[Effect of continuous caring and educational intervention [home visit] on quality of life in the congestive heart failure patients]

Quality of life in congestive heart failure [CHF] patient's comrade with declines mortality, psychosocial, physical and social restriction due to inability effect of the disease. So, the aim of this study was the assessment effected continuous caring and educational intervention [home visit] on quality of life in the CHF patients. In a clinical trial study, a total of 110 patients were selected and accidentally were put in two groups [experimental and control]. Each group was equalized based on sex, age, education, living place, heart failure and ejection fraction. Then, experimental group was educated about heart failure disease, drugs being used, self care plan and life style that this educational plan followed by three home visits. In all of the patients, quality of life questionnaire [SF-36] was filled in two steps, in first study and sex months after discharge. Data were analyzed using independent and pair t-tests. Before intervention, the results indicated that there was no difference in two groups base on sex, age, education, living place, cardiac failure degree, ejection fraction and quality of life main score [P<0.05]. But after the intervention, quality of life main score in domains physical function, limitations in usual role activities because of physical health problems, vitality, social function, body pain and general health in intervention group were greater than control group [P<0.05]. Pair t-test was detected quality of life main score after six months was increased in the intervention group and decreased in the control group [P<0.05]. Our results show that, nursing intervention and education in congestive heart failure patient's base on need and life style improve physical status and quality of life of these patients

[Case report: a case of disseminated Burkitt's lymphoma with involvement of the stomach, breast and eye-lids]

Disseminated B cells Burkitt's lymphoma with stomach ,breast and eyelid involvement Burkitt's lymphoma in adult is rare and has a progressive pattern in advanced stages. The current case is a 19 year old lady who was admitted in a hospital due to GI bleeding shown as melena. An upper gastrointestinal Endoscopy report remarked a tomural mass lesion and also multiple masses in breast and abdomen Were found in computerized tomography escan. A B cells Burkitt's lymphoma diagnosis came up after biopsies of stomach and breast masses which was confirmed by immunophenotyping done with flowcytometry [CD[20], Ki[67] = 100%]