Hyphema Following Eye Trauma

<p><strong><em>Background and Objectives:</em> </strong>Hyphema, the blood in the anterior eye chamber, can be caused by penetrating or blunt trauma or other causes. This study aimed at investigating the clinical features of 15 cases of traumatic Hyphema, having referred to ophthalmology ward of Shahid Beheshti hospital of Babol university of medical sciences.</p><p> </p><p><strong><em>Methods:</em></strong> In this study the clinical characteristics of 15 patients with eye trauma-who had referred to Shahid Beheshti Hospital of Babol University of medical sciences during 2008-2009- were examined. In addition to eye trauma the selected patients had microscopic or macroscopic anterior eye chamber hemorrhages.</p><p> </p><p><strong><em>Results:</em> </strong>The mean age of patients was 25. 1 years. Eleven patients were male and four were female. Increased IOP was seen in 4 cases, three patients improved with drug therapy, but one patient needed surgery due to an increase in IOP and the re-bleeding. Regarding the degree of Hyphema, 4 cases were microscopic Hyphema , 2 cases were grade 1 of Hyphema, 3 cases were grade 2 of Hyphema, 3 cases were grade 3 of Hyphema , 2 cases grade 4 of Hyphema and one case was not assessable due to flattened anterior chamber, Visual Acuity was mostly poor at the beginning of admission which was significantly improved after treatment. On the whole, six patients underwent surgery.</p><p><em> </em></p><p><strong><em>Conclusion:</em> </strong>The results of this study show that patients with traumatic Hyphema usually have poor Visual Acuity at the beginning of admission, but the vision was relatively improved with early treatment in many cases. Therefore, proper and timely treatment is necessary in these patients.</p&gt

Hyphema Following Eye Trauma

Background and Objectives: Hyphema, the blood in the anterior eye chamber, can be caused by penetrating or blunt trauma or other causes. This study aimed at investigating the clinical features of 15 cases of traumatic Hyphema, having referred to ophthalmology ward of Shahid Beheshti hospital of Babol university of medical sciences.Methods: In this study the clinical characteristics of 15 patients with eye trauma-who had referred to Shahid Beheshti Hospital of Babol University of medical sciences during 2008-2009- were examined. In addition to eye trauma the selected patients had microscopic or macroscopic anterior eye chamber hemorrhages.Results: The mean age of patients was 25. 1 years. Eleven patients were male and four were female. Increased IOP was seen in 4 cases, three patients improved with drug therapy, but one patient needed surgery due to an increase in IOP and the re-bleeding. Regarding the degree of Hyphema, 4 cases were microscopic Hyphema , 2 cases were grade 1 of Hyphema, 3 cases were grade 2 of Hyphema, 3 cases were grade 3 of Hyphema , 2 cases grade 4 of Hyphema and one case was not assessable due to flattened anterior chamber, Visual Acuity was mostly poor at the beginning of admission which was significantly improved after treatment. On the whole, six patients underwent surgery.Conclusion: The results of this study show that patients with traumatic Hyphema usually have poor Visual Acuity at the beginning of admission, but the vision was relatively improved with early treatment in many cases. Therefore, proper and timely treatment is necessary in these patients

Satisfaction of Family Physicians (FPs) about the Effective Factors on Activation of FP Program and Rural Insurance in the Northern Provinces of Iran

BACKGROUND AND OBJECTIVE: Successful implementation of FP program and rural insurance requires continuous collaboration among the intersectoral and intrasectoral organizations. FPs’ satisfaction from related institutions can lead to more motivation, longer activity and better services in the organization. This study was performed to evaluate the level of FPs’ satisfaction in Northern provinces of Iran. METHODS: This cross-sectional study was performed in winter 2013. Totally 139 health centers from 552 which implement the family physician program and rural insurance coverage in Mazandaran, Golestan and Guilan provinces were randomly selected. In each center all of available FPs included. A researcher-made questionnaire was used for data gathering. In this questionnaire, personal characteristics with 10 open and closed questions, satisfaction from human and physical resources available at the first level, the function of health center of the city, the function of specialists at the second level, the performance of underlying population of intersectional organizations were asked through 34 questions with Likert scales. Validity and reliability of the questionnaire were approved. FINDINGS: Mean of the level of 188 FPs’ satisfaction about health team, equipment and facilities in the centers (of 5 score) was 3±0.6, underlying population was 2.8±0.8, intersectoral collaboration was 2.8±1, the function of district health center was 2.7±0.9, the function of specialists was 2.1±0.9. The level of FPs’ satisfaction from the specialists of the functional second level showed a significant difference in the Northern provinces of Iran (p=0.001). There was not a significant relationship between age, underlying population, recorded services, the number of replacements and the level of FPs satisfaction. CONCLUSION: The results of this study showed that the level of FPs’ satisfaction was moderate therefore, interventional program at different levels should be planned and implemented to protect and promote it

Rate Familiarity of the Members of local Organizations in the Northen Provinces of Iran about the Family Physician Programme and Rural Insurance

Introduction: The members of local Organizations in rural regions of Iran can have an effective role in the improvement of health programs due to their resources and logistical influence. Favorable collaboration of them needs sufficienet familiarity and information about the objectives and principles of health programs. This study was Performed to asses the level of familiarity in members of local organizations about the Family Physician (FP) Program and Rural Insurance in Northen Provinces of Iran. Methods: This Cross-Sectional Study was Performed in the Second half of the year 2012. % 25 of health Centers doing FP Program in three Provinces of Golestan, Mazandaran, Gillan (totally 139 Centers out of 552 units). In each selected center, available members of dispute resolation council, village coucil, health council, village magor, school manager and native teacher were enrolled in the research. A researcher- made questinnaire which its validity and reliability were Confirmed was used for data gathering. Data analysis was Performed by SPSS17 with Significant level of P<0.05. Results: 521 (84.7%) individuals (out of 601 members of local organizations) were male. The age range was 19-81 years. Mean and standard deviation of participants age was 45±9.7 years. 47.1% of persons had academic education level. Out of total score 27, mean and SD of the familiarity in village magor was 12.4±4, in health council’s members 11.6±3.7, in village council’s members 11.4±4.1, in school managers 10.6±3.3. in dispute resolation council’s members 10.5±5.1 and in native teachers was 8.8±4.9. There were significant relationships between the level of familiarity and being participated in trustees council of the health center, sex and the work type of local organization (p0.05). Conclusion: This Study Showed that the level of familiarity of members of local organizations in rural regions of Iran is not sufficient and interventional Programs must be Planned and Performed for improvement