2024-03-29T18:45:27+04:30 http://sjimu.medilam.ac.ir/browse.php?mag_id=5&slc_lang=fa&sid=1
5-22 2024-03-29 10.1002
Journal of Ilam University of Medical Sciences J. Ilam Uni. Med. Sci. 1563-4728 2588-3135 doi 2007 15 2 Comparison of Chemiluminescence Immunoassay and PCR for Detection of Hepatitis B Virus among Patients Referred to Baghiatollah Hospital Lab. Abstract Introduction : Hepatitis B virus expresses HBsAg on its envelope.It is a cause of acute infection in infected new-borns and liver disorders such as cancer in human beings . HBsAg is the first serological marker to appear in blood - stream before any clinical signs in patients. It is possible to detect this Ag by immunological methods such as chemiluminescence immunoassay. HBV DNA can be detected by molecular techniques such as PCR in sero-negative patients with known HB disease. Thus, this study is aimed to throw a Comparison between chemiluminescence immunoassay and PCR for detection of Hepatitis B virus. Materials & Methods : Sixty-three serum samples obtained from known HBV patients in Baqyiatallah hospital were used for analysis. Immunological assay and DNA detection were performed by Sandwich chemiluminescence immuno assay and PCR respectively. Findings : The results showed that all the 63 samples (100%) proved positive by PCR , while only 57 cases (90.5%) proved positive and 6 cases (9.5%) negative by Immuno Chemiluminecens Assay. Conclusion : Considering the results obtained from the investigation that shows PCR as more sensitive than Chemiluminescence Immunoassay for diagnosis of HB virus, we should rather suggest using PCR for rapid detection of HB virus in patients than Immuno Chemiluminecens Method. HBV PCR Chemiluminescence 2007 7 01 1 6 http://sjimu.medilam.ac.ir/article-1-22-en.pdf
5-24 2024-03-29 10.1002
Journal of Ilam University of Medical Sciences J. Ilam Uni. Med. Sci. 1563-4728 2588-3135 doi 2007 15 2 Barriers of Research Performances in the View of Nurses Abstract Introduction: The nursing profession has long recognized the importance of performing researches as an essentiality of its task. More scientific knowledge can be obtained to improve the care provided by nurses and the health care systems. This research has been performed to determine the barriers in the way of doing researches as considered by nurses and midwives working at Shahr-e-Kord`s hospitals. Materials & methods: In this descriptive cross-sectional study , the instrument for data collection was questionnaire. These questionaires were provided on the basis of valid scientific sources & liqurt scales. For data analysis, the T-test and Chi-square test were used. Findings : Out of the 300 questionnaires distributed among nurses & midwives , 238 ones (73.9%) were received back. The results showed that mean of organizational barriers was more than that of personal ones (p<0/0001). Inadequate time was clearly the greatest barrier of participation in clinical researches , lack of technical & consultative support , demotivation , poor command on English language and non-profitablity were also known as major barriers to decide on doing researches . Unintendency toward research , limited benefit of researches to their patients & ethical concerns were relatively considered minor barriers. Conclusion: It is concluded that these barriers must be removed by the research officials & hospital managers. The most important factor was perceived to be organizational support particularly in under-graduate and pastgraduate courses so that any nurse or midwife thinks of a scientific study as a promotive point in his/her profession. Research Barrier Midwife Nurse 2007 7 01 7 13 http://sjimu.medilam.ac.ir/article-1-24-en.pdf
5-26 2024-03-29 10.1002
Journal of Ilam University of Medical Sciences J. Ilam Uni. Med. Sci. 1563-4728 2588-3135 doi 2007 15 2 Assessment of Brucella Abortus Lipopolysaccharide Abstract Introduction: Lipopolysaccharide (LPS) of Brucella abortus is important in diagnosing brucellosis as well as in developing a subunit vaccine against this disease. Biological evaluation of B. abortus LPS and it's protective potentials have been the goal of this research. Meterials & Methods: Brucella abortus LPS was extracted by n-butanol ,then purified by ultracentrifugation and detoxified by alkaline treatment. Toxicity rate of LPS and detoxified form of –LPS (D-LPS) using LAL( Limulus Amoebocyte Lysate) method, and pyrogenicity in rabbit were investigated . The immunological evaluation in animal model was also performed. Findings: Purified LPS from B.abortus by butanol extraction was proven to have a <2 %(wt/wt) contamination with protein and a <1%(wt/wt) contamination with nucleic acids. Pyrogenicity test of B.abortus LPS (10 μg/ml) and E.coli LPS (0.5 μg/ml) was positive ,but negative for D-LPS (10, 50μg/ml). In LAL test , 10 ng/ml of D-LPS was negative , but 0.04ng/ml of B.abortus LPS was positive and endotoxin unit of B.abortus LPS was less than E.coli LPS. Antibody titer of LPS group