Journal of Research in Clinical Medicine最新文献_第4页

Illness anxiety: The missing point of the COVID-19 pandemic 疾病焦虑:COVID-19大流行的缺失点

Journal of Research in Clinical Medicine Pub Date : 2023-07-02 DOI: 10.34172/jrcm.2023.33340

Z. Mousavi, P. Amiri, K. Shahsavarinia, H. Soleimanpour

引用次数: 0

Evaluation of the development of emergency response skills of intern doctors after emergency medicine internship: A prospective cross-sectional study 急诊医学实习后实习医生应急技能发展评估:一项前瞻性横断面研究

Journal of Research in Clinical Medicine Pub Date : 2023-06-01 DOI: 10.34172/jrcm.2023.33372

Fatma Tortum, A. Bayramoğlu, Hatice Kubra Tasci, Kamber Kaşali

{"title":"Evaluation of the development of emergency response skills of intern doctors after emergency medicine internship: A prospective cross-sectional study","authors":"Fatma Tortum, A. Bayramoğlu, Hatice Kubra Tasci, Kamber Kaşali","doi":"10.34172/jrcm.2023.33372","DOIUrl":"https://doi.org/10.34172/jrcm.2023.33372","url":null,"abstract":"Introduction: Although there are many forms of education, learning by doing is one of the most efficient ways of learning in the field of medicine. In Turkey, intern doctors can perform and observe many emergency interventions in the presence of supervisors during their emergency service internship. This study aimed to examine whether intern doctors have developed the necessary emergency response skills concerning some vital situations after emergency medicine internship involving their applied training and observation. Methods: This prospective cross-sectional study was conducted between June 2, 2022, and September 1, 2022, in the emergency department of a tertiary hospital. In the study, the emergency response skills of intern doctors were measured with a questionnaire prepared using scenarios in which emergency situations were described. Results: The participants’ emergency response skills were improved in the most of emergencies described in the questionnaire. However, there was no significant improvement in emergency intervention skills related to the approach to ventricular tachycardia and multi-trauma patients (P=0.771 and P=0.45, respectively). Conclusion: Doctors doing internship in the emergency medicine clinic receive both theoretical and applied training, which increase their ability to respond to emergency situations. However, there is a need to identify emergency situations in which internship training does not sufficiently improve intervention skills and try new methods to improve the related skills.","PeriodicalId":17071,"journal":{"name":"Journal of Research in Clinical Medicine","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87006612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of gray-scale ultrasound and elastography in differentiating benign from malignant axillary lymph nodes in patients with breast cancer 灰度超声和弹性成像在鉴别乳腺癌患者腋窝淋巴结良恶性中的作用

Journal of Research in Clinical Medicine Pub Date : 2023-05-22 DOI: 10.34172/jrcm.2023.31890

J. Jalili, Abolhassan Shakeri Bavil Olyaei, Hamideh Hosseinpour Feizi, Batoul Siefi, Bahman Mohammadzadeh, Soroush Mostafavi, Armin Zarrintan

{"title":"The role of gray-scale ultrasound and elastography in differentiating benign from malignant axillary lymph nodes in patients with breast cancer","authors":"J. Jalili, Abolhassan Shakeri Bavil Olyaei, Hamideh Hosseinpour Feizi, Batoul Siefi, Bahman Mohammadzadeh, Soroush Mostafavi, Armin Zarrintan","doi":"10.34172/jrcm.2023.31890","DOIUrl":"https://doi.org/10.34172/jrcm.2023.31890","url":null,"abstract":"Introduction: Breast cancer is one of the most common cancers in women. Involvement of regional lymph nodes by breast cancer has shown to be a significant marker in the overall diagnosis of patients. In this study, we aimed to investigate the role of gray-scale ultrasound and elastography in discriminating benign from malignant axillary lymph nodes in patients with breast cancer. Methods: In this analytical study, patients with breast cancer who were referred to sonography ward of a tertiary medical educational center and found to have suspicious lymph nodes were investigated. Formal properties were evaluated by grayscale ultrasound and tissue properties were assessed by elastography. Biopsies were performed on all cases and suspicious tissues were removed. Results: This study was conducted on 50 patients with the mean age of 48.54±10.58 years. 52% of patients had a mass in their right breast and the most prevalent type of breast cancer was intra-ductal carcinoma. 60% of the lymph nodes were reported to be malignant. In 56% of the lymph nodes, grayscale ultrasound tests demonstrated unusual findings and the most common finding was the removal of fat from lymph node hilum. Moreover, elastography results indicated that 36% of the cases have grade 4 (blue) lesions. Conclusion: This study indicated that grayscale ultrasound and elastography have high sensitivity and specificity in detecting metastatic lymph nodes. This finding was in line with the findings reported in many of the previous studies.","PeriodicalId":17071,"journal":{"name":"Journal of Research in Clinical Medicine","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84726891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The diagnostic value of RDW in appendicitis RDW对阑尾炎的诊断价值

