Ahvaz Golestan Hospital Research Articles

The Effect of Implementing Nursing Care Based on Gordon's Model on the Clinical Outcomes of Patients Undergoing Coronary Artery Bypass Surgery: A Quasi-experimental Study

Background: Open-heart surgery is associated with life-threatening complications, and providing nonstandard nursing care without any plan for patients undergoing this type of surgery in the intensive care unit (ICU) can deteriorate their conditions. Objectives: This study investigated the effect of providing nursing care based on Gordon's functional health patterns model on the clinical outcomes of patients undergoing coronary artery bypass surgery in the cardiac surgery ICU. Methods: This was a quasi-experimental study involving 58 patients undergoing coronary artery bypass surgery admitted to the cardiac surgery ICU of Ahvaz Golestan Hospital in 2021. The patients were selected using convenience sampling and based on the inclusion criteria, and they were divided into intervention and control groups. First, the information related to the outcomes of the patients in the control group was collected using a checklist. Then, all the ICU nurses working at the study site were trained in Gordon's model and how to perform nursing care based on this model. They provided the necessary nursing care based on this model for the patients in the intervention group under the supervision of the researcher. The data of the patients in the intervention group were collected after completion of the intervention using the same checklist used for the control group. Finally, the data were analyzed using SPSS version 25. Results: There was a statistically significant difference between the intervention and control groups in the length of stay at the ICU (P = 0.007), length of ventilation (P = 0.001), and successful weaning from the ventilator (P = 0.026). However, there was no significant difference between the 2 groups in terms of patient mortality (P = 0.16) or re-admission to the ICU (P = 0.16). Conclusions: According to the results, Gordon's functional health patterns model of the nursing process can be easily used to improve the care and treatment outcomes of patients admitted to the cardiac surgery ICU.

Prevalence of Diabetic Neuropathy and Its Rrisk Factors in Diabetic Patients Referred to the Golestan Hospital Diabetes Clinic during 1393-95

Background and Objectives Diabetes mellitus is a widespread metabolic disease, with increasing rates and numerous complications worldwide. Nervous system disorders are common complications of diabetes, with around half of diabetics eventually developing neuropathy. Diabetic neuropathy leads to consequences, such as recurrent infections of the lower limbs, diabetic foot ulcers and subsequent amputations. Considering the numerous problems caused by diabetic neuropathy and to contribute to the improvement of prevention and control strategies, this study was conducted to determine the prevalence of diabetic neuropathy in diabetic patients and its risk factors. Subjects and Methods This cross-sectional study was part of a retrospective study (ADFC) conducted on 605 patients with type 2 diabetes referred to Ahvaz Golestan Hospital from 2014 to 2016. The incidence of diabetic neuropathy was assessed in these patients, and the risk factors for developing neuropathy were examined using a checklist and physical examination. The data were then analyzed using SPSS software version23. Results Of 605 patients examined in this study, 213 (35.2%) had diabetic neuropathy. Of these 213 participants, (51%) were women and (49%) men. In the univariable analysis, older age, male gender, longer duration of diabetes, lower education level and smoking were significantly associated with neuropathy, but in the univariable analysis only smoking and duration of diabetes remained in the model with significant relationship (p= 0.005 and <0.0001, respectively). Conclusion Diabetic neuropathy is a common and widespread complication of diabetes. Through early diagnosis and control of risk factors, efforts should be made to reduce this complication in order to minimize its numerous personal, social and financial consequences. In this study, the prevalence of neuropathy was high. In addition, diabetes duration and smoking were defined as major risk factors. It is therefore recommended that neuropathy screening and patient education (on blood glucose control, foot self-care, smoking cessation) be given greater consideration in our region.

