Relationship between the patient's time in bed and the onset of surgery with postoperative shivering in patients undergoing abdominal surgery

Background: Shivering is an unpleasant complication in the postoperative period. It has been demonstrated that postoperative shivering is potentially risky, however the origin of postoperative shivering is unclear. The aim of this study was to determine the association between the patient's time in bed and the onset of surgery with postoperative shivering in patients undergoing abdominal surgery. Methods: This cross-sectional study wasperformed from August to September 2018. The participants were all patients referred to Imam Reza hospital in Mashhad who were a candidate for any abdominal surgeries. Patients were selected according to the inclusion criteria and then divided into two groups of less than 20 minutes (N = 20) and more than 20 minutes (N = 14) based on the duration of bed rest until surgery. Postoperative shivering checklist was used to evaluate the severity of postoperative shivering. This checklist for post-operative shiver check is standardized in the anesthesia reference books (Miller Anesthesia Page 2319) and used in the study of Manouchehri et al. in 2007. Data were analyzed using SPSS-20 software which the significance level was considered to be less than 0.05. Results: There was a significant positive correlation (P=0.024) between the duration of bedtime and shivering intensity after surgery. Also data analysis shows a positive relationship between intensity of shivering with investigated variables such as age, difficulty of induction (P=0.012) and duration of bed rest until surgery. There was no relationship between shivering severity, gender, patient age and difficulty of induction with duration of bed rest until surgery. Also results showed that there was no significant correlation between education level and gender of patients with intensity of shivering. Conclusion: Our findings indicate a significant positive association between age and surgery duration with postoperative shivering. It seems that decreasing surgery duration can reduce the risk and incidence of postoperative shivering in patients undergoing abdominal surgery. © 2020 Lahore Medical And Dental College. All rights reserved

Effect of General Anesthesia with Thiopental Sodium and Propofol on the 1- and 5 Minute Apgar Newborns by Cesarean

Background: The Apgar score of newborn babies is a determining factor involved with mortality of newborns after birth. Regarding the disagreement on advantages and possible disadvantages of propofol and thiopental in the available references, the study was triggered with the aim of analyzing effects of two mentioned drugs on babies’ Apgar score. Methods: In this double-blind clinical trial, a total of 100 healthy women who volunteered to undertake cesarean operation were selected and then divided randomly into two equal groups using statistical blocking. One group was treated by propofol while other one was treated by thiopental. The prescribed drugs for both groups were identical. Babies’ Apgar score 1 and 5 minutes after birth and recovery period and some of the critical maternal parameters after operation were recorded. The obtained data were analyzed by SPSS 19 software. Results: Apgar score I minute 1 (p=0.317) and Apgar score in minute 5 (p=1.00) for propofol group were not different meaningfully. The groups had significant differences in the indices such as first systolic (P=0.00) and diastolic (P=0.00) pressure in recovery, last diastolic pressure in recovery (P=0.001) and duration of postoperative recovery (P=0.001). Statistical analysis of nausea and vomit in both groups showed that they are lower in propofol group rather than the thiopental group (p=0.000). Conclusion: Propofol and thiopental did not differ significantly in Apgar score, but it seems that propofol can be a better option to induce anesthesia for an elective cesarean operation

The Association between Sociodemographic Characteristics, Creativity and Occupational Stress among Nurses Working in Ilam Hospitals, Iran (2019)

Background: Nursing occupation can be stressful, with various practical factors, and nurse creativity plays a significant role in clinical nursing success. This study aims to determine nurses' association of socio-demographic characteristics and creativity with occupational stress. Materials and Methods: This descriptive study was conducted on 200 nurses working in teaching hospitals in Ilam, Iran in 2019. Sampling was performed by the simple random method. Data collection tools included socio-demographic, job stress, and Abedi creativity questionnaire (CT). Data analysis was performed using SPSS software v.21. One-way ANOVA and independent t-test were used to compare the mean occupational stress scores among different sociodemographic groups. The Pearson correlation test investigated the associations between occupational stress and creativity, and a general linear model was used to determine a correlation between occupational stress and soci-demographic characteristics. Results: About 73 of nurses had low and 25 had no occupational stress (score: >3.5), There was correlation between occupational stress and creativity (p>0.001, r= 0.25) and sub-domains: fluidity (p >0.001, r= 0.26), innovation (p= 0.003, r= 0.20), and flexibility (r = 0.25, p <0.001). There was significant correlation between occupational stress and socio-demographic characteristics, including education status, work experience, number of night shifts per month, and satisfaction with hospital employment. Conclusion: we concluded that health managers should help with spoting creativity to solve health system problems by providing a stress-free environment. © The Author(s) 2022; All rights reserved. Published by Rafsanjan University of Medical Sciences Press