1 2383-4307 868 Special The Knowledge Related to HIV/ AIDS Among the People Visiting Rasht Health`s Week Fair Parastesh S b Kooshanfar Z c Darvishpour A d b Guilan University of Medical Science c Guilan University of Medical Science d Guilan University of Medical Science 1 1 2015 23 92 1 9 06 01 2015 06 01 2015 Abstract Introduction: AIDS is the most serious health problem in present century. Every day, approximately 7,000 people are infected with HIV around the world. Our country is not immune of worldwide spread of this disease. Objective: The purpose of this study was to assess the level of knowledge related to HIV/AIDS in people who visited the site of Rasht health`s week exhibition. Materials and Methods: This cross - sectional study was carried out using a questionnaire consisting of two sections. The samples were 155 cases of 12years of age and over. The data were analyzed using descriptive statistics by spss software version 16 Results: The results showed that the majority of samples(75%) were females andunder 20 years (mean age 27.76±13.21). Also, in terms of job categories, the majority(37%) of them were student, and regardingthe accommodation, the majority (95%) lived in city The results indicated that the level of knowledge regarding the understanding and treatment of disease in the majority of cases(74%), and in relation to the prevention of disease transmission in 66% of cases were good. 57%of individuals answered correctly to the most common way of transmission from patient to others, and considerable percentage of them had misconceptions in relation to transmission ways so that theyexpressed non transmission ways as transmission routes (84% sitting the contaminated, 82% handshake with an infected person, 65% kissing, 35% bites insect and 38%, blood and body fluids of an infected person). There was a significant relationship between the knowledge and educational level (P =0.05) and the information history (P =0.002). Conclusion: Despite good knowledge regarding prevention and treatment of AIDS, there are still misconceptions and information deficiencies about transmission, and this highlights the role of related organizations to plan in order to improve awareness of community.
876 Special Investigating Demographic, Clinical and Treatment Outcome Characteristics of Patients with Diabetic Foot Infections Saghati jalali F e Abbasi ranjbar Z f Mahfoozi L g e Guilan University of Medical Sciences f Guilan University of Medical Sciences g Guilan University of Medical Sciences 1 1 2015 23 92 10 15 10 01 2015 10 01 2015 Abstract Introduction: Diabetic foot infection is a major complication of diabetes mellitus and is associated with a high morbidity and cost rate for the patients and community.This study was conducted to investigate demographic, clinical and treatment outcome characteristics of these patients. Materials and methods: This study is a descriptive/ analytical cross-sectional research conducted on data from medical records of 204 diabetic foot infection patients admitted to Razi Hospital,Rasht,1390.The main variables of the study were: age ,gender, type and duration of diabetes ,duration of diabetic foot infection, FBS and BS, history of amputation, smoking, severity of infection, type of treatment (antibiotic therapy /surgery), type of surgery (debridment/amputation) and treatment outcome .The data were analyzed using spss16 software. The association of variables were analyzed using chi-square test. Results: The mean age of the patients was 60.69±11.63 years. 57.8 % of the patients were male .92.2% of them had type 2 diabetes. The mean duration of diabetes was 14.94±10.4 years.77.9% of the patients underwent medical and surgical treatment for diabetic foot infection .101 cases (49.5%) had limb amputation. 5 patients (2.5%) died. There was a significant association between BS and FBS on admission and severity of diabetic foot infection( p=0.0001 & 0.03 respectively). Conclusion: High rate of amputations in our study in comparison to other similar studies (about half of our cases versus 14-24% in other studies) shows that further research on the causes and alternative treatment and preventive methods for this problem are required. 