International Journal of Medical Investigation
Int J Med Invest
Medical Sciences
http://intjmi.com
1
admin
2322-2913
2345-640x
no
no
14
8888
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en
jalali
1396
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1
gregorian
2018
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online
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fulltext
en
Evaluation of the effects of anticoagulant drugs on the rate of bleeding of oral surgeries and warfarin alternatives
عمومى
General
مروری
Review
Introduction: Today, with advances in the treatment of cardiovascular patients such as intravascular stents, cardiac valves and intracavitary pacemakers and cardiac transplantation, many cardiovascular patients should use anticoagulants such as warfarin, aspirin, Plavix and Sosix, Ticlopidine and other drugs. The aim of this study was to investigate the effects of coagulation drugs on the rate of bleeding of oral surgeries and warfarin alternative. Methods: For access to studies on anticoagulant drugs and their effect on the bleeding of oral surgery in heart patients, the PUBMED, MEDLINE, MAGIRAN, SID, ELMNET and GOOGLE databases have been used since 1998 to 2015. Keywords include oral surgery, anticoagulants, warfarin, dentistry and bleeding. Findings: In the investigations done on the studied articles, it seems that patients with anticoagulant drugs that are supposed to undergo minor dental surgeries do not require discontinuation, dose reduction, or even control of coagulation factors and bleeding can only be controlled by local dental procedures such as suturing, mouthwash, gel sponge. And the risk of severe complications in case of warfarin interruption and thrombosis is more than uncontrolled bleeding from the teeth. There is also no need for alternative warfarin medicines. Conclusion: The hazard of severe complications in case of warfarin interruption and thrombosis is more than uncontrolled hemorrhage from the teeth. There is also no need for alternative warfarin treatments.
Oral Surgery, Anticoagulants, Warfarin, Dentistry, Bleeding
1
6
http://intjmi.com/browse.php?a_code=A-10-1-191&slc_lang=en&sid=1
Amirhosein
Pakravan
10031947532846003407
10031947532846003407
No
Department of oral and maxillofacial surgery, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
Tahmine
Bamdadian
10031947532846003408
10031947532846003408
No
Department of prosthodontics, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
Pouya
Akbari
10031947532846003409
10031947532846003409
No
Faculty of Dentistry, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
Arash
Alimirzaei
10031947532846003410
10031947532846003410
No
Faculty of Dentistry, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
Ali
Samiei
10031947532846003411
10031947532846003411
No
Faculty of Dentistry, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
Mahdi
Babaei Hatkehloui
10031947532846003412
10031947532846003412
No
Faculty of Dentistry, Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
Mahdi
Taghian
10031947532846003413
10031947532846003413
Yes
Department of oral and maxillofacial surgery, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran
en
Comparison of primary maladaptive Schema in patients under methadone maintenance treatment and healthy people in MMT clinics
عمومى
General
پژوهشي
Research
Introduction: The aim of this study was to Comparison of primary maladaptive Schema in patients under methadone maintenance treatment and healthy people in MMT clinics. Methods: The study population consisted of all addicts and non-addicts under methadone maintenance treatment in MMT clinics in Sari formed of 200 people (100 people addicted and 10 normal men) were selected with available sampling procedure. Young schema questionnaire was used to collect data in 5 areas (areas of cuts and rejection, Impaired Autonomy and Performance domain, direction and other fields, hyper vigilance and impaired inhibition and field constraints) with 75 questions. Findings: Face and content validity according to the standard tools of the sighting several professors and its reliability using Cronbach's alpha coefficient α 0.968 is obtained. To analyze the data, independent t-test was used. The results showed that, in the domains of basic incompatibilities between addicts and healthy subjects undergoing methadone maintenance treatment MMT clinic there is a significant difference. Conclusion: in areas of cuts and rejection, Impaired Autonomy and Performance, moss, other orientation, vigilance and prevent excessive and disruptive limitations addicts under methadone maintenance treatment and healthy people, there was a significant difference and the average of all areas in the addicts were more than healthy people.
