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.
Basic Medicine
Fariborz Rousta; Abdolreza Mehdinavaz Aghdam
Abstract
The purpose of this study is to both evaluate and compare the psychological status of the patients undergone the breast conservation surgery in comparison with those patients who have undergone mastectomy. This descriptive cross-sectional study was conducted with the participation of 220 patients after ...
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The purpose of this study is to both evaluate and compare the psychological status of the patients undergone the breast conservation surgery in comparison with those patients who have undergone mastectomy. This descriptive cross-sectional study was conducted with the participation of 220 patients after breast surgery (two groups of the modified radical mastectomy (i.e., the first group) including 140 people and the breast conservation surgery group (i.e., the second group)) in Tabriz University of Medical Sciences to compare their psychological status. They were assessed using SCL-90-R 1 and the Zong Depression Self-Assessment Scale or 2 (ZDS) and compared, as well. In the case of ZDS results, the results are similar to the SCL-90-R. Thus, immediately after surgery and at discharge time from the hospital, depression scores were not significantly different between both groups. However, in the evaluation after 6 months, the group with breast protection surgery was significantly different from the mastectomy group and its depression scores were lower, while the decrease in the scores of this group was significant compared with the mastectomy group during six months. To sum up, the results of the present study suggest that the psychological benefits of breast maintenance surgery in the early stages of treatment are due to the patient’s stress and anxiety about choosing a treatment that is not at least currently the gold standard one for breast cancer.
Basic Medicine
Abdolreza Mehdinavaz Aghdam; Fariborz Rousta
Abstract
Introduction: Due to the different results of different studies by researchers in different countries and the minimal research done in Iran, the need for this research was felt, and we decided to study this issue. The purpose of this study was to investigate the underlying diseases. The thyroid is a ...
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Introduction: Due to the different results of different studies by researchers in different countries and the minimal research done in Iran, the need for this research was felt, and we decided to study this issue. The purpose of this study was to investigate the underlying diseases. The thyroid is a candidate for thyroidectomy in people with PTC. Material and Methods: This descriptive cross-sectional study was performed with the participation of 99 patients undergoing thyroidectomy from 2010 to 2020 at Tabriz University of Medical Sciences. Patients' pathology results were evaluated, and comorbidities were extracted for each patient. Results: Follicular variant includes 5 cases and classic variant. All 5 follicular variants were women. In the studied samples, 35 cases were associated with lymphatic involvement and 64 cases were without lymphatic involvement. In the studied samples, 50 cases had Hashimoto's underlying disease, and 49 cases had multinodular goiter underlying disease.Conclusion: Due to the high prevalence of Hashimoto's underlying disease in patients with papillary thyroid carcinoma, which has been proven in this study and other studies, as well as the higher prevalence of lymphatic involvement in the cases associated with these two diseases in this study.
