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Search Results: 1 - 10 of 15 matches for " Narmin Dermele "
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Knowledge, attitudes and practices of health professionals and women towards medication use in breastfeeding: A review
Safeera Y Hussainy, Narmin Dermele
International Breastfeeding Journal , 2011, DOI: 10.1186/1746-4358-6-11
Abstract: In July-October 2010, keywords (e.g. health professionals, doctors, nurses, pharmacists, lactation, breastfeeding, medication, medicine, knowledge, attitude/s, practice/s, behaviour/s) were used, either separately or in combination, to search databases such as Ovid, Pub Med, International Pharmaceutical Abstracts and Google Scholar. The search was restricted to articles published on primary research data, in English, and from 1990 onwards. The same keywords were used to search relevant journals such as BMC Women's Health, Medical Journal of Australia, International Breastfeeding Journal and Journal of Human Lactation. The reference lists of relevant articles retrieved from these journals were hand-searched for additional studies.Thirty-one publications were found that were assessed for relevance to the topic area, 15 of which were not within the scope of this review - 13 that did not investigate health professionals' breastfeeding knowledge, attitudes or practices in the context of prescribing medication for women [1-13]; one that did not determine women's experiences with receiving advice from health professionals on medication use and safety in breastfeeding [14]; and another that was a review of primary research data [15].Tables 1, 2 and 3 show the 17 publications that were critiqued [16-32]. These reported on studies that mostly used cross-sectional designs; generally had low response rates (RRs); and were undertaken in Australia, Canada, Israel, The Netherlands, USA and United Kingdom (UK), and whose findings therefore cannot be generalised to other settings.Table 1 details 11 studies - seven that have been conducted with health professionals only [17,18,21,26,28,31,32] (where references 17-18 and 21 concern the same study); two with pharmacists, general practitioners (GPs) and breastfeeding women together [22,23] (these concern the same study); another with pharmacists and breastfeeding women [25]; and one with endocrinologists, family physicians and women [30
Intelligent Seismic-Acoustic System for Identifying the Location of the Areas of an Expected Earthquake  [PDF]
Telman Aliev, Qambar Quluyev, Farhad Pashayev, Ulkar Sattarova, Narmin Rzayeva
Journal of Geoscience and Environment Protection (GEP) , 2016, DOI: 10.4236/gep.2016.44018
Abstract: A brief overview of the state-of-the-art in the field of earthquake study and forecasting is presented in this paper. We analyze the principles of the methods of determining the coordinates of earthquake focuses by means of ground seismic stations. We demonstrate that those methods cannot be used in the system for monitoring of the beginning of the earthquake preparation process (in the network of RNM ASP stations). As we know, the earthquake preparation process is accompanied by spreading noisy seismic-acoustic signals. Theoretically, the system for monitoring of the beginning of the earthquake preparation process is based on the technologies for seismic-acoustic signal processing-Robust Noise Monitoring (RNM). Noise characteristics determined by RNM technologies indicate the beginning of anomalous seismic processes (ASP) and, consequently, the possibility of ASP monitoring. Considering that the seismic-acoustic signal can be represented as the sum of the useful signal and noise, we present the technologies for determining noise characteristics. It is demonstrated in the paper that a change in the estimate of the cross-correlation function between the useful signal and the noise, noise variance and the value of noise correlation determine the beginning of ASP. One RNM ASP station determines the beginning of ASP within a radius of about 500 km. Determining the location of an expected earthquake requires a network of RNM ASP stations. We analyze the results of noise technology-based monitoring of anomalous seismic processes performed from July 2010 to June 2015 on nine seismic-acoustic stations built at the head of 10 m, 200 m, 300 m and 1400 - 5000 m deep wells. Based on the results of the experimental data obtained in the period covering over three years, an intelligent system has been built, which allows for identifying the location of the zone of an earthquake, using the combinations of time of change in the estimate of the correlation function between the useful signal and the noise of the seismic-acoustic information received from different stations 10 - 20 hours before the earthquake. In the long term, the system can be used by seismologists as a tool for determining the location of the zone of an expected earthquake.
