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Seyyed Aliakbar Karimi Ah, Ghodrattollah Abbasi, Hoseinali Ghanadzadegan,
Volume 0, Issue 0 (3-2024)
Abstract

Background & Aims: Eating disorder is one of the worrisome issues in the field of public health, which is characterized by episodes of regular binge eating. During this disorder, people eat relatively large amounts of food and lose control over their eating behavior. The global prevalence of eating disorders in 2018-2020 is estimated at 0.6 (1.8 percent) in adult women and 0.3 (0.7 percent) in adult men. Eating disorders are usually associated with obesity and physical and mental illnesses. People with this disorder experience significant problems and impairments in the quality of life. (1) An eating disorder is a complex health problem resulting from a combination of causes and individual factors such as behavior and genetics. These behaviors can include lack of physical activity, inactivity, incorrect eating pattern, use of medication and others. Eating disorder is associated with poor mental health and reduced quality of life (2). Also, the main causes of death are eating disorders, diabetes, heart diseases, strokes and some types of cancer (3). Based on this, one of the factors of binge eating disorder is eating behavior, which may continue even after treatment (4). Among the things that can increase the incidence of this disorder are self-criticism (5), shame (6), guilt (7), social isolation (8) and psychological distress (9).
Among the factors that increase the prevalence and severity of eating disorder is social isolation (10). Social isolation means the lack of weakness of relationships between a person and other people, groups and society (11, 12), which also affects eating behaviors and causes eating disorders and related disorders (10).   A systematic review in this field showed that social isolation increases unhealthy eating behaviors and eating disorders (14).
Psychological distress is one of the problems that appear with eating disorders. Psychological distress includes unpleasant mental states including depression, anxiety and stress, all three of the mentioned disorders include symptoms of emotional and physiological conditions (16, 17). People with high mental distress complain more about the symptoms of physical illness and the frequency of physical illnesses is a strong predictor of the occurrence of damage in their physical, psychological and social functioning (18).   Psychological distress is common with eating disorders and can exacerbate the severity of the eating disorder (22).
Several interventions have been used to reduce the psychological problems of people with eating disorders. Among these interventions, one of the intervention treatments that has received less attention is the treatment focused on compassion (26). Compassion-focused therapy is a system of psychotherapy developed by Gilbert that integrates techniques from cognitive behavioral therapy with concepts from developmental psychology, social psychology, developmental psychology, Buddhist psychology, and neuroscience (27 (. The goal of compassion-focused therapy is to help people heal emotionally and psychologically by encouraging them to be compassionate with themselves and others. Many people believe that compassion, both with oneself and with others, is an emotional response and an important aspect of well-being. The advantage of promoting compassion is increasing emotional and mental health (28).   By using the compassionate approach, researchers were able to reduce the shame and self-criticism of people with eating disorders (32).
Therefore, considering the medical and psychological consequences of this disorder that can lead to the risk of suicide, the use of psychological interventions to prevent the consequences of this disorder is of great importance and necessity. The present study tries to answer the question of whether the treatment focused on compassion is effective on social isolation and psychological distress of people with eating disorders.
Methods: This was a semi-experimental study with a pre-test and post-test design and a follow-up phase with an experimental group and a control group. The statistical population of the research was women aged 18 to 40 years old in Tehran who had visited Hakim obesity clinic in 1401. In order to carry out the research, 30 people from the mentioned society were selected in the available way and randomly divided into experimental group and control group (15 people in each group). Therapeutic intervention was performed for 8 sessions on the experimental group and no training was provided to the control group. The tools used in this research are the 26-item EAT questionnaire (Garner and Kerfinkel, 1982) with 26 items for the eating disorder scale, the 21-item DASS questionnaire (DASS) of Lavibond with 21 items for the psychological distress scale, the questionnaire (Russell, Pilova and Cortona, 1980) It was with 20 items for the social isolation scale, which was completed in two phases: pre-test, post-test and follow-up. The experimental group received compassion-focused therapy training for 8 sessions of 60 minutes, and the control group received no intervention. The data was analyzed using the repeated measurement analysis method and spss.22 software.
Results: The average (standard deviation) age in the experimental group was 3 people (20%) from 18 to 25 years, 7 people (46.67%) from 26 to 33 years, and 5 people (33.33%) from 34 to 40 years and in the control group 4 people (26.67 percent) were 18 to 25 years old, 7 people (46.67 percent) were 26 to 33 years old, and 4 people (26.67 percent) were 34 to 40 years old. Also, in the experimental group, the mean (standard deviation) of psychological distress decreased from 49.20 (7.82) in the pre-test to 46.86 (7.79) in the post-test and to 47.13 (7.97) in the post-test. ) increased in the follow-up phase. (P < 0/001). The results of analysis of variance were significant for the within-group factor (time) and significant between groups. Also, the interaction of group and time was significant. The pairwise comparison of the groups showed that there is a significant difference between the pre-test and post-test and pre-test and follow-up stages in social isolation, that is, the scores decreased from the pre-test stage to the follow-up stage (p<0.001). Comparisons in the group under the educational intervention showed that there is a significant difference between the pre-test and post-test and pre-test and follow-up stages in reducing psychological distress. It means that the scores have increased from the pre-test stage to the follow-up stage. While there was no difference between the post-test and follow-up stages in reducing psychological distress (p>0.001).
Conclusion: The aim of this study was the effectiveness of compassion-based therapy on social isolation and psychological distress in women with eating disorders. The findings of this research showed that compassion-based therapy reduced social isolation and psychological distress in women with eating disorders in the training group.