877 Special Evaluating the Quality of Library Services at Guilan University of Medical Sciences Using LibQUAL Tool Esmaeilpour Bandboni M h Abbaspour H i Ramezani A j Gholipoor F k Ramezani Pakpour Langeroudi F l h Guilan University of Medical Sciences i Guilan University of Medical Sciences j Guilan University of Medical Sciences k Guilan University of Medical Sciences l Student Research Committee, School of management and medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran 1 1 2015 23 92 16 24 11 01 2015 11 01 2015 Abstract Introduction: Assessment of quality services is an essential program to improve the organizational level. Health sciences libraries have the main role in the dissemination of specialized information to the medical communities Objective: quality services provided by the libraries of Guilan University of Medical Sciences were assessed through applying the Libqual tool, the most common international instrument. Materials and Methods: This is a descriptive cross -sectional study and its statistical population was the undergraduate medical students. The sample size was 135 undergraduate medical students who were selected in simple randomized sampling method. Data gathering was done by applying the Libqual questionnaire in the academic year 91-92 (2012-2013). The data were analyzed using Excel Software for calculation of Adequacy and, so were Superior gaps. Results: The average of overall minimum expectation of service levels in three dimensions was 5.9, in desired expectation of service levels was8, and in perceived service levels was calculated 6.24. The average of adequacy gap in three dimensions was positive, in order for "Library as Place" was 0.23, in "Effect of Service" was 0.58, and so in "Information Control" was calculated 0.13 Conclusion: Service levels of libraries at Guilan University of Medical Sciences, according to medical undergraduate students’ perspectives are appropriate and practical solutions must be designed to get to optimal conditions and standards. 878 Special A Comparative Survey of Patients Satisfaction with two Styles of Doctor-Patient Relationship in Consultation and Treatment Processes Masoudnia E m Zamani AR n Esfahanian F o m University of Guilan n Isfahan University of Medical Sciences o Yazd University 1 1 2015 23 92 25 33 11 01 2015 11 01 2015 Abstract Introduction: Doctor-patient communication style is one of the most important effective variables in treatment process. Patient satisfaction in one of the most important styles in this communication. Objectives: The aim of this study was to compare the activity-passivity and mutual-participation communication styles with regard to patients satisfaction. Materials and Methods: This study was conducted using survey and observational method. Data were collected from 40 doctors and 200 patients in two hospitals and twenty private clinics in Isfahan, between December and January 2012. The subjects were selected using available sampling method. The instruments used for gathering data were Doctor-Patient Nonverbal Communication Instrument (D-PNCI) and Patient Satisfaction Questionnaire (PSQ-18). Principle component analysis (PCA) method and T-test for independent groups were used for data analysis. Results: Significant differences were found between activity-passivity and mutual-participation communication styles of doctor-patient communication, with regard to general satisfaction in general (P<0.05), and with regard to components of technical quality (P<0.05), interpersonal manner (P<0.01), communication (P<0.01), and time spent with doctor (P<0.05). Hierarchical regression analysis showed that doctor-patient relationship style explained for 52.6% of the variance of patients satisfaction. Conclusion: Doctor-patient communicational style was found to be an effective factor of patients satisfaction. Mutual-participation relationship style resulted in higher patient satisfaction, compared with activity-passivity communication style. So paying attention to creating and strengthening mutual-participation communication model to increase patients satisfaction seems to be necessary. 879 Special Comparing the Outcomes of Pregnancy (Maternal and Neonatal) After Induced Ovulation with the Spontaneous Pregnancy in Alzahra Maternity Hospital Asgharnia M p Mirblouk F Ghanbari A Iranidust haghighi R Dalil Heirati SF p Guilan university of Medical Sciences Guilan university of Medical Sciences Guilan university of Medical Sciences Guilan university of Medical Sciences Guilan university of Medical Sciences 1 1 2015 23 92 34 41 11 01 2015 11 01 2015 Abstract Introduction: Infertility is defined as 1 year of unprotected intercourse without conception and affects 10-15% of couples. Pregnancy in this population is believed to be associated with increased obstetric and neonatal risks Objective: Pregnancy in this population is believed to be associated with increased obstetric and neonatal risks, so we compared these complications in pregnancies after ovulation induced by drugs with spontaneous pregnancy. Materials and Methods: This is a prospective cross-sectional study and was done during 2 years (2011-2012). Study population consisted of 552 pregnant women without infertility treatment, and 232 