Health
Saman Nasrollazadeh; Behrooz Nazari; Mohammad Irajian
Abstract
Introduction: Volar plate arthroplasty is an effective surgical intervention for addressing PIP joint pathologies. However, concerns regarding postoperative ROM limitations have prompted the exploration of adjunctive techniques, such as dorsal blocking pinning. This article aims to investigate the role ...
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Introduction: Volar plate arthroplasty is an effective surgical intervention for addressing PIP joint pathologies. However, concerns regarding postoperative ROM limitations have prompted the exploration of adjunctive techniques, such as dorsal blocking pinning. This article aims to investigate the role of dorsal blocking pinning in facilitating ROM changes in the PIP joint after volar plate arthroplasty.Material and Methods: ROM measurements of the PIP joint were obtained preoperatively and at regular postoperative follow-up visits. Active and passive flexion and extension of the PIP joint were measured using a goniometer. The goniometer was aligned with the longitudinal axis of the finger, with one arm aligned along the proximal phalanx and the other arm aligned along the middle phalanx. ROM measurements were recorded in degrees.Results: The ROM measurements of the PIP joint were obtained preoperatively and at regular postoperative follow-up visits. In the dorsal blocking pinning group, the mean preoperative flexion was 45 degrees (SD=8.2) and the mean preoperative extension was 10 degrees (SD=3.5). At the final follow-up visit, the mean flexion improved to 60 degrees (SD=6.1) and the mean extension improved to 20 degrees (SD=4.2)Conclusion: This study demonstrates that dorsal blocking pinning, when combined with volar plate arthroplasty, leads to significantly greater improvements in flexion and extension of the PIP joint compared to volar plate arthroplasty alone. These findings support the role of dorsal blocking pinning as an adjunctive procedure to enhance ROM outcomes and functional recovery following PIP joint arthroplasty.
Health
Melika Shojaei
Abstract
This study has systematically investigated the effect and safety of alendronate on bone density in patients with chronic kidney disease. In this study, by reviewing more than 75 articles and by searching keywords such as: Safety of alendronate, bone density, chronic kidney disease, the issue has been ...
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This study has systematically investigated the effect and safety of alendronate on bone density in patients with chronic kidney disease. In this study, by reviewing more than 75 articles and by searching keywords such as: Safety of alendronate, bone density, chronic kidney disease, the issue has been investigated. Alendronate tablet with the English name Alendronate is one of the well-known drugs for patients with osteoporosis and others who are exposed to this disease. Most of its users are postmenopausal women and people who have been treated with corticosteroids for any reason. The results of the present study showed that this drug slows down the activity of cells that play a role in bone decomposition. Therefore, its consumption can be effective in strengthening bones and reducing the risk of fractures, especially in the elderly. This drug does not help reduce the pain caused by a broken bone, and patients should use other treatment methods to relieve their pain. It is not known whether NSAIDs increase the need for dialysis. Therefore, the available data do not confirm the safety of NSAIDs in patients undergoing surgery. More studies involving patients with other health problems are needed. Patients with chronic kidney disease (CKD) are more at risk of developing osteoporosis (bone weakening), which can often lead to bone fractures. The results of this study showed that this drug may cause ulcers and erosions in the esophagus (the tube that connects the throat to the stomach), which can sometimes be severe. Symptoms of this condition may include heartburn, difficulty swallowing or pain when swallowing, chest pain, vomiting blood, or black or bloody stools. Tell your doctor immediately if you have these symptoms.
Health
Melika Shojaei
Abstract
The present study systematically investigated the relationship between sex hormones and leptin in men. In this study, 70 articles were reviewed and the subject was investigated by searching the words "Leptin", "Patients undergoing surgery" and "Sex hormone". Leptin is a hormone derived from adipose tissue ...
