Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
Evaluating the effect of oral bromelain (pineapple) on episiotomy wound healing in primiparus women
84
90
FA
Samira
Golozar
Ahvaz University of Medical Sciences
zahra
Abbaspour
Forogh
Namjouian
Sayyed Mahmoud
Latifi
Afrooz
Mirahi
Background: Episiotomy is the most common perineal incision in midwifery to facilitate the expulsion of the fetus. Perineal damages cause disability in many normal daily activities. The purpose of this study was to determine the effect of bromelain on episiotomy wound healing in primiparus women.Materials and Methods: In this double-blind clinical trial study, 82 primiparus women referred to Ahvaz Amiralmomenin hospital were randomly assigned to receive bromelain (100 mg) and placebo. The initial dose of bromelain was administered 2 hours after delivery. Tablets were given three times a day for six days. Wound healing was measured by REEDA scale on 3th, 7th and 14th day after delivery. Data were analyzed using independent T-test, Chi-square and Mann-Whitney tests. Results: The average scores of wound healing in bromelain group were significantly lower than placebo group on 3th, 7th and 14th day after delivery (P=0.001). There was a significant difference in total wound healing between the two groups on 14th day after delivery (P=0.001).Conclusion: Bromelain has a significant effect on better and faster healing of episiotomy wound. Hence, it can be used to accelerate episiotomy wound healing.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
Effect of methanolic soy extract on serum levels of lipid and lipoproteins in ovariectomized rats
91
97
FA
Mohammad Reza
Nasirzadeh
Islamic Azad University, Tabriz Branch,
Mir Hadi
Khayat-Nouri
Alireza
Nourazar
Jafar
Rahmani
Background: Disorders in lipid metabolism and increases of serum lipid and lipoprotein levels have been associated with postmenopausal complications. Some studies have demonstrated that isoflavones and soy proteins could have useful effects on serum lipid and lipoprotein levels however, there are a few reports about the effects of total soy extract on serum lipid and lipoproteins. This study was carried out to evaluate the effect of methanolic soy extract on serum levels of lipid and lipoproteins in ovariectomized rat. Materials and Methods: In this study 40 female rats were allocated randomly into 4 equal groups: 1) sham 2) ovariectomized 3) treatment and 4) control-gavage. The animals in treatment group received 60 mg/kg soy extract in drinking water using gavage for 28 days. At the end of the treatment, serum concentrations of total cholesterol, triglyceride, LDL, HDL and VLDL were determined.Results: Results showed that administration of total soy extract can improve the serum concentrations of lipid and lipoproteins in treatment group. Moreover, the study revealed a significant difference between the sham group and the other groups in serum concentrations of VLDL and triglyceride (P<0.05). Conclusion: Soy extract administration can have a positive effect on serum lipid and lipoprotein levels in ovariectomized rats.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
Effect of aspirin for prevention of preeclampsia in women with abnormal ultrasonic findings in uterine artery
98
104
FA
Elaheh
Mesdaghinia
Hamidreza
Talari
Kashan University of Medical Sciences
Masomeh
Abedzadeh-Kalahroudi
Background: Prevention of preeclampsia is very important in reducing maternal and neonatal mortality and morbidity. The purpose of this study was to determine the effectiveness of aspirin in the prevention of preeclampsia in high-risk pregnancies with abnormal findings at uterine artery in doppler ultrasound among women referred to Shabih-Khani hospital in Kashan.Materials and Methods: In this clinical trial study, women predisposed to preeclampsia at 12-16 weeks of gestation were evaluated by uterine artery doppler ultrasound and in the case of abnormal findings, they were randomly divided into two groups, experimental (n=40) and control (n=40) groups. The experimental group was received aspirin 80 mg/day. Groups were followed up until delivery and pregnancy outcomes (e.g. incidence of preeclampsia, IUGR, preterm labour, 1st and 5th min APGAR less than 5, delivery type and birth weight) were analyzed.Results: The incidence of preeclampsia in experimental (aspirin) group and control group were 2.5%, 22.5%, respectively. In addition, the risk of preeclampsia was 9 folds more than that of control group (P=0.007). No significant difference was seen between the two groups in the type of delivery, birth weight and gestational age.Conclusion: Aspirin administration during 12-16 weeks of pregnancy can decrease the incidence of preeclampsia in high-risk pregnancy with abnormal findings of uterine artery as a preventive measure.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
Interaction between apomorphine and histaminergic system of mouse dorsal hippocampus in the elevated plus-maze test of anxiety
105
113
FA
Elham
Ayazi
Morteza
Piri
Islamic Azad University, Ardabil Branch
Maryam
Bananej
Maryam Sadat
Shahin
Mohammad Reza
Zarrindast
