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A survey of the body image of mastectomies women referring to Imam Khomeini and Imam Hussein hospitals in Tehran, Iran  [cached]
Esmaili Roghayeh,Saiidi Jila,Majd Hamid,Esmaieli Mehrdad
Indian Journal of Psychological Medicine , 2010,
Abstract: Background: Breast cancer treatment may have severe effects on women body image. As a routine care, mastectomy may enhance the risks for anxiety, depression, low self-esteem, and fear of social relationships among women. An awareness of body image changes following mastectomy may promote adaptation among women. Aim: The present study has sought to determine body image levels following mastectomy among females referring to clinics at Imam Khomeini and Imam Hussein Hospitals in Tehran, Iran. Materials and Methods: In this descriptive study, 90 women, aged 30-50, who had undergone mastectomy in least 3 weeks before the study started participated. They had no history of any previous surgery, chronic or psychological diseases. The subjects only referred to the clinics for follow-up treatment procedures such as chemotherapy and radiotherapy. The study benefited from a questionnaire which was validated for content. The questionnaire reliability was qualified by Cronbach Procedure (α=0.8). The questionnaire included demographic information as well as information on surgery and body image. The data collected were analyzed by the SPSS software. Results: The study show that body image among most subjects (44.4%) 1-3 months after mastectomy was at the "medium" level showing that 43.3% of the subjects were in favorable conditions. The study also showed that body image for most subjects (40%) was at the "medium" level, the image of most subjects (51.1%) of their breasts was at: very favorable" level, the image of most subjects (31.1%) of sexual relation was at "unfavorable" level, the image of most subjects (34.4%) upon the feeling of what others thought of them was at "favorable" level, and the image of most subjects (40%) of their familial relationships was at "medium" level. Discussion and Conclusion: Generally speaking, body image among most subjects under study was at medium-favorable levels. Since the study was conducted 1-3 months following mastectomy, and as the patients were at the recovery stages, the feelings of conquest over cancer may have caused them not to worry much about the body images.
Epidemiology of tramadol overdose in Imam Khomeini hospital, Kermanshah, Iran (2008)  [PDF]
Habib Ahmadi,Jamal Hosseini,Mansour Rezaei
Behbood , 2011,
Abstract: Background: Tramadol is an analgesic drug used for treatment of moderate to severe pain. According to side effects of Tramadol overdose, this study aimed to evaluate epidemiological characteristics of patients who admitted with Tramadol overdose in Imam Khomeini hospital - Kermanshah from March 2008 to March 2009.Methods: In this descriptive- analytical study, all profiles of poisoned subjects with Tramadol who have been referred to the hospital were reviewed. Considerable variables were extracted and data were analyzed using chi-square and Independent t test. Results: The result showed that majority of overdosed subjects was married (80.8%) and aged 19 years old (11.2%). Suicide (98.7%) was the most common cause of using Tramadol. 40% of cases showed a seizure symptom and seizure incidence in male subjects was higher than female (P<0.001). There was a significant correlation between Tramadol dosages and outbreak of a seizure symptoms. Conclusion: Abuse of Tramadol may leads to seizure and death, which threat young generation less than 30 years old committed to suicide. Increasing knowledge and restriction of Tramadol availability and distribution in community is necessary to prevent young generation from suicide commitment.