Schema, methadone, addicts, maladaptive
14
22
http://intjmi.com/browse.php?a_code=A-10-1-193&slc_lang=en&sid=1
Mohammad
Khademloo
10031947532846003414
10031947532846003414
No
Faculty of Medicine, Mazandaran University of Medical sciences, Sari, Iran
Ghahreman
Mahmudi
10031947532846003415
10031947532846003415
Yes
Islamic Azad University, Sari Brach, sari, Iran
Somayyeh
Shafiee
10031947532846003416
10031947532846003416
No
Islamic Azad University, Sari Brach, sari, Iran
en
Diagnostic value of clinical examinations in confirming fracture of elbow bones
عمومى
General
پژوهشي
Research
Introduction: Fractures and elbow dislocation are one of the most common injuries at different ages, especially in childhood and younger. Its approach to emergency centers is to perform such tests in a diagnosis of fractures or depression. Due to the high volume of the occurrence of such a disaster and its probable occurrence, especially in age groups and occupations, the study of radio graphics in any joint damage not only entails a high cost to the system of treatment, but also the consequences of radiation exposure to the patient. The purpose of this study was to evaluate the value of diagnosis of extension, supination, ecchymosis, hematoma and local tenderness in elbow injury in patients referred to Imam Khomeini Hospital in Sari.. Methods: This study is a prognosis test that evaluates the clinical findings of physical examination and imaging results in predicting elbow bone fractures in patients aged between 18 and 60 who suffer from blunt trauma referring to the emergency department of Imam Hospital. Initially, the first examinations of the patient's joint wound were assessed by assessing the range of motion including extension, supination, and pronation, as well as the presence of localized tenderness in radial head, ulna and epicondyle hemorrhoids, and examining the presence of ecchymosis and hematoma in the articular region by the expert Emergency medicine is done, the results of the examinations are recorded in the questionnaire form. Then, the standard geometry of the elbow joint is requested and the results are analyzed separately by the two radiologists. After collecting and entering the data, SPSS software version 18 was analyzed. Findings: In this study, 85 patients (74.2%) were male and 36 female patients (29.8%) were referred to the emergency department of Imam Khomeini hospital in Sari, from 121 patients with blunt elbow trauma. The highest frequency was over the age of 50 years (25.6%). The most frequent causes of injuries were pedestrians (57.9%). Extension limitations in the elbow joint were the most frequent among the patients, and the lowest observed sign was also in localized sensitivity in the epicondyle site of the bone arm. The greatest fracture was observed in the radius of the elbow joint, which was seen in 19.8% of the subjects. The least fracture in the proximal bone marrow was observed in 5% of the patients referred. The specificity and sensitivity values for extensions of 49.1 and 69.7 were calculated. Conclusion: We conclude that patients with a recent injury to the elbow who are not able to extend the elbow joint predict with specificity and high sensitivity of the fracture of the elbow bones and also increase the clinical suspicion of the doctor without the use of Para clinic (radiography) In contrast to other examinations, such as hematoma and ecchymosis, there is less diagnostic value to predict the fracture of the elbow joint bones.
Radiography, clinical findings, elbow joint
23
32
http://intjmi.com/browse.php?a_code=A-10-1-194&slc_lang=en&sid=1
Farzad
Bozorgi
10031947532846003417
10031947532846003417
No
Orthopedic research center, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Seyed Mohammad
Hosseininejad
10031947532846003418
10031947532846003418
Yes
Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Nazanin
Oraee Nasoti
10031947532846003419
10031947532846003419
No
Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Seyyed Hosein
Montazar
10031947532846003420
10031947532846003420
No
Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Fatemeh
Jahanian
10031947532846003421
10031947532846003421
No
Department of Emergency Medicine, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Masoud
Shayesteh Azar
10031947532846003422
10031947532846003422
No
Associated Professor Of Orthopedic Surgery, Orthopedic Research Center, Mazandaran University Of Medical Science, Sari, Iran.
