Clinical Medicine
Hossein Najdsepas; Nahid Rahimzadeh; Masoud Haghighikian; Mahyar Maddahali; Maryam Milani Fard
Abstract
Background: Achievement of a vascular access in pediatric patients is a very difficult, time-consuming, and boring process. The present study aimed to evaluate the patency of the two vascu-lar access catheterization techniques including percutaneus IJV cannulation and saphenofemoral cutdown in terms ...
Read More
Background: Achievement of a vascular access in pediatric patients is a very difficult, time-consuming, and boring process. The present study aimed to evaluate the patency of the two vascu-lar access catheterization techniques including percutaneus IJV cannulation and saphenofemoral cutdown in terms of the functional time of catheterization and the complications of these two vas-cular access methods among the neonatal and pediatric patients. Methods: This prospective interventional case series study was conducted on 88 children admitted to the intensive care unit (ICU) and needing an intravenous cannulation. The study population was randomly (using a computerized random number table) assigned into two groups undergoing vascu-lar catheterization by saphenous vein cutdown (n=59) and percutaneus internal jugular vein cathe-terization (n=29). The two groups were compared regarding the rates of catheter blockage; vein thrombosis and infection. The data were analyzed using SPSS software.Results: The duration of catheter functionality was significantly shorter in the saphenofemoral vein cutdown group than that in the internal jugular vein catheterization group (11.4±12.2 and 14.82±11.39, respectively; P = 0.021). However, we showed no significant difference between the two groups in the prevalence rate of hematoma (p = 0.794), bleeding (p = 0.601), catheter blockage (p = 0.989), site infection (p = 0.684), sepsis (p = 0.937), vein thrombosis (P = 0.999), hemothorax (p = 0.937) and pneumothorax (p = 0.937). Conclusion: Vascular access through internal jugular vein resulted in a longer functional catheteriza-tion in ICU admitted children, compared to saphenofemoral vein cutdown, without any difference in other technical-related outcomes.
Basic Medicine
Atefeh Saedi; Saeed Saedi; Mohammad Mehdi Ghaemi; Maryam Milani Fard
Abstract
At the end of 2019, several cases of pneumonia of unknown cause appeared in Wuhan, Hubei Province, China, which quickly spread to other provinces. China In the early stages, it was reported that most patients had a history of contact with Huan seafood. Patients were more likely to have a fever and cough ...
Read More
At the end of 2019, several cases of pneumonia of unknown cause appeared in Wuhan, Hubei Province, China, which quickly spread to other provinces. China In the early stages, it was reported that most patients had a history of contact with Huan seafood. Patients were more likely to have a fever and cough symptoms. The spread of SARS-CoV-2 was very rapid. WHO has declared its prevalence as a public health emergency of international concern. On February 11, 2020, the International Committee for the Classification of Viruses renamed the virus "Acute Respiratory Syndrome of Coronavirus-2 (SARSCoV-2) and WHO SARS-CoV-2 Disease as Coronavirus 2019" (Covid-19 ) Declared an epidemic. The present study is a PICO review study that Epidemiological study of Covid-19 and risk factors. The browsing documents searched in the Google Scholar, Sid and Mag Iran databases were analyzed using the keywords epidemic, covid-19, risk factors. The COVID-19 epidemic has spread very rapidly to several countries, including European countries, Asian countries, the United States, and so on. Most countries, especially developing countries, expanded.
Basic Medicine
Saeed Saedi; Atefeh Saedi; Mohammad Mehdi Ghaemi; Maryam Milani Fard
Abstract
Breast cancer is defined as changes in the uncontrolled growth of cells in breast tissue that occur abnormally in the mammary glands (lobules) or in the ducts that connect the lobules to the nipple. The present study is an epidemiological study of breast cancer in Iran. The browsing documents searched ...
Read More
Breast cancer is defined as changes in the uncontrolled growth of cells in breast tissue that occur abnormally in the mammary glands (lobules) or in the ducts that connect the lobules to the nipple. The present study is an epidemiological study of breast cancer in Iran. The browsing documents searched in the Google Scholar, Sid and Mag Iran databases were analyzed using the keywords epidemic, cancer, breast. Based on the results obtained in this study, the incidence and death rate and burden of breast cancer in Iran has risen significantly, compared with previous years. Because of the vital role of women in the family, economy, health, development and other areas, early detection of breast cancer and its prevention according to its high prevalence around the world, as one of the best approaches to control this disease, is important.
Clinical Medicine
Maryam Milani Fard; Amir Mohammad Milani Fard
Abstract
Introduction: The aim of this study was to investigate the effect of various psychosocial factors on coping strategies in MS patients. Materials and Methods: The present study is a descriptive-analytical study and the study population includes all men and women with inflammatory bowel disease and members ...