Journal of Research in Clinical Medicine Pub Date : 2023-05-21 DOI: 10.34172/jrcm.2023.32102

M. Pouraghaei, P. Moharamzadeh, Hadi Khoshakhlagh, Yaghoub Asheghvatan

{"title":"The diagnostic value of RDW in appendicitis","authors":"M. Pouraghaei, P. Moharamzadeh, Hadi Khoshakhlagh, Yaghoub Asheghvatan","doi":"10.34172/jrcm.2023.32102","DOIUrl":"https://doi.org/10.34172/jrcm.2023.32102","url":null,"abstract":"Introduction: Diagnosis of acute appendicitis is based on clinical manifestation .Some patients have atypical clinical symptoms, and diagnosis is difficult. Red blood cell distribution width (RDW) is a measure of heterogeneity in the size of circulating red blood cells. The aim of this study was to evaluate RDW values in diagnosis of appendicitis. Methods: This is a retrospective case-control study, in which 399 patients with pathological diagnosis of appendicitis were divided into two groups of acute appendicitis and complicated appendicitis and compared with 400 healthy controls for appendicitis. RDW, white blood cell (WBC), platelet count (PLT), and hemoglobin changes were compared in three groups of patients. Results: In all three groups, the ratio of men was significantly higher than women (P<0.05). WBC (P=0.00), PLT (P=0.01), and RDW (P=0.01) had a significant difference between the three groups. However, there was no significant difference in the hemoglobin level between the three groups (P=0.3). RDW level was significantly higher in complicated appendicitis compared to acute (P=0.09) and control group (P=0.012). Conclusion: The results of this study showed that RDW value in three groups were significantly different. However, these values are not clinically useful for detecting appendicitis due to the slow progression of RDW value in patients.","PeriodicalId":17071,"journal":{"name":"Journal of Research in Clinical Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89163842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of flipped classroom on medical students’ semiology knowledge and skills 翻转课堂对医学生符号学知识与技能的影响

Journal of Research in Clinical Medicine Pub Date : 2023-05-15 DOI: 10.34172/jrcm.2023.32212

Hamidreza Morteza Bagih, Fariba Abdollahi, Hossein Ghanaat

{"title":"Effect of flipped classroom on medical students’ semiology knowledge and skills","authors":"Hamidreza Morteza Bagih, Fariba Abdollahi, Hossein Ghanaat","doi":"10.34172/jrcm.2023.32212","DOIUrl":"https://doi.org/10.34172/jrcm.2023.32212","url":null,"abstract":"Introduction: Flipped classrooms make learners eager to learn actively. it is based on learner-based and active learning methods. The flipped classroom is an educational strategy and a kind of hybrid learning that turns education into a learner-based model in which the class time is spent exploring topics and creating engaging learning opportunities. Methods: During an interventional quasi-experimental research, 90 medical students entered the study. The intervention and control group received flipped classroom and traditional education, respectively. The knowledge and skills of the participants were assessed by a standard checklist approved by the Ministry of Health. Data analysis was done by analytical statistical test after data collection. Results: the mean score of students’ knowledge in performing adult examination, obtaining medical history, and pediatric examinations in all three areas between the two groups after the intervention and two months later was statistically significant (P<0.001). there was a statistically significant difference between the mean scores of students’ skills in performing adult examinations in all three areas (P≤0.001) so that the mean skill score of adult examinations was higher in the intervention group than the control group. there was a statistically significant difference between the mean scores of students’ skills in obtaining medical history (P≤0.001) so that the mean skill score of obtaining medical history was higher in the intervention group than the control group. Also, there was a statistically significant difference between the mean scores of students’ skills in performing pediatric examinations (P≤0.001) so that the mean skill score of pediatric examinations was higher in the intervention group than the control group. Conclusion: Flipped classroom increases knowledge, improves skills in instructing practical semiotics to medical students of physiopathology grade.","PeriodicalId":17071,"journal":{"name":"Journal of Research in Clinical Medicine","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90312252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of volume-controlled and pressure-controlled ventilation during laryngeal mask airway anesthesia in cataract surgery 白内障手术中喉罩麻醉时容量控制通气与压力控制通气的比较

