Pediatrican and pediatric residents’ knowledge about anaphylaxis in teaching hospitals of Tehran University of Medical Sciences
Shanila
Fakheri
Assistant Professor of Pediatrics, Golestan Hospital, Ahvaz Jondishapour University of Medical Sciences, Ahvaz, Iran.
author
Masoud
Movahedi
Professor of Allergy and Clinical Immunology, Department of Allergy and Clinical Immunology, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
author
Mohammad
Gharagozlou
Professor of Allergy and Clinical Immunology, Department of Allergy and Clinical Immunology, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
author
Seyed Mahdi
Marashi
Assistant Professor of Forensic Medicine and Clinical Toxicology, Trauma Research Center, Department of Clinical Toxicology, Hazrat Ali Asghar (PBUH) Hospital, Shiraz University Of Medical Sciences,Shiraz,Iran
author
Ayse
Baccioglu
Associate Professor. Department of Pulmonary Diseases, Division of Immunology and Allergy. Kirikkale University, Faculty of Medicine, Kirikkale, Turkey.
author
text
article
2017
per
Introduction:Anaphylaxis is a potential life threatening condition which may control by proper diagnosis and efficacious management. The aim of this study was to determine the level of knowledge of anaphylaxis diagnosis and management in pediatric residents. Subjects & Methods: This study was conducted in teaching hospitals of Tehran University of Medical Sciences. A total of 192 pediatrician and general and subspecialty pediatric residents during Sep. 2013 to Feb 2014 were included. They were asked to complete a 19 item questionnaire. Collected data analyzed using SPSS (version19) software. pResults: Almost all respondents knew anaphylaxis as a life threathening event, however 23.4% didn’t answer correctly to the questions about signs and symptoms of anaphylaxis. None could determine therapeutic steps of anaphylaxis correctly, however, 94.7% agreed to administer epinephrine as the drug of choice for treatment (P=0.014). Only 78.1% correctly identified intramuscular route of epinephrine administration as the route of choice (0.000) and 71.4% used the proper dose. About half of participants knew about in-hospital observation time. Conclusion: the present study indicated that, pediatricians and pediatric residentsoften are not very familiarwith the proper dosage of epinephrine, administration route and the optimaltime for hospitaldischarge in anaphylaxis. herefore, it seems that theoretical education about anaphylaxis is not sufficient to provide pediatric residents for clinical practice. Keywords: Anaphylaxis, treatment, epinephrine, pediatric residents, education.
medical journal of mashhad university of medical sciences
دانشگاه علوم پزشکی مشهد
1735-4013
60
v.
1
no.
2017
359
368
https://mjms.mums.ac.ir/article_9656_e6315b57a948c1aede6b24ab496884a9.pdf
dx.doi.org/10.22038/mjms.2017.9656
A comparative study of subcalosal striation and Dawson fingers in Magnetic Resonance Imaging of multiple sclerosis patients
Nazanin
Farshchiyan
Associate Professor of Radiology, School of medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Motameni
Mandana
Assistant Professor of Radiology, School of medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
Ali asghar
Afsaholmotakalemin
Resident of Radiology, School of medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
author
text
article
2017
per
Introduction: Multiple sclerosis is the most common chronic neurological disorders, disabling young and active people in society and is determined by frequency and unpredictability of recurrence and improvement over time, MRI is the modality of choice in patients with suspected multiple sclerosis. The aim of this study was comparison of subcalosal striation and Dawson fingers in MRI of multiple sclerosis patients. Subjects & Methods: This study was cross-sectional, 61 patients with MS who referred to radiology department of Imam Reza Hospital were tested with brain MRI. Signs of subcalosal striation and Dawson fingers in MRI Were assessed. The software of SPSS 21 was used for statistical analysis. Results: The prevalences of subcalosal striation and fingers Dawson in MS patients are significantly different, respectively 100% and 91.8% (P<0.05). The prevalences of subcalosal striation and fingers Dawson in MS patients older than 35 years are significantly different, respectively 100% and 88% (P<0.05). The prevalences of subcalosal striation and fingers Dawson in Female MS patients are significantly different, respectively 100% and 89.3% (P<0.05). Conclusion: subcalosal striation as a criterium in the radiological diagnosis of MS can be helpful in making more accurate diagnosis of MS.
medical journal of mashhad university of medical sciences
دانشگاه علوم پزشکی مشهد
1735-4013
60
v.
1
no.
