مقدمه و هدف: این مطالعه به منظور بررسی شیوع سرمی آنتی بادی ضد آبله مرغان در گروهی از دانشجویان عل... more مقدمه و هدف: این مطالعه به منظور بررسی شیوع سرمی آنتی بادی ضد آبله مرغان در گروهی از دانشجویان علوم پزشکی قزوین که در خطر ابتلا به ابله مرغان قرار داشتند و تعیین عوامل پیش بینی کننده وجود ایمنی در آنان انجام شد. روش تحقیق: این مطالعه سرواپیدمیولوژی در سال ۱۳۹۱ در استان قزوین بر روی ۲۵۵ نفر از دانشجویان پزشکی، پرستاری و مامایی صورت گرفت که هنوز به عنوان یک دانشجو وارد عرصه بالینی نشده بودند. ویژگی های دموگرافیک و همچنین سابقه ابتلا به آبله مرغان از طریق پرسشنامه به دست آمد. نمونه خون جهت تعیین سطح IgG آبله مرغان به روش الیزا جمع آوری شد. ارزش اخباری مثبت و منفی، کاپاکوهن و ارزش اخباری مثبت و منفی یاداوری ابتلا در گذشته تعیین شد. مقدار P< ۰٫۰۵ از نظر آماری معنی دار در نظر گرفته شد. یافته های پژوهشی: متوسط سن افراد مورد مطالعه 4.3 ± 21.31 سال بود. میزان سرولوژی مثبت 74.5٪ بود. متاهل بودن، زیادی تعداد اعضای خانواده، و تاریخچه مثبت ابتلا به آبله مرغان در گذشته ارتباط معنی دار با وجود ایمنی در برابر ویروس داشت. به طورکلی ۵۷٪ از شرکت کنندگان تاریخچه ابتلا به ابله مرغان را ذکر می کردند. ...
Scientific journal of Kurdistan University of Medical Sciences, 2020
Background and Aim: There is no consensus in the literature on the relationship between blood gro... more Background and Aim: There is no consensus in the literature on the relationship between blood groups and risk of urinary tract infection (UTI). The present study was conducted to evaluated the relationship of blood groups with UTI and determine the most common bacterial cause of UTI in different blood groups. Materials and Methods: This descriptive-analytical (cross sectional) study was conducted from 2016 to 2018 in different wards of BouAli Sina Hospital. we used convenience sequential sampling method. Characteristics and blood groups of UTI cases, and blood group of all blood donors in Qazvin Province in 2018 were recorded. Using SPSS software 25, data were analyzed by chi-square test. P&lt;0.05 was considered significant. Results: Of 244 patients, 57% were female and the mean age of the patients was 70.83±14.98. No significant difference was observed between UTI patients and healthy population in regard to the distribution of ABO and Rh blood groups (P&gt;0.05). There was not a significant relationship between ABO and Rh groups and type of organism (P&gt;0.05). The most common organism responsible for UTI was E. coli in the participants with different types of blood groups. The lowest rate of UTI due to E. coli (52%) belonged to O group and the highest rate (71%) was associated with AB group. Conclusion: In comparison with the healthy population, rate of UTI was not different among the subjects with different blood groups. It seems that these antigens play a minor role in the pathogenesis of UTI. E.coli was the most common organism responsible for UTI in the participants with all blood subgroups.
Background: Nurses are at risk of percutaneous exposure incidents (PEIs), which may lead to serio... more Background: Nurses are at risk of percutaneous exposure incidents (PEIs), which may lead to serious or even fatal blood-borne infections. Objectives: To determine the prevalence of PEIs in the last year, among nurses and to assess their knowledge about and frequency of safe method of practice in exposure to blood-borne pathogens (especially, to HBV). Materials and Methods: A cross-sectional study in 2008 was conducted on 138 nurses working in general surgery and obstetrics/gynecology services of Qazvin University of Medical Sciences, Qazvin, Central Iran. A questionnaire for assessment of risk factors for contracting HBV infection was completed by nurses. Results: Overall, the prevalence of needle stick injury (NSI) and direct exposure to body fluids were 52.9 % (95 % CI: 44.5%–61.3%) and 65.4 % (95 % CI: 57.4 %- 73.8%), respectively. There was no statistically significant difference between the two studied centers in terms of sharp injuries; however, the rate of repeated NSI (numbe...
