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Right of patient to know with an approach to Health System Development Plan 病人知情权与卫生系统发展计划的方法
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I3.201
H. Babaei, Fardin Hosseinpanahi
Right to know is a right defined and considered in human rights, regarded by human rights communities more than ever in all topics of human rights. This topic has actually penetrated into medical system as a continuous objective for Ministry of Health in our country. In patient rights charter of Ministry of Health, right of patient to know is mentioned which is adopted from this right. Health authorities believe that patients must know about all diagnostic and treatment methods, power and weak points of each method and potential complications, disease diagnosis, prognosis and its consequences as well as all information affecting decision making. Finally with complete information they communicate their consent to medical system and physicians for treatment. Based on research findings, right of patient to know has been considered in the framework of patient rights charter in Health System Development Plan and it has been attempted to consider patient rights charter more than ever.
知情权是一项人权规定和考虑的权利,人权界在所有人权议题中比以往任何时候都更加重视这一权利。这一课题实际上已经深入到医疗系统中,成为我国卫生部的一个持续目标。卫生部《病人权利宪章》中提到了病人知情权,这是在病人知情权的基础上制定的。卫生当局认为,患者必须了解所有诊断和治疗方法、每种方法的优缺点和潜在并发症、疾病诊断、预后及其后果以及影响决策的所有信息。最后,有了完整的信息,他们向医疗系统和医生传达了他们对治疗的同意。根据研究结果,在《卫生系统发展规划》中将患者知情权纳入患者权利宪章框架,并尝试将患者权利宪章纳入考虑范围。
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引用次数: 1
Evaluating the effect of low energy laser irradiation on the rate of mandibular molar protraction in orthodontic patients 评价低能量激光照射对正畸患者下颌磨牙前伸率的影响
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I3.211
Sepideh Gavareshki, P. Salehi, S. Torkan
Background: Low level laser is a type of laser with various bio stimulatory effects; Potential effects of laser in accelerating bone regeneration and consequently facilitating tooth movement have been considered widely in orthodontics. Aims & Objectives: Aim of this study was to assess the effects of Low level laser on the velocity of mandibular first molar protraction in orthodontic patients. Materials and Methods: Total 28 young adult patients (14 females and 14 males; age range 16-25) requiring extraction of mandibular second premolars were selected and molar protraction was carried out with T-loop on a rectangular Stainless Steel wire. In each patient one side was selected by random to irradiate with low level laser and other side with placebo. Laser regimen was applied at 0, 1 and 2 days and at the end of first, second and third months. Tooth movement was measured on prepared models at the end of first, second and third month. Results: We found 1.3 fold increases in rate of tooth movement in the irradiated group (p=0.000) than non-irradiated group. Conclusion: Based on our findings, Low level laser accelerates tooth movement and consequently reduces treatment time. Key word: Low level laser; Tooth movement; First molar, Irradiation; Protraction
背景:低能级激光是一类具有多种生物刺激作用的激光;激光在加速骨再生从而促进牙齿运动方面的潜在作用在正畸学中被广泛考虑。目的:探讨低水平激光对正畸患者下颌第一磨牙拔除速度的影响。材料与方法:青年成人患者28例(男14女14;年龄16-25岁),选择需要拔除下颌第二前磨牙的患者,用矩形不锈钢丝上的t型环进行磨牙拔除。随机选择患者一侧进行低水平激光照射,另一侧进行安慰剂治疗。分别于第0、1、2天及第1、2、3个月末进行激光治疗。分别于第1、2、3个月末对制备好的模型进行牙齿运动测量。结果:放疗组的牙齿移动率比未放疗组提高1.3倍(p=0.000)。结论:根据我们的研究结果,低水平激光加速了牙齿的运动,从而缩短了治疗时间。关键词:低能级激光;齿运动;第一磨牙,辐照;制图
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引用次数: 1
A Systematic Review of Studies on General Medicine Comprehensive Exams in Iran 伊朗普通医学综合考试研究的系统回顾
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I4.232
T. Changiz, F. Asgari, N. Yamani