Journal of Research in Clinical Medicine Pub Date : 2023-05-11 DOI: 10.34172/jrcm.2023.33287

Roghayeh Yaghoubi Saghezchi, A. A. Ghamari, Shadi Irankhah Shiraz, Omid Randjbar Daemi, A. Fathi

{"title":"Comparison of volume-controlled and pressure-controlled ventilation during laryngeal mask airway anesthesia in cataract surgery","authors":"Roghayeh Yaghoubi Saghezchi, A. A. Ghamari, Shadi Irankhah Shiraz, Omid Randjbar Daemi, A. Fathi","doi":"10.34172/jrcm.2023.33287","DOIUrl":"https://doi.org/10.34172/jrcm.2023.33287","url":null,"abstract":"Introduction: Most patients undergoing eye surgery are elderly adults with underlying cardiovascular diseases. One of the complications during recovery is gastric insufflation, which can cause detrimental effects on cardiovascular patients. The present study compares two methods of volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV). Methods: The study enrolled 81 patients undergoing cataract surgery (41 in the PCV group and 40 in the VCV group). According to the American Society of Anaesthesiologists (ASA) classes I and II received general anaesthesia and laryngeal mask airway (LMA) ventilation using VCV or PCV. Maximum pressure (Ppeak), dynamic compliance, expiratory tidal volume, Spo2, non-invasive blood pressure, heart rate, and pain in the epigastrium and umbilical region were monitored at intervals of 1, 5, 10, and 20 minutes after the initiation of anaesthesia and the results of two groups were compared. Results: The means of Ppeak and tidal volume in the PCV group as well as the means of dynamic compliance and end-tidal carbon dioxide (EtCO2) in the VCV group were significantly high. The mean diastolic blood pressure was significantly different between two groups at 20th minute. There were no significant differences in heart rate, mean systolic blood pressure, arterial oxygen saturation, or abdominal pain between two study groups. Conclusion: VCV had a lower Ppeak and a higher dynamic compliance, but PCV had a larger tidal volume and lower EtCO2. There were no differences in terms of abdominal and umbilicus pain, as well as hemodynamic parameters, between two groups.","PeriodicalId":17071,"journal":{"name":"Journal of Research in Clinical Medicine","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84371741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The progress and research trends in oncolytic virotherapy: The bibliometric analysis from 2000 to 2019 溶瘤病毒治疗的进展与研究趋势:2000 - 2019年文献计量学分析

Journal of Research in Clinical Medicine Pub Date : 2023-05-02 DOI: 10.34172/jrcm.2023.32123

Waseem Hassan, M. Rasekhian, K. Azadmanesh, Aysa Rezabakhsh

引用次数: 0

Evaluation of neurological symptoms of acute tramadol poisoning and its relationship with laboratory findings 急性曲马多中毒的神经系统症状及其与实验室结果的关系

Journal of Research in Clinical Medicine Pub Date : 2023-03-25 DOI: 10.34172/jrcm.2023.32201

Paria Habibollahi, Masoumeh Poureskandari, Mahsa Makouie, H. Amiri, O. Delice, Aylar Rahimi

