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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: International Journal of Pediatrics
- نوع مقاله: Journal Article
- کلمات کلیدی: children,Ketamine,Conscious sedation,Ondansetron
- چکیده:
- چکیده انگلیسی: Background
Vomiting is a common side effect of ketamine in children's sedation and there is still controversy about the use of an anti-emetic drug along with ketamine to reduce this complication. The aim of this study was to evaluate the effectiveness of ondansetron in controlling vomiting induced by intramuscular (IM), and intravenous (IV) ketamine for procedural sedation and analgesia in children in the emergency department (ED).
Materials and Methods
In a double-blind, randomized, placebo-controlled clinical trial, children aged 1 to 10 years who received ketamine for ED procedures were randomized into four groups receive IV ketamine (1.5 mg/kg), and placebo, IM ketamine (5mg/kg) and placebo, IV ketamine and IV ondansetron (0.15 mg/kg), and IM ketamine and oral ondansetron. The incidence of nausea and vomiting and ED length of stay were compared as the outcome of the study.
Results
One hundred eighty children were enrolled and randomized to four groups; 29 patients (15.0%) had nausea and vomiting. The incidence of vomiting was 26.7% in the IV ketamine-placebo group and 8.9% in the IV ketamine/ IV ondansetron group (P = 0.02). The incidence of vomiting was 17.8% in the IM ketamine-placebo group and 11.1% in the IM ketamine/oral ondansetron group (P = 0.17). ED length of stay was similar between groups.
Conclusion
According to current results, children administered IV ondansetron before IV ketamine experienced a significantly reduced incidence of vomiting but did not significantly affect length of ED stay and the addition of oral ondansetron to IM ketamine dose not reduce vomiting.- انتشار مقاله: 07-11-1396
- نویسندگان: Saeed Majidi Nejad,Leila Goudarzi,Farhad Heydari
- مشاهده
- جایگاه : پژوهشی
- مجله: International Journal of Advanced Biological and Biomedical Research
- نوع مقاله: Journal Article
- کلمات کلیدی: Hospital,Nursing manpower,Ministry of health and Medical education standard
- چکیده:
- چکیده انگلیسی: Nursing manpower plays an important role in care quality and health promotion. So any health care organization without an efficient nursing unit is not expected to survive for a long time. This study was conducted to estimate the number of the necessary nursing manpower for the selected hospitals according to the proposed model by the Iran ministry of health.This research is a cross wardal study accomplished inthe selected hospitals of Tehran university of medical sciences (Imam Khomeini and Shariati hospitals) in 2011. Data collection was performed through forms filled in different wards of the mentioned hospitals and the cure assistant office of the university.Based on the findings, in 5 out of 11 wards of Imam Khomeini hospital, and in 13 out of 16 wards of Shariati hospital, number of the nursing personnel was reported lower that the standards. Also, in 6 and 3 wards of Imam Khomeini and Shariati hospitals, respectively, nursing manpower exceeds the proposed standards. In total, Imam Khomeini and Shariati hospitals suffer 63 and 393 nursing manpower shortages in compare to the proposed standards, respectively.According to the results of this study, status of nursing manpower in the studied hospitals both in terms of number and composition is not in accordance with the proposed standards. In order to facilitate and improve the quality of the provided services in each hospital, it is essential to know the required number of nursing manpower. Consequently, utilizing sufficient nursing manpower is the basic and primary step for efficient and effective planning.
- انتشار مقاله: 10-05-1393
- نویسندگان: Azadeh Chatrooz,Hamed Nazari,Leila Goudarzi,Mohammad Bkhtiari,Aslan Nazari,Behzad Abdolah Oghli
- مشاهده
- جایگاه : پژوهشی
- مجله: Algebraic Structures and Their Applications
- نوع مقاله: Journal Article
- کلمات کلیدی: Lie algebra,permutably complemented,completely factorisable,solvable,supersolvable
- چکیده:
- چکیده انگلیسی: Let $L$ be a finite-dimensional Lie algebra. We say a subalgebra $H$ of $L$ is permutably complemented in $L$ if there is a subalgebra $K$ of $L$ such that $L=H+K$ and $Hcap K=0$. Also, if every subalgebra of $L$ is permutably complemented in $L$, then $L$ is called completely factorisable. In this article, we consider the influence of these concepts on the structure of a Lie algebra, in particular, we obtain some characterizations for supersolvability of a finite-dimensional Lie algebra in terms of permutably complemented subalgebras.
- انتشار مقاله: 11-01-1397
- نویسندگان: Leila Goudarzi,Leila Goudarzi,Leila Goudarzi
- مشاهده