http://irmhs.com/index.php/irmhs/issue/feed International Research in Medical and Health Sciences 2021-01-08T12:41:49-05:00 Yogesh Kumar editor.irmhs@gmail.com Open Journal Systems http://irmhs.com/index.php/irmhs/article/view/50 The Incidence of Skin Allergy Testing Antivenom and its Related Factors in Behbahan 2020-12-07T03:08:36-05:00 Alireza Rafi Alirezarafi72@gmail.com Keyvan Mousavi sabaghan.m@ajums.ac.ir Atefeh Etebari pouriya.d.k.76@gmail.com Narjes Davoodi pouriya.d.k.76@gmail.com Pouriya Darabiyan pouriya.d.k.76@gmail.com Mohamad Sabaghan pouriya.d.k.76@gmail.com <p><strong>Introduction</strong>: Immunotherapy is the only treatment of scorpion sting antidote is immune from severe scorpion sting is an effective treatment for horses. Anaphylaxis is a life-threatening adverse reaction to antidote and is a major concern in the use of antidote is usually the symptoms of wheezing, itching, hives secretion, bronchospasm, hypotension, bradycardia, myocardial infarction, and cyanosis. Since research has been done in this regard, the study investigated the incidence of skin allergy testing antivenom and its related factors in Behbahan.</p> <p><strong>Materials and Methods</strong>: This study was a cross-sectional study was approved by the Review questionnaire of the Ministry of Health on Scorpion patients in the Disease Control and Prevention Center of Shahidzadeh Hospital in Behbahan was conducted from 2007 to 2017. The required data through a data entry form includes information such as age, sex, sensitivity Whether or not the antidote, the time of the bite history, admission, location of the bite, location, and type of Scorpio, were collected from patients' records. Data using statistical software spss version 18 and descriptive statistics were analyzed and binomial test.</p> <p><strong>Results</strong>: In this study over 10 years, 184 cases were observed with antivenom allergy. Of these, 83 (45.1%) were male and the rest female. Also, 64.1 percent of rural residents and settlers, maximum bite in the upper extremities (with 21.7 percent). Most allergies in the early hours of the morning sting 35.3 percent (6-0 am), respectively. 29-20year age group had the highest sensitivity to antibiotics by 29 percent. In the spring with 57.01%and winter by 06.5 percent were the most and least sensitive to the antivenom. In the meantime, the sting to admit was 435.92 minutes. People who are not sensitive in the meantime was 370.07 minutes, there was a significant difference between the two groups (p= 0.016).</p> <p><strong>Conclusions</strong>: Due to the high prevalence of antivenom allergy in the spring, warm months and those living in rural areas seem these factors play an important role in increasing susceptibility to antidote. And to reduce the number of sensitivity and its complications due to these cases is necessary.</p> 2020-12-02T20:49:27-05:00 Copyright (c) 2020 International Research in Medical and Health Sciences http://irmhs.com/index.php/irmhs/article/view/44 A Theory of Multimorbidity 2020-12-07T03:08:36-05:00 Jose Luis Turabian jturabianf@hotmail.com <p>Multimorbidity is the presence of two or more long-term health problems. It often involves the superposition of mental, cardiovascular, diabetes, cancer, and respiratory diseases. It is evident that the accumulation of health problems in a person implies more complexity and difficulties regarding their health care. However, it has not been drawn with sufficient clarity, the path that leads to the accumulation of diseases and if that situation can occasionally be an advantage, rather than a disadvantage, and in what situations It can be intervened to avoid and prevent added risks and more health problems. These multumorbility paths would be 1. Causality, associations, and links; 2. Coincidences, series, synchronicities;3. Chance and rearrangement situations; 4. Due to our own interventions to solve other previous problems;5. The very presence of multimorbidity gives rise to added psychosocial problems; 6. "Two diseases is better than one";7. “Multi-problem families”; 8. Co-development; And 9. Rhizome. It is necessary to study the evolutionary perspective and ancestral environments in which humans developed, as well as the paths that lead to the accumulation of diseases and comorbidity and multimorbidity, to see how certain combinations of diseases increase the risk and whether certain diseases could offer protective advantages to the patient. Ockham's maxim must be remembered: It must be looked for simplicity. Perhaps, what we call multimorbidity is not so multiple, and where we believe that 2 or 3 or more diseases are added, we should only see 1 new condition. But, how is it possible to organize almost unlimited data that can be collected from multimorbidity and its accumulation and relationship mechanisms?: finding the system that defines the problem.