2017
369
375
https://mjms.mums.ac.ir/article_9658_383a36b446575cac657fffa002ceaa5a.pdf
dx.doi.org/10.22038/mjms.2017.9658
Evaluation of cutaneous leishmaniasis in the city of Lamerd in2004-2014
Aboobakr
Jafarnejad
Master of Science in Epidemiology, Noncommunicable Diseases Research Center, Fasa University of Medical Sciences,Master Faculty of Nursing OmolbaninLamerd, Lamerd, Iran.
author
Fariborz
Jamshidi
Expert in charge Communicable Disease Unit,Health Network city Lamerd, Shiraz University of Medical Sciences,Shiraz, Iran.
author
Azizallah
Deghan
PhD of Epidemiology, Noncommunicable Diseases Research Center,Fasa University of Medical Sciences, Fasa, Iran.
author
text
article
2017
per
Introduction: Leishmaniasis is one of the six important diseases in the tropics which the World Health Organization has recommended that to be under research. This study was conducted to assess cutaneous leishmaniasis in Lamerd city. Materials and Methods:This study was conducted as Cross-sectional, the information including age, sex, number of lesions, tumor location, location and type of building were collected and eventually analyzed by using SPSS version 22 . Results: from 907 cases studied , 437 men (48.1 %) and 470 were women (51.8 %). The highest number of disease cases were amongage group of 0-9 years and the lowest in age group of persons above 60 years. A total of 60.9 % of the patients were in rural and 39.1 % were urban, 51.8% of patients in new homes and the rest lived in the old houses. 62.6 % of patients had more than one ulcer and the most members are involved parts were hands. Conclusion:This study showed that under ten years age group are most at risk and the pattern of gender is different from other regions of the country. Also the disease was seen more commonly in rural areas Therefore, to prevent the disease, it is necessary to train the groups considered at risk.
medical journal of mashhad university of medical sciences
دانشگاه علوم پزشکی مشهد
1735-4013
60
v.
1
no.
2017
376
382
https://mjms.mums.ac.ir/article_9659_820ccee50d673906dd2ce383c11c874a.pdf
dx.doi.org/10.22038/mjms.2017.9659
The effect of selective training program on the static and dynamic balance of Deaf Children
Ezzat
Khodashenas
Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, I. R. Iran
author
Hadi
Moradi
Department of Motor Behavior, Faculty of Sport Sciences, Ferdowsi University of Mashhad, Mashhad, I. R. Iran.
author
Monireh
Asadi Ghaleni
Department of Motor Behavior, Faculty of Sport Sciences, Ferdowsi University of Mashhad, Mashhad, I. R. Iran
author
Elahe
Heydari
گروه پزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد
author
Atena
Shams
2. Department of Motor Behavior, Faculty of Sport Sciences, Ferdowsi University of Mashhad, Mashhad, I. R. Iran.
author
Ali
Enayati
Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, I. R. Iran.
author
Mehdi
Sohrsbi
Ferdowsi University of Mashhad
author
text
article
2017
per
Background and aims: Although the main problem for children with hearing impairment is linguistic and communication shortcomings, in various studies, the balance impairment is discussed in comparison with normal people. The aim of this study was to investigate the effect of a course of selected training program on the balance of children with hearing impairment. Subjects & Methods: overall 20 hearing impaired boys from the age of 8 to 14 years old entered the study and were randomly divided into intervention and control groups after a static and dynamic balance test as a pre-test. The intervention group participated in a selected training program, which included10 to 12 training sessions. During this period, the control group performed their daily activities. In both pretest and posttest stages, Stork Stand Static Test was used to evaluate static balance and to assess dynamic balance and balance performance of individuals, Bruininks – Oseretsky test of motor proficiency was used, and the results were compared in two groups. To test the natural distribution of data, Shapiro Wilco test was used and independent t-test and t-correlation with Spss Version 21.0 software were used to test the research hypothesis. Results: The mean age of patients in the control group was 10.9 ± 1.66 years and in the intervention group was 10.2 ± 1.55 years. The test scores in the post test were significantly higher than in the pretest in the control group (9.03 ± 11.03) and in the intervention group (26.66 ± 29), respectively (P = 0.137). The score of the Bruininks – Oseretsky test of motor proficiency was decreased 8.65 ± 11.20 units in control group and was increased 94.23 ± 99.13 units in intervention group (P = 0.034). Conclusion: This study showed that a course of selective training program can enhance the dynamic and static balance performance in deaf children. Therefore, it is suggested that these training programs be included in the rehabilitation program for these children.
medical journal of mashhad university of medical sciences
دانشگاه علوم پزشکی مشهد
1735-4013
60
v.
1
no.