The effect of single dose prophylactic vancomycin before semi-permanent catheterization to prevent catheter related infection; a randomized controlled trial, phase II

Introduction: Catheter-related infections are a common complication and a major cause of morbidity and mortality in hemodialysis patients with tunneled central venous catheters. The optimal strategy for the management and prevention of catheter-related infections is unclear. Objectives: This study is aimed to evaluate the single-dose prophylactic vancomycin efficacy before semi-permanent catheterization to prevent catheter-related infection. Patients and Methods: This randomized double-blind controlled clinical trial was conducted on patients with chronic renal failure requiring hemodialysis and insertion of a double-lumen central venous catheter admitted to Ahvaz Golestan Hospital. The intervention group (n=30) received 1 g of vancomycin intravenously one hour before catheter insertion and the control group (n=30) received an equal amount of normal saline. The incidence of catheter-related infections and other complications for 6 months was evaluated. Results: During the 6-month follow-up, hospitalization due to catheter-related infection and the need for antibiotic administration was observed in 9 patients (30.0%) who received vancomycin and 14 patients (46.7%) in the control group (P=0.184). Catheter extraction due to infection was observed in 4 patients of the vancomycin group (13.3%) and 6 patients of the control group (20.7%) (P=0.451). Complications other than infection were observed in four patients (13.3%) in each group (P=1.000). The mean time to onset of infection was 2.43 ±0.38 months in the control group and 3.85 ± 0.42 months in the vancomycin group (P=0.002). Conclusion: Although a single dose of intravenous vancomycin one hour before insertion of a bi-luminal hemodialysis catheter did not show a significant effect on preventing catheter-related infections over 6 months, it significantly delayed the onset of infection. Trial Registration: The trial protocol was approved by Iranian Registry of Clinical Trial (Ethical code: IR.AJUMS.HGOLESTAN.REC.1399.106 and IRCT code: IRCT20201206049617N1; https://www.irct.ir/trial/52832).

Evaluation of Blood and CSF Isolated Bacteria and Their Antimicrobial Resistance in Hospitalized Patients in Ahvaz Golestan Hospital in 2020

Background and Objectives: Infection of the blood and cerebrospinal fluid can have irreparable consequences and even death. In the present study, the prevalence of bacteria causing blood and cerebrospinal fluid infection and their antibiotic resistance in hospitalized patients was investigated. Subjects and Methods: In this present descriptive-cross-sectional study, the results of all blood and cerebrospinal fluid samples were sent for culture from the hospitalized patients of Golestan Hospital in Ahvaz in the first six months of 2019 were examined. Relevant information was extracted from patients’ medical records. Results: In this study, 12.17% of blood culture were positive and 7.6% of cerebrospinal fluid culture were positive. The most common bacteria causing blood infections were Staphylococcus Coagulase Negative (32.5%), Klebsiella (24.1%) and Pseudomonas (21.7%), and the most common bacteria causing cerebrospinal fluid infection were Klebsiella (30.9%), Streptococcus. group D (Enterococcus) (20.6%) and pseudomonas (15.5%). The highest bacterial resistance was observed for Ampicillin, Ceftriaxone, Cefazolin, Cefixime and Cefotaxime antibiotics, and the highest sensitivity was observed for Meropenem, Colistin, and Levofloxacin antibiotics. Conclusion: Since the bacterial resistance pattern is always changing, it is suggested that before starting any empirical treatment in infectious diseases, sensitive antibiotics for common bacterial agents are recommended for a more efficient treatment.

Survey of Frequency, Clinical Characteristics and Causes of Seizure in Children Younger Than Five Years With Acute Gastroenteritis Admitted to Ahvaz Golestan Hospital Over a Two Year Period

Background and Objectives Acute gastroenteritis is a highly prevalent disease in children. Various factors may causes seizure in children with gastroenteritis. This study was designed to determine the frequency, clinical characteristics and causes of seizure in children younger than 5 years with acute gastroenteritis admitted to Ahvaz Golestan hospital. Subjects and Methods In a retrospective descriptive study based on hospital records , 339 children under 5 years old who were admitted to Ahvaz Golestan hospital during 2016 - 2017 were assessed. Patients with underlying neurological disorders were excluded and the recorded information of patients with seizure was reviewed. Results Out of 339 reviewed cases, 59 patients (17.4%) had seizures, most prevalent in13 to 24 months age group (28.8%). In 74.6% of cases, type of diarrhea were dysentery. 64.4% had mild dehydration. Encephalopathy was detected in 1.7%, shigellosis in 6.8%, hyponatremia in 32.2% and hypernatremia in 3.4%. Seizures in 52.5% of cases were considered as febrile Seizure. Diagnostic criteria of benign convulsions associated with mild gastroenteritis (CwG) were present in 5% of patients. 79.7% of cases had generalized seizures. In comparison, a significant relationship was observed between the febrile and non-febrile groups only in the variable of diarrhea type. Conclusion The results show that fever and electrolyte imbalances and among infectious agents, Shigella are important causes of seizures in patients with gastroenteritis. In patients with dysentery, seizures are more likely.