Determinants of internal medicine residents' choice in the canadian R4 Fellowship Match: A qualitative study
Vijay J Daniels, Narmin Kassam
BMC Medical Education , 2011, DOI: 10.1186/1472-6920-11-44
Abstract: A qualitative study was undertaken to identify factors that determine the residents choice in the subspecialty (R4) fellowship match using focus group discussions involving third and fourth year internal medicine residentsBased on content analysis of the discussion data, we identified five themes:1) Practice environment including acuity of practice, ability to do procedures, lifestyle, job prospects and income2) Exposure in rotations and to role models3) Interest in subspecialty's patient population and common diseases4) Prestige and respect of subspecialty5) Fellowship training environment including fellowship program resources and length of trainingThere are a variety of factors that contribute to Internal Medicine residents' fellowship choice in Canada, many of which have been identified in previous survey studies. However, we found additional factors such as the resources available in a fellowship program, the prestige and respect of a subspecialty/career, and the recent trend towards a two-year General Internal Medicine fellowship in our country.There is a discrepancy between Internal Medicine residents' career choice in the subspecialties and societal need [1]. Specifically, there has been a declining interest in General Internal Medicine since 1998. Fifty-four percent of American third year Internal Medicine residents planned to practice General Internal Medicine in 1998 [2]. This number drastically declined to 27% of third year residents and only 19% of first year residents planning to pursue careers in General Internal Medicine in 2003.A similar problem exists in Canada where the number of Internal Medicine residents pursuing General Internal Medicine is similar to that of the United States. Based on CAPER (Canadian Post-MD Education Registry) data between 2004-2008, 18-23% of third year Internal Medicine residents pursued General Internal Medicine as a fellowship in the R4 subspecialty match (i.e. after their core three years of Internal Medicine) [3]. Can
Effects of Calcium and Vitamin D Supplementation on Body Mass Index and Parathyroid Hormone in Asian Young Women
Bakhtiar Tartibian,Narmin Motab Saei
Research Journal of Biological Sciences , 2012,
Abstract: The efficacy of calcium with vitamin D supplementation for preventing obesity and maintaining normal BMI and body weight in healthy young women remains equivocal. The objective of this study was to assess the 9-weeks effects of calcium-vitamin D supplementation on body mass index, body weight and parathyroid hormone in Asian young women. For this purpose, 22 young women participated in this study. Subjects were randomly assigned to experimental group (n = 11) and control group (n = 11). The experimental group was treated with 1000 mg day 1 calcium carbonate and 200 IU day 1 vitamin D. The blood samples collected and BMI, body weight and body fat percentage measured at baseline and the end of the 9-weeks. The results showed that 9 weeks Ca-vitamin D supplementation decreased significantly in both PTH and Body fat percentage (p<0.001). No significant difference found in both BMI (p = 0.056) and weight (p = 0.267). We conclude that calcium-vitamin D supplementation may play a substantial contributing role in reducing of PTH and the incidence of obesity in Asian young women.
January 23, 2008Effects of 9-Weeks High Intensity Aerobic Exercises on Hormones and Marker of Metabolism of Bone Formation in Young Women
Bakhtiar Tartibian,Narmin Motab Saei
Research Journal of Biological Sciences , 2012,
Abstract: Physical activity is an important factor in attaining bone mass. However, the basic mechanisms of this effect are not fully understood. The present study was performed to investigate the effects of 9-weeks high intensity (70-80% of maximal heart rate) aerobic exercises on hormonal concentrations and Marker of metabolism of bone formation in young women. A total of 22 healthy, sedentary female volunteers aged 27.13 3.69 years divided in to 2 groups control (n = 11) and experimental (n = 11) using random sampling. The experimental group performed an activity for 9 weeks, 3 session per week and each session lasted 45 min with the intensity 70-80% of maximal heart rate, but the control group did not participate in any intervention. For measuring enzymatic and hormonal factors, from each two groups of experimental and control blood samples were taken just before and after exercise program. PTH and E2 activity measured by ELISA and ALP activity measured DGKC methods respectively. We also used Paired t-test and ANCOVA to analyze the data (p<0.05). The results showed that 9 weeks high intensity aerobic exercises increased significantly in both PTH and ALP (p<0.001) and E2 (p<0.018) in the experimental group in comparison with the control group. Research findings shows that 9 weeks aerobic exercises causes considerable changes in PTH, E2 and ALP. Result this study suggest physical activity programs with specific intensities utilized in present research, can be used as a prevention factor of osteoporosis in young women.