Alireza
Khalilian
10031947532846003423
10031947532846003423
No
Faculty of Medicine, Mazandaran university of medical science, Sari, Iran.
en
Who to assess pain using Orem Self-Care Model
عمومى
General
پژوهشي
Research
Abstract: Introduction: Self-care is an important tool in controlling pain in patients with rheumatoid arthritis. The aim of this study was to investigate who to assess pain using Orem Self-Care Model in patients with rheumatoid arthritis. Methods: This was a descriptive aspect of a clinical trial performed on 60 patients with rheumatoid arthritis who referred to a private clinic in Karaj. Data collecting tools were a demographic questionnaire consisted of 19 questions and Numeric Pain Rating Scale. The data result was analyzed using SPSS version 19. Less than 0.05 was considered significance. Findings: The mean age was 44 years, 90% were married and 35% had diploma. ANOVS test with repeated measures showed a significant differences in three measures of pain in the intervention group, while in the control group, this difference was not significant (p=0.59). Conclusion: Conclusively, Orem self-care model is effective in reducing pain in patients with rheumatoid arthritis.
Self-care, Arthritis, Rheumatoid, pain, Orem Self-Care Model
33
38
http://intjmi.com/browse.php?a_code=A-10-1-195&slc_lang=en&sid=1
Elahe Sadat
Saeedifar
10031947532846003458
10031947532846003458
No
M.Sc. in medical surgical Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
Robabe
Memariyan
10031947532846003459
10031947532846003459
Yes
Assistant Professor, Department of Nursing, , Faculty of Medical Sciences, Tarbiat Modares University, Jalal Ale Ahmad Highway, Nasr (Gisha) Bridge, Tehran, Iran.
Mohsen
Akhyani
10031947532846003460
10031947532846003460
No
Internist, Rheumatologist, Alborz, Iran
Samira
Fatahi
10031947532846003461
10031947532846003461
No
Department of Operating Room, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Fatemeh
Ghelichkhani
10031947532846003462
10031947532846003462
No
Department of Midwifery, Faculty of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh,Iran
en
Lichen Striatus: Review article
عمومى
General
مروری
Review
Introduction: The lichen striatus is a rare disease of the skin. LS mainly affects children. LS is a benign self-limited, localized blaschkolinear inflammatory disorder of unknown etiology. Methods: A literature review was performed on any aspects of LS in children using pubmed and google scholar sing following terms: lichenstriatus, nail lichen striatus, facial Lichen Striatus, lichenoidplaque, dermatology. Articles not related to children population were excluded. Findings: In epidemiological review most of cases in children usually were between the age of 3 and 15 years. Females are affected more than males. The etiology of LS is still unknown.in one article there is an increasing incidence in spring and summer. seasonal variation with a peak incidence of lichen striatus further suggests a viral origin. The histologic pattern of LS is well defined. A perivascular inflammatory is seen. A lichenoid pattern with inflammatory infiltrate near the dermoepidermal junction may be present. clinical and histologic findings overlap with other cutaneous disorder that follows the lines of blaschko. Lesions are usually unilateral and characteristically appears as shiny ,flattoped erythematous papules. Lesion occur more frequently on legs, although any part of the body may be affected. Treatment or no treatments was not significantly correlated with duration of disease. Conclusion: LS mainly affects children. LS is a benign self-limited, localized blaschkolinear inflammatory disorder of unknown etiology. The onset of lesions is sudden and progresses to the full clinical aspect in days or weeks. LS is typically asymptomatic, but intense pruritus can occur. There isn’t any specific treatment for LS Its benign, Treatment or no treatments was not significantly correlated with duration of disease, self-limited course is marked by spontaneously involution in 6–12 months, with no scar formation.
lichen Striatus, Children, Erythematous Papules, Blaschko line
39
44
http://intjmi.com/browse.php?a_code=A-10-1-196&slc_lang=en&sid=1
Mojtaba
Hajihoseini
10031947532846003429
10031947532846003429
No
Medical student, student research committee, Mazandaran University of Medical Sciences, Sari, IR Iran
Milad
Eidy
10031947532846003430
10031947532846003430
No
research committee, Mazandaran University of Medical Sciences, Sari, IR Iran
Tahereh
Molania
10031947532846003431
10031947532846003431
No
Association professor of dental and oral Medicine, Faculty of dentistry, MazandaranUniversity of Sciences, Sari, IR Iran
Masoud
Golpour
10031947532846003432
10031947532846003432
No
Associated professor of Dermatology, Faculty of Dentistry, Mazandaran University of Sciences, Sari, IR Iran
Maede
Salehi
10031947532846003433
10031947532846003433
Yes
Association professor of dental and oral Medicine, Faculty of dentistry, Mazandaran University of Sciences, Sari, IR Iran
en
Primary Growth Hormone Deficiency And Usher Syndrome: A Case Report
عمومى
General
گزارش مورد
case report
Introduction: The Usher syndrome (USH) is an autosomal-recessive disorder refers to The combinded bilateral sensorineural hearing loss, retinitis pigmentosa (RP), and in some cases vestibular dysfunction. There are three clinical types of Usher syndrome: type 1, type 2, and type 3. Type 3 is characterised by progressive hearing loss and variable age of onset of retinal degenerationand he or she will usually require hearing aids by mid- to late adulthood. Night blindness usually begins sometime during puberty. Case Presentation: The present case reports is a 13 years-old male with type 3 of usher syndrome syndrome who developed a previously undescribed growth hormone de- ficiency. Conclusion: We sugesst usher syndrome type 3 could be a primery GH deficiency disorders.potential link between usher syndrome and GH deficiency is still unclear and needs further studies.
