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Showing 12 results for Baharvand

Mehrdad Namdari, Sasan Saket, Babak Baharvand, Mohammad Javad Tarrahi, Tahereh Zehtab,
Volume 5, Issue 2 (1-2004)
Abstract

Introduction: Coronary artery disease (CAD) is among the most common, serious, chronic and life- threatening illnesses in the world. CAD represents a spectrum of conditions, with acute myocardial infarction at one end of it and silent ischemia at the other. There is growing evidence on importance of prognosis of C- reactive protein (CPR) in unstable angina and this protein is a maker of an adverse prognosis. Materials and Methods: In this cross- sectional research. We study all of the patients that admitted in the coronary care unit of the Shahid Rahimi hospital with unstable angina (n=32) and acute myocardial infarction (n=32), but exclude the patients with exclusion criteria. Complete clinical data and blood samples for laboratory measurements were collected on admission. A baseline ECG were obtained at entry and 12 hours later. A CFM echocardiogram was performed within initial 24 hours. Serum CPR levels were measured on admission and at time of hospital discharge. All patients were followed up for 14 days after discharge. Findings: Patients with MI showed a striking higher CPR during the duty period than with UA. The occurrence of cardiac events at 14 day follow up was related to CPR level at 48 hours and hospital discharge (p=0.02). CPR levels correlated inversely with ejection fraction (r=-0.44). Conclusion: Our data demonstrated that the CPR were significantly higher in patients with acute myocardial infraction than patients with unstable angina. Elevated levels of CPR were associated with cardiac events out of hospital during a 14- day follow up.
Mehrdad Namdari, Ali Esmaili, Babak Baharvand, Sedighe Nadri, Sasan Saket, Mohammad Javad Tarrahi, Yaghob Shirkani, Asghar Sepahvand,
Volume 7, Issue 1 (1-2006)
Abstract

Background: Coronary artery disease (CAD) is one of the most important and lethal diseases in the world. CAD represents a board spectrum of disease from silent ischemia at one end to sudden cardiac death at the other end. The middle of this spectrum consists of acute myocardial infarction (AMI) and unstable angina pectoris (UA). Recent data show that the inflammatory process plays a major role in the pathogenesis of acute coronary syndrome. In this study we evaluated the difference in complement factors C3 and C4 between AMI and UA, and the relation between early completions of AMI and UA and the amount of C3 and C4. Materials and methods: In this cross – sectional analytic study, 30 patients with AMI and 30 patients with UA were compared with healthy subjects. Clinical and laboratory data were collected. Blood samples were obtained on arrival and at 12.24 and 48 hours. electrocardiography and echocardiography were performed. All patients were monitored for 14 days after discharging from hospital. For all patients ECG was take on arrival and then daily bat. Findings: Complement activation occurred in patients with AMI and UA. In AMI activation of complement factors was significantly higher than in UA (p<0.01). In Qwave MI and congestive heart failure, this elevation of activity was prominent (p<0.01). In AMI a positive relation was found between complement factors and Cratin phospho kinas level (r=0.71). There was a positive relation between complement and mortality, and an inverse relation with ejection fraction (r=0.71). There was significant difference among complement factors in the UA, AMI, and control group (p<0.01). Conclusions: Elevated levels of complement factors in AMI were related to the degree of left ventricular ejection fraction (LVEF). Q-wave MI, and mortality. However, in UA, elevated levels of complement factors were unrelated, with the exception of the serum C3 level, which was related to LVEF.
Babak Baharvand , Mehrdad Namdari , Masoume Ghafarzadeh ,
Volume 10, Issue 4 (yafteh 2009)
Abstract

