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A comparative study on mental health problems of talented junior and ordinary high school students in Semnan, Iran 伊朗塞姆南地区初中生与普通高中生心理健康问题的比较研究
Koomesh journal Pub Date : 2021-07-01 DOI: 10.52547/koomesh.23.4.520
M. Paknazar, M. Mirmohammadkhani, N. Sotodehasl, M. Ashouri, B. Behnam, Fatemeh Paknazar
{"title":"A comparative study on mental health problems of talented junior and ordinary high school students in Semnan, Iran","authors":"M. Paknazar, M. Mirmohammadkhani, N. Sotodehasl, M. Ashouri, B. Behnam, Fatemeh Paknazar","doi":"10.52547/koomesh.23.4.520","DOIUrl":"https://doi.org/10.52547/koomesh.23.4.520","url":null,"abstract":"Introduction : Mental health in students is related to several factors. The study was conducted to investigate the mental health problems of talented students in special schools and students from ordinary ones in Semnan province in Iran (2019). Materials and Methods : In a cross-sectional study using cluster sampling, a group of junior high school students were evaluated using the strengthens and difficulties questionnaire (SDQ) for evaluation of mental health in five domains: emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems and prosocial behavior. Results: From 24 selected public schools, 624 students (304 boys and 320 girls) participated in the study. The relative frequency of problems in special schools (291 people) was 18.6% (95% CI: 14.1 to 23.0) and in ordinary schools (331 people) was 30% (95% CI: 25.1 to 34.9) ( P <0.001). The overall prevalence of problems after population weighting was estimated at 28.8%. Talented students showed better status in the areas of emotional and conduct ( P <0.001). Adjusting for other variables education in ordinary schools was associated with a significant increase in the chance of having mental health problem (Adjusted OR=1.90, 95% CI: 1.06, 3.42; P =0.032) Conclusion: Differences in the prevalence of mental health problems may be partly related to individual and the school environment differences. However, the role of socio-economic differences should not be ignored. Given the relatively high prevalence of mental health problems, it is recommended that more attention be paid to effective and periodic screening and monitoring of students, especially in ordinary schools.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129002298","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: 1
Assessment of type 2 diabetes patients’ self-care status learned based on the national diabetes control and prevention program in health centers of a selected city, Iran 基于伊朗某城市卫生中心国家糖尿病控制和预防项目的2型糖尿病患者自我保健状况评估
Koomesh journal Pub Date : 2021-07-01 DOI: 10.52547/koomesh.23.4.465
Roghayeh Ershad Sarabi, Z. Mokhtari, Ahmad Naghibzadeh Tahami, V. Borhaninejad, Ali Valinejadi
{"title":"Assessment of type 2 diabetes patients’ self-care status learned based on the national diabetes control and prevention program in health centers of a selected city, Iran","authors":"Roghayeh Ershad Sarabi, Z. Mokhtari, Ahmad Naghibzadeh Tahami, V. Borhaninejad, Ali Valinejadi","doi":"10.52547/koomesh.23.4.465","DOIUrl":"https://doi.org/10.52547/koomesh.23.4.465","url":null,"abstract":"","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123785864","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: 2
Antinociceptive and anti-inflammatory, and acute toxicity effects of Asparagus persicus essential oil in male mice 芦笋精油对雄性小鼠的抗伤、抗炎及急性毒性作用
Koomesh journal Pub Date : 2021-07-01 DOI: 10.52547/koomesh.23.4.474