Read More
Introduction: The aim of this study was to investigate the effect of various psychosocial factors on coping strategies in MS patients. Materials and Methods: The present study is a descriptive-analytical study and the study population includes all men and women with inflammatory bowel disease and members of the inflammatory bowel association. In this study, sampling method was performed by available method. In order to collect data, the standard questionnaire of coping strategies of Lazarus and Folkman, the researcher-made questionnaire of social protection, the self-efficacy questionnaire of Scherer et al. Data analysis was performed using SPSS software. Results: The results of Kruskal-Wallis test showed that there is a significant relationship between socioeconomic status, coping strategies and the results of Spearman correlation coefficient test indicate a significant positive relationship between social network, social support, and sense of self-efficacy. Perception of the disease was problem-oriented coping strategy and inversely related to emotion-coping coping strategy. Conclusion: The results of Spearman correlation test show that at the level of 95% probability between social support and seeking social support (correlation coefficient equal to 0.692), problematic problem solving (correlation coefficient equal to 0.739), confrontational confrontation (correlation coefficient equal to 0.466) There is a direct significant relationship (positive correlation coefficient and significance levels is less than 0.05). Researchers such as Tuis (1982) found that people with lower socioeconomic status were more likely to use emotion-avoidance coping strategies and less problem-solving coping, so our first hypothesis is cons.
Clinical Medicine
Maryam Milani Fard; Amir Mohammad Milani Fard
Abstract
This study investigated the effect of office stones in kidney patients and how they are formed and treated. The urinary tract includes the kidneys, ureters, bladder, and urethra. The kidneys are located outside the peritoneal cavity on either side of the spine from the twelfth thoracic vertebra to the ...
Read More
This study investigated the effect of office stones in kidney patients and how they are formed and treated. The urinary tract includes the kidneys, ureters, bladder, and urethra. The kidneys are located outside the peritoneal cavity on either side of the spine from the twelfth thoracic vertebra to the third lumbar vertebra. Types of stones are divided into two categories of calcium and non-calcium stones. Calcium stones are more common in men and the main causes of calcium stones include hypercalciuria due to hereditary formation, hyperuricosuria due to diet, hyperparathyroidism due to neoplasia, intestinal hyperoxaluria due to intestinal surgery and In the hereditary type, due to heredity and hypocitration, it can be caused by diet or heredity. Struvite stones are caused by a urinary tract infection caused by mold bacteria (Proteus). These stones are more common in women. Patients are treated with thiazide diuretics. Absorption hypercalciuria nephrolithiasis is treated only by surgical removal of the invasive parathyroid adenoma. Renal hypercalciuria is effectively treated with hydrochlorothiazides. Hyperuricosuric calcium calcification is a treatment with a diet low in purine, allopurinol and potassium citrate, and treatment of hyperoxaluria calcium calcification is with calcitramine, and treatment of hypocitration with potassium salts, including potassium citrate, is successful.
Clinical Medicine
Maryam Milani Fard; Anita Amini; Masoumeh Shafie Aghol
Abstract
Introduction: Evaluation in health services has a long history. The application of quality standards to hospitals or other facilities first became common in the United States and gradually spread to other countries.Materials: Evaluation and inspection of health care services in the form of different ...
Read More
Introduction: Evaluation in health services has a long history. The application of quality standards to hospitals or other facilities first became common in the United States and gradually spread to other countries.Materials: Evaluation and inspection of health care services in the form of different approaches (ISO, superiority models, accreditation and peer group) are used voluntarily or compulsorily around the world and are gradually expanding. Root approaches to industries or sectorsHealth returns. There is a concern that all approaches should take into account the use of valid standards, quality improvement, transparency and public accountability.Discussion and Conclusion: All methods are dynamic and evolving, but the validity of some of them is faster. At the same time, their origins are different. There is a kind of convergence between them.
Basic Medicine
Anita Amini; Hamidreza Shahpoori Arani; Maryam Milani Fard
Abstract
Aim: This study was conducted in order to systematically collect existing articles and describe and analyze the different fields of medical tourism including the definitions of medical tourisms, motivations of medical tourists, marketing in medical tourism, and ethical issues in medical tourism and its ...
