Showing 7 results for moini
Latif Moini, Ali Javad Mousavi,
Volume 10, Issue 4 (12-2007)
Abstract
Introduction: Homocysteinemia is currently regarded as an independent risk factor in venous thrombosis and vascular diseases. So noticing its causes and risk factors in high risk populations, such as elderly and chronically ill patients is of much importance. This research is designed, considering the important role of homocysteinemia and the lack of statistics and adequate information about the prevalence of this disease among hospitalized patients in Intensive Care Unit (ICU). Materials and Methods: The is a descriptive, cross-sectional study, done by census sampling method on patients admitted in ICU of Rasoul-Akram hospital, during a 6 months period. Epidemiologic data was collected from the patients' files. A blood sample was taken from the patient to measure homocysteine level. Data was introduced using descriptive statistics. Results: 52 patients with the mean age of 58.42 were included in this study. Among these, 12 (23.1%) had a high homocysteine level and the other 40 patients (76.9%) had a normal range of homocysteine. The mean homocysteine level in patients with normal levels was 9.28(3.08-15.48) micromol/dl and the mean in patients with homocysteinemia was 21.05(11.05-31.05). Among patients with homocysteinemia, 25% had renal failure and 25% were presented with cerebrovascular accident (CVA). There was no significant difference between homocystein level in patients with renal failure and those with CVA. Conclusion: According to the 23.1% frequency of hyperhomocysteinemia in hospitalized patients of our study, also considering the Folate and vitamin B6 and B12 role in homocysteinemia, and also due to previous epidemiologic studies, it seems that evaluating Folate, vitamin B6 and B12, creatinine clearance and plasma albumin level may clarify the role of these factors as the probable predictive factor in patients with homocysteinemia
Latif Moini, Ali Fani, Babak Peyroshabany, Mahmodreza Baghinia,
Volume 14, Issue 4 (9-2011)
Abstract
Background: APACHE IV scoring system is one of the most useful scoring systems for evaluating the quality of health care services in ICU. The aim of this study was to evaluate the quality of health care services in ICU wards of Valiasr and Amiralmomenin Hospitals of Arak. Materials and Methods: This cross-sectional study was conducted on 100 patients admitted to ICU wards in Valiasr and Amiralmomenin Hospitals of Arak. First, the predicted mortality and length of stay (LOS) in ICU were calculated by APACHE IV scoring system. Then the real mortality and the real length of stay in ICU were recorded. Data were analyzed by SPSS software version 11.5 and t-test. Results: Real mortality in men and women were 57.2% and 61.9%, respectively. The real length of stay in men and women were 11.58 and 11.62 days, respectively. Predicted mortality calculated by APACHE IV in men was 23.72% while it was 24.1% in women. Predicted LOS by APACHE IV in men was 15.02 days while it was 16.64 days in women. There was a significant difference between real mortality and predicted mortality (P = 0.001). Conclusion: The findings of this study indicate that the quality of health care services in ICU wards of Valiasr and Amiralmomenin Hospitals of Arak are far from international standards.
Latif Moini, Abolfazl Mozafari, Babak Peyroshabani,
Volume 17, Issue 2 (5-2014)
Abstract
Background: The main purpose of this study was to measure the level of lipids in ICU patients and its clinical outcome, specially the mortality rate and the relationship between level of lipids and APACHE IV score.
Materials and Methods: This descriptive and cross-sectional study was conducted on 100 ICU patients. Cholesterol level was measured on the first and second days after admission of patients. This was followed by examination of clinical outcome (e.g. mortality rate) and duration of their real and predicted stay through APACHI IV. The results were analyzed by Pearson correlation using SPSS.
Results: Mean serum of HDL, LDL, and cholesterol was lower than normal. These values for the first day were 33.16, 67.97, and 131.38 and for the second day were 23.63, 54.99, and 119.88, respectively. Mean APACH E IV score was 67.72. Result of Pearson correlation coefficient showed significant relationship (p<0.05) between APACHI IV score and cholesterol level of the first and second day, LDL level of the first and second day, HDL level of the second day. Moreover, there were significant relationships were observed between the real mortality rate and the cholesterol level of the first and second days, LDL level of the first and second days, and HDL level of the first day. There was a significant significant correlation between cholesterol level and LDL of the first and second days as well as HDL of the first day and duration of admission in ICU as predicted by APACHI IV.
Conclusion: The significant relationship between lipoprotein level of serum and APACHI IV indicates considering serum lipid beside other physiologic parameters for prediction of clinical consequences including mortality rate of ICU patients
Abolfazl Mozafari, Latif Moini, Shahram Arsang, Mahdi Gholamzadeh Baeis, Abbas Javid, Sam Hatami, Zahra Faraji, Bahareh Zareh,
Volume 17, Issue 9 (12-2014)
Abstract
Background: Despite control, prevention and the availability of drugs to cure tuberculosis, TB remains an important cause of death from an infectious agent in Iran. Pulmonary tuberculosis is more than 80% of tuberculosis cases. Chest x-ray is sensitive, cheap and accessible instrument for the diagnosis of tuberculosis. The aim of this study was to determine the radiological changes in patients with pulmonary tuberculosis.
