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Showing 45 results for Cat
Masoud Entezari-Asl , Mohammadreza Ghodrati , Hamid Ebadizare , Khatereh Isazadehfar ,
Volume 2, Issue 2 (6-2002)
Abstract
Background & objective : Recovery state or post - anesthetic awakening is one of the most dangerous anesthetic stages . Respiratory, cardiovascular and other complications such as nausea, vomiting, shivering, pain and restlessness have been reported . This study designed to investigate prevalence of this complications and its probable risk factors in Ardabil Fatemi and Alavi hospitals. Methods : In this prospective study, 160 patients were selected in Alavi and Fatemi hospitals during winter of 2001. We completed a sheath for everybody about their history of medical diseases, pervious history of anesthesia, addiction, drug abuse, smoking, physical class of ASA, type of anesthesia, time and place of surgery . Data was analyzed by SPSS software. Results : These results were obtained in patients after surgery in recovery room: shivering
36.3 % , pain 26.9 % , restlessness 21.3 % , respiratory complications 13.8 % , cardiovascular complications 12 % , nausea and vomiting 8.8 % . We found significant correlation between some risk factors with complications, e. g: shivering with history of medical diseases, drug abuse and place of surgery and so, pain with restlessness, respiratory complication and place of surgery . Conclusion : This study according to similar studies revealed higher prevalence of some of post - anesthetic complications as shivering, pain and restlessness in our samples .
Mohsen Maroofi, Hosein49 Giahcheen ,
Volume 2, Issue 2 (6-2002)
Abstract
Background & Objective : The diagnosis of psychiatric disorders are mainly made on base of clinical interview and physical mental examination of the patient. The clinical application of laboratory tests is limited to rejection of probable causes which may lead to emerge of mental manifestations. For assessing the efficiency of brain computerized tomography in this respect, a study was conducted. Methods : All of the hospitalized patients in psychiatric emergency unit of Isfahan medical school for six mounts were examined in the view of demographic characteristics, clinical diagnosis, and the number of performed brain computerized tomography and their results. Results : Brain computerized tomography was requested for 142 patients among the 408 hospitalized patient in psychiatric emergency unit. Among the performed scans only in one case (0.7 percent). Mild brain atrophy was reported and the remaining 141 scans were normal or at limit level of normal. Conclusion : According to limited diagnostic value of Brain computerized tomography in psychiatry and also techno economic problems, the accurate assessment of its actual application specially in our society, seems necessary.
Zahra Tazakori , Maryam Zare, Mehrdad Mirzarahimi ,
Volume 2, Issue 4 (12-2002)
Abstract
Background & Objective : Diabetes is one of the most important world health problems and a chronic disease that needs continuous care. Therefore, these kinds of patients should take self- care education. This study is an attempt to investigate the effect of nutritional education on blood sugar level and macronutrients intake in IDDM patients. Methods : 24 IDDM patients under 20 were selected for educational program on nutrition. The data were collected two times using food questionnaire (24- hour recall) and blood sugar level before and after education was estimated. The data were analyzed by paired t-test, using SPSS and Food Processor. Results : There was not statistically significant relationship between blood sugar level before and after education. Also the results showed that there was statistically significant relationship between macronutrients intake before and after education (P=0.35). After education, macronutrients were similar to WHO recommendations. HbA1C level in most of the patients was 9-12% which refers to the moderate control of this diseases and hypoglycemia decreased from 4.2% to 3%. Conclusions : There were no remarkable changes in blood sugar but the amount of HbA1C and Macro Nutrients showed that education had a positive effect on patients.
