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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Nursing and Midwifery Studies
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Health,Nursing staff,mental disorders
- چکیده:
- چکیده انگلیسی: Background Nursing is an extremely stressful profession. Nurses are confronted with a variety of personal, communicational and organizational stresses, which affect their health. Objectives The current study aimed to assess general health level and its related factors in employed nurses in educational hospitals affiliated to Shiraz University of medical sciences. Materials and Methods This cross-sectional study was performed on 126 nurses and practical nurses who work in educational hospitals affiliated to Shiraz University of medical sciences selected by multi stage sampling method. Data collecting tools included demographic characteristics and General Health Questionaire-28 (GHQ-28). Descriptive statistics are presented and Chi-square test, t-test, and analysis of variance were used to analyze the data. Results Of 126 subjects 75 (59.5%) cases were suspects of mental disorders. Also 12.7% had physical disorders, 15.9% had anxiety and sleep disorders, 8.7% had social dysfunction and 6.3% had depression. Average score of mental health was 28.4 .In this study mental health was significantly associated with job satisfaction and economic satisfaction (P < 0.05). Conclusions With regard to significant relation between mental health, job satisfaction, and economic satisfaction, a system for educating and stress reduction counseling should be established to help nurses effectively coping with stress. Also, improving the work environment, increasing staff, increasing salary, and decreasing working hours may reduce the nurses' exposure to stressful risk factors.
- انتشار مقاله: 11-10-1348
- نویسندگان: Najmeh Haseli,Leila Ghahramani,Mahin Nazari
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Recurrence,Rectal Neoplasms,Survival,lymph node ratio,Cure model
- چکیده:
- چکیده انگلیسی: Background: Understanding the prognostic factors affecting the recurrence-free survival (RFS) of patients with rectal cancer (RC) is the mainstay of care. The present study aimed to identify factors affecting both short- and long-term RFS of patients with RC using semiparametric mixture cure models.
Methods: The data were obtained from the database of the Colorectal Research Center of Shiraz University of Medical Sciences, Shiraz, Iran, which was collected during 2007-2017. To determine the factors affecting recurrence, cure models were applied to short-term and long-term RFS of patients with RC separately. The cure rate was calculated using the smcure package in R 3.5.1 (2018-07-02) software. P- انتشار مقاله: 24-09-1397
- نویسندگان: Seyed Vahid Hosseini,Abbas Rezaianzadeh,Salar Rahimikazerooni,Leila Ghahramani,Alimohammad Bananzadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Radiotherapy,Rectal Neoplasms,Human amniotic membrane,Colonic anastomosis,Anastomotic leak
- چکیده:
- چکیده انگلیسی: Background: Radiotherapy is one of the most important factors which results in negative effects on wound healing and increases anastomosis leakage. Diverting loop ileostomy has been usually performed after colorectal anastomosis in cases of colorectal cancer with a history of neoadjuvant radiotherapy to decrease the chance of leakage. Considering the side effects of diverting loop ileostomy, the objective of the present study is to investigate the effect of human amniotic membrane (HAM) on colorectal anastomosis leakage after neo-adjuvant radiotherapy. Methods: In this experimental animal study, 20 crossbreed rabbits were randomly divided into two groups (case group: 13 rabbits, control group: 7 rabbits) after receiving an equal dose of external beam radiation. Four weeks after irradiation, resection of 4 cm of colorectal segment and end-to-end single layer anastomosis were conducted. In the case group, a 2×2 cm wrap of HAM applied around the site of anastomosis. Eight weeks later, all the survived rabbits were sacrificed. A segment of anastomotic sites was resected in all expired and survived rabbits and sent for pathological evaluation. Mann-Whitney U Test (SPSS for Windows, Ver. 16, Chicago, IL) was applied to analyze healing scores between the two groups.Results: Due to anastomosis dehiscence, 5 rabbits expired in the control group, but all the 13 rabbits (case group) survived after 8 weeks and showed no leakage. In addition, pathological evaluation revealed significant epithelialization and neovascularization in the case group. Statistically, healing score was higher in the case group rather than the control group (P<0.001).Conclusion: To prevent post irradiation colorectal anastomosis leakage, the use of HAM might play a significant role and a feasible technical approach.
