فهرست مطالب

Jentashapir Journal of Cellular and Molecular Biology
Volume:9 Issue: 4, Aug 2018

  • تاریخ انتشار: 1397/09/12
  • تعداد عناوین: 4
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  • Esmaeil Mousapour , Mohsen Sarkarian , Pouria Mousapour , Jahanbakhsh Rahimizadeh , * Page 1
    Background
    We compared bipolar TURP with current monopolar TURP for safety and efficacy in 6 months follow-up.
    Methods
    A total of 94 patients with LUTS (lower urinary tract symptom) related to BPH (benign prostatic hyperplasia) were included. They were randomized into group B, who underwent bipolar TURP (47 patients), and group M, who underwent monopolar TURP (47 patients). Preoperatively, by using IPSS (international prostate symptom scale) and IIEF-5 (international index of erectile function-5) questionnaires severity of LUTS and Erectile function were assessed. All patients were submitted to transrectal ultrasonography and PSA determination. Surgical and immediately postsurgical variables and accidents were charted; all cases were re-assessed at three and six months after surgery by use of IPSS and IIEF-5 (international index of erectile function-5) questionnaires. Urethral stricture incidence, post-surgical reoperation rate, total postoperative catheter time and hospital stay, change in serum sodium, and hemoglobin were also recorded in two groups.
    Results
    There was no distinct difference between two groups in regards to blood transfusion necessity. The level of serum Na was clearly lower in the monopolar group postoperatively. Catheterization time and duration of hospitalization were clearly shorter in the B-group; transurethral resection syndrome did not happen in any cases of the groups. The groups were corresponded about IPSS improvement. Changes in erectile function, regarding IIEF-5 scores, were similar between the groups.
    Conclusions
    Bipolar TURP is an impressive and secure technique that is correlated with a distinctly shorter catheterization time, shorter hospital stay, less decrement in the levels of serum sodium, and is correspondent with monopolar TURP in regards to efficacy by attention to IPSS IIEF-5 scores.
    Keywords:
    Keywords: Transurethral Resection of Prostate, Monopolar TURP, Bipolar TURP
  • Behzad Kazemi Haki , Parang Golabi , Shadieh Lebadi , Farid Kalashipor , Saeed Hamze , Seyran Goljabini , Shadi Salehi , Keivan Amini , * Page 2
    Background
    Performing cardio pulmonary resuscitation at hospitals by clinic staffs requires skills, knowledge, precision, and speed for obtaining proper results. The main purpose of the present study was to identify mistakes and errors that occur during cardio pulmonary resuscitation by clinic staffs.
    Methods
    The present study was observational and was performed between years 2014 and 2016, in a way that the researchers, as presenting the resuscitation code, observed patients, who had Cardiac arrest, and recorded all actions performed by the clinical staff. The sampling method of the study was convenient sampling and was performed for 48 cases of CPR. Collected data were analyzed without mentioning the patients’ and hospitals’ name.
    Results
    Most common and important errors or mistakes made during CPR included treating monitors instead of patients, problems in identifying proper equipment, ignoring clinical symptoms of the disease, such as Agonal Gasp, deciding to terminate the CPR, improper placement of the staffs’ palm for circulation, and increasing the speed and number of times for circulating. Over hyperventilation, inability in patients ventilation with bag valve mask, wasting time in difficult vein puncture, delay in circulation, inability in realizing actions priority during CPR, broken and out of service equipment, forgetting to check the pulse, rhythm and shock discharge without shock indication, lack of attention to device sync bottom status, device discharge without informing others, and over use and excessive fluid therapy.
    Conclusions
    The obtained results from the present study indicate that level and quality of presenting clinical care in the emergency section in studied hospitals was not at a desirable and acceptable level and indicates lack of proper education and training for clinical staffs and physicians. Educational needs assessment and optimizing human resource, and proper investment are key factors in developing clinical care and can increase efficiency and reduce casualties.
    Keywords: Cardio Pulmonary Resuscitation, Clinical Staff, Errors, Mistakes, Education
  • Mohammad Ghasem Hanafi , Afshin Shiri Page 3
    Objectives
    Acute appendicitis is the most common medical condition requiring an immediate abdominal surgery. Medical ultrasound is a non-intrusive, non-expensive, and available diagnostic method. In this paper, the accuracy of this method was evaluated.
    Methods
    This retrospective cohort study was performed at Ahvaz Imam Khomeini Hospital with 2,160 emergency department visits per year. The records of outpatients and inpatients of this hospital were studied to extract demographic information about the patients and radiological reports indicating the occurrence or exclusion of acute appendicitis and post-appendectomy report to allow for results comparison.
    Results
    A total of 163 study subjects met the inclusion criteria, with the age range of 6 to 63 years. The accuracy, sensitivity, and specificity were 98.1, 96, and 100%, respectively. The positive predictive value was 100% while the negative predictive value was 82.35%. Diagnostic accuracy was 100% for the under-15 age group and 94.06% for the above-15 age group.
    Conclusions
    The results showed that the medical ultrasound reports could be considered more credible in diagnosing acute appendicitis in under-15 male subjects, which paves the way for the more accurate planning of treatment and presenting patients with abdominal pains for surgery. In addition, non-surgical procedures could be administered for both genders and age groups with stronger certainty and confidence in negative medical ultrasound reports.
    Keywords: Ultrasound, Appendicitis, Diagnosis, Accuracy
  • Mohammad Ali Fardin , Mahmoud Shirazi , Ali Arab Page 4
    Background
    Devoting a chapter in the DSM-5 to the obsessive-compulsive disorder and the correlation of this disorder with a wide range of related disorders, including skin picking, suggest the importance of carrying out studies to investigate this disorder among children and adolescents. Therefore, this study aimed to investigate this relationship and determine the role of obsessive-compulsive disorder in predicting the skin-picking disorder among primary school children.
    Methods
    This descriptive study followed by a correlational-predictive design. The current study had a statistical population including all first-grade to fifth-grade primary school students aged 7 to 11 years old who were studying in both districts of Zahedan. A multistage cluster sampling method was used and 381 questionnaires were distributed to boy and girl students. The data collection tools were Foa et al. obsessive-compulsive inventory-child version (OCI-CV; 2010) and skin-picking reward scale (2015).
    Results
    The results of a Pearson correlation coefficient indicated that the subscales of obsessive-compulsive disorder significantly and directly related to the skin-picking disorder at a 99% confidence level. Moreover, the results obtained from a stepwise regression analysis demonstrated that obsessive thoughts predicted 0.05 of the variance of the skin-picking disorder among the children.
    Conclusions
    The obsessive thoughts are among the main causes of the incidence of the skin-picking disorder among children and adolescents.
    Keywords: Obsessive-Compulsive Disorder, Skin-Picking, Child