Survey Method of Vascular Surgery on the Onset of Ischemic Steal Syndrome Following Vascular Access in Dialysis Patients

Background: Access to arteries is one of the most appropriate approaches for helping chronic kidney diseases. Objectives: The aim of the present study was to evaluate the survey method of vascular surgery on the onset of ischemic limb syndrome following vascular access in dialysis patients. Methods: In this cross-sectional study, the population study was patients with end-stage renal disease (ESRD) referring to Ahvaz Golestan Hospital in 2018. Control of limbs temperature and comparison with the other side, before and after surgery, feeling cold by the patient, control of organs pulse and comparison with the other side, pain of organs comparing to the other side, pain during the dialysis, paresthesia, and movement failure and during dialysis, and organs atrophy-ulcer were measured. Results: In the present study, 294 patients, including 139 women (46.94%) and 156 men (53.06%), were studied. Ischemic steal syndrome (ISS) was observed in 20 patients, that 13 cases of them had benefited from fistula approach and 7 patients used graft approach. The most common observed ISS was related to brachiocephalic fistula approach (AVF-Brachiocephalic) and then graft in arm. In non-steal syndrome group, brachiocephalic fistula (AVF-Brachiocephalic) had the most common application. In the present study, there was no significant correlation between access method and underlying diseases of high blood pressure, diabetes, and cardiac ischemic diseases. Conclusions: One of the most important results of the present study was the highest existence of steal syndrome in brachiocephalic approach, which is confirmed by other studies.

185 THE EFFECT OF PSYCHOLOGICAL PREPARATION ON THE LEVEL OF ANXIETY BEFORE UPPER GASTROINTESTINAL ENDOSCOPY

Abstract Anxiety is one of the problems in patients undergoing invasive procedures. One way to control anxiety is through psychological preparation. This study was aimed to evaluate the effect of psychological preparation on anxiety level in patients undergoing upper gastrointestinal endoscopy. Methods The present study consisted of 98 patients which were referred to Ahvaz Golestan Hospital for upper gastrointestinal endoscopy. They were randomly (table of random numbers) divided into a control group and an experimental group. All of the participants filled out Spielberg State–Trait Anxiety Inventory (STAI). The experimental group was psychologically prepared for endoscopy (given information about endoscopy and behavioural intervention), and then both groups were asked to complete STAI again an hour before endoscopy. The collected data were analysed through Mann–Whitney, Kruskal-Wallis, and Chi-square tests using SPSS 17.0. Results Before the intervention was carried out, there was no significant difference between the two groups in terms of the rate of state and trait anxiety (p > 0.05). After the intervention, the rate of state and trait anxiety decreased significantly (p < 0.05) in experimental group. Conclusion In patients subjected to endoscopy, psychological preparation was effective in reducing their anxiety and thus this can be considered as an efficient method in decreasing anxiety.