Usher syndrome,GH deficiency, Retinitis pigmentosa
45
48
http://intjmi.com/browse.php?a_code=A-10-1-197&slc_lang=en&sid=1
Reza
Jafari
10031947532846003434
10031947532846003434
No
Faculty of Medicine, Mazandaran University of Medical Sciences, Mazandaran, Iran.
Banafshe
Nouri
10031947532846003435
10031947532846003435
Yes
Faculty of Medicine, Mazandaran University of Medical Sciences, Mazandaran, Iran.
en
Evaluation Of Ct Scan Results In Patients With Minor Head Trauma Based Its Indications And Final Clinical Results In Patients Referred To Emergency Department Of Namazi Hospital In 2016
عمومى
General
پژوهشي
Research
Introduction: There is much controversy over whether or not to use CT scan in patients with minor traumatic brain injury. The present study was conducted aiming to examine the results of CT scan in minor traumatic brain injury on the basis of the required indications and final clinical results. Methods: A cross sectional study, the present study was conducted in the emergency section of Namazi Hospital, Shiraz, Iran. Patients with traumatic brain injury and Glasgow Coma Scale scores 13 to 15 were included. The clinical and CT scan results of patients were collected, compared and analyzed using SPSS software. P-values less than 0.05 were regarded as significant. Findings: Out of 263 patients, 182 (62.6%) and 81 (30.8%) were male and female, respectively. Also, the mean age of participants was 21.36±21.79. The most prevalent indication in patients was vomiting (56.3%) and the most prevalent unnatural indication was linear skull fracture. The present study reported that there is a significant association between unnatural CT scan results and indications of loss of consciousness level (P<0.01), headache (P=0.01) and post trauma seizure (P=0.04). Conclusion: The present study came to the conclusion that the four indications, namely, consciousness level, headache, post trauma seizure and vomiting can well predict the necessity for using CT scan in patients with minor traumatic brain injury.
CT scan, Indication, Minor Traumatic Brain Injury.
49
55
http://intjmi.com/browse.php?a_code=A-10-1-198&slc_lang=en&sid=1
Kazem
Jamali
10031947532846003436
10031947532846003436
No
Assistant professor of Emergency medicine department, Shiraz University of Medical Sciences, Shiraz, Iran
Amir Hasan
Asadi
10031947532846003437
10031947532846003437
Yes
mergency medicine department, Shiraz University of medical sciences, Shiraz, Iran.
