Identification of Nursing Management Planning Standards in Iran‏

BACKGROUND: In recent century, planning is one of the most important care skills for health service development. Nurses should be ready scientifically for managing situations in order to develop and perform appropriate models for patient care. It is necessary for manager to know about the process and standards of planning and how to apply them in real conditions. With regard to importance of health care planning and lack of nursing management planning accreditation in Iran. METHODS: This triangulating research was carried out between 2004 and 2006. Fifty professional nursing managers in different level of Iran medical universities and central hospitals, having experience in nursing management at least for five years, and an MS or BS degree in nursing management, were included in a study through purposed sampling. At first, a pilot study with an open questionnaire was conducted in Isfahan and Shiraz and then the study went on in 3 phases including searching for international standards in method by 15 professional nursing manager after consensus on 70% and sending the final was used for data analysis. At last standards for nursing management planning were obtained in Iran. RESULTS: 48 standards of nursing management planning were obtained. The findings showed that most of the standards were accepted (90%) and there were not any standards with agreement lower than 70%. These standards, accompanied with the standards of other nursing units, can be used for quality improvement. The researcher suggests the ministry of health to use these findings and other related ones to accredit the nursing system and to identify its deficiencies

Short communication: Jellyfish of Khuzestan coastal waters and their impact on fish larvae populations

One of the most valuable groups in the food chain of aquatic ecosystems is zooplankton. A large portion of them are invertebrate organisms with great variety of forms and structure, size, habitat and food value. The term ‘jellyfish’ is used in reference to medusa of the phylum Cnidaria (hydromedusae, siphonophores and scyphomedusae) and planktonic members of the phylum Ctenophora (Mills, 2001). Jellyfish medusa is a zooplankton which is frequently present in coastal ocean waters and all marine habitats. They are also primary predators of other zooplanktons which have significant impact on abundance and diversity of zooplankton communities that are one of the key parts of the marine food web. Most jellyfish include Hydromedusae, Siphonophora and Scyphomedusae and planktonic Ctenophora, especially in the productive warm months (Brodeur et al., 1999). In recent years, the frequency of the jellyfish in many ecosystems has increased (Xian et al., 2005; Lynam et al., 2006)

Investigating the Prevalence of Copper and Zinc Abnormalities in Patients Pre and Post bariatric Surgery—an Australian Experience

Introduction: Bariatric surgery predisposes patients to nutritional deficiencies. There are limited studies on zinc and copper abnormalities in this cohort. Purpose: The aim of this study was to identify the prevalence of these abnormalities in a cohort of Australian bariatric patients. Inflammatory markers, adherence to multivitamin supplementation (MVS) and the presence of gastrointestinal (GI) symptoms were also investigated. Material and Methods: Data was collected on all patients who attended a single clinic in Sydney, Australia, from August 2020 to August 2021. Results: The study cohort consisted of 231 patients (76.2% female; mean pre-operative body mass index of 43.4 ± 7.1 kg/m2), most of whom underwent sleeve gastrectomy (78.8%). Data were collected preoperatively and then at ≤ 6 months, 1 and \u3e 2 years postoperatively. Prior to surgery, low levels of zinc (2.1%) and copper (0.7%) were rare, but elevated copper levels were common (16.7%) and potentially related to an elevated C-reactive protein (CRP) (47.7%). Following surgery at \u3e 2 years, the mean total weight loss (TWL) was 33.5 ± 12.4. CRP levels improved over time. Post operatively, low zinc (2.7–3.6%) and copper (1.5%) levels were rare. Patients with low levels in zinc and copper were a higher-risk group and generally exhibited GI symptoms, despite taking MVS. Conclusion: In the initial post-operative stages and with good adherence to MVS containing copper and zinc, abnormalities may not be a concern. Patients with GI symptoms appear to be at higher risk of abnormalities; increasing awareness, thorough screening, and more comprehensive supplementation are recommended. Graphical Abstract: [Figure not available: see fulltext.]