Evaluation of clinical complications in morbid obese patients after modified jejunoileal bypass surgery

Background and Objective: Bariatric surgery is the most effective treatment for morbid obesity. The classic procedure, jejunoileal bypass, has many complications. This study was carried out to assess the evaluation of clinical complications in morbid obese patients after modified jejunoileal bypass surgery. Method: This descriptive – analytic study was carried out on 120 morbid obese patients referred for bariatric surgery. A modified jejunoileal bypass was performed in which the defunctionalized organ eliminated by anastomosing its ends to the gall bladder and cecum. Weight loss and clinical complications were recorded after one year follow up. Results: The mean weight and body mass index reduced from 136 kg and 48 kg/m2 before surgery to 83 kg and 29/8 kg/m2 after one year follow up, respectively [P<0.05]. Before surgery, articular pain [24.3%], dispana [21.6%], cardiovascular disorders [10.8%], fatty liver [5.4%] and sleep disorder [5.4%] due to obesity were recorded. One year follow up after surgery, articular pain [1.5%] and dispana [1.5%] were seen in patiants. No serious post-operative clinical complication was observed. Conclusion: One year follow up after surgery showed that the modified jejunoileal bypass is very effective in reducing body weight and does not lead to serious complication

[Evaluation of frequencies of the Personality disorders [Axis II] in soldiers who evade the draft]

Mental disorders represent an important source of morbidity among military personnel and are a commen reason for early separation from the military, and the most frequency of premature elimination from the army was personality disorder. The goal of this study is evaluation of prevalence of personality disorder in soldiers separated from military service. In this study 102 awoles and 105 soldiers referred to the clinic of 506 Army hospital, evaluated by clinical interviews on the basis of DSM-4 criteria.The results were then analyzed by statistical software of SPSS 13. In this study, the frequencies of personality disorders in awols 73 percent and in the soldiers referred to clinic22 percent [p value 0/00].The frequencies of the most personality disorders [hysterionice, borderline, and antisocial] in awols are respectively 29, 18, and 23 percent and in soldiers referred to clinic are 16/2, 3/8, and 1 percent which there was a significant difference between two groups [p value in borderline 0/02, hysterionic 0/00, and antisocial 0/00]. The frequencies of personality disorders in awols were more common than community and soldiers which referred to clinic of hospital. Other trails are neede to determine relationship between the Personality disorders [Axis II] and separation from military service

Prevalence and determinants of intimate partner violence in Babol city, Islamic Republic of Iran

To determine the prevalence and determinants of intimate partner violence, 2400 married women attending public clinics in Babol, Islamic Republic of Iran, were screened for domestic violence. Overall, 15.0% of women had suffered physical abuse from their husbands in the previous year, 42.4% sexual abuse and 81.5% various degrees of psychological abuse. A significant association with intimate partner violence was found for women with low income, age

[Comparison of nutrients intake between healthy people and Schizophrenic patients between 15 to 55 years attending in Taleghani hospital]

Background: Schizophrenic patients die early, especially from cardiovascular disease, which is promoted by an inappropriate diet. This study compared dietary intake of schizophrenic patients with those of individuals without schizophrenia

Materials and Methods: A sample of 60 schizophrenic patients [21 women and 39 men]: was matched by age and sex to 60 persons randomly selected from healthy employee of this hospital. The patients included of admitted inpatients at psychiatric unit of Taleghani hospital in Tehran and also out patients that attended in out- patient clinic in this hospital. The subjects were enrolled between 2002 and 2003. In both of groups exclusion criteria was: alcohol and drug intake vegetarianism, pregnancy, lactation heart diseases, diabet hyperthyroidism, and intestinal disease during study. Data about age, job, education, length of disease, monthly income, and taking medication, were gathered using of general questionnaire. Weight and height was measured without shoes and with light clothes, then body mass index [weight [kg]/[height[m2]calculated Dietary intake recorded by 24 - hour food recall questionnaire. Data analyzed by student t- test, man whitney, /2 and pearson correlation coefficient

Results: The mean of BMI in patient and control group was [24/26 +/- 4/04] and [25/38 +/- 4/85] respectively, a non significant difference. The patients consumed significantly less energy, protein, carbohydrate, fiber, folic acid and vit B12 [p=0/01], [p0/006] respectively. %50 of the patients and %2617 of control consumed vit B12 less than [%75 RDA], a significant difference. [p=0/009 In control group a significant negative correlation between energy intake and monthly income were observed. [r= -0/318, p= 0/013]

Conclusion: We conclude that the schizophrenic patients we studied are making poor dietary choices. Assertive programmes to improve diet are necessary

[Comparison of nutrients intake between healthy people and schizophrenic patients between 15 to 55 years attending in taleghani hospital]

Background: Schizophrenic patients die early, especially from cardiovascular disease, which is promoted by an inappropriate diet. This study compared dietary intake of schizophrenic patients with those of individuals without schizophrenia

Materials and Methods: A sample of 60 schizophrenic patients [21 women and 39 men]: was matched by age and sex to 60 persons randomly selected from healthy employee of this hospital. The patients included of admitted inpatients at psychiatric unit of Taleghani hospital in Tehran and also out patients that attended in out-patient clinic in this hospital. The subjects were enrolled between 2002 and 2003. In both of groups, exclusioncriteria was: alcohol and drug intake, vegetarianism, pregnancy, lactation, heart diseases, diabet, hyperthyroidism, and intestinal disease during study. Data about age, job, education, length of disease, monthly income, and taking medication, were gathered using of general questionnaire. Weight and height was measured without shoes and with light clothes, then body mass index [weight [kg]/[height [m2] calculated. Dietary intake recorded by 24 - hour food recall questionnaire. Data analyzed by student t- test, man whitney, +2 and pearson correlation coefficient

Results: The mean of BMI in patient and control group was [24/26 +/- 4/04] and [25/38 +/- 4/85] respectively, a non significant difference. The patients consumed significantly less energy, protein, carbohydrate, fiber, folic acid and vit B12 [p=0/01], [p=0/006] respectively. %50 of the patients and %26/7 of control consumed vit B12 less than [%75 RDA], a significant difference. [p=0/009 In control group a significant negative correlation between energy intake and monthly income were observed. [r= -0/318, p= 0/013]

Conclusion: We conclude that the schizophrenic patients we studied are making poor dietary choices. Assertive programmes to improve diet are necessary

Incidences of nosocomial pneumonia in patients above 15 years in intensive care units of university hospital in Semnan

Nosocomial Pneumonia [NP] is an infection of lung parenchyma that could happen at least 48 hours after admission in hospital. After urinary tract infection, it is the second most common nosocomial infection and is most common in Intensive Care Units [ICU]. Incidence of NP in ICU is about 10-20%. 402 patients evaluated in Emdad and Fatemieh hospitals. Variables were age, gender, depressed level of consciousness, mechanical ventilation, nasogastric tube, thoraco-abdominal surgery and medical or surgical ICU patients visited daily. Criteria of NP were fever after 48 hours, leukocytosis, increase in pulmonary secretion and chest X-ray findings. Logistic Regression was used for analysis data. 9.2% [CI 95%; 6.4-12.0%] of patients developed NP. In patients with mechanical ventilation and depressed level of consciousness, incidence was 7.6 times and 2.7 times more than others, respectively. There was no relationship between NP and other variables. Mechanical ventilation and unconsciousness are important risk factors for NP. Thus, these patients require more and better cares. Furthermore, intervention should be avoided if patients require mechanical ventilation meticulous aseptic care for respirator equipments and suctioning is needed