Background: Histaminergic and dopaminergic systems influence anxiety-related behavior. Furthermore, interaction between histaminergic and dopaminergic receptors has been demonstrated in the modulation of some behaviors in the hippocampus. In the present study, the interaction between histaminergic and dopaminergic receptors of dorsal hippocampus in the anxiety-related behavior has been evaluated. Materials and Methods: This experimental study was carried out on 140 male NMRI mice. Mice were anesthetized with intra-peritoneal injection of ketamine hydrochloride plus xylazine and then placed in a stereotaxic apparatus. Two cannuales were placed in the CA1 region of hippocampus. All animals were allowed to recover for one week before the beginning of the behavioral testing. The elevated plus-maze test was used to evaluate anxiety-related behaviors. One-way analysis of variance (ANOVA) followed by LSD test were done for the statistical analysis of the data. All experiments were conducted in accordance with institutional guidelines for animal care and use.Results: Intra-CA1 injection of histamine (10 µg/mouse) or apomorphine (0.1 and 0.3 µg/mouse) 5 min before testing induced anxiety. Intra-CA1 injection of apomorphine (0.01 and 0.1 µg/mouse) 2 min before the effective dose of histamine (10 µg/mouse) inhibited the anxiogenic effects of histamine.Conclusion: It seems that both histaminergic and dopaminergic system not only play a role in the modulation of anxiety in the dorsal hippocampus of mice but also demonstrate a complex interaction as well.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
Efficacy of educational workshop on self-esteem of students at Kashan university of medical sciences
114
119
FA
Abdolah
Omidi
Kashan University of Medical Sciences
Hosain
Akbari
Tayebe Sadat
Jadi Arani
Background: Self-esteem, a sublime mental feeling highly effective for improving physical and mental health, can be considered as one of the areas of vulnerability to depression disorders. The purpose of this study was to promote the self-esteem of students using the educational workshop held at Kashan university of medical sciences. Materials and Methods: This experimental study with a random-allocation block design was performed on 106 students (54 in the experimental group and 52 in control group) at Kahsan university of medical sciences. A six-hour training workshop was held for the experimental group and an Eysenck self-esteem questionnaire for one-month post-workshop follow up. Finally, the average scores of self-esteem in two groups, before and after the intervention, were reported.Results: The mean score of self-esteem in the experimental group was significantly increased from 20.50 to 23.22 (P=0.001). Moreover, The average test score for one-month post-workshop follow up was 22.60, signifying the difference in self-esteem promotion (P=0.001) however, the mean score in the control group was decreased from 21.29 to 21.24. In addition, the average follow up score was 21.27 and no significant difference was seen for self-esteem score.Conclusion: The results indicate that holding educational self-esteem workshop enhances students' self-esteem.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
The diagnostic value of pleural fluid cytology and biopsy compared to surgical procedures in malignant pleural effusion
120
125
FA
Mehrdad
Solooki
Shahid Beheshti University of Medical Sciences
Majid
Malekmohamad
Background: As the accumulation of fluid in the pleural cavity is a common finding in patients with cancer, its diagnosis deserves careful consideration. The aim of this study was to compare the diagnostic value of pleural fluid cytology and biopsy to surgical biopsy in patients with suspected malignant pleural effusions.Materials and Methods: During a cross-sectional study, patients with exudative pleural effusion admitted to the Massih-Daneshvari hospital (Tehran) during an 18-month period were enrolled to determine the diagnostic value of pleural fluid cytology, closed needle biopsy and surgical biopsy in suspicious cases of malignant pleural effusion followed by a six-month final diagnosis.Results: A total of 318 patients (218 men and 100 women, aged 15-85) with a mean age of 59 years were recruited in this study. The sensitivity and negative predictive value of cytology for diagnosis of malignant pleural effusion were 32.4% and 65.6% for closed needle biopsy 65.9% and 63.2%, and for surgical biopsy 87.8% and 80%, respectively. Conclusion: A combination of pleural fluid cytology and biopsy has diagnostic value in 80% of cases of malignant pleural effusion and considering its simplicity, availability and low cost, these methods have acceptable diagnostic values compared to surgical biopsy.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
The relationship between turbidity, residual chlorine concentration and microbial quality of drinking water in rural areas of Kashan during 2008-9
126
131
FA
Mohammad Bagher
Miranzadeh
Kashan University of Medical Sciences
Mojtaba
Hasanzadeh
Samaneh
Dehqan
Mohammad
Sabahi-Bidgoli
