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Showing 6 results for Kamran
Gholamreza Sharifirad , Aziz Kamran , Mohammadhasan Entezari ,
Volume 7, Issue 4 (Winter 2007)
Abstract
Background & Objective: Diabetes is one of diseases in which the main part of treatment depends on the patient's responsibility. Therefore their knowledge of the various aspects of nutrition has great importance. The aim of this study was to evaluate the effect of diabetic diet education on nutritional behaviors. FBS and BMI of patients with type II Diabetes mellitus in Iranian Diabetic Association. Methods: 88 type II diabetic patients from Iranian Diabets Association (Karaj Branch) participated in this study. The Patients were randomly divided into two groups as experimental (44) and control group (44). Data were collected with a valid and reliable questionnaire (58questions) and checklist in two stage of before and one month after intervention. Results: After the intervention in the experimental group regarding diabetes and nutritional behaviors, there was a significant increase in mean score of knowledge (from 57.50 to 80.18) and a significant decrease in the mean of BMI (from 28.3 to 27.9) and in the mean of fasting blood sugar (from 167.9 to 134.5) (p<0.001). However, there was no significant change in the control group. Conclusion: The finding of this study indicated the efficacy of education on FBS and BMI in patients with type II diabetes.
Mohsen Mardani Kivi , Kamran Asadi , Keyvan Hashemi Motlagh,
Volume 11, Issue 4 (winter 2011)
Abstract
Background & Objectives: Anatomical reconstruction of articular surface and restoration of walking ability without pain are the main goals of displaced intra-articular calcaneal fracture management, but treatment results are not always satisfied. This paper focused on comparison between open reduction and internal fixation using: A) auto graft B) bone cement, in patients with displaced intra-articular calcaneal fracture. Methods : This prospective comparative study of 44 patients with displaced intra-articular calcaneal fractures. Patients had been divided into 2 groups and then, they were operated by the standard protocol, including lateral approach, open reduction and internal fixation with reconstruction plate. Posterior facet was supported by autogenous bone graft in the first group (BG) and it was strengthened by bone cement in the second group (BC). Patients were followed up from the point of view of following surgical complications: 1- superficial infection, 2- wound dehiscence, 3- incisional site skin necrosis, 4- Sural nerve paresthesia, 5- osteomyelitis. Functional outcome were evaluated using calcaneal fracture scoring system and ankle-hind foot scaling system of AOFAS. The gathered data was analyzed in SPSS 16 software. Results : Of 44 included patients, 36 were male (81.8%) and eight were female (18.2%). The mean of age was 44.25± 11.34 (range: 16-69 yrs), and the mean of follow-up duration was 13.27±2.71 months (range: 9-18 months). The mean of operation time in second group (BC) (41.82min) was significantly lower than first group (BG), (p<0.001). Five patients (23%) from first group (BG) and only one patient (5%) from the second group (BC) showed surgical complications (p=0.079). There was no significant difference between the average score evaluated by calcaneal fracture scoring system and the average scale indicated by ankle-hind foot scaling system. Conclusion : Instead of autogenous bone graft, the use of bone cement decreases the duration of operation time and it seems to lead in less complications.
Maryam Zarkesh , Kamran Guity, Nima Hosseinzadeh, Freidoon Azizi , Maryam Sadat Daneshpour,
Volume 15, Issue 4 (winter 2015)
Abstract
Background & objectives: In this study, we aimed to determine the extent of possible genetic influence on cardio-metabolic risk factors and to evaluate the familial aggregation of metabolic syndrome (MetS) in a Tehranian population.
Methods: In a cross-sectional observational study, the anthropometry, blood pressure andbiochemical measurements were examined in each member of 566 nuclear families. The role of risk factors in MetS and the Pearson partial correlation between MetS and lipid related factors were calculated.
Results: The prevalence of MetS among the mothers and girls was 78.4 and 12.9%, respectively. Grandmothers had the highest incidence of atherosclerotic risk factors. Four factors were found which explained 77.7% of the overall variance. Recurrence risk ratio among siblings was 5.61 (95% confidence interval [CI]: 3.15-9.97). The adjusted odds ratio (OR) of proband’s MetS status was 1.33 (95% CI: 1.06–1.67) and adjusted OR for the four factors to predict MetS were all significant with the obesity factor having the highest risk (OR: 7.50, CI: 5.91–9.52) followed by dyslipidemia/hyperglycemia factor (OR: 4.86, CI: 4.03–5.87), and blood pressure factor (OR: 4.20, CI: 3.51-5.02).