The Effect of Pain Self-Management Education on Pain Severity and Quality of Life in Metastatic Cancer Patients

Objective:Proper pain control in cancer patients is one of the prime needs of metastatic cancer patients. It is, then, one of the essential objectives of health care workers. The present study aimed to pinpoint the impact of pain self-management education on the pain severity and the quality of life in patients with metastatic cancers using complementary medicine approaches.Methods:This clinical trial study was performed in the Oncology Specialty Clinic of Ahvaz Golestan Hospital on 82 metastatic cancer patients picked based on inclusion criteria. They were randomly assigned to two groups: the intervention group and one as the control group. In the intervention group, pain self-management was taught in the three steps of providing information, skill development, and guidance. Self-management approaches were also practically taught face to face along with feedback. Furthermore, the quality of life was measured at 1-and 3-month follow-ups and the pain severity was measured during 7 weeks. In the control group, the quality of life questionnaire and the pain severity checklist were given to the participants to fill out. Finally, data were analyzed through SPSS version 22 in general and repeated-measures ANOVA and Friedman tests.Results:It was observed that after the intervention, the trend of pain severity during weeks 1–7 was significantly different in the intervention and control groups (P < 0.0001). In addition, a significant difference was observed for the quality of life at 1 and 3 months after the intervention between the two studied groups (P < 0.0001).Conclusions:Findings of the present study indicate a positive impact of pain self-management on improving pain severity and the indicators of quality of life in metastatic cancer patients. Accordingly, the current study findings can help nurses, nursing students, and other team members improve pain control skills and subsequently increase the quality of life in patients with metastatic cancers.

Evaluation of Urine Isolated Bacteria and Their Antimicrobial Resistance in Hospitalized Patients in Ahvaz Golestan Hospital in 2019

Background and Objectives: Urinary Tract Infection (UTI) is one of the most common infections in the community and hospitalized patients. The aim of the present study was to investigate bacteria isolated from urinary tract infections and their antibiotic resistance in hospitalized patients. Subjects and Methods In the this descriptive-cross-sectional study, the results of about 5,000 urine samples sent for culture from the hospitalized patients of Golestan Hospital in Ahvaz in 2019 were examined. Relevant information was extracted from patients’ medical records. Results Out of 5000 samples studied (39.7% female and 60.3% male), about 468 samples (9.36%) showed positive urine culture. Of the patients with UTI, 205 patients were women (43.8%). The risk of UTI increased with age. The most common bacteria caused urinary tract infections were E. coli with 51.5%, followed by Klebsiella with 29.3%. It was also observed that bacteria isolated from urine samples of people with UTI had antibiotic resistance, and for each bacteria special groups of antibiotics were more effective. Conclusion The prevalence of UTI in the studied patients was 9.36%. In females and with increasing age, the prevalence of UTI was higher. The most common bacteria that caused UTI were E. coli and then Klebsiella. Due to the fact that the resistance and sensitivity of bacteria to antibiotic used, it is recommended that the most common bacterial agents of UTI must be diagnosed and then the most appropriate antibiotic must be prescribed

The prevalence of depression in patients with Parkinson'sdisease and its relationship with clinical and demographic variables at Ahwaz's Golestan Hospital

Abstract Introduction: The prevalence of depression in Parkinson's patients is significantly higher than in the general population or patients with general medical status other than Parkinson's. Considering the importance of depression and its preventive and therapeutic potential in patients with Parkinson's disease and the possibility of improving the quality of life in these patients as well as the lack of such a study in Ahvaz, this study aimed to investigate the prevalence and effective factors in depression in patients with Parkinson's disease. Material and Method: This study was cross-sectional and descriptive-analytic that was performed on 36 patients referred to the Parkinson's disease association of Ahvaz Golestan Hospital in 2017(march to September). The patients are analyzed by demographic questionnaire and Beck depression test. Finally, all analyses were performed using SPSS software version 22. Results: Of the 36 patients with Parkinson's disease, 4 (11.1%) had no depression, 9 (25%) had borderline symptoms, 8 (22.2%) had mild depression, 10 (27.8%) had moderate depression and 5 Patients (13.9%) had severe depression. In general, mean depression was 20.25±9. depression was higher in married people and urban population and old higher61.(p < 0/05) Conclusion: Overall mean depression in Parkinson's patients was 20.25±9 which was in the range of moderate depression and was not correlated with job, body mass, education level, income, duration of illness and occupation but marital, age And the location was related Keywords: Depression, Parkinson'sdisease,.