Akbar Pirzadeh , Abdollah Mahdavi , Jelveh Charkhtab,
Volume 3, Issue 1 (4-2003)
Abstract
Background & Objective : Swallowing foreign bodies and their impaction in esophagus is common among children and proper diagnosis and treatment of this problem will decrease its complications. The objective of this study was to evaluate esophageal foreign bodies. Methods : 62 patients with complaining about foreign body ingestion were studied and factors such as age, sex, the kind of foreign body, the treatment done, its complications and the length of hospitalization were considered. Results : Of sixty- two patients, 30 were male and 32 were female. Coin was the most common foreign body in children (24 cases) while in adults bone (chicken or fish) was more common (19 cases). In the patients most of the foreign bodies were impacted in the upper esophagus at the cricopharengeal junction. In all patients except one case (in which endoscopic forceps was used to remove the foreign body) esophagoscopy was performed under general anesthesia to remove the impacted foreign bodies. Complication was seen in one case as bleeding. Conclusions: Since the esophageal foreign body is prevalent among children it is necessary to prevent it through offering adequate to parents.
Yousef Hamidzadeh Arbaby , Firooz Amani, Abdollah Mahdavi , Mohammadhosein Dehghan , Afrooz Mardi ,
Volume 3, Issue 1 (4-2003)
Abstract
Background & Objective: Poster is a non-projector, visual, graphic and printed medium that is applied in various cases specially in health education. On the other hand, one of the health education experts task is evaluation of educational methods and media. Since few studies were performed on effectiveness of posters on knowledge of people, this study was designed to determine the percentage of people who looked at the posters in health centers and also to determine the level of knowledge attained from these posters located in different places of health centers. Methods: This was a semi-experimental study. The population was people who referred to Shahid Gannadi health center. Samples were selected by simple random method. The data were collected by a questionnaire. The posters were fixed in three places during three different stages and the collected data were analyzed. Results: The findings showed that from among these subjects, 18.8% in the first stage, 20.8% in the second stage and 61.2% in third stage observed the fixed posters. The probability of the poster to be seen near the doorway and examination room was equal (Odds Ratio=0.9) whereas the probability of the same posters to be seen in waiting hall was 7 times as much as the previously mentioned locations. The ANOVA indicated no significant difference between demographic variables (age, sex, marital status, ets) of study subjects and their knowledge scores. Conclusions: The study showed that People paid very little attention to fixed poster. Therefore, regarding the role of posters in increasing the knowledge level, several strategies should be employed to make people pay more attention to these posters. Following the accepted standards in preparation and fixation of posters and preparation of three dimensional boards for the posters in health care centers are suggested.
Afshar Tamook, Nayereh Aminisani , Joubin Mogadam Yeganeh , Afrooz Mardi,
Volume 3, Issue 2 (6-2003)
Abstract
Background & Objective : When a cesarean is necessary, it can be a life-saving technique for both mother and infant. In recent twenty years, the cesarean childbirth rate has increased dramatically. Moreover a cesarean costs nearly twice as much as a vaginal birth. The world Health organization states that a cesarean rate greater than 10-15% cannot be justified. The aim of this study was to determine the cesarean rates and its indications in social security hospital of Ardabil. Methods: In this cross-sectional study was conducted all of the deliveries (both cesarean and normal delivery) in Ardabil social security hospital were investigated using a questionnaire including the characteristics of indication. The data were analyzed using SPSS software. Results : 45.4% of the deliveries were done using cesarean and 54.6% of them with a normal procedure. 55.8% of all the cesareans had an accepted indication. 44.2% of cesareans were controversial or elective, 22.7% were repeated cesarean, 8.4% were breech presentation and 2.3% were golden baby and 10.8% of the cesareans did not have a clear indication. Conclusions: The cesarean section rates in this study were higher than world rates. As a result the rising cesarean birth rate must be stopped and reversed with health interventions.