Background: It appears that ivermectin can potentially act against COVID-19 infection. Today, it ... more Background: It appears that ivermectin can potentially act against COVID-19 infection. Today, it is an urgent need to evaluate the efficacy and safety of ivermectin. The effect of ivermectin therapy on mild to severe COVID-19 patients was investigated.Methods: A 45-days randomized, double-blind, placebo-controlled, multicenter, phase 2 clinical trial was designed at five hospitals. A total number of 180 mild to severe hospitalized patients with confirmed PCR and chest image tests were enrolled. The radiographic findings, hospitalization and low O2 saturation duration, and clinical outcomes such as mortality and variables of blood samples were analyzed using standard statistical analyses in SPSS (V20).Results: Average age of the participants was 56 years (45-67) and 50% were women. The primary and secondary results showed significant changes between day zero and day five of admission (∆ 0/5) in terms of ΔALC5/0, ΔPLT5/0, ΔESR5/0, ΔCRP5/0, duration of low O2 saturation, and duration o...
Background: Septic arthritis is one of the most common causes of joint destruction. Objective: Th... more Background: Septic arthritis is one of the most common causes of joint destruction. Objective: The aim of this study was to assess management of definitive or suspected cases of septic arthritis in educational hospitals of Qazvin University of Medical Sciences within 2003 to 2008. Methods: This was an observational study performed based on existing data. The medical files of patients with arthritis in three hospitals were assessed. Patients were hospitalized in orthopedic, rheumatology and pediatrics wards. Intravenous antibiotic receivers for arthritis (more than three days) were analyzed (174 cases) and all necessary information was collected. Data were analyzed by SPSS software using descriptive statistics. Finding: Of total study population, 57.5% of cases were males, 70.6% under the age 12 years, and 85.2% with mono-articular involvement. The most common joint involved was knee in adults (39.6%) and hip in children (47.2%). Trauma was the most common predisposing factor (73%) w...
To generate synthesized information on the epidemiology of VZV infection, as well as an estimatio... more To generate synthesized information on the epidemiology of VZV infection, as well as an estimation of prevalence of age-specific antibody in Iranian less than 40. After exclusion of irrelevant and overlapping reports, 15 papers were included (from nine major cities). Studies were pooled according to the heterogeneity test results. Random effect model methods were used for meta-analysis where significant heterogeneity was observed (age 1-16years).For other age groups, fixed model were used. Significant heterogeneity was observed in prevalence rates of all childhood age-groups. The seropositivity prevalence increased steeply from the age of 1-5 to 6-10 [from 21.9% (95% CI; 10.8-33.1) to 42.1 %(95% CI; 33.6-50.6)]. At the age of 11 15, 59.4% (95% CI; 46.1-72.8) of children showed to be infected. The rate of seropositivity was more than 87% in individuals of 40 and older. The varicella seroeprevalence in Iran is in accordance with average tropical and temperate areas. Comparison of cond...
Nurses are at risk of percutaneous exposure incidents (PEIs), which may lead to serious or even f... more Nurses are at risk of percutaneous exposure incidents (PEIs), which may lead to serious or even fatal blood-borne infections. To determine the prevalence of PEIs in the last year, among nurses and to assess their knowledge about and frequency of safe method of practice in exposure to blood-borne pathogens (especially, to HBV). A cross-sectional study in 2008 was conducted on 138 nurses working in general surgery and obstetrics/gynecology services of Qazvin University of Medical Sciences, Qazvin, Central Iran. A questionnaire for assessment of risk factors for contracting HBV infection was completed by nurses. Overall, the prevalence of needle stick injury (NSI) and direct exposure to body fluids were 52.9% (95% CI: 44.5%-61.3%) and 65.4% (95% CI: 57.4% - 73.8%), respectively. There was no statistically significant difference between the two studied centers in terms of sharp injuries; however, the rate of repeated NSI (number per each year ≥3) and mucocutaneous exposures were signifi...
