Showing 21 results for Karimi
Farmarz Karimian, Maryam Mansouri- Pour,
Volume 5, Issue 2 (1-2004)
Abstract
Introduction: Diagnosis and localization of offending glands in hyperparathyroid patients is a subject that has always concerned surgeons.
Until two decades ago this could only be achieved through complete neck exploration by the surgeon.
In recent decades, with introduction of better imaging techniques such as advanced sonography and isotopic scans, remarkable progress has been made in this field. To evaluate these techniques a study was designed and performed.
Materials and Methods: This is a retrospective descriptive study in a group of patients with primary hyperparathyroidism who underwent parathyroidectomy in Imam Khomeini General hospital and Dr. Shariati General hospital, Tehran university of medical sciences, during the years 1989 to 1998.
The purpose of this study is to evaluate the sensitivity and accuracy of the available imaging facilities in diagnosis and localization of the offending gland(s), compared to intraoperative findings.
Findings: 61 patients were studied. 11 men (18%) and 50 women (82%) 47 single adenoma (77%), 2 multiple adenoma (3%) and 12 hyperplasias (20%) were reported. 24 patients with single adenoma had MIbI scan with a sensitivity and accuracy of 70% and 100%, respectively. In all cases of multiple adenoma and hyperplasia who had MIbI scan, the results was false negative. Sensitivity of Th-Tc scan for single sadenoma was 33.3%. Sonography had a sensitivity of 71.5% for adenoma and 40% for hyperplasa with 100% accuracy for both of them. Sensitivity and accuracy of intraoperative diagnosis and localization for adenoma was 100% and 96.7%, respectively. For hyperplasia these figures were 83.3% sensitivity and 100% accuracy.
Conclusion: According to the results in diagnosis and localization of offending gland(s) in primary hyperparathyroidism, intraoperative judgment of experienced surgeon has a higher sensitivity and accuracy than available imaging facilities. This is specially true for multiple adenoma and hyperplasia. Therefore, we suggest that still during surgery for hyperparathyroidism all parathyroid glands should be explored, and limited dissection directed by imaging findings should be avoided. However, with increasing experience and introduction of new technologies such as radiotracing, one may expect better results from imaging day by day.
Majid Ramezani, Ali Akbar Karimi,
Volume 7, Issue 1 (1-2006)
Abstract
Background: Retinopathy is one of chronic complications of diabetes mellitus and
is the most common cause of blindness in developed countries between ages 20-70
years old.
The aim of this study was to investigate the prevalence of retinopathy and related
factors on Iranian population.
Materials and methods: This is a descriptive cross-sectional study on a population
of diabetic patients referred to Baqiyatallah hospital, admitted in internal medicine
ward. Using sample size estimation equation for proportions 300 subjects was
randomly selected and results analyzed with chi square and Fishers Exact test.
Findings: Prevalence of retinopath was 5.6 percent mean age of subjects with
retinopathy was 60.3 years old (SD=701) and mean duration of diabetes was 15 years
(SD=7.1).
Frequency of non prolifrative diabetic retinopathy was 52.8 and 47.2 percent
respectively.
Our study showed that there are significant relationship between retinopathy and
subjects age, high levels of fasting blood sugar, history of hyperlipidemia, smoking
and ischemic heart diseases (p<0.001). There are also significant relation ship
between retinopathy and history of hypertension (p<0.05) in this study there was no
relationship between retinopathy and sex, drugs used and history of stroke.
Conclusions: Based on our findings we- suggest to consider retinal examination in
diabetic patient and control glucose level in normal values.
Regarding relationship between hyperlipidemia, smoking and hypertension with
retinopathy we also suggest to control these factors in diabetic patients.