en
Comparing The Pipelle With Dilatation And Curettage (D&C) In Diagnostic Power Of Sampling For Evaluating The Patients With Abnormal Uterine Bleeding
عمومى
General
پژوهشي
Research
Introduction: Abnormal uterine bleeding is a common and serious problem in the women of late reproductive age, and an indication for biopsy. Common diagnostic methods in Iran including the endometrial biopsy with dilatation and curettage (D&C) are the gold standard for diagnosis. The aim of this study is to compare the diagnostic power, complications, and duration of endometrial biopsy caused by two diagnostic methods of endometrial sampling of pipelle with dilatation and curettage (D&C) in patients with AUB. Methods: This single blinded- parallel randomized clinical trial was performed at the Iranian Center for Clinical Trials (IRCT). The research population is the patients referring to the specialized clinic of Mostafavian and Baghban 1 in Sari with complaints of AUB from October 2016 to September 2018. The patient selection was available for study. The patients were divided in simple random method into two groups of D&C and pipelle alternatively. The samples were sent to pathology after sampling, and when sampling is done, the patient was examined for complications such as uterine bleeding or vasovagal shock symptoms for the cervical stimulation, then, the results were compared with D&C, and also it was compared with the sample histopathologically. Findings: A number of 70 patients were included, while many of which were excluded, and finally 50 patients were completed the study. First, the biopsy with pipelle and then biopsy with D&C were performed on all the patients. The mean age of subjects was 47.5 years old. The highest number of patients (28%) was in the 40-45 group. The mean thickness of the endometrium in patients was 11.5 mm. In the pipelle group, 34% of the cases of insufficient samples were obtained, while using the biopsy, only 4% of the insufficient samples are obtained. A total of 23 samples from 50 patients undergoing pathologic diagnosis were obtained from two similar sampling methods. In the pipelle group, the insufficient sample with 34% proliferative, and then the secretion and proliferative samples were the second and third (prophylactic and secretion pathology are considered as normal tissues that was calculated 56% in this study) in the diagnosis, and accommodation of the pipelle and D&C samples in proliferative has allocated the highest percentage of 9%, and the lowest accommodation was in the in atrophy and polyps and hyperplasia. The average duration of the procedure in the pipelle group was significantly lower than D&C. The pain was significantly higher in pipelle group than D&C (P <0.05). Conclusion: Pipelle is a cheap, fast, outpatient method with low side effects without the use of anesthesia and operating room facilities for diagnosis of hyperplasia and cancer with lower susceptibility to D&C. In the D&C with acceptable susceptibility and specificity, the pain was lower, number of insufficient samples was lower, and diagnosis of polyps was higher.
Abnormal uterine bleeding, pipelle, D&,C.
56
67
http://intjmi.com/browse.php?a_code=A-10-1-199&slc_lang=en&sid=1
Tahereh
Gelini Moghaddam
10031947532846003438
10031947532846003438
No
Department of Obstetrics & Gynecology, Mazandaran University of Medical Science, Sari, Iran.
Fatemeh
Hedayatifar
10031947532846003439
10031947532846003439
No
Department of Obstetrics & Gynecology, Mazandaran University of Medical Science, Sari, Iran.
Banafshe
Nouri
10031947532846003440
10031947532846003440
Yes
Department of Obstetrics & Gynecology, Mazandaran University of Medical Science, Sari, Iran.
en
Primary Hydatid Cyst of the Thigh , an unusual localization: a case report
عمومى
General
گزارش مورد
case report
Introduction: Subcutaneous musculoskeletal hydatid cysts are rare ,representing around 1-5%.It mimics a soft tissue tumor ,so preoperative radiological diagnosis is important to choose the treatment. Case Presentation: This case was presented to clinic in Prince Ali Hospital in Karak . A 78 years old female patient was presented complaining of right medial thigh swelling which appeared a few weeks ago.The swelling caused discomfort and pain .On exam ,a lump was located in the medial aspect of the right thigh,round,soft,non mobile. Her US revealed multiple well defined cystic lesions in the posterior aspect of the thigh, with internal septae mostly representing a hydatid cyst. A MRI was ordered and showed a large,multi-lobular, thin walled and non-calcified fluid containing cyst. The appearance was consistent with a hydatid cyst.Next,the patient underwent abrain,chest and abdominal CT to check if there was aprimary source,the results were negative.An Echinococcus Granulosa titer test was ordered, the result was negative. Treatment options were discussed.we preferred to start with the conservative approach.So,a high dose of Albendazole was started,with regular follow up in the clinic,but conservative treatment failed so we decided to continue with surgical treatment by complete excision. Conclusion: Echinococcal disease should be considered in any patient who presents with a cystic mass despite body location. Especially in endemic areas.
Hydatid Cyst, Thigh , Endemic area.
68
74
http://intjmi.com/browse.php?a_code=A-10-1-200&slc_lang=en&sid=1
Feras
Almbaidin
10031947532846003441
10031947532846003441
No
Specialist General Surgery,Royal Medical Services, Jordan
Rami
Qsous
10031947532846003442
10031947532846003442
No
Specialist Anaesthesia , Royal Medical Services, Jordan
Mutaz
Alnaser
10031947532846003443
10031947532846003443
No
Specialist General Surgery , Royal Medical Services, Jordan.
