Pub Date : 2022-09-01DOI: 10.30699/jambs.30.142.438
F. Eghbalian, B. Basiri, Maryam Shokouhi Solgi, Foroozan Marefatei, J. Faradmal, Mohamad Kazem Sabzehei
{"title":"The Relationship between Serum Lipid Profile and Respiratory Distress Syndrome in Preterm Infants","authors":"F. Eghbalian, B. Basiri, Maryam Shokouhi Solgi, Foroozan Marefatei, J. Faradmal, Mohamad Kazem Sabzehei","doi":"10.30699/jambs.30.142.438","DOIUrl":"https://doi.org/10.30699/jambs.30.142.438","url":null,"abstract":"","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69575332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohsen Rezaeipour, Seyed Mohammad Hassan Moallem, M. Afzalaghaee, F. Omidi-Kashani
{"title":"Surgical Outcome in Different Types of L4-L5 Degenerative Spondylolisthesis Based on CARDS Classification","authors":"Mohsen Rezaeipour, Seyed Mohammad Hassan Moallem, M. Afzalaghaee, F. Omidi-Kashani","doi":"10.30699/jambs.30.142.4","DOIUrl":"https://doi.org/10.30699/jambs.30.142.4","url":null,"abstract":"","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42946976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.30699/jambs.30.142.463
Jafar Mohammadshahi, S. Habibzadeh, Roghayeh Teimourpour, Shohreh Pourdel, Negin Ashouri
{"title":"Report of Two Cases of Gastrointestinal Tuberculosis","authors":"Jafar Mohammadshahi, S. Habibzadeh, Roghayeh Teimourpour, Shohreh Pourdel, Negin Ashouri","doi":"10.30699/jambs.30.142.463","DOIUrl":"https://doi.org/10.30699/jambs.30.142.463","url":null,"abstract":"","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44290044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mahsa Meimandi, Parvaneh Mohammadi, A. Azad, Masoome Zaree
{"title":"Psychological and Physical Fall Assessment Tools in Persian Older Adults: A COSMIN Systematic Review","authors":"Mahsa Meimandi, Parvaneh Mohammadi, A. Azad, Masoome Zaree","doi":"10.30699/jambs.30.142.2","DOIUrl":"https://doi.org/10.30699/jambs.30.142.2","url":null,"abstract":"","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45962624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Kaffashian, M. Hadavi, F. Taghinezhad, I. Ahmadi, Samaneh Tahmasebi Ghorabi, Amin Khalafzadeh, A. Mozafari
Background & Objective: Individuals with opioid use disorder are a marginalized population in any society. They commonly have a weaker immune system, greater stress vulnerability, poorer health, more high-risk behaviors, and less access to healthcare services compared to the general population, which can expose them to a risk of severe COVID-19 complications. This study aimed to evaluate the effects of opioid use disorder on mortality in patients with SARS-CoV-2. Materials & Methods: This registry-based retrospective cohort study was conducted on 2362 consecutive inpatients with a confirmed diagnosis of SARS-CoV-2 between March 5, 2020 and March 21, 2021, presenting to a university hospital in Ilam in the southwest of Iran. Forty-five patients with opioid use disorder were identified in this study and matched to 100 patients without opium addiction. All patients with a history of opium addiction were included in the study group, and age-and sex-matched patients without opioid use disorder were randomly recruited as the controls. After adjusting for the effects of age and comorbidities, data were analyzed in STATA version 10, using logistic regression models. Results: The mortality of patients with opioid use disorder increased following COVID-19 (adjusted OR: 6.59;95% CI: 1.84–23.59;P=0.004). Hypertension (adjusted OR: 8.17;95% CI: 2.21–30.15;P=0.002) and advancing age (OR: 1.06;95% CI: 1.01–1.11;P=0.01) were significantly associated with increased COVID-19 mortality. Conclusion: Based on the present findings, opioid use disorder is a possible risk factor for mortality following COVID-19. The findings of the present study can be applied in the implementation of preventive measures and policies and prioritization of COVID-19 vaccination. However, further relevant research is recommended.
