eng
International Journal of Medical Investigation
International Journal of Medical Investigation
2322-2913
2345-640x
2017-12
6
4
121
128
article
Prediction of care after surgery using surgical Apgar score during surgery by surgeons and anesthesiologists
Ibrahim M.Al-Gwairy
1
Sadeq M.Dameh
2
Khaled S.El-Share
3
Ali M.Al-Oun
4
Ramadan I.Hassanat
5
Department of general surgery, RMS, KHMC, Amman, Jordan
Department of general surgery, RMS, KHMC, Amman, Jordan
Department of general surgery, RMS, KHMC, Amman, Jordan
Department of general surgery, RMS, KHMC, Amman, Jordan
Department of general surgery, RMS, KHMC, Amman, Jordan
Background: Medical providers continue to maintain a decreased frequency of major hazards after surgery for patients undergoing any surgery. Variable postoperative outcomes can be due to differences in patients’ preoperative risks. The intraoperative surgical Apgar score may predict postoperative one month hazards. Objective: To show the influence of applying the surgical Apgar score by surgeons and anesthesiologists together on clinical outcome after surgery. Methods: Our prospective, double blind and randomized included 166 patients, of both sexes, aged 35-62 years, classed I-IV physical status by the American society of anesthesiologists and scheduled for different elective or emergency general surgical procedures with routine outpatient or inpatient follow up after surgery at Prince Hashim(Zarqa) and King Hussein(Amman) hospitals, Jordan, during the period June 2015-June 2016, after obtaining written informed consent from all participants . Patients were divided into a group I (n=83) with standard outcome after surgery and a group II (n=83) with outcome affected by the surgical Apgar score. In the second group, the surgical Apgar score was calculated by grouping patients into three classes (0-3,4-7 and 8-10). The ten-point surgical Apgar score is recorded at the end of any surgery from the average blood loss, least mean arterial pressure and least heart rate during the surgery. The score is the sum of the points (0, 1, 2, 3 and 4) from each category. The primary outcome included a one month hazards after surgery. Secondary outcome included immediate admissions to the intensive care unit during one month of the primary surgery. Continuous variables were analyzed using Mann–Whitney U test. Categorical variables were analysed using chi-squared test. Univariate logistic regression was used to compare outcomes in the two groups. Results: Frequency of hazards was comparable in both groups (GI: 24/83 (28.9%), GII: 27/83 (32.5%), although it was more in the second group, P>0.05). Immediate admissions to the intensive care unit was more but not significant in the second group (22/83(26.5%) than in the first group (16/83(19.3%), (P>0.05). Conclusions: The surgical apgar score may show a discrepancy in postoperative outcome, especially if differences in clinical outcome are to be implemented, using a quality enhancement method.
http://intjmi.com/article-1-285-en.pdf
hazards after surgery
intensive care unit admission
surgical Apgar score.
eng
International Journal of Medical Investigation
International Journal of Medical Investigation
2322-2913
2345-640x
2017-12
6
4
129
134
article
Knowledge and Awareness of Nursing Students on Blood Transfusion
Amir Shamshirian
1
Zahra Alirahimi
2
Atiyeh Ghorbanpour
3
Sepideh Motamen
4
Negar Maadi
5
Parvin Zamani
6
Ali Reza Mohseni
7
Department of Laboratory Sciences, School of allied medical science, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
Department of Laboratory Sciences, School of allied medical science, Student Research Committee, Mazandaran University of Medical Sciences, Amol, Iran
Department of Laboratory Sciences, School of allied medical science, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
Department of Laboratory Sciences, School of allied medical science, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
Department of Laboratory Sciences, School of allied medical science, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
Department of Laboratory Sciences, School of allied medical science, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
Department of Laboratory Sciences, School of allied medical science, Mazandaran University of Medical Sciences, Sari, Iran
Introduction: Today, blood transfusion is one of the most important life-saving measures for people, but in case of individual errors, it can lead to many complications and even death. In health-care centers, different people are involved in blood transfusion process and nurses play one of the most important roles in a safe transfusion. Therefore, the aim of this study is to evaluate nurses' knowledge about the use and effects of blood products in nursing students of Mazandaran University of Medical Sciences in 2017. Methods: In this descriptive study, knowledge and awareness of 153 nursing student were evaluated by a questionnaire consisted personal socio-demographic questions and specific questions about the blood transfusion. SPSS 16 software was used for data analysis. Findings: A total of 153 participants in this study, 53 students (34.6%) were males and 100 of them (65.4%) were females by the mean age of 20.79 (±2.4). Only 33.4% of nursing student answered to general information correctly and in terms of blood usage, transfusion process, and blood transfusion complications, respectively 22.45%, 27.1% and 20.8% of students had good knowledge. Overall, the results of this study showed that only 25.9% of nursing students had good knowledge and awareness about blood transfusion. Conclusion: Results showed that awareness and knowledge of nursing students about blood transfusion is average downward. In addition to the need for comprehensive studies, theoretical and practical courses on blood transfusion medicine in educational curriculum and holding workshops on blood transfusion medicine may help to increase the awareness of nursing students.