Sajjad Eslami, Ghodratollah Abbasi,
Volume 0, Issue 0 (3-2024)
Abstract

Introduction: The need for vaccination is important and vital to achieve collective safety and public health. But in order to achieve this important thing, there are obstacles, such as health anxiety and intolerance of ambiguity, in this regard, the authors of this article insisted on conducting this research to further investigate these two variables. The purpose of this research was to investigate the relationship between health anxiety and intolerance of uncertainty with the attitude towards the Covid-19 vaccine
Materials and Methods: The current research was a descriptive type of web-based correlation. 270 participants were selected through social networks based on available sampling. In the following, questionnaires of Questionnaires of health anxiety, intolerance of ambiguity and attitude towards VAX vaccine were distributed in Google form and online. In order to analyze the data, Pearson's correlation coefficient and multiple regression were used in the SPSS 24 environment.
Results: The results showed that there was a multiple relationship between health anxiety, conspiracy delusion and attitude towards the vaccine, and a positive and significant relationship between health anxiety and the attitude towards the vaccine (P < 0.05), conspiracy delusion and the attitude towards the vaccine were positive and significant (P < 0.05), there was.
Conclusion: It showed that there was a multiple relationship between health anxiety, intolerance of ambiguity and attitude towards the vaccine, and there was a positive and significant relationship between health anxiety and the attitude towards the vaccine (P < 0.05), and there was a positive and significant relationship between the intolerance of ambiguity and the attitude towards the vaccine (P < 0.05).
 

Leyla Mohammadi, Ghodratollah Abbasi, Rameza Hassanzadeh,
Volume 0, Issue 0 (3-2024)
Abstract

Background and purpose: The aim of the present study was to investigate the effectiveness of emotion-oriented therapy (EFT) on the regret of choosing a spouse and the future anxiety of women with marital conflict.
Method and Materials: This was a semi-experimental study with a pre-test and post-test design and a follow-up phase with two experimental groups and one control group. The statistical population included all the women who referred to the counseling center of multiple regions of Tehran, among whom 30 women with marital conflict were selected based on the criteria of entering and exiting the study and were randomly divided into an experimental group and a control group of each group. 15 people were placed. The participants completed the questionnaire of regret about choosing a spouse and future anxiety in three times: pre-test, post-test and follow-up. The experimental group received 10 sessions of emotion-focused therapy (EFT) and the control group received no intervention. The data was analyzed using the repeated measurement analysis method and spss.22 software.
Findings In the experimental group, the mean (standard deviation) of regretting the choice of spouse decreased from 21.18 (6.26) in the pre-test to 10.11 (3.78) in the post-test, but in the control group, the mean (standard deviation) the regret of choosing a spouse was 20/55 (5/19) in the pre-test and 20/61 (5/54) in the post-test, which was not different. Also, in the experimental group, the average (standard deviation) of future anxiety in the pre-test was equal to 76.56 (10.61), which decreased to 55.07 (9.77) in the post-test, but in the control group, the average (standard deviation) of anxiety The future score was 17/73 (10/62) in the pre-test and 49/72 (10/90) in the post-test.
Conclusion: Emotion-focused therapy (EFT) has been effective on the regret of choosing a spouse and the future anxiety of women with marital conflict.
 
Talayeh Abbasi, Ahmad Akbari, Hamid Nejat, Mohammadreza Saffarian Tosi, Ali Akbar Samari,
Volume 0, Issue 0 (3-2024)
Abstract

Abstract
Background and Objective: Research on migration has shown that individuals may face difficulties adapting to their new environment after migration. Therefore, this study aimed to investigate the effect of Migration Grief Therapy based on (MCGT) on self-efficacy and depression in migrant children.