{"title":"Evaluation of neurological symptoms of acute tramadol poisoning and its relationship with laboratory findings","authors":"Paria Habibollahi, Masoumeh Poureskandari, Mahsa Makouie, H. Amiri, O. Delice, Aylar Rahimi","doi":"10.34172/jrcm.2023.32201","DOIUrl":"https://doi.org/10.34172/jrcm.2023.32201","url":null,"abstract":"Introduction: Tramadol is a unique opioid and the most prescribed opioid worldwide. Tramadol-related overdose and death have been increased in several countries. Due to the high level of tramadol use, misuse, and overdose in Iran, and considering the cost and time spent doing laboratory tests for all patients, this study aimed to investigate the possible relationship between changes in laboratory findings of patients poisoned by tramadol and their neurological manifestations to evaluate the need for these tests. Methods: This was a cross-sectional descriptive study of patients with acute tramadol poisoning who were referred to the Emergency department of Sina hospital, Tabriz, Iran from March 2020 to March 2021. Lab tests taken from the patient in the emergency department were recorded. Meanwhile, the patients’ neurological symptoms were noted. And demographic information of patients was collected in a predesigned checklist and was analyzed by IBM® SPSS® 20.0 release software. Results: A total of 95 patients including 76.8% male and 23.2% female with an average age of 28.26±10.57 were admitted to the emergency department. The most common symptoms of neurological impairment experienced by patients were seizure (32.6%) and decreased level of consciousness (38.8%). There was no relationship between the neurological symptoms of tramadol poisoning with neither arterial blood gas characteristics nor hematological factors (P>0.05). Conclusion: The neurological manifestations of tramadol poisoning were not related to arterial blood gas characteristics such as PH, PCO2, PO2, and HCO3−. Also, there was no relationship between hematological factors including white blood cell (WBC), red cell distribution width (RDW), platelets (Plt), sodium (Na), potassium (K) and blood sugar (BS), and neurological symptoms caused by acute tramadol poisoning. Therefore, requesting these tests during tramadol poisoning should be reconsidered.","PeriodicalId":17071,"journal":{"name":"Journal of Research in Clinical Medicine","volume":"312 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77956820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of nursing phone counseling on depression and anxiety in family caregivers 护理电话咨询对家庭照顾者抑郁和焦虑的影响

Journal of Research in Clinical Medicine Pub Date : 2023-03-18 DOI: 10.34172/jrcm.2023.32060

H. Amiri, Sirous Panahi, Shirin Nasrolahnejhad Tasoj, F. Kazemi, S. Haghani, Mahsa Makouie

{"title":"The impact of nursing phone counseling on depression and anxiety in family caregivers","authors":"H. Amiri, Sirous Panahi, Shirin Nasrolahnejhad Tasoj, F. Kazemi, S. Haghani, Mahsa Makouie","doi":"10.34172/jrcm.2023.32060","DOIUrl":"https://doi.org/10.34172/jrcm.2023.32060","url":null,"abstract":"Introduction: Family caregivers play a large supportive role in the care of patients suffering from special conditions, such as trauma and stroke. This makes them to be at risks of variety of mental disorders such as anxiety and depression. Effective communication and nursing consulting can play an important role in managing anxiety and depression in family caregivers. The aim of this study was to investigate the effect of tele-counseling on the improvement of depression and anxiety in family caregivers of patients with trauma and stroke. Methods: This is a clinical trial study with 80 caregivers of stroke survivors discharged from Hospital. Inclusion criteria included being the primary caregiver, over 15 years of age, lack of cognitive impairment (dementia and delirium), lack of mourning experience for the past 6 months, and patient care for at least 2 months at home. Study tools included Beck Anxiety and Depression Inventory. The data were analyzed using t test, Mann-Whitney U, Wilcoxon and ANOVA tests in SPSS software. Results: In the experimental group, there was a significant decrease in levels of depression and anxiety of family caregivers of traumatic patients, but no significant difference was observed in the control group before and after the intervention. Conclusion: Nursing telephone consulting reduced the level of depression and anxiety of family caregivers of traumatic patients. Therefore, the development of desirable protocols for tele-counseling to support acute and chronic disease caregivers is suggested.","PeriodicalId":17071,"journal":{"name":"Journal of Research in Clinical Medicine","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89435554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Femoral mononeuropathy post kidney transplants a very rare surgical complication in kidney transplantation: A case report 肾移植术后股单神经病变是肾移植手术中一种非常罕见的并发症

Journal of Research in Clinical Medicine Pub Date : 2023-03-01 DOI: 10.34172/jrcm.2023.32070

A. Zomorrodi, K. Hassanzadeh

引用次数: 0