ABSTRACT
Streptococcus group B [GBS] or Streptococcus agalactiae is typically associated with neonatal disease and infection in pregnant women. Mortality of GBS sepsis in neonates is over 50% and is particularly high in preterm infants. GBS also causes invasive infection in pregnant and non-pregnant women including urinary tract infection [UTI]. Penicillin-derived antibiotics remained as choice drugs for treatment of GBS infection; however, Erythromycin and Clindamycin are useful in cases of allergic to Penicillin. The aim of this study was to investigate the resistance to Erythromycin and Clindamycin, especially inducible Clindamycin resistance, in GBS isolated from urinary samples of women who attended medical offices in Tehran, Iran. This study was conducted on 5000 urine samples from Jan. 2011 to Oct. 2012 that 104 GBS were isolated. The isolates were identified as GBS using laboratory criteria. Antimicrobial susceptibility test was done by Erythromycin disk 15microg and Clindamycin disk 2microg for observation inducible resistant D-zone test by double-disk diffusion method with Erythromycin and adjacent Clindamycin. Among the 5000 urine samples 104 [2.08%] were Beta hemolytic GBS. Of the 104 isolated GBS, 22 [21.2%] were resistance, 24 [23%] were intermediate, and 58 [55.8%] were susceptible to Erythromycin; however, 24 [23%] were resistance, 5 [4.8%] were intermediate, and 75 [72.2%] were susceptible to Clindamycin. Of the 22 Erythromycin-resistant isolates, 10 [9.5% in total GBS isolated] displayed the D zone; it means they have inducible Erythromycin resistant to Clindamycin. Various studies in other countries report lower rates of inducible Clindamycin resistance; it indicates the use of more macrolides in the treatment of UTI
ABSTRACT
This study was performed to determine the effect of health education on the improvement of intake of fruits and vegetables aiming at preventing colorectal cancer among high school girls in the city of Shahr-e-kord. Colorectal cancer is one of the most important and most common cancers and the second leading cause of cancer death worldwide. Every year, nearly one million new cases of colorectal cancer are recognized around the world and nearly half of them lose their lives due to the disease. 130 students were randomly divided to two groups, which experimental [65] and controls [65] were chosen from the city of Shahr-e-kord for this experimental study. The instruments for data collecting were selfmade questionnaire health belief model based and food frequency questionnaire. The HBM FFQ questionnaires were completed before, immediately and two months after education by participants. After pre-test, 5 educational session classes in experimental group were performed. Finally, data collected and analyzed by SPSS16 computer software [Ttest, T-Paired, repeated measure ANOVA]. Findings of the study showed that before the intervention there was no significant differences between the scores of different structures of HBM model in two groups [P>0.05], after the intervention there was significant differences between experimental and control groups in the levels of knowledge, structures of HBM model and performance for preventing colorectal cancer [p<0.001]. Performing educational programs based on health belief model increases the knowledge and improves the attitudes and practices of students regarding prevention of the colorectal cancer.
ABSTRACT
Hepatitis B is considered as one of the most common infectious diseases. The contamination of this virus has caused hygienic problems all over the world. Liver cirrhosis and hepatocellular carcinoma are most important consequences of this disease. The purpose of this study is to determine the rate of infection in Tabriz North West of Iran. This study is carried out, on partial and short time basis between 2010 and 2011, on test results of 21421 examined individuals whom have visited clinics in Tabriz. HBsAg of the samples was analyzed with chemiluminescence apparatus and finally, SPSS software was used to conduct the statistical examination of the results. Among 21421 examined individuals [5021 cases in 2010 and 16400 cases in 2011], 594 samples [2.77%] were reported positive and 20827 samples [97.23%] were reported negative. According to the results, gender was not a determining factor affecting the susceptibility of patients. Our country is endemic to this disease, so diagnostic and preventive methods are crucial, more over comprehensive national vaccination can help to noticeably reduce the infectious cases caused by the disease
ABSTRACT
Caesarean section is considered as a major surgery which is accompanied by several complications. The present study aimed to determine the effect of behavioral intention model-based educational intervention on reducing the caesarean section among pregnant women. The present interventional study was conducted on 100 primiparous women in the third trimester of pregnancy who were covered by the health and treatment centers of Fasa city, placed in Fars province, Iran. The subjects were selected through simple random sampling and divided into an intervention and a control group. After the pre-test, the intervention group underwent exclusive training based on the behavioral intention model. Then, both groups took part in the post-test and the data were analyzed using paired t-test, independent t-test, and chi-square tests. The results of the study revealed a significant difference between the two groups regarding knowledge, evaluation of the outcomes, attitude, and intention [P<0.001]. The results of the chi-square test also showed a significant difference between the two groups regarding their performance [P<0.001]. According to the results, the present intervention was effective in increasing the pregnant women's knowledge, evaluation of outcomes, attitude and strengthening their intention as well as performance. Thus, this model and other systematic trainings are suggested to be used for pregnant women in order to decrease the rate of caesarean section
ABSTRACT
Cholera is an acute intestinal infection caused by consuming food or water contaminated with the bacterium Vibrio cholerae. Two main epidemiological characteristic of disease is tendency for create of sudden outbreaks and the ability to causing a pandemic. The objective of this study is to describe the epidemiology of the disease. This survey is a descriptive cross-sectional study based on reports from the health centers and hospitals covered by city health centers. Rectal swab is obtained from all suspected cases. After reporting each positive case, health team was sent to the location and it completed the epidemiological form. Data were analyzed by version 16 of SPSS software. All reported patients were 44 cases. Epidemic lasted from 4 August to 18 September 2011. Ogawa was the predominant pathogenic serosubtype. 47.7% of all patients admitted to the hospital and 52.3% were treated as outpatients. Most of the patients were in age group >60 years and there were no reports of disease in age group under 15 years. 2 of the 44 patients had mild symptoms of diarrhea, 13 patients had moderate and 29 cases had severe diarrhea. Not affection of age groups less than 15 years indicates epidemic patterns of disease in the city. Severity of symptoms is important in case finding; then, in disease surveillance system we should obtain rectal swab specimen from all cases of diarrhea with severe symptoms
ABSTRACT
Along with other areas in our country, the research in medical sciences is a necessity for the maintenance and improvement of community health. The objectives of this study were to determine the intra-organizational factors of conducting research in Tabriz University of Medical Sciences. The matrix of the study included entire academic members and research staff of the university where 121 of them were selected randomly for a descriptive cross sectional study. A questionnaire was designed to collect data using Likert Spectrum. The major difficulty was the lack of sufficient free time. Significant differences were seen in respect with the access to facilities and conducting research, assessing expected benefits of conducting research, level of research awareness among academic members with and without research project. Differences in respect with motivation force, collaboration, job satisfaction and expected benefits from conducting research were shown to be not significant. As stated by academic members, their problems involved with conducting research projects provides lesser role of intra-organizational factors compared to that of personal factors. In other words, the most major problems in not doing research are the lack of sufficient time and proper skills in research method and innovation in looking for problems to be solved