was higher than that of D-LPS group. The difference of protection power among LPS group, D-LPS group compared with negative control was significant (p≤0.05), In addition, the difference of protection ratio between LPS and D-LPS groups was not significant. Conclusion: As shown by the results that D-LPS toxicity is severely decreased, we can use as many more as B.abortus LPS for stimulating immunity system. Besides, ability of B.abortus LPS is likely much less than the LPS from E.coli to evoke endotoxic shock, and can be used directly as an immunogen. In addition, protection of LPS and D-LPS probably is due to humoral important role in secondary infection of brucellosis. Lip polysaccharide (LPS) Brucella abortus Detoxification LAL Rabbit Pyrogenic Test. 2007 7 01 14 18 http://sjimu.medilam.ac.ir/article-1-26-en.pdf
5-27 2024-03-29 10.1002
Journal of Ilam University of Medical Sciences J. Ilam Uni. Med. Sci. 1563-4728 2588-3135 doi 2007 15 2 Blood Pressure Variation Among Children Abstract Introduction: Despite great gains in diagnosis, treatment and control of blood pressure, systemic hypertention is still a main cause of cardiovascular and renal diseases. Considering the role of blood pressur in lower years of life in causing hypertention and it`s complications in a dulthood and loss of knowledge about different populations in different years, it seems necessary to care about BP. variations in childhood. Meterials & Methods: This study was carried out on 1057 children including an equal number of males and females at the age of 7-11 years and measured titer BP from right humorous in two mediums at a relaxed and stressless condition. The first cortocof sound determined the systolic BP and the fourth cortocof sound determined the diastolic BP. Findings: The mean systolic BP of the students was 10.3 mmHg and the mean diastolic BP was 69.8 mmHg. 13% of children had systolic hypertension over 140 mmHg and prevalence of diastole BP over 90 mmHg equaled 1.5%. Incidence of hypertonic in female was 9.1% and in males 8.7%. In general, the systolic BP level in female was in average 5-10 mmHg more than that of the males. Conclusion: An strong and positive Association was proved between the age and blood pressure in the students of 7-10 years old. Diastolic & systolic pressures increases with the increase of weight and height of children. There fore, conducting a screening diagnostic plan, probable cases of abnormal boold pressure at childhood can be discovered and treated. Blood pressure Children Diastolic Systolic 2007 7 01 19 25 http://sjimu.medilam.ac.ir/article-1-27-en.pdf
5-29 2024-03-29 10.1002
Journal of Ilam University of Medical Sciences J. Ilam Uni. Med. Sci. 1563-4728 2588-3135 doi 2007 15 2 Design and Invention of Semiautomatic Weld Mask Capable to Protect Visual and Respiratory Systems Against Metal Vapour and Radiations Caused by Welding Abstract Introduction: Safety and hygiene are of considerable importance to a healthy life. They guarantee people`s protection against disease and fatal dangers. Having knowledge about the environmental pollutants helps to realize how hazardous these harms are and can result in providing the ground to develop an economically and technically proper technology. Examples of dangerous elements at workshops are fume, smoke and vapour rising from electrical arch which expose workers to health risk factors. Therefore, for controlling such pollutants, we have to use appropriate technology materials & procedures. The semiautomatic weld mask with capability of protecting eyesight and breathing system against metal vapour and radiations during welding controls the rays from electrical arches and prevents the rising fume form being breathed in by workers. Materials & Methods: Invention of this mask has been developed academically at Ilam Medical University. The fiberglass part of this specifically shaped mask is placed on the chest and prevents the dense fume with high rate of pollutants to be breathed by workers. However, this mask has a fixable length from both sides which is higher than the vertical position of the worker`s nape. The quality of this mask considering its two-sided feature and suitable length helps workers breathe less-dense fume and by blocking the way of dense fume upward, also decreases the pollutants and facilitates the way of fresh air from behind. The density of fume is less in comparison to that moving in front of the worker`s heads. This mask is registered in the national invention registeration department with the registration number 33786. Conclusion: The invented mask was examined. Considering the investigative results, using this mask can decrease a high amount of pollutants in the air workers breathe in. Furthermore, harmful rays such as infrared and ultraviolet will not strike worker`s eyes anymore. The shortage of desired technology in our province and high expenses in other cities of Iran were, unfortunately, the significant reasons for not developing such an essential device. Safety Worker Mask Pollutant 2007 7 01 26 31 http://sjimu.medilam.ac.ir/article-1-29-en.pdf
