mahmoud fakhri

Evaluation is a way for investigating the pitfalls and problems of any system. So, based on evaluation results managers can improve the procedural affairs and efficiency of their organizations. This study aimed to evaluate Operating Room Department which is in line with the steps towards the implementation of the accreditation. This descriptive study was conducted using the accreditation pattern (internal evaluation). The study population included internal assessment committee, faculty members, head of the department, students, and graduates. Sampling method was convenience. Data were collected using a standard questionnaire and interview and were then analyzed using SPSS v.21 software. Evaluation of eight factors revealed that student factor had the best status with 4.33 points and graduates factor had the lowest status with 3.07 points. Overall, the results showed that the total score of operation room department was 3.85 which falls in the "good" category based on the Gorman scale. The internal evaluation of operating room department proved its acceptable status; however, it is essential to make the required changes and implement remedial measures based on the findings in order to improving the quality, particularly for the graduates.

The prevalence of cardiovascular diseases is increasing in the world. Different factors can influence the incidence of cardiovascular diseases, due to the special situation and sensitive work environment and too much caring for patients, nurses may be at greater risk of heart diseases. This study aimed to determine the frequency of cardiovascular diseases and some of their risk factors and their relationship to gender among nurses.
This cross-sectional descriptive research carried out at 2012 in emergency and intensive wards of Kermanshah University of Medical Sciences hospitals. Using stratified sampling 400 out of 650 nurses were selected. The data collection tool included two parts, one questionnaire for personal and family history of the disease and one checklist for blood tests results. Collected data were analyzed by SPSS Ver. 13 and descriptive and analytical statistics.
According to the result of this study 57.5% of samples were female With the mean age of 30.8±6.25 years, 88.8% had bachelor’s degree, and.8%were working at rotating shifts. Triglyceride and diastolic hypertension were the maximum (30.8%) and the minimum (10.8) cardiac risk factors among samples, respectively. Also, the frequency of hypertension, hypertriglycemia, and hyperglycemia in women was more than men. No significant relationships were found between cardiovascular risk factors and nurses gender.
The frequency of cardiovascular risk factors among female nurses was more than males. Participation in screening and educational programs is recommended for nurses in order to modify the cardiovascular risk factors especially hypertension.

The prevalence of cardiovascular diseases areas major health problems are increasing. There are many factors related this high prevalence including stress، working environment، job and lifestyle. Nurses are at risk for heart diseases. Since nurses have been recognized as an important part of any healthcare systems، this study was aimed to identify the relationship between work shift and risk factors in heart diseases. This study was a descriptive analytical and sectional research conducted on 400 nurses working in the emergency and intensive words of educational hospitals of Kermanshah University of Medical Sciences. A cluster sampling method was used. The data collection tool was a questionnaire and a check list for recording sample blood test results. Data was analyzed by using SPSS software version 16 and descriptive and analytical statistics formula. The results of this study showed that 57. 5% of these subjects were female with an average age 30. 8 years. Moreover 88/8 %had a BS degree in nursing and 79. 8% were in shift work. The major risk factor was hyper triglyceridemia identified in 30. 8% of the subjects. Furthermore، the results indicated a significant relationship between overtime working hours with the prevalence of systolic and diastolic hypertension، high triglycerides، high total cholesterol and ''high-density lipoprotein cholesterol'' lower than normal (p‹0. 001). According to the results، most cardiovascular risk factors appear to be in the nurses working in overtime hours. The results did not show a high prevalence of the risk factors compared to the other studies'' findings about the other people، so further research was recommended to do

Spinal analgesia is one of the effective and rapid methods for labor. It is not commonly used because of short duration of analgesia and motor block, which limits mother's force in labor progression. We attempted to prolong duration and quality of analgesia by adding Epinephrine. In this quasi-experimental study 90 pregnant women gravid II and III who referred to Motazedi and Imam Reza Educational & Medical Centers were recruited and divided into two groups of case and control (45 subjects in each group). The case group received spinal analgesia using Sufentanil and Bupivacaine, and Epinephrine while the control group received Sufentanil and Bupivacaine. Data including feeling of pain, motor block, duration of analgesia, fetal heart rate, nausea and vomiting, blood pressure was collected and analyzed using chi-square and t test. duration of analgesia and vomiting were significantly increased in the case group. (p=0.001, p=0.01 respectively). Hemodynamic status in mothers and Apgar score of neonates were not significantly different between two groups. It seems that adding Epinephrine to Sufentanil and Bupivacaine could increase analgesia duration without altering in sensory level although could increase nausea and vomiting its recommended in labor analgesia.

Accidents and events are one of the main health, therapeutic and social obstacles of modern societies and trauma is the leading cause of death, hospitalization and disability in all age groups (1-40 years). The reported frequency of genitourinary system traumas is 3-10%. Any delay in caring for these patients may result in unpleasant consequences. The goal of present study is to determine the early outcomes of genitourinary system traumas in 2 hospitals of Kermanshah during past 15 years. In this cross-sectional descriptive study the medical records of all 143 traumatic patients referring to Kermanshah Chaharomin Shahid & Imam Raza Hospitals were studied. Findings showed that 93. 7% of cases were males with a mean age of 28. 51 ± 13. 6. About 80. 5% of studied cases had blunt traumas. Injury sites in 26. 2% of cases were penis 24. 8% urethra 21. 3% testis and in 17. 7% kidneys. The reason for injury in 21. 8% of cases was trauma in 21. 1% fallings from high altitudes and in 11. 3% vehicle accidents. Diagnostic methods in most cases (53. 8%) were clinical examination. The treatment approach in 73. 2% of cases was open-surgery. One of the studied cases was expired. The trauma outcomes in 2 cases were nephrectomy in one case bladder resection and in remaining 52 cases surgical repairing. Most of early outcomes of genitourinary system trauma in this study were repairing of the injuries which were done by surgical operation. Hence effectively organizing of trauma centers facilities and self-care education to patients for their follow up will result in providing appropriate care and decreasing the late-onset complications.