{"title":"A Retrospective Cohort Study of SARS-CoV-2 Mortality Rate in Individuals with Opioid Use Disorder in Ilam (Southwest of Iran)","authors":"M. Kaffashian, M. Hadavi, F. Taghinezhad, I. Ahmadi, Samaneh Tahmasebi Ghorabi, Amin Khalafzadeh, A. Mozafari","doi":"10.30699/jambs.30.142.9","DOIUrl":"https://doi.org/10.30699/jambs.30.142.9","url":null,"abstract":"Background & Objective: Individuals with opioid use disorder are a marginalized population in any society. They commonly have a weaker immune system, greater stress vulnerability, poorer health, more high-risk behaviors, and less access to healthcare services compared to the general population, which can expose them to a risk of severe COVID-19 complications. This study aimed to evaluate the effects of opioid use disorder on mortality in patients with SARS-CoV-2. Materials & Methods: This registry-based retrospective cohort study was conducted on 2362 consecutive inpatients with a confirmed diagnosis of SARS-CoV-2 between March 5, 2020 and March 21, 2021, presenting to a university hospital in Ilam in the southwest of Iran. Forty-five patients with opioid use disorder were identified in this study and matched to 100 patients without opium addiction. All patients with a history of opium addiction were included in the study group, and age-and sex-matched patients without opioid use disorder were randomly recruited as the controls. After adjusting for the effects of age and comorbidities, data were analyzed in STATA version 10, using logistic regression models. Results: The mortality of patients with opioid use disorder increased following COVID-19 (adjusted OR: 6.59;95% CI: 1.84–23.59;P=0.004). Hypertension (adjusted OR: 8.17;95% CI: 2.21–30.15;P=0.002) and advancing age (OR: 1.06;95% CI: 1.01–1.11;P=0.01) were significantly associated with increased COVID-19 mortality. Conclusion: Based on the present findings, opioid use disorder is a possible risk factor for mortality following COVID-19. The findings of the present study can be applied in the implementation of preventive measures and policies and prioritization of COVID-19 vaccination. However, further relevant research is recommended.","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45666690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.30699/jambs.30.142.458
Swathi Siripurapu, Swetha Pasupuleti, R. Manyam, K. Moturi, D. Puvvada
10.30699/jambs.30.142.458 Arteriovenous malformations (AVMs) of the head and neck are rare vascular benign anomalies but may become lethal when persistent and progressive. It occurs when a fetal capillary bed fails to fully involute, allowing direct connection between arteries and veins. They can also happen as a result of trauma or a hormonal changes. Clinically along with swelling, they are associated with signs of warmth, palpable thrill or bruit. Management of the lesion is challenging and follows a multimodal laser therapy approach followed by embolization and surgical resection. Complete excision is required as incomplete excision leads to recurrence. A detailed clinical background combined with imaging generally clearly delineates the lesion and allows for a careful therapeutic option. A case report of a post-traumatic/acquired AVM on the upper lip is presented in this report which was diagnosed on contrast tomography Angiogram and MRI in a 7year old female and treated with intralesional corticosteroids followed by surgical excision.
{"title":"Arteriovenous Malformation of Upper Lip- A Case Report with Literature Review","authors":"Swathi Siripurapu, Swetha Pasupuleti, R. Manyam, K. Moturi, D. Puvvada","doi":"10.30699/jambs.30.142.458","DOIUrl":"https://doi.org/10.30699/jambs.30.142.458","url":null,"abstract":"10.30699/jambs.30.142.458 Arteriovenous malformations (AVMs) of the head and neck are rare vascular benign anomalies but may become lethal when persistent and progressive. It occurs when a fetal capillary bed fails to fully involute, allowing direct connection between arteries and veins. They can also happen as a result of trauma or a hormonal changes. Clinically along with swelling, they are associated with signs of warmth, palpable thrill or bruit. Management of the lesion is challenging and follows a multimodal laser therapy approach followed by embolization and surgical resection. Complete excision is required as incomplete excision leads to recurrence. A detailed clinical background combined with imaging generally clearly delineates the lesion and allows for a careful therapeutic option. A case report of a post-traumatic/acquired AVM on the upper lip is presented in this report which was diagnosed on contrast tomography Angiogram and MRI in a 7year old female and treated with intralesional corticosteroids followed by surgical excision.","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42411267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Taghadosi, H. Akbari, Fahimeh Ganjoori, Masoud Fakharian