Background: The virtual rise of blood pressure resulted from stress, that is observed in subjects that are tested in medical centers, can be oftenly corrected by holter. This phenomenon causes such persons not to response to the common anti blood pressure treatments (2). Materials and methods: This descriptive study was conducted 2006-2007 at the heart clinic of Shohadaye–Ashayer hospital in Khorramabad during 2006-2007 to investigate the rate of stress induced H. T. N Coming to the clinics. The cases (N=200) were measured for their blood pressure with the standardized mercury devices. If the rate of their blood pressure was high, normal or mild to moderate HTN, they were measured at home with the Interface I. F 250 model of Holter monitoring for 24 hours. Then, using the t-test and SPSS, the rate of blood pressure in the both methods were compared and analyzed. Results: The comparison of blood pressure at the clinic and the 24-hours blood pressure measurement with the Holter monitoring showed that 35% of those who fell into two groups of mild and moderate hypertension at the clinic had a normal blood pressure, 70 subjects were suffering from high blood pressure, 20 cases were suffering from diabetes, 98 from hyperlipidemia while 76 patients were smokers, also 130 of them had familial hypertensive records. The statistical t-test demonstrated a significant difference between the average rate of systolic and diastolic blood pressure at the clinic and the 24-hour monitoring of blood pressure with the Holter (P<0. 001). Conclusion: In this study, the comparison of blood pressure valve at the clinic and the value of blood pressure during 24 hours using monitoring showed that 35% of the cases undergoing pharmacologic and non- pharmocologic treatments routinely and by the measurement of blood pressure at the clinic and / or at the doctor’s office did not need any treatment as their blood pressure were in the normal range (4, 5 ). Regarding the considerable difference between the blood pressure measured in the clinic and the 24-hour blood pressure at home, it is necessary to use the Holter monitoring for most of the patients suffering from the mild and/or moderate blood pressure (8).


Hasan Hossainzadegan, Babak Baharvand , Mahnaz Mardani , Farzad Ebrahimzadeh , Mohammad Mehdi Gadiri ,
Volume 11, Issue 2 (yafteh 2009)
Abstract

Background: Considering the high morbidity and mortality of atherosclerosis and the coronary artery disease in the world, this study aimed to investigate the roles of different risk factors in the suspected patients referring to Shahid Madani angiography center in Khorramabad. Materials and Methods: The referred patients suspected to heart diseases were divided into the afflicted group, as well as the seemingly healthy group by angiography. The demographic and nutritional information of the studied groups were collected by a questionnaire, and the anti-Chlamydia pneumonia IgG and IgM antibodies, lipids, the rheumatoid factor, C-reactive protein, and anti-Streptolysin were measured in the serums of the patients. Data were analyzed using T-test and χ2. Results: 120 cases out of 380 were excluded from the study because of confounding information. Additionally, 169 and 91 cases of the remaining 260 studied ones were diagnosed as afflicted and seemingly healthy by angiography respectively. Moreover, 101 (70.6%) and 68 (58%) of the 169 patients were males and females respectively. The highest number of the patients aged between 50 to 60 years old, while the highest affliction rate was among the patients in the age range of 40 to 50 (69.8%). The highest rate of affliction with the disease was among the patients with the blood type A. One hundred percent of the referred persons were employees, as well as 75.5% of the cases were stockbreeder who suffered from the disease. There were statistically significant relationships between fruit as well as very low and high meat consumption and heart diseases in the two groups. The serology results indicated that 87.5 % of the cases with anti-Chlamydia pneumonia IgM suffered from heart diseases. Conclusion: The high frequency of the coronary artery disease in the persons that had the positive titer of anti-Chlamydia pneumonia IgM suggests a possible relation of active or recurrent infection with the disease. On the other hand, it is likely that the nutritional patterns of the studied cases also had a relationship with the coronary artery disease. Therefore, the coronary artery disease possibly had a relationship with the microbial and nutritional risk factors of the studied persons in the case group. However, further studies are definitely needed in this regard.
Azam Mohsenzadeh , Sasan Saket, Shokofeh Ahmadipour , Babak Baharvand ,
Volume 15, Issue 5 (3-2014)
Abstract

