Showing 10 results for Motamed
A.r Alam, N Motamed,
Volume 15, Issue 47 (Jun 2005)
Abstract
Background and purpose : Cleft palate is a common facial anomaly that is shown by free communication between mouse and nose and involves whole or part of palate apparatus. It comprises 2/3 of facial anomalies and causes difficulties in nutrition, speech, growth of teeth and hearing. Several procedures have been described for treatment of this anomaly. Post operation complications include: bleeding, infection and fistula. The latter being the most important of all. The main objectives of repairing cleft palate are fine nutrition, proper speech and avoidance of middle ear complications which may cause hearing loss. It is clear that fistula after cleft palate surgery may obstruct these objectives. The aim of this study is to evaluate the fistula rate in patients who underwent repair of cleft plate.
Materials and methods : This is a review study on the medical reeords of 50 cleft palate patients reffered to pediatric surgery clinic of Booali Hospital in Sari from March 1996 to May 2003. Demographic charecterestics, type of cleft palate, associated anomalies, technique of surgery and complications after surgery such as fistula were recorded from the files. Mean, standard diviation, mode, frequency and chi-square statistical tests were used for describing and analyzing the data.
Results : 50% of cases were girls and 50% were boys. The mean age of patients was 18.84 ± 9.82. Extent of clefting was described according to the Veau classification. The distribution was 6%, 62%, 18% and 14% in Veau class 1, 2, 3 and 4. Fistula was observed in 4% of the patients and fistula and other complications such as infections, hematoma or wound dehiscence were not noted in the rest of patients. No significant differences between patients with and without fistula were identified with respect to Veau classification, technique of surgery, patient sex and age at platoplasty.
Conclusion : Fistula is an important complication in cleft palate repair that needs reoperation. The rate of fistula was different in different studies. The fistula rate in this study was 4% which is low compared with others reports (0-62%). This may indicate the high standard of surgery at Booali Hospital.
N Motamed, Z Kashani, M.j Safar, Sh Âlian, M Khademloo, R Ëslamiyan,
Volume 16, Issue 51 (Jul 2006)
Abstract
Background and purpose: Ït is now clearly acknowledged that unjustified prescription habit can lead to ineffective or incomplete treatment and may extend the course of illness or time to recovery. Ât present, there is no taught course available on prescription writing method specifically for common illnesses. Çonsequently, students learn through experience. Ïn these circumstances, it seems essential to teach medical students the prescription techniques and insight into national pharmacology. Therefore, this study aims to evaluate diagnosis, treatment and prescription writing capability of graduating interns for common clinical scenarios.
Materials and methods : This was a cross sectional study assessing the prescription writing ability of 41 interns for 10 common clinical situations based on an Ôbjective Structured Çlinical Ëxamination (ÔSÇË).
Results : Ïn every station, average action was 1.57 . From this, 68% were correct performance. Âverage number of medicine for each prescription was 1.8, with 70% appropriate medicine. From correct prescriptions, 59% had accurate dosage and 44% with precise course of treatment. Ôn average, there were 1.4 right and 0.29 wrong medical advices per prescription.Ôver all, 82.7% of recommendations were correct.
Âverage score of interns in all stations was 56.4%. There was a correlation between prescription writing ability and the average mark of interns. More than half of the interns had average ability in writing prescription and there was no relation between their ability and age, sex, marital status, or their medical exam (G.P.Â) score at pre-internship exam.
Çonclusion: Generally more than a third of prescriptions written by students graduated from Sari Medical School were wrong and only 5% of them were absolutely accurate. Çonducting practical educational programs of pharmacology, as WHÔ pattern, seems reasonable.
F Babamahmodi, N Motamed, M.r Mahdavi, F Nickhah, Kh Qavi Bonyeh,
Volume 16, Issue 53 (August 2006)
Abstract
Background and purpose: Leptospirosis is a zoonotic spirochetal disease caused by coming into contact with water or soil contaminated with urine of the infected animals such as sheep, hours, cow, rat and etc. Farmers, animal husbands, veterinarians and those practicing aqua sport are at risk.
Materials and Methods: This study was undertaken in 13 villages of Ghaemshahr City (September 2004) in which because of previous epidemiological observation the probability of this disease was high. Study was descriptive cross sectional with randomized case selection. Five ml of venous blood was taken from each case and tested using an ELISA method. Information about age, sex, job, area of living, symptoms such as fever, headache, mialgia, diarrhea, nausea during this or past summer were gathered.
Results: Serological data showed that prevalence of leptospirosis was 29.4 % .There is no relation between sex and positive serological results (54.8% women & 54.18% men).
