Journal of Arak University of Medical Sciences

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Showing 3 results for Crisis

A case report of Clozapine induced oculogyric crisis

Seyed Hamzeh Hoseini, Fatemeh Sheikh Moonesi,
Volume 10, Issue 4 (12-2007)

Abstract

Introduction: Oculogyric crisis which is a dystonic reaction, is commonly caused by neuroleptics and rarely occurs with atypical antipsychotics specially Clozapine. In this article a case of Clozapine induced oculogyric crisis is reported. Case: The patient was a 25 years old woman with auditory hallucination, loosening of association and persecutory delusion that was admitted and treated. Because of poor response to typical antipsychotics, Clozapine was prescribed. Then she experienced multiple episodes of oculogyric crisis and was treated successfully with anticholinergic medication (Artane). Conclusion: In this special case, Clozapine caused oculogyric crisis. This side effect is rare but should be considered as a possible adverse effect of Clozapine. On the basis of this report, Clozapine induced oculogyric crisis may be treated successfully with Artane

Status of Food Security in Kerman, Iran During the COVID-19 Pandemic

Sajjad Tezerji, Fatemeh Nazari Robati,
Volume 23, Issue 5 (11-2020)

Abstract

Background and Aim: Food security at individual, family, national, regional and global levels can be achieved when all people at all times have physical and economic access to adequate and healthy food to meet their nutritional needs and priorities for a healthy and active life. This study aims to investigate the status of food security and its related socioeconomic factors in households during the Coronavirus Disease 2019 (COVID-9) pandemic in Kerman, Iran.
Methods & Materials: This descriptive cross-sectional study was conducted on 500 households selected randomly from five comprehensive health centers in five districts of Kerman city in Iran. A demographic/socioeconomic questionnaires and the Persian version of the 18-item USDA Household Food Security Survey (HFSS) were used for collecting data.
Ethical Considerations: All ethical principles are considered in this article. The participants were informed about the purpose of the research and its implementation stages. They were also assured about the confidentiality of their information and were free to leave the study whenever they wished, and if desired, the research results would be available to them.
Results: There was a significant relationship between the socioeconomic factors (household size, house size, and number of amenities) and the food security. There correlation between the household size and food security was positive (R= 0.142, P<0.001), while the correlation of house size (R= -0.093, P<0.005) and number of amenities (R= -0.73, P<0.001) with food security was negative.
Conclusion: By increasing the awareness of people and improving their economic situation, it is possible to improve the food security situation of households in Kerman city.

Effect of Nurses’ Autonomy on the Quality of Patient Care Based on Kramer and Schmalenberg’s Model

Mahmood Haghiri, Vahab Habibpour, Nahal Moharekpour, Morteza Ghasemi,
Volume 25, Issue 2 (5-2022)

Abstract

Background and Aim This study aims to investigate the effect of nurses’ autonomy on the quality of patient care based on Kramer and Schmalenberg’s model
Methods & Materials This is a causal-comparative study. Participants were 101 nurses of Imam Khomeini Hospital in Arak, Iran from the intensive care unit and internal medicine, surgery, pediatrics, gynecology, orthopedics, and emergency departments. The data collection tools were Moghimi and Ramazan’s patent care quality questionnaire and an autonomy assessment questionnaire based on Kramer and Schmalenberg’s autonomy model. The data were analyzed in SPSS software.
Ethical Considerations This study was approved by the ethics committee of Islamic Azad University of Arak Branch (Code: IR.IAU.ARAK.REC.1397.66).
Results The mean autonomy score of nurses was 3.16 ±0.35, indicating a desirable level. Nurses of all departments had limited autonomy. In the internal department, nurses had unsanctioned autonomy, while in the surgical department, they had autonomous nursing care action. The regression models were significant for all departments except for the internal department. With an increase of one unit in limited autonomy in the intensive care unit, autonomous nursing care in the surgical department, and limited autonomy in pediatrics, gynecology, orthopedics, and emergency departments among the nurses, the quality of care can be increased by 0.253, 0.187, 0.522, 0.205, 0.466 and 0.129, respectively.
Conclusion Nurses’ autonomy can increase the quality of patient care. The nursing managers need to empower nurses and provide an environment for them to apply their knowledge in practicing autonomy.

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