Omphalocele, Gastroschisis: Epidemiology, Survival, and Mortality in Imam Khomeini Hospital, Ahvaz-Iran
Shahnam Askarpour, Nasrollah Ostadian, Hazhir Javaherizadeh, Shahrzad Chabi
Polish Journal of Surgery , 2012, DOI: 10.2478/v10035-012-0013-4
Abstract: Gastroschisis and omphalocele are the most common malformation of the anterior abdominal wall. The aim of the study was to determine the abdominal wall defect frequencies, survival, and mortalities in Ahvaz, Khuzestan province of Iran. Materia and methods. All cases born with omphalocele or gastroschisis whom born in Imam Khomeini hospital, were included in this study. Duration of study was 3 years from April 2005. All patients treated at Imam Khomeini hospital in Ahwaz, Iran. Results. Among 15321 consecutive births, 42 patients had abdominal wall deformity. Overall incidence was 27.41 per 10,000 live births. Of all cases, 18 (42.9%) of cases were male and 24 (57.1%) were female. Of all cases, 21.7% of patients with omphalocele and 10% patients with gastroschisis had other anomalies. Of all cases, 71.8% of patients with omphalocele and 60% with gastroschisis underwent surgery. The type of anomaly (omphalocele and gastroschisis) had correlation with post operation prognosis significantly (p<0.001). Of 66.7% of patients under went surgery, 46.4% with mesh and 53.6% without mesh performed. 80% of patients with omphalocele and 20% with gastroschisis were lived. Conclusions: In our study, mortality was significantly higher in cases with gastroschisis than cases with omphalocele
The Relationship Between Organizational Participation and Organizational Adaptability Among the Staffs of Imam Khomeini Hospital in Tehran, Iran
Mohammad Ali Abbasi Moghadam,Azam Hosein Alizadeh
Payavard Salamat , 2012,
Abstract: Background and Aim: Changes in political, economic, social, scientific and technological circumstances have a major impact on organizational performance. In such circumstances, the success of organizations depends on their ability to cope and adapt to changing environmental factors. This study investigated the relationship between organizational participation(team orientation, capability development and empowerment) and the organizational adaptability (change, customer orientation and organizational learning) in Imam Khomeini Hospital staff. Materials and Methods: This cross-sectional study was performed on 114 staffs of Imam Khomeini hospital, Tehran University of Medical Sciences who were selected by random sampling. Data were collected by Denison questionnaire (2006 version), which was confirmed validity and reliability. Data were analyzed with spss17 and statistical methods like the mean, standard deviation and correlation coefficients. Results: The results showed that the rate of the organizational involvement and adaptability of the staffs was 53.44% and 52.37% respectively. The Pearson correlation analysis showed a positive correlation coefficient (p<0.01, r=0.743) between two variables of organizational involvement and adaptability. Conclusion: With increasing organizational involvement of the staffs increases their organizational adaptability
Surgical Treatment Outcomes in Patients With Syndactyly in Imam Khomeini Hospital in Tehran, Iran During 1996-2011: A Breif Report
Farzan M,Sobhani Eraghi A,Mazoochy H,Zeraati Z
Tehran University Medical Journal , 2011,
Abstract: Background: Syndactyly is the most common congenital malformation of the hand, with an incidence of 1 in 2000-2500 live births. In this study we evaluated the surgical outcomes and complications of patients with syndactyly.Methods : The surgical outcomes and complications of 42 patients, 27 male and 15, female, undergoing surgery for syndactyly were evaluated. The study took place in Imam Khomeini Hospital, in Tehran, Iran during 1996 to 2011. Having had the inclusion criteria, the patients were assessed for function, cosmetic outcome, sensation and occurrence of complications. The patients were followed-up for at least 3 years.Results : The mean age of patients was 4.4 years. There was a positive familial history for the disease in 8 patients. 71.4%, 90.4% and 73.8% of the participants had good results regarding cosmetic outcome, sensation and function, respectively.Conclusion: The overall results of surgery for syndactyly in this study were interpreted as good in 78.5%, moderate in 12.5% and fair in 8.4% of the patients. This study confirmed better surgical outcomes in patients older than 18 months.