Alireza Monshi Karimi , Javad Mohtadi-Nia , Mehdi Farhodi ,
Volume 9, Issue 3 (Yafteh 2007)
Abstract
Monshi Karimi AR1, Mohtadi-nia J2, Farhodi M3 1. M.Sc Student of nutritional sciences, Faculty of Health, Tabriz University of Medical Sciences
2. Associated professor, Department of Nutritional, Faculty of Health, Tabriz University of Medical Sciences
3. Assistant professor, Department of Internal, Faculty of medicine, Tabriz University of Medical Sciences
Abstract
Background: Ischemic is on of the major cause of death and inabilities in the world. Environmental and nutritional risk Factors such as inadequate intake of vitamin B12 and folic acid followed by high serum total homocysteine concentration
increases the risk of cerebrovascular diseases. The aim of this study was to compare serum level of homocysteine, vitamin B12 and folic acid in Ischemic patients and healthy controls.
Materials and methods: In this case-control study, 45 inpatients subjects (30 M,16 F aged 45-75 years)and 45 age sex matched healthy subjects (29 M and 16 F) were selected. 5ml blood was take for each subject and serum level of homocysteine (using ELISA), vitamin B12 and folate (using RIA) were measured.
Results: There were no significant differences in age and BMI between canes and controls. The Serum homocysteine level in controls war higher than in controls (18.68μmol/L±1.53 vs 9.96μmol/L±0.9, P<0.001) while Serum Vitamin B12 and folate concentrations in patients were lower than in controls 394.28 Pmol/L ±19.39 vs 631.60pmol/L ±33.1 vs 1.53ngml ±0.08, P<0.001, respectively). Serum homocysteine was inversely and significantly Correlated with serum folate Changes and Vitamin B12. 8% and 10% Changes in homocysteine level were explained by Changes in Serum folate and Vitamin B12.
Conclusion: As Low intakes of vitamin B12 and folic acid result in high homocysteine concentration and consequently higher risk for Ischemic cerebrovasular events, proper diet including adequate intake of these vitamins is suggested.
Sasan Saket , Saeed Mojtahedzadeh , Abdolah Karimi , Reza Shiari , Fariba Shirvani ,
Volume 11, Issue 3 (yafteh 2009)
Abstract
Background: Kawasaki disease (KD) is an acute febrile vasculitis of childhood occurs worldwide, with Asians at highest risk. Approximately 20% of untreated patients develop coronary artery abnormalities including aneurysms, myocardial infarction and sudden death. KD is the common cause of acquired heart disease in children in the United States and Japan. The aim of this study was to determine the severity of kawasaki disease based on laboratory and echocardiographic findings. Materials and Methods: In this cross-sectional research, we studied records of all patients (n=61) admitted to Mofid Children’s hospital with Kawasaki disease from December 21, 2004 to January 21, 2008. Patients with exclusion criteria were omitted (n=11) and other 50 patients were entered the study. At least three CFM echocardiograms were performed for all of these children with Kawasaki disease: at diagnosis, after 2-3 wk and 6-8 wk after onset of illness. These CFM echocardiograms was performed only by one Paediatric cardiologist (he didn’t have any information about severity and other characteristics of the disease in these patients). All patients were followed up for 12 weeks after discharge. Results: There were 32(64%) boys and 18(36%) girls in this study (total number: 50). The male to female ratio was 1. 8: 1. 100% of the patients had fever, 82% changes in oral cavity & lips, 78% bilateral bulbar conjunctival injection, 64% changes of the peripheral extremities, 58% polymorphous rash and 40% cervical adenopathy. Coronary artery aneurysm was seen in 2% of the patients. No recurrence of KD was observed among these children. Based on laboratory and echocardiographic findings, the patients divided into two groups: severe (n=24) and non-severe (n=26). Mean age of the children, mean duration of hospitalization and rash were significantly higher in the severe group. There was no significant difference between number of patients with K<3. 4mEq/L in two groups. Number of patients with Na<135mEq/L was significantly higher in the severe group (p=0. 01). Mitral regurgitation and 2-times receiving IVIG were significantly higher in the severe group (p=0. 02 and p=0. 008, respectively). Conclusion: Our data demonstrated that sooner performance of CFM echocardiogram and ESR, CRP, Platelet count and Na levels can help us to detect severe Kawasaki disease easer & faster.