A. Fallahzadeh, S. Mohammadi
{"title":"Antinociceptive and anti-inflammatory, and acute toxicity effects of Asparagus persicus essential oil in male mice","authors":"A. Fallahzadeh, S. Mohammadi","doi":"10.52547/koomesh.23.4.474","DOIUrl":"https://doi.org/10.52547/koomesh.23.4.474","url":null,"abstract":"Introduction : In Iranian traditional medicine, Asparagus persicus has been used for treating rheumatic pain and inflammation. The aim of this study was to evaluate the analgesic and anti-inflammatory as well as acute toxicity effects of Asparagus persicus root essential oil (APEO) in male mice. Materials and Methods : Male adult mice were used. In pain assessment tests (writhing, tail-flick, and formalin tests), animals divided to the six groups: control/vehicle (Tween 80+distilled water), three groups treated with the APEO (100, 200, and 400 mg/kg, gavage/oral treating), morphine (i.p.), and naloxone (i.p.) plus APEO (400 mg/kg). Moreover, inflammation test (xylene and carrageenan tests), animals divided to five groups: control, three groups of APEO (orally), and dexamethasone (i.p.). For toxicity tests, the animals were divided to the six groups. Results: Results showed that APEO at a dose of 400 mg/kg in writhing and tailflick tests induced an antinociceptive effect as compared with the control (P<0.01). In addition, in xylene test, treatment with doses of 200 and 400 mg/kg of APEO reduced significantly the amount of mice ear inflammation compared to the control group. No acute acute toxicity of APEO was found. Conclusion: Our findings suggests that APEO has antinociceptive and anti-inflammatory effects in male mice.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130667787","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: 1
Death risk classifying in patients with internal medical emergencies in pre-hospital settings 院前内科急诊患者死亡风险分类
Koomesh journal Pub Date : 2021-07-01 DOI: 10.52547/koomesh.23.4.456
Seyed Mohammad-Taghi Shahcheragh, A. Ebrahimian, A. Fakhr-Movahedi
{"title":"Death risk classifying in patients with internal medical emergencies in pre-hospital settings","authors":"Seyed Mohammad-Taghi Shahcheragh, A. Ebrahimian, A. Fakhr-Movahedi","doi":"10.52547/koomesh.23.4.456","DOIUrl":"https://doi.org/10.52547/koomesh.23.4.456","url":null,"abstract":"كچ ي هد :فده شيپ سناژروا رد د يلخاد ناراميب يياسانش يناتسراميب ميمصت ذاختا هب کمک و رطخ ضرعم ر ه .دراد تيمها بسانم يا شور زا يکي ياه هک ي طيحم رد بسانم تاميمصت ذاختا هب شيپ ياه يم کمک يناتسراميب حطس ،ديامن هک تسا يتارطخ يدنب ب يم ديدهت ار هزوح نيا نارامي حطس فده اب هعلاطم نيا اذل .دنک دنب طيحم رد يلخاد ناراميب گرم رطخ ي سناژروا ياه شيپ دش ماجنا يناتسراميب . شور و داوم :اه کي هعلاطم نيا اطم هدنيآ يلوط عون زا يفيصوت هعل لاس هام دادرم رخآ ات تشهبيدرا لوا زا هک دوب رگن 1398 .ديماجنا لوط هب 675 رد راميب هنومن .دندومن تکراشم هعلاطم نيا هب يريگ ناراميب نيب زا يلاوتم و يفداصتريغ ،دنمفده تروص اقتم يلخاد شيپ سناژروا تامدخ زا هدافتسا يض اجنا ،يناتسراميب شسرپ شهوژپ نيا رد هدافتسا دروم ياهرازبا .دش م همان ياه تيعمج يتخانش يروف رادشه سايقم و يراميب ت شيپ يلخاد ياه هداد يروآدرگ .دوب يناتسراميب نيسنکت طسوت اه سناژروا ياه شيپ سناژروا شخب زا صيخرت نامز ات ناراميب تيعضو سپس .دش ماجنا ناراميب نيلاب رب و يناتسراميب ديدرگ يريگيپ . هتفاي :اه تيروف رادشه سايقم تارمن نيگنايم شيپ يلخاد ياه يناتسراميب 21 / 6 ± 95 / 11 سناش تبسن نازيم .دوب هرمن ره يارب تيروف رادشه سايقم شيپ يلخاد ياه يب ،يناتسرام 193 / 1 يم ناشن هک ،دوب فا دحاو کي ره ءازا هب دهد سايقم تارمن رد شياز تيروف رادشه اد ياه شيپ يلخ ،يناتسراميب 3 / 19 % يم شيازفا ناراميب گرم رطخ رادشه سايقم تارمن ساسا رب ناراميب .