Introduction: Evaluation is one of the most important stages of education system. Student exams may be used both for student assessment and program evaluation. Given the significance of general medicine exams, the present study systematically reviews studies conducted on these exams in Iran in 2016.Methods : Available documents weresystematically reviewed and their information was collected. Using documents available in scientific databases suchas IranMedex, SID, Magiran, Medlib, PubMed, Google Scholar, ERIC by appropriate keywords (doctor, generalpractitioner, student, graduate, trainee, intern, exam, general sciences, pre-internship, skill and medical), 59 studies conducted on general medicine exams until March 2015 were extracted; of these studies, 10 studies which wereavailable in full text and met the least research quality were selected for the review. Results: Out of 10 studiesreviewed, 7 studies evaluated the effective factors on results of general medicine exams and 3 studies analyzed theresults of these exams. Meanwhile, results of those 7 studies showed that low GPA, delay in passing the basicsciences and age at the time of admission to the university are effective factors on results of exams. Results of threestudies analyzing exams showed that genetics and radiology gained the highest and parasitology, orthopedics andphysiology gained the lowest average percentage of scaled relative ratings. In analysis of 40 exams during a 20-yearperiod, 65.8% students were passed the exams in the first trial. However, 99.6% of participants continued their education after few trials. Conclusion: The factors such as length of stay in medical school and grand point averageof students are predicating comprehensive exam results in all the reviewed studies. Therefore, these factors can beconsidered as effective factors on results of general medicine exams. Also the results may support the importance ofnational comprehensive exams as a reliable tool in fostering quality in education. Keywords: exam, basic sciences, pre-internship, general medicine
评价是教育体系中最重要的阶段之一。学生考试可用于学生评估和项目评估。鉴于全科医学考试的重要性,本研究系统地回顾了2016年在伊朗进行的关于这些考试的研究。方法:系统查阅现有文献资料,收集资料。利用IranMedex、SID、Magiran、Medlib、PubMed、谷歌Scholar、ERIC等科学数据库中的相关文献,按关键词(doctor、generalpractitioner、student、graduate、trainee、intern、exam、general sciences、pre-internship、skill和medical)提取2015年3月之前进行的59项全科医学考试研究;在这些研究中,选择了10项全文可用且符合最低研究质量的研究进行综述。结果:在回顾的10项研究中,7项研究评估了普通医学考试结果的影响因素,3项研究分析了这些考试结果。同时,这7项研究的结果表明,低GPA,延迟通过基础科学和入学时的年龄是影响考试结果的有效因素。三个研究分析考试的结果表明,遗传学和放射学获得了最高的相对评分,而寄生虫学、骨科和生理学获得了最低的相对评分。在对20年间40次考试的分析中,65.8%的学生在第一次试验中通过了考试。然而,99.6%的参与者在几次试验后继续接受教育。结论:在所回顾的研究中,学生的在校时间和平均分等因素对综合考试成绩有预测作用。因此,这些因素可以被认为是影响全科医学考试结果的有效因素。此外,研究结果可能支持国家综合考试作为提高教育质量的可靠工具的重要性。关键词:考试,基础科学,实习前,全科医学
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引用次数: 0
A study on hypertension and comparability between one reading and average of three readings of blood pressure by mercury sphygmomanometer among adults in a slum of Kolkata 加尔各答贫民窟成人汞柱血压计一次读数与平均三次读数血压的可比性研究
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I4.233
N. Karmakar, Saugat Banerjee, Amiya Das, A. Dasgupta, Mahul Mukhopadhyay
Background: Hypertension, a major chronic lifestyle disease is most prevalent non communicable disease inIndia. Blood pressure (BP) measurements in the community are generally performed with a mercurysphygmomanometer. However, it is the common teaching that average of at least three readings of bloodpressure measurement is considered to be the gold-standard method. How far this is true has been determinedin this study with the Aim: To find out the prevalence of hypertension and compare the one reading of bloodpressure taken by mercury sphygmomanometer with average of three such readings. Materials andMethods:This cross-sectional study was conducted from January-March 2015 among 160 adults of Chetla slum, Kolkatachosen through a two stage sample design. ubjects included -Male: 39.4%; Female: 60.6%. Data was collectedby interview and blood pressure measurements. Comparison was made between the first reading and theaverage of three readings of BP taken by mercury sphygmomanometer. Result: The overall prevalence ofhypertension was found to be 30 % (48). Strength of agreement between first reading of Blood Pressure with thatof average reading was excellent, with kappa=0.940. Conclusion: Though the average of three blood pressurereadings according to Standard operation Procedure is considered ideal for accurate Blood Pressuremeasurement it may not always be feasible to undertake such a practice especially at community level. Thisstudy observes that single reading can safely be considered for Blood Pressure measurement instead of averageof three readings. Key words: Blood Pressure measurement, One reading, Average of three readings, Mercury sphygmomanometer, Slum.