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The present study systematically investigated the relationship between sex hormones and leptin in men. In this study, 70 articles were reviewed and the subject was investigated by searching the words "Leptin", "Patients undergoing surgery" and "Sex hormone". Leptin is a hormone derived from adipose tissue that plays a major role in the pathogenesis of obesity. Hyperinsulinemia and insulin resistance are among the complications of obesity. Hyperinsulinemia is one of the factors that seems to affect the leptin hormone level. Few studies have investigated the relationship between leptin and insulin resistance in obesity in children and adolescents. Leptin is made by fat cells, and for this reason, with the presence of these cells and the increase in messaging, when the leptin hormone increases, the message of satiety is sent to the brain; As a result, the person reduces his food consumption. However, sometimes due to the excessive increase of leptin caused by eating sweet and fructose-containing foods, the brain loses its sensitivity to the leptin hormone and does not receive the message of satiety. For this reason, leptin hormone and obesity are related to each other; But their relationship cannot be considered linearly. In many cases, after testing the obesity hormone leptin, the doctor concludes that a person who is overweight has developed a strong resistance to the hormone leptin; Therefore, by prescribing some solutions, such as reducing the amount of fruit consumption, increasing the regularity and hours of rest and sleep, reducing the consumption of sugary foods and changing the diet, as well as consuming enough water, it tries to increase the sensitivity of the brain to the leptin hormone. The results of the recent study showed that the relationship between leptin and insulin resistance was weak and after controlling for body mass index, the relationship disappeared.
Health
Franki Janlio
Abstract
Repetition and type of oral hygiene should be done based on oral cavity examination instead of routine. A soft, small toothbrush with a neutral pH moistened with water is more effective than scrubs or sticky foams. Hydrogen peroxide diluted in a 20% solution in a ratio of 1 to 4 diluted with water or ...
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Repetition and type of oral hygiene should be done based on oral cavity examination instead of routine. A soft, small toothbrush with a neutral pH moistened with water is more effective than scrubs or sticky foams. Hydrogen peroxide diluted in a 20% solution in a ratio of 1 to 4 diluted with water or sodium bicarbonate (one-half teaspoon per 500 cc) of water can be used to remove debris and dissolve thick mucus. If there are signs of infection such as stomatitis or generitis, antimicrobial mouthwashes or toothpaste such as (Chalrhexidine gluconate 1%) can be used, but the best way to prevent infection is to clean plaque. To prevent dry lips, they should be lubricated with Vaseline or kg gel. Neutral mouthwash solution that does not cause dry mouth, as it may be very easy to use by the patient, but has not been shown to have an effect on maintaining mucosal cohesion. Limited use of glycerin and lemon water-absorbing mouthwash 2-3 times a day may help stimulate saliva secretion. Artificial saliva spray can be used if the mouth is very dry and the patient's fluid intake is limited or they have difficulty swallowing. Dentures should be removed at night, cleaned and soaked in water. Being hydrated will help relieve dry mouth.
Health
Ghazal Tanzifi; Amirhossein Ahmadi Vand Koshki
Abstract
Fortunately, with the advancement of medical science and early diagnosis of many types of cancer, we can hope for its complete treatment. Some believe that cancer is a disease that occurs mostly in elderly people. Although most of the time they are right, but many young people also get cancer. A large ...
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Fortunately, with the advancement of medical science and early diagnosis of many types of cancer, we can hope for its complete treatment. Some believe that cancer is a disease that occurs mostly in elderly people. Although most of the time they are right, but many young people also get cancer. A large number of researchers around the world are working to find the best and newest way to treat cancer. Among these researchers, some of them are trying to reduce the medical and therapeutic wastes that cause the patients a lot of pain. One of the important side effects of radiotherapy is the destruction of healthy cells and damage to the skin, which causes secretions, wounds and skin necrosis. Currently, to prevent these wastes, dozang oxide cream or ointment is used, which has not been seen to have a good effect. Fortunately, there is a lot of information in modern and ancient medicine related to the healing properties of aloe plant, including the healing of skin wounds, burns, sunburn, and skin inflammation, which facilitates its use in modern medicine. Radiotherapy in high doses destroys cancer cells or slows their growth by damaging DNA. Cancer cells whose DNA has been damaged beyond repair will stop dividing and die. When damaged cells die, they are broken down and removed by the body. Radiotherapy does not kill cancer cells immediately. It takes days or weeks for the treatment to damage the DNA enough to kill the cancer cells. Then, cancer cells continue to die for weeks or months after the end of radiation therapy.