Background & Objective: The majority of surveys have demonstrated the inadequate success rate... more Background & Objective: The majority of surveys have demonstrated the inadequate success rate of continuing education programs in Iran from the viewpoint of participants However no studies have been conducted on the viewpoints of lecturers (influential individuals and beneficiaries in this issue) in this regard Thus the present study aimed to investigate the problems of continuing education programs and their solutions from the perspective of lecturers Methods: This qualitative study was conducted in 2015 on 15 university faculty members who had previous experience of lecturing continuing education programs The participants were selected using purposive sampling (n = 15) Data were gathered through focus group discussion All discussions were recorded on audiotapes transcribed and then analyzed through inductive content analysis Results: Data analysis led to the extraction of 3 main themes (problems) 12 categories 42 subcategories and 68 suggested solutions The main themes included the reduction of incentive to participate in programs (4 categories) low effectiveness of implemented programs (5 categories) and the ineffective evaluation of programs (3 categories) Conclusion: The main motivation for general practitioners to participate in these programs must be the correction of professional practice It seems that intervention in the implementation and assessment fields are more likely than participants motivation Providing teaching methods workshops for faculty members improving awareness of the goals and timetable of workshops holding workshops rather than lectures evaluating performance instead of satisfaction and providing feedback on the assessment results are effective factors in the efficiency of programs
مقدمه: در سال 1389 از مجموع 12 بیمارستان دولتی و خصوصی استان قزوین، دو بیمارستان بزرگ و پر مصرف ج... more مقدمه: در سال 1389 از مجموع 12 بیمارستان دولتی و خصوصی استان قزوین، دو بیمارستان بزرگ و پر مصرف جهت شرکت در طرح هموویژلانس انتخاب شدند. یکی از بیمارستان ها مرکز داخلی (بوعلی سینا با250 تخت فعال) و مرکز دوم جراحی شهید رجایی با 240 تخت فعال) بود. روش اجرا: آموزش بیمارستان هاي بوعلی سینا و شهید رجایی از تیر ماه 1389 آغاز شد. در 8 جلسه آموزشی ویژه پرستاران (هر بیمارستان 4 جلسه ) جمعا 367 نفر آموزش دیده و بعد از برگزاري post testگواهینامه دریافت نمودند. طی 4 جلسه آموزشی (هر بیمارستان 2 جلسه) جمعا 43 نفر از پزشکان آموزش هاي مربوط به هموویژلانس را دریافت نمودند و پزشکان سرگروه نیز مشخص شدند. آموزش هاي مربوط به پرسنل بانک خون در 4 جلسه آموزشی براي 12 نفر در آزمایشگاه سرولوژي انتقال خون ارائه داده شد. آموزش هاي ارائه شده توسط 4 نفر از مدرسین آموزش دیده انتقال خون مطابق با اسلایدهاي ارسالی از طرف واحد هموویژلانس ستاد مرکزي صورت گرفت. با استفاده از چک لیست نحوه استقرار سیستم هموویژلانس قبل از آموزش و 6 ماه بعد از ارائه آموزش ها میزان اثر بخشی کلاس هاي برگزار شده ارزیابی شد. این چک لیست در 4 بخ...
مقدمه :از پیدایش سویه های MDR و XDR توبرکولوز مدت زیادی نمی گذرد. این سویه ها درمان سل را دچار مش... more مقدمه :از پیدایش سویه های MDR و XDR توبرکولوز مدت زیادی نمی گذرد. این سویه ها درمان سل را دچار مشکلات فراوانی کرده اند که طول دوره درمان و تعداد زیاد اقلام دارویی مورد استفاده، عدم پذرش بیمار و نهایتا" نبود داروی کاملا" موثر از جمله آنها هستند. در سالهای اخیر مواردی از بیماران سلی مشاهده شده اند که از نظر بالینی و اپیدمیولوژیک و رادیولوژیک کاملا" با تشخیص توبرکلوز ریوی سازگار هستند و به عنوان New case تحت درمان کلاسیک آنتی توبرکولوز قرار می گیرند ولی رسپانسی مناسب نشان نمی دهند و وقتی نتیجه کشت خلط آنها را دریافت می کنیم با کمال تعجب به داروهای اصلی و خط اول حساس می باشند و گونه مایکوباکتری نیز مایکوباکتریوم توبرکولوز می باشند. نحوه برخورد با این پدیده مورد توجه این گزارش است . شرح حال بیمار: بیماری با اهلیت ایرانی به علت سرفه، خلط، تب وبی اشتهایی و لاغری به پزشک مراجعه می نماید چون بیمار براساس کرایتریای سازمان جهانی بهداشت مشکوک به سل ریوی بوده است برای وی در سه نوبت اسمیر خلط از نظر AFB ارسال می گردد هر سه نمونه از نظر AFB مثبت می گردد بیمار سابقه درمان سال ندارد ...