Background: Common belief is that water quality evaluation must be based on its appearance, not only the apparent characteristics but also the microbial and chemical characteristics should be considered. This study was conducted to examine the relationship between turbidity, residual chlorine concentration and microbial quality of water used for drinking in rural areas of Kashan. Materials and Methods: This cross-sectional descriptive study was carried out on drinking water samples taken from 57 villages of Kashan during 2008-9. Among the total samples taken during three stages, only one sample was selected and analyzed for water quality parameters of turbidity, residual chlorine concentration and heterotrophic plate count (HPC).Results: HPC, residual chlorine concentration and turbidity of water samples desirable in three stages and undesirable in another three stages were 86%, 22.8% and 75.4% 12.3%, 29.8% and 0%, respectively. Furthermore, HPC in 95% of samples under the supervision of rural water and wastewater company (RWWC) and in 64.7% of samples that were not under the supervision of RWWC, were in the range of standard drinking water.Conclusion: The results of the study show that correlation between residual chlorine concentration and HPC level of drinking water in Kashan rural areas was significant, while there is no significant correlation between residual chlorine concentration and turbidity HPC and turbidity. Hence, RWWC supervision has a prominent role in supplying safe drinking water for such areas.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
The relation between obesity, physical activity and socioeconomic status among girl students living in northern Tehran
132
138
FA
Mohammad Ali
Azarbayjani
, Islamic Azad University, Central Tehran Branch
Farshad
Tojari
Masomeh
Habibinejad
Background: Researchers have focused on obesity as a multidimensional phenomenon and its incidence may be affected by some biological, cultural and social factors. The aim of the present study was to examine the relationship between obesity, physical activity and socioeconomic status among girl students living in northern Tehran. Materials and Methods: In this descriptive study, 488 elementary students (7-11 years) were randomly selected from elementary schools in northern Tehran (Shemiranat district). The waist and hip circumferences, height and weight of subjects were measured using the standard methods. Body mass index (BMI) percentage was calculated through CDC2000. Nicolas Barbosa questionnaire consisting students' demographic information and the physical activity levels were completed by subjects. The data were analyzed using Pearson correlation.Results: While a negative correlation was detected between BMI and physical activity (P<0.025), there was a significant correlation between socioeconomic status and BMI (P<0.013) and between socioeconomic status and physical activity (P=0.001).Conclusion: Considering the importance of daily physical activity in the prevention of obesity among children, it is highly recommended.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
Frequency of extended-spectrum beta-lactamase (ESBL) multidrug-resistance produced by Pseudomonas aeruginosa isolated from clinical and environmental specimens in Kashan Shahid Beheshti hospital during 2010-11
139
145
FA
Zahra
Tavajjohi
Rezvan
Moniri
- Anatomical Sciences Research Center
Ahmad
Khoeshidi
Background: Pseudomonas aeruginosa is among the most important nosocomial bacterial infections with innate resistance to many antibiotics. This study was designed to evaluate the frequency of extended-spectrum beta-lactamase (ESBL) multidrug-resistance produced by P. aeruginosa isolated from clinical and environmental specimens in Kashan Shahid Beheshti hospital. Materials and Methods: This descriptive study was conducted on clinical isolates (n=76) of P. aeruginosa from Kashan Shahid Beheshti hospital during 2010-11. Antibiotic susceptibility testing for eight antimicrobial agents was carried out according to the clinical and laboratory standards institute (CLSI) guidelines and ESBL-producing strains were confirmed using double-disk diffusion test. MDR-isolates were defined as those resistant to three or more classes of antibiotics. Results: Among all P. aeruginosa isolates, the highest resistance was seen for piperacillin, imipenem, cefotaxime, ceftriaxone, gentamicin, ceftazidime, aztreonam and ciprofloxacin, respectively. Seven strains (9.2%) were ESBL-positive. Twenty-seven percent of the isolates were resistant to at least three classes of antibiotics 8 out of 14 tracheal discharges 4 out of 9 wound and 2 out of 3 blood samples were MDR. Conclusion: The study emphasizes the high frequency of MDR-P. aeruginosa in clinical and environmental specimens isolated from this hospital. Imipenem resistance in MDR-P. aeruginosa isolates is also high in this study. This calls for strict infection control measures to prevent further microbial spread.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
The quality of hospital services in Kashan educational hospitals during 2008-9: the patients' viewpoint
146
152
FA
Mohammad
Sabahi-Bidgoli
Sayyed Gholam Abbas
Mousavi
Ali
Kebriaei
Sayyed Hamidreza
Seyyedi
Kashan University of Medical Sciences
Somayeh
Shahri
Mahmood
Atharizadeh
Background: The main mission of any hospital in a health care system is to promote care quality for patients and to meet their needs and expectations. The aim of this study was to evaluate the quality of hospital services from the viewpoint of patients admitted to Kashan educational hospitals. Materials and Methods: In this cross-sectional study, 390 patients admitted to Kashan educational hospitals were selected based on the stratified sampling and their points of view were evaluated using SERVQUAL questionnaire during 2008-9. The quality attributes of the questionnaire consisted of seven dimensions (e.g. physician's empathy, physician's availability, the reliability of physician performance, nurse's responsibility, nurse's empathy, drugs management and tangibility of services). Validity and reliability of the questionnaire were confirmed using content validity and Cronbach's alpha coefficient (0.93), respectively. The