Health
Seyed Vahid Seyed Hosseini
Abstract
Open thoracotomy, a surgical procedure involving a large incision in the chest wall, has long been utilized in the management of pneumothorax. This procedure allows direct access to the pleural space, enabling effective intervention for complex cases or when less invasive techniques have proven unsuccessful. ...
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Open thoracotomy, a surgical procedure involving a large incision in the chest wall, has long been utilized in the management of pneumothorax. This procedure allows direct access to the pleural space, enabling effective intervention for complex cases or when less invasive techniques have proven unsuccessful. Indications for open thoracotomy include large or recurrent pneumothorax, significant underlying lung disease, or traumatic pneumothorax with associated injuries. The primary advantage of open thoracotomy is its versatility, as it provides wide exposure and direct visualization of the pleural cavity, facilitating the identification and management of the underlying cause of pneumothorax. This approach allows for the removal of blebs or bullae, repair of lung lacerations, and treatment of associated injuries, resulting in comprehensive management. However, open thoracotomy is a major surgical procedure associated with potential risks and complications, including postoperative pain, longer hospital stays, and slower recovery. The decision to proceed with open thoracotomy should be carefully considered, taking into account the patient's clinical condition, extent of pneumothorax, underlying lung disease, and the expertise of the surgical team. As less invasive techniques, such as video-assisted thoracoscopic surgery (VATS), continue to advance, the choice between open thoracotomy and VATS should be individualized based on the patient's needs and available resources.
Health
Ramesh Baradaran Bagheri
Abstract
Introduction: According to information currently available, there has not yet been a published study about the effectiveness of intraperitoneal dexamethasone that uses high-quality methodology. However, after laparoscopy, dexamethasone intravenously has been used to treat nausea. In this study, we compare ...
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Introduction: According to information currently available, there has not yet been a published study about the effectiveness of intraperitoneal dexamethasone that uses high-quality methodology. However, after laparoscopy, dexamethasone intravenously has been used to treat nausea. In this study, we compare the efficacy of intraperitoneal dexamethasone with placebo in patients who have undergone gynecologic laparoscopy in a double-blind randomized clinical trial.Material and Methods: The patients were divided into groups using the four-block block randomization method. The groups' treatment options were chosen at random by drawing lots. There were an equal number of candidates in each block at the conclusion of the selection process. Anesthesia was administered to each patient. A 16 mg dose of dexamethasone was administered into the peritoneum of patients in the first group at the conclusion of the procedure, while patients in the second group received a placebo injection of 16 cc of normal saline.Results: Within the first 0, 2, 4, 8, and 12 hours following the procedure, the dexamethasone group experienced significantly less pain than the placebo group. The placebo group consumed more opioids on average as analgesics/sedatives than the dexamethasone group. Conclusion: Our study's findings demonstrate that, compared to a placebo, 16 mg of dexamethasone can significantly lessen the intensity of pain following gynecologic laparoscopy, and these patients also require fewer opioids. Controlling postoperative pain following laparoscopic surgery can be done in advance using this technique, which has no negative side effects.
Health
Mehrdad Zamani Esfahlani; Ramesh Baradaran Bagheri
Abstract
Introduction: A woman's body undergoes physiological and anatomical changes during pregnancy that affect a number of systems, including the musculoskeletal system. These alterations may result in low back pain or low pelvic pain during or after pregnancy, impairing the movement of these structures and ...
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Introduction: A woman's body undergoes physiological and anatomical changes during pregnancy that affect a number of systems, including the musculoskeletal system. These alterations may result in low back pain or low pelvic pain during or after pregnancy, impairing the movement of these structures and causing discomfort. Material and methods: Using the terms "low back pain," "pelvic girdle pain," "lumbopelvic pain," "posterior pelvic pain," "pregnancy-related low back pain," "pregnancy-related pelvic girdle pain," and "pregnancy-related lumbopelvic pain," we searched the literature in Pubmed, Cochrane Library, Ovid, and Google for articles in English, Portuguese, and Spanish published in the previous 20 years or older, as appropriate. Results: In this study we focus on terminology, epidemiology, risk factors, pathophysiology, prognosis, diagnosis, and treatment, the aim of this study was to discuss the diagnosis and treatment of pregnancy-related lumbosacral pain. Conclusion: One of the main causes of lumbosacral pain is pregnancy, which is also one of the most common illnesses during gestation. Pregnant women's quality of life is improved when this pathology is properly managed.
