Evaluation of the results of early mobilization following flexor tcndon repair of fingers

Immobilization and splinting after tendon repair, have traditionally been used as part of the treatment protocol for tendon injuries in fingers. There has always been a debate about the duration of immobilization among surgeons, because some complications after tendon repair are attributed to prolonged immobilization. In this study, the results of early mobilization following flexor tendon repair of fingers, have been evaluated. In a clinical trial, 192 patients with acute injury of FDP in Zone II who underwent tendon repair were studied. Those with simultaneous extensor injury, dorsal and volar injuries, fracture and nerve injury were excluded. In 48 cases, splints were removed after 14 days and in 144 cases [control group], immobilization was applied for 28 days. After splint removal both groups underwent physiotherapy for three month and final functional outcome was assessed according to Buck-Gramcko scale. In the study group 67 tendons were treated with four strand method and short term immobilization. In 45 tendon repairs, [67%] excellent results were obtained; in 11 cases, [16.5%], results were good, fair result in 6 cases [9%] and in 5 cases [7.5%] the result was poor. In two cases [4%], tendon rupture occurred during physiotherapy and had to be repaired again. In the control group, 185 tendons were repaired in which excellent results were attained in 133 cases, [72%], good result in 31 cases, [16.7%], fair result in 12 cases [6.5%] and poor result in 5 cases [2.7%]. Comparison of results in these two groups does not show any significant statistical difference, [P= 0.316]. Results of early mobilization after tendon repair are comparable with prolonged immobilization after repair. Hence, immobilization could be reduced to 2-3 weeks

[To understand the effective studying between Ardabil city university students in 2006 year]

Nowadays, by developing of the science and to increase the scientific Issues in all fields, can to see that the academic success in universities is resulted from effective trying, right study and time management. One the unsuccessful causes in some students is not to know the studying ways and its related skills. This study has been done in this case. This descriptive study has been done on 686 persons of Ardabil city students. Its measuring tools is the self-constructed questionnaire in two parts the first part includes of; specifications, of personal and social, study duration, and the second part contains the questions about to understand the effective study. Random sampling was selected for students of any universities. The collected data analyzed by spss soft ware by using analytical and descriptive statistics. Age mean between students was 21.51 +/- 21.65 and studying duration was 1.43 +/- 0.43 days. Only 15.59% of them had regular study in academic term. The most important of the study drawbacks were lack of sufficient motive, [44.36%] and unconfidence to future job [30.47%]only 16.03% student that they have a regular program for studying and learning. 33.09 of students had good understanding, 58.1 mean and 8.75% weak ones related to the sufficient study. The understanding rate of students residing in city districts and state universities was more than rural areas and Azad universities and this difference was significant statistically.[p<0.05]. This investigation indicates that many student have middle understanding on the sufficient study. Then, to recognize the study way and its education in the beginning of the university studying is necessary

[Short bowel syndrome and report of three cases]

The absorptive and digestive surface of small intestine in healthy adults is more than that needed to maintain adequate nutrition, so resection of small amounts of small intestine usually causes no clinical symptoms. Resection of up to 40 per cent of total length of the small intestine is usually well tolerated; provided that the duodenum, 100 cm of early jejunum, the distal half of the ileum, and ileocecal sphincter are spared. In contrast, resection of the distal two - third of ileum and ileocecal sphincter alone may induce severe diarrhea and significant malabsorption; even though less than 25 percent of the distal small intestine has been resected. Resection of 50 percent or more of the small intestine usually results in significant malabsorption, and resection of 70 percent or more of the small intestine often produces such catastrophic malabsorption that survival of the patient is threatened. Short bowel syndrome is the clinical and laboratory findings of malabsorption syndrome that result from extensive intestinal resection. Aim of this study is description of small bowel syndrome and various clinical pictures and its complication. In this article 3 patients with short bowel syndrome are introduced. Many problems of these patients that result from resection of large amounts of small intestine, which affect vital organs and cost of its treatment, necessitate more attention to this problem and maintenance of maximal length of small intestine in abdominal operation

[ distribution of Vibrio cholerae from the surface waters of Golestan province]

Vibrio species are oxidase positive, gram negative bacilli that predominantly reside in surface waters such as lakes, rivers. They cause predominantly intestinal diseases as well as a few extra-intestinal complications. Vibrio-related diseases often rise during natural disasters such as floods. Vibrio cholerae cause cholera in humans. In this study, the occurance of Vibrio cholerae in the surface waters of Golestan province, was investigated. The APW and TCBS agar culture media were used for primary isolation of Vibrio cholerae and the exact species identification were done by performing the following tests; oxidase reaction, growth in 0%, 1%, 3%, 6% salt solution, lysine and ornithine decarboxylase, Arginine dehydrolase, ONPG and VP test, simmon citrate, bile esculin, indole, CAMP reaction, string test and specific antisera to V.cholerae 01. to confirm the findings, the special antiserum Ogawa and Inaba, were used. We were able to isolate 42 Vibrio spp. from a total of 54 water samples collected. The species included 35 non-01 V.cholerae [84.2%], 2 V.mimicus [2.63%] and 5 V.cholerae 01 [13.1%] isolat. This study confirmed the existence of Vibrio cholerae 01 in 70% of samples from surface waters of Golestan province