Mehdi Sadeghi, Leila Tajik , Sara Karimi , Mohammad Fereidan , Akbar Hassanzadeh ,
Volume 11, Issue 4 (yafte 2010)
Abstract
Musculoskeletal disorders, early fatigue induced by static work and the same symptoms are caused by inappropriate designed tools, equipment, building and workplace. Inadequate educational furniture is taken to be the reason of severe posture problems such as low back pain, spinal disorders, fatigue, shoulder and neck pain, and disturbance circulation in legs. So ergonomic design of educational furniture should be carefully considered. Materials and Methods: The present research was a cross-sectional study. Samples included desks and chairs (n=150) chosen from reading rooms of dormitories and faculties of Isfahan university of medical sciences Isfahan- Iran. In the study 2 parameters from desk and 5 parameters from chairs were assessed using a tape-measure and a set-sqare. Data were analyzed by SPSS ver 10 software. Results: Comparing the results from the mean of measured values (for seating height, desk height and desk clearance) indicated a significant difference between them (p<0. 00). Conclusion: Findings of the study showed that existing standard in Iran about chairs and tables for educational institutions should be reviewed. Also the most important problem with chairs and desks are seating height and desk surface height respectively. These two parameters didn’t match with anthropometric dimensions of the sudents of Isfahan university of medical sciences.
Shahla Ahmadi, Parviz , Babakhanlu , Mohammad Ali Karimifar ,
Volume 11, Issue 5 (yafte 2010)
Abstract
Collection and determination of medicinal plants in Lorestan province have been carried out for 6 years in the agriculture and natural resources research of center of Lorestan. The aims of this study were collection and identification the medicinal plans that grow in Loretta province, their distribution, habitat, traditional uses, utilized organ, manner of usage, botany specification, local name, Persian name and scientific name. Material and methods: Medicinal plants were collected from different regions by using field and library study for these goals we prepared a list of recorded medicinal plants from Lorestan, identified the local herbal experts. Results: Finally we collected 151 medicinal plant identified that related to 63 families and 90 genuses. The Lamiaceae, Compositae, Legominosae , Liliaceae, Umbelliferae and . Rosaceae are the greatest family in the Lorestan province. Diction: According to the literature 96 medicinal plans were recorded from Lorestan, but during this study we collected and identified 151 medicinal plants in Lorestan province. Comparing with those that recorded from Bushehr 70 sp.(9), Hormozgan 113 sp.(10), Markazi 144 sp. And Kordestan 144 sp(11). We have more diversity but comparing with Zanjan 163 sp.(13), Hamedan 315 sp.(14) And Qazvin 250 sp.(15) We have less diversity in medicinal plants.
Dr Saeid Mojtahedzadeh, Dr Sasan Saket, Dr Reza Shiari , Dr Fariba Shirvani, Dr Abdolah Karimi,
Volume 12, Issue 4 (3-2011)
Abstract
Kawasaki disease (KD, also called mucocutaneous lymph node syndrome) is one of the most common childhood vasculitis. Although the etiology of the disease is unknown infectious, genetic and immunologic factors have been supposed to be responsible for KD occurrence. Complications such as coronary artery aneurysm, cardiomyopathy and heart failure, may occur, which can cause significant morbidity and mortality in children. KD is the common cause of acquired heart disease in children in the United States and Japan. Materials and Methods: 61 patients with approved KD admitted in the Mofid Children’s Hospital (from December 2004 to January 2008) and their parents were studied in this cross-sectional survey. 11 patients were omitted according to exclusion criteria, 50 patients were divided into two groups: Mild (n=26) and severe (n=24). Data was analyzed via Fisher’s exact test and student’s t-test using SPSS software, V. 11,5. p<0.05was taken into account significant. Results: 50 patients (32 males, 18 females) with mean age of 43 months were concluded in this survey. All of the patients had fever (100%), coronary artery aneurism was seen in 2% of the patients. No recurrence of KD was seen among these children and there was no history of KD in their parents and siblings. Mitral valve prolaps in mothers and ischemic heart disease in fathers among sever group were significantly higher than mild group (p=0.03 and p=0.001, respectively). Mitral regurgitation and 2-times receiving IVIG was significantly higher in severe group (p=0.02 and p=0.008, respectively). Conclusion: This study showed that mitral valve prolaps in mothers and ischemic heart disease in fathers had significant relation with Kawasaki disease in their children. Also, CRP, ESR, Na, LFT and echocardiography are useful to detect and manage severe Kawasaki disease. To provide more accurate conclusions, prospective and multicentric studies with larger sample sizes are necessary.