دباي وف تير شيپ يلخاد ياه يناتسراميب ميسقت زمرق و درز ،زبس حطس هس هب ر ينحنم ريز تحاسم .دندش يدنب سايقم تارمن يارب کا تيروف رادشه شيپ يلخاد ياه يياسانش تهج يناتسراميب گرم شخب رد ندش يرتسب هب زاين و ربارب بيترت هب هژيو تبقارم ياه ( اب 901 / 0 793 / 0 = CI ) 847 / 0 ( و 799 / 0 711 / 0 = CI ) 755 / 0 ناشن هک دوب ازبا نيا بوخ يگژيو و تيساسح هدنهد يياسانش يارب ر يم لاحدب ناراميب دشاب . هجيتن :يريگ تيروف رادشه سايقم شيپ يلخاد ياه يم يناتسراميب دناوت حطس تهج يرت و يدنب سناژروا رد يلخاد ناراميب ژا شيپ فتسا دروم ايلاب نامز رد هژيو هب يناتسراميب يم نآ ساسا رب .دريگ رارق هدا هک يناراميب ناوت رارق زبس گنر اي و موس حطس رد يم شيب ريخات اب ار دنريگ رت نيا و دومن لقتنم ناتسراميب هب ي يم راک ناوت امدخ هئارا تيفيک د شيپ سناژروا ت رد ار يناتسراميب دهد اقترا ايلاب نامز . هژاو :يديلک ياه يکشزپ ياه تيروف تامدخ ، ناتسراميب سناژروا تامدخ ، رطخ يبايزرا ، ب ي نارام ، هقبط دنب ي","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"41 18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131160451","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
A comparative study on the effects of wheat germ extract and flexibility exercises on primary dysmenorrhea in non-athlete female students: A randomized clinical trial 小麦胚芽提取物与柔韧性锻炼对非运动员女学生原发性痛经影响的比较研究:一项随机临床试验
Koomesh journal Pub Date : 2021-07-01 DOI: 10.52547/koomesh.23.4.540
Fatemeh mirzayikarizaky, Alli Younesian, Shahrbanoo Goli, Nahid Bolbol Haghighi
{"title":"A comparative study on the effects of wheat germ extract and flexibility exercises on primary dysmenorrhea in non-athlete female students: A randomized clinical trial","authors":"Fatemeh mirzayikarizaky, Alli Younesian, Shahrbanoo Goli, Nahid Bolbol Haghighi","doi":"10.52547/koomesh.23.4.540","DOIUrl":"https://doi.org/10.52547/koomesh.23.4.540","url":null,"abstract":"","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"197 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123016381","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
Occurrence and fate of emerging pollutants of 17beta-estradiol and testosterone in hospital wastewater and effluent: The effect of activated sludge and chlorination processes 医院废水和出水中新出现的17 -雌二醇和睾酮污染物的发生和命运:活性污泥和氯化工艺的影响
Koomesh journal Pub Date : 2021-07-01 DOI: 10.52547/koomesh.23.4.482
Maliheh Joshani kheybari, A. Rahmani, Hossein Nazari, K. Moeinian
{"title":"Occurrence and fate of emerging pollutants of 17beta-estradiol and testosterone in hospital wastewater and effluent: The effect of activated sludge and chlorination processes","authors":"Maliheh Joshani kheybari, A. Rahmani, Hossein Nazari, K. Moeinian","doi":"10.52547/koomesh.23.4.482","DOIUrl":"https://doi.org/10.52547/koomesh.23.4.482","url":null,"abstract":"كچ ي هد :فده داحتا ي ه ي لاس رد اپورا 2015 نومروه ، اه ي نژورتسا ي تسرهف رد ار کرت ي تاب عقاو رطخ لامتحا اب ي ارب ي تادوجوم ن رب و هداد رارق هدنز ي زا قحت هب ي تاق حم ي ط ي کات ي د .تسا هدومن عت يي ن ثات و روضح ي ر ارف ي اهدن ي رلک و لاعف نجل ي سان ي نو تشونرس رب نومروه اه ي ئورتسا ي د ي 17 ب ات دارتسا ي لو ب بلاضاف رد نورتسوتست و ي ناتسرام ي ، ا فده ي ن تسا هدوب هعلاطم . داوم شور و :اه ا رد ي ن هعلاطم ي صوت ي ف ي لحت ي ل ي ، ارب ي ،نومروه ره 18 فصت فلتخم طاقن زا هنومن ي ه هناخ ي قم اب ي سا عقاو ي رد ي ک هزاب ي هس تشادرب ههام درگ ي د هنومن زا نومروه جارختسا . رتراک زا هدافتسا اب و دماج زاف جارختسا شور هب اه ي ج 18 C باختنا ي شور اب سپس و ماجنا لا ي از ا اب و هدافتس ک زا ي ت اه ي صاصتخا ي تکرش تخاس IBL ناملآ .دنتفرگ رارق شجنس دروم هتفاي :اه مک ي هن ي نومروه تظلغ ب ماخ بلاضاف رد ي ناتسرام هب طوبرم 17 دارتسا اتب ي لو اما مک ي هن ي رد هدش هدهاشم تظلغ اهن باسپ يي هب طوبرم ( ماخ بلاضاف رد نورتسوتست نومروه تظلغ .