Methods: This study was a quasi-experimental and applied research in terms of its purpose, and descriptive regarding the data collection method. The statistical population consisted of all Iranian migrant children aged 9 to 15. To determine the sample size, Cochran's formula for populations of indefinite size was used, resulting in a sample of 120 participants based on the estimated variable ratio in the pilot group. The tools used in this research included the MCGT intervention, Bandura’s Self-Efficacy Questionnaire (1996), and the Children's Depression Inventory (CDI) by Kovacs and Beck (1977). Data analysis was conducted using SPSS software.
Findings: Intragroup comparisons of the mean self-efficacy scores based on the RM test showed that changes over the test times (pre-intervention, immediately post-intervention, and one month after intervention) were not significant in the control group (P=0.569), but they were significant at the 1% level in the intervention group (P=0.001). The mean depression score in the intervention group decreased by 6.5 and 10.6 points immediately after and one month after the intervention, respectively, compared to the control group. Conversely, this trend was increasing in the control group. The RM statistical analysis indicated that changes in the mean depression scores over time in the control group were not significant (P=0.307), while they were significant at the 1% level in the intervention group (P=0.000).

Conclusion: The study revealed that migrant children had low self-efficacy prior to the intervention, making them more vulnerable to life challenges. Moreover, the initially high level of depression in this group was identified as one of their major psychological issues, likely stemming from migration-related stress, isolation, and lack of social support.
E Ebrahimi Takamjani, M.r Noorbakhsh, Sh Basiri,
Volume 7, Issue 21 (12-2000)
Abstract

 ABSTRACT

 The ability of controlling balance is an essential part for all movements. In recent years, new theories in movement and balance has become the basis of some research in evaluating balance. In one of this new methods ( which is used in this study ) controlling balance is evaluated by measuring body sway in standing position during different conditions in which, the availability of sensory information has been changed. This study has a Quasi – Experimental design, and the sample consisted of 90 females, categorized as children, adults and elderly. According to the results, in altered sensory conditions the adults could control their standing balance more effectively than the other two groups. Besides, it seems that in children the function of vestibular system in controlling balance was not as effective as in adults. The results also show that in elderly, the importance of visual information in controlling balance was less than somatosensory information. Key Words: 1) Balance 2) Sensory Information 3) Standing Position


M Firoozrai, S Abasian,
Volume 8, Issue 27 (3-2002)
Abstract

ABSTRACT Coronary artery disease (CAD) is the leading cause of death among non-insulin dependant diabetic (NIDDM) Patients. One of risk factor for CAD in dyslipidemia. In regards to high prevalence of NIDDM and CAD among our people, in the present study, levels of lipids and lipoproteins in two groups of patients, CAD+/NIDDM+ group and CAD+/NIDDM- group, were evaluated and compared. The study contained 50 NIDDM patients with CAD by coronary angiography (CAD+/NIDDM+ group) and 50 patients with CAD but without NIDDM (CAD+/NIDDM- group). The study also included a control group without CAD and NIDDM (CAD-/NIDDM- group)comprised 30 healthy subjects. The concentrations of cholesterol and triglyceride and HDL-c in serum were measured by an enzymatic colorimetric assay using an automated analyzer. Serum lipids and lipoproteins were not significantly different in CAD+/NIDDM+ group as compared to CAD+/NIDDM- group. Serum HDL-c was decreased in CAD+/NIDDM+ group compared to the healthy sabjects (P<0.01). We observed the significant increase in TC/HDL-c and LDL-c/HDL-c ratios in CAD+/NIDDM+ and CAD+/NIDDM- groups compared to healthy subjects. In conclusion, we have shown no significant differences in serum lipids and lipoproteins in diabetic patients with CAD compared to non-diabetic patients with CAD, therefor, dyslipidemia does not appear to be correlated with CAD in diabetic patients. However, serum levels of HDL-c and TC/HDL-c and LDL-c/HDL-c ratios in diabetic and non-diabetic patients with CAD were significantly different compared to those of healthy subjects. These results show the importance of these factors as markers for monitoring the progression of CAD.
A.h Faghihi Kashani, A Kabir, A Basi,
Volume 9, Issue 31 (3-2003)
Abstract

