Assessment of the knowledge and attitude of the pregnant women who referred to Iran University of Medical Sciences in 2005 toward Islams hygienic instructions during their pregnancy and breast feeding periods

Background and aim: Pregnancy and infancy are as diving profits, which are of the most enjoyable times of women. Islams living doctrine recommends some adwises for pregnant women to have healthy generation with good physical, mental and social dimensions. Therefore, the aim of this study was to evaluate the knowledge and attitude of the pregnant women who referred to Iran University of Medical Sciences in 2005 toward Islam’s hygienic instructions during their pregnancy and breast feeding period. Methods: In this descriptive-analytical study, a total of 300 pregnant women were selected from parental care unite using multistage sampling. The data was gathered through self-reporting questionnaire which contained some questions about the individuals characteristics, attitude and awareness. Subsequently, using χ2, Pearson correlation and Spearman tests, data were analyzed. Results: The percentage of the knowledge about the Islams healthy instructions during pregnancy was graded: good 20.6%, average 64.7% and poor 14.7%. During breast-feeding, the knowledge was 6.3% good, 77% average and 16.7% poor. There was a positive relationship between the women’s level of education and their knowledge about Islamic trainings. The attitude of the women about the instructions during their pregnancy was positive in 68.3% and negative in 31.7% of them. This attitude during breast feeding was positive in 64% and negative in 36% of the women studied. There was relationship between the knowledge toward the instructions and the level of education during pregnancy and also between this knowledge and the number of pregnancy and the level of education (p<0.01). Conclusion: In addition to moderate knowledge and positive attitude of most of samples and undeniable religious force, on promoting health, recommended that health managers programmed to pregnant women care based on Islamic recommendations and health care workers have more attention in their education training

A survey on surfactant concentration in southern Caspian Sea

We determined concentration of surfactants as mg/I of LAS using Sublation-Methylen Blue method in the south Caspian Sea coastal areas extending from Astara to Bandar-e-Tourkaman. The method was based on the American Standard Method for Examination of Water and Wastewater. We analyzed 53 water samples and found an average surfactant concentration of 0.019mgi1 with the minimum and maximum being 0.008mg/I and 0.038mgi1 respectively. We conclude that presently, surfactant concentration is not critical in the coastal areas. However, care must be exercised interpreting these results considering the synergistic effects between the surfactants and heavy metals and oil hydrocarbons

Correlation Between Intra-Abdominal Free Fluid and Solid Organ Injury in Blunt Abdominal Trauma

Background: In previous studies, the diagnostic value of Focused Assessment with Sonography for Trauma (FAST) has been evaluated but few studies have been performed on the relationship between the amount of free intra-abdominal fluid and organ injury in blunt abdominal trauma. To select patients with a higher probability of intra-abdominal injuries, several scoring systems have been proposed based on the results of FAST. Objectives: The aim of this study was to determine the prognostic value of FAST according to the Huang scoring system and to propose a cut-off point for predicting the presence of intra-abdominal injuries on the Computed Tomography (CT) scan. The correlation between age and Glasgow Coma Scale (GCS) and the presence of intra-abdominal injuries on the CT scan was also assessed. Patients and Methods: This study was performed on 200 patients with severe blunt abdominal trauma who had stable vital signs. For all patients, FAST-ultrasound was performed by a radiologist and the free fluid score in the abdomen was calculated according to the Huang score. Immediately, an intravenous contrast-enhanced abdominal CT scan was performed in all patients and abdominal solid organ injuries were assessed. Results were analyzed using Kruskal-Wallis test, Mann-Whitney test and ROC curves. The correlation between age and GCS and the presence of intra-abdominal injuries on CT-scan was also evaluated. Results: The mean age of the patients was 29.6 ± 18.3 years and FAST was positive in 67% of the subjects. A significant correlation was seen between the FAST score and the presence of organ injury on CT scan (P < 0.001). Considering the cut-off point of 3 for the free fluid score (with a range of 0-8), sensitivity, specificity, positive predictive value and negative predictive value were calculated to be 0.83, 0.98, 0.93, and 0.95, respectively. Age and GCS showed no significant correlation with intra-abdominal injuries. Conclusions: It seems that FAST examination for intra-abdominal fluid in blunt trauma patients can predict intra-abdominal injuries with very high sensitivity and specificity. Using the scoring system can more accurately determine the probability of the presence of abdominal injuries with a cut-off point of three

