[Functional contrastive analysis of statistical units related to army hospitals based on standards confirmed by ministry of health and medical education]

Background: we selected all of Army hospital and dependences in TEHRAN, in order to functional Contrastive Analysis of Statistical unit Related to Army Hospitals based on Standards Confirmed by Ministry of Health and Medical Education in the year 1386. To comparing studied variables in this research adding library studies, interview, textually observation and professional ideas

Materials and methods: we delivered three answer sheets and four checklists in statistical society such as: 1. The usage of computer checklist. 2. To access the accounting statistical index checklist. 3. To access the correctness accounting statistical index checklist

Results: after concluding row information, from statistical program named SPSS, we analysis and the conclusion are: - All of Hospital›s answerable of statistic unit have graduated in study field of Medical Record. - The majority of them [%57.1] have bachelor of sciences of medical record and just [%14.2] of them have master of art of medical record. - All of statistical units of Army dependences hospital are working between 2 years up to 6 years and just two hospitals [%28.5] have been working for 6 years. - About source reporting of diseases to statistical unit shows that in the [%42.8] of issue, the codification unit do it and in [%57.1] the secretary of reporting unit gives information to statistical unit. - In the most studied hospitals [%57.1] registering the submitting information and doing the accounting and access the indexes by computer and few hospitals using both computer and the people for submitting information

Conclusions: from researching of Army dependences hospitals function, we conclude to this: 1. Hospital D with average of [%86] is the best hospital in statistical act unit. 2. Hospital G with the range of [%83] has the high percentage of using computer in the mentioned hospital. 3. About comparing the average of differences between access accounting statistical indexes, two hospitals [B, E] have the high percentage [57%] of differences between accessing accounting statistical indexes. 4. About accessing the correctness accounting and statistical indexes in two hospitals [D, E] have high percentage [71%] and there is no differences about accounting statistical correctness indexes between Army dependences hospitals in TEHRAN

[Achalasia: a review of western and iranian experiences and studies]

Achalasia is a primary motor disorder of the esophagus, in which esophageal emptying is impaired. Diagnosis of achalasia is based on clinical findings and confirmed by radiologic, endoscopic and manometric evaluations. Several treatments for achalasia have been introduced. We searched the Pubmed Database for original articles and meta-analyses about achalasia to summarize the current knowledge regarding this disease, with particular focus on different procedures utilized for treatment. We also report the Iranian experience of treatment of this disease, since it could be considered as a model for medium-resource countries. Laparoscopic myotomy with fundoplication is the best surgical method for treatment of achalasia with its high success rate and therapeutic response. Compared to other treatments, however, the initial cost of myotomy is usually higher and the recovery period is longer. Graded pneumatic dilation with a slow rate of balloon inflation seems to be an effective and safe initial alternative. Injection of botulinum toxin into the lower esophageal sphincter before pneumatic dilation may increase remission rates. However, this needs to be confirmed in further studies. Due to the lack of adequate information regarding the role of expandable stents in the treatment of achalasia, insertion of stents does not currently seem to be a recommended treatment. In summary, laparoscopic myotomy can be considered as the procedure of choice for surgical treatment of achalasia. Graded pneumatic dilation is an effective alternative and can be recommended as a first therapeutic option in the majority of achalasia patients

Demographic, clinical features and treatment outcomes in 700 achalasia patients in Iran

Achalasia is the most recognized motor disorder of the esophagus. Because it is an uncommon disease, most studies have reviewed small numbers of patients. Here, we report demographic, clinical features and treatment outcomes in 700 achalasia patients. In all patients, diagnosis was established based on clinical, radiological, endoscopic and manometric criteria. A questionnaire was completed for each patient and included the patient's age, gender, initial symptoms, frequency of different symptoms, presence of positive family history for achalasia, other accompanying diseases and treatment outcomes. In our study men were affected more than women [54.3% vs. 45.7%]. Patients' mean age was about 38 years. The most frequent symptoms noted were: dysphagia to solids and liquids, active regurgitation, passive regurgitation and weight loss, respectively. Women complained of chest pain more than men [59% vs. 47.1%, p=0.04]. The vast majority of our patients were treated by pneumatic dilation [PD] of the LES and in long-term follow-up, 67% were in the responder group. Females responded better than males to PD. Dysphagia to solids is the most common symptom in patients with achalasia. Chest pain was significantly higher among women. PD is an effective treatment for achalasia with long-term efficacy in the majority of patients

Hepatocellular carcinoma in the world and the Middle East

Hepatocellular carcinoma [HCC] is a major worldwide public health concern. Despite recent advances, there has been little success in improving the survival of HCC patients. Due to advances in diagnostic modalities and the increasing incidence of chronic viral hepatitis and nonalcoholic fatty liver disease [NAFLD], both of which are well known risk factors of HCC, the prevalence of HCC is increasing in developed countries and it is expected that this trend will continue in the future. In Middle Eastern countries the prevalence of this cancer is lower compared to sub-Saharan Africa and some Far East countries; however it is documented that the prevalence of this cancer in some parts of the Middle East is also increasing. In the current review, the prevalence and burden of this disease worldwide, particularly in Middle Eastern countries, and risk factors for HCC are discussed

[ studying and evaluating the function of health care information in Imam Reza hospital of the IR. Iran army in 2005 - 06 and suggesting acceptable and logical guidelines]

Background: the role of Medical Information system in Health Centers is so important because this system improves the quality of health care settings. Complete recording of patient's management process will show the accuracy of health care setting medical record system. The main goal of this research is the study of Medical Records system Role in Imam Reza Hospital in 2005 - 06

Materials and Methods: This research is a cross sectional - descriptive one. The sampling population includes Admission, Statistics, Coding, Archives and the patients discharge information part in 2006. Sampling of patients' records was done on the basis of systematic random and checklist was used for collecting data, and analyzed with Excel program

Results: Findings of the research show that all investigated Medical Records Departments have relatively good facilities and they had a good working performance. Coding Unit had the best working performance with Good Level and the weakest level belonged to Admission unit. Facilities of the archive unit was the best Level and the weakest level belonged to Admission unit. Nursing Report had the best Level and the weakest level belonged to Patient's medical progress sheet

Conclusion: It can be concluded that Admission unit has the weakest performance with the least facilities. On the other hand, Coding Department has good performance. Patient's data elements were recorded well by nurses in the main forms, and physicians had a least result of in Patient's medical progress sheet. Vital Signs Control Forms were not documented in most occasions except in some cases. Although admission unit in Imam Reza hospital is controlled by nursing authority, if we want to obey the standards and increasing the quality of health recording system, admission unit must be managed by medical record department