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Showing 10 results for Noroozi

Afsaneh Noroozi,
Volume 5, Issue 1 (Spring 2002)
Abstract

Introduction: In  the  past  decade, spinal  anesthesia  had  been  usual  method  of  interest  for  anesthesiologists  in  cesarean  section. Hypotension  is  a  common  complication  (45%-100%)  of  spinal  anesthesia  which  can  cause  mortality  and  morbidity  in  mother  and  fetus  if  it  can  not  be  controlled.
Prevention  of  hypotension  and  minimizing  variation  of  blood  pressure  following  spinal  block  is  one  of  the  most  important  considerations  of  the  anesthesiologists.
Materials  and  Methods: Two  groups  of  patients  were  chosen  randomly, in  the  first  group  we  used  ringer  solution (500ml)  for  prehydration  and  in  the  second  group   prehydration  and  intravenous  ephedrine  were  used  before  block.
Results: There  was  a  meaningful  difference  in  blood  pressure  during  5  minute  after  spinal  block  between  two  groups. (p<0.0001)
Conclusion: Administration  of  low  dose  intravenous  ephedrine  before  spinal  block, can  be  effective  in  preventing  hypotension  and  severe  and  sudden  variations  of  blood  pressure  during  5  minute  after  spinal  anesthesia  in  cesarean  section.
Hoshang Talebi, Afsaneh Noroozi,
Volume 7, Issue 4 (Winter 2004)
Abstract

Introduction: Postoperative  shivering  is  a  common  and  unpleasant  problem  with  relatively  40%  incidence  that  has  a lot  of  cardiovascular  and  pulmonary  effects. Its  main  cause  is  hypothermia  during  operation. But  there  are  also  other  causes. There  are  some  recommendations  to  resolve  this  problem. In  this  survey  we  compared  tramadol  and  pethidin  effects  in  treatment  of  postoperative  shivering.
 Materials  and  Methods: This  is  a  clinical  trial  study, performed  on  324  patient  with  ASA I and II classes. When  shivering  occurred, 1mg/kg  tramadol  was  administrated  to  162  patients  and  the  others  received  0.5  mg/kg   pethidin. After injection, the  shiver-end  time  was  recorded.  Patients  vital  sign  such  as  blood  pressure, pulse  rate  and  respiratory  rate  were  measured  and  recorded  before  and  after  injection (vital  sign  was  checked  and  recorded  every  10  minutes  for 1  hours  after  injection). Data  was  analyzed  with  two  independent  t-test  by  SPSS  software.
Results: 61.7%  of  samples  were  male. The  average  of  shiver-end  time  in  group  receiving  tramadol  and  group  receiving  pethidin  was  134.96±18  and  161.3±22  seconds  respectively, that  was  significantly  lower  in  tramadol  group (p=0.007). The  minimum  of  shiver-end  time  was  55  seconds  in  patients  receiving  tramadol  and  the  maximum  time  was  320. The  minimum  of  this  time  in  patients  receiving  pethidin  was  70  seconds  and  the  maximum  time  wad  395.
Discussion: Results  of  this  study  showed  that  using  tramadol  in  treating  postoperative  shivering  is  more  useful  than  pethidin. Also  it has  better  therapeutic  effects  and  lesser  side  effects.  
 
 
 
 
Afsaneh Noroozi, Hoshang Talebi, Farzaneh Jahani,
Volume 8, Issue 1 (Spring 2005)
Abstract


Dr Kataun Samimi Rad, Mr Babak Shahbaz, Mr Mahdi Noroozi, Dr Mahmood Mahmoodi, Mr Masoud Fayaz Vaseghi,
Volume 9, Issue 1 (3-2006)
Abstract

Introduction: A high prevalence of HCV infection among hemodialysis patients has been reported worldwide. Risk factors such as history of blood transfusion, duration of hemodialysis and recently nosocomial transmission of HCV in hemodialysis units have been identified. In this study the prevalence of Hepatitis C virus antibody and risk factors in hemodialysis patients in Markazi province is investigated. Materials and Methods: In this cross-sectional analythical study, blood samples were obtained from all 204 hemodialysis patients. Samples were tested for anti-HCV antibodies by using third generation enzyme immunoassay. The reactive samples on ELISA were confirmed by the third generation RIBA. Risk factors were evaluated by a questionnaire. Data was analysed using Chi square and logistic regression. Results: The prevalence of anti-HCV antibody among hemodialysis patients was 4.9%.Duration of hemodialysis was identified as a major risk factor in transmission of HCV (p=0.004). There was a significant relationship between anti-HCV positivity and previous renal transplantation (p=0.032). Female sex was another risk factor for HCV infection (p=0.030). There was no significant relationship between anti-HCV positivity and history of blood transfusion. Conclusion: Nosocomial transmission of HCV within hemodialysis units seems to be a route of infection in patients on hemodialysis in Markazi province. Application of dialysis precautions recommended by CDC can reduce the prevalence of HCV infection among hemodialysis patients in this province.
Dr Ali Chehrei, Dr Manijeh Kahbazi, Dr Bahman Salehi, Dr Afsaneh Zarganj-Fard, Dr Fatemeh Darreh, Dr Parvin Soltani, Dr Ashraf Zamani, Dr Mohammad Khalili, Dr Afsaneh Noroozi,
Volume 9, Issue 2 (6-2006)
Abstract