Materials and Methods: In this cross-sectional study, after consideration of inclusion and exclusion criteria, finally 477 radiographic patients referred to rural and urban clinics in recent decade were enrolled. The affected lobe or lobes of the left or right lung were recorded. The types of involvement were categorized based on patchy consolidation, cavitation, fibrosis, bronchiectasis, gohn lesion, bronchogenic spread and bronchopneumonia. Pearson correlation coefficient was used to measure the strength of association between continuous variables. For analysis of qualitative parameters, we use from Chi-square test. Data analysis was done in SPSS18 and p value below than 0.05 was significant.
Results: Out of 477 patients, mean age was 48.24±22 years old, male including 33.3%, Iranian and urban cases were 44% and 91.3% respectively. The most frequent involved site was the left upper lobe followed by the right upper lobe. The most frequent radiographic finding was patchy consolidation and then bronchogenic spread and pneumonic consolidation respectively. There was significant correlation between lung cavities in patients with nationality.
Conclusion: This study could help to early diagnosis and treatment of suspect patients to pulmonary tuberculosis.
Abolfazl Mozafari, Latif Moini, Siamak Mohebi, Fakhreddin Hejazi, Maryam Marvi, Vahid Olomidoran, Azam Nazeri,
Volume 18, Issue 5 (8-2015)
Abstract
Background: Cardiovascular diseases is one of the most prevalent causes of mortality in all around the world accounting for high rates of decrease of physical function and daily work. The aim of this study is to assess the effect of cardiac rehabilitation on quality of life dimensions Percutanous Coronary Intervention (PCI) patients.
Materials and Methods: This clinical trial study was conducted on 96 patients in the rehabilitation unit in Qom. Half of patients put in the test group and the others remained as control. Data of all patients including of demographic parameter and questionnaire of quality of life before and after rehabilitation (in case and control groups) were collected. Data analysis was done in SPSS 18 by central statistical indices and frequency distribution as well as independent t-test, pair t-test ans Chi-square and p-value below than 0.05 was significant.
Results: out of 96 patients, the mean age was 57.21±9.09 and 57.3± 10.89 years in case and control groups respectively and 70.8% were male and remains were female. There was significant relationship between quality of life and its subtypes except physical function (p<0.001). Moreover, difference between quality of life and six out of eight subtypes scores before and after rehabilitation in both groups was significant.
Conclusion: It seems that cardiac rehabilitation after PCI affects quality of life.
Abdollatif Moini, Leila Mehraban,
Volume 22, Issue 2 (6-2019)
Abstract
Background and Aim: Mucormycosis represents a group of life threatening infections caused by fungi of the order mucorales. Mucormycosis results in higher rates of morbidity and mortality than many other infections. A high index of suspicion and considering risky factors are critical for diagnosis and early initiation of therapy is necessary to optimize outcomes. In this paper, we report a woman with pulmonary mucormycosis.
Case Report: A 47-year old woman with a history of uncontrolled diabetes presented with cough, hemoptysis, dyspnea and dysphagia from 3 weeks ago. On physical examination, course crackles, generalized wheezing and stridor were found along with fever. Laboratory testing demonstrated a high-titer ESR, CRP3+ and leukocytosis. The ENT examination revealed a mild erythema of the vocal cords. An initial chest-x-ray was compatible with a pulmonary infiltration in the right middle lobe. Ct-scan of the sinuses was unremarkable. Bronchoscopy findings and lung biopsy was consistent fibrinoleukocytic exudates with extensive necrosis and broad hyphae and was reported fungal infection in favor of mucormycosis. She was eventually treated with amphotericin B.
Ethical Considerations: This study with research ethics code IR.ARAKMU.REC.1398.48 has been approved by research ethics committee at Arak University of Medical Sciences.
Conclusion: Mucormycosis has high mortality in diabetic patients and has even higher rates in uncontrolled diabetics. Therefore, due to underestimation and undertreatment of the condition, mucormycosis must be considered in diabetics underestimate pneumonia.
Saeed Pazhoohan, Fatemeh Abbasi Feijani, Abdollatif Moini , ,
Volume 26, Issue 6 (February & March 2024)
Abstract
Chronic obstructive pulmonary disease (COPD) is a progressive and debilitating condition. People with COPD often experience exacerbations that may require hospitalization. Pattern analysis of respiratory variability can provide valuable insights into the complexity of the respiratory control system. Therefore, this study investigated respiratory pattern variability during stable and exacerbation phases in patients with COPD.
We analyzed respiratory signal data from 14 patients with COPD during exacerbations and stable phases and compared them with 12 age- and sex-matched control subjects. Respiratory pattern variability analysis of 30-minute inter-breath intervals (IBI) time series was performed using sample entropy and Detrended Fluctuation Analysis.
Sample entropy analysis of the IBI revealed that respiratory variability was more regular during both stable and exacerbation phases in patients with COPD. Also, the short-term (α1) and long-term fractal-like correlation (α2) significantly decreased during both exacerbation and stable phases compared to healthy controls.
The respiratory control system in patients with COPD shows less variability (lower entropy and fractal correlation). This reduction in respiratory signal variability indices in COPD patients is still lower than in healthy people, even when their disease status is stabilized.