[ survey on respect rate for patent's territory in Ardabil hospitals in 2002]

Introduction: Among significant factors which, cause the satisfaction of hospitalized Patients are the care and respect which should be regarded within confines of the patient's rights and virtual limits by the health care providers. The present study has been carried out in order to determine the rate of respect of the health care providers towards the rights and spherical limits

Methods: to tins goal, a researcher-made questionnaire based on the patients' point of view was completed for 285 of the patient and the collected data were analyzed making use of the statistical description and x2

Results : The finding showed that although the patients' did not mention their satisfaction concerning some criteria investigated, but the scores were not so that to be judged as not satisfactory. %53.7 of patients believed that their rights were respected by health care providers as "often". There was a significant between education and patient's rights and territory

Discussion: ultimately, the research findings can have some uses in nursing services, administration, education and research

[Low back pain prevalence rate among working nurses in Ardabil hospitals in 2002]

Introduction: Low back pain is an acute and chronic trauma making physical restriction for people. Nurses suffer from that two folds more than ordinary people and lose more working days. This survey has been done to determine prevalence of low back pain among nurses and its relationship with some of the demographic factors

Methods: This survey is a cross-sectional study and the samples included working nurses in Ardabil haspitals. Data collecting was done by use of arranged questionnaires. The low back pain criterion was self-expression of pain during one week before interview. X[2] test was used to investigate the association between personal factors and low back pain prevalence

Results: Findings showed that the prevalence of low back pain in the studied nurses was %64.5. The most prevalence was related to group working less than 3 years [68.3%] and in the female [73.8%] more than male [46.3%]. Single individuals had the lowest low back pain prevalence [36.4%]. The low back pain prevalence in the persons lifting things wrongly was 83.7% and there was a significant association between lifting things method and low back pain [P< 0.05]. Similarly, low back pain in nurses of pediatric wards [82.4%] and Intensive wards [75%] was more than other wards and statistically was significant [P<0.05]. The mean of work time of the injured Individuals was less than non injured [P<0.05]. Low back pain Prevalence in the nurses working at night compared with working in the morning was more [76.8% against 48.1%] and this difference was significant [P<0.05]

Discussion: With attention to the high prevalence of nurses' low back pain [64.5%], it is recommended how to protect and to take care of patients with regard to body biomechanics procedure. Correct method of patients' displacement should be taught in the ward

[Epidemiology of maxillofacial fractures features in referral patients to Besat, 15 Khordad and Shahriyar hospital in 2002-3]

Background: The war, motor accident, risk full journeys, new combat sport and finally rising of work accident, war and combat have increasing body injury including facial fractures and Concomitant injuries. This study design to determine frequency of maxillofacial fractures features in referral patients to Besat, 15 Khordad and Shahriyar hospital in 2002-3

Material and Method: This study based on quota sampling at 2002-3 year on 135 patients with maxillofacial fractures who refer to three above hospital. The obtain data after sampling record to check list and then analyzed with SPSS11.5

Results: The patient in 3rd decade of age [53.3%] is the most frequent and 86.7% of them were male. The most frequency of maxillofacial fractures cause was motorcycle accident [63.7%] and falling down [1 7%], and the most frequent locations of fracture were mandible [55.6%], maxilla [35.6%]. The most frequent treatments were Orif [48.05%], Close Reduction [25.54%]. Edema [92.6%], Tenderness [81.5%] and ecchymosis [56.3%] were the most frequent singes and no one of dead was report

Conclusion: The result of this study show that the most cases of the maxillaryfacial injuries are caused by car accident, and it is necceccery more pay attention to the safety principles in driving law and use to seat belt

[Epidemiology of maxillofacial fractures features in referral patients to Besat, 15 Khordad and Shahriyar hospital in 2002-3]

Background: The war, motor accident, risk full journeys, new combat sport and finally rising of work accident, war and combat have increasing body injury including facial fractures and Concomitant injuries. This study design to determine frequency of maxillofacial fractures features in referral patients to Besat, 15 Khordad and Shahriyar hospital in 2002-3

Material and Method: This study based on quota sampling at 2002-3 year on 135 patients with maxillofacial fractures who refer to three above hospital. The obtain data after sampling record to check list and then analyzed with SPSS11.5

Results: The patient in 3[rd] decade of age [53.3%] is the most frequent and 86.7% of them were male. The most frequency of maxillofacial fractures cause was motorcycle accident [63.7%] and falling down [17%], and the most frequent locations of fracture were mandible [55.6%], maxilla [35.6%]. The most frequent treatments were Orif [48.05%], Close Reduction [25.54%]. Edema [92.6%], Tenderness [81.5%] and ecchymosis [56.3%] were the most frequent singes and no one of dead was report

Conclusion: The result of this study show that the most cases of the maxillaryfacial injuries are caused by car accident, and it is necceccery more pay attention to the safety principles in driving law and use to seat belt