Atoosa Karimi, Maryam Afrakhteh , Afsane Aghazadeh Naeini , Zohre Amiri,
Volume 13, Issue 4 (3-2012)
Abstract
Background : Because of the relation between bacteriuria in pregnancy and low birth weight and immaturity, a proper and suitable treatment is important. Fosfomycin Treometamol is one of the most safe drugs in pregnancy. This study was designed to compare it with Cephalexin.
Materials and Methods: In this randomized clinical trial, 166 pregnant women with. positive urine culture (cfu >105) were randomized into two groups to receive Cephalexin and Fosfomycin. Urine cultures were repeated one week and one month after treatment.
Results: The most bacteria in Cephalexin groups were E.coli (87.8%), Streptococcus (7.3%)< Proteus (2.4%) and Klebsiella (2.4%), and in the later group they were E.coli (84.5%), Streptococcus (9.5%)< Proteus (4.8%) and Klebsiella (1.2%) with no significant difference (p=0.737). After one week, success rate in Cephalexin group was 92.7% and for Fosfomycin was 91.7% (p=1). The odds ratio was 15.15 and relative risk was 1.01. All the cultures were negative after one month. 2 in the Cephalexin group and 3 in the Fosfomycin group had diarrhea (p=0.68).
Conclusion: Considering the equality between Cephalexin and Fosfomycin, Fosfomycin can be used to treat uncomplicated bacteriuria in pregnancy.
Masoume Veiskarami , Mahmoud Bahramizadeh, Farhad Tabatabaei , Reza Vahab Kashani , Samaneh Hosseinzadeh , Mina Karimi, Pone Ghasemi, Negar Momeni,
Volume 13, Issue 4 (3-2012)
Abstract
Background : Rocker sole are the most commonly prescribed external therapeutic shoe modification. rocker profiles have also proven useful in the treatment of conditions requiring limitation of the ankle and midfoot motions. The aim of this study was to assessed the effects of the heel- to-toe rocker shoes on the motion of the forefoot and hindfoot .
Materials and Methods: In this quasi-exprimental study, three-dimentional gait analysis was performed on 15 healthy volunteers girls with normal BMI and normal gait pattern, between 18-24 years old . A Vicon 470 system(Oxford Metrix, U.K.) consisting of 6 ultra-red cameras operating at 60Hz and two kistler forceplate(A9286) was used.The Wilcoxon signed-rank test was used to statistical analysis. the motion of the forefoot and hindfoot compared between traditional shoes and heel- to-toe rocker shoes.
Results: The statistical analysis using Wilcoxon signed-rank test showed that the hindfoot joint excursion while wearing rocker shoes in sagittal plane was significantly less than that while wearing traditional shoes(p=0.005) but in frontal plane increased(p=0.028) and no obvious rocker shoe effect was found in the transverse plane(p=0.203). The average of forefoot joint excursion in the sagittal plane while wearing modified shoes shoes was significantly less than that while wearing traditional shoes(p=0.047) but in frontal plane with modified shoes forefoot joint excursion increased(p=0.013). and in transverse plane this rocker shoe significantly restricted hindfoot motion (p=0.015).
Conclusion: Thisstudy showed that the heel- to-toe rocker shoe significantly restricts foot joints motions in sagittal plane but joints motions in frontal plain increase with this modification.