Firooz Amani , Bahram Sohrabi , Saeid Sadeghieh , Mehrnaz Mashoufi ,
Volume 4, Issue 1 (4-2004)
Abstract
Background & Objective :Depression is one of the most common disorders which can affect every individual. However some individuals (including the students of medical sciences) who are involved in health issues are more vulnerable in this regard. The early diagnosis of this disorder among the students can lead to primary prevention and avoid any further progression and deteriration. This in turn can result in mental health among these students as well as the society. The present study set out to investigate the rate of depression among the students of Ardabil university of medical sciences. Methods : This research is an analytic-descriptive study conducted on 324 students from Ardabil University of Medical Scinces. A questionnaire including two sections was used to collect the data. The first section was about the demographic information and the second section included questions about depression based on Beck depression test. The data were analyzed by SPSS soft waire using descriptive and analytical statistics. Results : The results showed that 57.4% of total subjects (186 students) suffered from various degrees of depression. 128 of these students were suffering from clinical depression. The prevalence of depression among midwifery students was 21.4 %. Chi- square test showed a significant relationship among prevalence of depression in these students with their educational semester , the number of their siblings, any kind of major physical disorder in the subject or, a serious psychological problem among their family members , as well as any significant event during the previous year. Conclusions : According to obtained results there was a high degree of depression among medical university students and serious measures should be taken in the future in order to prevent this social concern.
Rahim Masoomi,
Volume 4, Issue 2 (6-2004)
Abstract
Background & Objectives: Senile cataract is one of the most common diseases in the world and a common cause for reduced visual acuteness and blindness. It is due to many factors the most important of which is aging. Other risk factors include gender, smoking, sunlight, living environment, high risk professions, family history, systemic diseases, etc. The present study was an attempt to investigate this disease epidemiologically and draw a general profile for it in order to pave the way for further research. Methods: This was a cross-sectional descriptive and retrospective study. The files of the patients who had received senile cataract surgical operation in Alavi hospital from March 1999 to February 2000 were investigated to collect the required data. The data were analyzed using appropriate statistical methods. Results: 218 patients were studied. The prevalence of this disease was found to be 83.9% which was observed among males more than females and was more common in the 6th decade of life. The disease was mostly seen in the left eye and reduced visual activity to the light perception was the most common clinical complaint among the patients. 29% of the patients were diabetic and 22.1% of them had hypertension. Conclusion: Because of high prevalance of cataract, it is necessary to have good medical care and management. Moreover, some training and guidelines seem necesarry.
Abbas Yazdanbod , Manoochehr Iranparvar, Solmaz Seifi ,
Volume 4, Issue 3 (9-2004)
Abstract
Background &Objectives: According to a recent report published by the Ministry of Health in Iran gastric cancer is the most common cause of death due to cancer in this country and cardiac cancer is the most common kind of upper GI cancer. This study is an attempt to determine the epidemiology of cardiac cancers in Ardabil. Methods: This descriptive cross-sectional study was conducted for four years (2000-2003) at the only private clinic in Ardabil. The results of endoscopy of these patients including the exact determination of the topography of cancer in cardia and other general information were recorded. The data were analyzed using SPSS software (version-10) Results: During this study 4356 endoscopy were done and 533 histologically proven upper GI cancer were detected. Out of 533, 242 cases were located at E-G junction area, 82(33.9%), 130 (53.7%) in cardia region and 30(12/4%) cases were located at the proximal bady of stomach. 130(53.7%) cases of tumors were, in the right side of cardia. Bormann classification showed that most of cancers (43.8%) were ulceroinfiltrative. Conclusion: Statistical analysis indicated that there is a significant relationship between type and topography of cancer with dysphasia, weight loss and epigasteric pain(p<0.05). The results showed significiant relationship between type and topography of cacers with Bormann classification(p=0.001). Further epidemiologic studies are required to evaluate etiology of cardia cancers in Ardabil.