</p> 2020-12-02T20:58:06-05:00 Copyright (c) 2020 International Research in Medical and Health Sciences http://irmhs.com/index.php/irmhs/article/view/47 Evaluation of Self-Medication and Related Factors in Clients of Health Centers in Behbahan in 2019 2020-12-07T03:08:37-05:00 Pouriya Darabiyan pouriya.d.k.76@gmail.com Alireza Rafi Alirezarafi72@gmail.com Parisa Eskandari pouriya.d.k.76@gmail.com Zahra Sokhansanj pouriya.d.k.76@gmail.com Zeinab Shajirat pouriya.d.k.76@gmail.com <p><strong>Background &amp; Aim:</strong> Self-medication refers to a way in which a person takes medication without a prescription for the purpose of treatment. Due to the fact that arbitrary use of some drugs causes serious complications and even death in people, the knowledge and attitude gained in this regard lead to self-care and less use of drugs without a doctor's prescription. Therefore, this study was performed to determine the rate of self-medication and related factors in clients of health centers in Behbahan in 2019.</p> <p><strong>Materials &amp; Methods:</strong> In this cross-sectional descriptive study, available sampling was performed in Behbahan health center. The data collection tool was an approved checklist for self-medication. Data analysis was done with spss-20 software using Chi-square.</p> <p><strong>Results:</strong> In this study, 121 individuals with an average age of 35.59 ± 13.26 years, 70.2% female and the rest were male and 71.1% were married and the rest single, were enrolled. The prevalence of self-medication with antibiotics, colds, nervous and neuromuscular diseases, digestive, cardiovascular, anti-allergic, opioid and psychedelic, skin, antimicrobial, vitamin and food supplements, analgesic and herbal medicines were 39.7%, 68.6%, 14.0%, 21/5%, 4.1%, 13.2%, 3.3%, 5.8%, 5/0%, 38.8%, 56.2% and 47.1% respectively. People with higher education were more likely to receive antibiotics and antidepressants, more married people with antidepressants, more people living in the city with curative and curative cures (p &lt;0.05).</p> <p><strong>Conclusion:</strong> The results showed a high level of self-medication in those referring specifically to colds and because these people do not see doctors for certain issues such as poverty or culture, periodic free referrals are needed to create a culture and help poor families, and to help raise awareness of these people by conducting training courses at health centers about self-care disadvantages.</p> 2020-12-02T00:00:00-05:00 Copyright (c) 2020 International Research in Medical and Health Sciences http://irmhs.com/index.php/irmhs/article/view/48 Study of Test Anxiety and Its Related Factors in Students of Behbahan Faculty of Medical Sciences in 2018 2020-12-07T03:08:37-05:00 Alireza Rafi alirezarafi72@gmail.com Pouriya Darabiyan pouriya.d.k.76@gmail.com Mastore Mohammad Zade zeinab.shajirat@gmail.com Parisa Eskandari pouriya.d.k.76@gmail.com Zeinab Shajirat pouriya.d.k.76@gmail.com <p><strong>Introduction:</strong> Anxiety is a mental affair caused by anxiety or nervousness and is associated with the stimulation of the nervous system. One of the common types of anxiety is anxiety over the test, which is usually known as test anxiety. The test anxiety generally decreases performance and undermines students' academic achievement. Nursing students also face a high level of anxiety. Since nursing students have been affected by many stresses during the years of study at the Nursing Faculty and high volume of courses is one of the most important causes of anxiety, this study aimed to determine the test anxiety and its related factors in students of the Behbahan Faculty of Medical Sciences was done.</p> <p><strong>Methods:</strong> This is a descriptive correlational study that was conducted on 174 students of Behbahan Faculty of Medical Sciences in 2018 who were randomly selected among male and female students of four years of study in different fields of study Nursing, operating room and occupational health was selected. The criteria for entry into this study were satisfaction for participation in the study and one to eight-semester students from the faculty of nursing, operating room, and occupational health Behbahan Faculty of Medical Sciences. Graduation criteria for the completion of the questionnaire were incomplete. The data collection tools were demographic information and a test anxiety questionnaire (Sarason). Data were analyzed by SPSS software version 20 and descriptive and analytical statistics.