دوب نورتسوتست 08 / 6 ل رد مرگونان ي رت ب و ) ي ش رت نومروه زا 17 دارتسا اتب ي لو ( 13 / 4 ل رد مرگونان ي رت ) نعم هدش هدهاشم توافت و ي اهن باسپ رد نومروه ود تظلغ توافت اما راد يي نعم ي راد ارف نامدنار .دوبن ي دن فصت ي ه ي س اب بلاضاف ي متس ب ي ژولو ي ک و نورتسوتست نومروه فذح رد لاعف نجل 17 دارتسا اتب ي لو ترت هب ي ب دودح 85 و 76 درگ هدهاشم دصرد ي د . هجيتن :يريگ ره ارف دنچ ي دن رلک و لاعف نجل ي سان ي نو باسپ ثات ي ر ز ي دا ي نومروه تظلغ هجوت لباق شهاک و فذح رد اه ي ئورتسا ي د ي 17 دارتسا اتب ي لو قاب اما دنراد نورتسوتست و ي هدنام ي نومروه تظلغ م ناشن اه ي دهد اب هک ي تس ي زا مزلا تاظحلام فرظ هب هجوت هلمج ي ت ذپ بآ عبانم ي هدنر گ رارق رظن دم ي در . هژاو :يديلک ياه للاتخا نورد ددغ ر ي ،ز ب بلاضاف ي ناتسرام ي ، دارتسا ،لاعف نجل ي ،لو لا ،دماج زاف جارختسا ،نورتسوتست ي از","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131269322","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
Developing and psychometric testing of a questionnaire to assess the knowledge, attitude and Practice of paramedical staffs about nosocomial infections 编制医务辅助人员医院感染知识、态度和行为调查问卷并进行心理测试
Koomesh journal Pub Date : 2021-07-01 DOI: 10.52547/koomesh.23.4.530
Zahra Soleimani, A. Mosadeghrad, Masoumeh Abbasabadi, M. Moradi, Fatemeh Ashkani, M. Asgari, A. Mesdaghinia
{"title":"Developing and psychometric testing of a questionnaire to assess the knowledge, attitude and Practice of paramedical staffs about nosocomial infections","authors":"Zahra Soleimani, A. Mosadeghrad, Masoumeh Abbasabadi, M. Moradi, Fatemeh Ashkani, M. Asgari, A. Mesdaghinia","doi":"10.52547/koomesh.23.4.530","DOIUrl":"https://doi.org/10.52547/koomesh.23.4.530","url":null,"abstract":"Adequate knowledge, attitude, and practice of staff play an important role in controlling nosocomial infections. The aim of this study was to design and test psychometer a questionnaire to assess the knowledge, attitude and practice (KAP) of paramedical staff about nosocomial infections. Materials and Methods : The present study is a mixed method research with a confirmatory approach, which is conducted in 2019 in Tehran. The initial items of the questionnaire were designed based on previous studies and opinions of a team of specialists. Then, the face, content, and structural validity of the designed questionnaire was examined quantitatively. Finally, the reliability of the attitude and knowledge and evaluation of municipal performance items were measured by Cronbach’s alpha and a test-retest method, respectively. Results: The final questionnaire consisted of 45 questions. The content validity iIndex (CVI) and content validity ratio (CVR) for the questionnaires were obtained in the range of 0.8 to 1. The face validity of the questions was 3.35. In knowledge section, Richardson's coefficient was 0.81 and in attitude and practice sections, Cronbach's alphas were 0.71 and 0.83, respectively. The Pearson correlation coefficient obtained for knowledge component (r=0.91) for attitude (r=0.85) and performance (r=0.9). Cronbach's alpha, Pearson correlation, and cconfirmatory factor analysis were in an acceptable level. Conclusion: The designed questionnaire had good validity and reliability, which can be suggested to be used in measuring the knowledge, attitude and practice of paramedical staff about to nosocomial infections.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121672358","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: 1
Comparison of eight-weeks shoulder girdle, pelvic girdle and combined corrective exercises on balance in upper crossed syndrome 肩带、骨盆带及联合矫正运动对上交叉综合征平衡性的影响