Epidemiologic evaluation and management of patients with orbital fractures admitted to plastic and reconstructive surgery ward in Imam Khomeini hospital, Tehran, Iran
Ezzatollah Rezaei,Mohammad Reza Farevash,Mahdi Fathi
Iranian Journal of Otorhinolaryngology , 2009,
Abstract: Introduction: Orbital fractures comprise a significant part of facial traumas. The purpose of this study was to evaluate the outcome and epidemiologic features of patients with orbital fractures in Imam Khomeini hospital over a 10-year period. Materials and Methods: One hundred and three patients with orbital fractures were included in this study. Data obtained from medical records of patients were statistically analyzed. Results: 68% of patients were in the age range of 20-40. The male to female ratio was 5 to 1. Motor vehicle accidents were the main cause of injury and most frequently involved area was the orbital floor. The main clinical finding was echymosis and the most common associated injury was zygomatic bone fracture. Diplopia, enophthalmos and deformity were improved in 94.5%, 86.2% and 87.5% of cases postoperevtively. The frequency of enophthalmos in patients with medial wall fracture was significantly more than patients with fractures of other orbital areas (P
Incidence of Isolation of Mycobacterium Tuberculosis from Blood Samples in Tuberculosis Patients in Imam Khomeini Hospital, Tehran, Iran  [PDF]
Maryam Foroughi,Saman Mohaghegh Montazeri,SeyedAhmad SeyedAlinaghi,Banafshe Moradmand Badie
Acta Medica Iranica , 2011,
Abstract: It is estimated that one third of the world's population is latently infected with tuberculosis (TB). The HIV epidemic fuels the TB epidemic by increasing the risk of reactivation of latent TB infection and by facilitating a more rapid progression of TB disease. Although the incidence of TB is constant or decreasing in many regions of the world, rates remain high in developing countries as a consequence of the HIV epidemic. This study was conducted as a collaboration of the Infectious Diseases department of Imam Khomeini Hospital with the Microbiology department of Tehran University of Medical Sciences. The hospital dataset of 94 patients admitted with TB during 2003-2005 was reviewed. We aimed to study factors correlating with positive blood culture including age, sex, immune deficiency status, HIV serology and SIRS (Systemic Inflammatory Response Syndrome) status. In this study, we found that positive blood cultures are more frequent in patients less than 45 years old. Positive blood cultures were also more frequent in HIV infected patients and there was a significant correlation between blood culture and SIRS status. Therefore, we recommend that we obtain blood cultures from these high-risk groups in order to increase early detection of TB.
Serologic Study of Bacterial and Viral Causes of Abortion and Fetus Death in the Patients Referring to Imam Khomeini Hospital of Sari Northern Iran
M. Nasrolahei,M. Vahedi
International Journal of Molecular Medicine and Advance Sciences , 2011,
Abstract: Infectious agents during pregnancy are very important not only threatening maternal health, but also causing fetus death and congenital disorders. It was decided to have serologic study of the infectious agents (Listeria monocytogenes, Mycoplasma, cytomegalovirus and rubella) Leading to abortion in women. This descriptive study was done on 150 pregnant women age range of 26.35 4.85 years with spontaneous fetus death in early months of pregnancy and referring to Imam Khomeini hospital for abortion. In this study two blood samples of each 7ml were drawn on the first day of referring and after two weeks for determining of antibody titer against listeria monocytogene, Mycoplasma, rubella and cytomegalovirus by ELISA, cold agglutination, direct and in direct immunofluorescence methods using Diagnostic kit from Erma Company. In this study, 16% had 5-fold higher antibody titer against Listeria monocytogenes, 42%, 1.5 to 5-fold higher for rubella; 6%, 2.5-4 fold for Listeria monocytogenes and 9% 1.5 to 2-fold higher for cytomegalovirus. All of them in the repeated examination showed higher antibody titer. Fetus death was observed during different stages of pregnancy in the women positive antibody for Listeria monocytogenes, cytomegalovirus and rubella. In 80% positive Listeria monocytogenes antibody fetus death occurred on the end of the second trimester (week 23-26). Since the infectious agents have very important role in fetus death, knowledge of the pregnant women on the prevention method and using of correct method is very important.