patients with infertility treatment, (ovulation induction). Maternal demographic data (duration of infertility, type of ovulatory drug,…), complication of pregnancy (cesarean section, gestational diabetes, preeclampsia,…), also neonatal outcomes (1 and 5 minutes apgar score, admission in neonatal intensive care unit[NICU], low birth weight,…) were collected. Results: There was a significant difference between two groups in terms of duration of marriage, gestational age and history of abortion. There were no differences between spontaneous and stimulated pregnancy with regard to preeclampsia, abruptio placenta, preterm birth, placenta previa, Intrauterine growth retardation (IUGR), neonatal death, intrauterine fetal death (IUGR), low birth weight (LBW), congenital malformation [neaural tube defect (NTD), hypospadias, alimentary tract atresia], admission in NICU, but there were significant differences between two groups regarding one and five minutes Apgar score(P=0.01), (P=0.01), mean neonatal weight (P=0.0001) and head circumference (P=0.01). Conclusion: Based on this study findings, we can conclude that pregnancies achieved by ovarian stimulation may be at higher risk for low birth weight, decreased head circumference and 1 and 5 minutes Apgar score, so close surveillance during pregnancy should be considered. 881 Special Evaluating Treatment Motivation Based on Cognitive Self-Control and Self-Compassion in People with Substance Dependency Basharpoor S Atadokht A Khosravinia D Narimani M University of Mohaghegh Ardabili University of Mohaghegh Ardabili University of Mohaghegh Ardabili University of Mohaghegh Ardabili 1 1 2015 23 92 42 52 12 01 2015 12 01 2015 Abstract Introduction: Motivation is a key element in treatment and recovery of substance use disorders by influencing patients to seek, complete, and acceptance of treatment and make successful long-term changes Objective: the current study was conducted in other to evaluate treatment motivation based on cognitive self-control and self- compassion in people with substance dependency. Materials and Methods: The study carried out was a cross sectional type. The whole people with substance dependency referred to Shiraz centers of addiction treatment in the second half of 1392, comprised our statistical population of this research. One hundred and fifty people were selected by multistage random sampling method. Having conducted clinical interview, they were asked to respond to questionnaires of cognitive self-control, self- compassion and treatment motivation. Collected data were analyzed by tests of Pearson correlation and multivariate and multiple regressions. Results: The results showed that treatment motivation is negatively correlated with low self-control (r=-0.41 P<0.001), and positively with self-kindness(r=0.37 P<0.001), self-judgment(r=0.32P<0.001), common humanity(r=0.33 P<0.001), isolation(r=0.32 P<0.001), mindfulness(r=0.40 P<0.001), and over-identification(r=0.36 P<0.001). The results of multiple regression showed that 30% variance of motivation, 30% variance of problem recognition, 28% variance of ambivalence and 24% variance taking steps are explained by self- compassion and cognitive self-control. Conclusion: The results of this study demonstrate that cognitive self-control and self- compassion play a role in predicting treatment motivation and readiness to change in drug-dependent individuals. 882 Special Protective Effect of Oxytocin on Quantitative and Qualitative Spermatogenesis Parameters in Rat’s Testis Under Ischemia-Reperfusion Ghasemneghad R Mohammadghasemi F Faghani M Bahadori MH Guilan University Of Medical Sciences Guilan University Of Medical Sciences Guilan University Of Medical Sciences Guilan University Of Medical Sciences 1 1 2015 23 92 53 62 12 01 2015 12 01 2015 Abstract Introduction: Oxytocin is a nonpeptide hormone affecting the level of cell stresses. Objective: The aim of this study was to investigate protective effect of exogenous oxytocin on quantitative and qualitative spermatogenesis parameters in rat’s testis under ischemia-reperfusion. Materials and Methods: In this experimental study,twenty-eight adult wistar albino rats were randomly divided into five groups: 1: controls 2: Ischemia-Reperfusion (IR) 3: oxytocin (OT) 4: oxytocin during induction of Ischemia (OTD+IR). 