背景:高血压是一种主要的慢性生活方式疾病,是印度最常见的非传染性疾病。在社区测量血压(BP)通常用水银血压计进行。然而,通常的教导是,至少三次血压测量的平均值被认为是金标准方法。这项研究的目的是:找出高血压的患病率,并将水银血压计测得的一次血压读数与三次平均读数进行比较。材料与方法:本横断面研究于2015年1月至3月在加尔各答乔克市切特拉贫民窟的160名成年人中进行,采用两阶段样本设计。纳入对象-男性:39.4%;女:60.6%。通过访谈和血压测量收集数据。将第一次读数与汞柱血压计三次读数的平均值进行比较。结果:高血压总患病率为30%(48)。血压首次读数与平均读数的一致性非常好,kappa=0.940。结论:虽然按照标准操作程序平均三次血压读数被认为是准确测量血压的理想方法,但这种做法并不总是可行的,特别是在社区一级。本研究观察到,单次读数可以安全地用于血压测量,而不是平均三次读数。关键词:血压测量,一次读数,三次读数平均值,水银血压计,贫民窟
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引用次数: 0
Medical emergencies in dental clinic 牙科诊所紧急医疗情况
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I1.166
Rushil Shah, C. Venkatesh, P. Patel, Nikan Makadia
Medical emergencies are the detrimental medical episodes that may be apparent in dental settings. Diligent understanding of the emergencies is absolutely necessary for all dental surgeons and auxiliaries. Appropriate diagnosis and subsequent care play a key role in the management of medical emergencies in dental clinic. The utmost purpose of this article is to shed light on the typical medical emergencies in dental setting and their subsequent management.
医疗紧急情况是有害的医疗事件,可能是明显的牙科设置。对所有牙科外科医生和辅助医生来说,对紧急情况的认真了解是绝对必要的。适当的诊断和后续护理是处理牙科诊所医疗紧急情况的关键。这篇文章的最大目的是阐明典型的医疗紧急情况在牙科设置和他们的后续管理。
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引用次数: 1
Variegated treatment modalities for trigeminal neuralgia 三叉神经痛的综合治疗方法
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I1.167
Anshul Shah, Aditi Kumbhalwar, P. Ragasree, Sonali Patel, A. Pala, Neetika Thukral
Trigeminal neuralgia is a chronic pain disorder affecting the trigeminal nerve which usually worsens with passage of time. It is an episodic pain syndrome which has been fairly responsive to medical & surgical treatment modalities. It is a pathology characterized by paroxysmal pain so severe and sudden almost like an electric shock, which lasts from a range of very few seconds to a maximum of two minutes. The article is focused on different treatment modalities and their subsequent prognosis. Key words: Trigeminal Neuralgia, Oro-Facial Pain, Treatment
三叉神经痛是一种影响三叉神经的慢性疼痛障碍,通常随着时间的推移而恶化。这是一种发作性疼痛综合征,对医学和外科治疗方式相当敏感。这是一种病理,其特征是剧烈而突然的阵发性疼痛,几乎像电击一样,持续时间从几秒钟到最多两分钟。本文的重点是不同的治疗方式和他们的后续预后。关键词:三叉神经痛,口腔-面部疼痛,治疗
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引用次数: 2
Sensitivity and specificity of Enzyme-Linked Immunosorbent Assays in Brucellosis 酶联免疫吸附法检测布鲁氏菌病的敏感性和特异性
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I4.228
A. Sharif, Z. Soleimani, Kataneh Khamooshi
Background: Brucellosis is a public health problem in the world. Several diagnostic tests have been proposedfor the diagnosis of brucellosis, including Standard Agglutination Test (SAT) and Coombs anti-brucella tests.However these tests does not discriminate the immunoglobulin classes of this condition. The aim of current studywas to explore the sensitivity and specificity of Immunosorbent Assay (ELISA) IgG and IgM tests in patients withBrucella bacteremia. Material and Methods: Thirty-one patients with clinical features suggestive of Brucellosisand were positive blood cultures for Brucella species, were enrolled. Brucella enzyme linked immunosorbentassay test determining the Brucella specific IgG and IgM, antibodies was utilized for the diagnosis of Brucellosis. Results: 31 patients including 18male (52.2%) and 13 female (47.8%) were used for IgG and IgM tests. 23 subjects had a history of dairy consumption. In 6subjects (20.3%) the history of brucellosis in family waspositive.2 subjects had contact with cattles. Our data showed that the sensitivity, specificity, PVP and PVN ofIgMwere100, 72.7,100 and 83.3%, while these values in IgG test were 100, 63.3, 86.9, 100% respectively. Conclusion: Our findings further confirmed that diagnostic value of ELISA based IgG and IgM with highsensitivity, compared to agglutination test, suggesting its value as a simple, rapid, sensitive and reliable methodfor the diagnosis of brucellosis.  Keywords: ELISA, IgG, IgM, Brucellosis