Introduction: Performing correct research in different aspects of community as well as medical sciences can be a way to resolve many problems. In order to create a systematic knowledge of research method in academic members of Arak University of medical sciences and enabling them in providing proposals and performing researches, a clinical research center was developed. This study is done to investigate the effect of this center on improving clinical researches in the University. Materials and methods: This is a HSR, before and after, interventional study in which, clinical academic members of Arak University of medical science were evaluated. First the information of the pre intervention period was gathered (jan2002-jan2004). Then the intervention was done in the form of developing a research center in Vali-Asr hospital, performing serial research workshops, research conferences, research consultations and planning data bases during a 2 years period. Again data was gathered and then compared to those of pre intervention period. Results: The comparison of pre and post intervention periods showed that in pre intervention period from 38 proposals 30 and in post intervention period from 89 proposals 76 were approved by research committee of the University. In the two pre and post intervention periods 14(46.6%) and 50(65.8%) of accepted proposals were clinical respectively. Also from the view point of quality, 11 and 15 proposals were HSR, 2 and 22 clinical trials and 8 and 8 descriptive, respectively. The number of published articles in first period was 45 and in second 84. Presented articles in internal and external congresses were 33 and 59 in the two periods overally, which 25 and 51 articles were presented in the country and 8 and 8 in abroad congresses, respectively. Conclusion: Regarding the results it seems developing research center in this University and other similar Universities can have a significant effect on the process of clinical researches.
Rahmat Allah Jadidi, Afsaneh Noroozi, Esmaeil Moshri,
Volume 12, Issue 2 (9-2009)
Abstract

Background: Recognition of mortality-related factors in Intensive Care Units (ICUs) could increase efficiency and effectiveness of these units. This research determined the relationship between the physical structure, human resources and their relevance to mortality rate in Intensive Care Units. Methods and Materials: In this cross-sectional study, all ICUs of hospitals in Markazi province were considered. Data gathering tools were resource (human, physical and training) questionnaires and checklists which their reliability and validity were accepted by Monitoring and Validation Center of Ministry of Health. Mortality rate after 24 hours of admition was also determined in relation to hospital resources and activities. Data were analyzed with descriptive statistics, Spearman and Kruskal-Wallis tests. Results: Total score of human, physical and training resources in hospitals of Markazi Province is 55 percent of the country standard score. Mortality ratio after 24 hours of admission, to all patients (released and deceased patients) was highest in Vali-e-Asr hospital (25%) and lowest in Saveh Shahid Chamran Hospital (5%). There wasn’t significant difference in this ratio among hospitals. There were no significant difference between obtained scores of each resource (human, physical and training) among University, Social Insurance and Qods (private) hospitals with respect to mortality rate 24 hours of admission. Conclusion: Human, physical and training resources have not direct effect on decreasing mortality rate after 24 hours of admission but can create necessary conditions for providing higher quality services.
Shirin Pazoki, Afsaneh Noroozi, Amir Homayoun Shadman,
Volume 12, Issue 2 (9-2009)
Abstract

Background: Postoperative shivering is a common problem with multiple complications. This study was compared effect of low doses of Ketamine with Pethidine for controlling postoperative shivering. Methods and Materials: This clinical trial was done on 189 elective cesarean section with ASA class I or II who had postoperative shivering. Patients with grade 2 or higher were divided in three groups and were injected 0.3mg/kg Ketamine and 0.5mg/kg Pethidine intravenously. In 5th and 10th minutes after injection, they were investigated for shivering intensity. Results: After 5 minute of injection drugs rate and intensity of shivering in Pethedine group was less than ketamine group. Ketamine with 0.5 mg/kg was more effective than 0.3mg/kg dose of it and Ketamine(p=0.041). In group with 0.5mg/kg dose of Ketamine, rate and intensity of postoperative shivering was more reduce than group with 0.3mg/kg of it in recovery(p=0/007). In Pethedine group rate and intersity of shivering was more reduce then 0.5mg/kg dose of Ketamine(p<0/001). This demonstrated that Pethedine is more effective than Ketamine. Conclusion: Although 0.5mg/kg dose of Ketamine has considerable effect on control of shivering but Pethedine is still a better choice for this side effect.
Yasaman Noroozi, Parisa Janjani,
Volume 26, Issue 3 (August & September 2023)
Abstract