http://intjmi.com/article-1-286-en.pdf
Blood transfusion
Nursing students
Knowledge
Awareness
eng
International Journal of Medical Investigation
International Journal of Medical Investigation
2322-2913
2345-640x
2017-12
6
4
135
137
article
TRANSVERSE TESTICULAR ECTOPIA: A CASE REPORT
Mohanad AL Naser
1
Mohammad FaisalMousa
2
Ali Zrigat
3
Abdelhakim Ni'mate
4
Monther Omoosh
5
Ashraf Al-Majali
6
Mohammed Qudah
7
Belal Alkhwaldah
8
Department of urology, Royal Medical Services, Jordan
Department of urology, Royal Medical Services, Jordan
Department of urology, Royal Medical Services, Jordan
Department of urology, Royal Medical Services, Jordan
Department of urology, Royal Medical Services, Jordan
Department of urology, Royal Medical Services, Jordan
Department of urology, Royal Medical Services, Jordan
Department of urology, Royal Medical Services, Jordan
Transverse testicular ectopia (TTE) / crossed testicular ectopia (CTE) is a quite rare congenital anomaly, resulting from abnormally deviated descent of testis, leading to the presence of both testicles in a single scrotal compartment. It can coincide with other congenital anomalies, such as :( 1) persistent mullerian duct system, (2) true and pseudohermaphroditism, (3) hypospadius, (4) inguinal hernia, and (5) scrotal wall abnormalities. Around 150 cases have been reported in literature we report a case of a 29 year old male patient, with unknown previous medical illnesses, presented to the urology outpatient clinic complaining of painless left testicular mass, he underwent left inguinal exploration for radical orchidectomyand was found to have double unilateral spermatic cords and testicles.
http://intjmi.com/article-1-287-en.pdf
crossed testicular ectopia
testicular mass
double unilateral spermatic cords and testicles.
eng
International Journal of Medical Investigation
International Journal of Medical Investigation
2322-2913
2345-640x
2017-12
6
4
138
143
article
Hyper immunoglobulin-M Syndrome in children
Reza Sadeghnezhad
1
Mahdi Babaei hatkehlouei
2
Masoud Golpour
3
Hamed Jafarpour
4
Student of Environmental Health Engineering, Student Research Committee, Faculty of Health & Health Sciences Research Center, Mazandaran university of Medical Sciences, Sari, Iran.
Dentistry student, Student Research Committee, Mazandaran University of Medical Science, Sari, Iran
Associated Professor, Department of Dermatology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Medical Student, Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Introduction: Hyper immunoglobulin-M syndrome (HIGM) is a rare, x-linked recessive inherited disorder with Increased or normal serum IgM and decreased IgA, IgG and IgE and normal peripheral B cells. In this disease, we have defect in class switch recombination (CSR) and somatic hyper mutation that is caused by defects including the enzymes required for CSR and SHM. (SHM) Methods: To update about HIGM, PubMed and Google Scholar database were searched for term, X linked Hyper IgM syndrome and CD40 ligand. In our first search, we received about 90 updated articles, and then we distributed these articles among the authors. After reading the articles and sharing together, finally 33 articles were selected that fully related to the topic as references. Findings: In conclusion, HIGM is rare disease that starts early in life with lifelong recurrent attacks of various infections by a variety of symptoms, including lymph Adenopathy, vomiting, diarrhea, skin lesion and abdominal pain. Allogenic hematopoietic cell transplantation and BMT can be effective in these patients. Conclusion: In conclusion, HIGM is rare disease that starts early in life with lifelong recurrent attacks of various Infections by a variety of symptoms, including lymphadenopathy, vomiting, diarrhea, skin lesions and abdominal pain. Allogenic hematopoietic cell transplantation and BMT can be effective in these patients.