5: oxytocin after induction of IR (OTA+IR). Testicular ischemia was achieved by torsion of the left testis 720º clockwise for 2 hours. Two hours after ischemia, torsion was removed and reperfusion was performed. Oxytocin was administered in a dose of 0.03µg/kg intraperitoneally. Oxytocin was administered in groups under treatment. Three hours after surgery left testis was removed and evaluations were made by Jhonson’s score, radioimmunoassay (RIA), and histomorphometry for quantitative and qualitative study of spermatogenesis and sex hormones. Results: Induction of ischemia-reperfusion in group2 induced marked degeneration of germ cells, edema and blood vessels congestion in testis. The height of germinal epithelium and jhonson’s score and pachyten spermatocyte numbers were reduced significantly (p<0.01). However, serum levels of sex hormones were not affected. OT in both groups of OTA+IR and OTD+IR ameliorated quantitative and qualitative parameters (p<0.05). Conclusion: The present study showed administration of 0.03µg/kg oxitocin has protective effects on both qualitative and quantitative parameters of spermatogenesis in testis under or after occurrence of ischemia. These effects probably are through reduction of cell stresses without any effect on hypothalamic-pituitary-gonadal axis 883 Special Study of Specific Incomes of Hospitals of Guilan University of Medical Sciences in 2012 S Y SA M Qazvin University of Medical Sciences Guilan University of Medical Sciences Qazvin University of Medical Sciences Arak Islamic Azad University 1 1 2015 23 92 63 68 12 01 2015 12 01 2015 Abstract Introduction: The main problem of health care services is their economic aspect. Hospitals are one of the most important and costly units of health care system in every country and are of great importance in health and economy, as one of the main organizations providing health care services. For this reason, identification and analysis of funding sources and incomes of hospitals is very important in careful management decision making. Objective: Determine the status of specific incomes of hospitals of Guilan University of Medical Sciencs in 2012 Materials and Methods: This research is a descriptive study which is conducted in 22 Hospitals affiliated with Guilan University of Medical Sciences, and based on the data collected in 2012. In order to collect data, we referred to the finance units of the centers. The instrument used in this study is a checklist which was used for data collection related to cash income, insurance income, total income and insurance deductions, after the confirmation of its content validity. Results: On average, 17.61% of the income of the hospitals under study (in 2012) was earned through cash revenues and 82.39% obtained from insurance organizations and 2.31% of hospitals invoices from insurance organizations is included in insurance deductions. Also, the proportion of the amount received from patients to the total income in more deprived hospitals, is more and the proportion of the amount received from insurance organizations to the total income of these hospitals, is lower. Conclusion: Since the main source of revenues for the hospitals under study is the amount received from insurance organizations, it is necessary to take essential steps in order to reduce insurance deductions and collect the maximum revenue of hospitals. Also, the higher amount of direct payments by patients and the lower amount of payments by insurance organizations to the total income in more deprived hospitals could be due to a lack of full coverage insurance on these areas. 885 Special Fanconi Anemia, a Case Report Darbandi B Farahmand M KhagehJahromi S Guilan University of Medical sciences Guilan University of Medical sciences Qazvin university of Medical Sciences 1 1 2015 23 92 69 75 13 01 2015 13 01 2015 Abstract Introduction: Fanconi anemia is an autosomal recessive genetic syndrome which is most commonly caused by FANCA gene mutation. This rare disease is associated with a variety of chromosomal and somatic abnormalities including short stature, skin spots, deformity of the thumb and radius, genitourinary tract anomalies and many other disorders. Also the disease is associated with severe blood disorder in the form of aplastic anemia. Because of the importance of hematologic complications of the disease, fanconi anemia should also be considered in patients with aplastic anemia. Case report: In this report, we have introduced an 8 -year old girl who was referred to us with the complaints of fever and mouth ulcers, pancytopenia and low growth measures. There was severe hypoplasia in her bone marrow biopsy. Chromosome studies also showed increased chromosomal fragility. So Fanconi anemia was the most likely diagnosis. The patient is currently a candidate for stem cell transplantation but periodically requires infusion of packed red blood cells and platelets. Conclusion: Fanconi anemia can be considered as one of the causes of growth retardation and pancytopenia, even though not satisfying some of its clinical criteria. 903 Special index 1 1 2015 23 92 76 81 19 02 2015 19 02 2015