background: nosocomial infections are an important cause of mortality in neonatal intensive care units (nicus). therefore, in this study, the incidence and prevalence of nosocomial infections were determined in nicus of the three largest neonatal centers in northwest iran, and the causative bacteria were identified in order to provide potential solutions to control the infections in these hospi...

background hyponatremia is a common disorder in patients with brain injury. it can result in acute and chronic complications providing this electrolytic disorder is not diagnosed and treated in due time. objectives the aim of this study was to evaluate the prevalence of hyponatremia in 95 patients with brain injury hospitalized in the intensive care unit in shahid beheshti hospital of kashan un...

special characteristics of care environments have always presented nurses with some challenges. one particular situation is futile care, which is frequently accompanied by countless moral and legal challenges. the dominant atmosphere in futile care may cause moral distress to nurses and lead to a sense of guilt, pain, suffering, job dissatisfaction, and eventually cause nurses to leave the job....

background and objective:acinetobacter spp.a gram-negative coccobacillus is increasingly reported as important cause of nosocomial infections. multi-drug resistance (mdr) ofacinetobacterspp., raises concerns over our ability to treat serious infections with these organisms. the aim of this study was to determine the frequency and associated risk factors for infections with mdr acinetobacter spp...

background and purpose: organizational commitment has been on a downward trend among medical staff in different sections of the health care system. this study aimed to investigate the level of organizational commitment among the nurses engaged in the intensive care units (icus) of mazandaran heart center in sari, iran. methods: this descriptive-analytical study was conducted at the educational ...

background critical-care patients are at higher risk of untreated pain, because they are often unable to communicate owing to altered mental status, tracheal intubation and sedation. objectives this study compared two pain assessment tools on tracheal intubated critically ill patients in a cardiac post-anesthesia care unit, who were unable to communicate verbally. the studied tools were “critic...

background hypoglycemia is a common and the most important complication of intensive insulin therapy in critically ill patients. because of hypoglycemia’s impact on the cardinal organs as a fuel, if untreated it could results in permanent brain damage and increased mortality. conclusions our results showed that the sofa score, aki, and hemoglobin a1c are the independent risk factors for the dev...

background: visitation of patients admitted at intensive care units (icus) is a controversial issue in the field of health care. it is commonly believed that the presence of family members might bring about physiological changes, such as tachycardia and hypertension, in icu patients. aim: this study aimed to evaluate the effects of scheduled visitation on the physiological indices of conscious ...

background: in neonatal intensive care units (nicu) different sound intensities and frequencies are produced from different sources, which may exert undesirable physiological effects on the infants. the aim of this study was to determine the noise level and its sources in the nicu and neonatal ward of al-zahra hospital of rasht, iran. methods: in this descriptive cross-sectional study, the inte...

meningitis is an acute inflammation of the protective membranes covering the brain and spinal cord, which are known as the meninges. this infection may be caused by streptococcus pneumonia bacteria. in this study, we presented the case of a female newborn with meningitis secondary to streptococcus pneumonia. her birth weight and height were normal. after 24 hours of birth, the neonate was diagn...