2017
383
391
https://mjms.mums.ac.ir/article_9660_4ec4701684bb3ba2a3aa00e06fd440ea.pdf
dx.doi.org/10.22038/mjms.2017.9660
Investigating the Effect of Dipyridamole on Hypophosphatemia Treatment in Kidney Transplant Recipients
Mahin
Ghorban-sabagh
Assistant Professor of Department of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences
author
Fatemeh
Nazemiyan
Professor of Department of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences Assistant Professor of Department of Internal Medicine, Faculty of Medicine, Mashhad University of Medical Sciences
author
Abbas-Ali
Zeraati
Associate Professor of Nephrology,Mashhad University of Medical Sciences
author
Mousa
Maleki-Abardeh
Nephrologist
author
Reza
Javidi-Dasht-Bayaz
MD student (Intern), Faculty of Medicine, Mashhad University of Medical Sciences
author
text
article
2017
per
Introduction:Hypophosphatemia can be seen in renal transplant recipients. Hyperparathyroidism, glucocorticoid treatment, and impairment of renal tubular phosphate reabsorption are the most common causes of hypophosphatemia in these patients. It is well-known that dipyridamole enhances renal tubular phosphate reabsorption in some clinical conditions. We did not find any information about the effect of dipyridamole in renal transplant recipients (RTRs) with hypophosphatemia. For this reason, we decided to give dipyridamole 28 RTRs with hypophosphatemia. Subjects & methods:A total of 28RTRs whose serum phosphate and creatinine levels were below 2.5 mg/dl and 2 mg/dl, respectively, were included in this study. None of the patients received drugs altering phosphate metabolism and they did not change their routine diets. Urinary phosphate excretion and tubular phosphate reabsorption (TPR) were calculated before 3 weeks after dipyridamole treatment. Results:The mean levels of serum and urine (daily) phosphate and TPR were 1.68±0.36 mg/dl, 725.32±544.25 mg/day and 999.44±0.4, respectively. After treatment, the mean levels of serum-urine phosphate and TPR were 2.47±0.72 mg/dl, 667.91±259.85 mg/day and 999.69±0.22, respectively. Serum phosphate level and TPR were found to be significantly different before and after dipyridamole therapy. No significant change was observed in phosphate level before and after dipyridamole therapy. Conclusion:On Short-term dipyridamole treatment no negative effect was observed on renal functions in these cases. Although the number of cases included in this study is small, dipyridamole is an effective choice in management of hypophosphatemic RTRs.
medical journal of mashhad university of medical sciences
دانشگاه علوم پزشکی مشهد
1735-4013
60
v.
1
no.
2017
392
398
https://mjms.mums.ac.ir/article_9661_0df62365285499d11d93510e3ffa7345.pdf
dx.doi.org/10.22038/mjms.2017.9661
Investigation of anthropometry pattern of lips as a diagnostic marker for individual man with autism in the fars Families
Hasan
Shokri
azad university
author
Naser
Mahdavishahri
استاد/دانشگاه فردوسی مشهد
author
Fatemeh
Moharreri
Assistant Professor of Child and Adolescent Psychiatry, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad,
author
Jina
Khayatzade
Phd , Assistant Professor of
developmental Cell Biology. Islamic Azad
Univercity, Mashhad Branch Depaetment
of Biology Mashhad Iran
author
text
article
2017
per
Introduction: Autistic spectrum disorders syndrome with continuous failure in communication, social interaction, limited interests and other behavioral symptoms and bad prognosis is associated with multiple complications and problems.Anthropometry is the science of linear and angular dimensions measurment on live skeletal system. Knowledge of quantitative and qualitative characteristics of the lips may provide useful information in various medical fields. Therefore, in order to identify individuls and develop anthropometric medical reserch anthropometric features of the lips can be used. In is research the main goal was to examine the possibility of the above-mentioned relationship. Procedure:In this research, in a 6-month period from the end of 1394 to the beginning of 1395 , a number of 37 male children 3-18 years old with autistic spectrum disorders and 43 healthy male children 3-16, who were residing in Mashhad Persian ethnic groups, were studied. These people did not have inflammation, herpes simplex, or congenital malformations such as cleft lip.. Anthropometric measurement of the width of the mouth (ch-ch), filtrum width (cph-cph), length filtrum (sn-ls), Vermilion height of the upper lip (ls-sto), lower lip Vermilion height (sto-li), total height (ls-li) and total area Vermilion lips on Computer-generated images and MIP software, were measured. Data were evaluated statistically using SPSS software, polynomial regression and ANOVA models (P<0.001). Results:Investigation of lips dimensions in Persian males with autism compared between the two groups of patients and healthy subjects. Mouth width variables, upper lip height, the height of the lips and lip area are more in the group of patients than in healthy group, while the height of lip to the nose of healthy people is more in patient groups. Lower lip height and filtrum width variables in two groups, are almost equal..
medical journal of mashhad university of medical sciences
دانشگاه علوم پزشکی مشهد
1735-4013
60
v.
