[Professional partnership: nurses' experience of theory-practice gap in nursing education]

Examining the gap between theoretical and practical training can be effective in professional development and can be changed. The aim of this study was to determine the experiences of nursing teachers about the issue of gap between theory and practice in nursing education. This qualitative study was carried out on 32 nursing teachers and managers at Nursing and Midwifery Faculties of Ahvaz Jundishapur University of Medical Sciences, Tehran University of Medical Sciences and Esfahan University of Medical Sciences. Data collection conducted using semi-structured interview and after signing the informed consent by the participants. The interviews were recorded and transcribed. Then, collected data were analyzed through conventional content analysis. In order to assess the validity of data collection, different criteria such as acceptability and verifiability were used. Main themes of the research include education engineering, meritocratic and professional partnership. Experience and understanding of the participants showed that their professional practice and educational activities are in compliance with the core planning. Therefore, content of education and clinical credibility and competency should be standardized through acquired efficient partnership. This will reduce the gap between education and training. The results of this study provides knowledge and insight in educators and managers, so that that they would be able to confront and resolve the gap between theory and clinical training. Results of this study revealed that experiences of participants can identify factors affecting the challenge and provide improved status appropriate for enhanced competence and capabilities of nursing student

[Related of knowledge and attitude with medication control of tuberculosis patients reffering to ahwaz anti T.B center]

Although directly observed treatment [DOT] strategy had decreased TB mortality, but, in developing countries, TB is yet the leading cause of preventable deaths. The most important reason for inefficiency of treatment is noncompliance on the part of the patient, That it caused not only increasing of probability of recurrence and multi drug resistance, but also formation of prejudicial personal, social, psychological and economical effects. This was a descriptive- analytical study that carried out to assess quality of adherence to tuberculosis drug regimen and its relation to knowledge and attitude factors in patient's reffered to health centers of Ahwaz. The sample size included 167 patients in course of TB treatment that selected randomly and based on aim. A questionnaire, observation, sputum smear, potts - cozart test [for detect of isoniazide metabolites in urine] was used to data collection. Reability of questionnaire was determined by alpha-cronbach correlation method [alpha=0.81]. Showed that 52.7 percent of patient had good adherence to drug regimen, 35.3% had midscore adherence and 12% had poor. In the case of relation between adherence and knowledge and attitude factors showed that statistical meaningful relation found between adherence and knowledge [P=0.017], attitude [P=0.0001]. Results showed that some factors such as cognition, attitude were effective on quality of adherence. It seems that it is required to containing a compiled and continious education for patients in treatment protocols. This is resulted in increasing of knowledge of patients and their family and promote of their attitude about disease and treatment

[Effectiveness of short-term cardiac rehabilitation on clinical manifestations in post-MI patients]

Cardiac rehabilitation is one of the most effective ways of secondary prevention in patients with myocardial infarction manifestations. This study aimed to assess the effectiveness of cardiac rehabilitation on clinical manifestations of myocardial infarction in post-MI patients. In this interventional study, 66 patients [58 males and eight females] with myocardial infarction who were hospitalized in public hospitals of Ahwaz were selected using purposeful sampling. The participants were randomly allocated into intervention and control groups. Data was collected using a self-structured valid and reliable instrument. The intervention group participated in an 8-week cardiac rehabilitation program. Data on the clinical manifestations were collected eight weeks later. Data were analyzed in SPSS. The results showed that there was significant differences between two groups in hypertension crisis [P=0.03], chest pain, dyspnea, fatigue and palpitation after the cardiac rehabilitation [P<0.001]. Cardiac rehabilitation program decreased the clinical manifestations of myocardial infarction in post-MI patients. It is recommended to perform this procedure in the post-MI patients

Pre-Auricular sinus: review and comparative study of surgical techniques

To determine the role of operating microscope in excision of preauricular sinus. A retrospective study. From January 2005 to July 2006 at Mayo Hospital, Lahore. All the patients who underwent preauricular sinus excision under operating microscope were studied. Patients reviewed in follow up for recurrence of sinus and other complications. A follow up of all operated patients for a period of minimum of 8 months revealed good results without any recurrence. Magnification employed during surgery minimizes the risk of recurrence of preauricular sinuses

efficacy of transcutaneous electrical nerve stimulation in control of nausea and vomiting in patients undergoing chemotherapy

Despite advances in antiemetic treatment, complications are still problematic for a significant number of patients after chemotherapy. This study was performed to determine the efficacy of transcutaneous electrical nerve stimulation [TENS] in the control of nausea and vomiting in patients undergoing chemotherapy at Nemazee Hospital in Shiraz, southern Iran.32 subjects with cancer from Outpatients Depatment in Nemazee Hospital affiliated to Shiraz University of Medical Sciences, in Shiraz, southern Iran were enrolled. The patients were randomly divided into two equal groups of TENS and placebo. Patients in both groups were matched for age, severity of nausea and vomiting and type of malignancy. Cisplatin or cyclophosphamide was used for chemotherapy and granistron along with dexametasone were used as antiemetic agents. In the test group, the p6 acupuncture point [acupoint] was stimulated by TENS when the antiemetic agent was administered and continued during wakening every 2 hours for 72 hours after chemotherapy. The placebo group was similarly treated but with an off mode stimulator. In regard to the severity of nausea, no statistically significant difference was observed between the two groups in the first 24 hours of chemotherapy but the intensity of nausea in the TENS group was significantly lower than those of the placebo group during 48 and 72 hours of chemotherapy. The mean frequency of vomiting during first, second and third 24 hours was significantly lower in the control group. TENS can be used as an adjunct with antiemetics for controlling nausea and vomiting induced by chemotherapy

Menstrual disorders in adolescent age group

The prevalence of different menstrual disorders and their relationship with socioeconomic factors in adolescent age group was assessed by administering a questionnaire to 700 adolescent girls with average age of 15 years. The girls were randomly selected from six schools and one college based on stratification of socio-economic factors like income level and locality. The results show that the mean and median ages of menarche were 12 and 12.5 years respectively. Premenstrual syndrome [PMS] was present in 81.5% of respondents and dysmenorrhoea in 76%. Menorrhagia and amenorrhoea was observed in 8.5% and 2.8% respectively. Results indicate that PMS has a strong relationship [p<0.001] with age, income level and hobbies of the respondents. However, the relationship of dysmenorrhoea with income level, age and hobbies was found to be statistically significant. It is therefore, concluded that menstrual disorders are quite prevalent in our adolescent girls and positive role of socio economic factors can reduce the severity of these problems