{"title":"Effects of the Mouthwash Containing Pomegranate Seed Oil on Improving Oral Mucositis in Patients Undergoing Chemotherapy","authors":"M. Taghadosi, H. Akbari, Fahimeh Ganjoori, Masoud Fakharian","doi":"10.30699/jambs.30.142.5","DOIUrl":"https://doi.org/10.30699/jambs.30.142.5","url":null,"abstract":"","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43357786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.30699/jambs.30.142.407
M. Massaeli, Soheil Nasouhi, Hoshang Bahrani, Heydar Hosseinnejad, Ehsan Akrami, Afshin Motallebzadeh, Maedeh Baniasadi, M. Shahabian
Background & Objective: Procedural sedation and analgesia (PSA) includes the administration of sedative/dissociative medications with or without the concomitant delivery of analgesic agents. The bispectral index system (BIS) is a modern technology for neurophysiological monitoring that continuously analyzes the patient’s electroencephalogram curve during sedation to assess the level of consciousness. This study aimed to compare various PSA protocols, including propofol/fentanyl, propofol/ketamine, and ketamine, based on the BIS and other critical items in adults with anterior shoulder dislocation (ASD) in the emergency department. Materials & Methods: This randomized three-group double-blinded clinical trial was conducted on 150 patients with ASD in Besat General Hospital in Tehran, Iran. The sample size was determined at 50 individuals in each group receiving propofol/fentanyl (group A), propofol/ketamine (ketofol; group B), and ketamine (group C). Before PSA, the sensor of the BIS monitor was attached to the patient, and several items were compared, including the side effects and duration of sedation, as well as BIS values before and 1-5 min after PSA. Results: Visual analogue scale scores before and after the intervention were obtained at 8.1±0.69 and 2.08±0.7, respectively. The BIS values at the 1 st , 2 nd , 3 rd , 4 th , and 5 th min after PSA were not different in the three groups. The comparison between the three groups regarding the patients’ satisfaction showed that there was a significant difference between them (P=0.02), which was higher in the ketofol group. Conclusion: The investigation of PSA using propofol/ketamine, ketamine, and propofol/fentanyl showed similar frequencies of BIS values and adverse respiratory events. The use of propofol/fentanyl was associated with a slightly higher incidence of hypotension. Moreover, the frequency of patient satisfaction was higher among the subjects in group B, compared to those in the other groups.
背景与目的:程序性镇静镇痛(PSA)包括镇静/解离性药物的使用,同时或不同时给予镇痛药。双谱指数系统(BIS)是一种现代神经生理监测技术,它可以连续分析患者在镇静期间的脑电图曲线,以评估意识水平。本研究旨在比较不同的PSA方案,包括异丙酚/芬太尼,异丙酚/氯胺酮和氯胺酮,基于BIS和其他关键项目在急诊科成人前肩脱位(ASD)。材料与方法:本随机三组双盲临床试验对伊朗德黑兰Besat总医院的150例ASD患者进行了研究。每组50人接受异丙酚/芬太尼(A组)、异丙酚/氯胺酮(酮fol;B组),氯胺酮组(C组)。PSA前,将BIS监测仪传感器贴在患者身上,比较其副作用、镇静时间、PSA前和PSA后1-5 min BIS值等多项指标。结果:干预前后视觉模拟量表得分分别为8.1±0.69和2.08±0.7。三组患者PSA后1、2、3、4、5 min的BIS值无明显差异。三组患者满意度比较,两组患者满意度差异有统计学意义(P=0.02),其中酮酚组患者满意度更高。结论:使用异丙酚/氯胺酮、氯胺酮和异丙酚/芬太尼的PSA调查显示,BIS值和不良呼吸事件的频率相似。使用异丙酚/芬太尼与低血压的发生率略高相关。此外,与其他组相比,B组患者满意度的频率更高。
{"title":"Comparison of Sedatives for the Reduction of Shoulder Dislocation Based on Bispectral Index System in Emergency Department: A Randomized, Three-Group, Double-Blinded Clinical Trial","authors":"M. Massaeli, Soheil Nasouhi, Hoshang Bahrani, Heydar Hosseinnejad, Ehsan Akrami, Afshin Motallebzadeh, Maedeh Baniasadi, M. Shahabian","doi":"10.30699/jambs.30.142.407","DOIUrl":"https://doi.org/10.30699/jambs.30.142.407","url":null,"abstract":"Background & Objective: Procedural sedation and analgesia (PSA) includes the administration of sedative/dissociative medications with or without the concomitant delivery of analgesic agents. The bispectral index system (BIS) is a modern technology for neurophysiological monitoring that continuously analyzes the patient’s electroencephalogram curve during sedation to assess the level of consciousness. This study aimed to compare various PSA protocols, including propofol/fentanyl, propofol/ketamine, and ketamine, based on the BIS and other critical items in adults with anterior shoulder dislocation (ASD) in the emergency department. Materials & Methods: This randomized