فهرست مطالب عباس جهان آرا

The COVID-19 disease has emerged from December 2019 in Wuhan, China. The disease can affect many organs of the body, mainly organs associated with respiratory distress syndrome, but liver damage has also been reported. The present study aimed to investigate the relationship between liver enzymes and underlying diseases in COVID-19 patients admitted to Pasteur Hospital in Bam, Iran, in the first six months of 2021.

In this cross-sectional descriptive-analytical research, the study population consisted of COVID-19 patients admitted to Bam Pasteur Hospital. A researcher-made checklist was used to collect data regarding liver enzyme levels in people with underlying diseases. After data collection, the data were entered into SPSS software (version 22) and analyzed.

According to the findings of this study, a significant relationship was found between diabetes and variables such as age, ALP, and direct bilirubin. In addition, a significant relationship was observed between blood pressure and variables such as age, ALP(Alkaline Phosphatase), SGOT(serum glutamic-oxaloacetic transaminase), SGPT (serum glutamic-pyruvic transaminase), and direct bilirubin. Although heart disease was also significantly associated with variables such as age and SGOT, the results showed no significant relationship between addiction and variables such as age, SGOT, SGPT, ALP, total bilirubin, and direct bilirubin.

Liver enzymes could be a warning sign of liver disease. It is recommended to screen COVID-19 patients for liver enzymes during the disease and be examined and treated

The infant mortality rate is one of the most important indicators of society’s health. It seems that the continuous presence of a specialist doctor in the neonatal intensive care unit (NICU) effectively improves the functional indicators of the newborn department. This study aimed to investigate and compare the causes of hospitalization and the death rate of infants in the neonatal department before and after the implementation of Physician residency.

Following a descriptive-analytical design, this cross-sectional study was performed before and after implementing the residency plan in the neonatal department of Bam Pastor Hospital. Information on 1,219 newborns was extracted by referring to their files, and the effect of the Physicians residency program on the death rate and hospitalization of newborns was investigated.

The results did not show a significant difference between the hospitalization rates before (601 people) and after (618 people) the plan. Also, there was no significant difference in the surfactant intake of infants before and after the implementation of the plan (P=0.15). There was no significant difference between the hospitalized infants in the two studied periods in performing invasive and non-invasive ventilation (P>0.05), although the number of non-invasive ventilation increased by 20% after the plan. The results showed that the death rate after the plan has significantly decreased by more than 50% (from 36 to 17 people) (P=0.02).

The implementation of the residency plan reduced both death and hospitalization of newborns. With the continuous presence of specialist doctors in the NICU, the mortality rate, as one of the most important health indicators, can be improved.

Hepatitis A is caused by a virus with a similar name. As a very contagious disease, Hepatitis A is one of the most prevalent infant infections across the developing countries. People who have been vaccinated and also those who caught this disease already are immune against hepatitis A. Since it was not possible and cost effective to analyze the immunity level of all asymptomatic children, in this study, the immunity level of some children against this virus was measured in order to estimate their immunity potential against this infection. A total of 400 6-11 years old children in Kerman County, who have referred to the Besat Specialized Clinic and infants emergency care ward of Afzalipour Hospital and their blood have been collected for any reason except diagnosing hepatitis, were studied. Children with chronic liver, blood, immunity system deficiency and malignity were excluded from the study. Using ELISA technique and Dia-pro Milano Italy, made by Italy (with a sensitivity of 100% and specialty of 99.6%), their serum was analyzed in terms of anti-hepatitis data were analyzed using SPSS 16. 42.8% of children were immune against hepatitis A. 55% and 45% of children referred to the mentioned medical centers were girl and boy, respectively. 59.1% of boys and 40.9% of girls were immune, but there was not any significant difference between them. There was a direct relationship between immunity and children's age, as with increasing their age as large as 1 year their immunity level against hepatitis A is increased as large as 0.75%. There was not found any relationship between the immunity level and other demographic properties. Most of 6-11 children are immune against hepatitis A because of their asymptomatic disease.