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Leila M Juybari, Seyyedeh Fatemeh H Hosseini, Samieh Ghana, Samira Saeedi, Akram Sanagoo,
Volume 1, Issue 1 (10-2012)
Abstract

Background and objective:

Delirium is an acute and transient disorder in the function of the brain. Although the main core of this syndrome is consciousness disorder and deficiencies in attention and concentration, the general deficiency is seen in all psychological areas of thinking, temperament, cognition, language, speaking, sleeping, and mental-motional and other cognitive areas. Delirium is often seen in recovery room and is a predictor of post-operative delirium in the general ward. This study was conducted to determine the incidence of delirium in patients after surgery in the recovery room.

Materials and Methods:

This descriptive cross-sectional study was conducted on 75 patients after general and orthopedic surgery and in the recovery room of the educational-therapeutic center of Gorgan in 1389 using the DESC-Nu nursing delirium screening scale. Data was analyzed using chi-square descriptive and analytical statistics and T-test.

Results:

Among the 75 studied patients in the recovery room after orthopedic surgery and general surgery, 53.3% were women with a mean age of 48.7. The mean surgery duration was 129.21 minutes. 26.6% had been under spinal anesthesia and 73.3% had been under general anesthesia. Delirium was observed in 30.6% of all the patients. Delirium was observed in 21.3% of patients having orthopedic surgery and 9.3% of the patients having general surgery. Delirium had a significant statistical relation with the variables of age, gender, and type of surgery (p<0.05).

Conclusion:

This study showed that 30.6% of patients had delirium. Male and older patients having orthopedic surgery were more vulnerable. Therefore, usual assessment of delirium in recovery room to identify patients with delirium can be a guide of nurses’ appropriate care of patients after surgery.
Kazem Alizadeh-Barzian, Zahra Nikkhooy, Rahmatollah Soltani , Mehdi Jamshidi , Mohamad Sabaghan , Abolhasan Difrakhsh , Roya Ghanavati, Masoud Parash , Ali Jamshidi,
Volume 12, Issue 4 (4-2024)
Abstract

Background: Brucellosis is a major health and economic problem in many parts of the world, including Iran. Therefore, this study aimed to investigate epidemiologic, demographic, and clinical aspects of the disease in Behbahan County during 2000-2021.
Methods: In this descriptive cross-sectional study, we used a checklist that included epidemiologic, demographic, and clinical characteristics of patient data from Behbahan Medical Sciences Health Centers. SPSS version 21 was used for data analysis
Results: Of the 258 brucellosis cases, 137 (53%) were male, with the highest prevalence in the 20–29 age group. The disease was more common among pastoralists (42%) and rural men (54%). The first six months of the year, especially May, had the highest infection rate (47 cases). Consumption of unsterilized dairy (88.8%) was identified as the primary mode of transmission. The average incidence was 6 cases per 100,000 population, peaking at 18.1% in 2021. Doxycycline and Rifampin were the most commonly prescribed drugs. The highest titers in the tests were 1:160 for Wright, 1:160 for Coombs’ Wright, and 1:80 for 2ME (mercaptoethanol). Musculoskeletal pain was the most common symptom (95%), while weight loss was the least reported (5%).
Conclusion: Considering the increasing trend of disease prevalence in Behbahan County, it seems necessary to implement preventive measures such as vaccination, public education, increased cooperation between the Veterinary Office and Behbahan University of Medical Sciences, as well as monitoring the distribution of meat and dairy products at the local level to prevent the spread of the disease.

 


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