فهرست مطالب شیوا صمصام شریعت

The purpose of this research is to investigate the effect of using the poster advertising model in the field of public health. In terms of purpose, this research is descriptive-survey in the category of applied research and based on the method of data collection. The statistical population of this research includes all managers of health centers in Isfahan province who were employed in 1401 and their number was 249 people, of which 150 people were selected as the research sample by stratified random sampling method. A researcher-made questionnaire was used whose validity and reliability were confirmed. To analyze the collected data, Kolmogorov-Smirnov tests were used for the normality of the data, as well as confirmatory factor analysis and structural equation method using the software (AMOS24).The findings showed that among the studied components, respectively: solutions with path coefficient (0.80), effectiveness (0.84), ruling platforms (0.92), obstacles with path coefficient (0.94) and effective components (0.97) are most effective in the poster advertising model in the field of public health. The model obtained from this research can open the way for practitioners and planners of the health and treatment sector to plan for the effectiveness of poster advertising campaigns in the field of public health and to improve the level of public health and health, as well as to create innovative opportunities to increase productivity in this field.

Poisoning by opium and stimulants brings many patients to the poison emergency departments every year. This study planned to determine the risk factors for Opioid and Stimulant poisoning among patients admitted to the Khorshid Hospital.

The present cross-sectional study was performed on 243 patients poisoned with opioids or stimulants in Khorshid Hospital of Isfahan during December 2018 to the December 2019. The data about demographic variables including: (sex, age, marital status, occupation), type of intoxication (opium, heroin), and or stimulants(hashish, cannabis, marijuana, amphetamine) and intoxication with other substances, cause of intoxication, type of intoxication (accidental, intentional), method of intoxication (oral, inhalation, intravenous injection, intramuscular or subcutaneous injection, etc.), poisoning with other drugs, vital signs at entering the ward, length of stay in the poisoned ward, treatment outcome (recovery or death), and cause of death were extracted from the patients' files. The data were analyzed using the ANOVA and the Chi-square tests.

The results of this study showed that the most substance poisoning in individual of Iranian nationality was heroin and in non-Iranian was opium. In addition, substance poisoning was more common in men, especially in the age group of 31-35 years, and among the unemployed or self-employed, as well as among those with a diploma or lower.

According to the results of the present study, among opioid, heroin poisoning was the most and among stimulants, amphetamine was the most. Also, most of the poisoned people were under 40 years old and had low education.

Valproic acid is prescribed in many clinical cases. Decreased level of consciousness is one of the most prominent symptoms of valproic acid poisoning. The aim of this study was to investigate the relationship between the level of consciousness and other symptoms of poisoning and therapeutic outcome in patients poisoned with oral valproic acid.

This study was performed as a cross-sectional study using the information of patients with valproic acid poisoning admitted to Khorshid hospital in Isfahan, Iran, during the years 2018 and 2019. The data about demographic characteristics and patients’ signs and symptoms were collected from hospital records by using a checklist, and were analyzed.

Data of 243 patients poisoned with valproic acid were analyzed. At the time of admission, 194 patients (79.8%) were alert, and respiratory status was normal in 237 cases (97.5%). Sodium levels in 218 patients (92.8%) and potassium levels in 212 cases (91%) were normal. Analysis of venous blood gases showed metabolic acidosis in 45 cases (19.2%). In these patients, respiratory status showed a significant relationship with the level of consciousness (P < 0.001), and the level of consciousness had a significant relationship with therapeutic outcome (aspiration pneumonia) (P < 0.001).

The results of this study showed that most of the patients poisoned with valproic acid had benign disorders, and would have complete recovery with treatment. In cases of acute poisoning and decreased level of deep consciousness, it is important to pay attention to the patients’ respiratory status, and the necessary measures should be taken to prevent aspiration as a therapeutic consequence.

We aimed to provide an epidemiological description of radius head dislocation, effective factors in treatment and relapse.
This cross-sectional prospective study was done using census method on all patients with 7 years of age and younger with radius head dislocation, who were admitted to the emergency department of Kashani hospital, Isfahan City, Iran, between January 1, 2014, and December 31, 2015. Required data were gathered using a checklist consisting of questions regarding demographic data (age and sex), weight, trauma mechanism, affected arm, success rate of reduction maneuver, and the time of using the affected arm after reduction.
Findings: During a 24-month period, 112 children with a mean age of 30.98 ± 13.18 months entered the study. 59 patients were boys (53%), and the left arm was affected in 67 cases (60%). Most of the patients with recurrence were over the 75th percentile for weight, and 18.75% of them had recurrence. The success rate of initial reduction maneuver was significantly less in patients with recurrence (P There was a significant relationship between overweight and recurrence of radius head dislocation. Recurrence had effect on the success rate of initial reduction maneuver. A delay of more than 24 hours was significantly associated with failure of initial reduction maneuver. Age had a relative risk for one or more recurrences.

Today, with the introduction of surfactant the survival rate of preterm infants was increased significantly and the researchers are looking to improve growth and development of premature infants. The effects of massage therapy on weight gain and bone mineralization in preterm infants has been shown in numerous studies. The purpose of this study was to compare the effect of massage therapy on weight gain in preterm infants. Our randomized clinical trial has three groups: the infants who only received usual care, those who received massage by an expert nurse and those who received massage by their mothers. Massage therapy was conducted three times a day for five consecutive days. We recorded daily weight gain, the length of hospital stay and fluid intake. We used one way ANOVA and Kruskal-Wallis tests by SPSS software. The gestational age ranged between 28 to 34 weeks. At the end of the fifth day the group who were massaged by a nurse had significantly more weight gain (6.5 ± 2.5%) compared to two other groups (P < 0.001). The weight gain in the group who were massaged by their mother was 4.6 ± 1% and in the usual care group was 3.7 + 1.5% (P < 0.05). There was no significant difference in the length of hospital stay among groups. This study showed that a five days massage therapy was a safe procedure for stable preterm infants to facilitate weight gain. Mothers can use this effective and low cost method for weight gain in their preterm infants.