فهرست مطالب

  • Volume:6 Issue: 4, 2018
  • تاریخ انتشار: 1397/09/25
  • تعداد عناوین: 8
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  • Sharzad lari Page 360
    International Congress of Airway & Interstitial Lung Diseases” took place on November 14-16, 2018, in Pardisan Hotel,Mashhad,Iran. Hosted in our home city of Mashhad, the second largest city, in the North East of Iran. It is famous for the holy shrine of Imam Reza as well as Toos,the residence of Ferdowsi, the great Persian poet.
    The congress scientific program presented the best in science and educational sessions in the fields of Airway disorders and Interstitial Lung Diseases from outstanding researchers. The meeting was an excellent part for exchanging the knowledge and experiences between Pulmonary Medicine and other related disciplines in terms of Rheumatology, Radiology, Pathology, Occupational Medicine, and Thoracic Surgery.
    During this congress, experienced International speakers from USA, Italy, India, Jordan, South Africa, and Kuwait, were invited and participated and interactive sessions were held up.
    Additionally, interesting workshops about Non-invasive Mechanical Ventilation, IOS, Cardiopulmonary Exercise Test, Cryobiopsy in interstitial lung disease, and EBUS were performed
    Keywords: Airway, Interstitial Lung Diseases, Disorders, International Congress
  • Mohammad Asl zare, Reza Boostani, HamidReza Kianifar, Akram Moghaddasi, Reihaneh Shagholi Pages 361-367
     
    Introduction
    Clinical education is part of medical education where students gradually acquire skills by attending patients’ bedside. In fact, students use the acquired skills and logical experiences to resolve patients’ problems.
    Materials and Methods
    This qualitative study was performed using the non-guided content analysis method. The study population included 240 assistants from 13 educational groups in the School of Medicine of Mashhad, Iran, 121 of whom were enrolled in the study.
    Results
    The clinical education methods included four main indicators of content, implementation process, professor, and interaction. According to the results, there were three components in the professor indicator, including the use of experiences of professors, application of expert professors, and continuous presence in all the methods. In addition, components of more practice and training were confirmed in all the methods. In the implementation process indicator, the component of feedback was emphasized in all the methods.
    Conclusion
    According to our results, attention to the quality indicators of clinical education methods leads to the improvement of education status and performance
    Keywords: Clinical education, Indicators, Quality
  • Yasamin Roohbakhsh , Kambiz Alizadeh, Lida Jarahi, Mohammad Soukhtanloo, Baratali Mashkani, Farnaz Zahedi Avval Pages 368-373
    Introduction
    Galectin-3 is known as a biomarker in patients with heart failure. This protein participates in different mechanisms involved in atherosclerosis including inflammation and plaque formation. This study was conducted to investigate whether this factor could be a predictive biomarker for the severity of atherosclerosis.
    Materials and Methods
    The study group consisted of 80 patients with coronary atherosclerosis referred to the Department of Cardiac Surgery of Ghaem Hospital, affiliated to Mashhad University of Medical Sciences, Mashhad, Iran. The serum level of galectin-3 was measured using a commercial enzyme-linked immunosorbent assay kit. The severity of coronary artery disease (CAD), evaluated by the serum levels of galectin-3, was expressed as the number of involved vessels.
    Results
    Galectin-3 concentration was directly correlated with the number of involved vessels.The serum level of galectin-3 was significantly higher in patients with four involved vessels (20.76±7.20 ng/ml) than those with three-vessel disease (14.31±4.45 ng/ml; P<0.001). Patients with three-vessel disease had higher levels of galectin-3 than patients with one and two involved vessels (7.20±4.09 ng/ml; P<0.001).
    Conclusion
    The relationship between the number of vessels involved and the concentration of Galectin-3 was statistically significant. According to the results, serum galectin-3 level is considered as a noninvasive tool for the diagnosis of preliminary assuming the coronary artery involvement. Although this study needs further detailed investigations with preferably larger sample size, the results of the present study highlighted the importance of this factor in CAD. This protein can help in early evaluations for preliminary determining the prognosis before the complementary aggressive intervention
    Keywords: Atherosclerosis, Coronary Artery Disease, Galectin-3
  • Ali Eshraghi, Mohammad Abbassi Teshnizi, Arash Gholoobi, Hourak poorzand, Feraeshteh Ghaderi, Mahdi Zahedi , Javad Ramezani, Mahmoud Mohammadzadeh Shabestari Pages 374-377
    Introduction
    Mitral stenosis is a prevalent valvular disease in developing countries. Percutaneous mitral balloon valvuloplasty (PMBV) is the gold standard treatment. The main objective of this study was to assess the initial results of PMBV in patients with mitral stenosis during 16 years (2002-2018) in Mashhad, Iran.
    Materials and Methods
    From April 2002 to March 2018, 770 patients underwent PMV in department of cardiology. PMV was performed by the antegrade transseptal method using the Inoue balloon.
    Results
    The obtained success rate was 97%. In this study, the valve area increased from 0.9±1.1 to 1.8±0.2 cm2 (P<0.0001). There was no case of peri-procedural death or cardiac tamponade. Additionally, 0.25% of the patients required mitral valve replacement. Severe mitral regurgitation occurred in 0.9% of the subjects. There was no case of cerebrovascular accident, transient ischemic attack, embolic myocardial infarction, or cardiac perforation. Supraventricular tachycardia occurred in 2.59% of the patients.
    Conclusion
    The PMBV by the Inoue technique is a feasible and easy procedure with a short crossing times and low complications
    Keywords: Mitral Stenosis, Percutaneous Mitral Balloon Valvuloplasty, Inoue Technique
  • Mona Najaf Najafi, Mohammad Alipour, Alireza Bameshki, Mohammad Hosein Eshaghi Ghalibaf, Shadi Sheibani , Shima Sheybani , Houmain Baharvahdat Pages 378-383
    Introduction
    Themaintenance of hemodynamic stability in brain aneurysm surgery has paramount clinical significance in order to prevent vasospasm in the patients with aneurysmal subarachnoid hemorrhage. Regarding this, the present study was conducted to assess the role of magnesium sulfate in preventing vasospasm and maintaining hemodynamic stability during endovascular coiling procedure for brain aneurysm.
    Materials and Methods
    This double-blind clinical trial was conducted on 60 patients who were candidates for undergoing endovascular coiling for brain aneurysm. The patients were subjected to angiography through femoral artery catheterization. Then, they were randomly assigned into two treatment groups of case receiving magnesium sulfate and control administered normal saline. The vasospasm and hemodynamic status were measured and recorded during and following the surgery.
    Results
    According to the results, no significant difference was observed between the two groups in terms of heart rate (p=0.98) and mean arterial pressure =p) 0.89( one hour post-surgery. Furthermore, there was no statistical difference between the two groups regarding the use of nimodipine ( p=0.11). Nevertheless, the frequency of vasospasm was significantly lower in the patients receiving magnesium sulfate, during surgery (p=0.037) and after surgery (p=0.02), compared to those administered normal saline.
    Conclusion
    As the findings indicated, magnesium sulfate could lower the incidence of vasospasm during and following the endovascular coiling procedure for brain aneurysm. Moreover, it resulted in no adverse effects on the hemodynamic status of the patients
    Keywords: Magnesium sulfate, Coiling, Intracranial aneurysm, Vasospasm, Hemodynamics
  • Hamid Reza Rashidinejad , Foad Amanolahi, Hossein Safizadeh, Mansour Moazenzadeh Pages 384-389
     