Koomesh journal Pub Date : 2021-07-01 DOI: 10.52547/koomesh.23.4.510
Mansoureh Mogharrabi-Manzari, Gholamali Ghasemi Kahrizsangi, H. Negahban
{"title":"Comparison of eight-weeks shoulder girdle, pelvic girdle and combined corrective exercises on balance in upper crossed syndrome","authors":"Mansoureh Mogharrabi-Manzari, Gholamali Ghasemi Kahrizsangi, H. Negahban","doi":"10.52547/koomesh.23.4.510","DOIUrl":"https://doi.org/10.52547/koomesh.23.4.510","url":null,"abstract":"Introduction : Upper crossed syndrome is known as a musculoskeletal abnormality that results in postural changes such as forward head, forward shoulder and kyphosis. Balance is one of the most important posture component that might be reduced by upper crossed syndrome. This study aimed to compare of eight-week shoulder girdle, pelvic girdle and combined corrective exercises program for improving the balance in this syndrome. Materials and Methods : In this study, 45 female students with upper crossed syndrome were selected purposefully and divided randomly in three groups including shoulder girdle, pelvic girdle, and combined exercises. Conspicuously, progressive corrective exercises were performed in all groups for eight weeks and three sessions per week for 30 to 70 minutes. The static balance was evaluated before and after the intervention by a foot-scanner. Results: The results of repeated measures ANOVA analysis in all three groups showed significant increase within the groups after intervention ( P =0.000). The results of post hoc test for 30 seconds with open eyes ( P =0.05) and 30 seconds with closed eyes ( P =0.04) showed a significant difference between combined and shoulder girdle group exercises. No significant difference was observed between 10 seconds with right foot ( P =0.84) and 10 seconds with left foot ( P =0.58) groups. Conclusion: The simultaneously correction of posture abnormalities as a comprehensive is more effective in improving balance instead of correction of each abnormality as an independent component. Therefore, comprehensive oriented corrective exercises are advised for improvement of balance in upper crossed syndrome.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129823873","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 intravenous regional anesthesia with spinal block on foot surgeries: A double-blinded randomized clinical trial 静脉局部麻醉加脊髓阻滞对足部手术的影响:一项双盲随机临床试验
Koomesh journal Pub Date : 2021-07-01 DOI: 10.52547/koomesh.23.4.449
Shahram Seifi, P. Amri, B. Hasannasab, Rahmatollah Jokar, Noraddin Taghavi, S. Mouodi
{"title":"Effect of intravenous regional anesthesia with spinal block on foot surgeries: A double-blinded randomized clinical trial","authors":"Shahram Seifi, P. Amri, B. Hasannasab, Rahmatollah Jokar, Noraddin Taghavi, S. Mouodi","doi":"10.52547/koomesh.23.4.449","DOIUrl":"https://doi.org/10.52547/koomesh.23.4.449","url":null,"abstract":"Introduction : Intravenous regional anesthesia is a simple and reliable method for surgeries of the lower extremities. The purpose of this study was to compare the effect of regional intravenous anesthesia with spinal anesthesia on foot surgeries. Materials and Methods : This study was conducted as a randomized clinical trial on 60 patients undergoing foot surgery in two similar groups. In this account, the intervention group received intravenous regional anesthesia with 40 mililitre of lidocaine (0.5%) and the control group underwent spinal anesthesia with marcaine (0.5%). Duration of analgesia, duration of postoperative