Health
James Beki
Abstract
Junctional rhythm occurs when the junctional areas of the AV node become the heart pacemaker instead of the SA node. For example, when SA node activity is slow or AV junction automatics increase. Elusive junctional rhythm occurs if the AV junction discharge rate is between 40-60 times per minute and ...
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Junctional rhythm occurs when the junctional areas of the AV node become the heart pacemaker instead of the SA node. For example, when SA node activity is slow or AV junction automatics increase. Elusive junctional rhythm occurs if the AV junction discharge rate is between 40-60 times per minute and its causes include patient sinus syndrome, digitalis intoxication, lower MI, rheumatic heart disease and vagus nerve stimulation. Accelerated junction rhythm occurs when the junction rate is 60-100 beats per minute. Digital poisoning, hypokalemia, lower extremity MI heart problems and rheumatic heart disease. The presence of three premature beats of AV junction or more at a speed of 200-60 beats per minute is called junctional tachycardia and its possible causes include digitalis intoxication, ischemia or infarction of the lower or posterior myocardium, congenital heart disease in children and inflammation of the junction AV is after heart surgery.
Health
Khosrow Hashemzadeh; Marjan Dehdilan
Abstract
Introduction: Statins are powerful lipid-lowering drugs that have been shown to be effective in preventing heart disease and reducing the risk of death and heart attack. It is unclear whether hyperlipidemic patients undergoing coronary artery bypass grafting benefit from the lipid-lowering effects of ...
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Introduction: Statins are powerful lipid-lowering drugs that have been shown to be effective in preventing heart disease and reducing the risk of death and heart attack. It is unclear whether hyperlipidemic patients undergoing coronary artery bypass grafting benefit from the lipid-lowering effects of statins. We sought to determine whether prior statin therapy could affect the outcome of hyperlipidemic patients undergoing coronary artery bypass grafting. Material and Methods: In this cross-sectional descriptive study conducted between 2012 and 2015, hyperlipidemia to mortality post anesthesia in patients who are candidates for coronary artery graft surgery was investigated. Results: Risk-adjusted multivariate logistic regression analysis showed that statin-treated hyperlipidemic (odds ratio, 0.42; 95% confidence interval, 0.26-0.69; P = .0007) ratio was 0.42; confidence interval, 0.26-0.69; P = .0007) was independently associated with a reduction in major in-hospital cardiac events, but not in-hospital mortality. A similarity score based on the previous 14 risk factors was performed to further control for bias. After similar correlations, randomized controlled trials confirmed that statin-treated hyperlipidemia and non-statin-treated eulipidemia were associated with reductions in major cardiovascular hospitalizations (difference odds ratio, 0.41; 95% confidence, 0.24-=0.71 [P. .0013] and odds) rate is 0. Conclusion: Although there was no increase in MACE in these normolipidemic patients who did not receive prior statin therapy, results from other CABG studies 6,7,8,9,16 and 25 in patients with heart disease were background in all patients who received CABG. LDL-C levels may benefit from long-term statin therapy. Although some of these patients did not see immediate short-term benefit, this study did not examine the long-term outcomes and future cardiovascular events of MACE. This group of patients may also benefit from a reduction in long-term MACE with statin therapy despite low preoperative LDL-C levels.
Health
Tara Motamedi; Hamidreza Alizadeh Otaghvar; Mohammad Javad Motamedi
Abstract
By studying the morbidity of surgery conducted by surgery physicians’ surgery ward at Rasool Akram hospital, we wanted to reduce morbidity cause and take a little step in improving the patient's health. Method: Medical records of patients operated in rasool akram hospital was investigated and information ...