Introduction: Adolescents are one of the most vulnerable groups against risky behaviors. Therefore, this research was conducted with the aim of determining the relationship between attachment styles and rumination of anger in high-risk behaviors of adolescents by analyzing the mediating role of difficulty in emotion regulation.
Methods: The method of the current research is descriptive-analytical of the correlation-path analysis type. The statistical population of this research was all the students of the first secondary level in the marginal areas of Kermanshah city in the academic year of 2011-2014 and the sample included 530 people who They were selected by multi-stage cluster sampling method. To collect data, Iranian youth risk-taking questionnaire, Hazen and Shiver attachment scale, Sakodolski, Glob and Cromwell anger rumination scale, and Gertz and Roemer scale of difficulty in regulating emotions were used. The data obtained from the questionnaires were analyzed using the path analysis model and the statistical software Smart PLS version 3.3 and SPSS version 25. This study with ID IR.IAU.KSH.REC.1402. 014 has been approved by the Research Ethics Committee of Kermanshah Islamic Azad University.
Results: The path of attachment style to risky behaviors (β = 0.81 and t = 2.32), the path of anger rumination to risky behaviors (β = 0.45 and t = 2.32), the path of attachment style to risky behaviors with mediation Emotion regulation difficulty (β = 0.61 and t = 3.28), rumination to risky behaviors with the mediation of emotion regulation difficulty (β = 0.21 and t = 3.55), it was found that all values at the error level are less than 0.05 are significant.
Conclusions: Through the mediation of difficulty in emotion regulation, there is a positive and significant relationship between attachment styles and rumination of anger in high-risk behaviors of adolescent girls. These results emphasize the difficult role of brahmin in regulating emotions in high-risk behaviors of adolescent girls.

Sara Derakhshan, Fateme Ganjeh, Korosh Rezaei, Elaheh Noroozi ,
Volume 27, Issue 6 (1-2025)
Abstract

Introduction: Diabetic foot ulcer is the most common cause of hospitalization in diabetic people, while one of the prominent sources of anxiety in patients is the time of discharge from the hospital. This study aimed to determine the effect of the SMART discharge protocol on the anxiety of diabetic foot ulcer patients.
Methods: In this semi-experimental study, 50 patients with diabetic foot ulcers Were divided equally into two control (25 patients) and intervention (25 patients) groups, randomly and based on the Inclusion criteria. In the intervention group, the SMART discharge protocol was implemented from their admission to the day of discharge. The Demographic information questionnaire and Spielberger questionnaire were used to determine patients' anxiety. The data were analyzed at two descriptive and inferential levels.
Results: There was no statistically significant difference in the mean score of anxiety for diabetic foot ulcer patients in the two groups before the intervention. In contrast, after the intervention, the mean anxiety score in the two groups showed a statistically significant difference (P = 0.0001).
Conclusions: According to the results of the present study, it seems that the smart discharge protocol was effective in reducing the anxiety of diabetic foot ulcer patients. Therefore, it is recommended that nursing officials and managers implement this protocol.
Masoumeh Fathi, Masoumeh Davoodabadi , Fereshteh Farzan Azar, Efat Noroozi, Dr Azam Moslemi,
Volume 27, Issue 6 (1-2025)
Abstract

Introduction: Deep physical and psychological changes in pregnancy can affect women's sexual relations. This study aims to investigate the effect of psychological counseling on problem-solving skills on sexual dysfunction and satisfaction of pregnant women.
Methods: In a pre-test-post-test intervention study, 70 pregnant volunteers meeting the inclusion criteria, referring to health centers in Arak City, and with sexual function and sexual satisfaction questionnaire scores of less than 28 and 42, respectively, were randomly assigned to two intervention groups of 35 and a control group. The intervention group received six counseling sessions based on problem-solving, and both groups received routine care. Rosen's sexual performance questionnaire and Larson's sexual satisfaction questionnaire were answered by both groups before, immediately, and one month after the intervention. Data analysis was done using Chi-square, Fisher's exact test, and Repeated measure tests.
Results: The repeated measure design test showed that immediately and one month after the intervention, the average sexual performance (26.82 ± 1.61 and 28.88 ± 1.1) and sexual satisfaction (39.22 ± 2.27 and 15.15) (43.19 ± 2) compared to the control group (23.69±1.97, 22.63±2.08) (36.23±2.44, 35.06±2.46) compared to the control group (P < 0.05).
Conclusions: This study showed that counseling based on problem-solving improves the performance and sexual satisfaction of pregnant women effectively and can be included in educational protocols during pregnancy to improve the quality of sexual life.

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