Azen Alavi , Sameyeh Karimi , Sogra Fallahi , Soheila Akbari , Amereh Alinejad ,
Volume 16, Issue 2 (9-2014)
Abstract
Background : The aim of this study was to compare maintenance therapy and continuous therapy of magnesium sulfate (MS) in the management of preterm labor.
Materials and Methods: In this single blind randomized control trial, 70 singleton women in 26 to 34 weeks of gestation (WG), were randomly assigned to receive 4gr MS in 200cc D/W 5% during 15 to 20 minutes either infusion therapy with 20 gr MS in 10 hours (group A) or maintenance therapy with 2gr/hr MS for 12 hours.(group B). Data of the participants were collected and analyzed using SPSS13.0, Chi-Square and T test. P value less than 0.05 was considered statistically significant.
Results: The presence of labor pain after 24 and 48 hours, 1 week, and in 34 WG was statistically lower in group B than A. But it was not statistically significant in 37 WG. Duration of pregnancy and Apgar score at 5 min were significantly higher in group B than A. While, NICU admission was higher in group A than B.
Conclusion: Maintenance therapy with 2 mg/hr MS for 12 hr is an effective therapeutic regiment for management of preterm labor pain, to stop the labor pain, which is recommend to treat preterm labor pain.
Masoomeh Veiskarami , Usof Fallah , Mina Karimi , Ahmad Tamjidipour , Nagar Momeni , Mahin Adeli ,
Volume 16, Issue 3 (1-2015)
Abstract
Background : Rocker shoes are the most commonly prescribed external therapeutic shoe modification and are used for treatment of the ankle and midfoot problems. The aim of this study was to assesse the effects of the heel- to-toe rocker shoes on temporal-spatial and ankle joint moments in sagital and frontal plane. Materials and Methods: In this quasi-exprimental study, three-dimentional gait analysis was carried out on 20 healthy university female students with normal normal gait pattern selected by convenience sampling method. A Vicon 470 system(Oxford Metrix, U.K.) consisting of 6 cameras operating at 60Hz and kistler forceplate (A9286) was used.The paired samples T test was used to statistical analysis. Results: The results showed that there is no significant change in temporal-spatial parameters while wearing this modified shoe ,but the ankle moments while wearing rocker shoes in sagittal plane was significantly less than that while wearing traditional shoes(p=0.002) but in frontal plane significantly increased(p=0.007). Conclusion: Based on the current findings the major benefits of this modified shoe appear to be significantly restricted sagital plane moments with maintenance of walking speed so the loads on ankle joint and achilles tendon reduced, but increases frontal plain moments which leads to increase of mediolateral instability of ankle joint.
Azin Alavi, Samiye Karimi, Soheyla Akbari , Soghra Falahi, Fateme Alinejhad,
Volume 18, Issue 1 (5-2016)
Abstract
Background : Adenomyosis is a common benign disorder in premenopausal women. It may be presents with uterus enlargement, pelvic pain, abnormal uterine bleeding and dysmenorrheal. The main objective of this study was to assess prior uterine surgery was a risk factor for adenomyosis.
Materials and Methods: In this cross-sectional study, we reviewed the medical records of all women who underwent hysterectomy for benign and nonemergency gynecologic condition between 2001 – 2006 in Shariate hospital of Bandar Abbas. Data included: age, gravidity, parity, abortion, prior uterine surgery and uterine size by physical examination before hysterectomy, were collected from the clinical records and the information about adenomyosis was obtained from pathology records. Analysis was done using SPSS-16, descriptive statistics, T test and ANOVA. Significant level was set as P<0.05.
Results: Of the 191 participants , 72 (37.7%) women had pathologically confirmed adenomyosis. The prevalence of adenomyosis in this study was 37.7%. women with adenomyosis reported a history of prior uterine surgery more frequently than women without adenomyosis but age, menarch, gravidity, parity and history of abortion were similar between the 2 groups.
Conclusion: This study indicated that adenomyosis had significant correlation with prior uterine surgery. And, confirmed that we can decrease prevalence of adenomyosis with decreased unnessecery uterine surgery.
