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Evaluation the Efficacy of Intravenous Ibuprofen and Its Complications in Acute Pain Management after Abdominal Surgery 静脉注射布洛芬及其并发症在腹部手术后急性疼痛治疗中的疗效评价
Pub Date : 2021-03-01 DOI: 10.52547/jarums.21.1.7
A. Arabzadeh, G. Akhavan Akbari, I. Feizi, A. Sharghi, Mahboubeh Taghipour Moazen, B. Shahbazzadegan
Background & objectives: Using medications that decrease postoperative pain and opioid consumption is a widely recommended approach. The aim of this study was to evaluate the efficacy of intravenous Ibuprofen and its complication in controlling pain after abdominal surgery. Methods: This study was a randomized, double-blind, interventional clinical trial. Sixty patients aged 20 to 60 years were candidates for abdominal surgery (inguinal hernioplasty and appendectomy). Patients were divided into two equal size groups (n=30) using a random block design method. The First group received (400 mg IV) ibuprofen every 6 hours for 24 hours as well as (15 microgram/ml bolus) fentanyl pump with PCA. Second group only received (15 microgram/ml blous) fentanyl pump with PCA. Results: Demographic characteristics and duration of surgery, ASA class, type of anesthesia and type of surgery were similar in the two groups. Pain severity in 24 postoperative hours was significantly lower in the ibuprofen group compared with the control group. Nausea and vomiting frequency in 24 postoperative hours was significantly lower in the ibuprofen group compared with the control group. Patients belonging to ibuprofen group were significantly more satisfied with their analgesic method. Conclusion: Results showed that using 400 mg intravenous ibuprofen every 6 hours mitigates postoperative pain, reduces fentanyl consumption and is highly tolerated by patients.
背景和目的:使用减少术后疼痛和阿片类药物消耗的药物是一种广泛推荐的方法。本研究的目的是评估静脉注射布洛芬及其并发症在控制腹部手术后疼痛方面的疗效。方法:本研究为随机、双盲、介入性临床试验。60名年龄在20至60岁的患者是腹部手术(腹股沟疝修补术和阑尾切除术)的候选者。采用随机分组设计方法将患者分为两组(n=30)。第一组每6小时接受一次(400mg IV)布洛芬,持续24小时,并用PCA进行(15微克/毫升推注)芬太尼泵。第二组仅接受(15微克/毫升团块)芬太尼泵加PCA。结果:两组患者的人口学特征和手术时间、ASA分级、麻醉类型和手术类型相似。布洛芬组术后24小时的疼痛严重程度明显低于对照组。布洛芬组术后24小时的恶心和呕吐频率明显低于对照组。布洛芬组患者对其镇痛方法的满意度明显高于布洛芬组。结论:结果表明,每6小时静脉注射400 mg布洛芬可减轻术后疼痛,减少芬太尼的消耗,患者耐受性高。
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引用次数: 0
The Relationship between Gastric Carcinogenesis Susceptibility and Some SNPs in MicroRNA Genes in General Population of Ardabil Province 阿达比尔省普通人群胃癌发生易感性与MicroRNA基因某些SNPs的关系
Pub Date : 2021-03-01 DOI: 10.52547/jarums.21.1.76
Homa Akhavan Aghghaleh, N. Ranji, H. Habibollahi
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引用次数: 0
A Case Report of Pulmonary Alveolar Microlithiasis 肺泡微石症1例报告
Pub Date : 2021-03-01 DOI: 10.52547/jarums.21.1.123
A. Samadi, Z. Azimi, Atabak Alafasgari
Pulmonary alveolar microlithiasis is a rare autosomal recessive disease characterized by the formation of calcium phosphate deposition in the alveoli. Although the disease most often occurs in children, most patients with the disease are diagnosed in adulthood due to the slow progression of the disease inside the lungs. In childhood, it often causes no symptoms, and changes in the lung parenchyma are usually detected by chance. Symptoms usually appear in the third or fourth decade of life. Diagnosis is made with a combination of positive chest radiography and tissue examination. Genetic testing makes it possible to identify other unidentified patients in the patient's family. In the present study, a patient with pulmonary alveolar microlithiasis was diagnosed using imaging and other disease findings, including clinical manifestations as well as history is taken from the patient.