Rahim Masoumi,
Volume 4, Issue 4 (12-2004)
Abstract
Background & Objectives: Congenital cataract surgery is one of the complicated and difficult surgeries in ophthalmology. Its prevalance is one per 2000 live birth but it is one the main causes of blindness in children. This prevalence is even higher in underdeveloped countries (30 in 100000 cases). Lensectomy & vitrectomy by vitrectome device are the latest methods in this regard. The objective of this study was to evaluate the post-operative results of this method of surgery in patients operated because of congenital cataract. Methods: After the diagnosis of the congenital cataract and primary examinations, the patients, in necessary cases, were examined under anesthesia and if possible, in all patients retinoscopy was conducted and intraocular presure was measured. If the examination of the retin was possible, the red reflex was determined. Then the patients were garded to D( absence of cloudy lens), 1( the presence of opacity up to 1 mm), 2A (the area of apaque part less than nonopaque area), 2B (the area of opaque part more than nonopaque area) and 3 ( complete opaqcity of lens). All of the patients were evaluated in two groups: first, only congenital cataract second cataract due to trauma. Results: In the first group (with 24 patients and 33 eyes). 26 eyes (79%) had very good postoperative condition, 4 eyes (12%) had good condition and 3 eyes (9%) were nearly good. In the second group including 17 patients, 9 eyes (56%) were very good and 4 eyes (26%) good and 4 eyes (26%) moderate in terms of postoperative results, and none of them had poor results. Conclusion: Because of the good surgical results of lensectomy and vitrectomy in congenital cataract and rapid visual acuity they are still methods of choice in congenital cataract surgery.
Giti Rahimi,
Volume 5, Issue 1 (4-2005)
Abstract
Background & Objectives: Hysterectomy is the most common surgery among nonpregnant women. A review of indications of hysterectomy can provide the specialists with new insights about these patients’ treatments. The aim of this study is to investigate the indications and methods of hysterectomy in patients referring to Alavi hospital. Methods: This cross-sectional study was done in Alavi hospital for two years (2002-2003). The data from 257 hysterectomized patients collected through interview and studying their records were entered into previously-designed questionnaires. The collected data were then analyzed using SPSS software. Results: The number of hysterectomies decreased 38.4% in 2003 compared to 2002. The mean age of patients was 45.8±8.09. The most common indication of hysterectomy was lyomyoma in 42.2% of cases. Abdominal hysterectomy and vaginal method were done in 93% and 7% of the cases respectively. In patients who were operated for pregnancy and delivery complications, the most common indication for hysterectomy was placenta increta (50%). The most common complication was hyperpyrexia (25.7%). The prevalence of complications of abdominal hysterectomy and vaginal method was 26.3% and 16.6% respectively. Conclusion: Lyomyoma is the most common indication of hysterectomy in patients referring to Alavi hospital. Besides, abdominal operation is the most prevalent method of hysterectomy in this hospital. Complications of vaginal method are less than those of abdominal method.
Masuome Aghamohammadi,
Volume 5, Issue 3 (9-2005)
Abstract
Background & Objectives: It is estimated that 4-10% of diabetic patients suffer from foot ulcer. About one in five people with diabetes enters hospital for foot problems. Regarding the importance of education for these patients, the present research was conducted to evaluate the effect of education on foot care among diabetic patients referring to Ardabil Buali hospital. Methods: From the diabetic patients referring to Buali hospital (diabetes center) 120 patients admitted for the first time, who had had no past training about diabetes, were selected. Each patient was asked to fill out a questionnaire on his reference to the hospital. The questionnaire had 38 questions, the first 8 of which were about the demographic status and the illness itself and the rest of them concerned priniciples of foot care. Following this, these diabetic patients participated in public classes in the center, and a month later they filled the questionnaire again. Finally their knowledge before and ofter the education period was compared using statistical analyses. Results: The level of knowledge of 73.33% of the subjects before education was medium whereas following the education this rose to 86.67%. Comparing the level of knowledge of patients before and after education using t-test indicated that the level of knowledge after education is significantly higher than before (p<0.001). Conclusion: with regard to the significant difference in knowledge of diabetic patients before and after education, it can be concluded that educational classes of diabetic center can improve the knowledge of patients about foot care. So they are strongly recommended to be held for all these patients.
