ABSTRACT
Introduction: Post-coronary angiography vascular complications [PCAVC] may cause serious life threats, thus recognition of related factorse is needed to prevente complication
Objective: This study was conducted to determine correlation between hypertension and vascular complications after coronary artery angiograph among hospitalized patients therapeutic- educational center in Rasht
Methods: This descriptive analytical correlational study was performed on 400 patients admitted in angiography wards at Dr Heshmat therapeutic- educational centers by sequential sampling method in 2013. Data were gathered by a 3-part tool including; demographic information questionnaire, blood pressure recording forms and PCAVC occurance [Hematoma, ecchymosis and bleeding] during 24h after angiography until heet removal through interview and observation methods. Data were analyzed by using descriptive and analytic X[2], independent T and ANOVA] statistics tests
Results: Majority of samples [56.2%] had history of Hypertension. Mean of pre-angiographic systolic and diastolic blood pressure were 129.46 +/- 21.63 and 76.85 +/- 1.15 and pre-sheat extraction were 132.96 +/- 18.02 and 78.85 +/- 1.02mmHg. Vascular complications were observed in 24 percents of samples that majority of them were ecchymosis [71.4%]. A significant relationship was seen between history of HTN and overall PCAVC [p<0.005], ecchymosis [p<0.006] and hematoma [p<0.046]. The statistical tests showed a significant relation between mean of systolic BP before sheet removal with overall PCAVC [p<0/003] and ecchymosis [p<0.004] and diastolic BP with overall PCAVC [p<0.0006], ecchymosis [p<0.0009]
Conclusion: Screen of high occurance of PCAVC among patients after angiography with history of hypertension and systolic and diastolic BP before sheet removal is required to diagnose high risk patients who need special and highy quality of care
ABSTRACT
Introduction: Traumatic Brain Injury [TBI] is one of the most important matters of public health in which people affected often lose their functional abilities and have dependent life and in result these patients a caregiver for care and support. Thus families are at front line of challenges and great stresses
Objective: The aim of this study was to determine needs of caregivers of patients with head trauma after discharge and level of its fulfillment in patients referring to one of educational- therapeutic center in Rasht city
Methods: This is a cross-sectional descriptive-analytical study conducted on 51 family members of patients with head injury who were selected by census method from available samples in 2013. In this study two questionnaires of demographics and Standard Family Need Questionnaire [FNQ] were used for data collection and analyzed by descriptive statistics and Chi square, independent T Test, ANOVA and Exact Fischer tests
Results: The most important need was related to subscale of health information and the least related to getting involved with caring. There was a significant relationship between level of caregivers' needs and their occupational status [P<0.046], patients' age range [P<0.023] and patients' clinical condition [P<042]. The maximum rate [3.49 +/- 0.56] of need fulfillment was related to subscales of community support and health information and the minimum [2.965 +/- 0.78] was related to instrumental support. There was a significant relationship between meeting the needs in all domains and health insurance [P<0.044]
Conclusion: The most important family need was related to subscales of health information that were often met. Apprehension of needs and difficulties of caregivers lead to increase of awareness of nurses and other custodians of healthcare about the necessity of helping caregivers of patients with Traumatic Brain Injury
ABSTRACT
To determine the frequencyof Campylobacter jejuni infection in children suffering from diarrhoea/dysentery in the Department of Microbiology, Army Medical College and Military Hospital, Rawalpindi, from 29 August 2002 to 29 November 2002.The study was carried out on one hundred stool samples of children up to the age of twelve years admitted with diarrhoea/dysentery in Military hospital, Rawalpindi. The samples were collected in clean polypropylene containers containing Cary Blair medium. These were transported to the Microbiology Department, Army Medical College, Rawalpindi within 1-2 hours. The samples were inoculated on Modified Preston [Oxoid] and Karmali media [Oxoid] beside other routine stool culture media. The cultures were incubated at 42oC under microaerophilic conditions. The growth after 48 hours was provisionally identified by colonial morphology, oxidase test, Gram staining and motility. The organisms were identified to species level by hippurate hydrolysis, urease test, nitrate reduction, catalase test, H2S production and resistance to cephalothin.Eighteen% of samples yielded the growth of Campylobacter jejuni. Mean age of children with Campylobacter jejuni infection was 18 months with peak incidence from 12 to 21 months. Male female ratio was 1.7:1. All the children had loose motions. Seven out 18 [39%] had a combination of symptoms of loose motions, vomiting and pain abdomen. Those having fever with or without other complaints constituted 11 out of 18 [61.11%] i.e. more than 50% of all the children yielding C. jejuni had fever. About 90% of diarrhoeal stools had blood and fifty% also had mucous. There was either history of chicken meat consumption or contact with cattle and pets in most of the cases and both in some of them.Campylobacter jejuni is a frequent cause of diarrhoea/ dysentery in children in our set up. In children it is often related to pets keeping and chicken meat consumption. In the remaining, untreated drinking water may be the source. Campylobacter jejuni frequently presents with blood and mucous in stools with sporadic cases presenting with watery diarrhoea