Evaluating the Risk Factors and Induced Cardiotoxicity in Breast Cancer Patients

Background: Breast cancer (BC) is one of the most common cancers among women. The survival of the BC patients is based on new treatment protocols. Cardiotoxicity is the most common side effect in these patients. Methods: This was a descriptive study in which we selected our patients randomly among the BC patients and used questionnaires for data completion.66 BC patients whose disease were confirmed according to the histology and laboratory data taken to the oncology section of Ahvaz Golestan hospital between 2017 - 2018. Risk factors, history of the patients, and the function of the heart were evaluated 6 and 12 months after chemotherapy through echocardiography. Result: Six months after chemotherapy, the follow-up patients in 6 indicated five significant risk factor included Age (P &lt; 0.03), history of heart disease (P &lt; 0.02), blood pressure (P &lt; 0.00), diabetes (P &lt; 0.00), and cholesterol (P &lt; 0.04), which confirm the dysregulation function of heart and indication of cardiotoxicity. In 12 months follow- up, the result indicated that only the history of heart disease was significantly correlated with cardiotoxicity (P &lt; 0.01). Conclusion: Finally, the detection of risk factors in BC can introduce a prognostic factor when cardiotoxicity occurs simultaneously with the conduction of chemotherapy.

Report of Clinical Audit for Prevention and Improvement of Bedsore in Southwest Iran

Objective: Pressure ulcer is areas of necrosis caused by external pressure on bony prominences with a prevalence of 10-22%.&#x0D; Methods: This study was conducted to improve prevention and care of bedsore by clinical audit at Ahvaz Golestan Hospital. We included hospitalized patients at the risk of bedsore in general, special and emergency units at Ahvaz Golestan Hospital during a 6-month period. In accordance to the clinical audit cycle, the current situation was assessed by observation and consultation. After finding weakness points, proper interventions were implemented based on NICE guidelines for bedsore. Subsequently, another audit was performed to assess the effectiveness of intervention.&#x0D; Results: Comparison of results before and after intervention showed an increase in all studied variables. The changes in studied variables are listed as following: bedsore reduction (p=0.001), patients' assessment during the first 6 hours of hospitalization (p=0.008), assessment of external pressure (p=0.001), change position (p=0.001), care standards (p=0.170) and skin friction (p=0.001). The highest increase was seen in change position (p=0.001) and the lowest increase was seen in maintaining adequate skin hygiene (p=0.360).&#x0D; Conclusions: Clinical audit led to improvement of prevention and treatment quality of bedsore and also formulation and implementation of standards of care.

Investigating the Effect and Immunity of Tissue Plasminogen Activator in the Treatment of Acute Ischemic Stroke

Background and Objective: Although current evidence has demonstrated the efficacy and immunity of Alteplase, further studies are needed to evaluate its functioning in the therapeutic system. This study aims to assess the effect and immunity of tissue plasminogen activator (tPA) in the treatment of acute ischemic stroke (AIS). Methods: This study was conducted as a retrospective observational study on patients with AIS referred to Ahvaz Golestan Hospital in 2017-2018. By using the hospital database, demographic information, the cause of lack of thrombolytic therapy, the onset of symptoms and admission were extracted. The National Institutes of Health Stroke Scale (NIHSS) at the time of referral, 24 hours after treatment, and at the time of discharge, the modified Rankin Scale (mRS) scores at discharge time and 3 months after discharge, complications and mortality at the time of admission and 3 months after discharge were recorded. Results: The mean of the event to needle (hrs) was significantly lower in the tPA group (P &lt;0.0001), and delay in visiting time and loss of golden time were of the main reasons for not receiving tPA in the control group. The mean difference and the decrease in NIHSS score 24 hours after admission and discharge in the tPA group was significantly higher (P &lt;0.0001). At the time of discharge, the mean score of mRS in the two groups was not significantly different. Three months after treatment, the mean score of mRS in the tPA group was significantly lower than that in the control group (P &lt;0.05). The percentage of patients with bleeding complications was higher in the tPA group (7.27%) than that in the control group (4.89%). The percentage of deaths during the hospital stay in the tPA group (3.64%) was higher than that in the control group (1.63%). Conclusion: Patients with AIS under intravenous thrombolytic therapy with tPA showed improvement in functional measurements and neurological outcomes compared with the control group. Lack of significant difference in the rate of complications and mortality between the two groups indicated the safety and high efficacy of thrombolytic therapy in patients with AIS

