Anesthesiology
mohsen eshraghi; moien zolmafakher; enayatollah noori; Mohammad Mahdi Shater; shahram arsang
Volume 27, Issue 6 , January and February 2021, , Pages 648-653
Abstract
Introduction: Malignant pleural effusion is usually secondary to a number of malignancies. The goal of the treatment of malignant pleural effusion is decrease the symptoms of the patient with the least invasive tool and the most cost-effective method. The purpose of this study was to compare the effectiveness ...
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Introduction: Malignant pleural effusion is usually secondary to a number of malignancies. The goal of the treatment of malignant pleural effusion is decrease the symptoms of the patient with the least invasive tool and the most cost-effective method. The purpose of this study was to compare the effectiveness of talc and iodine in the treatment of malignant pleural effusion. Materials and Methods: This Retrospective cohort study was conducted on patients with malignant pleural effusion, who were treated with Talc and Povidone iodine at Shahid Beheshti Hospital in Qom and had completed a course of treatment. Demographic data and efficacy criteria for malignant pleural effusion including dyspnea, chest pain, fever, and recurrence frequency after chemotherapy were evaluated and data were analyzed by SPSS.21 software. Results: In this study we have 87 subjects from which 48 (55.2%) were treated with Povidone iodine and 39 (44.8%) were treated with talc. There was no significant difference between the two treatment groups in terms of sex, age and type of disease in this study (p <0.05). These cases were the same in the two groups. The findings showed that the frequency of relapse, fever, chest pain and dyspnea was significantly lower in the group treated with povidone (p <0.05). In addition, subjects with betadine treated had higher lung Expansion compared to subjects Were treated with talcum (p <0.05). Conclusion: Chemical pleurodesis with povidone-iodine can be used as an alternative sclerosing affordable, accessible, safe, tolerable and effective mainly for Talc be considered.
Anesthesiology
ahmad kachoie; sedigheh hoseini; Azam Biderafsh; iman kamalian; saeed madani; enayatollah noori
Volume 27, Issue 5 , November and December 2020, , Pages 692-697
Abstract
Introduction: The accuracy of the diagnosis of acute appendicitis has been agreed at 85%. Based on this and considering that appendectomy is one of the most common surgeries in Shahid Beheshti Educational and Medical Center in Qom, we decided to compare the accuracy of acute appendicitis diagnosis with ...
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Introduction: The accuracy of the diagnosis of acute appendicitis has been agreed at 85%. Based on this and considering that appendectomy is one of the most common surgeries in Shahid Beheshti Educational and Medical Center in Qom, we decided to compare the accuracy of acute appendicitis diagnosis with the agreed standard in patients undergoing appendectomy in this center.
Materials and Methods: This was a retrospective cross-sectional study. It was performed in Shahid Beheshti Hospital in Qom in 2015-2016. Sampling was done by simple random method. Information including sex and age as well as patient pathology diagnosis and complications such as gangrene and appendix perforation were entered into the checklist and analyzed by SPSS software.
Results: In the present study, 250 people were studied, 167 (66.8%) were male and 83 (33.2%) were female. The mean age of patients with acute appendicitis was 23 years and those with other diagnoses had a mean age of 21 years. Also, 167 (66.8%) of them were male and only 83 (33.2%) were female. In this study, out of 250 patients who underwent appendectomy with a diagnosis of acute appendicitis, 194 (77.6%) had a diagnosis of acute appendicitis in pathology and 56 (22.4%) had another diagnosis. The diagnosis of acute appendicitis was 45.5% in women and 44.6% in men, which did not differ much.
Conclusion: Considering these findings and the lower accuracy of appendicitis diagnosis than the agreed standard, it can be concluded that a number of appendectomy procedures, especially appendectomy in women, were unnecessary. It is necessary to examine more carefully before the operation. Received