[Comparison of triple and double phototherapy in neonatal hyperbilirubinemia]

Icterus is the most common medical problem in neonates. Phototherapy is standard treatment of neonatal hyperbilirubinemia. This study aims to compare efficacy and length of hospitalization of double and triple phototherapy in term newborns with indirect hyperbilirubinemia. In a randomized clinical trial, 40 healthy term newborns [gestational age > 37 weeks] with weight >/= 2500 gr and bilirubin >/= 12 and >/= 15 mg/dl in the second and third day, respectively, were randomly assigned to triple [n=20] or double phototherapy [n=20] groups. Total and direct serum bilirubin was measured at admission, 8, 16 and 24 hours after beginning of phototherapy, and thus each 12 hours until discharge [when bilirubin reached

Assessment of health belief model structures along with HbAlC in diabetic patients with optimum and unfavorable diabetes control

Nowadays implementing educational models for identifying reasons of rejecting health issues in the treatment process is increasingly concerned. One of the models which has been a matter of concern in recent years is health belief model. The objective of this study is assessing the structures of this model along with HbAIC in diabetic patients. In this cross-sectional study 76 [insulin dependent and non-insulin dependent] diabetic patients who referred to diabetes clinic of Hormozgan University of Medical Science during July and August 2006 and had been detected as diabetic at least one year prior to recruitment, entered the study after filling consent form. Data collection was performed via 3 questionnaires including demographic information, health belief model and self-efficacy questionnaires. HbA1C was calculated by calorimetry and body mass index [BMI] were calculated. Data by SPSS software, using t-test and pearson's correlation coefficient. 46 women [60.5%] and 30 men were studied. Data analysis revealed that there is no significant difference between HbA1C and the following factors: amount of perceived barriers according to sugar control, amount of perceived self-efficacy based on sex, rate or perceived self-efficacy on the basis of literacy and sensitivity rate perceived by the number of years inflicted with diabetes. Diabetes control is not satisfactory in patients despite long term medication and prejudiced diets. The level of health belief model structures in patients with unfavorable diabetes control is lower than those with optimum control. Hence, a precise educational program based on health belief model is necessity for excelling severity and sensitivity perceived by patients, increasing the perceived benefits and removing perceived barriers