Radiotherapy Interruption in Cancer Patients: Rates and Causes at Ahvaz Golestan Hospital

Introduction: Radiotherapy is one of the most common cancer treatment modalities. The goal of this study was to establish the rates and causes of radiotherapy interruptions in cancer patients at Ahvaz Golestan Hospital.Methods: In this retrospective study, the data were collected during period from 2012 to 2013, from cancer patients who received radiation therapy at Golestan Hospital. Demographic characteristics and radiotherapy interruption frequency and reasons were reviewed and analyzed. Results: Among 1476 cases, 70.7% of patients had no radiotherapy interruption. The most common cause of treatment interruption was equipment damages and/or maintenance in 29.5% of patients. There were statistically significant relations between radiotherapy interruption with site of cancer (P=0.014) and living place of patients (P=0.006), respectively.Conclusion: Generally, treatment interruption at our center was not much higher than other centers; however, the most common cause of treatment interruption was equipment damages and/or maintenance, which was higher than most centers.

The Effect of Intravenous Magnesium Sulfate in Improvement of Acute Ischemic Stroke Induced Disability: A Randomized Double Blinded Clinical Trial

Background: Stroke is the third main cause of death and chronic disabilities in adults, which requires finding neuroprotective drugs to reduce its mortality and morbidity. Objectives: To determine the efficacy of magnesium sulfate as an adjunctive neuroprotective agent in patients with stroke. Materials &amp; Methods: This randomized double-blind clinical trial recruited 120 patients with acute ischemic stroke in the middle cerebral artery territory presenting to Ahvaz Golestan Hospital from 2015 to 2016. The patients were randomly assigned into two groups. The first group received 4 grams bolus intravenous magnesium sulfate and then 16 grams/24 hours for 5 consecutive days. The second group received normal saline as placebo. Functional disability was assessed on admission and at the end of the first and third months after stroke by modified National Institutes of Health Stroke Scale (mNIHSS) and modified Rankin Scale Score (mRSS). Qualitative variables were compared using chi-square test in SPSS V. 16. Results: The results showed that difference of the mean mNIHSS, before (P=0.596) and one (P=0.512) and three (P=0.664) months after the treatment was not statistically significant between magnesium and placebo groups. Also it was true for mRSS before (P=0.669) and three month (P= 0.878) after the treatment. Conclusion: IV magnesium sulfate probably did not have significant positive effects on the outcome of patients with acute middle cerebral artery infarction. Studies on larger populations are recommended to show its possible effects.

Frequency of quinolone resistance genes among extended-spectrum \u03b2-lactamase (ESBL)-producing Escherichia coli strains isolated from urinary tract infections

BackgroundAs an opportunistic pathogen, Escherichia coli (E. coli) is widely recognized as the main cause of nosocomial infections as well as some disorders especially those associated with urinary tract infections (UTIs). This study, therefore, sets out to determine the extent of antibiotic resistance to quinolones and to measure the frequency of qnr genes (A, B, and S) within extended-spectrum beta-lactamase (ESBL) and non-ESBL-producing strains of E. coli isolated from UTI-diagnosed patients as well as to investigate their antimicrobial susceptibility patterns for some selected antibiotics in southwest Iran.MethodsTwo hundred E. coli strains were isolated from UTI-diagnosed patients, hospitalized in nine different wards of Ahvaz Golestan Hospital between November 2015 and March 2016. The isolates were confirmed through well-practiced phenotypical methods. Moreover, the antimicrobial susceptibility test was successfully performed using a disk diffusion method. ESBL production among the isolates was screened by double disk synergism test (DDST), and the qnr genes were identified using a multiplex PCR.ResultsOut of the 200 samples collected, 167 isolates were confirmed to be E. coli strains. Maximum and minimum resistance were reported against nalidixic acid and chloramphenicol with 65.3% and 17.4%, respectively. Most of the isolates were resistant to all three types of quinolones studied in this research. Using multiplex PCR, the qnr genes were found in 100 (59.88%) strains (qnrA = 10, qnrB = 21, qnrS = 41, qnrB-S = 21, qnrB-A = 1, qnrA-S = 3, qnrA-B-S = 3), 58% of which was found among ESBL-producing isolates.ConclusionsResistance to quinolones antibiotics was highest among ESBL-producing isolates harboring, especially qnrS among other determinants of the qnr gene. There is a need for sensitive antibiotic stewardship especially in hospitals of Ahvaz, Khuzestan province. Further research is needed to ascertain the gravity of quinolones resistance in Iran and to quickly act against its spread among other nosocomial pathogens.

