Showing 14 results for Nazem
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.
Khalilolah Nazem, Arsalan Mahmoudian,
Volume 12, Issue 4 (2-2010)
Abstract
Background: The effectivity of applying antiseptics in preparation of the operative site on the reduction of post-operative infections is not quite clear and controversies exist about the best method for doing this. The aim of this study is to compare the traditional two-stage method of first, washing the site with povidone iodine scrub and then painting with aqueous povidone iodine with the method of washing the site only with povidone iodine scrub. Materials and Methods: In this retrospective study, patients who had been under knee arthroscopy in 2 separate hospitals by the same surgeon were compared with regard to post operative infection. In one hospital, the operative site was only washed with povidone iodine scrub, while in the other hospital this same procedure was followed by painting with aqueous povidone iodine. The primary goal of this study was to identify the patients who had manifested clinical and laboratory signs of superficial or deep infection or septic arthritis one month postoperatively. Results: A total 300 patients were studied in two equal groups. All the patients had only been under diagnostic or curative non-bony operations. No superficial or deep infection or septic arthritis were seen in any of the patients in the two groups. Conclusion: Preoperative preparation of the knee with povidone iodine scrub is a safe method for prevention of infection and can be used instead of the common two-stage method of using povidone iodine scrub and then painting with aqueous povidone iodine since this can decrease the time and cost of surgery.
Mojtaba Eizadi, Farzad Nazem, Asghar Zarifyan, Anoosh Eizadi, Hossein Dooali,
Volume 13, Issue 1 (4-2010)
Abstract
Background: The purpose of this study was to determine the effect of L-carnitine supplementation on glucose and lactate concentrations, and aerobic capacity during sub-maximal exercise on ergometery cycle. Materials and Methods: In this double- blind clinical trail, 34 healthy noathlete male students at Saveh University were divided into experimental (L-carnitine usage) and placebo (lactose usage) groups and had one trial of cycling on ergometer (PWC170). This trial was done in two stages: 1) Exercise protocol without L-carnitine or placebo supplementation, 2) Exercise protocol with 3g L-carnitine (90 minute before exercise) and placebo supplementation in the experimental and placebo groups, respectively. Immediately after the physical exercise, blood sampling was taken for determining plasma glucose and lactate concentrations, and lactate dehydrogenase activity (LDH). Through polar telemetry rest and sub-maximal heart rate, and also, VO2max were measured. Results: L-carnitine supplementation had no influence on plasma glucose and lactate concentrations. Otherwise, rest and sub-maximal heart rate, VO2max and LDH activity were equal in pretest and posttests. All variables remained with no change in control group. Conclusion: Regarding the effect of L-carnitine usage on performance of endurance exercises, the findings are still vague and controversial. Our findings indicated that ingestion of 3g L-carnitine 90 minutes before exercise did not affect the dependent variables. Further investigation is required to determine the direct effect of such supplementations on substrate utilization, fat-carbohydrate metabolism and performance on exercise.
Neda Nazem-Ekbatani, Simin Tavoni, Hamid Haghani, Sedighe Gharayagh-Zandi,
Volume 15, Issue 5 (October 2012)
Abstract
Background: Insomnia has major negative effects on quality of life in postmenopausal women and can reduce their physical, psychological and social function. About 64.8 percent of women prefer to use herbal supplements for sleep problems. The present study aimed to evaluate the satisfaction of taking Valerian on the improvement of sleep quality and sleep score in postmenopausal women during six month. Materials and Methods: In this clinical trial, satisfaction of taking Valerian and sleep score of 100 postmenopausal eligible women who were referred to health care centers of Tehran University of Medical Sciences were evaluated. Research tools had three part of personal caharctristictic, Pittsburg sleep Quality Scale, and for satisfaction Visual Analogue Scale (VAS 0-10). Data gathering were in tree phase immediately after intervention, one and six month after valerian withdrawal. Results: The difference between intervention and control group in satisfaction and sleep scores was significant only immediately after taking Valerian (p=0.001) and there was no statistically significant difference within valerian or placebo group in one and six month later. Also there was statistically significant difference in three times of evaluation and satisfaction and improvement in sleep score were reduced within the time. Conclusion: Valerian can improve the sleep quality in postmenopausal women in intervention duration and after withdrawal there is no difference between placebo and valerian group so continued use of this supplement is necessary for improving of sleep quality.