http://intjmi.com/article-1-289-en.pdf
CD40 ligand
X linked hyper-IgM
Immune Deficiency Syndromes
eng
International Journal of Medical Investigation
International Journal of Medical Investigation
2322-2913
2345-640x
2017-12
6
4
144
160
article
Studying factors related to the birth of neonates with weight less than 2500 g in Village of Chamazkati during 2008-2014: a retrospective study
Mahshid Ahmadi
1
Mojgan Geran
2
Department of Psychiatry, Mazandaran University of Medical Sciences, Psychiatry and Behavioral Science Research Center, Sari, Iran
Department of Psychiatry, Mazandaran University of Medical Sciences, Psychiatry and Behavioral Science Research Center, Sari, Iran
Introduction: The rate of neonates’ mortality is one most important indicator of the health of any society influenced by several factors. Therefore, the present study was designed and implemented to investigate the factors related to the birth of neonates with weight less than 2500 g in the village of Chamazkati during 2008-2014. Methods: In the present descriptive, cross-sectional study, 32 neonates weight less than 2500 g were examined by census method in the village Chamazkati of Qaemshahr from 2008 to 2014. Data were collected through a researcher construed questionnaire and studying documents. The validity and reliability of the questionnaire were confirmed through studying the content by 10 experts and the calculation of the internal similarity. Data were analyzed using SPSS software version 24 and t-test and analysis of variance. Findings: The findings indicated that the consumption of dairy products, bread and cereals, fruit and vegetables, meat and legumes, and multivitamin are associated significantly with neonate’s weight (P < 0.05). Also, they showed that the mother's physical features, the amount of income and education are significantly associated with the neonate’s weight (P < 0.05). Finally, this relationship exists between the fetus multiparity, conditions of pregnancy and birth and diseases of pregnancy period on the one hand and the neonate’s weight on the other (P < 0.05). Conclusion: This study showed that low weight of neonates is dependent on numerous causes and the reduction of the rate of low weight birth of them requires to accurate and comprehensive examination and makes necessary a comprehensive planning in the field of prevention of mother’s nutritional disorders, taking supplements, mother’s consciousness, her physical features, fetus suitable condition during pregnancy cares, good conditions of pregnancy and birth and diseases in pregnancy.
http://intjmi.com/article-1-290-en.pdf
birth
neonate
low weight
eng
International Journal of Medical Investigation
International Journal of Medical Investigation
2322-2913
2345-640x
2017-12
6
4
161
167
article
Pathological study of Placenta Samples Sent to the Department of Pathology in Shahid Sadoughi Hospital from 2009 to 2016
Fariba Binesh
1
Fazlollah Entezari
2
Mohammad Shafiee
3
Sedighe Vaziribozorg
4
Department of pathology, Shahid Sadoughi University of medical sciences, Yazd, Iran
General Practitioner, Yazd, Iran
Medical student, Shahid Sadoughi University of medical sciences, Yazd, Iran
Department of Otolaryngology-Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Introduction: Placenta disorders are the most prevalent and the most serious complications of pregnancy in human beings. In the current study, pathological analysis of placental samples sent to the department of pathology from 2009 to 2016 was done. Methods: The present study is a cross-sectional study on placenta samples sent to the department of pathology taking a census. Age and number of pregnancies, microscopic and macroscopic findings of placenta and umbilical cord, placental length, placental width, placental thickness, placental weight, the length of umbilical cord and the thickness of umbilical cord were recorded. The data were collected by a checklist and were entered in SPSS version 17. Findings: The results also showed that there was a significant statistical difference between microscopic findings of placenta and age and also between microscopic and macroscopic findings of placenta and the number of pregnancies (P-value<0.05). Conclusion: Since there is a meaningful statistical relationship between placental microscopic findings and age, and between placental microscopic and macroscopic findings and the number pregnancy, it can be concluded that age increasing and number of pregnancy are two main factors associated with an increase in the risk of placental changes.