Conclusion: Leptospirosis in studied area is epidemic and due to its high morbidity, mortality and economical impact,heath education to people would help to control the disease and chemoprophylaxis can also be used.
M Khademloo, A Ajami, A.r Khalilian, N Motamed,
Volume 16, Issue 55 (Sep 2006)
Abstract
Background and purpose: Iron deficiency and its related anemia is a common Iranian pregnant women problem. This study evaluated the efficacy of daily and weekly ferrous sulfate supplementation in pregnant women.
Materials and Methods: 150 pregnant women enrolled into this randomized controlled field trial. They were received 50 mg elemental iron daily in control group and 100 mg elemental iron weekly in other group for 12 weeks duration. Serum ferritin and serum hemoglobin was measured at the start and immediately after 12 weeks of the study. Collected data were analyzed with SPSS10 software.
Results: After 12 weeks of Iron supplementation, no significant differences were observed in serum hemoglobin (gr/dl) and serum ferritin ( g/dl) levels in daily and weekly groups (p>0.05). Also the frequency of anemia after 12 weeks in two groups was not significantly different (p>0.05).
Conclusion: According to the results and tendency of pregnant women to the weekly regime and less consumption of ferrous sulfate pills in this group, weekly regime is reccomended for suplementation.
A Kabirzadeh, F Bozorgi, N Motamed, B Mohseni Saravi, A Baradari, M Dehbandi,
Volume 21, Issue 84 (Sep 2011)
Abstract
Background and purpose: There has been no objective evaluation of the rate of medical errors in Ïran it seems a disproportionate attitude is the main hindrance to reporting of such errors. Çonsidering the role of the chief managers in executive functioning of every institution, this study has been carried out with the aim of surveying the attitude of chief managers of Mazandaran Üniversity of Medical Sciences towards voluntary report of medical errors.
Materials and methods: Ïn this descriptive cross-sectional study, chiefs, managers, chief nurses, supervisors and head-nurses from 32 hospitals affiliated to Mazandaran Üniversity of Medical Sciences took part. Â self-sufficing questionnaire in two sections containing closed questions, in order to determine experience of medical errors and also to study their attitude towards voluntary report system of medical errors in hospitals was implemented. The questionnaire was based on a review of studies and had validity and reliability of 79% in a pilot study.
Results: Ïn this study, out of 278 (54 %) of questionnaires collected, 110 (39.6%) managers had experienced medical error, 190 (%68.4) stated that in the hospital they work, errors are reported. Most chief managers (%95.7) thought that reporting the medical errors would improve patient safety. 89.6 % of the managers suggested the need for a different approach in executive policies. Majority of responders (%85) disagreed with an absolute punishment policy, in case of a medical error.
Çonclusion: Most hospital managers are in favor of a system for reporting and analyzing the medical errors. Ït seems that establishing a systematic and non-individual reporting and assessing the errors is a crucial step forward.
Maryam Motamedi Joybari, Aryan Gholipour, Jamshid Yazdani Charati,
Volume 23, Issue 102 (7-2013)
Abstract
Background and purpose: Today, most organizations have recognized the value of their invisible assets and seek multiple methods to use them efficiently. One of these invisible assets is knowledge and knowledge management is a process of creating value from knowledge implementation. Execution of knowledge management requires paying attention to important factors such as organizational culture and information technology. The importance of these factors varies in different organizations according to organizational goals, organizational activities, the environment in which the organization is located, the amount of information and knowledge of the staff and facilities. This study was conducted to investigate the key factors in the establishment of knowledge management in administrative offices of Mazandaran University of Medical Sciences
Materials and methods: This descriptive survey was conducted among the managers and the staff working in administrative offices of Mazandaran University of Medical Sciences. Morgan table was used and 200 people were selected of whom 189 (97 female and 88 male) completed a questionnaire. The questionnaire included 55 questions regarding information technology, organizational culture and knowledge management, and some questions on demographic features. Data analysis was done using IBM SPSS 20.
Results: The result of this study showed significant differences between the knowledge of female and male subjects and the female case’s knowledge was lower than male cases (P <0.039). On the other hand there were significant association between support executives, sense of organization, collaboration, and management of information technology and knowledge management, but no significant correlation was found between trust and process information
Conclusion: Due to the importance of knowledge management for organizations and interconnected nature of organizational culture and IT, staff should receive supports to maximally benefit from their experience and knowledge, thereby the most advanced information systems are created.
Masoumeh Motamedi Joibari, Homayoun Khazali,
Volume 24, Issue 118 (11-2014)
Abstract
Background and purpose: Ghrelin secreted mainly by stomach in food restriction. This neuropeptide is also expressed in ovary. Although effect of weight loss on reproductive system is obvious but the mechanism of this effect is not fully understood. The aim of this study was investigating the effect of minus energy balance on ghrelin, ghrelin receptor, aromatase, and StAR gene expression in different estrus cycle in female rat ovary.