1
no.
2017
399
408
https://mjms.mums.ac.ir/article_9662_6120a86b2f9e17281fee53a4da18a05e.pdf
dx.doi.org/10.22038/mjms.2017.9662
Assessment of Medical residents’ knowledge and familiarity with cardiopulmonary resuscitation
Niaz Mohammad
Jafari Chokan
استادیار گروه طب اورژانس دانشگاه علوم پزشکی مشهد
author
Hamidreza
Reihani
دانشگاه علوم پزشکی مشهد
author
Mostafaa
Kamandi
فلوی فوق تخصصی هماتولوژی انکولوژی دانشگاه علوم پزشکی مشهد
author
Hamideh
Feiz Disfani
استادیار گروه طب اورزانس دانشگاه علوم پزشکی مشهد
author
text
article
2017
per
Background: Quality of cardiopulmonary resuscitation affects its success and survival of patient. Several studies have shown that physicians’ knowledge about resuscitation is very low, but there is no detailed information in our country. Therefore, this study was designed to determine the level of basic knowledge of Mashhad University of Medical Sciences residents in the field of resuscitation. Subjects &Methods: The newly arrived residents of Mashhad University of Medical Sciences participated in a resuscitation training course. Pre-test with 20 questions endorsed by the American Heart Association was performed and a score of 0 to 20 was considered as the level of basic knowledge. After a training course, post-test was performed. Findings A total of: 136 people participated in the study, with an average age of31.24±4.82 years. Of these, 44.1% were male and 55.9% were female. Pre-test and post-test mean scores were 10.24±3.4 and 13.35±2.9, respectively. The difference was statistically significant (P = 0.000), and training improved the knowledge by 30%. Gender and specialty had no significant effect on pre-test and post-test scores. Conclusion:This study showed that the level of knowledge of residents about cardiopulmonary resuscitation was not acceptable, and needed appropriate training courses with appropriate intervals to improve their knowledge and skills.
medical journal of mashhad university of medical sciences
دانشگاه علوم پزشکی مشهد
1735-4013
60
v.
1
no.
2017
409
417
https://mjms.mums.ac.ir/article_9663_665df286b23ed073ba238c95441e4b03.pdf
dx.doi.org/10.22038/mjms.2017.9663
Patient’s return to work 3 months after lumbar spine discectomy and it’s determinants in Mashhad 2015-2016: A multicenter cohort
Farzaneh
Rahimpour
استادیار گروه طب کار و بیماریهای شغلی دانشکده پزشکی مشهد
author
Farzad
Omidi-kashani
دانشیار
author
Lahya
Afshari-saleh
استادیار گروه طب کار دانشکده پزشکی مشهد
author
Maryam
Salehi
گروه ارتوپدی- بیمارستان امام رضا (ع)- دانشگاه علوم پزشکی مشهد- ایران
author
Farhad
Shafieabadi
Department of occupational medicine, faculty of medicine, mashhad university of medical sciences
author
text
article
2017
per
Introduction: Low back pain is one of the most important causes of disability and accounts for a considerable portion of healthcare costs. One of its causes is Lumbar disc herniation, which sometimes may call for surgical treatment. One of the outcomes of lumbar disc surgery is return to work (RTW) which is studied with its determinants in this article. Materials and methods: In a prospective cohort, patients hospitalized to undergo discectomy were interviewed and examined. Follow up was accomplished 3 months later by telephone call. Results: overall 56 patients were included and analyzed, 48 subjects (85.7%) returned to work after 3 months. Influencing factors were satisfaction about the work organization/workplace, perception of being supported to return by employer and colleagues, and the surgeon’s comment. In contrast, Demographic factors, Occupational factors outside the control of subject (such as income or disability security or even physical demands of job), and factors pertaining to pain didn’t affect return to work, after 3momenths, statistically. Conclusion: Patient’s perceptions of his illness and job are of utmost importance in returning to work. Appropriate interventions in this field- either pre or postoperatively- can improve Return To Work and reduce disability.
medical journal of mashhad university of medical sciences
دانشگاه علوم پزشکی مشهد
1735-4013
60
v.
1
no.
2017
418
432
https://mjms.mums.ac.ir/article_9664_66aab0c95aa6ddd8f1956c4456875342.pdf
dx.doi.org/10.22038/mjms.2017.9664