The worldwide prevalence of dyspepsia is %7-41 that less than 50% of them visit a doctor. Many sources of medical and costs servises are spend for this problem. Decision about treatment against H.Pylori is contraversy that may due to different prevalence of H.Pylori in ulcer like with non ulcer like patients who have non ulcer dyspepsia. We want assess the prevalence of H.Pylori between UL and NUL patients. This analytic cross-sectional study is done on 120 patients with NUD. Patients were symptomatic more than 3 months and were examined clinicaly and paraclinicaly(CBC, serum amylase, T3, T4, TSH, LFT, Sex3, abdominal sonograghy, ECG, endoscopy), by rule out of other diagnoses, type of dyspepsia was determined. H.Pylori was determined according to culture or urease test. T-test, Chi2, corelation coefficient were used for analysis. 68.3% of patients had H.Pylori. percent of patients with H.Pylori in subgroups of patients with NUD were significantly different(P = 0.00001) but mean of age was the same. Correlation between type of dyspepsia and H.Pylori was nonsignificant. According to this study H.Pylori or age are not efficient for a specific type of NUD. Eradiction of H.Pylori were alwayes unable for reducing of symptoms of patients in long term. H.Pylori is not a suitable cause for NUD and eradication of H.Pylori isn’t advised in all of these patients, yet.
H Otookesh, F Abbasi, R Hosseini, M Nojoomi,
Volume 10, Issue 35 (12-2003)
Abstract

Renal scarring secondary to vesicourethral reflux is associated with an increased incidence of hypertension, which has been reported in up to 38% of children with reflux nephropathy. In this study the results of captopril test on 20 patients with reflux nephropathy(reflux+Scarring) were assessed within 8 months. For this purpose we studied the plasma renin activity and blood pressure responses to a single oral dose of captopril in patients. In all of the patients, PRA in baseline measurement was high. 90 minutes after captopril intake, PRA in all of patients increased. The mean rise of PRA in two groups of patients (with normal and high blood pressure) was equal. The rise of PRA in 5 patients with normal blood pressure and 2 patients with high blood pressure was remarkable. Also, changes of systolic pressure before and after captopril test were significant (Pv<0.002). These results suggest that renin angiotansin system is activated in our patients and is the probable ethiology of hypertension in these children. Furthermore, we can use this test as a screening test to find the patients with reflux nephropathy who have potentiality for renin mediated hypertension.
B Basiri, M Shokoohi,
Volume 12, Issue 45 (6-2005)
Abstract

    Harlequin Ichthyosis (HI) describes a severe erythrodermic ichthyosis and causes a distinctive and grotesque appearance at birth. Survival is now possible therefore, harlequin ichthyosis is a more appropriate term than harlequin fetus. Incidence is 1 in 300,000 births. An autosomal recessive pattern of inheritance is seen in this disorder, but a new autosomal dominant mutation may possibly be responsible. The prognosis is ominous and most of the affected neonates die in the first hours or days of life. In this case report we present two cases of HI who were the first and the second baby of a family and their parents were cousins.


H Otoukesh, M Sharifian, A Basiri, N Simforoush, R Hosseini, N Sedigh, P Golnari, M Rezaee, S.m Fereshtehnezhad,
Volume 13, Issue 51 (6-2006)
Abstract

    Background & Aim: Previously, patients with end stage renal failure(ESRF) and lower urinary tract abnormality(LUTA) were often considered high risk for renal transplantation. In order to examine the degree of risk, 48 patients who received renal transplants in Labafi Nejad Hospital were evaluated between 1986 and 2003. Patients & Method: In this retrospective cohort study, the mean age of the patients was 11.5 years in both case and control groups. Girls comprised 35% of the subjects and boys 65%. Urologic anomalies included posterior urethral valves in 4 cases, ureteral obstruction in 4 cases, and neurogenic bladder in 40 cases. Results: Among the subjects of the control group, 2.3% had hyper-acute rejection, 59% acute rejection, and 35% chronic rejection. In patients with LUTA, 8% showed hyper-acute rejection, 75% acute rejection, and 39.5% chronic rejection. However, there was no significant difference between these two groups(hyper-acute rejection: Pv=0.11, acute rejection: Pv=0.52, chronic rejection: Pv=0.29). Graft failure was seen in 33%(16 out of 48) of the patients. This value was the same in children without LUTA who underwent renal transplantation. The mean survival period was 6 years in patients with LUTA and 7.3 years in the control group. This difference was not statistically significant, though(Pv=0.7). In patients with LUTA, the rate of graft survival in the first year after transplantation was 90% rates for the third, fifth and seventh years after transplantation were 76%, 65% and 40% respectively. In the control group, graft survival rate was 88% in the first year, 73% in the third, 70% in the fifth, and 49% in the seventh year after transplantation. Conclusion: Graft survival rate was the same in both groups.


