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The Relationship between Serum Lipid Profile and Respiratory Distress Syndrome in Preterm Infants 早产儿血脂与呼吸窘迫综合征的关系
Q3 Medicine Pub Date : 2022-09-01 DOI: 10.30699/jambs.30.142.438
F. Eghbalian, B. Basiri, Maryam Shokouhi Solgi, Foroozan Marefatei, J. Faradmal, Mohamad Kazem Sabzehei
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引用次数: 0
Surgical Outcome in Different Types of L4-L5 Degenerative Spondylolisthesis Based on CARDS Classification 基于卡片分类的不同类型L4-L5退行性椎体滑脱的手术疗效
Q3 Medicine Pub Date : 2022-09-01 DOI: 10.30699/jambs.30.142.4
Mohsen Rezaeipour, Seyed Mohammad Hassan Moallem, M. Afzalaghaee, F. Omidi-Kashani
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引用次数: 0
Report of Two Cases of Gastrointestinal Tuberculosis 胃肠道结核2例报告
Q3 Medicine Pub Date : 2022-09-01 DOI: 10.30699/jambs.30.142.463
Jafar Mohammadshahi, S. Habibzadeh, Roghayeh Teimourpour, Shohreh Pourdel, Negin Ashouri
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引用次数: 0
Psychological and Physical Fall Assessment Tools in Persian Older Adults: A COSMIN Systematic Review 波斯老年人跌倒心理和身体评估工具:COSMIN系统综述
Q3 Medicine Pub Date : 2022-09-01 DOI: 10.30699/jambs.30.142.2
Mahsa Meimandi, Parvaneh Mohammadi, A. Azad, Masoome Zaree
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引用次数: 0
A Retrospective Cohort Study of SARS-CoV-2 Mortality Rate in Individuals with Opioid Use Disorder in Ilam (Southwest of Iran) 伊朗西南部伊拉姆地区阿片类药物使用障碍患者SARS-CoV-2死亡率回顾性队列研究
Q3 Medicine Pub Date : 2022-09-01 DOI: 10.30699/jambs.30.142.9
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.
背景与目的:阿片类药物使用障碍患者是任何社会中的边缘人群。与普通人群相比,他们的免疫系统通常较弱,压力更大,健康状况较差,行为更高风险,获得医疗服务的机会更少,这可能使他们面临严重新冠肺炎并发症的风险。本研究旨在评估阿片类药物使用障碍对严重急性呼吸系统综合征冠状病毒2型患者死亡率的影响。材料与方法:这项基于登记的回顾性队列研究在2020年3月5日至2021年3月21日期间对2362名连续确诊为严重急性呼吸系统综合征冠状病毒2型的住院患者进行,这些患者在伊朗西南部伊拉姆的一所大学医院就诊。本研究确定了45名阿片类药物使用障碍患者,并与100名无鸦片成瘾患者进行了配对。所有有鸦片成瘾史的患者都被纳入研究组,年龄和性别匹配的无阿片类药物使用障碍的患者被随机招募为对照。在调整了年龄和合并症的影响后,使用逻辑回归模型在STATA版本10中分析数据。结果:新冠肺炎后,阿片类药物使用障碍患者的死亡率增加(调整后OR:6.59;95%CI:1.84–23.59;P=0.004)。高血压(调整后OR:8.17;95%CI:2.21–30.15;P=0.002)和高龄(OR:1.06;95%CI:0.01–1.11;P=0.01)与新冠肺炎死亡率增加显著相关。结论:根据目前的研究结果,阿片类药物使用障碍可能是新冠肺炎后死亡的危险因素。本研究结果可应用于预防措施和政策的实施以及新冠肺炎疫苗接种的优先顺序。然而,建议进行进一步的相关研究。
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引用次数: 0
Arteriovenous Malformation of Upper Lip- A Case Report with Literature Review 上唇动静脉畸形1例并文献复习
Q3 Medicine Pub Date : 2022-09-01 DOI: 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.
头颈部动静脉畸形(AVMs)是一种罕见的血管良性异常,但如果持续发展,可能会致命。当胎儿毛细血管床没有完全展开时,就会发生动脉和静脉之间的直接连接。它们也可能是创伤或荷尔蒙变化的结果。在临床上,伴随着肿胀,它们与温暖,可触及的震颤或摩擦的迹象有关。病变的处理是具有挑战性的,需要采用多模式激光治疗方法,然后进行栓塞和手术切除。完全切除是必要的,因为不完全切除会导致复发。详细的临床背景与影像学相结合通常清楚地描绘病变,并允许仔细的治疗选择。本报告报告了一例创伤后/获得性上唇AVM病例,该病例在7岁女性中通过造影血管造影和MRI诊断为上唇AVM,并使用病灶内皮质类固醇治疗,随后手术切除。
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引用次数: 0
Effects of the Mouthwash Containing Pomegranate Seed Oil on Improving Oral Mucositis in Patients Undergoing Chemotherapy 石榴籽油漱口液对化疗患者口腔黏膜炎的改善作用
Q3 Medicine Pub Date : 2022-09-01 DOI: 10.30699/jambs.30.142.5
M. Taghadosi, H. Akbari, Fahimeh Ganjoori, Masoud Fakharian
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引用次数: 1
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 基于双谱指数系统的镇静药治疗急诊肩关节脱位的比较:随机、三组、双盲临床试验
Q3 Medicine Pub Date : 2022-09-01 DOI: 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。
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引用次数: 0
Incidence of Toxoplasma gondii, Entamoeba histolytica and Schistosoma mansoni Infections Among Hepatitis C Virus Patients in Egypt 埃及丙型肝炎患者中弓形虫、溶组织内阿米巴和曼氏血吸虫感染的发生率
Q3 Medicine Pub Date : 2022-09-01 DOI: 10.30699/jambs.30.142.6
H. Ibrahim, A. Mohamed, Hend S. Mabrook
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引用次数: 0
Metastatic Bilateral Ovarian High Grade Serous Carcinoma to the Appendix: A Diagnosis Pitfall 双侧卵巢高级别浆液性癌附件转移的诊断失误
Q3 Medicine Pub Date : 2022-09-01 DOI: 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.
双侧卵巢肿块与无症状附件孤立性肿块同时出现是手术中的一个不寻常事件。Babaier等人和Kumar的研究结果表明,主要的鉴别诊断是卵巢至阑尾的转移性粘液腺癌与卵巢两侧的转移性阑尾粘液肿瘤(4,5)。Yoon等人的研究结果表明,双侧卵巢高级别浆液性癌向阑尾转移是一种极为罕见的事件(6)。一位43岁的女性因月经不规则而来我院就诊,已有数月的病史。她接受了身体、影像和实验室评估。最后进行了手术干预。影像学研究,包括超声和CT扫描结果显示双侧卵巢实性囊性肿块和轻度腹膜积液。CA125轻度升高。(60 U/mL)。在手术过程中,在触诊时,发现了一个偶然的小型阑尾病变。患者接受了全腹子宫切除术、双侧输卵管卵巢切除术、大网膜切除术、盆腔淋巴结清扫术和阑尾切除术。
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Journal of Advances in Medical and Biomedical Research
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