    Introduction
    Vitamin D deficiency is associated with hypertension; however, there is no study on the relationship between vitamin D deficiency and hypertensive crises. This study aimed to determine the relationship between serum vitamin D levels and hypertensive crises.
    Materials and Methods
    This descriptive-analytical, cross-sectional study was conducted on 120 individuals in Shafa Hospital in 2016 within the age range of 40-80 years, selected through simple random sampling technique. The research population was divided into two groups of hypertensive crises (n=60) with blood pressure over 180/120 mm/Hg and hypertensive patients without history of hypertension crises (n=60). For the purpose of the study, 5 ml peripheral venous blood samples were collected. The blood serum was isolated by a centrifugal device, and the serum vitamin D levels were analyzed by radioimmunoassay.
    Results
    The meanlevels ofvitamin D in hypertensive and non- hypertensive crises groups were 29.73 and 30.23 ng/ml, respectively. There was no significant difference between the two groups in terms of vitamin D levels (P>0.05). However, no statistically significant difference was observed between the two groups considering gender (P>0.05). Serum vitamin D levels showed a direct correlationwith theduration of hypertension and age (P
    Conclusion
    There is evidence on the relationship between serum vitamin D levels and cardiovascular diseases, including hypertension. Nonetheless, in the present study, no significant relationship was observed between serum vitamin D level and hypertensive crises
    Keywords: Hypertensive crises_Hypertension_Vitamin D level
  • Prashant Mishra, Jayant Khandekar, Chaitanya Raut, Vaibhav Shah, Vijay Shewale , Harsh Seth Pages 390-392
    Classically, ascending aortic dissection (AD) presents as sudden, severe chest pain that is tearing type and radiates to the back. Herein, we present a rare case of severe aortic regurgitation with silent ascending AD, which had no chest pain symptoms. The aortic valve apparatus probably masked this AD; therefore, it was not detected by echocardiography and during the surgery
    Keywords: Aortic regurgitation, Silent aortic dissection, Rare aortic dissection
  • Yasser Kamal , Yasser Mubarak, Mostafa El, Sayed, Hesham Hassan Pages 393-394
    Herein, we reported the case of a 32-year-old male patient presented with intermittent attacks of mild right chest pain and dyspnea for 2 years. On contrast-enhanced computed tomography (CT) of the chest, a non-enhancing subcarinal cystic lesion about 6×6.5 cm was detected in the posterior mediastinum, consistent with the features of bronchogenic cyst. The lesion showed small calcific focus changing its position posteriorly when patient changes his position from supine to prone. The flecks of calcium within the fluid in a cystic lesion constitute the origin of the future cyst wall calcifications and may reflect the long-standing nature of the lesion. Surgical excision is preferred to avoid the expected complications, including fistula formation, ulceration, and infection.
    Keywords: Bronchogenic Cyst, Computed Tomography, Calcifications, Lung Malformations