فهرست مطالب

School of Medicine Students Journal
Volume:2 Issue: 1, Apr 2020

  • تاریخ انتشار: 1399/06/16
  • تعداد عناوین: 5
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  • Tayyebeh Jahed Bozorgan, Alireza Fatemi, Fatemeh Azimi* Pages 1-9
    Background

    Various screening programs for all pregnant women are presented in the first pregnancy visit to reduce the vertical transmission of Hepatitis B virus (HBV) infection from mother to fetus during labor. Obstetricians and gynecologists are often referred to as a reliable source of health information for pregnant women. The present survey aimed to assess the knowledge, attitudes and practice (KAP) of obstetricians and gynecologists regarding to screening for HBV infection among pregnant women in Iran, 2018.

    Materials and Methods

    This KAP study was performed among 200 obstetricians and gynecologists in Iran using the available sampling method. Data were collected using a researcher-made, valid and reliable questionnaire which contained 4 parts, including demographic data (3 questions), knowledge (20 questions), attitude (5 questions), and practice (8 questions). The level of knowledge and practice was evaluated using the Likert score, and attitude was defined as positive or negative. The relation between knowledge, attitude and practice, as well as their relationship with the work experience of obstetricians and gynecologists was evaluated.

    Results

    The mean age of obstetricians and gynecologists was 38.9±3.7 years. The knowledge and practice of obstetricians and gynecologists about the screening for HBV in pregnant women was good, and they had a positive attitude in this. There was a direct and significant relationship between knowledge, attitude and practice with one another, as well as between knowledge and lower work experience (P <0.05).

    Conclusion

    Obstetricians and gynecologists play an important and strategic role in the creation and transfer of health information, and in developing preventative meas-ures and control of HBV for pregnant women. Despite the knowledge and attitude of obstetricians and gynecologists being reported at an appropriate level, the moderate level of practice can be alarming.

    Keywords: Hepatitis B virus, screening, knowledge, attitude, practice, obstetricians, gyne-cologists
  • Soheil Sanei, Mohammad Amin Shahrbaf, Abdolkarim Pajoomand, Nasim Zamani, Mojdeh Daneshmand, Ramin Pouriran, Seyed Ali Ziai* Pages 10-14
    Background

    Poisoning is one of the important social problems in developing coun-tries, and acute poisoning due to suicide by drug overdose or toxins is one of the most common cases of poisoning that requires emergency care. This study was aimed to determine the demographics of benzodiazepines poisoned patients in one of the refer-ral centers for poisoning in Iran.

    Materials and Methods

    This cross-sectional study was conducted on patients who referred to the poisoning emergency ward of Loghman Hakim Hospital from April 2015 to March 2016. Among 10624 patients who referred to the hospital at the study period, 2543 of them were poisoned by benzodiazepines. A total of 263 patients were selected randomly and were assessed for age, gender and the type of the benzodiazepine. The data were analyzed by version 15 of SPSS software.

    Results

    Among 263 patients, 127 were males (48.2%) and 136 were females (51.7%). The mean age of patients was 31 years old with a range of 13 – 80 years old. In addi-tion, most patients were in the age of between 18 to 35 years (n = 152). In this study, 91 patients (34.6%) were single-drug poisoned with benzodiazepines and 172 cases (65.4%) were poisoned by multi-drug regimens including benzodiazepines. Between different types of benzodiazepines, the most common type was Alprazolam and the least common benzodiazepine was Oxazepam. Almost 96% of patients (n = 252) were treated successfully and 8 patients (3%) got discharged with self-consent. Further-more, the mortality rate was approximately 1% (n = 3).

    Conclusion

    Benzodiazepines poisoning is common in younger patients; thus, close attentions are needed for the prescription of these drugs in young patients. Considering easy access to benzodiazepines in the community, periodic visits to psychiatrists may be useful for the reduction of benzodiazepine poisoning.

    Keywords: Benzodiazepines, Poisoning, Drug Tox-icity
  • Kourosh Goudarzipour, Hanieh Sadat Mirzadeh*, Mohammad Amin Shahrbaf, Saeed Sadr, Fatemeh Abdollah Gorji Pages 15-19
    Background

    The prevalence of iron deficiency is increasing in the cystic fibrosis (CF) patients. The aim of this study was to determine the prevalence of iron deficiency ane-mia and its correlation with pulmonary function in cystic fibrosis patients.

