[Barriers to clinical governance administration from point of view of managers and nurses]

Introduction: clinical governance is a framework in which the organization providing clinical services is accountable for continuing improvement of quality of clinical service excellence

Objective: this study aimed to determine obstacles of clinical governance administration from view point of managers and nurses in hospitals affiliated to Jahrom University of Medical Sciences

Methods: this is a cross-sectional study conducted on 280 nurses and 20 managers selected by census method. Data were gathered by a researcher made questionnaire, consisting of 48 items in 7 domains of clinical governance. Questionnaire validity was done by face and content determination style and its reliability was established through Test-retest method and Spearman test [r=0.73]. Data were analyzed by descriptive statistics

Results: clinical audit and personnel management had the most negative effect in clinical governance administration from participants' viewpoint. From all questions "inattention to personnel job satisfaction" in "personnel management" domain had the most negative effect

Conclusion: according to importance of clinical governance administration, such research results should be considered by health managers

[ study of the effect of sour orange on reduction clinical symptoms of BPH]

The prevalence of BPH among 5-10 year old men is about 50% and it reaches 90% in 80 year old ones. The use of the components of citrus fruits containing a group of vitamines [specially C], flavonoid and a type of polysaccharides as pectin which are effective in treatment of hyperplasia, allergy and viral infection. This is a clinical-trial study conducted on two groups, each with 30 samples [patients drinking 60 ml sour orange Juice/daily and those administering 1 prozacin tablet daily as used in classical treatment]. Convenient sampling was performed for selection of patients in both groups. From the patients refering to the specialty clinic in Jahrom. The data were collected through a checklist consisting of two part of demographic information and AUA which measures the severity of prostatic symptoms. SPSS software was used to analyzed data. Comparison of the AUA mean scores before and after having sour orange juice revealed that the difference was significant [before: 25.833 +/- 0.823, after: 2.833 +/- 0.248, p=0.000] However, the same comparison for the control groups mean scores before and after taking the above mentioned tablet revealed a non-significant difference [before: 26.666 +/- 0.717, after: 26.666 +/- 0.723, p=1.000]. comparison of AUA mean scores of the case and control groups revealed that the difference was statistically significant [case group: 2.833 +/- 0.248 and control group: 26.666 +/- 0.723, p=0.000] Considering the finding of this study, citrus fruit can be effective in reducing the symptoms of prostate hypertorophy