Effect of Group Discussion on the Attitude of Healthcare Workers Toward the Patients" Rights: A Randomized Controlled Trial

Objective: Group discussion can enhance the knowledge and capabilities of the nurses in clinical judgments, however, its impact on the attitude toward respecting the patients" rights by nurses has been less focused. Therefore, this study aimed to investigate the effect of group discussion on nurses" attitude toward respecting the rights of patients in Shahid Madani hospital, Tabriz in 2014. Materials and Methods: This experimental study with a pretest and posttest design and a control group was conducted on nurses. The research sample consisted of 142 working nurses who had a negative attitude score of less than 88 toward patients" rights. They were selected through the random sampling method and were assigned to 2 groups of experimental and control. A 2-partite questionnaire was used to collect data which included demographic data and observance of physical, psychological, and social rights of patients. Data were analyzed using SPSS. Results: According to the results, no significant demographic difference existed between the 2 groups (P > 0.05). However, the analysis of covariance showed a statistically significant difference between the 2 groups in the score which was significantly higher in the intervention group compared to the control group (P < 0.05). Conclusion: The results showed that group discussion can enhance observance of patients" rights by nurses. Therefore, it is recommended to use group discussion as an appropriate method in hospitals in order to change the attitude of nurses and to increase attention to patients" rights

Comparison of Laboratory Findings and Incidence Rate of Renal Failure With and Without Cardiopulmonary Bypass Machine After Coronary Artery Bypass Graft

Objectives: Acute kidney insuffciency is a prevalent and serious disease that follows coronary artery bypass graft (CABG). One of the important symptoms of acute renal failure (ARF) is the increased level of urea and serum creatinine. This study examined the rate of renal failure in patients undergoing on-pump and off-pump CABG. Materials and Methods: In this descriptive–comparative survey, we selected the patients undergoing heart surgery. Levels of urea, creatinine, sodium, potassium and urinary output were controlled and recorded in the frst days of admission and ICU discharge. Data collection tool was a checklist, the frst part included demographic information and the second part was related to the information on kidney function. The data were analyzed using SPSS version 21.0. Results: The fndings of this study showed a statistically signifcant difference in terms of age and the incidence of renal failure based on the increased levels of urea and serum creatinine before and after CABG (P0.05). Conclusions: Patients’ age was an important factor for kidney insuffciency following CABG. Type of the surgery (on- and off-pump) and gender had no influence on the incidence rate of ARF. Stronger measures to protect the kidneys in older patients may reduce this high-risk complication

Prevalence of Mitral Valve Disease in Pregnancy and its Effects on Maternal-Fetal Outcomes

Objective: Heart diseases are among the most prevalent diseases that endanger the life of both mother and fetus and cause complications for them. Rheumatic mitral valve is the most prevalent organic involvement in pregnant women with mitral valve disease in Southeast Asia. Mitral valve disease is a serious and common problem for pregnant women. Despite medical and surgical advances in treatment of heart diseases, it is still the fourth cause of mortality in pregnant women. Accordingly, the purpose of this study was to assess the prevalence of mitral valve disease in pregnancy and its effects on maternal-fetal outcomes. Material and Methods: This cross-sectional study was conducted on pregnant women with heart problems who were selected through convenience sampling. Data were analyzed in SPSS version 17.0. Results: Findings showed that heart valve problems were the most frequent medical history of pregnant women. Among the subjects, the most prevalent heart disease was related to Mitral Stenosis (MS) (39.6%) and mitral valve prolapse (MVP) (22.8%). The most frequent causes of hospitalization were high blood pressure (43.2%) and chest pain (38.2%). The mean age of participants was 25±83 years. Conclusion: Heart diseases during pregnancy are highly risky, but their progress and complications for mother and fetus can be avoided by constant prevention and treatment before and during pregnancy

Binding Studies of a New Water-Soluble Iron(III) Schiff Base Complex to DNA Using Multispectroscopic Methods

A novel iron(III) complex [Fe(SF)](ClO4)3.2H2O; in which SF = N,N0-bis{5-[(triphenylphosphonium chloride)-methyl] salicylidene}-o-phenylenediamine) has been synthesized and characterized using different physicochemical methods. The binding of this complex with calf thymus (CT) DNA was investigated by circular dichroism, absorption studies, emission spectroscopy, voltammetric studies, and viscosity measurements. The results showed that this complex can bind to DNA via external and groove binding modes