A combination of genetic algorithm and particle swarm optimization for optimal DG location and sizing in distribution systems,”

a b s t r a c t Distributed generation (DG) sources are becoming more prominent in distribution systems due to the incremental demands for electrical energy. Locations and capacities of DG sources have profoundly impacted on the system losses in a distribution network. In this paper, a novel combined genetic algorithm (GA)/particle swarm optimization (PSO) is presented for optimal location and sizing of DG on distribution systems. The objective is to minimize network power losses, better voltage regulation and improve the voltage stability within the frame-work of system operation and security constraints in radial distribution systems. A detailed performance analysis is carried out on 33 and 69 bus systems to demonstrate the effectiveness of the proposed methodology

Pregnancy Outcomes Among Hospitalized Patients Infected With 2009 H1N1 Influenza Virus in Qom, Iran, in Oct-Nov. 2009

Background: Pandemic H1N1 influenza A 2009 (H1N1/09) virus has been identified as a leading cause of febrile respiratory diseases worldwide, and pregnant women constitute a high risk group. Objectives: To determine the clinical characteristics and outcomes of pregnant women with H1N1 influenza A hospitalized in university hospitals of Qom city in Iran. Patients and Methods: This descriptive retrospective study was conducted using existed data related to October and November 2009. All pregnant women with influenza manifestations were admitted to the hospitals to undergo nasopharyngeal culture. H1N1 virus was confirmed in 11 cases. Data including demographic characteristics, clinical manifestations, laboratory test results, and pregnancy complications was extracted from medical records, and analyzed by descriptive statistics. Results: The mean age of the women was 28.1 ± 4.7 years with a mean gestational age of 28.7 ± 10.9 weeks. The most common clinical manifestations included coughing (100%), fever (87.5%), and dyspnea (75%). The most common abnormal test was anemia (88%). Pregnancy complications included preterm delivery (36.3%), low birth weight (18%), oligohydramnios (9%), gestational diabetes (9%), and fetal distress (9%). Also one (12.5%) wound dehiscence happened. Conclusions: vaccination seems to be necessary to prevent this potentially fatal infectious disease. Furthermore, timely prescription of antiviral medications is recommended to decrease the risk of severe complications

Modeling, Simulation and Control of a Tubular Fixed-bed Dimethyl Ether Reactor

This paper considers the modeling and control of a tubular fixed bed reactor with recycle stream for dimethyl ether (DME) production. For simulation purposes, a pseudo homogeneous model has been developed. By reactor simulation under steady state condition, effects of parameters such as feed rate, pressure and shell temperature are investigated. Using the steady state model, an optimizer that maximizes the reactor yield has been developed. For cooling the reactor, a steam drum that uses heat of reactions to produce steam was coupled with the reactor. Through dynamic simulation, system open loop response was obtained and two control loops were considered for controlling the reactor temperature and steam drum level. An optimizer that takes into account the feed variations was incorporated into the control system to maximize the DME production rate

Frequency and antimicrobial susceptibility of Shigella species isolated in Children Medical Center Hospital, Tehran, Iran, 2001-2006