Farzad Nazem, Mojtaba Izadi, Majid Jaliliu, Behzad Keshvarz,
Volume 15, Issue 9 (February 2013)
Abstract
Background: Epidemiological studies have shown the relationship between incidence of asthma symptoms and environmental factors, such as sedentary lifestyle and metabolic and cardiovascular diseases. However, the role of exercise rehabilitation protocols on lung function in obese adult patients with chronic asthma is a controversial issue. The aim of the present study is to evaluate the impact of aerobic exercise on lung function in obese middle-aged men with chronic asthma. Materials and Methods: This semi-experimental study was conducted on 39 obese middle-aged males with mild and moderate asthma. The experimental group (n=19) with regard to the safe range 15≥ RPE>9 followed the sub-maximal rehabilitation exercise program (50 to 80% HRmax intensity) for 3 months. Then, they underwent one month of detraining. The control group (n=20) did not have any form of aerobic exercise. Spirometric parameters in base, three months of training, and one month of detraining were measured by standard methods. Results: Indicators of lung function, including FVC, FEV1/FVC, PEF, FEF%75, and MVV significantly decreased. The pattern of changes in FEV1, FEV1/FVC, and MVV remained stable even after a month of detraining (p<0.05). However, no significant changes occurred in the dependent variables of the control group (p>0.05). Conclusion: It seems that the incidence of physiological adaptations of aerobic exercise, as a non-pharmacologic clinical factor, after the one-month detraining period affected the spirometric parameters in obese asthmatic patients
Simin Taavoni, Neda Nazem Ekbatani, Hamid Haghani,
Volume 17, Issue 3 (6-2014)
Abstract
Background: One of the most common problems in Menopausal women is reduce of sexual satisfaction, which can affect their quality of life. The aim of the present study was the effect of Afrodit on sexual satisfaction in postmenopausal women.
Materials and Methods: In the triple blind clinical trial with the placebo group participated 80 healthy females 50-60 years that were referred to health centers affiliated to Tehran University of Medical Sciences. Participants were randomly assigned to two groups, Afrodit groups and placebo capsules for a month. Used tool in this study was Sabatsbrg. Part of which was to assess sexual satisfaction.
Results: After a month intervention, there is significant difference in the mean score for sexual satisfaction between two groups (p=0.01), Sexual satisfaction compared with pre-menopausal in two groups were compared. T-test results showed no significant difference. (p=0.16).
Conclusion: The results show Afrodit improves the sexual satisfaction in menopausal women. So it is essential that health providers are familiar with this herb supplement.
Farzad Nazem, Khosrow Piri, Ali Hydrianpour, Amir Hosein Karimi,
Volume 17, Issue 10 (1-2015)
Abstract
Background: The aim of this study was to assess the effect of training, and noise stress on serotonin plasma level of Wistar rats.
Materials and Methods: For many years, physical activity have been used for the treatment of different neuropsychological dieases. Twenty one male witar rats (9-10 weeks old and 170.82±20.57g weight) were randomly divided into three groups: the noise group (n=7), training+noise group (n=7), and the control group (n=7). The aerobic training was performed 5 days per week, for a 60-day period. The noise stress included exposure to traffic noise 5 hrs/per day over a 60-day period (range:85-110 dB).The control group was not exposed to any noise or exercise, and was kept away from the sources of stress the rats were kept under the same conditions. At the end of the experiment, blood samples were collected and plasma serotonin concentrations were determined.For the statistical data analysis, one-way ANOVA and Tukey post-hoc tests were used (&alpha&le0.05).
Results: Plasma serotonin concentration significantly decreased in noise groups, in comparison with the controls (21.9±2.1, vs.40.8±7.3 &mumol/m, respectively p<0.000). The plasma serotonin levels in the noise +training groups (36.2±3.1) were apparently near to the controls However, resistance training could significantly increase plasma serotonin concentration in the noise+training group rats.
Conclusion: Increased serotonin level following resistance exercises might reduced stress in subjects.