- انتشار مقاله: 13-04-1394
- نویسندگان: Sam Moslemi,Sajjad Ahmadi Joraghi,Reza Roshanravan,Leila Ghahramani,Mohammad Mohammadianpanah,Masood Hosseinzadeh,Abbas Rezaianzadeh,Ahmed Mohammed Ali Hussein,Neda Najibpour,Seyed Vahid Hosseini
- مشاهده
- جایگاه : پژوهشی
- مجله: Iranian Journal of Medical Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: Rectum,Reconstruction,Ileal pouch
- چکیده:
- چکیده انگلیسی: Background: The gold standard of the management of rectal cancer in the middle and lower parts is low anterior resection with coloanal anastomosis. About 50% of the patients undergoing this procedure might experience some complications because of the low capacity of the neorectum. The aim of this study was to evaluate ileal J-pouch interposition as a neorectum between the anal canal and the remaining colon in comparison to coloanal anastomosis and transverse coloplasty. Methods: Twelve dogs, weighing 23-27 kg, were divided into three groups. After laparotomy, the volume of the primary rectum was measured so that it could be compared with that of the neorectum at the end of the study. After rectal resection in Group A, the colon was directly anastomosed to the anus. In Group B, a 5-cm longitudinal incision was made 2 cm proximal to the anastomosis and was sutured transversely (coloplasty). In Group C, a 5-cm ileal J-pouch was interposed between the colon and anus. After 8 weeks, the neorectum was evaluated for volume, radiology, and pathology.Results: All the samples were alive until the end of the study. The healing of the anastomotic lines was acceptable (pathologically) in all. The mean volume expansion was 20.9% in Group A, 21.7% in Group B, and 118.2% in Group C, with the latter being significantly higher than that of the other groups (P=0.03). Colon J-pouch and coloplasty after proctectomy in some situations have not been performable. This study evaluated the performance of ileal J-pouch interposition. Conclusion: This study showed that ileal J-pouch interposition might produce an acceptable reservoir function and that it seems feasible and safe in selected cases.
- انتشار مقاله: 10-12-1392
- نویسندگان: Leila Ghahramani,Saeed Yazdani,Saeed Derakhshani,Abbas Rezaianzadeh,Reza Jalli,Bita Geramizadeh,Ali Reza Safarpour,Salar Rahimikazerooni,Seyed Vahid Hosseini
- مشاهده
- جایگاه : پژوهشی
- مجله: Annals of Colorectal Research
- نوع مقاله: Journal Article
- کلمات کلیدی: cancer,Colorectal Surgery,Laparoscopy,Rectum
- چکیده:
- چکیده انگلیسی: Background: Transanal Total Mesorectal Excision (TaTME) presented in recent years as a novel technique to achieve better outcome in circumferential margin (CRM) and distal margin (DRM) in lower rectal cancer operation. The current study aimed to assess the perioperative and pathological characteristics of TaTME in comparison with laparoscopic total mesorectal excision (LaTME) in patients with mid- and low-rectal cancer.
Methods: From January 2016 to December 2018, we enrolled all consecutive patients with rectal cancer, who underwent TaTME and LaTME. Primary endpoints like circumferential rectal margin (CRM) status, distal rectal margin (DRM) status, and pathological outcomes, as well as secondary endpoints including perioperative outcomes (total blood loss, duration of hospitalization, anastomosis leakage, as well as 30-day mortality) were evaluated and compared statistically (α=0.05).
Results: 11 patients with distal rectal adenocarcinoma which was biopsy-proven, underwent TaTME, and 19 patients operated on using LaTME. Both groups were similar in the baseline characteristics. Also, the perioperative outcomes were similar in both groups. Regarding pathological outcomes, no patients with CRM Conclusion: TaTME is a reasonable procedure in patients with low rectal cancer. But no remarkable superiority was observed in this method compared to laparoscopy with respect to the pathological outcomes.- انتشار مقاله: 08-09-1399
- نویسندگان: Seyed Vahid Hosseini,Leila Ghahramani,Seyed Farhad Tayari,Alireza Izadi,Razieh Sadat Mousavi-Roknabadi,Zahra Beizavi
- مشاهده
- جایگاه : پژوهشی
- مجله: Annals of Colorectal Research
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Fecal incontinence,Episiotomy,Anal
- چکیده:
- چکیده انگلیسی: Background: Fecal incontinence is an embarrassing problem and decreases the woman’s quality of life. The literature has shown that women with obstetric trauma especially by episiotomy had damaged anal sphincter (Internal and External). We aimed to find the role of episiotomy in the fecal incontinence in women after delivery.