Akbar Pirzadeh, Abdollah Mahdavi , Mohammad Ali Mohammadi,
Volume 5, Issue 3 (9-2005)
Abstract
Background & Objectives: The hearing organ has a special role in establishing communication among people and their education. Hearing loss causes disorders in communication between human and environment. In growing ages, hearing loss may lead to general educational failure . T his study was conducted in order to determine the relationship between hearing loss and educational failurs. Methods: In this case control study 110 failed students in 5th grade elementary school (case) and 110 other ones (control) were selected by systematic random sampling. Both groups underwent the audiometric tests. The Data were analyzed by EPI 2000 software. Results: The results of this study showed that 9.1% of cases and 0.9% of controls needed sonic energy more than 30db in left ear to hear. The difference was significant (P<0.05) whereas there was no significant relationship between hearing loss and educational failure in rigth and left ear in both groups when the sonic energy used is more than 20db. Conclusion: The failed students are strongly recommended to be annually examined and evaluted by a specialist and if necessary be treated.
Khatere Seylani, Masoome Aghamohammadi, Khlil Rostami, Vadood Noroozi,
Volume 5, Issue 3 (9-2005)
Abstract
Background & Objective: Postoperative nausea and vomiting is the most common complication of anesthesia with an approximate prevalence of 30% up to 70% (in high risk patients). In recent years several articles have investigated the effects of antiemetic and anesthetic drugs on postoperative nausea and vomiting, but the nonpharmacological methods, which are cost-effective and have no side effects, are rare. Since it is essential for patients to be on fast before surgeries which require general anesthesia, occurrence of dehydration and extra cellular fluid volume deficit and subsequently nausea and vomiting are expected and anticipated. Thus in this study the effect of preoperative intravenous fluid on postoperative nausea and vomiting was explored. Methods: This clinical trial study was performed in two experimental and control groups, with 30 subjects in each. Experimental group were given a 1- liter bolus of intravenous normal saline preoperatively in addition to routine IV fluid. Finally the incidence of postoperative nausea and vomiting was observed and compared between two groups. Results : According to statistical tests, the differences between age, preoperative and postoperative NPO duration, use of antiemetics and the duration of hospitalization in two groups were statistically significant but the differences between other demographic variables and the volume of intraoperative intravenous fluid received during the surgery were not. Results showed that experimental group had significantly lower incidence of nausea and vomiting (20% and 10% respectively) in comparison with control group (50%). According to chi-square test, the rate of postoperative nausea and vomiting was significantly different in two groups. (p=0.015 and p=0.001 respectively) Also, preoperative NPO duration had significant relationship with postoperative vomiting (p= 0.05). Conclusion: Regarding the positive effect of intravenous fluid therapy on postoperative nausea and vomiting as a cost effective and harmless method in surgery, its use is recommended.
Fariba Kahnamouei Aghdam , Farnaz Ehdayivand, Faride Mostafazadeh, Godrat Akhavan Akbary , Mohammad Sadeghi,
Volume 5, Issue 3 (9-2005)
Abstract
Background & Objectives: Respiatory Distress Synderome (RDS) is one of the major risks of elective cesarian section whose negative health and econemical outcomes are obvious. Maternal prophylactic injection of corticosteroid drugs can reduce RDS of neonate to some extent. On the other hand corticosteroid drugs have some side effects such as delay in the healing of the incision. This study considered the effect of betamethasone on surgical incision. Methods: This study was conducted on 60 primipara women divied into two equal groups that were candidate for elective cesarean. We injected betamethasone (IM) to trial group twice 48 hours poior to operation, (every 24 hours) and complication of surgical incision was clinically evaluated within 7 days after operation in both groups. The data were collected and analyzed by SPSS software chi-square and Fisher tests. Results: Most patients (60%) were 20-30 years old and the average age in both groups was 21. The relative frequency of patients with complication of surgical incision in trial group (betamethasone recipients) was 30% and in control group was 23.33% (the difference between them was not statistically significant). The most common complications were erythema and hyperemia. Other complications observed in 15% of the patients included serousal discharge, local warmness and enduration. Rgarding these complications also there wasn’t a statistically significant difference between two groups. Conclusion: Betamethasone does not increase early onest complications of surgical incision and we can safely use betamethasone prophylactically for fetal maturion in elective cesareans.