Gh. Hemasi, , *m.r. Yasin Zadeh,, M. Mofidi, , S. Abbasi,, D. Farsi,, M. Amin Zare, , N. Kianmehr,,
Volume 14, Issue 57 (2-2008)
Abstract

    Background & Aim: Acute appendicitis is one of the most common etiologies of attending of patients with abdominal pain to Emergency Department. In order to diagnose, it, it is necessary to obtain patient's history, and perform physical examination and paraclinical tests that would waste time. Therefore because of the severe abdominal pain in these patients and the fear of some surgeons in giving narcotics (because of missed diagnosis in examination), this research was done to prove the fact that early administration of morphine reduces pain and discomfort of the patients without any disturbance in time and accuracy of diagnosis. Patients and Methods: This randomized controlled clinical trial was done on patients who came to emergency department of Hazrat Rasool Akram hospital because of abdominal pain and whose alvarado scores were above 6 and were operated with diagnosis of acute appendicitis. They were divided to 2 groups: double blind group that received 4 mg morphine and placebo group. The time of intervention and diagnosis was noted. Biopsy samples were sent to pathologist for reports. Results were analyzed by parametric tests(t-test and Chi Square) via SPSS software. Results: Overall 200 patients were enrolled in research and divided into two groups who received placebo & morphine. There is no difference inregard to mean of age and distribution of gender between two groups(p>0.05). There is no difference between two groups inregard to percentage of pathology findings(p>0.05). Also the mean duration from our intervention to time of diagnosis of surgery team was not significantly different between two groups(P>0.05). Conclusion: Our research shows that use of morphine does not affect the accuracy and time of surgical diagnosis. Thus it seems that we can use opiate analgesics in patients with abdominal pain, suspected of appendicitis.


H. Otoukesh,, R. Hosseini, , S.m. Fereshtehnejad, Sh. Faramarzi , A. Basiri, , N. Simforoosh, M. Chalian, , S. Jazayeri,, H Chalian,, M. Sharifian,,
Volume 15, Issue 0 (6-2008)
Abstract

    Background & Aim: Delayed graft function(DGF) generally refers to oliguria or the requirement for dialysis in the first week post-transplantation. It is the earliest and most frequent post- transplantation complication that can occur. DGF is an extremely important post- transplantation complication because its occurrence has short-term or long-term consequences for allograft survival. However, limited studies have been conducted on DGF and its complications in pediatric renal transplantation. Therefore, the aim of the present study was to determine short-term and long-term effects of DGF on allograft outcome in kidney transplanted children. Patients and Method: In this historical cohort study, 230 children who received kidney transplants between 1985 and 2005 in Labafi Nejad Hospital in Tehran were assessed through a mean follow-up period of 60.96(SD=40.46) months (ranging from 1 to 180 months). The children were divided into two groups: 183 children in group B(no DGF) as the control group and 47 patients in group A (DGF) as the case group. Risk factors of DGF and the impact of DGF on renal function within the first year, long-term graft survival, and post-transplantation complications were investigated and compared using Logistic regression model and Kaplan–Meier survival analysis. Results: The incidence of graft failure at the end of follow-up period was significantly higher in DGF group(53.2% vs. 22.4%, P<0.001). The mean graft survival length was 134.2(SEM=6.17) months in group B and 76.52(SEM=12.41) months in group A(P<0.001). The graft survival rate was 94.9%, 91.9%, 83.9%, 79.2% and 72% at 1, 3, 5, 7 and 12 years after transplantation in children without DGF versus 75.6%, 53.2%, 47.2%, 31.9% at 1, 3, 5 and 8 years after transplantation in patients with DGF. Dialysis before transplantation(P=0.039), acute rejection(P<0.001), immunosuppressive protocol without celcept(P<0.001) and the presence of DGF(P<0.001) were found as the significant risk factors for the occurrence of graft failure in the future. Conclusion: The results of our study showed that delayed graft function could remarkably and independently affect graft survival and worsen both short-term and long-term transplantation outcomes. This result is in contrast with the studies that only believe in the effect of DGF on short-term graft survival. However, in our study when patients whose grafts had failed during the first year after transplantation were censored, still significant differences were noted in graft survival between patients with and without DGF. Thus, the prevention of DGF is one of the most important issues in graft survival improvement.


