[Comparison in of physical activity in fertile and infertile couples Kermanshah, Iran during 2013]

Background and aim: Infertility is a major reproductive health problem that affect 10%-15% of couples. According to the World Health Organization, there are currently 50-80 million infertile couples in the world. Physical activity is a life style factor with possible positive or negative effects on reproductive. The aim of this study was to compare the physical activity of fertile and infertile couples in Kermanshah, Iran during 2013

Materials and Methods: This was a descriptive comparative study. The case group consisted of 118 infertile couples attending Motazedi Infertility Center. One hundred and eight fertile couple attending to six public health centers in Kermanshah, Iran, were the controls. The sampling method was convenience sampling. Data were collected by a questionnaire. The questionnaire was consisted of two section. The first section was demographic and fertility characteristics and the second section was international physical activity questionnaire. The data is presented by descriptive statistics and analyzed with logistic regression, independent t-test, chi-square, and gamma tests using SPSS v16

Results:The result of this study showed that the majority of fertile women[86.1%], infertile women[73.1%], fertile men[87%] and infertile men[96.3%] had moderate level of physical activity. There was a significant difference between fertile and infertile men and women in terms of physical activity. The fertile and infertile couples, also, have significant difference in physical activity[P<0/05]

Conclusions: Given the importance of physical activity on reproductive health and significant difference of physical activity between fertile and infertile couples in this study, it seems that more attention should be paid to lifestyle behaviors, especially in infertile couples

Are the medical records of high quality in teaching hospitals?

Background: documentation of medical data in patient records is needed to improve the quality of healthcare and medical knowledge progress. Documentation of patient history, clinical problems, treatment, and follow-up care are needed to improve practice and research

Objective: to determine documentation of patient records at the internal medicine ward of Imam Khomeini Hospital, Tabriz, Iran

Method: the study was descriptive and 100 patient records were selected through random sampling. Records were related to the patients who had been discharged from the general internal ward during April to June 2000. Data was collected using the questionnaire including 30 closed questions, and 5 open ones. The results were reported in ratios [%] averages and standard deviation. T-test was used to examine the association of length of stay and records data adequacy scores. Data was analysed by the SPSS software

Results: completeness of the patient records was moderately acceptable [68.7%]. The difference between performance of residents, interns and students in documentation of primary diagnoses and differential diagnoses was significant [P<0.001] and performance of residents was more efficient [59.6%], [69.7%]. Of the records, 22.2% were without summary sheet

Conclusion: patient records had many deficiencies. Instructions for documentation are necessary. Regular monitoring and evaluation by the attending physicians and writing skills education could be effective in accurate documentation