The prevalence of drug resistance in patients with HIV/AIDS attending to Imam Khomeini Hospital in Tehran, Iran during 2008-2009: letter to editor
Hajabdulbaghy M,Soodbakhsh A,Soleimani A
Tehran University Medical Journal , 2011,
Abstract: "nThe combinations of antiretroviral (ARV) drugs have proven effective in controlling the progression of AIDS, but these benefits can be compromised by drug resistance. Thus, drug-resistance testing has become an important tool in the management of HIV-infected individuals.1 Drug resistance develops when mutations in the HIV virus proteins occur due to amino acid substitutions.2 Drug resistance testing is done in two ways: phenotypic test and genotypic test.3 In the first method, virus proliferation is measured in the presence of different concentrations of the drugs. In the second, the genetic structure of viral genome sequences are investigated.4 Although, the first case of HIV infection in Iran was identified 23 years ago (1988), there is still no study published on its drug resistance. The main purpose of this study was to determine the prevalence of drug resistance mutations in patients with HIV/AIDS attending Imam Khomeini Hospital in Tehran. The secondary objectives of the study were to determine the frequency of drug resistance to specific drugs such as nucleoside reverse transcriptase inhibitors (NRTIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs) and protease inhibitors (PI). We collected plasma samples from 25 patients with HIV/AIDS and immunological failure. After the extraction of the viral RNA from plasma, genomic sequencing was performed. Finally, the data for determining drug resistance were analyzed by the Stanford HIV Drug Resistance Database (http://hivdb.stanford.edu) software. Out of the 25 patients under study, 20 were male (80%) and five were female (20%). Routes of HIV transmission were: 56% by needle sharing among injecting drug users (IDUs), 20% through sexual contact, 12% through blood transfusions and 12% by unknown routes. High-level drug resistance for ARV drugs included: 24% to NRTIs, 28% to NNRTIs and zero percent to PI drugs. In addition, 15 patients had been infected with genotype A and 10 patients with genotype B of the virus subtypes. More than half of the patients (56%) had HCV co-infection and 44% had prison histories. Overall, the prevalence of drug resistance was 28% which is lower to those of other countries which range from 30% to 90%. Among NRTI drugs, 24% had high-level drug resistance to Lamivudin while no resistance was witnessed against Tenofovir. Among NRTI drugs, 8% had high-level and 68% had low-level resistance to Stavudine. Among NNRTI drugs, 24% and 28% of the patients showed high-level resistance to Efavirenze and Nevirapine, respectively, although the resistance rate in the present stud
The study of hospital bavage solution and calorie and protein in take. For patients needs from the special care unit at Imam Khomeini hospital, Sari, Iran during 2005
E. Salehifar,Sh. Ala
Journal of Mazandaran University of Medical Sciences , 2008,
Abstract: Background and Purpose: Malnutrition is a major problem within intensive care units (ICU) affecting the outcome of patients. In Imam Khomeini Hospital, patients were fed with gavage solutions prepared in the kitchen of hospitals, however, its' nutritional value has not been studied at present time. The aim of this study was to analyze the gavage solution and to compare the calculated nutritional demand with the provided values.Materials and Methods: The amount of carbohydrate, lipid and protein of gavage solution has been determined with Leen ion, Gerber and Kejeldal methods, respectively. In this study, 30 patients with at least 5 days in the ICU were included. Daily metabolic needs were calculated with Harris-Benedict equation and then, calculated calorie and protein values were compared with the provided values.Results: The carbohydrate, lipid, protein and energy contents of gavage solutions were 0.035 ±0.002 g/ml, 0.0225±0.017 g/ml, 0.012 ± 0.002 g/ml, and 0.39 ± 0.164 Kcal/ml. The calorie and protein provided by the hospital solution, in comparison to the standard enteral solutions, were 32.5% and 16% respectively. Total energy expenditure (TEE) at the time of admission to ICU was 2302 ± 633 Kcal/ per day. During week 1, 2, and 3, TEE was 2301±634, 2283 ± 661 and 2228 ± 790 respectively. Maximum provided energy was 600 ± 632 Kcal/ per day. Maximum protein was provided in week 3 and equal to 22.9% of patient’s needs.Conclusion: The gavage solution provided by hospitals can not meet the calorie and protein needs of patients. It is necessary to prepare solutions with enough contents of carbohydrate, lipid and protein or to provide them with standard enteral nutritional solutions.Key words: Gavage, Intensive care unit, Malnutrition, Calorie, ProteinJ Mazand Univ Med Sci 2008; 18(64): 81-85 (Persian)
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