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By studying the morbidity of surgery conducted by surgery physicians’ surgery ward at Rasool Akram hospital, we wanted to reduce morbidity cause and take a little step in improving the patient's health. Method: Medical records of patients operated in rasool akram hospital was investigated and information such as surgery, intraoperative and postoperative complication associated v variables were recorded in the check list. Result: Re-laparotomy possibility in Men was 3.5 times more than women Metastatic pathology likely increases the necessity of re-laparotomy to 1.2. The possibility of re-laparotomy in a patient who has a history of positive chemotherapy increase up to 2.9. The possibility of re-laparotomy in case of prolapse increases to 2.4 (1.8-3). Conclusion: The possibility of re-laparotomy increases with factors such as male gender, metastatic pathology, positive history of chemotherapy, the incidence of prolapse and incidence of adhesion. Although having Gl anastomosis increases the risks of post op complications and being problem with the colostomy leading to its closure are such important issues in predicting relaparotomy chances.
Health
Ali Alahgholi; Ramesh Baradaran Bagheri
Abstract
Introduction: This review aimed to describe pregnancy-related hand and wrist issues and provide an overview of the pathology, clinic presentations, clinical examinations, and treatment options for these conditions; however, it does not discuss autoimmune-related musculoskeletal disorders during pregnancy. ...
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Introduction: This review aimed to describe pregnancy-related hand and wrist issues and provide an overview of the pathology, clinic presentations, clinical examinations, and treatment options for these conditions; however, it does not discuss autoimmune-related musculoskeletal disorders during pregnancy. Material and Methods: Using the terms " Hand," " Wrist," " Hand and Wrist," " Hand and Wrist problem " "pregnancy-related Hand pain," "pregnancy-related Wrist pain," and "pregnancy-related Hand and Wrist pain," we searched the literature in Pubmed, Cochrane Library, Ovid, and Google for articles in English, Portuguese, and Spanish published in the previous 20 years or older, as appropriate. Results: The quality of life for pregnant women who have hand and wrist issues may be reduced. These ailments are temporary, benign, and self-limiting, and it is anticipated that they will go away after giving birth. Conclusion: During the third trimester of pregnancy, when hormonal changes, fluid retention, and weight gain are at their peak, hand and wrist problems are most common. Although NA, pyogenic granuloma in the hand, ligamentous laxity of the joints, arthralgia, and exacerbation of arthritis in the hand and wrist have all been reported, the most common disorders are pregnancy-related CTS and De Quervain disease. For problems with the hands and wrists caused by pregnancy, non-surgical treatments are frequently successful.
Health
Ali Alahgholi; Ramesh Baradaran Bagheri
Abstract
Introduction: The severity of the symptoms and the risk factors connected to them have not been described, but knee pain can be a common complaint during pregnancy. The purpose of this study was to identify knee-related dysfunction in a general obstetric population and to list risk factors. Material ...
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Introduction: The severity of the symptoms and the risk factors connected to them have not been described, but knee pain can be a common complaint during pregnancy. The purpose of this study was to identify knee-related dysfunction in a general obstetric population and to list risk factors. Material and Methods: In this systematic review, Patients in obstetric clinics completed the Pregnancy Physical Activity Questionnaire (PPAQ), a validated instrument to measure physical activity, as well as the International Knee Documentation Committee (IKDC) questionnaire to assess their knee function. To find independent associations with IKDC score and identify predictors of knee dysfunction, analyses of age, weeks of gestation, height, weight, and history of knee issues prior to pregnancy were performed. Results: A mean PPAQ score of 248 MET-h/wk, with a range of 40 to 805 MET-h/wk, was used to estimate physical activity in the study population. With no discernible differences between trimesters (7.3 percent, 6.3 percent, and 6.1 percent in the first, second, and third trimester groups, respectively), twenty (6.5 percent) women reported having a PPAQ greater than 500 MET-h/wk. Seventy-six (24%) of the women in this study reported a history of knee surgery, an injury, or other knee issue. Conclusion: A high level of activity, younger age, higher BMI, and a history of knee problems were all associated with severe knee dysfunction, which was reported by 26.1% of pregnant women. These findings might have consequences for pregnant women who want to stay active and fit during their training. Future research is advised to evaluate the need for intervention and to determine the best ways to prevent and treat symptoms in this population.