Effects of Calcium and Vitamin D Supplementation on Body Mass Index and Parathyroid Hormone in Asian Young Women
Bakhtiar Tartibian,Narmin Motab Saei
Research Journal of Biological Sciences , 2008,
Abstract: The efficacy of calcium with vitamin D supplementation for preventing obesity and maintaining normal BMI and body weight in healthy young women remains equivocal. The objective of this study was to assess the 9-weeks effects of calcium-vitamin D supplementation on body mass index, body weight and parathyroid hormone in Asian young women. For this purpose, 22 young women participated in this study. Subjects were randomly assigned to experimental group (n = 11) and control group (n = 11). The experimental group was treated with 1000 mg day-1 calcium carbonate and 200 IU day-1 vitamin D. The blood samples collected and BMI, body weight and body fat percentage measured at baseline and the end of the 9-weeks. The results showed that 9 weeks Ca-vitamin D supplementation decreased significantly in both PTH and Body fat percentage (p<0.001). No significant difference found in both BMI (p = 0.056) and weight (p = 0.267). We conclude that calcium-vitamin D supplementation may play a substantial contributing role in reducing of PTH and the incidence of obesity in Asian young women.
January 23, 2008Effects of 9-Weeks High Intensity Aerobic Exercises on Hormones and Marker of Metabolism of Bone Formation in Young Women
Bakhtiar Tartibian,Narmin Motab Saei
Research Journal of Biological Sciences , 2008,
Abstract: Physical activity is an important factor in attaining bone mass. However, the basic mechanisms of this effect are not fully understood. The present study was performed to investigate the effects of 9-weeks high intensity (70-80% of maximal heart rate) aerobic exercises on hormonal concentrations and Marker of metabolism of bone formation in young women. A total of 22 healthy, sedentary female volunteers aged 27.13±3.69 years divided in to 2 groups control (n = 11) and experimental (n = 11) using random sampling. The experimental group performed an activity for 9 weeks, 3 session per week and each session lasted 45 min with the intensity 70-80% of maximal heart rate, but the control group did not participate in any intervention. For measuring enzymatic and hormonal factors, from each two groups of experimental and control blood samples were taken just before and after exercise program. PTH and E2 activity measured by ELISA and ALP activity measured DGKC methods respectively. We also used Paired t-test and ANCOVA to analyze the data (p<0.05). The results showed that 9 weeks high intensity aerobic exercises increased significantly in both PTH and ALP (p<0.001) and E2 (p<0.018) in the experimental group in comparison with the control group. Research findings shows that 9 weeks aerobic exercises causes considerable changes in PTH, E2 and ALP. Result this study suggest physical activity programs with specific intensities utilized in present research, can be used as a prevention factor of osteoporosis in young women.
Evaluation of radiation-induced Class V dental caries in patients with head and neck cancers undergoing radiotherapy
Narmin Mohammadi,Farshad Seyednejad,Parnian Alizadeh Oskoee,Siavash Savadi Oskoee
Journal of Dental Research, Dental Clinics, Dental Prospects , 2008,
Abstract: Background and aims. Salivary glands are very susceptible to radiation and any disturbances in their function are detrimental to the hard tissues in the oral cavity. The aim of this study was to evaluate posterior class V dental caries in patients with head and neck cancers undergoing radiotherapy. Materials and methods. In this study, twenty seven patients undergoing conventional radiotherapy were included. Class V dental caries of posterior teeth in these patients were evaluated in three intervals: before treatment, 3 weeks after the initiation of the treatment, and at the end of the treatment. Differences of mean caries activity between intervals were evaluated using paired sample t-test. Results. There were no class V decays prior to radiotherapy. Mean percentage of class V caries three weeks after radiotherapy and at the end of radiotherapy were 28.42% ± 14.41 and 67.05% ± 19.02, respectively. There were statistically significant differences in mean values among three stages (P = 0.00025). Conclusion. The results of the present study revealed that radiotherapy in patients with head and neck cancers causes class V dental caries on posterior teeth.
