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ABSTRACT: Introduction & Objective: Domestic violence is a serious public health problem for many women.The prevalence rate of domestic violence in couples is of different degrees. Effective factors of abuse for women are dependent on demographic and economic status of society. Types of violence include physical, sexual, emotional, and economical abuse. Material & Methods: This descriptive and analytical study was done on 517 women. Data were collected by a questionnair and then analysed by descriptive and analytical statistics. Results: Findings of this study showed that prevalence rate of domestic violence was 77.4%, and during pregnancy it was 8%. Common types of abuse were: verbal (69.5%), emotional (52.2%), physical (36.4%) and sexual (22.2%). A correlation was found between education, Job, income and addiction of husband and exerting violence. Correlation was also found between the type of abuse and woman’s age, time of marriage, number of children(p<0.05). Conclusion: Results of this study showed that the most common types of abuse were verabal, emotional, physical and sexual. Results also showed that there was a significant difference between Job, income and educational level of couples and husband’s addiction with violence. Also a significant difference was found between age, time of marriage, number of children and the type of violence. Results appear to Justify the necessity for family consultation and education of the girls at highschool and before marriage in order to promote women’s health.

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Background & Aim: Skeletal muscle contraction, secondary to pain and fear, may cause a reaction in the pelvic floor muscle contraction and may result in atypical labor progress, fetal descent and rotation of head. The object of this study was to compare the effect of acupressure at two GB-21 and SP-6 points on the severity of labor pain. Methods: In this quasi-experimental study, 150 primiparous women were randomly divided into three groups of 1-Acupressure at GB-21 point, 2-Acupressure at SP-6 point and 3-control group (contact at two points). The intervention was carried out for 20 minutes at 3-4 cm dilatation of cervix. The pain severity prior to, immediately and 3 and 60 minutes after intervention were measured by Visual Analog Scale. Collected data were analysed using repeated measures analysis of variances. Results: The pain severity before intervention among three groups was not statistically significant. Nevertheless, the pain severity was reduced immediately, 30 and 60 minutes after intervention in two intervention groups at 3-4 cm dilatation as compared with the control group (P<0.001). No significant statistical difference was observed between the two case groups (P=0.93). Conclusion: Current study showed that the application of acupressure at two GB-21 and SP-6 points was effective on the reduction of the severity of labor pain. Hence, it is recommended to conduct further studies regarding the application of acupressure along with non-medicinal methods.

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Abstract

Background and aim: Liver abscesses are the most common type of visceral abscess. The rare cases of liver abscess caused by F. hepatica infection has been reported. F. hepatica is Liver trematode common to humans and animals. F. hepatica have global emission and common in temperate, hot and humid zones especially in areas where livestock farming is common. The aim of this article is to report a case of liver abscess which was infected with F. hepatica.

Case Report: This Report is related to patient who initially diagnosed with liver abscess and taken medication for liver abscess, with no properly treated and refer by relapsing fever. After radiological studies and positive serology for F. hepatica the patient was undergo the treatment of fascioliasis and liver absecess. following the treatment the fever and liver lesion waer disappeared .  Reports of patients who initially diagnosed with liver abscess antibiotic treatment was that the abscess was not properly treated

Result: Given that, the new focus on F. hepatica infection which have been reported in southern Iran, in the all cases with fever and liver abscess in this geographic areas, F. hepatica considered in the differential diagnosis.

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Abstract:
 
Background and Aim:  Zinc phosphate is a solid gray chemical compound whose commercial sample is dark or even black and white. Severe hypertension and cardiac poisoning are the most serious complications of zinc phosphate poisoning and are associated with a high mortality rate. Poisoning with zinc phosphide as a rat poison, which has similar effects to aluminum phosphide tabletsis is uncommon. The report relates to a death case following poisoning with zinc phosphide mice.
 
Case Report: The patient was a young 18-year-old man who was admitted to suicide attempted at hospital. Due to the lack of toxic poison, the patient was treated with supravavalin as probable toxicity. After several hours of admission, his level of consciousness was reduced with deep breathing. In the tests after the onset of shortness of breath, pH was 6.94, HCO3: 4.9, blood sugar 21, creatinine 6.1 and BUN: 24. Then, the zinc phosphate was detected. Despite the onset of treatment, after 1 hour, the patient suffered from cardiopulmonary arrest and eventually died.
 
Conclusion: Poisoning with zinc phosphide can cause acute renal failure. Considering that phosphide is one of the poisonous toxins of rodents, especially in rat poison, toxic poisoning with phosphodies is also recommended in poisonous toxin poisoning cases.
 
 

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Background & aim: Acute rheumatic fever is an autoimmune disease that mainly affects the large joints. Early treatment of a throat infection following group A streptococcus prevents of acute rheumatic fever. Given the low prevalence of the disease, especially in a situation where there is excessive use of antibiotics in Iran, this study intends to report a patient with acute rheumatic fever with mild criteria.
 