肺泡微小结石是一种罕见的常染色体隐性疾病,其特征是肺泡内形成磷酸钙沉积。尽管这种疾病最常发生在儿童身上,但由于疾病在肺部进展缓慢,大多数患者在成年后才被诊断出患有这种疾病。在儿童时期,它通常不会引起任何症状,肺实质的变化通常是偶然发现的。症状通常出现在生命的第三或第四个十年。诊断是结合胸部x线片和组织检查。基因检测可以识别患者家庭中其他身份不明的患者。在本研究中,一名肺泡微石症患者通过影像学和其他疾病发现(包括临床表现和病史)进行了诊断。
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引用次数: 0
The Effect of Moderate and High Intensity Resistance Training on the Expression of PGC-1α, TFAM and AMPK of Cardiomyocytes in Elderly Rats 中高强度抗阻训练对老年大鼠心肌细胞PGC-1α、TFAM和AMPK表达的影响
Pub Date : 2021-03-01 DOI: 10.52547/jarums.21.1.110
Rohollah Taheri Gandomani, B. Mirzaei, Arssalan Damirchi
Background & objectives: Age-related cardiovascular dysfunction is often accompanied by impaired mitochondrial biogenesis and function. Exercise training can improve mitochondrial function and content in muscle to meet the energy demands of the cells. The purpose of the present study was to investigate the effect of moderate-intensity (MRT) and high-intensity (HRT) resistance training on the expression of PGC-1α, TFAM and AMPK of cardiomyocytes in elderly rats. Methods: In this experimental study, 30 elderly male rats (23 months) were divided into 3 groups: control (C), MRT and HRT. Training groups exercised resistance training for eight weeks (5 days a week). The resistance training protocol consisted of climbing a 110-centimeter -long ladder, with a weight attached to a tail sleeve. In the MRT group, the training protocol with 60% MVCC, 14-20 times climbing the ladder; In the HRT group with 80% MVCC, 9-10 times climbing the ladder was performed. Data were tested using ANOVA at a significance level of p <0.05. Results: the expression of PGC-1α, TFAM and AMPK was significantly increased in MRT and HRT groups compared to control group ( p =0.000). There was no significant difference between MRT and HRT groups on the expression of PGC-1α, TFAM and AMPK ( p =0.574). Conclusions : Eight weeks of MRT and HRT exercise improved mitochondrial biogenesis by increasing the expression of AMPK, PGC-1α and TFAM Cardiomyocytes in Elderly Rats. Both types of exercise training may be considered an effective intervention to improve mitochondrial function.
背景与目的:年龄相关性心血管功能障碍常伴有线粒体生物发生和功能受损。运动训练可以改善肌肉中线粒体的功能和含量,以满足细胞的能量需求。本研究旨在探讨中强度(MRT)和高强度(HRT)抗阻训练对老年大鼠心肌细胞PGC-1α、TFAM和AMPK表达的影响。方法:选用23月龄老年雄性大鼠30只,分为对照组(C组)、MRT组和HRT组。训练组进行为期八周的阻力训练(每周五天)。阻力训练方案包括爬一个110厘米长的梯子,梯子的尾套上绑着重物。在MRT组,训练方案为60%的MVCC,爬梯14-20次;在MVCC为80%的HRT组,进行了9-10次爬梯。数据采用方差分析(ANOVA),显著性水平p <0.05。结果:与对照组相比,MRT和HRT组PGC-1α、TFAM、AMPK的表达显著升高(p =0.000)。MRT组与HRT组PGC-1α、TFAM、AMPK的表达差异无统计学意义(p =0.574)。结论:8周的MRT和HRT运动通过增加老年大鼠心肌细胞AMPK、PGC-1α和TFAM的表达来改善线粒体生物发生。这两种类型的运动训练都可以被认为是改善线粒体功能的有效干预措施。
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引用次数: 0
The Effect of Acute Caffeine Consumption in a Dehydration and Hot and Humid conditions on Aerobic Function, Blood Pressure and Some Factors of the Immune System of Active Men 脱水和湿热条件下急性咖啡因摄入对运动男性有氧功能、血压和免疫系统某些因素的影响
Pub Date : 2021-03-01 DOI: 10.52547/jarums.21.1.51
Sara Sabaei, A. Sarshin, A. Rahimi, Fouad Feizollahi
Background & objectives: Caffeine can affect many physiological functions of the body. The aim of this study was to investigate the response of aerobic function, blood pressure and some immune system factors of trained men to acute caffeine consumption in dehydrated condition and warm and humid environment. Methods: Thirty male athletes with a mean age of 26.6±3.9 years in dehydrated conditions voluntarily participated in this study, which was performed in a double-blind manner. Subjects were divided into three groups: caffeine consumption group (n=10), placebo group (n=10) and control group (n=10). The Caffeine group consumed 6 mg/kg body weight of caffeine. Sixty minutes later, the subjects performed an increasingly exhausting exercise. Blood samples collecting and blood pressure measuring took place before, immediately after and 24 hours after exercise. Analysis of variance with repeated measures (group * time) and one-way analysis of variance were used for statistical calculations. Results: The duration of the exhaustion test in the caffeine consumption group was significantly longer than the control ( p ≤0.01) and placebo ( p ≤0.05) groups. In the blood sampling immediately after exercise, the level of leukocytes, neutrophils and lymphocytes in the exercise groups were significantly higher than the control group ( p ≤0.001). Also, the caffeine group experienced a lower increase in leukocytes and neutrophils compared to the placebo group ( p ≤0.001). Blood pressure values in the exercise groups were significantly higher than the control group ( p ≤0.001). Also, the caffeine group experienced a greater increase in systolic blood pressure at baseline and immediately after exercise compared to the placebo group ( p ≤0.001). Conclusion: In general, exhausting exercise in a warm environment and dehydrated condition increases the number of immune system cells and blood pressure. In addition to improving aerobic function, caffeine seems to prevent further increases in the number of immune system cells, while increasing blood pressure in the normal range in warm and humid environment.