Materials and methods: In this study 48 intake female wistar rats (250-300g) were divided into two groups. In group 1, rats were 50% food restricted for 10 days. Rats in group 2 were remained intact. In study day, the rats in each group were divided based on their estrous phase (proestrous, estrous, diestrous1 and diestrous2) by vaginal smear test. Rats were anesthetized and their ovaries were isolated. Ghrelin, ghrelin receptor, aromatase and StAR gene expression was assayed by Quantitative Real Time PCR.
Results: Quantitative real-time PCR showed that ghrelin and ghrelin receptor mRNA expression in food restricted rats were significantly lower than that of the normal rats but aromatase and StAR mRNA significantly increased in group 1.
Conclusion: Our findings indicate that weight loss can have different and independent effect on ovarian ghrelin gene expression.
Mahsa Esfahani, Iran Motamedian, Maryam Tofangchiha, Nafiseh Rahmani,
Volume 28, Issue 159 (4-2018)
Abstract
Background and purpose: Dental caries are highly prevalent and their exact detection at initial stages is necessary. The laser-based DIAGNOdent device is used to detect these caries. The aim of this study was to assess the level of agreement between visual observation, bitewing radiographs, and DIAGNOdent system in detection of proximal caries in clinical applications.
Materials and methods: In this descriptive-analytical study, 102 eligible teeth surfaces were selected and presence of proximal caries was assessed by visual observation, bitewing radiographs, and DIAGNOdent system under standard situation. The agreement between different techniques was assessed by Kappa statistics in SPSS V20.
Results: The prevalence of proximal caries in DIAGNOdent system, visual observation, and bitewing radiographs were 36 teeth surfaces (35.3%) 13 teeth surfaces (12.7%), and 24 teeth surfaces (23.5%), respectively. In assessing the agreement between visual observation and DIAGNOdent system the Kappa value was 0.222 (P< 0.006) and it was 0.255 (P< 0.006) between visual observation and bitewing radiographs. This value was 0.303 (P< 0.001) between bitewing radiographs and DIAGNOdent system.
Conclusion: In this research poor agreement was observed between visual observation, bitewing radiographs, and DIAGNOdent system. But, further studies with more specimens are required.
Seyede Hakime Hashemi, Ahmad Ali Noorbala, Seyed Hamzeh Hosseini, Nima Motamed, Mansooreh Maadi, Mostafa Jabbari,
Volume 29, Issue 175 (8-2019)
Abstract
Background and purpose: According to some evidence, psychological factors play an important role in the development and progression of cardiac diseases. But there are contradictions about the independent relationship between psychological distress and coronary heart disease. The purpose
of this study was to examine the association between mental health and non-fatal coronary heart
disease (CHD).
Materials and methods: A prospective cohort study was conducted in 5042 people in Amol, Iran. General Health Questionnaire (GHQ-12) was used to measure mental health. The participants were followed up for about seven years based on history and hospital records of coronary heart disease. Data analysis was done applying independent t-test, Mann-Whitney, logistic regression, and survival analysis.
Results: The highest rates of mental health problems were seen in women younger than 40 years of age living in urban areas. The prevalence of mental health problems and incidence of CHD were 21.9% and 4.5%, respectively. The hazard ratio for non-fatal CHD was 1.009 (0.709-1.435, CI= 95%, P=0.960).
Conclusion: This study showed no significant correlation between mental health and CHD. But, current findings should be interpreted carefully on the basis of social factors and methodological constraints.
Parastoo Golshiri, Ziba Farajzadegan, Roham Nik Khah, Narges Motamedi,
Volume 30, Issue 183 (4-2020)
Abstract
Background and purpose: Educational levels shape the socioeconomic status of the family and the behavioral development of children. This study investigated the relationship between parental education and violence in adolescent students in Isfahan province.
Materials and methods: This cross-sectional study was conducted in 2800 high school students in Isfahan province using cluster sampling. Data were collected using a researcher-made questionnaire that included demographic information, parental educational level, and students' violent behaviors (verbal, physical and psychological violence, Yes/No questions). Data analysis was done in SPSS v.24 applying Chi-square test and logistic regression test.
Results: After adjusting for variables, the results revealed no significant correlation between frequency distribution of violent behaviors and parental education (P> 0.05) and the frequency distribution of these behaviors in the boys was found to be 1.4 times more that of the girls (P< 0.001).
Conclusion: According to this study, there was no significant relationship between parents' educational level and the frequency of violent acts in their children.