Résumé
Background: Disaster management relies on the prediction of problems and providing necessary preparations at the right time and place. In this study, researchers intended to explore previous experiences of health disaster management
Materials and Methods: This study conducted using qualitative content analysis method. Participants were selected purposefully and data were collected through interviews, observation, and relevant documents
Results: Transcribed data from 18 interviews, field notes, and other documents were analyzed. In data analysis, "reactive management" was emerged as the main theme. It included some categories such as "exposure shock," "nondeliberative relief," "lack of comprehensive health disaster plan," "lack of preparedness," and "poor coordination in health service delivery" as well as contextual factors
Conclusion: The results clarified deep perception of participants' experiences about health management in disasters. The professionals and nonprofessionals' emotion-based reactions and behaviors, if accompanied with deficiencies in planning and preparedness, can lead to ineffective services and aggravate the damages
Résumé
Objective: Appropriate treatment of patients with Type 1 diabetes mellitus [T1DM] is necessary to avoid further complications. This study was performed to compare the efficacy of insulin Glargine and Aspart with NPH insulin and regular insulin regimen in a group of children with T1DM
Methods: Forty patients with T1DM were enrolled in this study. During run-in, all subjects were treated with conventional therapy consisting of twice-daily NPH and thrice-daily regular. Following randomization, 20 subjects received Glargine and Aspart and 20 subjects received NPH and Regular insulin
Findings: Mean HbA1c was 8.8% and 8.6% at first and 8.4% and 8.2% at the end of study for subjects randomized initially to Glargine and Aspart and for those randomized to NPH and Regular, respectively [P>0.05]. Mean fasting blood glucose [FBS] of the subjects randomized initially to Glargine and Aspart was 217+/-101 mg/dL, with no significant difference to 196+/-75 mg/dL for those randomized to NPH and Regular [P=0.48]. This was also true at the end of the study. The difference in total cholesterol and triglyceride between the two groups in the beginning of study and at the end did not show any significance
Conclusion: The current study showed no significant difference in glycemic control [Glycated hemoglobin [HbA1c] and FBS] and lipid profile [total cholesterol and triglyceride] between two regimes