Arezo Omati, Khaled Rahmani, Farzam Bidarpour, Mohamad Karimi,
Volume 18, Issue 3 (12-2016)
Abstract
Background : Cytomegalovirus (CMV) infection is one of the most common causes of death in people with immune deficiency diseases such as: organ or tissue recipients, patients with HIV/AIDS and newborn infants. The aim of this study was to determine the prevalence of anti-CMV antibodies in patients with HIV/AIDS in the Kurdistan province.
Materials and Methods: This cross-sectional study carried out on 151 patients with HIV/AIDS covered by behavioral health counseling centers in Kurdistan province, 2015. For all patients the values of CMV antibodies, include IgG and IgM, were determined by ELISA technique and Diagnostic Kits (EIA WELL, Rome, Italy). Data analyses were done by use of t-test and multiple linear regression tests in stata software, version 13.
Results: 116 (76.8%) and 35 (23.2%) of the patients were male and female, respectively. Mean (SD) age of the patients were 39.3 (9.1) years. All studied patients were found positive for CMV-IgG (prevalence=100%), whereas only one case (0.7%) was found positive for CMV-IgM. The relationship between age and CMV-IgG levels was statistically significant.
Conclusion: The results showed that high prevalence of CMV in patients with HIV/AIDS, so in addition to paying more attention to the issue of HIV and CMV co-infection, about value of early antiretroviral treatment conducting further studies seems necessary.
Mehdi Shahkarimi, Ali Shalizar Jalali , Mehdi Behfar, Gholam Reza Najafi,
Volume 19, Issue 1 (6-2017)
Abstract
Background : Ischemia-reperfusion injury arising from testicular torsion can result in bilateral testicular damages. The aim of this study was to investigate the effect of doxycycline (DC) administration on epididymal sperm disorders following experimental unilateral testicular ischemia-reperfusion (IR) in mice.
Materials and Methods: Experiments were performed on five equal groups each comprising six adult male mice. Following anaesthesia, IR was induced by clamping left testicular vessels with an atraumatic microvascular clamp for 30 minutes in IR group. In IR+DC group, in addition, mice received DC (2.5 mg/kg per day) intraperitoneally for 3 days starting from the day of induction of experimental IR. Vehicle-treated control group, sham-operated control group and DC-only treated group were also included. Ipsilateral and contralateral epididymal sperm characteristics were evaluated after 35 days.
Results: Ischemia-reperfusion caused significant decreases in the both epididymides sperms concentration, viability and motility compared to the control group. Moreover, sperm cell apoptosis in both the ischemic and the contralateral epididymides and the percentage of sperm abnormality in ipsilateral epididymis increased significantly after IR. Doxycycline treatment attenuated all IR-induced negative changes in the above-noted parameters.
Conclusion: These findings provide evidence that DC treatment may have potentially protective effects against long-term reproductive injuries following unilateral testicular IR.
Masomeh Movahedi, Mohamad Ebadi Rad , Kolsom Kariminejad, Fayezeh Moravej,
Volume 19, Issue 2 (10-2017)
Abstract
Background: The researches of recent two decades are representative of the importance and special attention of various countries to the procrastination issue. This research carried out with the aim of the investigation of the effectiveness of cognitive behavioral and behavior management therapies on procrastination in students of the Lorestan University of Medical sciences.
Materials and Methods: The experimental study method was used in this study that the design of pretest- posttest with experimental and control groups were used. Among the all of the male and female students in academic year of 2014, 393 subjects were selected as a sample of study using the convenient sampling method. At first the Tuckman' procrastination questionnaire were completed by 393 students and among them 76 subjects that diagnosed with procrastination were selected and assigned to experimental and control groups.
Result: The findings of this research indicated that the amount of the prevalence of procrastination in all students was 19/33%. 29/41% of the male population under study had procrastination, but this amount for females were 14/96%. Also the results represented the effectiveness of two therapies of cognitive behavioral and behavior management on reduction of procrastination. Furthermore, there were significant differences between the gender and the type of the treatment.
