ABSTRACT
Introduction and Aims: the main cause of death in the adult population in the industrialized world is sudden cardiac arrest. The first purpose of cardiopulmonary resuscitation is return of spontaneous circulation. Post cardiopulmonary resuscitation cares are fifth stage of American Heart Association cardiopulmonary resuscitation that less take into consideration. Therefore, the present study was conducted with the aim of "24 Hour Survival Rate and it's determinants in patients with Successful Cardiopulmonary Resuscitation in Ghaem Hospital of Mashhad"
Materials and Methods: in this descriptive and analytical study, 80 cases of CPR were selected by convenience sampling in Ghaem hospital of Mashhad. After confirming of cardiac arrest by a resident physician in the wards and declaration of code 99, was performed cardiopulmonary resuscitation by CPR team. Rate of 24 hour survival was determined in patients that had return of spontaneous circulation by form the researcher's observations. Data were collected and analyzed using of descriptive statistics [frequency, mean, standard deviation] and inferential statistics [Fishers, Chi-square, logistic regression] and SPSS software version of 16
Results: mean and standard deviation of age patients was 67.3+/-1.5 year. In 45 patients [56.2%], was achieved return of spontaneous circulation. The rate of 24 hour survival was in 30 patients that cardiopulmonary resuscitation on them was successful. The chi-square test, showed that is significant differences between 24 hour survival with sex and diabetes in patients [P<0.05]. The Fisher's test, showed that there is significant differences between 24 hour survival and history of cardiopulmonary resuscitation [P<0.04]
Conclusion: the rate of 24 hour survival was 66.7% in patients with a successful cardiopulmonary resuscitation. This reflects that must be considered after cardiopulmonary resuscitation cares
ABSTRACT
Background and Aims: rhinocerebral mucormycosis is an aggressive fungal disease that involves the nose, par nasal sinuses, orbit and central nervous system. It may rapidly be fatal. The major route of infection is inhalation. This infection usually occurs secondary to immune suppression, diabetic ketoacidosis, and prolonged use of antibiotics, steroids, etc
Case report: we presented two cases of rhino cerebral mucormycosis with same presentation. Both patients had underlying disease [diabetes or immune deficiency]. The symptoms began including colds and sinusitis and was accompanied by pain and swelling in face. Smear of necrotic tissue showed branching nonseptated mycelium in favor of mucosal. These patients were treated Included Medical therapy with amphotericin-B and surgical treatment was undertaken to drain the sinuses
Conclusions: the diagnosis of rhino cerebral mucormycosis should be considered in the hospital in diabetic patients. Early diagnosis and treatment, treatment of the underlying disease are crucial factors leading to a good outcome
ABSTRACT
Introduction and Aims: One of the most common problems in patients with chronic renal failure is sexual impairment and inability. The most common problem in patients is erectile dysfunction. Inability to achieve satisfactory sexual activity causes stress and consequently relationships with others would be affected. The purpose of this study the Quality of Sexual Life of Males with End-Stage Renal Disease in Neyshabur
Methods: In this descriptive, cross-sectional study, 64 male patients in hemodialysis center in Neyshabur [2012] were studied. Data collected by means of International Index of Erectile Dysfunction [IEF5], were analyzed using SPSS15 software and doing descriptive [Frequency, mean, and standard deviation]
Results: 87/5% of patients suffered from various degrees of erectile dysfunction 33/5% with severe impairment, 16/5% with moderate impairment, 12/5% with mild to moderate impairment, 25% with mild impairment and only 12/5% had no difficulty in erection
Conclusion: Unfortunately, despite the high prevalence of sexual dysfunction in dialysis patients, psychiatrists and nurses pay little attention to it. In order to prevent such problems, training courses for staff and patients, lifestyle changes and patient assessment of sexual dysfunction are recommended