Showing 5 results for Goharian
Vahid Goharian , Leila Moghareabed, Homeyra Fazelniya ,
Volume 1, Issue 5 (Winter 1997)
Abstract
Introduction: Cesarean section is the most common surgery in obstetric department and the most common causes are subsequently dystocia, repeated cesarean section, breech presentation and fetal distress .Cesarean section surgery has many complications and decrease in the rate of cesarean section can direct to safe delivery. In this study we researched to determine cesarean rate and its causes in Markazi Province for planning to give safe delivery.
Method: In this descriptive study, all mothers that delivered during the time of research (20 days) in all centers of delivery in Markazi Province were evaluated We investigated the mothers age, delivery, type of delivery location of delivery and etiology of cesarean.
Results: The study has investigated 721 mothers with the mean age of 25.5 cesarean section rate was 29.3% .The most common causes of cesarean section were subsequency distotia (33%), repeated cesarean section (24.17%) and fetal distress (10.9%) .The rate of cesarean section in private centers (74%) was more than university centers.(26%)
Discussion: The rate of cesarean section in Markazi province is more than other countries(29.3% to 22.7%) . Distocia and repeated cesarean are the most causes but fetal distress is the third etiology to fourth etiology in other studies. This study also shows the effect of socioeconomic status in increasing the cesarean section rate.
Vahid Goharian, Mohammad Sadegh Rajaei, Saeid Sadrnia,
Volume 2, Issue 7 (Summer 1999)
Abstract
The aim of this study is to determining the prevalence of cigarette smoking and the causes of initiation in boy students of medical science in Arak university. Declining of smoking depends to recognizing risk factors specially in young age group and the results of this study use to evaluate the plans. This descriptive study was done with convenience sampling and studied all boy medical students in Arak university with self-administered questionaires in 77-78 curiculum. This survey instrument contained age, course of study, passed semesters, smoking bahaviour family history, praying and living site .The smoker also answered to question about time of initiation, mean of cost family information and the number who giving up the habit of smikong. 98.7% (n=475) of students with mean of age 23.06 years answered to question 34.3% had smoking bahaviour. The prevalence of smoking was the lowest among those who were married and negative family history. The prevalence of smoking in students who prayed was 1.4 of others. The most common cause of initiation were being resident with friends, stress life and initiation. Lowering we must improve the "NAMAZ" task and marriage accompaniment with lowering stress life and teaching for friend selecting and determining a suitable pattern for students in Arak university.
Mansour Safaei, Mohammad Mohajer Amiri, Vahid Goharian,
Volume 6, Issue 4 (Winter 2003)
Abstract
Introduction: The two therapeutical methods, ambulatory phelebectomy and stripping, used in the treatment of venous varices seem to have different duration of admission and complications. In this study the variables which seemed to be different between these two approaches have been compared with each other.
Materials and methods: In an analytic cross-sectional investigation, 43 patients were operated for venous varices with stripping and ambulatory phlebectomy were studied. Gender, age, type of operation, post- operative complications (hematoma, pain and paresthesia), duration of admission and the duration of operation were recorded for all subjects.
Results: Out of 43 patients, 19 were operated by ambulatory phlebectomy and the other by stripping methods. There was no meaningful difference in the groups with respect to the sex. There was a meaningful difference between both groups with respect to hemetoma (5.3% versus 0%).The average duration of admission and operation in the stripping was virtually more than the ambulatory phlebectomy.
Discussion: The duration of operation, hematoma, pain and paresthesia was proportionally more in the stripping procedure than the ambulatory phlebectomy. Thus, ambulatory phlebectomy can be more helpful in the treatment of venous of limbs.
Dr Masoud Nazem, Dr Vahid Goharian, Dr Heydarali Davari, Dr Mohammad Jafari, Dr Mahtab Ebrahim Babaie,
Volume 8, Issue 4 (12-2005)
Abstract
Introduction: Cystic hygroma is a disorder in lymphatic vessel formation that involves the adjacent organs and can affect them due to its fast growing nature . The main treatment for cystic hygroma is surgical intervention that can have many complications after surgery. Treatments other than surgical interventions is the use of sclerosing agents. The goal of this study is to analyze the effect of Beliomycin in treating cystic hygroma . Materials and Methods: This quasi experimental study was carried out clinically at st-al Zahra and Kashanie hospitals of Isfahan from 1372 to 1383. A checklist including age, sex, cyst location, cystic hygroma volume before and after Beliomycin injection and/or surgery, was completed for each patient. Data was analyzed by T and paired T-Tests. p<0.05 was considered meaningful. Results:The study was carried out on 72 patients. 24 patients were treated with Beliomycin and 48 patient by surgery. Patients age was below 1 month up to 18 years old . Cystic hygroma was mainly located at neck region(46.8%). The average size of cystic hygroma was 103.9±29.66cm3 before Beliomycin injection and 34.91 16.19cm3 after that (p=0.004). and 43.511±7.81cm3 before surgery and 1.39±1.39 cm3 after that(p=0.006). The rate of recurrence of lymphingoma in the surgery treated group was 25.1% and in the group treated with Beliomycin was 29.2% with no significant difference. Conclusion: Regarding the considerable decrease in cyst volume after Beliomycin injection and it,s low complication compared to surgery, this method can be used as a primary treatment or supplementary to surgery.
Nasud Nazem, Parvin Sajedi, Vahid Goharian, Mohamadreza Shirvani,
Volume 9, Issue 3 (9-2006)
Abstract
Introduction: Using one subcutaneous infiltration of Bopivacaine can cause a good pain relief in pediatric surgery, so the child may no longer need rectal Acetaminophen after surgery. In this study, we compared the efficacy of the two drugs. Materials and Methods: This was a clinical trial, performed on 141 pediatric patients between 6 months to 3 years old with unilateral or bilateral inguinal hernia or undescending testis. Patients were divided randomly into two groups. The first group received infiltration of Bopivacaine preoperatively and the second received the routine rectal Acetaminophen after surgery. In both groups pain score was measured with FPRS score 3,6,12 and 24 hours after surgery. After collecting data they were analyzed with T-student and Friedman tests. P<0/05 was considered significant. Results: Global FPRS pain score was lower in the group treated with Bupivacaine infiltration on 3 and 6 hours after surgery (p<0/05), but in 12 and 24 hours after surgery no significant difference was seen in the two groups. Conclusion: This study showed that, infiltration of Bupivacaine reduces pain better than Acetaminophen, especially during the first 6 hours after surgery. So because of better pain control and also single administration, we suggest using infiltralition of Bupivacaine preoperatively.