Ali Nazemi, Mahdieh Sadat Ghafari, Mohsen Dalvandi,
Volume 19, Issue 1 (4-2016)
Abstract
Background: Myelomeningocele is one of the common congenital malformation in childhood that has association with many disorders. in addition to routine management of associated disorders surgical repair of myelomeningocele has been considered in many cases . The aim of this study is to evaluate the role of myelomeningocele surgical repair in prognosis of children with myelomeningocele
Materials and Methods: This is a case-control study from 2001 to 2013 in 60 infants with myelomeningocele in two department of neurosurgery in Arak and Ilam cities (Vali Asr and Imam Khomeni hospitals, respectively). Infants were divided into two groups according to operable and inoperable cases (each group includes 30 cases). The prognosis of two groups was investigated with respect to mortality, and Stark and Drummond disability rating scale. Data were analyzed with SPSS 18 software.
Results: Case group had better prognoses compared to control with respect to handicap (p=0.003), urinary tract disorders (p=0.006), IQ (p=0.001), global disability(p=0.006) and mortality rate, but there was no difference between two groups with respect to hydrocephalus(p=0.3).
Conclusion: According to the results, mortality, disability and prognosis of infants with myelomeningocele that underwent operation were better. In conclusion, early myelomeningocele repair is advised for infants, because it affects the improvement of prognosis and the quality of patients' life.
Mojtaba Rahimi Varposhti, Darioush Moradi Farsani, Babak Ali Kiaei, Behzad Nazem Roaya, Seyed Hosein Moosavi,
Volume 20, Issue 3 (6-2017)
Abstract
Abstract
Background: The aim of this study is to evaluate the impact of preemptive adding topical Ketorolac to Tetracaine drop on pain intensity and hemodynamic parameters during and after cataract surgery.
Materials and Methods: Eighty patients scheduled for elective cataract surgery under sedation and topical anesthesia, were randomly allocated to two equal groups: group T received Tetracaine 0.5%, and group TK received Tetracaine with ketorolac eye drops. One drop of each ophthalmic drug was applied every 10 minutes from 30 minutes before surgery. Pain intensity and hemodynamic parameters were assessed just before starting the operation and 5, 10, 15and 20 minutes during the operation, and then 0, 5, 10, 15 and 20 minutes after arrival of the patient to the recovery room.
Results: Mean pain intensity was significantly lower in TK group (1 ± 0.128) compared with T group (2 ± 1.54) during the surgery (p = 0.003), but there was no significant difference between the two groups in this regard during the recovery time (p =0.157). The number of patients requiring additional analgesic was not significantly different between the groups. There was no significant difference between the two groups regarding hemodynamic parameters except at 20th minutes and 15th and 20th minutes (heart rate and respiratory rate) after arrival to the recovery room.
Conclusion: Preemptive adding topical Ketorolac to Tetracaine drop is more effective than Tetracaine alone to reduce pain during cataract surgery.
Morteza Gharibi, Simin Najafgholian, Fatemeh Rafiee, Ali Nazemi, Esmaeil Mansourizadeh,
Volume 22, Issue 5 (11-2019)
Abstract
Background and Aim American College Of Emergency Medicine (ACEM) guideline has a recommendation for early diagnosis of head injuries following mild trauma. In this study we examined the prediction power, sensitivity, and specificity of this clinical guideline in the need for computed tomography (CT) scan
Methods & Materials This cross-sectional study was performed for 6 months on patients over 18 years old referred to the emergency department of Vali-e-Asr Hospital in Arak who met ACEM criteria for head CT scan for suspected mild trauma. Demographic characteristics, clinical symptoms, trauma mechanism, physical injuries caused by head trauma, and history of drug abuse were recorded. The consciousness level (Glasgow Coma Scale) was checked every two hours. Patients underwent treatment if there was a pathology in CT images, and those with no clear pathology were discharged after 6 hours and, followed up by phone for two weeks, and in case of any abnormality in the level of consciousness, they were re-examined by CT scanning.
Ethical Considerations This study has an ethical approval obtained from Arak University of Medical sciences (code: IR.ARAKMU.REC.1396.227).
Results 500 patients, 335 male (67%) and 165 females (33%) with the mean age of 46.39± 2.01 years were studied; the sensitivity the ACEM guideline for predicting the need for CT scan in patients with mild head trauma were 100% with a specificity of 3.46% (for the second recommendation, the sensitivity was 100% with a specificity of 6.7%) which indicated that the test was highly sensitive to diagnosing the patients, but its specificity was low.
Conclusion The ACEM guideline had high sensitivity to predicting the need for CT in patients with mild head trauma, but had very low specificity which makes it an unacceptable criterion for rejecting or performing CT scan in these patients.
