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Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Title: 
Author(s): 

Issue Info: 
  • Year: 

    0
  • Volume: 

    34
  • Issue: 

    371
  • Pages: 

    -
Measures: 
  • Citations: 

    0
  • Views: 

    694
  • Downloads: 

    0
Keywords: 
Abstract: 

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2016
  • Volume: 

    34
  • Issue: 

    371
  • Pages: 

    80-89
Measures: 
  • Citations: 

    0
  • Views: 

    695
  • Downloads: 

    0
Abstract: 

Background: Coexistent involvement of cervical and lumbar spine with destructive spondylotic degenerative processes such as tandem spinal stenosis (TSS) can be managed with simultaneous or staged decompressions; though, a controversy exists regarding the surgical staging strategy and limited research is available on its operative management which are mostly retrospective. This randomized clinical trial was conducted to compare outcomes of simultaneous decompression, fusion and instrumentation of cervical and lumbar spine versus 2-stage operations.Methods: Twenty patients with TSS were randomly assigned to either of two groups; in the 1-stage group, simultaneous decompression, fusion and instrumentation of both cervical and lumbar spine were performed by two teams in a single operation. The 2-stage group underwent staged cervical and lumbar surgeries in 2 separate operations. Combined blood loss, transfused packed cells, operation time, recovery time, days of hospitalization, overall expenses, Oswestry Disability Index (ODI) and complications were compared between the two groups.Student T-test, Chi-square test and Pearson correlation were used for analyzing the data.Findings: Operation time, recovery time, days of hospitalization and overall expenses were significantly reduced in 1-stage surgery group. There were no significant differences between the two groups in terms of combined blood loss, transfused packed cells or postoperative complications. Early cervical and lumbar clinical outcomes which were evaluated by Oswestry neck and back disability index, respectively, were similar in two groups (P>0.05).Conclusion: Single-stage surgery had comparable clinical outcomes compared to 2-stage operations without exposing the patients to unnecessary risks.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2016
  • Volume: 

    34
  • Issue: 

    371
  • Pages: 

    90-97
Measures: 
  • Citations: 

    0
  • Views: 

    813
  • Downloads: 

    0
Abstract: 

Background: Shivering is one of the most common post-operative complications, which, not only puts the patients to discomfort but may also lead to secondary complications such as suture releasing. Thus, several treatments like pethidine, ketamine and ondansetron were recommended for its prevention, but the three drugs are not compared in any previous studies. The aim of this study was to compare the preemptive effect of pethidine, ketamine and ondansetron on the prevention of post-operative shivering in patients undergoing abdominal surgery with general anesthesia.Methods: In a clinical trial study, during 2014-2015 in Alzahra hospital, Isfahan, Iran, 105 patients were selected and randomly divided in three groups of 35. The first, second and third groups received 0.5 mg/kg pethidine, 0.5 mg/kg ketamine and 8mg ondansetron, respectively, before abdominal surgery. Incidence of postoperative shivering was measured and compared between the three groups.Findings: None of the patients in pethidine group suffered from post-operative shivering but 3 (8.6%) of ketamine and 3 (8.6%) of ondansetron had post-operative shivering (P=0.240). Shivering intensity in 3 (8.6%) of ketamine and 2 (5.7%) of ondansetron were mild, also 1 (2.9%) of ondansetron group had moderate shivering and frequency distribution of post-operative shivering was not statistically difference between the three groups (P=0.370).Conclusion: All three groups of pethidine, ketamine and ondansetron have positive effect on prevention of postoperative shivering in abdominal surgeries and can be used based on patients’ physical status, diagnosis of anesthesiologist and surgeon, cost and drug availability.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2016
  • Volume: 

    34
  • Issue: 

    371
  • Pages: 

    98-105
Measures: 
  • Citations: 

    0
  • Views: 

    698
  • Downloads: 

    0
Abstract: 

Background: Several factors are related to emergency ward overcrowding and re-hospitalization may probably play a considerable role in this problem. Thus, the aim of this study was to determine re-hospitalization frequency and related factors in patients discharged in less than 12 hours from Alzahra hospital emergency service in Isfahan, Iran.Methods: This is an applied cross sectional study of patients who referred to Alzahra hospital emergency department in Isfahan during 2015 spring and summer. In this study, 400 hospital records were randomly selected and studied for re-hospitalization. Demographic and other information including the interval between two referrals, cause of the first and second hospitalization, kind of discharge and other needed information were collected. If the causes of primary and secondary referrals were the same and the interval between the two was also less than one week, it was regarded as incomplete treatment. Finally, the data was analyzed by SPSS software.Findings: 54 patients (13.5%) had re-hospitalization and the mean interval between the two referrals was 7.4±5.8 days. In 30 of these patients (55.6%), the second referral was in less than 7 days. Re-hospitalization was different based on patients’ age and more frequent in those with less than 50 years. This was also different based on their job, education and types of discharge in the first admit.Conclusion: A considerable part of patients who referred to emergency ward had re-hospitalization which was related to primary diseases in almost 50% of them and this repeated refers leads to emergency overcrowding and increase of hospital cost. On the other hand, a part of this repeated hospitalization is due to incorrect management of patients in emergency ward which is due to factors related to patients and the hospital. Thus, patient who referred to emergency ward must be managed and diagnosed correctly and receive the required treatment on time.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2016
  • Volume: 

    34
  • Issue: 

    371
  • Pages: 

    106-113
Measures: 
  • Citations: 

    2
  • Views: 

    959
  • Downloads: 

    0
Abstract: 

Background: The aim of this study was to investigate organ absorbed dose for the patients undergoing routine x-ray imaging procedures in hospitals under the control of Yasuj University of Medical Sciences, Iran, in year 2014 using experimental measurement and Monte Carlo calculations.Methods: Entrance surface dose for three common radiology examinations in five radiology centers was measured. The entrance surface dose was measured in 12 randomly selected patients (male and female) for each x-ray examination. Patients were not exposed to any additional radiation and the radiographs were used for diagnostic purposes.Findings: The entrance surface dose for the chest x-ray examinations were found to be in the range of 0.29 to 1.284 mGy. The ESD values for the skull examinations were in the range of 1.96 to 3.8 mGy. For both chest and skull examinations, females received the maximum imposed radiation dose.Conclusion: The results of the present study indicate a need for quality control (QC) and quality assurance (QA) programs to be undertaken to avert high cost and high patient doses. The recommendations to avoid unnecessary radiation exposure are also needed to decrease the patient’s absorbed dose.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2016
  • Volume: 

    34
  • Issue: 

    371
  • Pages: 

    114-119
Measures: 
  • Citations: 

    0
  • Views: 

    1593
  • Downloads: 

    0
Abstract: 

Background: Cutaneous benign lymphoid hyperplasia (CLH) is a B-cell pseudolymphoma of unknown origin and the most involving site is the face.Case Report: This report presents 4 CLH patients treated with rituximab.Conclusion: Rituximab may be useful for resistant or relapsing forms of CLH who failed other forms of therapy.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

View 1593

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic ResourcesDownload 0 مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic ResourcesCitation 0 مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic ResourcesRefrence 0
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