مهرداد منصوری

The current research has been carried out with the aim of analyzing the dimensions of the model of religious spirituality culture and professional ethics of human capital with the approach of developing a spiritual organizational culture in the organization (the case study of Tehran Municipality Organization). The qualitative research method is based on the data theory of the foundation. 160 articles were collected in the content analysis section of which 80 domestic (from 1398 to 1401) and foreign (2018 to 2022) articles were categorized, the data analysis method in the section Qualitative using open coding, axial coding and selective coding, basic indicators were extracted. The interview questions were designed under the supervision of the scientific committee and designed as a semi-structured interview. Targeted sampling method by snowball method, 30 of them were selected as a sample until theoretical saturation. The results of the current research led to the identification of 6 codes and 18 codes out of 275 were open codes. The main index includes the identity of individual religious spirituality, including sub-components, establishment of organizational spirituality, individual professional ethics, establishment of organizational professional ethics, organization's human resources management and leadership style. It was an organization. In the second round, a Likert questionnaire was sent to 30 experts to determine the intensity of the effect of each component. The components and sub-components in the proposed model were specified

Minor head trauma is one of the common causes of pediatric reference to emergency ward. This study investigated the correlation between scalp hematoma,cranial fractures and intracranial lesions in children presenting with minor head traumata.

This was a descriptive cross-sectional study. The data gathering were done in 2016-17. All children under 18 years of age (933 individuals) who referred to Shahid Rahnemoun Pediatric Emergency Center in Yazd with a complaint of minor head trauma and underwent a CT scan according to American Academy Criteria were included in the study. The mean age of the children was 11.67 years. CT scan of 209 patients (%22.41) reported scalp hematoma. A radiologist who did not have any information about the study was asked to interpret the CT scans using a predesigned checklist. Finally, the data were encoded into an Excel file and statistically analyzed by STATA10 software using Chi-square test and logistic regression.

The scalp hematoma was significantly related to intraventricular hemorrhage (P<0.001), subarachnoid hemorrhage (P<0.001), intracerebral hemorrhage (P<0.001), cerebral edema (P<0.001), subepidural hemorrhage (P<0.001), cerebral concussion (P<0.001), cerebral shift (P<0.001), pneumocephalus (P<0.001), and cranial fracture (P<0.001); however, scalp hematoma was not significantly related to diffuse axonal injury (P=0.27).

Our findings confirmed the importance of presence of scalp hematoma in clinical assessment of children with minor head trauma aged less than 18 years. It is recommended that children with minor head trauma be treated and evaluated more in the emergency department more vigilantly and meticulously.

SARS-COV 19 is a new coronavirus that was reported first time in 30 December 2019 in Wuhan, China. The first case of coronary heart disease in Iran was reported with a definitive test on February 18 in Qom province and the first case in Yazd province on 24 February. The World Health Organization (WHO) declared a Covid infection on March 11 a pandemic. The aim of this study was to investigate the seroepidemiology of COVID 19 in Yazd province.

The present study was a cross-sectional population-based study of seroepidemiological type that was conducted to investigate the serological prevalence of Covid-19 in the period of 3 to 20 May 2020 in Yazd Province. Sampling was clustered and it was without age and sex restrictions. Information was collected including demographic information, adherence to health protocols, and history of clinical symptoms of COVID 19. "Pishtaz ELISA Kit" was used to evaluate the IgG and IgM antibody titers against Covid 19. Chi-square, analysis of variance and T tests were used via SPSS.version.16 software

Mean age of the participants was 34.3± 17.5. Among the study participants, 507 (54.5%) were women. The serological prevalence of definite cases was 14.91% (95% CI: 12.91-16.91%) and suspicious cases were 2.85% (95% CI:1.85-3.85%). Ardakan City with 32% had the highest and Taft, Mehriz, Khatam with 7% had the lowest prevalence of COVID 19 (P <0.05).

By June 2020, nearly 18% of the population of the province was definitively or suspiciously infected with COVID 19. Unfortunately, up to 25% of the population does not follow the early prevention protocols of COVID 19.

Headache is one of the most common medical complaints and migraine is one of its major causes. The aim of this study was to investigate the prevalence of migraine in medical students in Shahid Sadoughi University of Medical Sciences. This cross-sectional descriptive research was carried out in 400 medical students in Shahid Sadoughi University of Medical Sciences, Yazd, Iran 2016, who were selected by random sampling. Data were collected using a self-administered standard questionnaire according to International Headache Society (IHS). SPSS V16 was used to analyze the data. The subjects included 58% females and 72.5% of the participants were single, 75.5% were in clinical education program and 51.7% lived in university accommodation. The prevalence of migraine was 10.3% (12.34% in females and 7.27% in males. Among the subjects 39% had migraine aura. Unilateral and pulsatile headache (P=0.000), headache accompanied by nausea and vomiting (P=0.000), photophobia (P=0.000) and phonophobia (P=0.035) were more prevalent in those with migraines; whereas vague headache was more common in students suffering from non-migraine headaches. Most of the migraine headaches were both moderate and severe (80.5%) but non-migraine headaches were mostly mild (56.3%) (P=0.000). Positive family history (P=0.028), referral to physicians (P=0.000), and taking analgesics (P=0.035) were more common in migraines. The incidence of migraine in this study was similar to that reported by other studies. Most of the migraine attacks were moderate and severe and required medical intervention. So, it is important to focus more on this condition and control the exacerbating factors, especially in medical students.

