[Disaster preparedness in hospitals of Jahrom university of medical sciences [2010]]

Background: The city of Jahrom is one of the phenomenal zones of the country and therefore, the city hospitals must have the potential to act in emergency situations

Objective: This research was intended to determine the degree of disaster preparedness in the hospitals affiliated to the Jahrom University of Medical science

Methods: The descriptive study carried out in 2 teaching general hospitals of Jahrom University of Medical Science, Jahrom [Iran] in 2010. Data collection was performed using a researcher-made checklist questionnaire composed of 230 questions. For every 10 variables, a collection of 5 domains including the equipments, logistic, personnel, place, and work process was considered. Checklist validity was accepted by face and content validity and its reliability calculated by test retest method and Speaman's test [r=0.88]

Findings: The hospitals' preparedness was found to be very week in transfer and evacuation; weak in admission, communication, and management; moderate in emergency, traffic, personnel, security, and logistic; and very good in education. The overall preparedness was at moderate level

Conclusion: Improving the disaster preparedness requires the hospitals to follow programs mostly focused on transfer and evacuation, admission, communication, and management

Comparison between sucralfate and ranitidine effects on gavage tolerance in ICU patients

The absolute rest of Gastrointestinal tract is leading to mucousal destitution and atrophy because of intestinal mucous dependent on luminal feeding for life. The important of prophylactic treatment against stress ulcer in ICU patients was obvious. This study have done to evaluate effects of drugs on gastric feeding tolerance in ICU patients. In this clinical trial study, 50 patients were randomly divided in two groups and received ranitidine or sucralfate for stress ulcer. The demographic variables [age, sex, weight], APACHE II score, TISS, episodes of dairrhea, emesis and gastric retention > 250 CC/6h have been determined in both groups. The data was analyzed by SPSS software using Chi2and T-test and fisher exact test and Mann-Whitney U tests. There were no statistical differences about demographic variables in both groups [P>0.05]. Comparison about the important difference wasn't between APACHE II and TISS scores. The rate of diarrhea and emesis in sacralfate group were lesser than ranitidine group [P<0.05]. Against stress ulcer, prophylaxis with sucralfate has better effect on gastric gavage tolerance than ranitidine

[ role of virtual library in medical education]

Today is the communication and information time. We need communication for gathering information. Although with advances in technology, we can communicate and recombinate faster than before. the advances has had the most effect on the educational environment and has changed it to digital or virtual areas. Since the adventure and expansion of the internet, it has been used as communication, information, and education resource. Libraries have an important rolein educational processes. By the use of modern technology, the libraries play a beneficial role in educational processes more than before. In this article, after the definition of education, technology, information and communication, the role of virtual libraries in education and their importance, advantages and disadvantages are discussed. As new phenomena, virtual libraries have made revolution in various levels of the medical education according to modern and community- based medical society needs and educational philosophy

[ effect of tea [Camellia thea Lk.] on acceleration of acetaminophen's effectiveness in headache]

Headache is the most common complaint in patients. In order to alleviate the headache, specialists have recommended different chemical and non-chemical drugs. Acetaminophen is one of the widespread analgesic drugs used for headache relief. On the other hand, tea [Camellia thea Lk.] is the most common drink for the most people world wide. In addition, previous studies indicated that tea's alkaloids seem to inhibit the acetaminophen metabolism. The present study aims to assess the effect of tea consumption on effectiveness of acetaminophen. In order to test the hypothesis, 120 patients suffered from headache referred to the Shaheed Motahari general hospital in Jahrom [Fars province, south of IRAN] were requested to take part in a single blind clinical trial study. 58 patients as the case group have received a glass of tea and after 20 min they had taken a 325 mg acetaminophen tablet. 62 patients as the control group received a glass of warm water and 20 min later had the same drug. Pain intensity was twice measured by a self-report questionnaire. The first one was 15 min before the tea or water consumption and the second, 60 min after receiving the acetaminophen. Results showed that: consumption of tea before taking acetaminophen significantly reduced the pain intensity comparing with the control group. In addition, with respect to sex and age, no significant differences were found between the groups. It can be concluded that consumption of tea before taking acetaminophen may accelerate the analgesic effectiveness of the drug