Mohammad Ali Mohammadi , Behroz Dadkhah,
Volume 5, Issue 3 (9-2005)
Abstract
Background & Objectives: With due attention to the modern technology developments in medical sciences, human resource training and optimization looks necessary. Although its importance and necessity has been regarded by many investigatores and scientists and they have emphasized its accurate and comprehensive execution, unfortunately, the training of nurses has encountered some problems, the solution of which demands great attempts. This study has been done to determine the state of Continuous medical Education (CME) from the view of the nursing personnel working in the hospitals under Ardabil university of medical sciences in 2002. Methods: This descriptive study was conducted on 386 nursing personnel working in hospital under Ardabil university of medical sciences. A questionnaire was used to collect the data. The collected data were analyzed by SPSS software. Results: 79% of the sample was female and 81.9% were nurses. 35.6% of them had not participated in CME courses. 28.6% of them had information about CME law. 25% found the lectures less practical and 56.5% of them appraised moderate the subjects presented. 60% of them believed in the positive influence of conferences in hospitals on their better functioning. 59.8 % said that their educational needs is not evaluated before the conference is held. 75.4% stated that new books in nursing are not available in the hospitals. 49.7% have appraised educational programs in the hospitals as moderate. 43.8% stated that the operation of modern medical equipment is not trained completely and only 4.6% said that specialists have scientific discussion with nurses. Overal, 55.2% of the nurses evaluated education by specialists as moderate. Conclusion: 50.8% of nurses assigned a moderate value to CME. It seems necessary to reconsider the subjects and the execution procedures and perform needs analysis prior to this education.
Parvaneh Naftchi , Gholamhosein Ramsgoyan, Eskandar Fathi Azar, Mohammad Zaeifizadeh,
Volume 7, Issue 2 (6-2007)
Abstract
Background & Objectives: University is the center in all fields of scientific developments which heightens the knowledge in the society. Investigating the effective factors on the quality of research and education in the faculty of medicin from the students planning to increase the quality and quantity of research and education status. Methods: This was a descriptive-analytic study which was done during the period April 2005 –April 2006 in two faculties of medicine in the state and Azad University of Ardabil. The samples included all the medical students, faculty members and employees of faculties of Medicine at Ardabil University. Data were collected through a questionare. In total, 308 status, 44 faculty members filled out the queitionnaire. Data were analyzed by SPSS version 11. Education and Research, educational Status, educational facilities and educational spaces of both faculties were compared and with the desirable standard of 80%. Results: There was a significant difference in is education and research in both faculties from thr instructors point of view. However, in students, view this defference was not significant. In comparing the research status in both faculties with the desirable standard of 80%, the faculty of Medicine in Ardabil state University of Medical Sciences showed a significant difference whith this difference in Azad University was not significant. In comparing the educational Apace. The faculties with the desirable standard of 80%, there was a significant differency in Azad University where as it was not significant in state University. Conclusion: In terms of Education the faculty of medicine in state Universy was more desirable and in terms of research. Azad University was more desirable.
Masoud Entezariasl, Khatereh Isazadefar , Ghodrat Akhavanakbari,
Volume 7, Issue 3 (9-2007)
Abstract
Background & Objectives: Postoperative nausea and vomiting are among the main complication after anesthesia and various methods are used for the prevention of this complication. In this study, the effect of the pre induction use of 10mg Metoclopramide’ 8 mg Dexamethasone and the combination of the both, on decreasing in the rate of nausea and vomiting after cataract surgery in intravenous anesthesia is compared with placebo. Methods: In this double blind clinical trial, one hundred patients of cataract surgery who are appropriate for this study were, randomly divided in to four groups. In the group of placebo (P), 2cc normal saline, in group (M), 10mg metoclopramide, in group (D), 8mg Dexamethasone, and in group (M+D), 10mg metoclopramide and 8 mg Dexamethasone, one minute before the induction of anesthesia was injected. Patients were received the anesthetic drugs in the sameway and after the tracheal intubation infusion of propofol was started. After the end of surgical operation, the appearance of nausea and vomiting in the recovery room and also 6 and 24 hours after the surgery are recorded in the patients' information forms. Finally the data were analysed by statistical software of SPSS and the statistical tests. Results: After the use of these drugs, the rate of nausea in the recovery room decreased from 44% in placebo to 20% in metoclopromide group, 16% in Dexamethasone group, and 8% in combination of metoclopromide and Dexamethasone and the rate of vomiting decreased from 20% in placebo group to 4% in metoclopromide group, 4% in Dexamethasone group, and 0% in combination of these two drugs, both the nausea and vomiting the effect of combination of metoclopromide and Dexamethasone in decreasing of postoperative mausea and vomiting was significant (P<0.05). The 24 hour following of nausea and vomiting, also had the same results. Conclusion: With regrard to the results of this study, implication of the combination of 10mg metoclopromide and 8mg Dexamethasone before the induction of anesthesia remarkably decreased the rate of postoperative nausea and vomiting and is useful for the high risk groups for this complication especially in out patient surgery.
