Background and Objective: Poisoning is one of the significant causes of mortality and hospitalization in children. This problem occurs mostly under the age of two and is due to accidental ingestion of drug and poisons.Because of the importance of poisoning and its change in cities and time periods, this study was done to evaluate the epidemiology of poisoning in children admitted to Taleghani Medical-Educational centre of Gorgan, 2009 .

  Materials and Methods : This cross-sectional study was conducted on 164 hospitalized children due to poisoning. Patient's data such as age, sex and diagnosis were recorded in preplanned questionnaire, then data analyzed by spss 16.

  Results: In this survey, 6053 children were admitted in emergency ward of Gorgan's Taleghani hospital ­during 2009. Of these cases, 164 are related to poisoning including opium intoxication(39.63%),drugs(24.39%),kerosene(9.75%),house hold chemicals(4.87%) methadone intoxication (4.26%), and mouse killer(2.43%).

  Conclusion: Toxification should be taken into account seriously in children. Because of high frequency of opium and medicinal poisoning, we recommend public education to prevent from this accident and to improve public health.

  Background and Objective: Mother’s satisfaction of childbirth is considered as an important criterion of maternal care quality and it has an effect on mental health of family and community, and Mother's mood is significant in the outcome of labor.­ ­The parturient supported by significant others has less anxiety, experience of safe childbirth and ­ adequate satisfaction . Thus, we ­aimed at assessing the effect of the presence of an attendant on satisfaction, anxiety and labor pain of primiparae referring to Hajar Hospital in Shahre Kurd, 2010.

  Material and Methods: ­ This pre-experimental study was conducted on 60 primiparous women, referring to Hajar Hospital in Shahre Kurd (2010), who were divided into equal experimental and control groups. ­The parturients of ­ both groups received common cares, while those of experimental group were allowed to be with an attendant.­ Using a check list, we assessed the level of anxiety, labor pain, newborn's first- minute apgar , the onset of breastfeeding and ­childbirth satisfaction from beginning to end of labor, and analyzed the data by­ SPSS-­16 software, using t-tests and Chi-square.

  Results:­ Our findings show that ­the support given by an attendant during childbirth significantly decrease the level of anxiety, early start of breastfeeding and increased mother's satisfaction of childbirth(p<0/05). There is ­no significant difference between two groups on length of active phase, ­ duration of second phase of childbirth and apgar of the first minute.

  Conclusion:­ ­ According to results, we conclude that being an attendant near parturient can bring about childbirth satisfaction , decreased anxiety, and early start of breastfeeding.

  Key words: Attendant, Delivery process , Anxiety, Satisfaction

  Background and Objective: Treatment adherence has an essential role in improving quality of life, survival, decreasing cost and side effects of treatment in patients underwent hemodialysis. This study aimed to determine the effect of individual multi-stage care on the treatment adherence in hemodialysis' patients, ShahrekordHajar hospital.

  Material and Methods: This clinical trial was conducted on 66 Hemodialysis patients in 2013. They were randomly allocated into two equal groups of intervention and control. The instrument was the end-stage renal disease adherence questionnaire (ESRD-AQ). The patients in intervention group were participated in 8-session individual care program for one hour in addition to routine treatment. The data was analyzed using Mann–Whitney , Wilcoxon and Spearman (P<0.05). Level.

  Results: The study indicated a significant difference between two groups in all dimensions of treatment adherence except dietary and food adherence. Adherence to treatment was better in intervention group (P<0.05). Furthermore, there was a significant correlation between adherence treatment and age of patients (P<0.05, r=0.245).

  Conclusion: based on the findings, multi-stage care is effective on different aspects of treatment adherence.

  Background and Objective: Mechanical ventilation is used for some infants in neonatal intensive care unit (NICU) due to many physiological and clinical causes. The practice of endotracheal suctioning of ventilator- treated patients is necessary to remove secretions to prevent obstruction of the endotracheal tube and lower airways. This study aimed at determining the effect of open and closed suctioning methods on cardio-respiratory parameters of infants undergoing mechanical ventilation.

  Material and Methods: In this clinical trail, forty-four infants underwent mechanical ventilation in NICU were selected by simple continuous sampling. The samples were randomly divided into two groups. In the first group: first, open suctioning and then after three hours of cleaning, closed suctioning was performed. In the second group, first closed suctioning and after three hours of cleaning, open suctioning was implemented. Respiratory rate (RR), oxygen saturation, pulse rate and blood pressure were assessed before ( in three, two and one minutes ) , during and after ( in one , two and three minutes ) each type of suctioning. The Data was analyzed by Software SPSS-16 using ANOVA with repeated measures and independent t-test.

  Results: There was a significant difference between mean respiratory rate and oxygen saturation in infants during and after the closed and open suctioning (p<0.05). Oxygen saturation had a significant reduction in open method compared to closed method during and immediately after suctioning. Respiratory rate had a significant reduction in 3 minutes after open suctioning in both steps. The mean of diastolic pressure in second step of open method and in both steps of closed method was significant (p<0.05). There was a significant difference between the mean pulse rate in different times of open suctioning in the first step (p<0.05), Pulse rate drop significantly was lower in closed suction than open one (p<0.05).

  Conclusion: because of little changes caused by closed suctioning in hemodynamic condition, it is recommended using the closed suctioning to prevent from respiratory complications and pulse rate dropping in infants.

Background and Objective: Primary dysmenorrhea is one of the most common complaints among women in reproductive age in that about half of young women suffer from dysmenorrhea. Nowadays, many people have a tendency to use a traditional medicine for dysmenorrhea. Hence, we aimed to compare the analgesic effect of Agnogol and Mefenamic acid in the treatment of primary dysmenorrhea.