</p> <p><strong>Results:</strong> The sample consisted of 174 nursing and midwifery students (71 males (40.81%) and 103 females (59.2%) with a mean age of 21.10 ± 1.50. The mean test anxiety score of students was 15.49 ± 6.41. 50 students (28.73%) had mild test anxiety, 84 students (48.27%) had average test anxiety and 40 students (22.98%) had severe test anxiety. There was a significant relationship between the mean test anxiety with the academic year, gender, marital status, place of residence, and educational level (P &lt;0.05). But there was no significant relationship between anxiety, academic field, and grade gained (P&gt; 0.05). There was no significant correlation between the test anxiety score and the age of the subjects, and the correlation coefficient was negative.</p> <p><strong>Conclusion:</strong> Considering the anxiety of the test at different levels in all students, the destructive effects of this anxiety on the health and performance of students; Effective planning and psychological interventions are suggested.</p> 2020-12-07T03:07:52-05:00 Copyright (c) 2020 International Research in Medical and Health Sciences http://irmhs.com/index.php/irmhs/article/view/45 Reflections: the Nursing Now Movement and Slow Nursing 2020-12-14T23:19:51-05:00 Amanda Furlaneto Teixeira amandateixeira.2405@gmail.com Bruno Vilas Boas Dias amandateixeira.2405@gmail.com <p><strong>Introduction:</strong> Defining nursing and understanding the role of nurses in the most diverse scenarios is not an easy task. As society evolves, nursing is inserted and integrated into new contexts.</p> <p><strong>Objective:</strong> Present a brief reflection on topics related to nursing in the light of today.</p> <p><strong>Method:</strong> Bibliographic review research with a historical background of the last three years (2017 to 2020) on the themes Nursing Now movement and Slow Nursing. The search source used was the academic google and Scientific Electronic Libary Online (Scielo).</p> <p><strong>Results:</strong> Slow Nursing challenges all the agility and haste of the service currently provided and Nursing Now seeks empowerment and global dissemination of nurses' actions.</p> <p><strong>Conclusion:</strong> The themes presented provoke nurses to reflect deeply on how they occupy their spaces in the health area, through technologies and informatization.</p> 2020-12-14T23:19:51-05:00 Copyright (c) 2020 International Research in Medical and Health Sciences http://irmhs.com/index.php/irmhs/article/view/52 Expanded Dengue Syndrome with Hemolytic Anemia: A Case Report 2021-01-08T12:41:49-05:00 Gembong Satria Mahardhika mahardhika.gembong@gmail.com Theodore Dharma Tedjamartono theodoredharma@yahoo.com I Putu Denny Mahendra mahardhika.gembong@gmail.com <p><strong>Introduction: </strong>Expanded Dengue Syndrome is an atypical manifestation of dengue hemorrhagic fever with compliciation of other organs such as the liver, spleen, and kidney. Haemolytic anemia is a rare complication that can occur in dengue haemorrhagic fever and the case has not been widely reported.</p> <p><strong>Patient and methods:</strong> This case report will discuss a 45-year-old man who presented with severe dengue haemorrhagic fever with atypical manifestations to the other systems such as haematology, hepatology, nephrology, and gastrointestinal problems.</p> <p><strong>Results:</strong> The patient was diagnosed with dengue hemorrhagic fever with the positive result of NS-1 antigen, IgG, and IgM dengue. Patient was diagnosed with severe anemia in conjunction with dengue infection. Examination of the peripheral blood smear, reticulocytes, and LDH was done with the result is haemolytic anemia. Coombs test was found negative. Transfusions of Packed Red Cells and Thrombocytes Concentrate were given as a treatment of severe anemia and thrombocytopenia. Patient recovered without further complications and was discharged home.</p> <p><strong>Conclusion:</strong> The condition of hemolytic anemia in EDS is a rare condition and should be aware of. Further examination in dengue hemorrhagic fever patients with severe anemia should be considered with the presence of hemolytic anemia.</p> 2020-12-31T00:00:00-05:00 Copyright (c) 2021 International Research in Medical and Health Sciences