analgesia after opening the tourniquet, recovery time, postoperative pain intensity based on Visual Analogue Scale (VAS), blood pressure, heart rate during the surgery and recovery period, and other complications such as nausea, vomiting and headache were assessed in both groups. Results: The two groups did not differ in age and sex. The mean duration of analgesia in the spinal group was 121.13±17.30 minutes and in the intravenous anesthesia group was 49.50±5.14 minutes ( P <0.001). The mean duration of analgesia after opening the tourniquet was 72.17± 15.29 minutes in the control group and 11.17± 6.22 minutes in the intervention group ( P <0.001). The mean recovery time in the control group was 26.83± 4.82 and in the intervention group was 13.10±3.20 min ( P <0.001). One hour postoperative pain score was 2.3 ± 0.31 in the control group and 7.1± 0.20 in the intervention group ( P <0.001). Hypotension, bradycardia, nausea and vomiting, dizziness, and headache were more incidental in the spinal group than in the intravenous anesthesia group ( P <0.001). Conclusion: In short-term foot surgeries, intravenous regional anesthesia is more appropriate than intra-spinal.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123369533","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
Risk factors assoicated with increased the chance of ectopic pregnancy 与宫外孕几率增加相关的危险因素
Koomesh journal Pub Date : 2021-07-01 DOI: 10.52547/koomesh.23.4.502
Hamid Reza Barghdoust, Azam taghavi zahed kolaie, S. Saeednia
{"title":"Risk factors assoicated with increased the chance of ectopic pregnancy","authors":"Hamid Reza Barghdoust, Azam taghavi zahed kolaie, S. Saeednia","doi":"10.52547/koomesh.23.4.502","DOIUrl":"https://doi.org/10.52547/koomesh.23.4.502","url":null,"abstract":"Introduction : Ectopic Pregnancy (EP) is one of the most common causes of maternal mortality. The aim of this study was to evaluate the risk factors that increase the chances of ectopic pregnancy. Materials and Methods : This case-control study was performed in the hospitals of Shahroud University of Medical Sciences in 2018 by census method. Pregnant women who were hospitalized with suspected ectopic and acute abdomen and the diagnosis of ectopic pregnancy were confirmed in them selected as case group. Also, women with normal uterine pregnancies were randomly assigned to the control group. Individual information such as demographic information, smoking, history of miscarriage, history of pelvic infection, history of previous ectopic pregnancy in two groups was extracted. For statistical analysis, single-variable and multi-variable logistic regression analysis was used. Results: In this study, 144 people were examined in each group. Smoking (OR: 12.219 , P =0.005), education level below diploma (OR: 4.483 , P =0.002), Abdominal surgery history (OR: 3.337 , P =0.004), Ectopic pregnancy history (OR: 11.684 , P =0.008), previous delivery type (OR: 2.567 , P <0.05) and history of abortion (OR: 14.548 , P =0.001) increased the chances of getting an ectopic pregnancy. Conclusion: Our findings indicate that the most important risk factors of increased ectopic pregnancy were the history of abortion, smoking, history of ectopic pregnancy, level of undergraduate education, history of abdominal surgery and type of previous delivery, respectively.","PeriodicalId":291099,"journal":{"name":"Koomesh journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124273029","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
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