systematic review of the liaison nurse role on patient's outcomes after intensive care unit discharge

This review focuses on the impact of liaison nurse in nursing care of patient after ICU discharge on patient's outcomes, compared with patients that are not taken care of by liaison nurses. The role of the ICU liaison nurse has transpired to solve the gap between intensive care unit and wards. Therefore, we aimed to review the outcomes of all studies in this field. A systematic review of intervention studies between 2004 and 2013 was undertaken using standard and sensitive keywords such as liaison nurse, intensive care unit, and patient outcomes in the following databases: Science direct, PubMed, Scopus, Ovid, Oxford, Wiley, Scholar, and Mosby. Then, the articles which had the inclusion criteria after quality control were selected for a systematic review. From 662 retrieved articles, six articles were analyzed in a case study and four articles showed a statistically significant effect of the liaison nurse on the patient's outcomes such as reducing delays in patient discharge, effective discharge planning, improvement in survival for patients at the risk for readmission. Liaison nurses have a positive role on the outcomes of patients who are discharged from the ICU and more research should be done to examine the exact function of liaison nurses and other factors that influence outcomes in patients discharged from ICU

comparative effects of stretching with aerobic and aerobic exercises on fatigue in multiple sclerosis patients: a randomized controlled clinical trial

The physical activity for people with MS largely affects the amount of fatigue. Increased appropriate physical activity tends to decrease the amount of fatigue. The aim of this study was to compare the effect of aerobic and aerobic with stretching exercises on fatigue in people with MS. The randomized controlled clinical trial was conducted on the members of the MS Society of Tehran, Iran. 120 subjects were admitted between November 2009-April 2011; they were diagnosed with clinically definite multiple sclerosis and Expanded Disability Status Scale scores 1.0 to 5.5 and randomly assigned to two exercise groups and one control group. Outcome assessment was performed at baseline and the end of 3 month period using a checklist containing some demographic, disease variable and fatigue severity scale. The exercises consisted of stretching with aerobic and aerobic exercises. Data were analyzed using SPSS software, version 18.0. Independent t test showed that there are significant differences between the two exercise groups in the pretest [P<0.005]. Analysis of Variance showed that there were significant differences between the exercise groups before and after the intervention [P<0.001]. Stretching with aerobic exercises showed significant improvement in fatigue compared to aerobic exercises alone.

relationship between teenagers' lifestyle and osteoporosis in Qazvin, Iran

Osteoporosis and related fractures due to discomfort, disability, decreased quality of life and death is a major health problem in the world, According to the importance of recording and reporting Osteoporosis, lifestyle in growth duration, during teenage, is the most risk factor that determines Osteoporosis in adolescents and the elderly. The aim of this study was assessing adolescence lifestyle and its relation with osteoporosis among adolescents in Qazvin, Iran. In this descriptive-analytical study, 300 teenagers were selected by stratified cluster sampling. The scale for data collection was a self-administered questionnaire containing 15 items related to life style. Using SPSS 16, the data were analyzed by Chi-square and Fisher's exact tests. The results showed that the majority of teenagers [71.3%] don't regularly have physical activity. There were significant differences between physical activity patterns of male and female teenagers [P=0.001]. It was shown that female teenagers [66.7%] use more foods containing vitamin D, cola-type beverages and caffeine than male teenagers [34.7%].Only, 26.9% the female teenagers and 33.5% of the male teenagers drink one cup of milk daily. The results showed that 29.3% of male teenagers and 24.3% of female teenagers haven't used any method for facilitating calcium absorption in the body. The findings of this study showed that Iranian teenagers had several known risk factors and unfavorable behaviors. Therefore, modifying teenagers' lifestyle by preventive educational strategies on osteoporosis can help to prevent osteoporosis in adolescents

[ comparison between the effect of stretching with aerobic and aerobic exercises on fatigue level in multiple sclerosis patients]

Fatigue is among the most common symptoms of multiple sclerosis. Hence, exercise is recommended to multiple sclerosis patients. This research has been conducted to compare of stretching with aerobic and aerobics exercises on fatigue levels in patients. In this experimental study designed as a clinical trial, 80 eligible patients with multiple sclerosis referred to MS society in Tehran were selected according to inclusion criteria and then were randomly divided into two groups [stretching with aerobic and aerobics]. The data gathering tool was a questionnaire consisted of two parts. The first part contained demographic characteristics, and the second part included fatigue severity scales [FSS]. Exercises were done for 18 sessions and the exercise execution and period were assessed using a checklist. Data were analyzed using chi-square, paired and independent t-tests, and analysis of covariance. There were significant difference between the two groups in pretest fatigue level [p<0.005]. Analysis of covariance showed that the mean of posttest fatigue level was significantly different between stretching with aerobic and aerobics groups and before-intervention fatigue severity was moderated [p=0.001]. According to the findings of this research, both aerobic and stretching exercises are effective in reduction of fatigue in the multiple sclerosis patients. However, stretching with aerobic exercise is more effective in the decrease of fatigue