Conclusion: According to the results of this study, it seems that the procrastination is from the impressible cognitive constructs and regarding this issue, these two treatments by emphasis on cognitive constructs could decrease the amount of the procrastination on experimental groups. Also the differences between the treatment methods among male and female, is representative of differences of cognitive constructs corresponding to the gender that seems not to be irrelevant to gender roles.
Azra Mohammad Panah Ardakan, Hamid Reza Aryanpour, Paria Faroughi, Pegah Karimi,
Volume 22, Issue 4 (1-2021)
Abstract
The purpose of this study was to determine effectiveness of emotion regulation on psychological capital and conflict resolution techniques in mothers with a physicaly disabled child in Isfahan.
Materials and Methods: This study was a quasi-experimental study with pre-test, post-test and one-month follow-up with a control group. The statistical population in this study included all mothers with adolescents with physical-motor problems of Sepehr Isfahan Welfare Center in 1397-1397, from which 30 mothers of adolescents with physical-motor problems were selected by Multi-stage random sampling and were randomly divided into control and experimental groups. In this study, the psychological capital questionnaires of Lutans et al. (2007) and Rahim's conflict management styles (1997) were used. The data were analyzed using covariance analysis.
Results: The results showed that emotion regulation training increased psychological capital and the use of conflict resolution techniques (in mothers with adolescents with physical and motor problems) and this effect has been preserved during the follow-up period.
Conclusion: Holding special courses to promote psychological capital and conflict resolution techniques in mothers with adolescents with physical disabilities is necessary and improves relations in these families.
Arash Karimi, Mostafa Cheraghi, Mehrnoosh Sedighi, Pejman Hashemzadeh,
Volume 23, Issue 2 (5-2021)
Abstract
Background: Nowadays opium addiction is most important problem in most countries. There are some false beliefs about role of opium in prevention and control of heart disease in society, thus suggestion about opium usage is common in this regard. This review is written based on studies that were performed about relation between opium addiction and heart disease.
Materials and Methods: In this review study, relevant articles indexed in Information Sciences Institute, PubMed, Scientific Information Database, IranMedex, SID, PubMed and Scopus were used to search between 1980 and 2017, with further emphasis on those indexed from 2008 to 2019. We used these keywords to search: opium addiction, lipid peroxidation, blood sugar, blood fat, atherosclerosis, infarct size, arrhythmia and heart disease done in people opium addiction.
Results: Data showed the relation between opium addiction and lipid peroxidation, blood sugar, infarct size, arrhythmia and Malondialdehyde index. Different effects have been observed in different studies. This difference may be due to the effect of anesthesia, the dose of the drug, the site of action in the brain, respiratory changes, and the characteristics of the receptors.
Conclusion: Opium addiction associated with different effects on blood sugar, blood fat, blood pressure, atherosclerosis, infarct size, arrhythmia and heart disease.
Seyedeh Farzaneh Hosseini, Zahra Tanha, Javad Karimi, Ezatolah Ghadampour,
Volume 23, Issue 2 (5-2021)
Abstract
Background: The gastrointestinal tract, as one of the most important organs of the body, has its own diseases that involved many people. Therefore, the present study seeks to investigate the effectiveness acceptance and commitment therapy based on cognitive-emotional regulation and cognitive flexibility among gastrointestinal patients.
Materials and Methods: The research method was quasi-experimental with pretest-posttest design with control group was unbalanced and the statistical population of this study was all gastrointestinal patients in Sari who referred to Imam Khomeini Hospital in 2020 and its sample included 30 people (15 people for the experimental group and 15 people for the control group), who were selected using the available sampling method. Then, the members of the experimental group were treated for 8 sessions based on acceptance and commitment and the control group did not receive any treatment. Research instruments included the Cognitive-Emotional Regulation Questionnaire (Garnowski et al, 2001) and Cognitive Flexibility (Dena and Venedrwal, 2010). And the statistical method of this research was multivariate analysis of covariance.