Background: Congenital heart disease is the most common congenital malformations in newborns. The aim of this study was to determine the prevalence and types of congenital heart disease in babies born in the city of Khorramabad. Materials and Methods: The present study was a descriptive cross-sectional. Sampling method was census. All babies born in the city of Khorramabad from 2007 to 2011, whom their first echocardiogram was diagnosed with congenital heart disease, were studied. The studied variables included sex, premature birth, cyanosis, anomalies of other organs, maternal age over 40 years, consanguineous parents, drug use during pregnancy, maternal medical history, a history of congenital heart disease in the mother and types of heart abnormality. Data collected through questionnaire and statistically analyzed by SPSS software. Results: Of 43195 newborns177 cases had congenital heart disease. The incidence of congenital heart disease per 1,000 live births in the study was 4.2. In this study ventricular septal defect (44%) and atrial septal defect (21 %) were the most common congenital malformations of the heart. 63.8% of neonates with congenital heart disease were male(p=0.005), 80.4 % term infants(p<0.001) , 93.5 % of them had no cyanosis, consanguineous parents 28%,congenital heart diseases in parents 10.3 %, history of diabetes in 9.3 % of mothers and 5.6% of newborns had other anomalies such as cleft lip and palate. Conclusion: In this study, ventricular septal defect and atrial septal defect were the most common congenital malformations of the heart and frequency of boys was approximately twice of girl.
Parastoo Baharvand , Habib Moazami Ghoodarzi , Mohammad Moarefzade ,
Volume 17, Issue 2 (9-2015)
Abstract

Background: Neuropathy is an important complication and contributes to the morbidity of diabetes mellitus. Evidence indicates early detection of neuropathy results in fewer foot ulcers and amputations. The purpose of this study was to evaluate the prevalence of peripheral neuropathy in diabetic patients. Methods and Materials: This cross-sectional study was conducted on diabetics selected randomly from those who referred to diabetes center of Khorramabad in 2015. The data collecting sheet included demographic information, body mass index and Michigan questionnaire which consisted of two parts. The first part assessed neuropathic symptoms and the second part encluded a brief physical examination. The descriptive and analytic statistics were used for data analysis. Results: The prevalence of diabetic neuropathy in patients was 28 percent. duration of disease was signifcantly associated with DPN ((P value <0.05 ).We observed no association between neuropathy and other variabls. Conclusion: The results of this study emphasize the importance of screening for early detection of neuropathy in diabetic patients . Michigan questionnaire would appear to be an appropriate ,cheap applicability and easy to use tool for identifying patients at risk of having neuropathy.


Sajad Babakhani, Shahram Maleki, Mahdiyeh Baharvand, Gholam Reza Abdollahpour,
Volume 18, Issue 2 (9-2016)
Abstract

Background: Leptospira is belonged to phylum spirochaetes, which causes leptospirosis disease. Leptospirosis is a zoonotic disease with highly variable symptoms. The purpose of the study was to determine the serological incidence of Leptospira serovars among rice farmers in Veysian, Lorestan province.

Materials and Methods: 200 rice farmers of Veysian were sampled (blood sample) clinically in 2014. Blood samples were transfered to the laboratory. The sera were transferred to -20° C until performance of MAT test. The serum samples were examined by the Microscopic Agglutination Test (MAT) method. The final dilution of leptospiral infection was determined by 1:200, 1:400 and 1:800 dilutions.

Results: 60 serum samples (30%) out of 200 samples were positive in 1:100 dilution. 38 (63.33%) L. grippotyphosa and 22 (36.67%) L.canicola antigens reacted positively . The infection rate was 65% for males and 35% for females. P value according to gender was 0.02. There is a significant correlation between leptospiral infection and gender based on statistical analysis. The highest and the lowest frequency of positive samples were related to age group over 50 and 21-30 years groups, respectively.