    Materials and Methods

    This descriptive-analytic study was conducted on the patients with cystic fibrosis who were referred to the Mofid Children Hospital, Tehran, Iran during 2015-2016. Complete blood counting and iron indices were evaluated; furthermore, Pulmonary function test was performed in ≥ 5 years old patients to determine the forced expiratory volume in first second (FEV1), forced vital capacity (FVC), FEV1/FVC and forced expiratory flow (FEF25-75). The data were analyzed by SPSS software. Pear-son correlation coefficient, t-test, Fisher’s exact test and χ2 were used for analyzing data.

    Results

    Among 62 CF patients who presented to the hospital in the study period, 30 patients were able to perform spirometry and included in the study. Spirometry findings were normal in 12 patients (40%) which 72% of them were female. There was a sta-tistically significant correlation between the spirometric findings and the gender of the patients (P < 0.05); although, the correlation between the gender and iron indices was not significant (P > 0.05). Moreover, there was no statistically significant correlation between spirometric findings and iron indices (P > 0.05).

    Conclusion

    There was no significant correlation between the iron deficiency and the pulmonary function in cystic fibrosis patients.

    Keywords: Cystic fibrosis, Iron deficiency, Pulmo-nary function
  • Mohsen Soori, Mohammad Amin Shahrbaf, Fariborz Rashnoo, Amin Shams* Pages 20-23
    Background

    Acute appendicitis is one of the common surgical emergencies. Surgical wounds after complicated (perforated/gangrenous) appendicitis are usually managed with delayed primary closure (DPC) rather than primary closure (PC); however, choos-ing of the best closure method is controversial. The aim of this study was to compare the rate of surgical site infection between the primary closure and delayed primary closure after complicated appendicitis.

    Materials and Methods

    This randomized clinical trial was conducted on patients who referred to the emergency department of Loghman Hakim hospital with the chief com-plaint of acute appendicitis from February 2014 to Feb 2018. The patients were divided randomly into two equal group based on the flipping coin randomization. Demographic features, the rate of surgical site infection and the hospitalization time in the primary closure and delayed primary closure groups were recorded and analyzed by the SPSS software.

    Results

    Sixty-nine patients include in the final analysis. Thirty-five patients were in the primary closure group and 34 patients were in the delayed primary closure group. Surgical site infection was observed in 6 patients, including 4 patients in the primary closure group and 2 patients in the delayed primary closure group (P value = 0.66). In addition, the hospitalization period was 3.5 ± 0.42 and 5.30 ± 0.21 in the primary clo-sure and in the delayed primary closure respectively (P value = 0.001).

    Conclusion

    There are no differences between the primary closure and delayed pri-mary closure in the context of surgical site infection. However, the hospitalization time is longer in the delayed primary closure of the complicated appendicitis wound in com-pare to the primary closure.

    Keywords: Surgical Wound Infection, Appendicitis, Wound Closure Techniques
  • Mohammad Mehdi Emam, Mohammad Amin Shahrbaf, Maryam Hatam, Sina Asaadi* Pages 24-27
    Background

    Systemic lupus erythematosus (SLE) patients may have similar joint complaints in compare to rheumatoid arthritis (RA). In addition, some laboratory var-iables in both diseases may be associated with each other. It has been found that some patients with SLE may have anti-cyclic citrullinated peptide antibodies (anti-CCP) which is specific for RA; although, the clinical significance of such findings is not well established. This study aims to investigate the prevalence of anti-CCP in SLE patients in a referral center in Iran.

    Materials and Methods

    In this cross-sectional study that was done during a ten-year period in Loghman Hakim hospital, 784 SLE patients who had SLE criteria based on American College of Rheumatology guideline were entered to the study. Demographic features and the serum levels of anti-CCP were evaluated in all patients. Statistical analysis was done by version 16 of SPSS software.

    Results

    In this study, 11 male (9.6%) and 103 female (90.4%) who had SLE were included in the final analysis. The rate of SLE was higher in females. The mean age of patients was 40.2 ± 14.5. Anti-CCP was positive in 20 of 114 SLE patients (17.5%). In addition, the rate of anti-CCP positive was higher in females (17 females in compare to 3 males).

    Conclusion

    It was concluded that approximately 20% of Iranian patients with SLE may have positive anti-CCP. However, careful and prolonged follow-up will reveal the real clinical value of anti-CCP in each patient individually.

    Keywords: Anti-CCP, Rheumatoid arthritis, Systemic lupus erythematosus