D. Farsi,, M. Mofidi,, N. Kianmehr,, S. Abbasi,, M.a. Zare,, H. Shaker,, M. Rezaee, N. Ashayeri,
Volume 15, Issue 0 (summer 2008)
Abstract

Background & Aim:

departments. Low risk patients can be discharged and receive outpatient treatment if clinical and paraclinical assays are

normal. The recommended pre-discharge evaluations are controversial. However, because of the availability and safety of

bedside echocardiography in emergency departments, we decided to conduct this study.

Unstable angina accounts for about 30% of cardiovascular patients referred to emergency

Patients and Method:

unstable angina and admitted to the Emergency Department of Hazrat Rasoul-e-Akram Hospital. All of the cases

underwent bedside echocardiography before their discharge. Calling the patients one month after their discharge, their

outcomes were recorded. Then we made a comparison between echocardiographic findings and their one-month

outcomes. The data were analyzed via SPSS software using statistical tests such as Fisher, Chi-square and t-test.

This cohort study was done on 140 patients with chest pain who were diagnosed with low risk

Results:

cases) were male. The patients with abnormal echocardiographic findings, i.e. EF(Ejection Fraction)<40% and wall motion

abnormality, had a significantly higher rate of re-hospitalization because of chest pain(p=0.000).

The mean age of the patients was 51.39(SD=10.13) years. 42.1%(59 cases) were female and 57.9%(81

Conclusion:

cardiovascular events in low risk unstable angina patients.

The study shows that bedside echocardiography before discharge is a reliable method for predicting

M.r. Alboeh, M. Tabasi, F. Emani, S.r. Entezry,
Volume 16, Issue 0 (october 2009)
Abstract

  Background and Aim: Many different routes have been introduced for prolonging the duration of axillary block in upper extremity procedures. In this study the effect of adding dexamethasone to lidocaine during axillary plexus block has been studied.

  Patients and Methods: This study was designed and performed as a double blind randomized clinical trial.The patients candidated for upper extremity procedures in Hazrat Fatemeh Hospital operation room, entered the study based on inclusive and exclusive criteria.The patients were divided in to two 30-person groups randomly. For axillary block in the first group (control or lidocaine group), a combination of 34cc lidocaine1.5 %, 2cc sodium bicarbonate and 2cc distilled water was used in the second group(dexamethasone group) the utilized solution was similar to that used in the first group but with 2cc of dexamethasone (8 mg) used instead of distilled water. The onset of sensory, motor and sympathetic block, duration of sensory and intensity of post operative pain was measured and recorded.The data was analysed with SPSS V.13.The quantitative data was displayed with mean and standard deviation. The qualitative data was displayed with frequency.The Chi square and t-tests were used for quality data quantity data, respectively.

  Results: The onset of sensory, motor and sympathetic block was similar in both groups and no significant statistical difference was present.The duration of the block and the time of the first request for analgesia post operatively were meaningfully longer in the dexamethasone group than lidocaine group(control group). Also the intensity of post operative pain from recovery to 6th hour after operation was meaningfully less in dexamethasone group than in control group.

  Conclusion: This study revealed that addition of dexamethasone to the combination of sodium bicarbonate and lidocaine for axillary plexus block can prolong the duration of block.Increase in the duration is more prominent for sensory than motor block. Meanwhile the post operative analgesia in this group was more than lidocaine group.


Z. Taghipour Anvari, A. Shahabbasi,
Volume 16, Issue 0 (December 2009)
Abstract

    Background and Aim: Clonidine has been found to decrease the tourniquet pain and enhance analgesia, when added to lidocaine in Intravenous Regional Anesthesia (IVRA) for upper extremity surgery. Our study evaluates the efficacy of oral clonidine as premedication before IVRA with that of lidocaine for upper extremity surgery and compares it to that of clonidine added as adjunct to lidocaine solution for IVRA.

Patients and Materials: We conducted a prospective randomized double-blinded study on 60 patients undergoing upper extremity surgery under IVRA. Patients were randomized to receive plain lidocaine, 200 mg in 41 ml for IVRA(group IVRA), lidocaine 200 mg in 40 ml plus clonidine 2 µg/kg in 1 ml (group IVRA–C), or plain lidocaine, 200 mg in 41 ml for IVRA plus oral clonidine 2mg as premedication 1.5 hrs before surgery (group IVRA-OC). Patients in the first two groups received a placebo as premedication. Times of proximal tourniquet deflation and distal tourniquet inflation(T1), time of first intraoperative request for analgesics(T2) , time of first postoperative request for analgesics(T3), and the total analgesic consumption were recorded.