Conclusion: The present findings confirm the idea of familial aggregation and the recurrence risk ratio in MetS traits. Sibling correlations were higher than other relatives indicating the high genetic factors of these quantitative components in which a high risk of MetS (two-fold) was found
Nahid Ahmadian Yazdi, Aziz Kamran, Somayeh Matin, Afshan Sharghi,
Volume 22, Issue 4 (Winter 2023)
Abstract
Background & objectives: Even though clinical empathy is one of the clinical competencies of medical students and there is a high emphasis on teaching and learning, it decreases during medical education. This study investigated the relationship between burnout, quality of life and clinical empathy in medical students.
Methods: this exploratory cross-sectional study used the Jefferson empathy questionnaire, WHO quality of life questionnaire and burnout inventory. All three questionnaires are standard, and their validity and reliability have been confirmed in various studies in Iran. The research population was the Ardabil University of Medical Sciences internship medical students, for which the census sampling method was used. Various statistical tests, such as Pearson and spearman correlation, Chi-square, etc., were used for data analysis.
Results: Out of 130 students, 128 (98.4%) completed all of the questionnaires. Data analysis showed that 98% of students suffered from moderate burnout and 2% of them had severe burnout. About 44% of students were satisfied or very satisfied with their health status and 33% of students were dissatisfied or very dissatisfied. The mean score of clinical empathy in students was 79.46±9.82. Data analysis showed a statistically significant inverse relationship between quality of life and burnout (p=0.0001).
Conclusions: Considering that the situation of students was not very favorable in terms of all three variables, non-curricular programs seem to be essential for improving student adaptation mechanisms to the job-related situations in medical students and promoting clinical empathy.
Pegah Alempoor, Ata Mahmoodpoor, Kamran Shadvar, Ali Asghar Kheiri, Ali Akbar Ghamari, Parviz Saleh, Seied Hadi Saghaleini,
Volume 23, Issue 2 (summer 2023)
Abstract
Background & Objectives: Early warning scores are commonly used by hospital care teams to assess patients and diagnose early signs of their deterioration and initiate further treatment. Due to the existing studies and the lack of sufficient evidence for burned patients, we decided to investigate the value of initial NEWS and MEWS in predicting mortality in burned patients.
Methods: After obtaining permission from the Ethics Committee of TUMS, patients who were candidates for hospitalization in the burn wards of Sina Hospital from July to March 1998 were included. All demographic information including age, sex, APACHE Type of discharge, comorbidities, percentage of burns, initial hospitalization in the burn ward, type and time of initiation and duration of antibiotic use, amount of serum and NEWS and MEWS scores for all patients were enrolled immediately after admission to the ward as well as before discharge from the ward. Data were analyzed after registration in SPSS software version 23.
Results: In this study, 80 cases of burned patients were studied with a mean age of 37.94±18.85 years. The initial NEWS and MEWS indices have a good ability to diagnose burned patients (Area=0.79 and 0.78, p<0.001). The best cut- point based on the Youden index, for the initial NEWS and MEWS indices were obtained at 4.50 and 1.50, respectively.
Conclusion: In this study, for the first time, NEWS and MEWS were examined in predicting mortality in burned patients and it was found that these criteria can predict the prognosis of burned patients.
Yousef Mohammadi-Kebar, Ahad Azami, Aziz Kamran, Erfan Sadeghilar,
Volume 23, Issue 4 (Winter 2024)
Abstract
Background: Systemic lupus erythematosus is an autoimmune disease in which organs and cells are damaged in the initial stages by tissue-binding autoantibodies and immune complexes. Clinical, demographic and laboratory information of patients with SLE in Ardabil province is the aim of this study.
Methods: The present study is a cross-sectional descriptive study that examines demographic data (age, gender), clinical information such as the first manifestation of the disease, clinical symptoms, etc., and laboratory findings such as CBC, ESR, CRP, proteinuria, FANA, Anti dsDNA, C3, C4, Anti RO and APS Ab of patients who referred to the rheumatology clinic of Imam Khomeini Hospital (RA) in 2021.
Results: Information related to the clinical characteristics of 50 patients, including 46 women (92%) and 4 men (8%), with an average age of 12.14 ± 40.78 years (range: 21-73) and age at diagnosis of 10.62 ± 31.76 years were investigated. The most common initial complaint in the studied patients was related to isolated joint symptoms (28%). The most common clinical symptoms observed in the examined patients were related to joint symptoms along with sensitivity to light with a frequency of 20%. ANA, anti-dsDNA tests positivity and reduced C3 and C4 levels were observed in 88%, 70% and 26% of patients, respectively.
Conclusion: The establishment of a registry system for the structured registration of information of patients with systemic lupus erythematosus in each region is necessary to a better understanding of the characteristics of the disease and better management policy of patients.
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