Methods: In this study, 71 females with previous vaginal deliveries were investigated by endoanal ultrasonography. The degree of FI was measured using the incontinence score of Wexner. The number of episiotomies was measured for each patient.
Results: The mean Wexner score was 9.0±0.7 in the incontinent patients. The mean of normal vaginal delivery was 3.48±0.3 and 33.8% of the patients whom had a history of hemorrhoidectomy. Of patients, 70% had undergone one or more prior episiotomies during their deliveries.
Conclusion: Episiotomy could be one of the risk factors in fecal incontinence but we did not find any significant difference in Wexner score between patients with or without episiotomy. Endoanal sonography seems an effective tool to evaluate and prediction of anal injury during episiotomy in some critical cases.- انتشار مقاله: 09-04-1399
- نویسندگان: Hajar Khazraei,Seyed Vahid Hosseini,Mozhdeh Zamani,Ahmed Mohammed Ali Hussein Al-Hurry,Masoumeh Rahimi,Leila Ghahramani,Fahimeh Haji Hosseini
- مشاهده
- جایگاه : پژوهشی
- مجله: Annals of Colorectal Research
- نوع مقاله: Journal Article
- کلمات کلیدی: Colorectal cancer,biobank,biorepository,biobank network
- چکیده:
- چکیده انگلیسی: Background: Cancer research is highly dependent of large amount of data and high quality samples which can be provided by networks to enable large-scale multi-center research projects. Biologic materials, such as blood, tissue samples, DNA, body fluids and the related data obtained in cohorts and clinical trials are valuable sources for research which should be managed by policies and standard operating procedures as biorepositories or biobanks.
Methods and evidence acquisition: The authors investigated and summarized pubmed database articles using biobanks and describing the policies.
Conclusion: biobanking as a young discipline in different countries needs new technologies, standards and harmonization. In this review article, we have an overview on biorepository, cancer biobanking and the emerging registry in Iran.
Background: Cancer research is highly dependent of large amount of data and high quality samples which can be provided by networks to enable large-scale multi-center research projects. Biologic materials, such as blood, tissue samples, DNA, body fluids and the related data obtained in cohorts and clinical trials are valuable sources for research which should be managed by policies and standard operating procedures as biorepositories or biobanks.
Methods and evidence acquisition: The authors investigated and summarized pubmed database articles using biobanks and describing the policies.
Conclusion: biobanking as a young discipline in different countries needs new technologies, standards and harmonization. In this review article, we have an overview on biorepository, cancer biobanking and the emerging registry in Iran.- انتشار مقاله: 30-10-1398
- نویسندگان: Shima Fakher,Seyed Vahid Hosseini,Mozhdeh Zamani,Leila Ghahramani,Pooneh Mokaram Mokaram
- مشاهده
- جایگاه : پژوهشی
- مجله: Annals of Colorectal Research
- نوع مقاله: Journal Article
- کلمات کلیدی: Therapeutics,Rectal Neoplasms,Colorectal Surgery,Microsurgery,Endoscopy
- چکیده:
- چکیده انگلیسی: conditions. Big deal of this procedure is avoiding of open abdominal surgeries or better exposure in transanal approches.
Objectives: The purpose of this study was to present a single institutional experience in Shiraz, Iran regarding the application of Transanal Endoscopic Microsurgery (TEM). To our knowledge this is the first report from the Middle East.
Patients and Methods: Between 2009 and 2012, thirty patients underwent TEM in our center. We assessed complications and recurrence rate. Patients with fewer than six months of follow-up were excluded.
Results: Patients included 17 men and 13 women with a mean age of 44.4 years (ranged 17-80). The mean tumor distance from the anal verge was 9.8 cm. One patient with adenomatous polyp experienced recurrence 14 months postoperatively. Regarding procedure-related complications, one case developed hemorrhage and another case fever and infection in the site of operation. Two patients experienced incontinence for about 3 weeks after TEM surgery.
Conclusions: Considering the cultural and religious context of the Middle East, we recommend TEM procedure in specialized centers in this region of the world.- انتشار مقاله: 26-12-1392
- نویسندگان: Seyed Vahid Hosseini Hosseini,Reza Roshanravan,Salar Rahimikazerooni,Mastoureh Mohammadipour,Ali Saberi,Hossein Shabahang,Ali Reza Safarpour,Leila Ghahramani
- مشاهده