Lidocaine is commonly used for suppressing hemodynamic instabilities resulting from endotracheal intubation due to its good effect and rapid onset of action. Seizure is one of the side effects of this drug, which has been reported following its topical and intravenous administration in some cases. In this article, we present a patient referred to the emergency department with complaint of severe and progressive shortness of breath who had a generalized tonic-clonic seizure following lidocaine administration during rapid sequence intubation.

Introduction & Traditional treatments sometimes are effective but it seems that in musculoskeletal injuries it leads to many complications so we decide to evaluate the results in this field, on the other hand local bone setters do their intervention without any permission by health organizations and they are not responsible for the complications. This study involves those patients who had been treated by bonesetters via traditional methods such as splinting by wood and referred to the orthopedic clinic of Khorramabad's Shohadaye Ashayer hospital in the time interval 20.01.2005 to 20.08.2005. 104 Patients had been treated by nonscientific methods. The most common injury which was treated by this method was distal radius fracture (21%) and the second most common injury was fracture of metaphysis of distal radius (9.6%). The most common education level of patients or their parents was mid school certificate (30.7%). The most common complication was malunion and the second was restriction of range of motion (ROM) (41% and 17%by order). The most common method was wood splinting (71%). Most of the patients who had been treated with traditional methods had only one musculoskeletal injury. So they didn’t feel that it was necessary to refer to hospital, thereby referred they prefer to bonesetters. The most common complication is malunion so it seems that because patients have no X-rays they have no insight about displacement of bones and don’t exactly feel their problem's depth and on the other hand bone setters cannot reduce fractures correctly because they don’t know positions of fracture parts. Limitation of R.O.M occurs because of malpositioning of extremities by bonesetters and lack of appropriate physiotherapy during and after the treatment.

The term «scoliosis» denotes lateral curvature of the spine. The deformity may be structural; implying a permanent change in the bones or soft tissues, or it may be no more than a temporary disturbance produced by reflex or postural activity of the spinal muscles. This skeletal disorder is one of the important health problems in school ages that are much more common in females gender. The aim of this study was to investigate the prevalence of scoliosis among 10 years old female students of Khorramabad schools.

It was a cross – sectional study which evaluated 768 ten-year old female students of Khorramabad School who were selected by the random clustering sampling method. After determination of samples and obtaining medical history through a questionnaire, physical examination was performed by the plumb line and then in the cases that had no signs of deviation, in this portion of examination, the second stage of examination was performed by the adams test. Finally the screened cases were referred to shohada hospital clinic. And thoracolumbar X-ray was obtained and the angle of deviation was measured using cobb's method.

The number of screened cases was 97(12.6%) and after radiology was done, 30 were identified as being afflicted with scoliosis. Finally the prevalence of scoliosis in this study was 3.9 percent of which (3.25%) had cobb's angle below ten degree and only five cases (0.65%) had cobb's angle above ten degree. In this study there was statistical significant difference between student that perform regular aerobic exercise against those who did not perform this exercise.

According to this study a partly high prevalence of scoliosis existed among our female school children. This shows the necessity of school screening programs, because by early diagnosis of scoliosis and conservative treatment (by using brace), one may be prevent scoliosis's progression and finally the appearance of complication.

Distal radius fractures are one of the most common fractures of skeletal system and because of the aging of population, its incidence is rising. The aim of the present research was to evaluate the close reduction and percutaneous pin fixation as a treatment option. 44 patients who were type 2 according to universal classification or type 2 or 3 according to Older classification studied for 3 years at 6 months period. Fractures reduced under general anesthesia with Image intensifier and fixed with 2 pins. Results evaluated radiologically in term of radial length, radial inclination and volar tilt and clinically by demerit point rating system. Excellent results were achieved in 68% of patients radiologically and in 84% clinically by Demerit point rating system with no obvious deformity in wrist and no complication affected gross function of the patients. Putting the simplicity and minimal invasiveness of the operation and low complication rates, close reduction and percuteneous pin fixation is an appropriate way to treat distal metaphyseal radius fracture.

Displaced fractures of radius and ulna bones in adults are usually treated with open reduction and internal fixation. The purpose of this research was to access functional outcome of these fractures. In this research 52 Patients who underwent ORIF with DCP 3.5 in past 5 years were investigated. Post-operation protocol was one week immobilization and then active elbow and forearm motion and then muscle strengthening after 2 months. The patients were followed for 18 months and were assessed clinically for forearm and wrist ROM & grip strength & functionally with DASH questionnaire. Pronation of the affected forearm by comparison with supination of unaffected forearm was reduced. Wrist and elbow flexion and extension were the same. Grip strength was reduced compared with unaffected limb. DASH questionnaire demonstrated high patient satisfaction. Anatomic reduction and internal fixation is the standard method for treatment of fractures by displacing radios and ulna in adults. According to results, it seems more intension to motions specially pronation and muscle strengthening foream after surgery will have affect on improving patients’ function specially pronation and Grip strength.