Evaluation of Radiation-induced Xerostomia in Patients with Nasopharyngeal Carcinomas
Narmin Mohammadi,Farshad Seyyednejhad,Parnian Alizadeh Oskoee,Siavash Savadi Oskoee
Journal of Dental Research, Dental Clinics, Dental Prospects , 2007,
Abstract: Background and aims. Salivary glands are extremely susceptible to radiation injuries. The aim of this study was to evaluate radiation-induced xerostomia in patients with nasopharyngeal carcinomas, referring to Tabriz Imam Khomeini Hospital in 2005-2006. Materials and methods. Thirty patients with nasopharyngeal carcinomas, who received conventional radiotherapy, were included in the present study. The patients’ unstimulated saliva samples were collected at three intervals, i.e. before treatment, 3 weeks after the initiation of treatment and at the end of treatment by spitting, and measured with a graduated pipette. Results. The differences in the mean values of the patients’ salivary flow rates at three afore-mentioned intervals were statistically significant (p< 0.001). Two-by-two comparison of the mean values of salivary flow rates of all the patients and of males and females, carried out separately, demonstrated statistically significant differences (p< 0.0025). However, there were no statistically significant differences between males and females before treatment (p = 0.723), 3 weeks after the initiation of treatment (p = 0.724) and at the end of treatment (p = 0.595). There were no statistically significant relationships between age and a decrease in salivary flow rate in the total sample (p = 0.76, r = -0.057), in males (p = 0.96, r = 0.011) and in females (p = 0.539, r = -0.208). Conclusion. Conventional radiotherapy results in severe xerostomia in 3 weeks in patients with nasopharyngeal carcinomas. Age and sex do not influence radiotherapy-induced xerostomia.
Safety of the long-term use of proton pump inhibitors
Alan BR Thomson, Michel D Sauve, Narmin Kassam, Holly Kamitakahara
World Journal of Gastroenterology , 2010,
Abstract: The proton pump inhibitors (PPIs) as a class are remarkably safe and effective for persons with peptic ulcer disorders. Serious adverse events are extremely rare for PPIs, with case reports of interstitial nephritis with omeprazole, hepatitis with omeprazole and lansoprazole, and disputed visual disturbances with pantoprazole and omeprazole. PPI use is associated with the development of fundic gland polyps (FGP); stopping PPIs is associated with regression of FGP. In the absence of Helicobacter pylori infection, the long-term use of PPIs has not been convincingly proven to cause or be associated with the progression of pre-existing chronic gastritis or gastric atrophy or intestinal metaplasia. Mild/modest hypergastrinemia is a physiological response to the reduction in gastric acid secretion due to any cause. The long-term use of PPIs has not been convincingly proven to cause enterochromaffin-like cell hyperplasia or carcinoid tumors. PPIs increase the risk of community acquired pneumonia, but not of hospital acquired (nosocomial) pneumonia. There is no data to support particular care in prescribing PPI therapy due to concerns about risk of hip fracture with the long-term use of PPIs. Long-term use of PPIs does not lead to vitamin B12 deficiencies, except possibly in the elderly, or in persons with Zollinger-Ellison Syndrome who are on high doses of PPI for prolonged periods of time. There is no convincingly proven data that PPIs increase the risk of Clostridium difficile-associated diarrhea in persons in the community. The discontinuation of PPIs may result in rebound symptoms requiring further and even continuous PPI use for suppression of symptoms. As with all medications, the key is to use PPIs only when clearly indicated, and to reassess continued use so that long-term therapy is used judiciously. Thus, in summary, the PPIs are a safe class of medications to use long-term in persons in whom there is a clear need for the maintenance of extensive acid inhibition.
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