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Background & Aim: Scorpion bites are one of the major health problems in some parts of Iran. This study has been conducted to evaluate the scorpion biting in north-western of Khuzestan province from May 2002 to December 2003.

Methods & Materials: This study was a prospective case series conducted from May 2002 to December 2003. Location of the study was the Northwest region of Khuzestan Province.

Results: From all 139 cases of scorpion bites by Androctonus crassicauda came to the clinic most bites were occurred during summer. All patients were treated conservatively without injecting anti-scorpion serum and discharged without any complication.

Conclusion: The major threat in that region is because of Androctonus crassicauda bites. Considering that there is no need to inject anti-scorpion serum for these kinds of bites, further evaluation and doing more through studies about treatment is recommended. Moreover, no relation was seen between scorpion bites and different nights of month.

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Background & Aim: The prevalence of cardiovascular diseases is high in most of the countries. Cardiac catheterization is a routine diagnostic test for coronary heart diseases. In order to minimize the post-procedure complications, patients are restricted to bed for 8-24 hours in flat position. The aim of this study was to assess the effect of changing position and early ambulation on back pain and the amount of bleeding after cardiac catheterization.
Methods & Materials: In this quasi-experimental study, 90 patients undergoing diagnostic angiography were selected using convenience sampling method in Shariati hospital. The patients were allocated in two intervention and control groups. The control group remained in supine position for 8-24 hours and the sandbag remained for eight hours. The patients&apos position in the intervention group was intermittently changed during the first hour after catheterization. The head of bed was set at 15 degree angle. In the second hour, the position changed to flat and the head of bed raised to 30 degree. In the third hour, the head of bed angle was set in 45 degree. In the first three hours sandbag was placed in catheter insertion site. After the third hour, patients could rest in any position (15-30 degree). Patients were ambulated in the sixth hour. Back pain intensity and level of bleeding were assessed immediately after admission, in the sixth, 24^th hour and after the seventh day of catheterization.
Results: The results indicated that there was no statistically significant difference in age, gender, education level, back pain intensity, and the level of bleeding immediately after the catheterization. Back pain intensity was lower in the intervention group than the control one after 6 and 24 hours of catheterization (P<0.001). There was no statistically significant difference between the intervention and control groups in the level of bleeding after 6 hours, 24 hours, and seven days of catheterization (P>0.05).
Conclusion: Patients should be allowed to change their positions in bed cardiac catheterization. Patients can be ambulated earlier (in the sixth hour) after cardiac diagnostic catheterization.

 

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Background & Aim: The aim of this study was to investigate the relationship between nurses&apos knowledge about pain and satisfaction from pain relieving procedures among postoperative CABG patients in selected Tehran medical university hospitals.

Methods & Materials: In this cross-sectional study, 100 nurses were recruited from the ICU Open heart. Also, 200 patients were selected from whom underwent CABG in 24 hours after surgery and were extubated using a simple random sampling method. Data were gathered using two questionnaires including 17 question about demographic characteristics of patients and their satisfaction, and 36 questions about demographic characteristics and nurses&apos knowledge about pain and pain control after the CABG. Data were analyzed using descriptive and inferential methods using SPSS-11.5.

Results: There was not significant relationship between the nurses&apos pain knowledge and the patients&apos satisfaction. However, there were a significant relationship between the knowledge of the nurses about pain control after the CABG and the patients satisfactions (r=0.209, P=0.037).

Conclusion: According to the findings of the study, there were some significant relationships between the nurses demographic and pain knowledge with the pain control after the CABG. There was also significant relationship between patients&apos satisfaction and some of them demographic characteristics.

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Background & Aim: Pregnancy can conflict with sexual function that can be affected by physical and psychological changes during pregnancy. The aim of this study was to compare sexual functions between nulliparous and multiparous pregnant women referred to health centers in Eastern district of Guilan.

Methods & Materials: This cross-sectional study was carried out in Guilan during 2009-2010. We used convenient sampling method to select 554 pregnant women. Data were gathered using a questionnaire including demographic characteristics, sexual function and fear of harm to fetus. The SPSS-16 was used to analyze the data by the Mann-Whitney U and Generalized linear models. The level of significance was set at 5%.

Results: There was no significant difference between nulliparous and multiparous pregnant women regarding sexual function in the first and second trimesters of pregnancy (P=0.353, P=0.251). There were significant differences between nulliparous and multiparous pregnant women regarding sexual desire (P=0.002), arousal (P=0.01), orgasm (P=0.01), pain (P=0.02) and sexual function total score (P=0.016). There was significant difference between nulliparous and multiparous pregnant women regarding sexual function (P=0.008).

Conclusion: Sexual counseling and rehabilitation programs should be compiled as part of the comprehensive care of prenatal care especially for multiparous pregnant women.

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Background & Aim: Self-care plays an important role in the management of care for patients with chronic renal failure. In order to provide effective education, it is necessary to identify problems, concerns and challenges in this group of patients. The aim of this study was to explore the challenges of self-care in the patients undergoing hemodialysis.
Methods & Materials: This study is part of a research project on adherence to treatment regimen in hemodialysis patients referred to hospitals affiliated to Tehran University of Medical Sciences in 2019. Patients with the highest and lowest mean (SD) scores of self-care were selected by the purposeful sampling method and finally, 22 in-depth semi-structured interviews were performed with 18 interviewees. All data were recorded, transcribed and analyzed using the conventional content analysis approach proposed by Graneheim and Lundman.
Results: Findings from the data analysis included four categories: "the mismatch between the view of patient and the view of nurse", "missing loop training", "culture: a double sword ", and "dual role of religious beliefs".
Conclusion: The results of the present study showed that patients undergoing hemodialysis faced many challenges in self-care. They had difficulty in understanding the meaning of self-care and its implications. There is a need to plan for educating these patients and also changing their religious and cultural beliefs.