5-30 2024-03-29 10.1002
Journal of Ilam University of Medical Sciences J. Ilam Uni. Med. Sci. 1563-4728 2588-3135 doi 2007 15 2 Effects of Home Psychiatric Nursing Care in Treatment of Schizophrenic Patients Abstract Introduction: Psychiatric home care programs are changing rapidly in response to the increasing numbers of acut psychiatric patients in community and the newly created competitive health care market. Some of this growth is a result of the proven efficacy of psychiatric patient in a cost-effective manner. The aim of this study is to assess the effects of home psychiatric nursing care in patients with schizophrenic disorders after being dischaged. Materials & Methods: The study was a quasi-experimental research design. The participants included 60 patients diagnosed with schizophrenic disorder case and control groups. The samples were selected by access sampling .The case group were provided a 3-month home care after being discharged and evaluted 6 months later. Findings: The results showed the following in the experimental group after home psychiatric nursing care: an improvement in the quality of life, stopping unnecessary hospitalization, facilitating more rapid discharges, prevention of symptomatic recurrences and better psychotherapeutic drug orders than the control group. Conclusion: Work with families to reduce relapses was always seen as an adjunct to maintain the medication and not as a substitute for it. Indeed, family therapy, when added to antipsychotic medication, has been shown to be more efficacious than medication alone in preventing relapses in schizophrenia. Home Psychiatric Nursing Care Treatmeant Schizophrenic Patients 2007 7 01 32 38 http://sjimu.medilam.ac.ir/article-1-30-en.pdf
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Journal of Ilam University of Medical Sciences J. Ilam Uni. Med. Sci. 1563-4728 2588-3135 doi 2007 15 2 Effect of Middle Ear Infection on Gross Motor Ability in Preschool-aged Children Abstract Introduction: Otitis Media with Effusion (OME) as discussed in this guideline is defined as the presence of fluid in the middle ear without signs or symptoms of acute ear infection. In the first year of life, more than 50% of children will experience OME, increasing to more than 60% by age of 2 years. Many episodes resolve spontaneously within 3 months, but about 30% to 40% of children have recurrent OME and 5% to 10% of episodes last for 1 year or longer. Materials & Methods: The goal of this research was to investigate whether Gross Motor Ability skills in preschool-aged children 20 to 60 months old with (OME) are different from those of preschool children without OME. In developing an evidence-based clinical practice guideline on managing OME, the gross motor portion of the Peabody Developmental Motor Scales (PDMS-GM) was used to compare 13 children with OME before and after tympanostomy tube placement to 12 children without OME. Findings: The children with OME had significantly reduced the balance in scores preoperatively compared to those without OME on the PDMS-GM. After surgery, the children with OME had higher scores than those without OME, indicating an accelerated rate of development. Conclusion: Balance in physical activity and motor development are additional factors to be considered in the medical and surgical management of the young child with chronic OME. Chronic OME may represent an additional problem for young children with existing motor deficits or other disabilities in their physical activities. Otitis Media with Effusion Motor Skills Acute Otitis Media 2007 7 01 39 44 http://sjimu.medilam.ac.ir/article-1-32-en.pdf
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Journal of Ilam University of Medical Sciences J. Ilam Uni. Med. Sci. 1563-4728 2588-3135 doi 2007 15 2 The Effect of Semantic – training Intervention Based on Meeker\'s Method on Semantic-cognitive Performance on 3rd to 5th Grade Elementary School Students in Isfahan Abstract Introduction:The purpose of this research was to verify the effects of training intervention based on Meeker's method on semantic-cognitive performance on third to fifth grade elementary school students. Materials & Methods: The 60 students who scored lowest in the Per-tests were selected and assigned randomly as the experimental and control groups. There were 30 boys and 30 girls in each group. Findings: The results of three separate analysis of Covariance showed that there was a significant effect of training in the experimental as compared to the control group that is, the experimental group semantic-cognitive performance improved by training (p<0/001). Conclusion: Thus, It is possible to identify the student's strengths and weaknesses at elementary school level by Meeker's Tests and train them to improve their weak points if there are any. 2007 7 01 45 51 http://sjimu.medilam.ac.ir/article-1-34-en.doc