فهرست مطالب masoud sayadi

One of the therapeutic interventions after the onset of anastomotic leak is antibiotic administration, however, there is no clear evidence about the role of continued antibiotic administration after bariatric surgery in preventing wound infections and leak from the anastomosis, therefore, the purpose of this study was to examine this hypothesis.

90 laparoscopic one anastomosis gastric bypass (OAGB) candidates were allocated into two equal groups. Both groups were matched regarding their age, sex, and preoperative body mass index (BMI). Group one received 1500 milligrams (mg) intravenous cefazolin and 750 mg metronidazole just before the surgery. The second group received the same cocktail before the surgery and continued for 48 hours after the surgery as follows: 1500 mg intravenous cefazolin every 6 hours and 750 mg metronidazole every 8 hours. Patients were followed for 30 days for detecting any early surgical wound infection and anastomose leakage. T-test, Chi-square, and ANCOVA model were used for statistical analysis.

Wound infection was observed in 4.44% and 2.22% of the first and second groups, respectively (p=0.315). One leak was occurred in the second group (p=0.981). After the adjustment was made for confounding variables (age, sex, preoperative BMI, duration of the surgery, and length of hospital stay), anastomosis leak and wound infection rates were not significantly different between groups (0.64 and 0.49, respectively).

It seems that antibiotic therapy after the OAGB does not play a significant role in preventing leak or wound infection, and the surgical method is more important than antibiotic therapy.

Depression is one of the most common postpartum disturbances. Also, women with postpartum depression have emotional regulation problems.
The aim of this study was to investigate the effect of cognitive rehabilitation training on emotional regulation of women with postpartum depression.
The research method was based on semi-experimental, pre-test, post-test and follow-up in relation to the control group. The sample consisted of 40 women with postpartum depression who were selected based on available simple random sampling. The groups were matched in terms of age, education, severity of depression, etc. Both groups were evaluated in the stages of pretest and post-test by emotional regulation questionnaire (Garnovskii,2001). For analysis of data, covariance analysis and SPSS19 software was used.
The data analysis indicated that cognitive rehabilitation in the experimental group compared with the control group had a significant change in the emotional regulation scores, and this effect has continued during the follow-up phase (P <0.001).
According to the findings of this study, cognitive rehabilitation therapy can be used to treatment of emotional regulation in women with postpartum depression

The purpose of this study was to investigate the effect of Appendectomy Surgical Simulation software (game-based) on the self-efficacy of undergraduate students in the operating room. In this single-blind quasi-experimental study, 70 second semester undergraduate students in Isfahan City, Iran, were selected using convenience sampling method. After obtaining satisfaction, they were assigned to intervention and control groups randomly. Simulation software (game-based) and the holding practice and lecture class (routine method) were used in intervention and control groups, respectively. Then, the data were collected using a researcher-administered questionnaire of self-efficacy which validity and reliability were confirmed. Data were then analyzed using SPSS software and descriptive and analytical tests with significance level of less than 0.05. The average score of self-efficacy in the intervention group (62.97 ± 1.48) was higher than the control group (48.63 ± 2.67), and the difference was statistically significant (P < 0.05). Moreover, there were no significant relationship between demographic characteristics and self-efficacy (P > 0.05). Appendectomy Surgery Simulation software can promote students' self-efficacy. Therefore, it is recommended to be used as a supplementary training method for teaching the operating room students.

Women with postpartum depression have problems such as anxiety, depression and emotion regulation that cognitive rehabilitation training can be effective in them. As a result, this research aimed to investigate the effect of cognitive rehabilitation training on anxiety, depression and emotion regulation in women with postpartum depression. Present study was a semi-experimental with a pre-test and post-test design with a test and control groups. Research population was included all women with postpartum depression that referring to health care centers of Bushehr city in 2017 year that 40 person were selected by available sampling method and randomly divided into two equal groups. The test group 10 sessions of 45 minutes trained by cognitive rehabilitation. Groups were evaluated in terms of anxiety, depression and emotion regulation in pre-test and post-test stages. The data were analyzed with using of SPSS-19 software and by multivariate analysis of covariance method. The results showed that cognitive rehabilitation training significantly led to decrease anxiety and depression and increase emotion regulation in women with postpartum depression (P<0/001). The results indicate the cognitive rehabilitation training on anxiety, depression and emotion regulation in women with postpartum depression, so it is suggested to counselors and therapists that use from the cognitive rehabilitation training method to improve these characteristics.

Women with postpartum depression have problems in executive functions especially in conceptualization, mental flexibility, initiation and design, inhibition and auditory memory. As a result, this research aimed to determine the effect of cognitive training on promotion of executive functions in women with postpartum depression. This research was a semi-experimental study with a pre-test and post-test design with an experimental and a control groups. The population of research included all women with postpartum depression that referred to health care centers of Bushehr city in 2017 among which 40 persons were selected by available sampling method and randomly assigned to two equal groups. The experimental group took 10 sessions of 45 minutes of cognitive training. Groups were evaluated for conceptualization, mental flexibility, initiation and design, inhibition, auditory memory in pre-test and post-test stages. The data were analyzed using SPSS19 and by multivariate analysis of covariance method. Results showed that there was a significant difference between the experimental and control groups in all five executive functions. In other words cognitive training significantly led to promote the conceptualization, mental flexibility, initiation and design, inhibition and auditory memory of women with postpartum depression (P<0/001). The results indicate that cognitive training can promote the rate of conceptualization, mental flexibility, initiation and design, inhibition, auditory memory of women with postpartum depression. So, counselors and therapists can use cognitive training method to promote the executive functions of mothers with postpartum depression.

Patients, who survived from shotgun injuries, often have some retained lead pellets in their bodies. Several cases of lead toxicity have been reported regarding these patients.. This study seeks to compare the serum lead level in patients who have retained lead pellets in their bodies with the control group..Patients and In this case-control study, we gathered the serum lead levels of 25 patients with some retained lead pellets in their bodies due to shotgun and 25 volunteers without similar lead exposure and compared them in view of the age, gender, and living place.. While the mean serum lead level in both groups was lower than the standard level (i.e. 40 µg/dL), the mean ± SD of serum lead level was 29 ± 12.8 µg/dL and 25.3 ± 6.4 µg/dL in the case and control group, respectively without any significant difference (P = 0. 30). However, a positive relationship was seen between serum lead level, and the number of retained lead pellets (r = 0.447, P = 0. 025). . Although extensive surgery to remove the lead pellets is not recommended in patients injured with shotguns, those with many retained lead pellets in their bodies should be considered at risk for lead poisoning and monitored carefully..

Although central venous catheter (CVC) is a favorable and quick method to access blood flow, however, it is associated with early and late complications. The aim of the present study was to determine complications of CVC placement in burned patients within one month of the procedure. This prospective study was performed on all patients with more than 30 per cent burn admitted to Imam Mousa Kazem Hospital of Isfahan during 2007-8. CVCs were applied for all of the patients and data related to the complications during placement, 24 hours and one month later were recorded. Sixty-one out of 96 burned patients were male and 35 female. The majority of the victims were in age range of 20-50 years. Twenty-six patients (27%) had complications during catheter placement, 3 (3.2%) after the first 24 hours and 31 (32.3%) after one month. The most common complication during catheter insertion was its application failure (15.6%), after 24 hours it was hematoma at the site of insertion (3.2%) and after one month, catheter infection (12.4%). CVC application can help to reduce repeated peripheral venous catheters insertion and related subsequent complications, so it may be an effective and reliable method of long-term venous access.