Introduction: Shift work is one of the threatening factors on Health. The important effects of shift work can be noted CHRONIC FATIGUE. This study aimed to determine the association between Shift Work and CHRONIC FATIGUE among Educational Hospital Nurses. Materials and Methods: This cross-sectional study was carried out in Educational Hospital in Yazd. Using Stratified sampling technique, 200 Nurses were selected. The data was collected by using questionnaires of Demographic and CHRONIC FATIGUE. The data was analyzed using SPSS20 software and applying chi-square and Pearson correlation coefficients. Result: 57 nurse’ s man and 143 nurse’ s women Participated in this study. There wasn’ t a significant relation between the Gender, marital status, work experience and education level with CHRONIC FATIGUE. Because Between the age group with CHRONIC FATIGUE there was a significant difference. Analysis of the results of this study showed that significant relation between Shift Work and CHRONIC FATIGUE. Conclusion: Shift work can be affected on CHRONIC FATIGUE that causes the difference in constant and non-constant shifts. So, CHRONIC FATIGUE in people with constant shifts less than non-constant shifts.

Background & Purpose: Nursing profession often results in CHRONIC FATIGUE in nurses. Accordingly, the purpose of this study was to provide a causal model of CHRONIC FATIGUE based on job stressors, sleep quality and morningness/eveningness through the mediation of organizational spirituality among the nurses of Ahwaz City. Materials & Methods: Path analysis of the correlation method was employed. The sample comprised 300 nurses from Ahwaz City who were selected via multi-stage random sampling method. The research tools included the Osipow Occupational Stress Inventory (1987), The Pittsburgh Sleep Quality Index (1987), Smith, Reilly and Midkiff's Measure of Morningness/Eveningness (1989), Workplace Spirituality Scale by Milliman et al. (2003), and Jason's ME/CFS FATIGUE Types Questionnaire (MFTQ) (2009). Data were analyzed using structural equation modeling method. Results: Direct effect of path coefficients job stressors on CHRONIC FATIGUE (p <0. 05 and β =0. 19), the quality of sleep on CHRONIC FATIGUE (p <0. 05 and β =0. 32), morningness/eveningness on CHRONIC FATIGUE (p <0. 05 and β =-0. 11), job stressors on organizational spirituality (p <0. 05 and β =0. 16), morningness/ eveningness on organizational spirituality (p <0. 05 and β =0. 26) were significant, respectively, but the direct path coefficient of quality of sleep on the organizational spirituality with the coefficient (p <0. 05 and β =-0. 01) was not significant, and on the whole, the proposed model data was verified. Conclusion: It can be concluded that less job stressors lead to less CHRONIC FATIGUE which improve the quality of sleep and decrease CHRONIC FATIGUE. Also, the appropriateness of working shifts of nurses with morningness or eveningness factors and the promotion of organizational spirituality lead to lower CHRONIC FATIGUE in nurses. On the other hand, nurses who experience less job stresses due to spiritual affairs will suffer less CHRONIC FATIGUE. Moreover, the nurses' sleep quality and the adaptation of working shift with their sleep patterns are the determinant factors of their efficiency.

The patient was diagnosed with Sweet SYNDROME (SS), or acute febrile neutrophilic dermatosis. SS is a broad spectrum condition, typically characterized by fever, neutrophilia, and cutaneous, and mucous lesions (erythematous, solid, and bullous), in addition to diffuse neutrophilic in_ltrate in the upper dermis. Genital ulcerations have been scarcely reported in SS, 2,4 which can be idiopathic, drug-induced, and associated with malignant tumors or hematologic malignancies. 1–3,5 In this patient, the diagnosis of SS was established by clinical, laboratory, and typical skin biopsy data (Figure 2) 1–3,5; and characteristically, the conspicuous lesions improved rapidly after administration of corticosteroids….

Introduction. Central nervous system (CNS) involvement is the most common extrarenal involvement in hemolytic uremic SYNDROME (HUS). There are limited reports on clinical cause of CHRONIC neurologic problems in HUS. We evaluated residual neurologic involvement in children with HUS. Materials and Methods. This cross-sectional study was conducted on 58 patients with a diagnosis of HUS referred to 2 tertiary pediatric centers. Neurological examinations was performed on all of the patients and they were followed up between 2001 and 2015. Data including demographic variables, type of HUS, neurological symptoms, and other complications were recorded. Neurological involvements that occurred after 6 months from the acute phase of HUS were considered as CHRONIC neurological involvement. Results. Among 58 patients who were included in the study, 31 (53. 4%) had neurological manifestations (31 with acute and 19 with CHRONIC complications). There was no significant difference in acute neurological manifestations between typical and atypical HUS, while CHRONIC neurological manifestations were more frequents in patients with atypical HUS (P =. 05). The most common presentations were seizure and decreased level of consciousness. CHRONIC neurologic problems were found in follow-up visits of 11 patients with acute and 8 without acute involvement. Hypertension was associated with CHRONIC manifestations (P =. 01). Conclusions. According to our results, residual neurological problems were not infrequent in HUS and they were more related with atypical form of disease. Evidence of hypertension is a significant variable for persistence of neurologic problems.

