Effectiveness of planned teaching programme on practice of post natal exercises among mothers who have undergone lower segment cesarean section

Background: To assess the effectiveness of planned teaching programme on practice of post natal exercises among mothers who have undergone Lower segment cesarean section (L.S.C.S) in selected hospital at Bangalore.Methods: compare the practice scores of postnatal exercises among LSCS mothers between control group and experimental group.Results: Results shows that in post test the control group had inadequate practice score with a mean of 16.33%, standard deviation of 9.44 and mean percentage of 19.60 % where as in post test the experimental group there was a significant mean practice score gain of 39.84 % and standard deviation of 12.58 and mean percentage 79.67 % with a differences of 60.07 %.Conclusions: Significant difference was found between control and experimental group practice score of mothers in all areas of post natal exercises

Pattern of Deliberate Self-Poisoning in Gorgan, North of Iran

Background: Suicide is a global public health problem. Deliberate Self-Poisoning (DSP) is one of the most common methods of suicide in many countries. This study was designed to identify the trends and characteristics of DSP in Gorgan.Methods: The study was carried out retrospectively in 5 Azar Hospital. It included 549 patients who were hospitalized in the hospital due to DSP from March 2008 to March 2015. Data were obtained from medical records. Stata software and Pearson's chi-squared test were used for data analysis.Results: Of 549 patients, 51% were females and 50.27% were aged 20–29 years. The majority of patients (76.68%) lived in urban areas. Poisoning occurred mostly in summer and the peak was observed in August. Most of the poisoning agents were pharmaceuticals (80.51%). Among the pharmaceuticals, benzodiazepines were involved most often. Overall, 21 patients (3.83%) died. The highest number of deaths was due to aluminum phosphide poisoning (76.19%). In addition, family quarrel was the main cause of DSP (43.17%). There were significant differences between the causes of DSP and demographics. Characteristics including gender, age groups, marital status, employment status and educational status.Conclusion: Deliberate self-poisoning (DSP) with drugs has recently been a serious social problem, especially in the younger generation in Gorgan and there is an urgent need for a prevention plan

Predicting factors of reducibility of invagination with barium enema in children

Background: Intussusception is the telescoping of one portion of the intestine in to another. The appropriate treatment can reduce the complication, mortality and morbities. The first line of non surgical treatment is contrast enema. This study was done to identification the clinical and laboratory predictors of success of barium enema. Methods: This was a cross-sectional study that considered all the children with intussusceptions, who were refered in 2009 and 2010 to Alzahra hospital, Iran. All of the needed information including age, sex, fever, leukocytosis, free fluid in sonography, time of symptom appearance and positive bloody stool was recorded in a questionnaire. Then we committed Barium enema for all of them, and evaluate the relationship between the success of barium enema with gathered data by chi square and Student t-test. Findings: In this study we evaluated 45 children with intussusceptions. In 18 subjects the barium enema treatment was success. The results of this study showed a significant correlation between positive blood stool and free fluid in sonography with unsuccessful of barium enema treatment. Conclusion: According to our results in children with bloody stool or free fluid in sonography we recommend only one time barium enema. If the treatment is unsuccessful, it is better to advise patients for open surgery

Epidemiological survey of suicide attempt by drug poisoning in Gorgan, Iran, 2008 to 2015

Background and purpose: Intentional drug poisoning is one of the most common methods of suicide attempt. The purpose of this study was to determine the demographic characteristics of suicide attempters and identifying the pattern of intentional drug poisoning. Materials and methods: We conducted a descriptive-analytical study in which data was collected from the medical records of suicide attempts by drug poisoning in 5Azar Hospital in Gorgan, Iran, 2008-2015. Data was analyzed by Stata V.11 and Pearson’s Chi-squared test. Results: During these seven years, 442 cases of suicide attempts by drug poisoning were recorded in which there were 244 (55.2%) females and 229 individuals (51.8%) aged 20–29 years. Their mean age was 24.54 ± 8.14 and the majority (79%) lived in urban areas. Also, 224 (55.2%) patients were single and 248 (56.1%) had high school education. Poisoning occurred mostly in summer (28.7%). Among the pharmaceuticals, sedative-hypnotic drugs especially benzodiazepines were used more often (47.5%) followed by narcotic drugs (26.5%) and antidepressants (17.4%). Death occurred in three patients (0.68%) died. Family quarrel was found to be the main cause of suicide attempts (46.8%). Conclusion: Sedative-hypnotic drugs especially benzodiazepines were the most common agents used in intentional drug poisoning that were seen most commonly among younger individuals, single persons and people with family quarrel. © 2016, Mazandaran University of Medical Sciences. All Rights reserved

Congenital heart defects in children with oral clefts

  Background: Oral clefts are among the most common congenital anomalies. Infants with oral clefts often have other associated congenital defects, especially congenital heart defects. The reported incidences and the types of associated malformations and congenital heart defects vary between different studies. The purpose of this study was to assess the incidence of associated congenital heart defects in children with oral clefts. Methods: All infants with cleft lip and palate referred to the Children's Medical Center and Bahramy; the teaching Hospitals of the Tehran University of Medical Sciences from 1991 to 2005 were prospectively enrolled in this study group. All patients were examined and noted by an academic cleft team contain; a pediatrician and a pediatric surgeon, and received cardiac consultation and echocardiography by a pediatric cardiologist. non cardiac associated anomalies, still born and patients without echocardiography were excluded from the study.  Data including age, gender, exposure to contagions and high risk elements ,consanguinity and familial history of oral cleft, type of oral cleft, results of cardiac consultation and echocardiography and associated cardiac anomalies were cumulated and analyzed by SSPS version 13.5Results: Among the 284 infants with oral clefts, 162 were male (57%) and 122 were female (43%). Seventy-nine patients (27.8%) had cleft lip, 84 (29.5%) had cleft palate and 121 (42.6%) had both cleft lip and palate. Of all the patients, 21.1% had congenital heart defects. the most common type Of these congenital heart defects(28.3%)  was atrial septal defect.Conclusions: For patients with cleft lip and palate, we recommend preoperative cardiac consultation, careful examination and routine echocardiography for associated cardiac anomalies, as well as appropriate management and prophylactic antibiotic therapy for those with associated congenital heart anomaly