مقدمه: همکاري بین بخشی/ بین سازمانی زمانی محقق می شود که دو یا تعداد بیشتري از ذینفعان، تجارب و م... more مقدمه: همکاري بین بخشی/ بین سازمانی زمانی محقق می شود که دو یا تعداد بیشتري از ذینفعان، تجارب و منابع خود را به اشتراك بگذارند تا بتوانند مشکل یا گروهی از مشکلات را که هیچ یک به تنهایی قادر به حل آنها نبوده اند، به کمک یکدیگر برطرف کنند. در طول 20 سال گذشته، هموویژلانس به یک بخش مهم و جدایی ناپذیر از طب انتقال خون تبدیل شده است. برنامههای بینالمللی نشان دادهاند که هموویژلانس میتواند اطلاعات ارزشمندی در زمینهی بروز عوارض جانبی مربوط به انتقال خون فراهم نماید و به عنوان یک راهنما و یک مقدمه در طرح های مربوط به افزایش ایمنی فرآیند انتقال خون نفش ایفا نماید. بررسیها نشان می دهد که هموویژلانس با بکارگیري ابتکارات مدیریتی در استفاده مطلوب از خون به یک حوزهی کلیدي در سازمان انتقال خون تبدیل خواهد شد مروري بر مطالعات: عدم توافق در زمینه ضرورت پیاده سازی هموويژلانس، عدم برقراری ارتباط به دلیل تفاوت در زبان حرفه اي، تفاوت در فرآیندهای درون بیمارستان ها و سازمان انتقال خون، اشکال در جلب اعتماد مسولین بیمارستان ها، عدم انسجام گروه همکار در بیمارستان ها، محفوظ نماندن اتونومی گروه همکار در...
مقدمه و هدف: این مطالعه به منظور بررسی شیوع سرمی آنتی بادی ضد آبله مرغان در گروهی از دانشجویان عل... more مقدمه و هدف: این مطالعه به منظور بررسی شیوع سرمی آنتی بادی ضد آبله مرغان در گروهی از دانشجویان علوم پزشکی قزوین که در خطر ابتلا به ابله مرغان قرار داشتند و تعیین عوامل پیش بینی کننده وجود ایمنی در آنان انجام شد. روش تحقیق: این مطالعه سرواپیدمیولوژی در سال ۱۳۹۱ در استان قزوین بر روی ۲۵۵ نفر از دانشجویان پزشکی، پرستاری و مامایی صورت گرفت که هنوز به عنوان یک دانشجو وارد عرصه بالینی نشده بودند. ویژگی های دموگرافیک و همچنین سابقه ابتلا به آبله مرغان از طریق پرسشنامه به دست آمد. نمونه خون جهت تعیین سطح IgG آبله مرغان به روش الیزا جمع آوری شد. ارزش اخباری مثبت و منفی، کاپاکوهن و ارزش اخباری مثبت و منفی یاداوری ابتلا در گذشته تعیین شد. مقدار P< ۰٫۰۵ از نظر آماری معنی دار در نظر گرفته شد. یافته های پژوهشی: متوسط سن افراد مورد مطالعه 4.3 ± 21.31 سال بود. میزان سرولوژی مثبت 74.5٪ بود. متاهل بودن، زیادی تعداد اعضای خانواده، و تاریخچه مثبت ابتلا به آبله مرغان در گذشته ارتباط معنی دار با وجود ایمنی در برابر ویروس داشت. به طورکلی ۵۷٪ از شرکت کنندگان تاریخچه ابتلا به ابله مرغان را ذکر می کردند. ...