Conclusion: Leptospirosis is a common disease among rice farmers, and in Veysian according to the rice farms, and planting and harvesting which are in traditional way is introduced as an impotant infectious disease; therefore to prevent the spread of this disease, health and safty should be developed. Also, using mechanized methods of farming, planting and harvesting, leptospirosis can be prevented largely in the region.


Samaneh Mohamadpour, Hedayat Nazari, Parasto Baharvand, Zahra Tavakoli,
Volume 18, Issue 3 (12-2016)
Abstract

Background : The existence of OCD-like symptom in patients with  opium addiction , , the lack of a coherent,  and shows the necessity of this study. The aim of this research is to study of prevalence of obsessive-compulsive disorder in patients with opioid dependency that refer to the addiction clinics affiliated to the lorestan university of medical sciences.

Materials and Methods: This research is a cross-sectional descriptive study. In this study, 200 patients with opioid dependency who attended to the addiction clinics affiliated to the Lorestan University of Medical Science were selected by convenience sampling method from December to February in 2013. Data collected by using instruments including Demographic Questionnaire and Zohar-fineberg screening questionnaire obsession. Descriptive and inferential statistical indicators by spss-20 software were used for data analysis.

Results: In this study all participants were man. The mean and standard deviation of the respondents’ age and term drug abuse were in order 41/72±11/96 and 12/02±8/87. Patients were % 71 married, % 56 self-employed and in terms of education % 43 level of diploma. Also, 31 patients were with (% 15/05) obsessive-compulsive disorder and 169 patients were (% 84/5) without obsessive-compulsive disorder.

Conclusion: In creating drug abuse disorder, other disorders and symptoms may contribute and have important roles. Therefore, diagnosis and attention to it is important. Accordingly, clinical specialists on the results of such research design appropriate clinical trials or modify of existing interventions.


Maryam Hormozi, Parastoo Baharvand,
Volume 20, Issue 3 (10-2018)
Abstract

Background: Antioxidants derived from plants play an important role in reducing the risks of chronic and oxidative stress due to free radicals. The present study aimed to measure and compare the various antioxidative activities of ethanolic and methanolic extracts of Achillea biebersteinii Afan from Aligudarz, Lorestan Province.
Materials and Methods: After obtaining ethanolic and methanolic extracts of Achillea biebersteinii Afan, the radical scavenging activity of the samples was assessed using diphenylpicrylhydrazyl (DPPH). The total antioxidant capacity of the samples was assessed by the Phosphomolybdenum method. The amount of total phenol and flavonoid in the samples was assessed using the Folin-Ciocalteu and Zhishen methods.
Results: It was found that the total antioxidant capacity, and the phenol and flavonoid content of the ethanolic and methanolic extracts were similar. The IC50 values (the concentration required to scavenge 50% of radicals) of the ethanolic and methanolic extracts of Achillea biebersteinii Afan, with Butylated hydroxytoluene (BHT) as a reference was 67.43±4.16, 67.96±5.93, and 3.88±1μg/ml, respectively, P<0.05.
Conclusion: The results showed that there was no difference between the antioxidant properties of the ethanolic and methanolic extracts of Achillea biebersteinii Afan. The solvent type used in the extraction process did not affect the antioxidant properties of this plant. This suggests Achillea biebersteinii Afan is a suitable and easily accessible source of natural antioxidants, which could be included in foods and pharmaceutical applications.

Hashem Baharvand, Foad Makvandi, Sirus Korahi Moghaddam, Ghanbar Amirnejad,
Volume 22, Issue 2 (8-2020)
Abstract

