35 years old women and less prevalent below 20 years . It was also more prevalent among governmwnt employees. Morther relationship between a selfmedication and age ، Job and litracy level (P<0/05).
Conclusion: Since drug production demand high expenses and self administration may induce harmful side-effectes specially in women social locating in sensitive period pregnancy that cause abnormality birth thus necessarily reform in the cultural and don’t use self medication in women recommended.https://jmj.jums.ac.ir/article_700268_9b15564cb3c1cfcd27ddd02e3adb315d.pdfJahrom University of Medical SciencesPars Journal of Medical Sciences2717-02847420221225435170026910.29252/jmj.7.4.6FAAKhalooeiAIranpoorKRahmanianSHamzavinejadJournal Article20221225https://jmj.jums.ac.ir/article_700269_14f88f0f3fb4351dd41f0f34ba2cfa1a.pdfJahrom University of Medical SciencesPars Journal of Medical Sciences2717-02847420221225The Effect of Intervention on Patient's Satisfaction In Emergency Departments of the Hospitals Affiliated to Shiraz University of Medical SciencesThe Effect of Intervention on Patient's Satisfaction In Emergency Departments of the Hospitals Affiliated to Shiraz University of Medical Sciences526170027010.29252/jmj.7.4.7FALeilaMalekmakanSezanehHaghpanahHosseinMoravejSharifiMehrdadJournal Article20221225The status of providing medical services to patients in the emergency wards can be indicator
of medical service delivery in every part of hospital. We determined the level of patient's
satisfaction in emergency departments of the hospitals affiliated to Shiraz University of
Medical Sciences and planned appropriate interventions for promotion of this level.
Methods:
This research was an interventional study in the hospitals affiliated to Shiraz University of
Medical Sciences. We used a questionnaire with 18 items for data collection. In the first phase
of our study, some interventions were implemented such as special attention to cleaning of
emergency departments, more respect to patients, attending round supervision, and increased
space of some emergency wards. After 6 months, the second phase of the study was done.
The data were analyzed, using SPSS 11.5 software and appropriate tests.
Results:
508 patients in the first stage of this study, and 585 patients in the second stage filled out the
questionnaire. The level of patients' satisfaction improved in the post-intervention stage
(P<0.05). In the pre-intervention stage, the highest and lowest levels of patients' satisfaction
were professional and cost & comfort services, respectively. In the post-intervention stage,
professional services had the highest level.
Conclusion:
The results of this study showed that interventions were effective on improvement of patients'
satisfaction. Promotion of the quality of services and continuous monitoring of them could
improve patients' satisfaction in emergency wards.The status of providing medical services to patients in the emergency wards can be indicator
of medical service delivery in every part of hospital. We determined the level of patient's
satisfaction in emergency departments of the hospitals affiliated to Shiraz University of
Medical Sciences and planned appropriate interventions for promotion of this level.
Methods:
This research was an interventional study in the hospitals affiliated to Shiraz University of
Medical Sciences. We used a questionnaire with 18 items for data collection. In the first phase
of our study, some interventions were implemented such as special attention to cleaning of
emergency departments, more respect to patients, attending round supervision, and increased
space of some emergency wards. After 6 months, the second phase of the study was done.
The data were analyzed, using SPSS 11.5 software and appropriate tests.
Results:
508 patients in the first stage of this study, and 585 patients in the second stage filled out the
questionnaire. The level of patients' satisfaction improved in the post-intervention stage
(P<0.05). In the pre-intervention stage, the highest and lowest levels of patients' satisfaction
were professional and cost & comfort services, respectively. In the post-intervention stage,
professional services had the highest level.
Conclusion:
The results of this study showed that interventions were effective on improvement of patients'
satisfaction. Promotion of the quality of services and continuous monitoring of them could
improve patients' satisfaction in emergency wards.https://jmj.jums.ac.ir/article_700270_b370f0743d0ec78e61edc63cb3a70585.pdfJahrom University of Medical SciencesPars Journal of Medical Sciences2717-02847420221225A Case Report Of Aspirin-Iinduced Asthma (AIA) Syndrome After Ingestion Of NaproxenA Case Report Of Aspirin-Iinduced Asthma (AIA) Syndrome After Ingestion Of Naproxen626870027110.29252/jmj.7.4.8FASaeedHamidizadehKamalSalehiKamalBostaniJournal Article20221225In some patients with asthma, aspirin (ASA) and all non-steroidal anti-inflammatory drugs
that inhibit cyclooxygenase enzymes (cyclooxygenase-1 and -2) precipitate asthmatic attacks
and naso-ocular reactions. This distinct clinical syndrome is called aspirin-induced asthma
(AIA). In this paper, a 40 year old woman suffering from asthma was afflicted with dyspnea
after visiting a doctor and administration of naproxen.. She was transferred to the emergency
department of Miandoab al-zahra hospital and there she was afflicted with pulmonary–heart
arrest. Immediately, the patient was entubated and CPR began which was successful. She
was transferred to ICU with Gcs=3 to continue her treatment. After 5 days, the patient was
discharged with complete consciousness.This syndrom is preventable but in some situations it
can be severely life-threatening, especially when the case is living in an area far from health
centers.In this case, the patients and their families should attend educational programs on the
disease specificities, drug administration, manifestations of the disease, and preventional
methodsIn some patients with asthma, aspirin (ASA) and all non-steroidal anti-inflammatory drugs
that inhibit cyclooxygenase enzymes (cyclooxygenase-1 and -2) precipitate asthmatic attacks
and naso-ocular reactions. This distinct clinical syndrome is called aspirin-induced asthma
(AIA). In this paper, a 40 year old woman suffering from asthma was afflicted with dyspnea
after visiting a doctor and administration of naproxen.. She was transferred to the emergency
department of Miandoab al-zahra hospital and there she was afflicted with pulmonary–heart
arrest. Immediately, the patient was entubated and CPR began which was successful. She
was transferred to ICU with Gcs=3 to continue her treatment. After 5 days, the patient was
discharged with complete consciousness.This syndrom is preventable but in some situations it
can be severely life-threatening, especially when the case is living in an area far from health
centers.In this case, the patients and their families should attend educational programs on the
disease specificities, drug administration, manifestations of the disease, and preventional
methodshttps://jmj.jums.ac.ir/article_700271_0ef23e671a9056e0b45a659663991632.pdf