This SYNDROME was first described almost 40 years ago by Rubinstein and Taybi in seven children with broad thumbs and toes, facial abnormalities (beaked nose, heavy eyebrows, long eyelashes, hypoplastic maxilla, and a narrow, high arched palate), joint laxity, hirsutism, microcephaly, and mental retardation. By 1996, more than 600 patients with this SYNDROME had been reported. The majority of cases are sporadic. In 25% of the cases, submicroscopic deletions in, and chromosomal study is normal. In 12 16P 13.3 is identified. Mutations have recently been identified in non- deleted RTS patients. One case is a 6- year- old girl that was presented to us due to a speech delay. In physical examination, there are microcephaly, hypoplastic maxilla, high arched palate, talon cusps in teeth, beaked nose, a thin upper lip, heavy eyebrows, long eyelashes, joint (especially elbow) laxity, broad and angulated thumbs with flat nails, hirsutism, a stiff gait, and mental, motor, social and language retardation. Laboratory studies, including a brain C.T. scan, EEG, metabolic and chromosomal studies, and routine tests, were normal.

Ellis-van Creveld SYNDROME is a very rare congenital disorder which its principal features are polysyndactyly, chondrodysplasia, cardiac abnormalities and ectodermal dysplasia. We report a 10-year-old girl with major manifestations of this SYNDROME who also had multiple brownish macules and patches on trunk and extremities with aortic and pulmonary stenosis in echocardiographic evaluations.    

In this study, two groups of athletes with CHRONIC low back pain (n=15, mean age 24.06 yr) and healthy athletes (n=15, mean age 24.06 yr) of wrestling and soccer participated in this study. The endurance duration was shorter (P<0.05) and MF slope was higher in CLBP athletes which showed more FATIGUE compared to the healthy subjects. Correlation analysis showed a significant positive correlation between BMI and endurance duration in CLBP athletes (r=0.61). Body mass and BMI correlated positively with MF slope of erector spinae muscles (r=0.62-0.76) in both groups. It is suggested that athletes pay more attention to improving the endurance of back and hip extensor muscles and lose weight as a useful strategy to prevent CHRONIC low back pain.

Background: Employees in night shift experience sleep deprivation continuously. Stress-induced insomnia affects on FATIGUE and reduces maximum activity. During the shifts, hormonal changes affect on immunoglobulin M (IgM) operation. Individual differences in encounterring and adaptation with shift-induced stress can be effective to determine vulnerability. The aim of this research was to assess the relationship of personality traits, CHRONIC FATIGUE and serum IgM level in patients with sleep deprivation.Methods: The study population was the shift employees in steel factories in Isfahan, Iran. A total number of 221 male employees were selected with random cluster sampling. Personality traits, (Eysenck and Freidman), and CHRONIC FATIGUE (Barton et al.) questionnaires were used to assess research variables. IgM was determined with nephelometric method. Data were analyzed using Pearson's correlation coefficient and structure equation modeling.Findings: Neurosis, introversion and A type personality correlated significantly with CHRONIC FATIGUE (P<0.01). Type A personality and neurosis correlated with serum IgM level, too (P<0.01). Indirect effect of neurosis, introversion and A type personality on serum IgM level was significant (P<0.01).Conclusion: This research argued employees with neurosis, A type personality, and introversion traits are talented for reducing serum IgM level.

Background: Metabolic SYNDROME (MetS) is a physiological and biochemical disorder that are associated diabetes or elevated fasting blood sugar, obesity, triglyceride level and cholesterol disorders and hypertension.. The SYNDROME has been given several names such as Insulin resistance SYNDROME, Plurimetabolic SYNDROME, Reavens SYNDROME, SYNDROME X and the deadly quartet. Some recent evidence have shown a significant correlation between MetS and lung disease especially CHRONIC Obstructive Pulmonary Disease (COPD). So we aimed to estimate frequency of MetS among a sample of Iranian patients of COPD (CHRONIC Obstructive Pulmonary Disease) and CHRONIC Bronchitis (CB).Methods: In this cross-sectional study, 204 COPD and CB Known cases evaluated as MetS development and demographic criteria, lipid profile, C reactive Protein (CRP) blood level, and smoking history and correlation of these criteria were assessed in these patients.Results: Frequency of MetS involvement among these subjects was approximately 48%. Age (p=0.003), abdominal obesity (p<0.001), high TG amount (p<0.001) and positive CRP (p=0.04) were correlated with MetS involvement.Conclusions: MetS was more frequent among COPD and CB patient.Age and underlying systematic inflammation Appears to be related to MetS.