AbstractAppropriate antimicrobial treatment of shigellosis depends on identifying its changing resistance pattern over time. We evaluated 15,255 stool culture submitted from July 2001 to June 2006 to the Laboratory of Children Medical Center Hospital. Specimen culture, bacterial identification, and disk diffusion susceptibility testing were performed according to National Committee for Clinical Laboratory Standards guidelines. From 15,255 stool samples, 682 (4.5%) were positive for Shigella species. The most common species of Shigella were S. flexneri (48%) and S. sonnei (45%); other results were S. dysenteriae (5%) and S. boydii (2%). The rate of Sensitivity to ceftriaxone (95%), ceftizoxime (94%), and nalidixic acid (84%) were among our isolates. Resistance to co-trimoxazole and ampicillin was 87% and 86%, respectively. S. flexneri was more multiresistant than other species (47.9%). Our isolates are overall most sensitive to ceftriaxone, ceftazidime, and nalidixic acid (> 84%). They were most resistant to co-trimoxazole and ampicillin (> 86%). Because resistance varies according to specific location, continuous local monitoring of resistance patterns is necessary for the appropriate selection of empirical antimicrobial therapy

Study of Intraventricular Hemorrhage in VLBW Neonates Admitted in Al-Zahra Hospital, Tabriz, Iran

Introduction and Aim: Intra-ventricular hemorrhage (IVH) is an important predictor of adverse neurodevelopmental outcome. IVH risk factor identification may conduct improvement of quality of care in Neonatal Intensive Care Units. The aim of the current study was to determine possible risk factors associated with IVH in VLBW neonates admitted in our hospital. Patients and Methods: All neonates with birth weight below 1500 gr admitted to NICU. Cranial ultrasonography was done for premature neonates weighed &lt;1000 g in 3 to 5 days and in 1 month again. In premature infants weighed &gt;1000 g, sonography was done in 7 days and 30 days of life respectively. If there is any conditions such as apnea, seizure, significant decrease in level of hemoglobin, increased head circumference, increased oxygen consumption, and other significant changes another sonography was done again. Exclusion criteria were cerebral malformations, metabolic disturbances, chromosomal anomalies, central nervous system infection, and genetic syndromes. Data was analyzed by SPSS ver 16.0 (SPSS Inc, Chicago, IL, USA) Results: In this study 64 cases with IVH and 110 without IVH were included. Mean of gestational age was 28.78&plusmn;2.08. From neonates, 54.6% were boys and 45.4% were girls. Vaginal delivery and cesarean section was done in 56 (32.2%) and 118(67.8%) cases respectively. Mean&plusmn;SD of pH in cases with IVH and without IVH was 7.19&plusmn;0.22 and 7.30&plusmn;0.12 respectively(p=0.001). Mean &plusmn;SD of pco2 in cases with IVH and without IVH was 65.15&plusmn;29.89 and 49.88&plusmn;40.89 respectively(p=0.001). Mean of 5th min APGAR score in patients required CPR was 7.36&plusmn;1.57 and in patients without CPR was 8.68&plusmn;1.25(P=0.001). From cases with IVH, hydrocephaly was detected in 20 cases. From cases without IVH, hydrocephaly was detected in 6 cases. Result of chi-square showed significant correlation between IVH and prematurity( X2=21.94, df=1, P&lt;0.001). From cases with IVH, 18 cases (28.1%) expired. From cases without IVH, 11 cases(10%) expired(X2=9.398, df=1, P=0.002). Results of chi-square test showed that there were a correlation between IVH and PDA, pressure support, surfactant therapy, inotrop drug administration, vaginal delivery, neonatal resuscitation, and antenatal corticosteroid therapy(p&lt;0.05). Hyaline membrane disease, history of preclampsia in mother was significantly higher in cases without IVH(Chi-square, p&lt;0.05). Conclusion: PDA, pressure support, surfactant therapy, inotrop drug administration, vaginal delivery, neonatal resuscitation, and antenatal corticosteroid therapy were significantly higher in cases with IVH. Hyaline membrane disease and preeclampsia in mother was significantly higher in cases without IVH.Keywords: Intraventricular hemorrhage, APGAR, low birth weight, hyaline membrane disease, corticosteroid, surfactant, inotrop, pre-eclampsi