背景:布鲁氏菌病是一个世界性的公共卫生问题。已经提出了几种诊断布鲁氏菌病的检测方法,包括标准凝集试验(SAT)和库姆斯抗布鲁氏菌试验。然而,这些测试不能区分这种疾病的免疫球蛋白类别。本研究的目的是探讨免疫吸附试验(ELISA) IgG和IgM检测在布鲁氏菌菌血症患者中的敏感性和特异性。材料与方法:入选31例具有布鲁氏菌病临床特征且血培养阳性的患者。布鲁氏菌酶联免疫吸附试验测定布鲁氏菌特异性IgG和IgM抗体,用于诊断布鲁氏菌病。结果:31例患者进行IgG和IgM检测,其中男性18例(52.2%),女性13例(47.8%)。23名受试者有乳制品消费史。6例(20.3%)布鲁氏菌病家族史阳性。2名受试者与牛有接触。我们的数据显示,igm检测的敏感性为100,特异性为72.7100,PVN为83.3%,而IgG检测的这些值分别为100,63.3,86.9,100%。结论:与凝集试验相比,本研究结果进一步证实了ELISA法检测IgG和IgM的诊断价值,提示其作为一种简便、快速、灵敏、可靠的布鲁氏菌病诊断方法的应用价值。关键词:ELISA, IgG, IgM,布鲁氏菌病
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引用次数: 0
A Comparison of bioresorbable membrane alone or in Combination with tetracycline root conditioning in treating intrabony defects 生物可吸收膜单独或联合四环素根调理治疗骨内缺损的比较
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I3.215
R. Khan, M. H. Khan
Background: To enhance and possibly overcome limits in the biological potential, several research approaches have assessed the possible benefits of GTR modulation by root surface conditioning agents. Objective: A Comparison of bio resorbable membrane alone or in Combination with tetracycline root conditioning in treating intrabony defects. Material & Methods: Study design: A case-control study. Setting: Department of Periodontics, Subharti Dental College, Meerut Uttar Pradesh, India. Participants: 20 patients Sampling: Random sampling. Statistical Analysis: Data entry and statistical analysis were carried out using SPSS 10. Unpaired student “t”test was applied Results: On comparing the values of pocket depth (PD) and depth of defect area (INFRA I) Group A and Group B patients at baseline and 6 months, a decrease in the PD and INFRA I after the treatment were observed. Intergroup comparison of the treatment outcomes on PD and INFRA I revealed no statistically significant difference between the two groups. Conclusion: It was concluded that combining GTR technique with the TTC-HCl root conditioning does not improve the results in terms of clinical and radiographic outcomes. Keywords: Guided tissue regeneration, Bioresorbable membranes, Tetracycline root conditioning
背景:为了提高并可能克服生物潜能的限制,几种研究方法已经评估了根表面调理剂调节GTR的可能益处。目的:比较生物可吸收膜单独或联合四环素根调理治疗骨内缺损的疗效。材料与方法:研究设计:病例对照研究。单位:印度密鲁特北方邦Subharti牙科学院牙周病科。参与者:20例。抽样:随机抽样。统计分析:使用SPSS 10进行数据录入和统计分析。结果:比较A组和B组患者在基线和6个月时的口袋深度(PD)和缺陷区域深度(INFRA I)值,治疗后PD和INFRA I下降。PD和INFRA I治疗结果组间比较,两组间差异无统计学意义。结论:GTR技术联合TTC-HCl牙根调理在临床和影像学上均没有改善效果。关键词:引导组织再生,生物可吸收膜,四环素根调理
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引用次数: 0
Host modulation therapy- An innovative paradigm in dentistry 宿主调节疗法-牙科的创新范例
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I1.165
G. Latha, A. Suchetha, D. Mundinamane, Apoorva Sm, Divya B. Bhatt, V. Mp