Scientific journal of Kurdistan University of Medical Sciences, 2020
Background and Aim: There is no consensus in the literature on the relationship between blood gro... more Background and Aim: There is no consensus in the literature on the relationship between blood groups and risk of urinary tract infection (UTI). The present study was conducted to evaluated the relationship of blood groups with UTI and determine the most common bacterial cause of UTI in different blood groups. Materials and Methods: This descriptive-analytical (cross sectional) study was conducted from 2016 to 2018 in different wards of BouAli Sina Hospital. we used convenience sequential sampling method. Characteristics and blood groups of UTI cases, and blood group of all blood donors in Qazvin Province in 2018 were recorded. Using SPSS software 25, data were analyzed by chi-square test. P&lt;0.05 was considered significant. Results: Of 244 patients, 57% were female and the mean age of the patients was 70.83±14.98. No significant difference was observed between UTI patients and healthy population in regard to the distribution of ABO and Rh blood groups (P&gt;0.05). There was not a significant relationship between ABO and Rh groups and type of organism (P&gt;0.05). The most common organism responsible for UTI was E. coli in the participants with different types of blood groups. The lowest rate of UTI due to E. coli (52%) belonged to O group and the highest rate (71%) was associated with AB group. Conclusion: In comparison with the healthy population, rate of UTI was not different among the subjects with different blood groups. It seems that these antigens play a minor role in the pathogenesis of UTI. E.coli was the most common organism responsible for UTI in the participants with all blood subgroups.
Background: Nurses are at risk of percutaneous exposure incidents (PEIs), which may lead to serio... more Background: Nurses are at risk of percutaneous exposure incidents (PEIs), which may lead to serious or even fatal blood-borne infections. Objectives: To determine the prevalence of PEIs in the last year, among nurses and to assess their knowledge about and frequency of safe method of practice in exposure to blood-borne pathogens (especially, to HBV). Materials and Methods: A cross-sectional study in 2008 was conducted on 138 nurses working in general surgery and obstetrics/gynecology services of Qazvin University of Medical Sciences, Qazvin, Central Iran. A questionnaire for assessment of risk factors for contracting HBV infection was completed by nurses. Results: Overall, the prevalence of needle stick injury (NSI) and direct exposure to body fluids were 52.9 % (95 % CI: 44.5%–61.3%) and 65.4 % (95 % CI: 57.4 %- 73.8%), respectively. There was no statistically significant difference between the two studied centers in terms of sharp injuries; however, the rate of repeated NSI (numbe...
Background: It appears that ivermectin can potentially act against COVID-19 infection. Today, it ... more Background: It appears that ivermectin can potentially act against COVID-19 infection. Today, it is an urgent need to evaluate the efficacy and safety of ivermectin. The effect of ivermectin therapy on mild to severe COVID-19 patients was investigated.Methods: A 45-days randomized, double-blind, placebo-controlled, multicenter, phase 2 clinical trial was designed at five hospitals. A total number of 180 mild to severe hospitalized patients with confirmed PCR and chest image tests were enrolled. The radiographic findings, hospitalization and low O2 saturation duration, and clinical outcomes such as mortality and variables of blood samples were analyzed using standard statistical analyses in SPSS (V20).Results: Average age of the participants was 56 years (45-67) and 50% were women. The primary and secondary results showed significant changes between day zero and day five of admission (∆ 0/5) in terms of ΔALC5/0, ΔPLT5/0, ΔESR5/0, ΔCRP5/0, duration of low O2 saturation, and duration o...
Background: Septic arthritis is one of the most common causes of joint destruction. Objective: Th... more Background: Septic arthritis is one of the most common causes of joint destruction. Objective: The aim of this study was to assess management of definitive or suspected cases of septic arthritis in educational hospitals of Qazvin University of Medical Sciences within 2003 to 2008. Methods: This was an observational study performed based on existing data. The medical files of patients with arthritis in three hospitals were assessed. Patients were hospitalized in orthopedic, rheumatology and pediatrics wards. Intravenous antibiotic receivers for arthritis (more than three days) were analyzed (174 cases) and all necessary information was collected. Data were analyzed by SPSS software using descriptive statistics. Finding: Of total study population, 57.5% of cases were males, 70.6% under the age 12 years, and 85.2% with mono-articular involvement. The most common joint involved was knee in adults (39.6%) and hip in children (47.2%). Trauma was the most common predisposing factor (73%) w...
