Comparison of the pregnancy outcomes between the medical and surgical treatments in tubal ectopi pregnancy

Background: Various treatments have been proposed to treat ectopic pregnancy, but their impact on future pregnancies is still the subject of controversy. Objective: The aim of this study is to compare the medical and surgical treatment methods and their impact on the subsequent fertility results and complications in women with a history of ectopic pregnancy. Materials and Methods: In this analytical, cross-sectional study, 370 women with the history of ectopic pregnancy, (treared with single dose of methotrexate or salpingectomy by laparotomy), that referred to Al-Zahra Hospital, Rasht, Guilan between 2009 to 2013 were enrolled. 147 women responded to the phone call. The age, the number of women that needed to drug for pregnancy, fertility rate and the fertility outcomes were studied. Result: 147 women responded to the call and between them, 114 women tried to get pregnant again after the ectopic pregnancy treatment. They were agreed to the participate in the study. The mean age of the patients was 28.56±5.63 yr. The fertility rates in the medical and the surgical groups were 56.6 and 47.61, respectively (p=0.141). There were no significant differences in the poor consequences of pregnancy among the two groups; ectopic pregnancy (p=0.605), miscarriage (p=0.605), and prematuredelivery (p=0.648). 15.1 in the medicinal group and two patients 12.5 in the surgical group had received fertility treatment in order to get pregnant (p=0.135). There was no significant difference in two groups. Conclusion: It seems that surgical treatment depending on the underlying variables of each patient, can be used such as medical treatment, without worrying about its effect on fertility. © 2018, Research and Clinical Center for Infertitlity. All rights reserved

Comparison of the pregnancy outcomes between the medical and surgical treatments in tubal ectopi pregnancy

Background: Various treatments have been proposed to treat ectopic pregnancy, but their impact on future pregnancies is still the subject of controversy. Objective: The aim of this study is to compare the medical and surgical treatment methods and their impact on the subsequent fertility results and complications in women with a history of ectopic pregnancy. Materials and Methods: In this analytical, cross-sectional study, 370 women with the history of ectopic pregnancy, (treared with single dose of methotrexate or salpingectomy by laparotomy), that referred to Al-Zahra Hospital, Rasht, Guilan between 2009 to 2013 were enrolled. 147 women responded to the phone call. The age, the number of women that needed to drug for pregnancy, fertility rate and the fertility outcomes were studied. Result: 147 women responded to the call and between them, 114 women tried to get pregnant again after the ectopic pregnancy treatment. They were agreed to the participate in the study. The mean age of the patients was 28.56±5.63 yr. The fertility rates in the medical and the surgical groups were 56.6 and 47.61, respectively (p=0.141). There were no significant differences in the poor consequences of pregnancy among the two groups; ectopic pregnancy (p=0.605), miscarriage (p=0.605), and prematuredelivery (p=0.648). 15.1 in the medicinal group and two patients 12.5 in the surgical group had received fertility treatment in order to get pregnant (p=0.135). There was no significant difference in two groups. Conclusion: It seems that surgical treatment depending on the underlying variables of each patient, can be used such as medical treatment, without worrying about its effect on fertility. © 2018, Research and Clinical Center for Infertitlity. All rights reserved

Observance Rate of the Rights of Patients by Providers Care and its Necessity from View of Patients in Shahid Sadooghi Hospital in Yazd 2012

Introduction:Efficient health system needs active participation and good relationship between health care providers and health care recipient. The fundamental reason for the importance attached to patient’s rights and the corresponding increase in legislation is that respecting patient’s rights is an essential part of providing good health care. Existence of patient rights prism doesn't mean its observance. The purpose of this study is to determine the observance rate of patient’s rights and its necessity from patient`s point whom hospitalized in Shahid Sadooghi hospital of Yazd. Methods:This study has been done as a cross sectional descriptive survey in three months (December 2012, junuary and febriary2013) in Shahid Sadughi hospital of Yazd city. The study group that selected randomly consisted of 200 patients who hospitalized in study period. Data were collected during face to face interviews using a standard questionnaire. This questionnaire was based on patient right prism and its validity and reliability has been obtained in previous studies. Data analyzed by SPSS18. Results:Results showed that observance rate of patient’s rights and its necessity from patient`s point was 63.2% and 76.85% respectively with a significant relationship (R=0.49, P=0.000). There was a significantly relationship between patient`s education, their residency and age of them with observance and necessity of their rights. Urban residency, high education and more age was related to better opinion. Also there is significantly relationship between observance of patient`s rights and its necessity at all and in subscales with their satisfaction of hospital (P=0.000). Conclusion:According to observance rate of patients' rights and its necessity for patient satisfaction and their health promotion. A strategy for increasing of observance is increasing in patients’ awareness of patient’s rights pris

