Clinical Medicine
Aslan Ahmadi; Hadi Ghanbari; Mohammad Mehdi Salem; Amir Mohammad Milani Fard; Khosro Barkhordari
Abstract
Background: Due to the lack of interventional studies on the change in sound quality of patients suffering laryngeal cancer after partial frontolateral laryngectomy and anterior TVC reconstruction using laser, we aimed to assess the extent of changes in sound quality after correction of anterior vocal ...
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Background: Due to the lack of interventional studies on the change in sound quality of patients suffering laryngeal cancer after partial frontolateral laryngectomy and anterior TVC reconstruction using laser, we aimed to assess the extent of changes in sound quality after correction of anterior vocal cord web by flap technique using TVC base in frontolateral laryngectomy by voice handicap index (VHI) and voice analysis factors in patients with glottic cancer.Methods: In this interventional case series study, 15 consecutive patients with laryngeal carcinoma undergoing partial frontolateral laryngectomy by laser at Hazrat Rasool Akram Hospital between 2017 and 2019 suffering anterior adhesion of vocal cords were entered in final evaluation. All patients underwent microlaryngeal flap surgery to improve sound quality. The anterior web of larynx was dissected with a 6-watt super pulse CO2 laser. Results: The vocal analysis before and after operation showed a significantly improving vocal quality parameters including Habitual F0, Jitter, Shimmer, Tremor F0, Mean F0, SD F0, Max F0, NNE, HNR, SNR, Ratio, Hoarse score, Harsh, and breathy after surgery as compared to before that. The scores for three emotional, physical, and functional components of VHI all significantly improved after operation. Conclusion: The correction of anterior vocal cord web by flap technique using TVC base in frontolateral laryngectomy leads to favorable outcome regarding vocal quality and voice performance in patients suffering glottic cancer
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 ...
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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 ...
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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
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. ...
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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 ...
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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 ...
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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.
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