背景与目的:咖啡因会影响身体的许多生理功能。本研究的目的是研究在脱水和温暖潮湿的环境中,受过训练的男性的有氧功能、血压和一些免疫系统因素对急性咖啡因摄入的反应。方法:30名平均年龄26.6±3.9岁的男性运动员自愿参加了这项双盲研究。受试者被分为三组:咖啡因摄入组(n=10)、安慰剂组(n=10)和对照组(n=10)。咖啡因组摄入6毫克/千克体重的咖啡因。60分钟后,受试者进行了一项越来越累人的锻炼。血样采集和血压测量分别在运动前、运动后和运动后24小时进行。采用重复测量的方差分析(组*时间)和单向方差分析进行统计计算。结果:咖啡因摄入组的耗竭试验持续时间明显长于对照组(p≤0.01)和安慰剂组(p<0.05)。在运动后立即进行的血液取样中,运动组的白细胞、中性粒细胞和淋巴细胞水平显著高于对照组(p≤0.001),与安慰剂组相比,咖啡因组的白细胞和中性粒细胞增加较少(p≤0.001)。运动组的血压值显著高于对照组(p≤001)。此外,与安慰剂组相比,咖啡因组在基线和运动后收缩压的升高幅度更大(p≤0.001)。除了改善有氧功能外,咖啡因似乎还能防止免疫系统细胞数量的进一步增加,同时在温暖潮湿的环境中使血压在正常范围内升高。
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引用次数: 1
Effects of Ketamine, Fentanyl and Paracetamol on Pain Intensity and Hemodynamic Parameters after Deep Vitrectomy 氯胺酮、芬太尼和对乙酰氨基酚对深部玻璃体切除术后疼痛强度和血流动力学参数的影响
Pub Date : 2021-03-01 DOI: 10.52547/jarums.21.1.90
H. Shetabi, Dariush Moradi farsani, M. Razani
Background & objectives : The aim of this study was to evaluate the effects of preventive administration of ketamine, fentanyl and paracetamol on pain intensity and hemodynamic parameters after deep vitrectomy. Methods: In this clinical trial, 80 candidates of deep vitrectomy surgery were randomly assigned into 4 groups (1-4) and received 0.5 mg / kg ketamine, 2 μg / kg fentanyl, 10 mg/kg of paracetamol and equivolume of normal saline respectively intravenous infusion during the last 15 minutes of surgery. Pain intensity and hemodynamic parameters were recorded and analyzed. Results: Pain intensity was significantly higher in placebo group during the first 4 hours after operation ( p <0.01), but no significant differences were observed between the study groups at 8 and 24 hours after operation in this regard. There were no significant differences between the three intervention groups in terms of pain intensity during the study. Also there were no significant differences between the 4 study groups regarding to hemodynamic parameters. Conclusion: The use of each of the three intervention drugs significantly reduced the pain intensity compared to the control group without any hemodynamic derangement.