Read More
Aim: This study was conducted in order to systematically collect existing articles and describe and analyze the different fields of medical tourism including the definitions of medical tourisms, motivations of medical tourists, marketing in medical tourism, and ethical issues in medical tourism and its impact on the health system.Methods: The current systematic review followed the principles of the “Preferred Reporting Items for Systematic Reviews” guideline. all manuscripts related to medical tourism were deeply searched by the two reviewers using the related keywords including “health tourism”, “medical tourism terms”, “stem-cell tourism”, “dental tourism”, “reproductive tourism” and “transplant tourism” in the international manuscript databases such as Web of knowledge, PubMed, Emerald, SCOPUS, and Google Scholar. Results: The findings show the same definition of medical tourism in various articles and motivations of medical tourists. However, there is a wide range of principles related to medical tourism in terms of benefits and its consequences in studies, so that most studies in developing countries reflect the benefits of medical tourism and most studies in advanced countries reflect the consequences of medical tourism. Conclusion: The subject of medical tourism is different according to the policies and programs of each country, and conducting accurate and comprehensive research in the country in order to clarify the reality of the issue is necessary.
Clinical Medicine
Elham Sadat Motaharian; Zahra Sadeghi; Leili Sadat Sharif Mousavi; Reyhaneh Maleki; Zobeyr Rigi; Maryam Milani Fard; Amir Mohammad Milani Fard; Fatemeh Nomiri
Abstract
Hospital nursing resources are among most occupied personnel during COVID-19 pandemics, the aim of the present study is to rule out the role of hospital nursing resources during covid-19 pandemics. The service allocation on the present hospitals were evaluated and reported to be justified in some centers. ...
Read More
Hospital nursing resources are among most occupied personnel during COVID-19 pandemics, the aim of the present study is to rule out the role of hospital nursing resources during covid-19 pandemics. The service allocation on the present hospitals were evaluated and reported to be justified in some centers. The base of human and supply distribution in some medical centers was scientific and reasonable while in other there was no definitive strategy toward this dilemma. In such centers, the preventive strategies against covid-19 was effective and the medical heads were effectively capable of infection control. The personnel and supply management in emergency conditions was also successful and showed promising results. But despite these, emergency conditions was with some standings including supply or allocation concealment, so it is suggested that, more focus should be noted on nursing allocation during emergency conditions in order to enhance service quality during covid-19 pandemics.
Clinical Medicine
Maryam Milani Fard; Amir Mohammad Milani Fard
Abstract
In this study, a controlled drug delivery system was modeled to release the drug dissolved in a polymer matrix by polymer degradation. This system is in the form of a page. The drug is released into the environment by the mechanism of penetration and degradation of the polymer. What comes to mind when ...
Read More
In this study, a controlled drug delivery system was modeled to release the drug dissolved in a polymer matrix by polymer degradation. This system is in the form of a page. The drug is released into the environment by the mechanism of penetration and degradation of the polymer. What comes to mind when you first hear the name of the drug may be nothing more than pills, capsules or ampoules! While the world of medicine and the methods of its delivery to the body are not limited to these. Drugs usually enter the body in both digestive and non-digestive ways. The introduction of drugs from these methods has problems and limitations, and for this reason, researchers were looking for ways that could solve the above problems to a large extent. Following these efforts, controlled drug delivery systems were introduced, which have many benefits. The most important of these advantages include the ability to maintain the drug concentration at a relatively constant level for a certain period of time, the ability to adjust the drug release rate depending on the drug delivery site, the ability to deliver the drug to a specific organ or tissue, the ability to deliver multiple drugs with one formulation. These systems have revolutionized the treatment of many diseases and are evolving.
Clinical Medicine
Maryam Milani Fard; Amir Mohammad Milani Fard
Abstract
Due to the diversity of polymers as well as their complex behavior, research in this field is still widely developed. Because biodegradable polymers become decomposed in the human body after decomposition, they are more commonly used because surgery is not required to remove these polymers from the body ...
Read More
Due to the diversity of polymers as well as their complex behavior, research in this field is still widely developed. Because biodegradable polymers become decomposed in the human body after decomposition, they are more commonly used because surgery is not required to remove these polymers from the body after the drug is released. Understanding the mechanism, modeling and studies of drug release from homopolymers, copolymers and mixtures of this family of polyesters is the focus of this research. In this research, the release of drug from homo and biodegradable copolymer in pure form with drug and finally the mixture of the two with drug has been investigated to determine the differences. In the proposed model, the equations that represent the degradation of the polymer are used to be able to predict the degradation of the polymer. The drug used is paclitaxel, which is a very important drug for chemotherapy. Since this drug is administered every 3 weeks for 3 hours, it is necessary to use controlled systems. Therefore, the purpose of this study is to achieve a predictable model for controlled release of paclitaxel, so that this model responds to the release of paclitaxel at any time.
)
)
)
)
)
)
)
)
)
)