http://intjmi.com/article-1-291-en.pdf
Placenta disorders
Pathology
Age
Number of pregnancy
eng
International Journal of Medical Investigation
International Journal of Medical Investigation
2322-2913
2345-640x
2017-12
6
4
168
175
article
The Evaluation of the Effect of Prenatal Copper Supplementation on Pregnancy Outcomes in Pregnant Women with Cupper Deficiency
Maryam yazdani
1
Amir Hossein Salimi Kordasiabi
2
Obstetrics and Gynecology, Research & Development Center Hospital Sayyed Shirazi, Golestan University of Medical Sciences, Golestan, Iran
Medical Doctor, Research & Development Center Hospital Sayyed Shirazi, Golestan University of Medical Sciences, Golestan, Iran
Introduction: Copper (Cu) is an essential trace element for the body and seems to play an important role in the final outcome of a successful pregnancy. Some studies have shown an increase in serum levels of copper in pathological pregnancies during the first trimester. This study aimed to evaluate the effect of copper supplementation in pregnant women was designed with copper deficiency on pregnancy outcomes. Methods: This double-blind randomized controlled clinical trial on pregnant women with gestational age of 16-12 weeks was conducted during 2014-2015. The copper levels measured in pregnant women, then 120 qualified mothers have serum levels of copper at less than normal baseline values (120 μg / dL) have been selected. Data analysis with statistical software SPSS-21 and chi-square and independent t-test were done. Findings: Of the 120 cases studied, 20 patients (16.6% of the total) had premature rupture of membranes which 6 women were in the case and 14 women were in the control group and statistical tests showed a significant difference between the two groups (P=0.025). Also among the 120 cases studied, 23 patients (19.1% of total) with pre-eclampsia which 8 women were in the case and 15 women were in the control group and statistical tests showed a significant difference between the two groups (P=0.034). Other variables include spontaneous abortion, preterm delivery, placental abruption, low birth weight, intrauterine growth restriction, and intrauterine fetal death there was no significant difference between the two groups. Conclusion: Based on our findings, supplementation containing copper in pregnant women can reduce the risk of pre-eclampsia and premature rupture of the fetal membranes that Both can be serious consequences, such as infection of membranes, miscarriage or intrauterine death or life-threatening for the mother.
http://intjmi.com/article-1-292-en.pdf
Pregnancy
Copper serum level
Premature rupture of membranes
eng
International Journal of Medical Investigation
International Journal of Medical Investigation
2322-2913
2345-640x
2017-12
6
4
176
185
article
Comparing effect of oxytocin versus oxytocin-propranolol combination on labor progression
Elahe Amiri
1
Maryam Yazdani
2
Somayyeh Noei Teymoordash
3
Amir Hossein Salimi Kordasiabi
4
Obstetrics and Gynecology, Research & Development Center Hospital Sayyed Shirazi, Golestan University of Medical Sciences, Golestan, Iran
Obstetrics and Gynecology, Research & Development Center Hospital Sayyed Shirazi, Golestan University of Medical Sciences, Golestan, Iran
Obstetrics and Gynecology, Research & Development Center Hospital Sayyed Shirazi, Golestan University of Medical Sciences, Golestan, Iran
Medical Doctor, Research & Development Center Hospital Sayyed Shirazi, Golestan University of Medical Sciences, Golestan, Iran.
Introduction: Elective induction of labor increase the risk of cesarean section rate. pharmacological methods Including prostaglandins and oxytocin that are used. Another thing that may be helpful in the process of induction (propranolol), which is a type 1 and 2 beta-adrenergic receptor blocker. Stimulation of these receptors inhibits uterine contractions. Due to the inconsistent results from different studies as well as the small number of studies in this field, and the importance of the potential side effects of high doses of oxytocin on the health of the mother and fetus, this study aimed to evaluate the use of propranolol plus oxytocin compared with oxy oxytocin alone on the progress of the delivery. Methods: This study was a controlled double-blind clinical trial, and 50 cases in each group. inclusion and exclusion criteria were considered. In Group oxytocin, oxytocin was started in 2 mIu / ml, and every 15 minutes in the same amount was added to the good contractions (three good contractions in 10 min), respectively, then 8 hours continued. In the propranolol group, before induction, 2 mg propranolol intravenously and slowly at a speed of 1 mg per minute were injected and then with oxytocin induction was established as above. Delivery and patient follow-up data were recorded. Findings: In our study, the effect of propranolol on labor were investigated, propranolol has been able to reduce the duration of latent phase in the case group than the control group. (P =0.000). The mean duration of the active phase and second stage of labor were studied in two groups was not statistically significant, (P =0.703) for the duration of the active phase and (P =0.509) for the second stage of labor. In our study delivery and the cause of cesarean delivery and Apgar score at 5 minutes’ infants were compared. in our study, the cesarean rate in the control group was higher, but the difference was not statistically significant (P =0.106). Conclusion: In total, according to the studies and research it seems that propranolol can be used to help labor.
http://intjmi.com/article-1-293-en.pdf
propranolol
oxytocin
labor