Psycology
Abdolreza Mehdinavaz Aghdam; Fariborz Rousta
Abstract
Introduction: Due to the limited studies in the field of shivering after anesthesia in thyroidectomy surgeries, on the one hand, and different factors involved in the development of shivering in studies performed, on the other hand, and more sensitivity after thyroidectomy surgery to the hypothermia ...
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Introduction: Due to the limited studies in the field of shivering after anesthesia in thyroidectomy surgeries, on the one hand, and different factors involved in the development of shivering in studies performed, on the other hand, and more sensitivity after thyroidectomy surgery to the hypothermia complications, the evaluation of the prevalence of postoperative shivering in children and determining the factors involved in its development was designed to use the results of the study to improve the anesthesia quality after thyroidectomy.Materials and Methods: This study was performed between 2019 and 2020 with the participation of 100 patients candidates for thyroidectomy in the hospitals of Tabriz University of Medical Sciences. The prevalence of postoperative shivering in these patients was measured using an instrument for determining shivering after anesthesia and the results were reported.Results: Prevalence of shivering in this study was 5% (6 patients). There was no significant difference between the two age groups and sex in terms of the prevalence of shivering. The prevalence of shivering was significantly lower in the intravenous anesthesia group (p<0.05). Also, in patients who received premedication anesthesia, the prevalence of shivering was significantly lower than patients who did not receive premedication (p<0.05).Conclusion: The results of this study showed that the overall prevalence of shivering after thyroidectomy is the same as other surgeries. In addition, the prevalence of shivering after thyroidectomy is related to the patient's body temperature, recovery room temperature, receiving premedication, and type of anesthesia.
Psycology
Abdolreza Mehdinavaz Aghdam; Fariborz Rousta
Abstract
Introduction: The importance of examining the factors associated with cholelithiasis is to prevent the formation of gallstones in people as much as possible so that they do not need reoperation for cholecystectomy or, if necessary, remove the gallbladder during obesity surgery and impose the reoperation ...
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Introduction: The importance of examining the factors associated with cholelithiasis is to prevent the formation of gallstones in people as much as possible so that they do not need reoperation for cholecystectomy or, if necessary, remove the gallbladder during obesity surgery and impose the reoperation risk on the patient. Therefore, the present study investigates the risk factors, precursors of gallstones, and the need for prophylactic cholecystectomy during bariatric surgery.Materials and Methods: In this cross-sectional descriptive study, 150 patients who were candidates for cholecystectomy with a body mass index greater than 35 were evaluated. Cholelithiasis was evaluated based on the severity of obesity in patients.Results: Out of 23 people who had a history of gallstones and gallbladder surgery due to stones in the past, 19 (82.6%) had a history of weight loss and 4 (17.4%) had no history of weight loss. There was no significant relationship between the history of weight loss and gallstones in candidates for obesity surgery. In addition, no significant relationship was observed between the rate of weight loss in the past and the number of attempts to lose weight and gallstones in candidates for obesity surgery.Conclusion: In general, in the present study, the only factor associated with cholelithiasis in the subjects was H. pylori. In fact, people with obesity who are infected with the bacterium H. pylori are positive, they are more prone to cholelithiasis than others.
Clinical Medicine
Mansour Rezaei; Ramin Azhough
Abstract
Introduction: Diosmin is effective in inhibiting the inflammatory response pathways and improving the acute and chronic symptoms of hemorrhoids. Very few studies have been conducted in this field, and the effectiveness of this drug in different studies has not been presented in a single study so that ...
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Introduction: Diosmin is effective in inhibiting the inflammatory response pathways and improving the acute and chronic symptoms of hemorrhoids. Very few studies have been conducted in this field, and the effectiveness of this drug in different studies has not been presented in a single study so that it can be used or not used based on its results. Therefore, the present study aims to investigate the effectiveness of Diosmin on pain after hemorrhoidectomy in the form of a systematic review of clinical trial studies.Methods: The present study was a systematic review that was designed and conducted based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) statement. The search was done in SID, Magiran, Embase, PubMed, Cochrane Library, Scopus, and Web of Science databases by following the entry and exit criteria and the keywords such as pain, hemoroide, hemorrhoidectomy, Diosmin, surgery, and post-operative.Results: 824 patients participated in these 4 randomized clinical trial studies (with a high quality). The instrument used to assess pain intensity in all studies was the Visual Analogic Scale. Diosmin tablets were prescribed in two forms: 500 mg (in three studies) and 300 mg (in one study) after hemorrhoidectomy. In three studies, Diosmin tablets led to a reduction in pain intensity after hemorrhoidectomy, and in one study, no significant difference was seen.Conclusion: The results of our study indicated that the use of 500 mg Diosmin oral tablets can lead to a reduction in pain intensity after hemorrhoidectomy. Due to the lower number of studies, the results of this study should be used with caution.
Clinical Medicine
Parham Maroufi; Behrooz Nazari
Abstract
Due to the high prevalence of osteoporosis in Iran and its relationship with bone fractures and reduced life expectancy in these patients and the knowledge that early diagnosis and timely treatment reduces the financial burden on the treatment system and the burden of disease complications on patients. ...
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Due to the high prevalence of osteoporosis in Iran and its relationship with bone fractures and reduced life expectancy in these patients and the knowledge that early diagnosis and timely treatment reduces the financial burden on the treatment system and the burden of disease complications on patients. Density of one-third distal radius was performed in patients prone to primary osteoporosis.This descriptive cross-sectional study was performed during 2019 with the participation of 71 patients referred to orthopedic clinics of Tabriz University of Medical Sciences. Clinical examinations and bone density measurements were performed for them and its relationship with distal third radius fractures was investigated. Data were analyzed using Pearson correlation test. Sensitivity of one-third of the distal radius T-score compared to femoral neck T-score in terms of diagnosis of osteoporosis and osteopenia 82.35 and 51%, respectively, and its specificity 46.51%, and for total lumbar vertebrae in terms of diagnosis of osteoporosis and osteopenia, respectively. 92.31% and 65.62% and its specificity was 30.77%. According to the findings of this study, the study of one distal one-third mineral density of radius bone by DXA method for the diagnosis of osteoporosis has a significant sensitivity and has a significant relationship with the density of lumbar vertebrae (femur).