[Correlation of total serum magnesium level with clinical outcomes in stroke patients]

Magnesium [Mg] ion has possible role in protecting neurons and glia from ischemic damage through the cerebral blood flow and neuronal action. This study was done to evaluate the correlation of total serum Mg level with clinical outcomes in stroke patients. This cross sectional study was done on 316 patients whom diagnosed with stroke in Imam Hossein hospital, Tehran, Iran during 2010-11. Mg levels in all patients were measured. Also, recurrent transient ischemic attack [TIA], recurrent myocardial infarction or stroke, unstable angina and death as clinical outcomes were follow-up for period of 3 and 6 months after admission. Data were analyzed using SPSS-18, Chi-Square, Fisher and Pearson correlation tests. The mean age of patients was 65 +/- 15.8 year. Limb weakness [69.9%] and haemoplasia with 63.6% were the most common clinical complaints. Death was the most common finding in 3 month [16.8%] and recurrent stroke was the most common finding in 6 month follow up [2.5%]. There was no significant difference between the total serum Mg and the first and second three-months follow up of clinical outcomes. This study can not show a significant correlation between total serum Mg levels and clinical outcomes after 3 and 6 month follow up in stroke patients

[Design patterns in the crisis management Shohada hospital]

Iran is the fourth disaster prone country in Asia and tenth in the world. It constantly exposed to natural and manmade disasters and terrorist attacks. The paper is going to develop a crisis management plan for Shohada hospital. In this study, firstly crisis management programs in America and Europe are amended and compiled. Then, by providing aerial maps and positioning of units' establishment, the involved officials will provide necessary training and functional exercises in order to examine the lessons learned when the hospital is intact or has been destroyed Regarding the pre-designed organization chart training immediately after disaster, the program should be planned and hospital crisis committee comprising various units of the hospital should be established and a responsible associated with three successors considered for each unit. The operation should be started following the issuance of Chief of Staff to the hospital president and to the authorities of the units. Then, the authorities should recall their personnel, accomplish the predetermined tasks and also should end the operation by top officials command. The results indicated that the hospital crisis management programs should be compiled based on available facilities and equipment regarding the natural disasters around the world, failure of managers responsible for controlling crises such as Taiwan earthquake, and lack of adequate facilities to deal with nuclear and chemistry crises in America. At the end, the strength and weak points should be examined by providing the necessity training and performing as maneuver for the involved authorities in the hospital