SPSS V. 13 was used for statistical analysis. Quantitative data are shown as mean+/- SD and qualitative data are presented with frequency. Chi square and ANOVA tests were used for data analysis. p<0.05 was considered as significant.

Results: In this study 60 patients were divided in to three groups of 20 each. The groups were IVRA, IVRA-C and IVRA–OC. There were no significant differences among the three groups in regard to the demographic characteristics and the duration of surgery. Time duration of proximal cuff deflation and distal cuff inflation was 49.5 +/_ 10.5 minutes in group IVRA–C, which was almost twice that of the other two groups (p= 0.0001). Time for first intraoperative request for analgesics was significantly different (longer) in group IVRA–C as compared to group IVRA p= 0.01). Time for first postoperative request for analgesics and the total analgesic consumption were significantly longer and lower, respectively in group IVRA-OC  (p = 0.0001).

Conclusion: The addition of clonidine to lidocaine for IVRA, delays the onset of tourniquet pain and decreases analgesic consumption for tourniquet pain relief intraoperatively. Oral clonidine, on the other hand, is mostly effective in postoperative pain relief. 


A Hasani, M.m Zaheri, M Abbasi, H Saeedi, M Hosseini, M Fathi,
Volume 16, Issue 0 (1-2010)
Abstract

  Background & Aim: The stressful environment of the emergency department exposes the staff to the hazards posed by physical and verbal violence.This can affect not only the job security and satisfaction among the personnel but also the service and care offered to the patients. This study has been designed to determine the incidence rate of physical and verbal violence inflicted by patients and their companions on the emergency department personnel of Hazrate-e-Rasoul Hospital in the fourth trimester of the year 1385.

  Patients and Method: In this cross-sectional descriptive study, all the emergency department staff of Hazrat-e-Rasoul Hospital were asked to fill in a questionnaire about experiencing physical and verbal violence in the last trimester of the year 1385. 166 respondents included 17 attending physicians, 33 residents, 15 interns, 32 nurses, 15 ancillary staff, 20 laboratory technicians, 10 radiology technicians, 18 security guards and 6 orderlies. Data were collected and analyzed using SPSS software version 15 , t-test and Chi-square.

  Results: The mean age of the staff was 32.20‌±7.67 years. 39% of the subjects were female and 61% were male. 77.5% had experienced verbal or physical violence at least once.The mean rate of verbal violence in the fourth trimester of the year 1385 was 31.1 times. 74% of verbal assaults were committed by men and 26% by women. 15.93% of the emergency department staff had experiences of physical violence in this trimester, and in 78% of the cases the violent person was a man and in 22% of the cases a woman. 13% of the emergency staff felt a high degree of security during their shift work, 52% felt a moderate degree of security, 27% felt a low grade of security and 8% felt no security during their shift work. 96.15% of the staff had received no education in this regard, and 87.4% reported that they think security measures provided to decrease violence in emergency department are insufficient.

  Conclusion: This study shows that the incidence of violence in emergency department is high and this is a concern for the emergency department staff. Most of the violent behaviors which were displayed by patients’ companions can be controled by considering a good waiting area for them and avoiding their crowding in the ward.


R Karimzadeh Ghassab, L Hosseini Gohari, M Firoozrai, A Zavareii, H.a. Basiri,
Volume 16, Issue 0 (2-2010)
Abstract

  Background & Aim :Low density lipoprotein (LDL) particles are heterogenous with respect to their size,density and lipid composition. Among LDL particles ,the smaller and denser LDLs (small dense (sd)LDL) are believed to be atherogenic since these particles are taken up more easily by arterial wall.They are readily oxidized and have reduced affinity for LDL receptor and increased affinity for arterial proteoglicans. Therefore, they are strongly associated with development of coronary artery disease(CAD).The aim of this study was to compare sdLDL levels in CAD patients and healthy individuals.

  Patients and Method: In this comparative cross-sectional and case-control study, the sdLDL levels were determined in 86 patients with coronary stenosis,35 patients without coronary stenosis confirmed by angiography, and 30 healthy individuals. SdLDL was measured by a direct homogenous LDL-C assay in the supernatant of serum that remained after heparin-magnesium precipitation.

  Results: The results of ANOVA test showed that the sdLDL levels were higher in patients with coronary stenosis than patients without coronary stenosis and healthy individuals(21.54±7.1 mg/dl,16.88±4.4 mg/dl and 15.45±5 mg/dl respectively, p=0.001). In addition, linear regression analysis and Pearson correlation coefficient revealed that sdLDL levels were positively correlated with serum triglyceride (r=0.494),total cholesterol(r=0.354) and LDL-C(r=0.749) and were inversely correlated with HDL-C(r=-0.586) (p<0.01).