背景与目的:本研究旨在评估氯胺酮、芬太尼和扑热息痛预防性给药对深部玻璃体切除术后疼痛强度和血液动力学参数的影响。方法:在本临床试验中,80名深部玻璃体切除术的候选人被随机分为4组(1-4),在手术的最后15分钟内分别静脉输注0.5 mg/kg氯胺酮、2μg/kg芬太尼、10 mg/kg扑热息痛和等量生理盐水。记录并分析疼痛强度和血液动力学参数。结果:安慰剂组在术后前4小时的疼痛强度显著升高(p<0.01),但在术后8小时和24小时,研究组之间没有观察到这方面的显著差异。在研究期间,三个干预组在疼痛强度方面没有显著差异。此外,4个研究组在血液动力学参数方面也没有显著差异。结论:与没有任何血液动力学紊乱的对照组相比,使用三种干预药物中的每一种都显著降低了疼痛强度。
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引用次数: 0
بررسی اثر عصاره گیاه کانابیس (شاهدانه) بر سلولهای عصبی SH-SY5Y 检查大麻酸对神经细胞SH-SY5Y的影响
Pub Date : 2021-01-10 DOI: 10.52547/JARUMS.20.2.232
فرشید پارسا, ابراهیم حسینی, داوود مهربانی, سارا هاشمی
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引用次数: 1
عوامل محافظت کننده میتوکندریایی/ لیزوزومی و آنتی اکسیدانی سبب کاهش سمیت ناشی از تولوئن در لنفوسیتهای انسانی میشوند 通过减少人类lenphosis中的毒素运输,减少了氮/莱菌血症和抗体氧化物的保守作用。
Pub Date : 2021-01-10 DOI: 10.52547/JARUMS.20.2.242
عنایت اله صیدی, جلال پوراحمد, بهناز شجاع طلا تپه, احمد سلیمی
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引用次数: 0
The Effect of 12 Weeks of HIIT Training and Curcumin Consumption on Leptin and Galanin Levels in Obese Women 12周HIIT训练和姜黄素摄入对肥胖女性瘦素和丙氨酸水平的影响
Pub Date : 2021-01-10 DOI: 10.52547/JARUMS.20.2.188
سولماز بابایی
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引用次数: 0
Molecular Analysis of GALNS Gene in eight Iranian Patients with Mucopolysaccharidosis IVA 伊朗8例粘多糖病IVA患者GALNS基因的分子分析
Pub Date : 2021-01-01 DOI: 10.52547/JARUMS.20.2.222
Seyed Hosseiali Saberi, Behnam Kamalidehghan, Shahla Farshidi, Seyed Massoud Houshmand, Roshanak Jazayeri, T. Biotechnology
Background & objectives: Mucopolysaccharidosis IVA (Morquio syndrome type A) is a lysosomal storage disorder caused by a mutation in the GALNS gene located on chromosome 16q24.3 and is inherited in an autosomal recessive manner. To date, more than 300 different mutations associated with MPS IVA, have been reported. Mutational heterogeneity can lead to difficulties in interpretation of molecular testing results, as novel mutations/variants of unknown significance may be detected relatively frequently. The purpose of this study is to analyze the GALNS mutations in Iranian MPS IVA patients. Methods: Mutation screening of the GALNS gene was performed using direct sequence analysis on DNA samples from 8 unrelated Iranian MPS IVA patients. Results: We have identified three novels and four previously reported mutations in 8 Iranian patients. We identified three novel missense mutations including: c.680T>C (p.F227S) in exon 7, c.G949C (p.G317R) and c.956G>C (p.R319T) in exon 9 in three different Iranian MPS IVA patients. Bioinformatics analysis predicted the novel mutations as being diseasecausing. Conclusion: Our findings indicate the molecular heterogeneity of GALNS gene in Iranian patients. We also managed to find three new mutations of MPS IVA in Iranian patients, which are helpful in diagnosis, genetic counseling and prenatal diagnosis in affected families.
背景与目的:粘多糖病IVA(Morquio综合征A型)是一种由位于染色体16q24.3的GALNS基因突变引起的溶酶体储存障碍,以常染色体隐性遗传方式遗传。到目前为止,已经报道了300多种与MPS IVA相关的不同突变。突变异质性可能导致分子检测结果的解释困难,因为可能相对频繁地检测到意义未知的新突变/变体。本研究的目的是分析伊朗MPS IVA患者的GALNS突变。方法:采用直接序列分析法对8例无亲缘关系的伊朗MPS IVA患者的DNA样本进行GALNS基因突变筛查。结果:我们在8名伊朗患者中发现了3例新的突变和4例先前报道的突变。我们在三名不同的伊朗MPS IVA患者中鉴定了三种新的错义突变,包括外显子7中的c.680T>c(p.F227S)、外显子9中的c.G949C(p.G317R)和c.956G>c(p.R319T)。生物信息学分析预测这些新的突变具有致病性。结论:我们的研究结果表明伊朗患者GALNS基因的分子异质性。我们还在伊朗患者中发现了三种新的MPS IVA突变,这有助于受影响家庭的诊断、基因咨询和产前诊断。
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引用次数: 0
期刊
Journal of Ardabil University of Medical Sciences
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