Educational performance assessment of Hashemi Nejad educational hospital based on model of Malcolm Baldrige, Teharn, Iran, 2007

However, medical education, played a great role in human health in the twentieth century but this system has changed over time requires, so this study is conducted with aim of Educational performance assessment of Hashemi Nejad Training hospital in Tehran based on Educational Model of Malcolm Baldrige Excellence Model. descriptive study, conducted by cross-sectional method. The environment of this research was Hashemi Nejad educational Hospital in Tehran. Data gathering tools was international and standard checklist of Malcolm Baldrige's Model. Data gathering approach was interviewing chief managers of hospital, studying the records and documents in each criterion and separately supplementing the checklist. The data are analyzed qualitatively. This hospital has obtained 222 of total 1000 points exist in Malcolm Baldrige's score in educational field [22.2% of the total score of 100 percent in model]. Finding also shows those main criteria of strategic planning and the focus on students, interest groups and marker obtain the maximum score. Since, each of them has obtained 33 percent of total score of the model and the minimum score, 18 percent, belongs to results of organizational performance criterion. the hospital's performance in educational fields was weak. Since the first mission of hospital activities to better education and training student, so more attention to organizational performance is necessary

[Nutritional secondary hyper parathyroidism incidence in kittens and effects of two treatment regimens]

Diagnosis of Nutritional Secondary Hyperparathyroidism in preliminary stage was studied by determination of serum profiles as first key for early diagnostic method. On the other hand compare between two treatment methods for osteoprothic cases has concerned in second part of survey. Treatment performed by drug consumption and changes in food regimes for two seperated groups. 50 osteoprotic and 50 normal 2-3 month old kittens were selected randomly. Radiographic exams were our landmark to selection of osteoprothic kittens. Serum calcium [Ca], parathormon[PTH], phosphorus[P] and serum alkaline phosphatase[AP] levels measured in all of them. Serum profiles have in osteoprothic and normal ittens were compared by student t-test and paired t-test. Comparative study showed significant decrease in serum P and increase in PTH in the first group [Osteoporotic kittens] [P<0.05]. No significant changes have seen in serum Ca and APin both groups

[Association between chronic periodontitis and acute myocardial infarction]

Chronic periodontitis has been associated with cardiovascular diseases. The hypothesis that oral espically periodontal, infections systemic implications, is now gaining evidence. In this Case- control study, cases were 45-60 years old patients who had been hospitalized in one of cardiologic care units or emergency wards of Isfahan city such Chamran and Khorshid Shahr hospitals, for acute myocardial infarction [AMI]. Control group had no evidence of acute myocardial infarction, all receiving comprehensive periodontal examination. Information such as age, socioeconomic state, smoking and Dm history were obtained from hospital records and direct interview. Dependent variants attachment loss [AL] and lost teeth have been considered as characteristics of periodontal disease. In this research a total of 56 samples participated in our study, based on informed consent. The association between mean attachment level and number of missing teeth with studied groups were analyzed with paired t -test and SPSS 15 software. Research findings showed that AL index mean in patients group [MI patients] and control group [healthy group] was 3.11 +/- 1.05 and 2.46 +/- .85 and lost teeth index mean in patients group and control group was 7.78 +/- 5.12 and 4.67 +/- 3.47 respectively. The statistical test showed that these differences in both indexes with p<0.05 are significant. According to the findings, we can advise if elders in ordinary dentistry examinations show signs of periodontal disease and have some lost teeth may have higher risks for cardiovascular disease

Association between chronic periodontitis and acute myocardial infarction: a case-control study in Isfahan

Chronic periodontitis has been associated with cardiovascular diseases. The hypothesis that oral, especially periodontal, infections have potentially serious systemic implications, is now gaining credence. Cases were 45-60 years old patients who had been hospitalized in one of cardiologic care units or emergency wards of Isfahan Medical University, for acute myocardial infarction [AMI]. Controls had no evidence of acute myocardial infarction, all receiving comprehensive periodontal examination. Information such as age, socioeconomic state, smoking, and diabetes history were obtained from hospital records and direct interview. A total number of%6 people participated in our study, based on informed consent, were designated as two groups of case and control. The association between mean attachment level and number of missing teeth with studied groups were analyzed with SPSS statistical software. The association of the mean attachment level and also the number of missing teeth with case status were statically significant associated [P<0.05]. The results are in accordance with those reports that show the positive association between these two diseases. Our findings suggest that the patients who demonstrate evidence of attachment loss around several teeth, at routine dental visit can be identified as being at risk for future AMI. Such subjects should be referred for medical and periodontal examination and treatment