To generate synthesized information on the epidemiology of VZV infection, as well as an estimatio... more To generate synthesized information on the epidemiology of VZV infection, as well as an estimation of prevalence of age-specific antibody in Iranian less than 40. After exclusion of irrelevant and overlapping reports, 15 papers were included (from nine major cities). Studies were pooled according to the heterogeneity test results. Random effect model methods were used for meta-analysis where significant heterogeneity was observed (age 1-16years).For other age groups, fixed model were used. Significant heterogeneity was observed in prevalence rates of all childhood age-groups. The seropositivity prevalence increased steeply from the age of 1-5 to 6-10 [from 21.9% (95% CI; 10.8-33.1) to 42.1 %(95% CI; 33.6-50.6)]. At the age of 11 15, 59.4% (95% CI; 46.1-72.8) of children showed to be infected. The rate of seropositivity was more than 87% in individuals of 40 and older. The varicella seroeprevalence in Iran is in accordance with average tropical and temperate areas. Comparison of cond...
Nurses are at risk of percutaneous exposure incidents (PEIs), which may lead to serious or even f... more Nurses are at risk of percutaneous exposure incidents (PEIs), which may lead to serious or even fatal blood-borne infections. To determine the prevalence of PEIs in the last year, among nurses and to assess their knowledge about and frequency of safe method of practice in exposure to blood-borne pathogens (especially, to HBV). A cross-sectional study in 2008 was conducted on 138 nurses working in general surgery and obstetrics/gynecology services of Qazvin University of Medical Sciences, Qazvin, Central Iran. A questionnaire for assessment of risk factors for contracting HBV infection was completed by nurses. Overall, the prevalence of needle stick injury (NSI) and direct exposure to body fluids were 52.9% (95% CI: 44.5%-61.3%) and 65.4% (95% CI: 57.4% - 73.8%), respectively. There was no statistically significant difference between the two studied centers in terms of sharp injuries; however, the rate of repeated NSI (number per each year ≥3) and mucocutaneous exposures were signifi...
Background & Objective: The majority of surveys have demonstrated the inadequate success rate... more Background & Objective: The majority of surveys have demonstrated the inadequate success rate of continuing education programs in Iran from the viewpoint of participants However no studies have been conducted on the viewpoints of lecturers (influential individuals and beneficiaries in this issue) in this regard Thus the present study aimed to investigate the problems of continuing education programs and their solutions from the perspective of lecturers Methods: This qualitative study was conducted in 2015 on 15 university faculty members who had previous experience of lecturing continuing education programs The participants were selected using purposive sampling (n = 15) Data were gathered through focus group discussion All discussions were recorded on audiotapes transcribed and then analyzed through inductive content analysis Results: Data analysis led to the extraction of 3 main themes (problems) 12 categories 42 subcategories and 68 suggested solutions The main themes included the reduction of incentive to participate in programs (4 categories) low effectiveness of implemented programs (5 categories) and the ineffective evaluation of programs (3 categories) Conclusion: The main motivation for general practitioners to participate in these programs must be the correction of professional practice It seems that intervention in the implementation and assessment fields are more likely than participants motivation Providing teaching methods workshops for faculty members improving awareness of the goals and timetable of workshops holding workshops rather than lectures evaluating performance instead of satisfaction and providing feedback on the assessment results are effective factors in the efficiency of programs
مقدمه: در سال 1389 از مجموع 12 بیمارستان دولتی و خصوصی استان قزوین، دو بیمارستان بزرگ و پر مصرف ج... more مقدمه: در سال 1389 از مجموع 12 بیمارستان دولتی و خصوصی استان قزوین، دو بیمارستان بزرگ و پر مصرف جهت شرکت در طرح هموویژلانس انتخاب شدند. یکی از بیمارستان ها مرکز داخلی (بوعلی سینا با250 تخت فعال) و مرکز دوم جراحی شهید رجایی با 240 تخت فعال) بود. روش اجرا: آموزش بیمارستان هاي بوعلی سینا و شهید رجایی از تیر ماه 1389 آغاز شد. در 8 جلسه آموزشی ویژه پرستاران (هر بیمارستان 4 جلسه ) جمعا 367 نفر آموزش دیده و بعد از برگزاري post testگواهینامه دریافت نمودند. طی 4 جلسه آموزشی (هر بیمارستان 2 جلسه) جمعا 43 نفر از پزشکان آموزش هاي مربوط به هموویژلانس را دریافت نمودند و پزشکان سرگروه نیز مشخص شدند. آموزش هاي مربوط به پرسنل بانک خون در 4 جلسه آموزشی براي 12 نفر در آزمایشگاه سرولوژي انتقال خون ارائه داده شد. آموزش هاي ارائه شده توسط 4 نفر از مدرسین آموزش دیده انتقال خون مطابق با اسلایدهاي ارسالی از طرف واحد هموویژلانس ستاد مرکزي صورت گرفت. با استفاده از چک لیست نحوه استقرار سیستم هموویژلانس قبل از آموزش و 6 ماه بعد از ارائه آموزش ها میزان اثر بخشی کلاس هاي برگزار شده ارزیابی شد. این چک لیست در 4 بخ...