Masoud Entezariasl, Ghodrat Akhavan Akbari , Khatereh Isazadeh Far,
Volume 7, Issue 4 (12-2007)
Abstract
Background & Objective: With consideration the daily increased development of outpatient surgeries and high rate of these operations in elderly patients, rapid and safe recovery of patients for coming back to daily life is necessary. In this clinical trial study recovery time and nausea and vomiting after the use of two rapid-onset narcotic, alfentanil and remifentanil in elderly patients has been compared. Methods: In this double-blind clinical trial 40 elderly patients (age above 65) candidated to cataract surgery with general anesthesia were studied. The patients were divided randomly into two groups and for first group alfentanil was injected 10 m g/kg and for second group remifentanil 0.5 m g/kg during 30 seconds one minute before induction. Both two groups were under general anesthesia with same method and during the anesthesia first group took infusion of alfentanil 1 m g/kg/min and second group remifentanil 0.1 m g/kg/min. At the end of surgery the time intervals between end of anesthesia drug adminstration and autonomic respiration, eyes opening with stimulation, verbal response and discharge of recovery room, also the incidence of complications related to narcotic drugs especially nausea and vomiting were recorded. The data were analyzed in SPSS software using descriptive and analytical statistics as T-test, chi square and ANOVA. Results: The time of autonomic respiration in alfentanil group was 2 minutes and in remifentanil group 3.3 minutes,this time in alfentanil groupe1.3 minutes shorter but the difference was not significant. The time of eyes opening with stimulation, verbal response and discharge of recovery room were not significantly different. During recovery incidence of nausea and vomiting in remifentanil group (30% of patients) was significantly more than alfentanil group (5% of patients) (P<0.05). Conclusion: The time of recovery between alfentanil and remifentanil group was not significantly different, but incidence of nausea and vomiting in remifentanil group was higher than alfentanil group significantly.
Nayereh Khadem , Ahmadshah Farhat, Nayereh Ghomian , Samira Ibrahimzadeh,
Volume 7, Issue 4 (12-2007)
Abstract
Background & Objective: Preeclampsia is an unknown disease. It was seen in 3.7% of live births and it is the cause of mothers' death in 18%. In addition to complications for mothers, fetal damage have also been seen. Also we sought to consider predictors of neonatal outcome in women with preeclampsia and normal women. Methods: It is a prospective and cross-sectional study that was performed on 127 preeclampsia pregnant women and 254 normal pregnancy. Statistical analysis was performed by software SPSS/Win and was used X2 test for analysis of the results. Results: Prevalence of preterm labor was 54.4% in women with preeclampsia and 25% in normal pregnancy. There was no statistical difference such as parity (P=0.157), age (P=0.256) and type of delivery (P= 0.226). There was a significant difference between two groups in gestational age (P<0.0001), birth weight (P<0.0001), neonatal mortality (P=0.013), neonatal Apgar score (P=0.005) and NICU admission (P<0.0001). Conclusion: It is clear that the difference between two groups is mainly because of preterm labor in preeclampsia group. Attention to exact control of illness and avoidance of making rash decision for terminating pregnancy in mild preeclampsia can improve outcomes of Neonates.
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