Relation between low birth weight with attention deficit and hyper activity disorder in children

Background and Objective: Low birth weight (LBW) is one of the most important problems in the world. Many morbidity are more prevalent in LBW included in attention deficit and hyper activity disorder (ADHD). This study was done to find the Relation between low birth weight with attention deficit and hyper activity disorder in children. Methods: This historical cohort study was done on 226 rural children in Yazd province, central area of Iran. ADHD symptoms were evaluated in LBW and NBW using DSM-IV criteria. Results: Frequency of ADHD was 22.8% in LBW and 12.5% in NBW (P<0.05). The mean of family members was 4.7±0.6 and 4.2±0.8 in child with ADHD versus child without ADHD (P<0.05). Odd's ratio for ADHD was 3.1 in patient with more than one sister or brother (95% CI: 1.2-7.9, P<0.001), and 5.7 in patients with positive familial history (95% CI: 2.6-12.4, P<0.001). Conclusion: Relationship between ADHD and LBW was statistically significant. Positive familial history for ADHD and over-crowded family were social factors related with ADHD. LBW is one of the risk factors for ADHD and can be considered in children health program ADHD was frequent in child with low birth weight than child with normal birth weight

The Survival Rate of Patients with Colorectal Cancer in Yazd during 2001-2011

Introduction: Colorectal cancer survival rate has increased due to the advances in this disease treatment in the recent years. Therefore, this study aimed to investigate the survival rate for colorectal cancer patients from 2001 to 2011 in Yazd. Methods: In this retrospective cohort study, 604 patients with colorectal cancer were studied who were admitted to the cancer registry of Yazd province from 2001 to 2011. Their death time was determined by the death registry center or their families. Those who died due to other reasons rather than this cancer were omitted. The data were analyzed by Kaplan-Meier method and x2. Results: The mean age of these patients was 58.9±19.99 years and the median age was 62 years. Their survival rates in one, five and ten years were respectively 72.2 %, 50.1% and 39.8% regardless of their sex and age. The survival mean and median were 0.23±6.47 and 0.71±5 years. In this study there was a significant relationship between age and survival rate, though no significant relationship was observed between sex and survival. Moreover, the survival rate in patients younger than 50 years was significantly more than those older than 50 years. Conclusions: Despite advances in colorectal cancer treatment in Iran and around the world, in this study, the long-term survival rate was reported less than that of developed countries

The Survival Rate of Patients with Colorectal Cancer in Yazd during 2001-2011

Introduction: Colorectal cancer survival rate has increased due to the advances in this disease treatment in the recent years. Therefore, this study aimed to investigate the survival rate for colorectal cancer patients from 2001 to 2011 in Yazd. Methods: In this retrospective cohort study, 604 patients with colorectal cancer were studied who were admitted to the cancer registry of Yazd province from 2001 to 2011. Their death time was determined by the death registry center or their families. Those who died due to other reasons rather than this cancer were omitted. The data were analyzed by Kaplan-Meier method and x2. Results: The mean age of these patients was 58.9±19.99 years and the median age was 62 years. Their survival rates in one, five and ten years were respectively 72.2 %, 50.1% and 39.8% regardless of their sex and age. The survival mean and median were 0.23±6.47 and 0.71±5 years. In this study there was a significant relationship between age and survival rate, though no significant relationship was observed between sex and survival. Moreover, the survival rate in patients younger than 50 years was significantly more than those older than 50 years. Conclusions: Despite advances in colorectal cancer treatment in Iran and around the world, in this study, the long-term survival rate was reported less than that of developed countries