Case report: the patient was a 14-year-old male that came to the internal medicine clinic due to weakness and joint pain. The patient had pain in the joints of the wrists and ankles, as well as the knees which was migratory in the patient. He had a history of fever and sore throat a month before the visit. The patient did not describe the skin lesion. On examination, the patient had vital signs of BP: 100/60 mmhg, PR: 90 / min, RR: 25, and T: 37.7. The throat examination was slightly erythematous, and without exudates, the cardiac examination was tachycardia without murmur. On examination of the joints, only the left knee joint had redness, and it was warm to the touch. In the laboratory tests, ASO: 400, ESR: 94 and CRP: 76 were. The patient's chest x ray, ECG, and echocardiogram were normal. Based on the symptoms and laboratory tests in Jones criteria, the diagnosis of ARF was confirmed. Then, the initial treatment, naproxen and co-amoxiclav was started, and explained for the patient to receive injection of penicillin benzathine once a month until the age of 21.
 
Conclusion: Acute rheumatic fever should be considered as part of the differential diagnosis of polyarthritis in the young patients, so that, if present, with appropriate treatment and prophylaxis, we can to able reduce the social costs from rheumatic heart disease.
 
 

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Background & aim: Cancer is an incurable disease that is one of the leading causes of death all over the world in the present day. Since the approach to informing the patient about cancer can have a significant effect on the patient's mood, various researches have studied the angles of telling bad news. Due to the fact that people's views are different depending on the culture of each nationality, and in Iran they often share the news of the disease with the companion of the patient, therefore the purpose of the present study was to determine and examine the opinion of the companions of cancer patients about the need and how to tell the news of the disease. It was incurable cancer.
 
Methods: In the present cross-sectional descriptive study conducted at Shiraz University of Medical Sciences, after selecting 200 companions of cancer patients who referred to the radio-oncology clinic of Imam Reza Hospital (A.S.), recording the demographic information of the perspective people, the necessity and manner of telling bad news (through answering a questionnaire whose validity and reliability have already been confirmed) was recorded. This questionnaire contains questions about the person's desire to find out about the incurable disease. The collected data were analyzed using chi-square, Fisher, t and Mann-Whitney statistical tests.
 
Results: According to the opinion of most of the patient's companions, it is better for the patient to be aware of the bad news (88.6% of the cases of the respondent and 66.5% in the case of close relatives), it is better not to give the information to anyone else if the patient does not want to (74 percent), relatives should as well be present when the bad news is given (62.5 percent), it is better to inform the relatives about the news first (54 percent), the doctor should tell the bad news (53 percent), in person ( 84.5 percent) and told in a private place (73.5 percent) and the amount of information given depending on the patient's desire (65 percent). Correspondingly, the opinions of the participants regarding the amount of information depending on the age of people (p=0.02), regarding the place of information depending on the family relationship (p=0.016), regarding the informant regarding the level of education (011) (p=0.0) and place of residence (p=0.012) and related to the way of informing about the person's job (p=0.001) were different.
 
Conclusion: Most people believe that the patient should be informed about the bad news, but the method of presenting it is as well important. According to the findings obtained from the present study, the specific conditions that people are considering have been identified, therefore, by training doctors in this regard, it is possible to improve the way of informing people and patients of bad news and reduce the harm caused by it. became.
 
 

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Background & aim: Due to the high prevalence of chronic non-specific back pain and its effects on daily activities and people's lifestyle, it is important to study about new treatment perspectives and therapeutic exercises for this disease. Therefore, the aim of the present study was to determine and evaluate the effect of eight weeks of exercises. It was based on prayer movements on the amount of pain and endurance of trunk flexor and extensor muscles in patients with non-specific chronic back pain.

Methods: The present semi-experimental study was conducted in 2019. the research population included all patients with non-specific chronic back pain referred to Shahid Muftah Clinic No. 1 in Yasuj, Iran. Sixty-six eligible patients were selected by non-probability sampling method and were divided into two groups based on random block allocation: test (33 people) and control (33 people). Two participants from the intervention group refused to participate in the study during the implementation of the intervention. For the patients of the test group, exercises based on prayer movements were performed 3 times a week for 8 weeks, and no training was given to the control group. From the demographic data collection form and the Quebec back pain disability questionnaire, the visual pain measurement scale, the 60-degree body support test and the Byring Sorensen test to collect data before the intervention and immediately after the intervention from the visual measurement scale Pain, one week after the intervention, the body maintenance test at a 60-degree angle and Sorensen bearings were used. The collected data were analyzed using t-paired, Man-Whitney, independent t, Wilcoxon, chi-score and Shapiro-Wilk statistical tests.

Results: At the starting point of the study, there was no significant difference between the groups under study in terms of the amount of pain and endurance of the trunk muscles, except for the endurance of the extensor muscles (p<0.05). After the completion of the research intervention, a significant decrease in the amount of pain and a significant increase in the endurance of the trunk muscles were observed (p<0.05).

Conclusion: According to the results of the present study, increasing the level of endurance of flexor muscles, trunk extensors and relieving pain and improving the level of performance in patients with non-specific chronic back pain, it can be said that exercises based on prayer movements had an effect on the level of pain and endurance of trunk muscles in patients. Suffering from non-specific chronic back pain, it was effective.