Abdullah
Shawabkeh
10031947532846003444
10031947532846003444
No
Specialist General Surgery , Royal Medical Services, Jordan.
Nidal
Alsoud
10031947532846003445
10031947532846003445
No
Specialist Anaesthesia , Royal Medical Services, Jordan
Tamer
Abdo
10031947532846003446
10031947532846003446
No
Radiology Resident , Royal Medical Services, Jordan.
Ghaith
Gsous
10031947532846003447
10031947532846003447
Yes
General Surgery , Royal Medical Services, Jordan.
en
The Effect of Delivery Type on the Indices of Term Newborn Infants’ Umbilical Vein Blood Gas
عمومى
General
پژوهشي
Research
Introduction: Caesarean section (also known as C-section or caesarean delivery) has undergone an enormous increase over the recent decades, particularly in Iran where the rate of C-section is five times larger than that of the global standards. Moreover, according to several studies, there is the possibility that caesarean delivery can affect umbilical vein blood gas. Accordingly, the present study was conducted aiming to examine the impact of delivery type on the indices of term newborn infants’ umbilical vein blood gas. Methods: The present cross-sectional study explored a total of 222 newborn infants born in Shahid Motahari Hospital, Marvdasht, Iran in 2015 based on three delivery-type groups, namely, natural delivery, general anesthesia-used caesarean and spinal anesthesia-used caesarean. Of all the infants, an amount of 0.5cc umbilical vein blood was taken and then examined in terms of blood gases. The two groups were compared with each other with regard to 1st and 5th minutes’ Apgar score, anesthesia duration as well as its influence on blood gases. The data was then analyzed using SPSS software. Findings: Mean and standard deviation values for Apgar score in natural delivery at the beginning of birth equaled 8.8 ± 0.59, suggesting a significant difference between natural delivery and other caesarean groups (P= 0.01). It should be noted that no significant difference was reported in infants’ umbilical vein blood in the two groups in terms of pH (P=0.08), PO2 (P=0.79) and PCO2 (P= 0.85). Likewise, there was a significant difference in umbilical base excess of natural delivery and caesarean groups (P=0.03). Conclusion: Based on the research results, compared to infants in caesarean groups, those born naturally enjoy higher Apgar score and base excess.
Apgar Score, Blood Gases, Caesarean, Natural Delivery, Umbilical Vein.
75
82
http://intjmi.com/browse.php?a_code=A-10-1-201&slc_lang=en&sid=1
Daryoush
Zohouri
10031947532846003448
10031947532846003448
No
Pediatric Department, Shiraz University Of Medical Sciences, International Branch, Shiraz, Iran
Shahla
Zarei
10031947532846003449
10031947532846003449
Yes
Shiraz University Of Medical Sciences, International Branch, Shiraz, Iran.
Alireza
Tavallaei
10031947532846003450
10031947532846003450
No
Pediatric Department, Shiraz University Of Medical Sciences, International Branch, Shiraz, Iran
en
Determining the Moral Sensitivity of Intensive Care Nurses
عمومى
General
پژوهشي
Research
Introduction: Intensive care units are defined as clinics that aim to support and cure critically ill patients, have a priority with their allocation in terms of patient care, are equipped with advanced technology devices, follow patients’ vital signs for 24 hours and provide a multidisciplinary service. This study was conducted for examining the moral sensitivity of intensive care nurses in moral decision-making. Method: The sample of this descriptive and cross-sectional study consisted of 84 nurses who worked in intensive care units of university and public hospitals in the province of Malatya between February - March 2015 and accepted to participate in the study. The data were collected using Socio-Demographic Data Form and Moral Sensitivity Questionnaire. Statistical analyses of the data were evaluated using computer-aided SPSS program, descriptive statistics (frequency, mean, minimum and maximum values, standard deviation), Anova variance analysis and Student t test. Findings: 70,2% intensive care nurses who were included in the study were in the age group of 18-34, 54,8% were married, 91,7% had bachelor's degree and 53,6% had studied ethics. While the total moral sensitivity score of intensive care nurses ranged from minimum 51 to maximum 131 the average score was 87,30±17,03. Average scores obtained by intensive care nurses from the lower dimensions of moral sensitivity were as 18.32±5,84 (autonomy), 11.41±4.40 (benefit), 10,67±2,97 (integrative approach), 13,46±4,78 (conflict), 11,05±3,08 (application) and 8,47±3,33 (orientation). It was determined that there was no difference between the total scores obtained by nurses from moral sensitivity and their educational background, duration of working in intensive care units, the unit where they worked and the state of studying ethics before and after graduation (respectively p:0,265, p:0,555, p:0,299 and p:0,439), however, there was a significant difference between the scores of some lower dimensions of moral sensitivity according to their age and marital status (respectively p:0,036, p:0,037). Conclusion: It was determined that intensive care nurses had a moderate level of moral sensitivity. Thus, it is recommended to plan and conduct continuous curriculums containing information and personal development aimed at increasing the moral sensitivity of intensive care nurses. Besides, it is considered important to conduct studies in larger groups for the moral sensitivity of intensive care nurses.