three-group double-blinded clinical trial was conducted on 150 patients with ASD in Besat General Hospital in Tehran, Iran. The sample size was determined at 50 individuals in each group receiving propofol/fentanyl (group A), propofol/ketamine (ketofol; group B), and ketamine (group C). Before PSA, the sensor of the BIS monitor was attached to the patient, and several items were compared, including the side effects and duration of sedation, as well as BIS values before and 1-5 min after PSA. Results: Visual analogue scale scores before and after the intervention were obtained at 8.1±0.69 and 2.08±0.7, respectively. The BIS values at the 1 st , 2 nd , 3 rd , 4 th , and 5 th min after PSA were not different in the three groups. The comparison between the three groups regarding the patients’ satisfaction showed that there was a significant difference between them (P=0.02), which was higher in the ketofol group. Conclusion: The investigation of PSA using propofol/ketamine, ketamine, and propofol/fentanyl showed similar frequencies of BIS values and adverse respiratory events. The use of propofol/fentanyl was associated with a slightly higher incidence of hypotension. Moreover, the frequency of patient satisfaction was higher among the subjects in group B, compared to those in the other groups.","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45677794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Incidence of Toxoplasma gondii, Entamoeba histolytica and Schistosoma mansoni Infections Among Hepatitis C Virus Patients in Egypt","authors":"H. Ibrahim, A. Mohamed, Hend S. Mabrook","doi":"10.30699/jambs.30.142.6","DOIUrl":"https://doi.org/10.30699/jambs.30.142.6","url":null,"abstract":"","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42849240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.30699/jambs.30.142.12
Fatemeh Samiee-Rad
Synchronized evidence of bilateral ovarian masses with an asymptomatic incidental appendiceal solitary mass is an unusual event during operation. The results of Babaier et al., and Kumar demonstrated, that the main differential diagnosis is metastatic mucinous adenocarcinoma of ovary to appendix versus metastatic mucinous neoplasm of appendix in both sides of ovaries (4,5). Yoon et al., study findings showed that metastasis of bilateral ovarian high grade serous carcinoma to the appendix is an extremely rare event (6). A 43-year-old woman presented to our hospital with a severalmonth history of menstrual irregularity. She underwent physical, imaging, and laboratory evaluations. Finally surgical interventions were made. Imaging studies, including ultrasound and CT scan findings showed bilateral ovarian solid cystic masses and mild peritoneal effusion. CA 125 hadincreased mildly. (60 U/mL). During surgery, on palpation, an incidental smallsized appendiceal lesion was found. The patient underwent total abdominal hysterectomy, bilateral salpingo oophorectomy, omentectomy, pelvic lymph nodes dissection and appendectomy.
{"title":"Metastatic Bilateral Ovarian High Grade Serous Carcinoma to the Appendix: A Diagnosis Pitfall","authors":"Fatemeh Samiee-Rad","doi":"10.30699/jambs.30.142.12","DOIUrl":"https://doi.org/10.30699/jambs.30.142.12","url":null,"abstract":"Synchronized evidence of bilateral ovarian masses with an asymptomatic incidental appendiceal solitary mass is an unusual event during operation. The results of Babaier et al., and Kumar demonstrated, that the main differential diagnosis is metastatic mucinous adenocarcinoma of ovary to appendix versus metastatic mucinous neoplasm of appendix in both sides of ovaries (4,5). Yoon et al., study findings showed that metastasis of bilateral ovarian high grade serous carcinoma to the appendix is an extremely rare event (6). A 43-year-old woman presented to our hospital with a severalmonth history of menstrual irregularity. She underwent physical, imaging, and laboratory evaluations. Finally surgical interventions were made. Imaging studies, including ultrasound and CT scan findings showed bilateral ovarian solid cystic masses and mild peritoneal effusion. CA 125 hadincreased mildly. (60 U/mL). During surgery, on palpation, an incidental smallsized appendiceal lesion was found. The patient underwent total abdominal hysterectomy, bilateral salpingo oophorectomy, omentectomy, pelvic lymph nodes dissection and appendectomy.","PeriodicalId":36550,"journal":{"name":"Journal of Advances in Medical and Biomedical Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48934090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}