مقدمه :از پیدایش سویه های MDR و XDR توبرکولوز مدت زیادی نمی گذرد. این سویه ها درمان سل را دچار مش... more مقدمه :از پیدایش سویه های MDR و XDR توبرکولوز مدت زیادی نمی گذرد. این سویه ها درمان سل را دچار مشکلات فراوانی کرده اند که طول دوره درمان و تعداد زیاد اقلام دارویی مورد استفاده، عدم پذرش بیمار و نهایتا" نبود داروی کاملا" موثر از جمله آنها هستند. در سالهای اخیر مواردی از بیماران سلی مشاهده شده اند که از نظر بالینی و اپیدمیولوژیک و رادیولوژیک کاملا" با تشخیص توبرکلوز ریوی سازگار هستند و به عنوان New case تحت درمان کلاسیک آنتی توبرکولوز قرار می گیرند ولی رسپانسی مناسب نشان نمی دهند و وقتی نتیجه کشت خلط آنها را دریافت می کنیم با کمال تعجب به داروهای اصلی و خط اول حساس می باشند و گونه مایکوباکتری نیز مایکوباکتریوم توبرکولوز می باشند. نحوه برخورد با این پدیده مورد توجه این گزارش است . شرح حال بیمار: بیماری با اهلیت ایرانی به علت سرفه، خلط، تب وبی اشتهایی و لاغری به پزشک مراجعه می نماید چون بیمار براساس کرایتریای سازمان جهانی بهداشت مشکوک به سل ریوی بوده است برای وی در سه نوبت اسمیر خلط از نظر AFB ارسال می گردد هر سه نمونه از نظر AFB مثبت می گردد بیمار سابقه درمان سال ندارد ...
مقدمه: همکاري بین بخشی/ بین سازمانی زمانی محقق می شود که دو یا تعداد بیشتري از ذینفعان، تجارب و م... more مقدمه: همکاري بین بخشی/ بین سازمانی زمانی محقق می شود که دو یا تعداد بیشتري از ذینفعان، تجارب و منابع خود را به اشتراك بگذارند تا بتوانند مشکل یا گروهی از مشکلات را که هیچ یک به تنهایی قادر به حل آنها نبوده اند، به کمک یکدیگر برطرف کنند. در طول 20 سال گذشته، هموویژلانس به یک بخش مهم و جدایی ناپذیر از طب انتقال خون تبدیل شده است. برنامههای بینالمللی نشان دادهاند که هموویژلانس میتواند اطلاعات ارزشمندی در زمینهی بروز عوارض جانبی مربوط به انتقال خون فراهم نماید و به عنوان یک راهنما و یک مقدمه در طرح های مربوط به افزایش ایمنی فرآیند انتقال خون نفش ایفا نماید. بررسیها نشان می دهد که هموویژلانس با بکارگیري ابتکارات مدیریتی در استفاده مطلوب از خون به یک حوزهی کلیدي در سازمان انتقال خون تبدیل خواهد شد مروري بر مطالعات: عدم توافق در زمینه ضرورت پیاده سازی هموويژلانس، عدم برقراری ارتباط به دلیل تفاوت در زبان حرفه اي، تفاوت در فرآیندهای درون بیمارستان ها و سازمان انتقال خون، اشکال در جلب اعتماد مسولین بیمارستان ها، عدم انسجام گروه همکار در بیمارستان ها، محفوظ نماندن اتونومی گروه همکار در...
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