Organizational Commitment among Critical Care Unit Nurses of Mazandaran Heart Center

@#Introduction: Organizational commitment is manifested in the forms of taking pride in organization, enhanced motivation for engaging in organizational duties, staying at organization for a longer time and knowing organization as a valuable organization. So decreased organizational commitment among medical staff led researchers to investigate the organizational commitment of CCUs in Mazandaran Heart Center. Methods: This is a descriptive-analytical study carried out in teaching hospitals of Mazandaran University of Medical Sciences, Heart Center. Allen and Meyer's organizational commitment questionnaire was used to collect data from 90 nurses selected by census from CCU nurses. Data was analyzed using SPSS 21. Results: Of studied cases, 19 (18.9%) were male and 73 (81.1%) were female with a mean age of 7.25±34.4. Among age, job experience and work hour variables, only age and job experience were considered to be significant. Conclusions: Supervisors and managers should promote nurses' organizational commitment through giving facilities and rewards.

Submental intubation in maxillofacial fracture: a case report

It can be challenging to create a safe airway in maxilla facial fracture and some skull surgeries. In this case study, the patient experienced jaw fractures that disturbed the dental occlusion and associated fracture of the base of the skull. Neither nasal nor oral intubation was possible based on the side effects of tracheotomy; therefore, submental intubation was applied successfully. The procedure and results are presented in the text.

Effect of auditory stimulation on traumatic coma duration in intensive care unit of medical sciences university of Mazandarn, Iran

Sensory deprivation is one of the common complications of coma patients in the intensive care unit [ICU]. The purpose of this study was to investigate the impact of a familiar voice to consciousness level in coma patients. A total of 13 patients with traumatic coma [8 >/= Glasgow's coma scale [GCS]] admitted in ICU ward were randomly assigned to control and experimental groups. The experimental group was treated twice a daily each time 15 min with a familiar recorded MP3 sound for 2 weeks. The control group received only natural voices of environment. GCS applied to evaluate patients' level of consciousness. Findings showed that duration to reach GCS = 15 was significantly shorter in the experimental group [X[2] = 12/96, P < 0/001]. These findings imply that providing familiar auditory stimulation programs for coma patients in the ICU could be effective

comparison of the diagnostic power of the Full Outline of Unresponsiveness scale and the Glasgow coma scale in the discharge outcome prediction of patients with traumatic brain injury admitted to the intensive care unit

This study aimed to determine whether the Full Outline of Unresponsiveness [FOUR] score is an accurate predictorof discharge outcome in traumatic brain injury [TBI] patients and to compare its performanceto Glasgow coma scale [GCS]. This is diagnostic study conducted prospectively on 53 TBI patients admitted to ICU of education hospitals of Medical Science University of Mazandaran during February 2013 to June 2013. Data collection was done with a checklist including biographic, clinical information and outcome. The FOUR score and GCS were determined by the researcher in the first 24 hours. Outcomes considered as in-hospital mortality and poor neurologic outcome [Glasgow Outcome Scale [GOS] 1-3] in discharge time from the hospital. In terms of predictive power for in-hospital mortality, the area under the receiver operating characteristic [ROC] curve was 0/92 [95% CI. 0/81-0/97] for FOUR score and 0/96 [95% CI. 0/87-0/99] for GCS. In terms of predictive power of poor neurologic outcome, the area under the ROC curve was 0/95 [95% CI. 0/86-0/99] for FOUR score and 0/90 [95% CI.0/79-0/96] for GCS as evidenced by GOS 1-3. The cut-off of 6 showed sensitivity and specificity of total four score predicting poor outcome at 0/86 and 0/87 while the cut-off of 4 showed the value of in hospital mortality at 0/90 and 0/90. The total GCS score showed sensitivity and specificity 0/100 and 0/61 at cut-off 7 in predicting poor outcome while in predicting mortality at cut-off of 4 this range was 0/100 and 0/92. The FOUR score is an accurate predictor of discharge outcome in TBI patients. Thus, researchers recommend for therapeutic Schematizationto use in neurosurgical patients at admission day.

Studying music effect on children's stress following chemotherapy: a randomized clinical trial

Due to adverse effects of cancer on children's mental health, relaxation, chemotherapy side-effects and positive effects of music therapy on stress, this study was performed with the goal to determine the effect of music therapy on children's stress after chemotherapy. The present study is a randomized clinical trial done on 32 children undergoing cancer chemotherapy in Bu-Ali Sina hospital in Sari in the 2012-2013. By convenience sampling method and then allocation, they were randomly divided into two groups [16 people] as control and experimental. The data included the demographic questionnaires and self- assessment questionnaire stress of Sharrer -Wenger. In the intervention group, after recounting how to perform music for the child and the mother and select the songs chosen by the child for 20 minutes, half an hour before and after starting and completing chemotherapy, based on child's bearing, the was music of relaxing sounds of nature and the music for children was played. In the test group, the stress questionnaire was executed before and after music therapy before chemotherapy and after the treatment course. In the control group, before starting chemotherapy and after a course of chemotherapy treatment, the questionnaire was completed. The data was analyzed using statistical software SPSS 18 and the t-test and ANOVA with repeated measures and Pearson correlation. No Significant difference was found between the control and experimental stress scores in the two groups [after a music therapy session] before chemotherapy [p=0/240], but after chemotherapy, the average stress score in the experimental group, after the music therapy was significantly lower, and the difference was statistically significant [p=0/000]. Due to a substantial reduction in stress scores of music therapy in children undergoing chemotherapy, the music therapy can be an effective intervention for reducing stress and helping the children to better cope with life after being afflicted by cancer