data were analyzed using the Kruskal-Wallis and Mann-Whitney tests.Results: The mean age of the respondents was 45.72±18.36 years and 54.1% of subjects were men. There was a significant difference among the mean of seven dimension scores and the total quality dimension. Moreover, a significant difference was observed in the quality score mean of different dimensions among hospitals. The highest and lowest means of quality score were for physician's empathy (3.97±0.75) and tangibility of the services (3.76±0.58), respectively. Conclusion: From the patients' viewpoint, educational hospitals have made good progress in providing hospital services however, different quality scores among quality dimensions in any hospital signify that the health care administrators should pay more attention on the quality improvement programs to improve patients' satisfaction.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
Mothers satisfaction of hospital care in the pediatric ward of Kashan Shahid Beheshti hospital during 2010-11
153
160
FA
Masomeh
Hosseinian
Kashan University of Medical Sciences
Maryam Sadat
Shahshahani
Mohsen
Adib-Hajbagheri
Background: Despite the importance of patient satisfaction as an indicator of care quality, no data are available on the satisfaction of mothers whose children admitted to hospitals. This study aimed to evaluate the mothers satisfaction of hospital care in the pediatric ward of Kashan Shahid Beheshti hospital. Materials and Methods: A descriptive study was conducted using the pediatric family satisfaction (PFS) questionnaire and through interviewing with 280 mothers during 2010-11. Data were analyzed using SPSS software and descriptive statistics.Results: Mean maternal age of subjects was 28.04 years. Average age of admitted children was 2.4 years and the mean of hospital stay 4.97 days. The mothers were dissatisfied with doctors for not being available on time and their failure to notify the results of their childs tests. They were also dissatisfied with nurses for the lack of education about their childs treatment and also the lack of post-discharge care. The mothers were also dissatisfied with welfare services (e.g. providing an appropriate play room for children (71.4%). Average satisfaction scores for the medical, nursing and welfare staff were 22.25±6.19, 29.05±6.88 and 26.68±6.93, respectively. A significant relationship was observed between the child's disease and the mothers satisfaction (P<0.0001). Conclusions: Overall satisfaction with medical, nursing and welfare staff was low in pediatric ward of this hospital. Doctors and nurses attention to the quality of care can reduce the levels of dissatisfaction.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
Drainage methods for the control of mosquitoes
161
173
FA
Rohollah
Dehghani
Gholam Reza
Mostafaei
Kashan University of Medical Sciences
Iran
Zarghi
Background: Considering the importance of mosquito control in public health and the need to use non-chemical and safe methods for the environment health, the aim of the present study was to review the advantages of drainage methods for the control of mosquito. Materials and Methods: This study was carried out by a systematic search using key words in Internet, related websites, scientific research journals both in English and Persian during 1982-2010. Among the searched materials, the most eligible resources were selected and evaluated.Results: The history of problems caused by mosquitoes and how to control them in human communities, date back to the human life. Due to its simplicity, durability and harmless nature, the method has a worldwide application. Applying different drainage methods in areas with high water table and rainfall is an effective and appropriate way to control mosquitoes. Conclusion: to sum up, drainage method, as a non-chemical method, has the potential of being environmentally safe.
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
15
2
2011
6
1
Premenstrual syndrome and complementary medicine in Iran: a systematic review
174
187
FA
Raheleh
Babazadeh
Shahroud University of Medical Sciences
Afsaneh
Keramat
Background: Most women who experience some unpleasant or uncomfortable symptoms of premenstrual syndrome (PMS) may use some natural therapies or complementary medicine for relieving its symptoms. In making an evidence-based decision regarding the use of alternative medicine for these women, the health care providers should have access to high quality information. This study aimed to review the outcome and efficacy of clinical trials done in Iran on using herbal drug and complementary/alternative medicine to relieve PMS symptoms. Materials and Methods: Electronic searching of Medline, Sid, Irandoc, Magiran, Journals of herbal drugs and sports sciences was performed during 2010-11. Moreover, through Internet search engines (e.g. Google and Yahoo), randomized clinical trials of herbal and complementary medicine for PMS in Iran were identified. The bibliographies of articles and students' theses were searched and evaluated. Results: The results showed that exercise is beneficial for PMS and preliminary findings indicated that Hypericum perforatum, Saffron, Oenothera Lamarkiana, Starchy diet, Fennel and Chamomile, Vitex Agnus Castus, Ginkgo biloba, acupressure and counseling were also effective to relieve the PMS symptoms.Conclusion: Among the above-mentioned measures, there is much evidence to support the use of exercise to reduce PMS symptoms.