  Conclusion: The results suggest that patients with increased levels of sdLDL are at high risk for coronary artery stenosis.


M Mashayekhian, S Abbasi, D Farsi, M Jafarinadushan, H Saeedi, M Zare,
Volume 17, Issue 77 (11-2010)
Abstract

Background: Pneumothorax may be associated with penetrating or blunt chest traumas' that need early diagnosis and treatment. Today the diagnosis modalities are CXR and CT-Scan that are not suitable for unstable patients. Chest sonography can be a fast diagnostic method at patient bedside. The purpose of this study was to evaluate the accuracy of bedside ultrasonography in diagnosis of pneumothorax.

Methods: In this prospective study, 60 cases suspicious of pneumothorax were included in study. Bedside ultrasonography was performed for all the cases. Sonography site was between parasternal and midclavicular lines in 2nd to 4th intercostals spaces of both thoracic sites and performed between 5-10 respiratory cycles. Gold standard results for definite diagnosis were: positive results of chest X ray, chest CT scan and/or air leak after needle or tube thoracostomy. In suspicious results, CT scan was done. Data were analyzed accordingly with statistic tests of “Chi-Square” and “Fisher’s Exact Test”. SPSS V.12 was also used.

Results: Trauma mechanism in 5 cases (8.3%) was stab wound, and in 53 cases(88.3%) multiple trauma there was 1 case of tuberculosis and 1 case of blunt chest trauma as well. Eleven out of the 12 pneumothorax cases (proven by chest Xray or CT scan) were diagnosed by bedside sonography. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of bedside ultrasonography for diagnosis of pneumothorax were 91.6%, 100%, 100%, 97.9% and 98.6%, respectively.

Conclusion: With respect to the results of this study and previous studies, bedside ultrasonography is a good method for diagnosis of pneumothorax.


Reza Mahdavi-Zafarghandi, Reza Abbasioun, Behnam Shakiba,
Volume 19, Issue 101 (11-2012)
Abstract

  Background : The etiolog y, pathophysiology and treatment of Peyronie’s disease remain unknown. Few medical therapies have positive effect on this condition. However, penile curvature is the major symptom of Peyronie’s disease, which can be treated by surgical reconstruction. There are many surgical techniques for correcting penile deformity but ther e is the lack of a gold standard procedure. We present a surgical technique to correct penile deformity in Peyronie’s disease.

  Methods: In this case series study, w e treated 14 patients with stable Peyronie’s disease with significant curvature that precluded intercourse. We excised the fibrous area and the gap wa s covered with a graft removed from the crural segment of the corpora cavernosa.

  Results: In 3, 6 and 12 months follow-up there were straightening of penis in 92.8, 92.8 and

  78. 2% of patients and acceptable erectile function in 100, 92.8 and 85.7% , respectively . Thirteen and eleven of 14 patients were satisfactory with the cosmetic and functional result of surgery , respectively . No severe perioperative complication was noted.

  Conclusion: Present technique may be consider ed as a treatment option in patients with curvature due to Peyronie’s disease. Tunica albuginea auto graft from crural segment seems to be an appropriate grafting material for this technique.


Rahim Ahmadi, Maedeh Belbasi, Mahyar Mafi,
Volume 19, Issue 102 (12-2012)
Abstract

Background: Studies show that there are relations between various types of stress and liver function. The main aim of this study was to determine the effects of immobilization stress and Aloe vera extract on serum level of Serum Glutamic Pyruvic Transaminase (SGPT) and Serum Glutamic Oxaloacetic Transaminase (SGOT) in male rats.

  Methods: In this laboratory experimental study, male Wistar rats were randomly divided into control, Aloe vera extract or normal saline receiving, under acute or chronic immobilization animals of 5 in each group. After 6 weeks blood samples were collected using cardiac puncture method. Following serum collection, SGOT or SGPT level was measured by spectrophotometry method. Data were statistically analyzed and compared between groups using ANOVA.

  Results: Serum SGOT level was significantly increased in rats enduring acute or chronic immobilization animals compared with control rats (p<0.01 and p<0.001, respectively). Serum level of SGOT level was significantly increased (p<0.01) and of SGPT was significantly decreased (P<0.01) in extract receiving animals compared with control rats (p<0.001).

  Conclusion: Our findings indicate that immobilization and Aloe vera extract is serum SGOT enhancer. In this respect, in clinical considerations, pathological effects of immobilization or Aloe vera intake is important in the field of SGOT biochemical alteration.



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