Intensive Care Nursing, Moral Sensitivity
88
97
http://intjmi.com/browse.php?a_code=A-10-1-202&slc_lang=en&sid=1
Bilsev
Araç
10031947532846003451
10031947532846003451
Yes
Vocational High School of Health Care, Konya, Turkey.
Runida
Doğan
10031947532846003452
10031947532846003452
No
NursingDepartment, High School of Health Care, Tunceli, Turkey.
Serdar
Sarıtaş
10031947532846003453
10031947532846003453
No
Nursing Department, Faculty of Health Sciences, Malatya, Turkey
en
Arthroscopic Reconstruction of Anterior Cruciate Ligament by Hamstring Graft Endobutton vs Rigidfix
عمومى
General
پژوهشي
Research
Introduction: Anterior cruciate ligament (ACL) tear is a common sport injury. In recent years hamstring ligaments have become the most widely used graft for ACL reconstruction. One important issue is type of femoral side graft fixation. We compared the clinical outcomes of two femoral side fixation methods, endobutton and Rigidfix. Methods: From March 2014 to March 2016, 147 patients with ACL tear were treated by arthroscopic ACL reconstruction using autogenous quadruple hamstring graft. Femoral side fixation was performed with endobutton or Rigidfix. Demographic and perioperative data were collected from hospital documents. Patients were evaluated using objective and subjective International Knee Documentation Committee (IKDC) and Lysholm Knee Scores. Findings: 87 (59%)cases (48 endobutton and 39 Rigidfix) were accessible for final evaluation. Mean duration of follow up was 18(range 17-22) months. There was no significant difference between two groups regarding age, gender, body mass index (BMI), damage mechanism, activity level and postoperative pain, limp, subjective IKDC and Lysholm scores. Pivot shift test was normal in all cases of both groups. Anterior translation of more than three millimeter in comparison with intact knee in 30o and 90o of flexion was seen in 3(6.25%) and 3(7.69%) of endobutton and Rigidfix cases,respectively. Conclusion: There was no significant difference between endobutton and Rigifix using subjective scores. Rotary and anteroposterior stability was similar. Both fixation methods result in a stable knee.
Anterior cruciate ligament, reconstruction, Endobutton, Rigidfix, Lysholm score, IKDC score
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http://intjmi.com/browse.php?a_code=A-10-1-203&slc_lang=en&sid=1
Salman
Ghaffari
10031947532846003454
10031947532846003454
No
Orthopedic Research Center, Imam Khomeini Hospital, Mazandaran University Of Medical Sciences, Sari, I.R. Iran.
Masoud
Shayesteh Azar
10031947532846003455
10031947532846003455
Yes
Orthopedic Research Center, Imam Khomeini Hospital, Mazandaran University Of Medical Sciences, Sari, I.R. Iran.
Mohammad Hossein
Kariminasab
10031947532846003456
10031947532846003456
No
Orthopedic Research Center, Imam Khomeini Hospital, Mazandaran University Of Medical Sciences, Sari, I.R. Iran.
Farzad
sharifi
10031947532846003457
10031947532846003457
No
Orthopedic Research Center, Imam Khomeini Hospital, Mazandaran University Of Medical Sciences, Sari, I.R. Iran.