Results: The results of multivariable covariance analysis showed that acceptance and commitment therapy was effective on cognitive-emotional regulation and cognitive flexibility and significantly improved cognitive-emotional regulation and cognitive flexibility in gastrointestinal patients.
Conclusion: According to the research findings, acceptance and commitment therapy can be used as an effective method to promote cognitive-emotional regulation and cognitive flexibility in gastrointestinal patients.
Elahe Rahmati, Nasrin Sharbafchizadeh, Golrokh Atighechian, Babak Abdolkarimi,
Volume 24, Issue 3 (12-2022)
Abstract
Background: The spread and epidemic of COVID-19, as a new disease, challenged many health achievements. In hospitals, as the center of crisis management activities, it is very important to develop a crisis preparedness plan. In this study, the response-readiness of Khorram Abad hospitals in the crisis of COVID-19 was discussed.
Materials and Methods: This study is a descriptive and applied research that was conducted cross-sectionally in the summer of 1400 in two stages. In the first stage, the condition of 3 Khorram Abad University Hospitals was based on a checklist WHO-EMRO evaluation of the hospital's response readiness to deal with the covid disease was done. The data were analyzed after being recorded in Excel. Based on the obtained results, the weak points of each hospital were extracted and examined through the management panel and individual interviews, and finally implementation solutions were presented.
Results: Hospital "A" is relatively prepared in terms of human resources, rapid identification and infection control; Hospital "B" was relatively prepared in the fields of continuity of services, rapid identification, isolation and management of patients; Hospital "C" was also relatively prepared in the fields of information, human resources, rapid identification and infection control; They were fully prepared in other areas. Two hospitals "B and C" are at the level of full readiness and hospital "A" is at the border of full readiness and the overall level of readiness with 81% was estimated at the optimal level.
Conclusion: Considering the optimal preparation of Khorram Abad hospitals in dealing with the crisis of the COVID-19 epidemic, it is necessary to train and allocate sufficient manpower to face future crises, and allocate budget to the program. Crisis preparedness, standard supply chain design and evaluation of crisis management programs should be given more attention.
Alireza Nezami, Samaneh Tahmasebi Ghorabi, Niloofar Kohani, Mehdi Birjandi, Arian Karimi Rouzbahani,
Volume 25, Issue 4 (2-2024)
Abstract
Background: Due to the possible complications of a persistent ductus arteriosus (PDA), the treatment of the PDA will be necessary, depending on the opinion of the treating physician. Medical or surgical treatment can be used in this regard. In recent years, acetaminophen has been considered a medication with fewer potential side effects. The present study aimed to compare acetaminophen with ibuprofen in the patent ductus arteriosus in neonates admitted to training hospitals in Khorramabad.
Materials and Methods: A total of 28 neonates were included in this retrospective cohort study. The required data were collected by studying the patients' files. The PDA in newborns was diagnosed by primary echocardiography by the attending physician. Thereafter, 12 and 16 cases were treated with ibuprofen and acetaminophen, respectively. After completing the treatment period on days 3 and 5, the attending physician performed echocardiography to check PDA closure. Data were analyzed in SPSS software (version 24) using descriptive indices of mean, standard deviation, frequency, percentage, Fisher's exact test, and Mann-Whitney U test.
Results: In this study, the frequency of affected male neonates was the same as that of affected female newborns (n=14; 50%). The mean weight scores of neonates in acetaminophen and ibuprofen groups were obtained at 2831/25±918/49 and 2241/5 ±868/9 gr, respectively. All newborns in both groups were treated; thereafter, 23 cases recovered with 3-day treatment and 5 neonates with 5-day treatment. No significant complications were observed in patients.
Conclusion: The effect of acetaminophen on PDA closure was similar to that of ibuprofen. The need for 5-day treatment was higher in the acetaminophen group; nonetheless, no significant side effects were reported in any newborn. According to this study, acetaminophen can be a good alternative to ibuprofen in the treatment of PDA.