The evaluation of quality of life in children with Epilepsy

Introduction: Epilepsy is one of the most common neurological disorders which can occur in any age, strain, and social classes. Seizures can effect on daily life of infants and adolescents and can have a considerable effect on presence in school, society, participating in social activities and performing of especial sports at the school. Therefore, the aim of the present study was to accurate determining and investigating of life quality on function of children with epilepsy. Method: The present study was performed prospectively and cross sectional on patients with epilepsy referring to Ahvaz Golestan Hospital. All data about the disease will be collected verbally with presence of interviewer and patient's family. The questionnaire of child epilepsy (parent's form) CEQ-P was used in order to evaluate the quality of life (QOL). Results: The average of seizures during the last month was 6.4 ± 10.8 times, the results showed that the average of cognitive function in patients was significantly higher than mean score of 50 (p>0.001). on the other hand, the mean score of emotional function, social function and physical function were 46.03 ± 14.85, 33.50 ± 33.75, and 41.57±24.95, respectively which were significantly higher than the mean score of 50 (p=0.001), and finally, the results showed that the total mean score of life quality which was 38.52 ± 18.29 was significantly higher than the mean score of 50 (p<0.001). Conclusion: The results of survey showed that epilepsy has a negative effect on various aspects of life quality of children. We can endeavor with performing appropriate approaches to improve it with recognizing the life quality and trying to improving of life quality and with paying attention to its various aspects.

Findings of Cerebral Computerized Tomography Scan in Epileptic Children Hospitalized in Ahvaz Golestan Hospital

Findings of Cerebral Computerized Tomography Scan in Epileptic Children Hospitalized in Ahvaz Golestan Hospital

The Effect of Psychological Preparation on the Level of Anxiety before Upper Gastrointestinal Endoscopy

Anxiety is one of the problems in patients undergoing invasive procedures. One way to control anxiety is through psychological preparation. This study was aimed to evaluate the effect of psychological preparation on anxiety level in patients undergoing upper gastrointestinal endoscopy. The present study consisted of 98 patients which were referred to Ahvaz Golestan Hospital for upper gastrointestinal endoscopy. They were randomly (table of random numbers) divided into a control group and an experimental group. All of the participants filled out Spielberg State-Trait Anxiety Inventory (STAI). The experimental group was psychologically prepared for endoscopy (given information about endoscopy and behavioural intervention), and then both groups were asked to complete STAI again an hour before endoscopy. The collected data were analysed through Mann-Whitney, Kruskal-Wallis, and Chi-square tests using SPSS 17.0. Before the intervention was carried out, there was no significant difference between the two groups in terms of the rate of state and trait anxiety (p>0.05). After the intervention, the rate of state and trait anxiety decreased significantly (p<0.05) in experimental group. In patients subjected to endoscopy, psychological preparation was effective in reducing their anxiety and thus this can be considered as an efficient method in decreasing anxiety.

The Relative Distribution Frequency of Hormonal Factors (Estrogen and Progesterone Receptors) In Patients with Breast Cancer Referred To Ahvaz Golestan Hospital during 2001-2011

The Relative Distribution Frequency of Hormonal Factors (Estrogen and Progesterone Receptors) In Patients with Breast Cancer Referred To Ahvaz Golestan Hospital during 2001-2011