Pedram Pouryari Biyachal, Najmeh Ranji, Ali Nazemi,
Volume 24, Issue 1 (April & May 2021)
Abstract
Background and Aim: Non-syndromic hearing loss is a genetically heterogeneous disorder. Mutation in the GJB2 gene is a major cause of non-syndromic hearing loss in numerous countries. This study aimed to evaluate GJB2 mutations in 31 individuals with non-syndromic hearing loss
Methods & Materials: In this descriptive cross-sectional study, the required blood samples were collected from 31 individuals with non-syndromic hearing loss in Rasht and Bandar Anzali Cities, Gilan Province, Iran. After DNA isolation, the GJB2 gene was amplified by the PCR method and underwent sequencing.
Ethical Considerations:This study was approved by the Ethics Committee of the Islamic Azad University, Mashhad Branch (Code: IR.IAU.MSHD.REC.1398.027).
Results: In this study, 3 mutations were determined in 18 individuals with hearing loss. Accordingly, 35delG mutation had the highest frequency (48.38%) in individuals with hearing loss as homozygote (n=14) and heterozygote (n=2). A patient with heterozygosity in V153I mutation and a patient with compound heterozygosity in 35delG/G200R mutation was determined.
Conclusion: It appears that 35delG mutation is a common mutation in the GJB2 gene in individuals with non-syndromic hearing loss in Guilan Province.
Azam Nazemi-Harandi, Shadi Jazayeri, Haeideh Saberi,
Volume 25, Issue 1 (April & May- 2022)
Abstract
Background and Aim In modern life, emotional and social problems have taken the highest rank among mental illnesses. The present study aimed to provide a causal model for predicting children’s psychosocial problems based on parenting styles with an emphasis on the mediating role of social support.
Methods & Materials The present research was a cross-sectional analytic study. The study population included parents of children (under 5 years old with behavioral-emotional problems) referred to the comprehensive health centers services in Pardis City, Iran, in 2020. Of whom, 230 people were selected by convenience sampling method. Measurement tools included parenting styles, social support, and socioemotional problems questionnaires. Structural equation modeling with SmartPLS software was used to analyze the data.
Ethical Considerations This study was approved by the Ethics Committee of Science and Research Branch, Islamic Azad University (Code: 99527).
Results The Mean±SD age of mothers was 32.87±7.87 years. Also, 60% of children were boys, and 40% were girls, with an Mean±SD age of 4.12±0.78 years. The Mean±SD scores of socioemotional problems, parenting styles, and social support were found to be 40.16±4.73, 152.23±18.10, and 34.66±6.49, respectively. The results of structural equation modeling showed that parenting styles had a significant role in predicting children’s socioemotional problems through social support mediation (P<0.05). Also, the fitting branches of the model showed the proper fit of the model through the composite reliability and the Cronbach alpha calculation.
Conclusion The results of the present study emphasize the critical role of early childhood life and the need to focus on support facilities for mother-child couples at this age. Accordingly, providing psychological and supportive interventions for mothers with high stress can result in parental adjustment and mental health and, subsequently, the child’s normal development.
Azam Nazemi Harandi, Shadi Jazayeri, Haeideh Saberi,
Volume 25, Issue 2 (June & July 2022)
Abstract
Background and Aim Emotional/social problems in childhood are associated with delinquency in adolescence, violence in adulthood, and anxiety disorders. This study aims to investigate the role of parents’ stress and perceived social support in predicting children’s emotional/social problems.
Methods & Materials This is a descriptive-correlational study. The study population includes all parents and their children referred to health centers in Pardis, Tehran, Iran in 2020 who had children under 5 years of age. Of these, 230 parents were selected by a convenience sampling method. Data collection tools were the Parental Stress index, the multidimensional scale of perceived social support and the child behaviour questionnaire-parent form. For data analysis, multiple regression analysis was used in SPSS software, version 25.
Results Among participants, 42.6% were employed and 57.4% were housekeeper. The mean age of participants was 28.42±12.5 years. The results showed that parents’ stress and perceived social support had a significant role in predicting children’s emotional/social problems such that they explained 44.7% and 8.9% of the variance in children’s emotional/social problems.
Conclusion Parents’ stress and support from friends can be effective in predicting emotional/social problems of their children.