Background: Government organizations face the problem of lack of motivation and indifference of their employees towards the goals and future of the organization due to a lack of competitive environment; what can help the organization get out of this situation more than any other solution is the unleashing organizational energy. This led the present study to focus on the designing the pattern of unleashing organizational energy of employees in government organizations.
Materials and Methods: The research method was qualitative of a grounded theory. Among presidents of medical sciences universities in the west region, financial and human resource development managers, university professors in management and behavioral sciences in this region and senior managers of the Ministry of Health Medical Education, 35 people were selected by targeted sampling method for in-depth interview; the interviews continued until the theoretical saturation stage. The data were systematically analyzed in three stages of open, axial and selective coding and finally, an objective picture of the theory created was presented.
Results: The obtained theory showed that organizational energy is in a process of causal (ethical values, job security, management support, compensation, personality, sense of belonging, shared aspiration, trust and organizational emotional intelligence), contextual (administrative-managerial, socio-cultural and economic conditions of the organization), intervening (organizational policies, managers' behavior, colleagues' behavior, organizational climate, and specific organizational considerations), and strategic (flexibility, shared identity, encouragement and support, combating corruption, effective communication, organizational control, organizational learning and human resource management) factors and this unleashing has many positive consequences for employees.
Conclusion: The results of this study are a pattern for the unleashing organizational energy of employees of the ministry of health and medical education and other government agencies that face the problem of lack of motivation and lack of enthusiasm of employees to participate in achieving the strategic goals of the organization.

Robab Baharvand, Parisa Mohammadi, Ezat Asgarani, Gholamreza Goudarzi,
Volume 24, Issue 4 (3-2023)
Abstract

Background: Fine dust includes dust and particles suspended in the air, which reduce visibility and have different origins. The present study aimed to investigate the abundance of air bacteria during micro dust storms in Lorestan province using classical methods.
Materials and Methods: In this study, sampling was performed in three cities of Lorestan province. Air bacteria were isolated by classical methods, and data analysis was carried out using the Chi-square test. The relationship between the abundance of bacteria and meteorological parameters was investigated and analyzed by Spearman's correlation coefficient test.
Results: The results of the present study demonstrated that 96 colonies grew on the TSA medium. Moreover, %55.2 of these colonies were bacteria, and %44.8 were yeast. Poldakhtar and Khorramabad stations showed the highest (%25) and lowest (%8.33) frequencies. On the R2A medium, 184 colonies grew. In addition, %69 of these colonies were bacteria, and %31 were yeast. Kohdasht and Khorramabad stations had the highest (%34.8) and lowest (%4.3) frequencies. In TSA and R2A environments, the most and least frequently observed isolates were Bacillus and Actinomycetes, and the highest microbial frequency was related to Kohdasht and Poldakhter. According to Spearman's correlation test, there was a direct relationship between the amount of fine dust and the abundance of bacteria (P=0.637, r=0.026), and a significance inverse linear relationship was observed between wind speed and the number of colonies (P=0.048, r = -0.569).
Conclusion: Bacterial abundance was higher in the R2A medium. The dominant bacteria in the TSA environment were Bacillus and Micrococcus, and in the R2A environment, Bacillus and Corynebacterium. The results pointed out that the amount of fine dust and wind speed have an effect on the abundance and diversity of air bacteria.

Ahmad Tamjidipour, Niloofar Baharvandi, Asghar Rajabzadeh,
Volume 26, Issue 3 (10-2024)
Abstract

Background: The phrenic nerve is a sensory and motor nerve and is important from an anatomical and clinical point of view due to the innervation of the diaphragm muscle. The present report aimed to to describe the anatomical variation of a rare case related to the phrenic nerve and the internal thoracic artery.
Materials and Methods: During the routine autopsy of a 53-year-old man, it was found that the initial part of the internal thoracic artery was covered by a ring of the right phrenic nerve and then continued downward.
Results: Anatomical changes in the phrenic nerve and internal thoracic artery are always of special clinical importance, and if not considered in regional surgeries, they can lead to potentially life-threatening complications.
Conclusion: The investigation of this case showed that the phrenic nerve and the internal thoracic artery can show different positions relative to each other. It seems that since the first and second parts of the artery wall have elastic tissues, it can disrupt the innervation of the diaphragm muscle by affecting the phrenic nerve.
 


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