Mohammadtaghi Shakeri; Mohammad Sadegh Marvi; Hamidreza SafaBakhsh; Parastoo Jamili; Reyhaneh Bazargani
Volume 20, Issue 4 , January and February 2014, , Pages 464-471
Abstract
Background: Human T-lymphotropic virus (HTLV), a retrovirus, is the causative agent of adult T-lymphocytic leukemia (ATL) and tropical spastic paraparesia (TSP). HTLV-1 is transmitted mainly through blood transfusion. Sabzevar is an endemic region for HTLV infection; hence it is essential to detect the ...
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Background: Human T-lymphotropic virus (HTLV), a retrovirus, is the causative agent of adult T-lymphocytic leukemia (ATL) and tropical spastic paraparesia (TSP). HTLV-1 is transmitted mainly through blood transfusion. Sabzevar is an endemic region for HTLV infection; hence it is essential to detect the prevalence of HTLV1/2 infection in the blood donors of this city.
Materials and Methods: In this cross-sectional study, blood samples of all donors referring to Sabzevar Blood Transfusion Center from 2007 to 2008 were screened for HTLV infection using ELISA, and positive samples were confirmed by western blotting. Data were analyzed in SPSS software version 17.0 using Chi squared and Student's t-test.
Results: The results showed that 56 of donors (44 male: 78.6% and 12 female: 21.4%) were infected to HTLV, with average age 40.27±10.02. The prevalence of HTLV infection among all donors was 0.26%. There was a significant correlation between age, marital status, times of blood donation and educational levels and HTLV infection.
Conclusions: Regarding lower rate of infection among younger and regular blood donors and donors with higher educational levels, it should be considered to select donors from this population.
Loya Zarrabi; AliReza Asadi; Fereshteh Ghorat; Seyyed Abdollah Banihashem; Mohammad Gharavi; MohammadTaghi Shakeri
Volume 19, Issue 2 , May and June 2012, , Pages 173-180
Abstract
Aim and scope: In recent years, the need to decrease pain and anxiety in patients with acute leukemia during invasive diagnostic and therapeutic measures has been emphasized. This study was performed with the aim of evaluating pain and discomfort caused by bone marrow aspiration under general anesthesia ...
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Aim and scope: In recent years, the need to decrease pain and anxiety in patients with acute leukemia during invasive diagnostic and therapeutic measures has been emphasized. This study was performed with the aim of evaluating pain and discomfort caused by bone marrow aspiration under general anesthesia compared with local anesthesia. Materials and methods: This cohort study was performed on 239 patients with acute leukemia under 18 years of age admitted to Dr. Sheikh Hospital in Mashhad during two years. Children undergoing bone marrow aspiration with either general anesthesia with propofol or local anesthesia with lidocaine were compared in terms of pain intensity (Visual Analogue Scale), resistance to procedure, and the fear and anxiety during aspiration. Results were evaluated with SPSS software version 16 using t test and chi-squared test. Results: Among the 135 patients who were under general anesthesia, 20.1% showed a slight resistance to apply the anesthesia mask. The least amounts of pain, fear, and anxiety were reported. Among the 104 patients under local anesthesia, 80.2% had physical resistance, 44.4% had severe and very severe pain, and 86.1% showed intense fear and anxiety. In the general anesthesia group, physical resistance (p=0.01), pain (p=0.01), and fear and anxiety (p
S AZHARI; M LOTF ALIZADEH; S PIR DADEH BEIRANVAND; MT SHAKERI
Volume 14, Issue 2 , July and August 2007, , Pages 83-88
Abstract
Background and purpose: Currently different pharmaceutical, of, and surgical, techniques are used for cervical ripening. Castor oil, one of the herbal preparations is also widely used for this purpose but few studies have been reported on its efficacy and safety. Therefore this study was conducted to ...
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Background and purpose: Currently different pharmaceutical, of, and surgical, techniques are used for cervical ripening. Castor oil, one of the herbal preparations is also widely used for this purpose but few studies have been reported on its efficacy and safety. Therefore this study was conducted to evaluate the effect of castor oil on cervical ripening.
Methods and Materials: This research is a randomized control clinical trial and the study population were all term pregnant women admitted to selected health clinics in Mashad, Iran in 2003 (1382). The study involved 47 pregnant women with gestational age of 40 to 42 weeks, without regular uterine contractions, with Bishop Score of 4 or less, and with no clinical or obstetric complications. The subjects were first selected purposively and then assigned into two control and experimental groups by random allocation. The experimental group received 60cc castor oil while the control group received no intervention. Both groups were followed up for 24 hours for cervical ripening. For data collection, checklists were used for interviews, observation, examination, and fetal movements were recorded. Data analysis was done using chi-quare, Fisher’s test and independent Hest.
Results: At the outset, no significant difference was observed in the two groups Bishop score but a significant increase was observed in the Bishop score of the experimental group. A significant increase was seen in the labor initiation ratio of the experimental group but no significant differences were observed between the two groups in their mean Apgar scores and delivery method.
Conclusion: According to the finding, the application of 60cc castor oil can assist cervical ripening.
N KHADEM; M KORDI; N BAGHDARI; MT SHAKERI
Volume 12, Issue 4 , January and February 2006, , Pages 20-27
Abstract
Background and purpose: Fetal movement count and non-stress test are simple and non-invasive techniques used as first steps in the assessment of the fetal well-being. The present study was conducted to determine the relationship between maternal count of fetal movements and non-stress test.
Methods ...
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Background and purpose: Fetal movement count and non-stress test are simple and non-invasive techniques used as first steps in the assessment of the fetal well-being. The present study was conducted to determine the relationship between maternal count of fetal movements and non-stress test.
Methods and materials: This descriptive correlational study was carried out at the Gynecology and Obstetrics ward of the Imamreza Hospital in Mashad, Iran. The sample included 410 non-stress tests and fetal movement counts (205 tests from each group) from 101 high risk mothers in their third trimester. Mothers recorded the fetal movements 30 minutes after breakfast. Active fetus was supposed to have at least 10 movements in 12 hours; otherwise, it was assumed to be inactive. Non-stress test was done at 9:00 pm every night. Biophysical profile was taken whenever the fetus came out to be inactive or non-reactive by either test; then, the results of either test were compared with biophysical profile.
Results: In 86.3% of the recordings, the fetuses were active. Non-stress tests were reactive in 78% and non-reactive in 19%. Reactive non-stress tests were observed in 88% of the active and 114.3% of the inactive fetuses. 85.7% of the inactive fetuses had non-reactive non-stress tests (p=0.0001). A significant relationship was found to exist between the results of maternal count of fetal movements and non-stress test (p=0.0001). Also, a significant relationship existed between the time required to feel 10 movements and non-stress test (p=0.0005). The sensitivity, specificity and the negative predictive value of the test of fetal movements count were 15%, 85% and 93% respectively; corresponding figures for the non-stress test were 93%, 76% and 98% respectively.
Conclusion: In many cases where maternal report was inactive fetus, the result of the non-stress test was reactive. However, the test of fetal movements count is of acceptable specificity and negative predictive value.