saideh dadpisheh

 Uterine rupture in pregnancy and labour is a fetal complication. Prevalence of uterine rupture in pregnancy in women with no previous uterine scare specially, nulliparous women without any risk is rare. Risk factors of uterine rupture in women with no previous scare are such as trauma, obstetrics maneuvers, high parity, multiple babies and uterotonic agents.

A 23 years woman with prime gravid, term pregnant was admitted in with chief complaint of uterine contractions. In the first examination shows: dilatation:4-5 cm, effacement : 50%, station: -2 and FHR:145. In full dilatation and complete effacement mother was exhusted. Due to her lack of cooperation in the 2nd Stage fundal pressure has been performed. After 5 minutes a baby with Apgare Score 3/4 has been born. Weighing 3500 grms. Placenta and itchr('39')s appendix completely evacuated. Uterine massages has been performed. Hemorrhage was heavy. Cervix was observed it was intac. Uterine agents and two hand uterine massage has been performed but there was persistent hemorrhage. Patient complaints of sharp pain in the abdomen. Corrugated has been done, there was no remains. Patient was suspected to uterine rupture. Immediately she was shifted to op room. In laparotomy uterine rupture in the fundus and body has been observed and repaired by gynecologist. After 72 hrs patient has been discharged from hospital with normal state.

 we recommend which in the patient with fundal pressure specially with bradycardia an internal evaluation to be performe. In case of uterine rupture diagnosis, therefore rapid actions can be done.

It is possible for food-related staff to be involved in transmitting covid-19 by their contact such as coughing or sneezing. Therefore, the knowledge of food-related staff about the transmission modes and prevention of covid-19 is very important. This study was conducted with the aim of investigating the awareness and performance of bakers working in Iranshahr city regarding the prevention of covid-19.

Methods & Materials:

 In this descriptive study, 47 bakeries in Iranshahr city were selected using stratified random sampling in 2020. Data were collected by a demographic characteristics form, a researcher-made questionnaire to measure the level of awareness (15 items), and the hygiene performance checklist (17 items). The data were analyzed by Friedman test using the SPSS software version 25 at the significance level of 0.05.

Average age of the participants was 29.56±9.8. average work experience was 51.36±54, The highest percentage of education level was high school (36.2%), 64.9% were married), 89.4% were resident of Iranshahr city, and 46.8% were bread sellers. Average score of performance was 18.59±5.4 that was a little more than desirable amount (17). Average score of awareness was 25.48±2.9 that was much more than desirable amount (15).

Considering the importance of prevention and control of the epidemic and cutting the chain of transmission of the infection, appropriate educational interventions should be developed to improve the awareness and performance of each individual in the society, especially those who are involved in the preparation and distribution of the food products.

Not only during natural disasters but also during the outbreak of contagious diseases, the probability of multiple psychological reactions increases in the community. This can affect peoplechr('39')s mental and physical health. The aim of this study was to determine the status of stress, anxiety, and depression in the Population of Southern Sistan and Baluchestan Province (Coastal areas), Iran in the COVID-19 Epidemic in 2020.

In this cross-sectional study, 503 people from the general population of southern Sistan and Baluchestan (Coastal areas) were selected by the online sampling method. The tools used included a demographic data checklist and the Anxiety, Depression and Stress Scale (DASS-21). People were classified into five categories (normal, mild, moderate, severe, and very severe). A higher score indicates more psychological disorder and more undesirable mental health status.

Most participants were 19 to 29 years old (43.2%), most of them were married (63.7%), 298 of them were employees (60.6%) and the highest frequency was related to the bachelor degree with 198 people (40.3%). Mean scores of depression were 7.9±8.5, anxiety scores were 5.9±7.1 and stress scores were 11.9±9.3. The variables of gender, employment, and insurance coverage had a statistically significant relationship with stress, anxiety and depression (P<0.05) and the variables of age, marriage and education had no statistically significant relationship with stress, anxiety and depression (P<0.05).

During the epidemic of COVID-19, we see a decrease in the mental health of different people in society and it is necessary that psychological considerations be done continuously and in a timely manner, especially by telephone and online.

COVID-19 has widely spread around the world and has a high mortality rate. The aim of this study was to determine the challenges and strategies to deal with SARS-CoV-2 from the perspective of physicians and nurses in Iranshahr, southern of Sistan and Baluchestan, Iran.

In this descriptive-analytical study, 100 physicians and nurses have participated who working in the wards related to COVID-19 (respiratory isolation ward, intensive care unit and emergency department) of Iran and Khatam-ul-Anbia hospitals in Iranshahr. They were included by available methods from 21 March, 2020 to 8 April 2020. The researcher-made questionnaire assessed the challenges and strategies to deal with COVID-19 from the perspective of nurses and physicians. The reliability and validity of the questionnaire were confirmed. 

The mean age of samples was 31.94±7.4 and the average work experience was 5.6±5.6 years. In answer to the question, what are the challenges related to COVID-19? The results showed that the lowest mean responses were related to "peoplechr('39')s lack of access to social networks and mass communication" and the highest mean was related to "not taking the disease seriously in the general public." In response to the question "What do you think are the main obstacles to controlling the COVID-19 epidemic?" Non-quarantine of infected cities is the most common obstacle. In response to the question "What solution do you suggest to fight the COVID-19?" The quarantine of cities and stay at home were the most prevalent.

  In order to break the chain of COVID-19 transmission, it is necessary to observe such issues as quarantine and stay at home, restriction of travels, observe personal hygiene, identify suspicious cases, provide livelihood for the people and a provide medical staff, and raise the level of awareness and attitude of the people through training.

Troxerutin has antioxidant and anti-inflammatory properties and in this study, its antioxidant effect on the reduction of oxidative stress induced by ischemia-reperfusion sciatic nerve injury was investigated.
In this study, 64 male rats were randomly divided into 8 groups as follows: 1- IR2: ischemia (3 hours) and reperfusion (2 days), 2- Trox+IR2: ischemia (3 hours) and reperfusion (2 days), 3- IR7: ischemia (3 hours) and reperfusion (7 days), 4- Trox+IR7: ischemia (3 hours) and reperfusion (7 days), 5- IR14: ischemia (3 hours) and reperfusion (14 days), 6- Trox+IR14: ischemia (3 hours) and reperfusion (14 days), 7- IR28: ischemia (3 hours) and reperfusion (28 days), 8- Trox+IR28: ischemia (3 hours) and reperfusion (28 days). The rats received 150 mg/kg troxerutin in one injection (single dose). After separation of serum, biochemical parameters of the serums such as NO, PON1, CAT, and GPX were measured.
Troxerutin significantly increased the GPX and PON1 levels in groups that their reperfusion time was 2 and 14 days (P<0.05). There was no significant difference in the levels of NO and CAT between the groups received troxerutin and control groups (P>0.05).
Troxerutin relatively decreased the oxidative stress in the sciatic nerve ischemia-reperfusion injury by increasing the level of antioxidant enzymes.