Inflammation comprises a series of events that leads to a host response against trauma and microbial invasion, resulting in liquefaction of surrounding tissues to prevent microbial metastasis, and eventually to healing of injured tissue compartments. Thus, by definition, the host response involves not only the mechanisms of defence but also processes of repair of damage that occurs by the direct effect of invaders or trauma or host systems. Periodontal diseases are inflammatory processes in which microbial etiologic factors induce a series of host responses that mediate an inflammatory cascade of events in an attempt to protect and heal the periodontal tissues. The adjunctive use of host modulation therapy can enhance therapeutic responses, slow the progression of the disease, and allow for more predictable management of patients, particularly in those patients at increased risk caused by factors beyond the reach of conventional therapeutic approaches. Key words: Host modulation, NSAIDs, Bisphosphonates, immune-inflammatory response, MMPs
炎症包括一系列事件,这些事件导致宿主对创伤和微生物入侵做出反应,导致周围组织液化以防止微生物转移,并最终导致受伤组织室的愈合。因此,根据定义,宿主反应不仅包括防御机制,还包括由入侵者或创伤或宿主系统直接影响而发生的损伤修复过程。牙周病是一种炎症过程,在这种炎症过程中,微生物病因诱发一系列宿主反应,介导一系列炎症级联事件,试图保护和治愈牙周组织。辅助使用宿主调节疗法可以增强治疗反应,减缓疾病进展,并允许对患者进行更可预测的管理,特别是对于那些因传统治疗方法无法达到的因素而风险增加的患者。关键词:宿主调节,非甾体抗炎药,双磷酸盐,免疫炎症反应,MMPs
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引用次数: 0
The risk factors of hearing loss in diabetes mellitus 糖尿病患者听力损失的危险因素分析
Pub Date : 2016-01-01 DOI: 10.24896/JRMDS.V4I4.234
F. Tabatabaei, R. Razzaghi, Z. Soleimani, S. Nouri
Background: Hearing loss is considered as one of the complications in diabetic patients. However, studies reported conflicting results on the relationship between diabetes and hearing loss. Objectives: This study aimed to investigateand compare the prevalence of hearing loss in patients with diabetes mellitus and a group of non-diabetic people. Materials and Methods: This study was conducted on 80 patients with diabetes and 80 non-diabetic subjects.Subjects in the case group were selected among the diabetic patients registered in the diabetes centers of Isfahanprovince. Subjects in the control group were selected among non-diabetic individuals referring to the blood bank todonate blood. The instrument used for data collection included of questions on the subjects demographics and a special form for recording the results of the subjects’ laboratory examinations including HbA1c, TSH, Cr and theresult of the audiometric examinations. Data analysis was performed using descriptive statistics, chi-square test andt-test or nonparametric equivalents. Results: Compared with non-diabetic subjects, hearing loss in sounds with high frequencies was more common in patients with diabetes (P value = 0.001), the mean creatinine was significantly different in diabetic patients with and without hearing loss at noise frequencies of 4 KHz and 8 KHz (P value< 0.05). However, hemoglobin A1C, duration of diabetes and BMI were not significantly associated with hearing loss. Conclusion: Hearing impairment in high frequency sounds is more common in diabetics than healthy individuals.The severity of hearing loss in patients with diabetes is also associated with the levels of creatinine. Keywords: Hearing Loss, Diabetes mellitus, Audiometry
背景:听力损失被认为是糖尿病患者的并发症之一。然而,关于糖尿病和听力损失之间的关系,研究报告的结果相互矛盾。目的:本研究旨在调查和比较糖尿病患者和非糖尿病人群听力损失的患病率。材料与方法:本研究选取80例糖尿病患者和80例非糖尿病患者作为研究对象。病例组的研究对象选自伊斯法罕省糖尿病中心登记的糖尿病患者。对照组的受试者是从参考血库的非糖尿病个体中选择献血的。用于数据收集的仪器包括受试者的人口统计学问题和用于记录受试者实验室检查结果的特殊表格,包括HbA1c, TSH, Cr和听力学检查结果。数据分析采用描述性统计、卡方检验和t检验或非参数等效检验。结果:与非糖尿病受试者相比,糖尿病患者在高频声音中听力损失更为常见(P值= 0.001),在噪声频率为4 KHz和8 KHz时,伴有听力损失的糖尿病患者和无听力损失的糖尿病患者的平均肌酐值差异有统计学意义(P值< 0.05)。然而,糖化血红蛋白、糖尿病病程和BMI与听力损失无显著相关性。结论:与健康人群相比,糖尿病患者高频音听力损伤更为常见。糖尿病患者听力损失的严重程度也与肌酐水平有关。关键词:听力损失,糖尿病,听力测定
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引用次数: 0
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Journal of Research in Medical and Dental Science
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