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Search Results: 1 - 10 of 202 matches for " Solmaz Fakhari "
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Postoperative Nausea and Vomiting Prophylaxis with Ondansetron in Diagnostic Gynecologic Laparoscopy: Preemptive versus Preventive Method  [PDF]
Simin Atashkhoei, Eissa Bilehjani, Solmaz Fakhari, Faraji-Azad Hanieh
Advances in Reproductive Sciences (ARSci) , 2017, DOI: 10.4236/arsci.2017.51001
Abstract: Background and Objective: Post-operative nausea and vomiting (PONV) is a common adverse effect of the anesthesia in laparoscopic surgery. Ondansetron has been used for prevention and treatment of the PONV. The purpose of the present study was to compare the effects of preemptive and preventive intravenous ondansetron on PONV in patients undergoing diagnostic gynecologic laparoscopy. Materials & Methods: In a randomized double-blind clinical trial, 80 women candidate of diagnostic laparoscopy, were enrolled to study in two preemptive or preventive groups (n = 40). Ondansetron 4 mg IV was administered 5 min before anesthesia induction or 5 min before extubation in preemptive or preventive groups, respectively. The frequency and severity of the PONV were compared at post-anesthetic care unit (PACU), 3th, 6th and 24th postoperatively in two groups. Also the first time of need for the antiemetic drug was studied. Results: Demographic data were similar but duration of anesthesia was shorter in preventive group. The PONV rate was similar in two groups [(37.5% and 32.5% in preemptive and preventive groups, respectively (P = 0.815)]. In preemptive group it was more intense at PACU and 24 hours after surgery (P-value <0.05) and rate of vomiting was high (11 vs. 3, P-value 0.037). The first request for antiemetic drug was earlier and the antiemetic consumption dose (P-value <0.05), recovery and hospital stay times were
The Evaluation of the Effect of TENS Therapy on Reducing Acute and Chronic Pain Following Varicocelectomy  [PDF]
Dawood Agamohammadi, Haleh Farzin, Solmaz Fakhari, Roshide Siami
Open Journal of Internal Medicine (OJIM) , 2017, DOI: 10.4236/ojim.2017.73005
Abstract: Introduction: Post-varicocelectomy pain is a considerable pain with probability of promotion toward chronicity. Some reasons, including surgical technique or nerve injury and inappropriate attention to treatment of acute pain play role in the emergence of acute pain. The pain could lead to limitation in movement and working, patient dissatisfaction and waste of medical resources. Transcutaneous electrical nerve stimulation (TENS) therapy as the patient control analgesia (PCA) is associated with reduction of pain intensity and analgesic consumptions. This study aimed to evaluate the effect of TENS therapy on reducing the acute and chronic pain following varicocelectomy. Methods and Materials: The study was conducted after obtaining the approval of the local Institute Ethics Committee and written informed consent from all of the patients. Eighty patients scheduled for undergoing varicocelectomy, were randomly classified according to a randomization list prepared using online software at a 1:1 ratio to Groups A (intervention group) and B (placebo group). In postoperative and recovery period, Group A received TENS therapy for 30 minutes in parallel to surgical scar with high frequency by sensory level. Group B was treated with off-device. The treatment course was replicated for the two groups at 2, 6, 12 and 24 hours after operation. Then, postoperative pain was measured by VAS (visual analogue scale) at the same time and after 1 week and 1, 2 and 3 months. The amount of used analgesics was recorded. Results: The results showed that based on the VAS, pain significantly decreased after intervention in 2 hours (25% with VAS = 5 versus 32.5% with VAS = 8 in control group). The differences among, amount of used analgesics at 2, 6 and 12 hours were significant with p-value = 0.001, <0.0001 and =0.02, respectively. Conclusion: TENS therapy could efficiently decrease pain degree for hours, weeks and months after varicocelectomy; this was associated with decreased post-operation analgesic requirements.
The Association between Preoperative Plasma C-Reactive Protein (CRP) Level and Postoperative Adult Heart Surgery Outcome  [PDF]
Bilehjani Eissa, Fakhari Solmaz, Farzin Haleh, Mirinezhad Mousa, Shadvar Kamran, Yaghoubi Alireza, Ranjbar Shirin
Open Journal of Internal Medicine (OJIM) , 2016, DOI: 10.4236/ojim.2016.63015
Abstract: Introduction: Careful history and physical examinations are the best ways for preoperative evaluation. Currently, we are recommended to rely on doing them rather than unnecessary and costly laboratory tests for confirmation or diagnosis of disease. The aim of study is the survey of CRP level association to decide further evaluation and expert consultation, newly diagnosed problems and possible effect on postoperative mortality and morbidity. Methods and Materials: In a descriptive retrospective study, hospital documentation of 620 patients older than 18 years undergone heart surgery in Tabriz Shahid Madani hospital was evaluated. Addition to plasma CRP level, patient’s demographic information, type of surgery, preoperative significant tests, delay time in surgery start time after anesthesiology visit, cause of requested specialty consultation and treatment recommendation, postoperative complications and mortality rate were recorded and analyzed. Patients were classified according to preoperative plasma CRP level to five groups as negative, +1, +2, +3 and not measured (i.e. they considered as normal (0 - 5 mg/l), mildly (5 - 40 mg/l), moderately (40 - 200 mg/L) or severely increased (>200 mg/l) groups). Results: Of 620 patients, 402 were male and 218 were female. There was not statistically significant correlation among demographic variables (gender, age, weight, and height), heart disease diagnosis and the type of surgery in five groups. In 79 individuals, they were done specialty consultations that most common of them were neurology consultation because of impaired renal laboratory tests. Only 2 cases were due to high CRP level. In any of cases, this preoperative consultation didn’t result from new disease cases. CRP plasma level hadn’t association with preoperative red blood cell sedimentation level. Prevalence of preoperative acute myocardium infarction was higher in patients with high CRP level. In group +1, delay time was lower than other groups. The most common causes were cardiac causes. There wasn’t statistically significant correlation between CRP level and different postoperative complications. There wasn’t significant association between ICU stay time and postoperative hospital stay time and plasma high CRP level. Conclusion: Probably, plasma CRP level increases before surgery in acute myocardial infarction and results in high mortality rate. It seems that routine measurement of CRP in candidates for heart operation is beneficial for mortality rate prediction, so its increasing level can’t help to diagnosis newly cases
Adjustment of Preoperative Fasting Guidelines for Adult Patients Undergoing Elective Surgery  [PDF]
Eissa Bilehjani, Solmaz Fakhari, Samira Yavari, Jafar Rahimi Panahi, Mohammadreza Afhami, Bahman Nagipour, Hojjat Pourfathi, Haleh Farzin, Ladan Javidi
Open Journal of Internal Medicine (OJIM) , 2015, DOI: 10.4236/ojim.2015.54016
Abstract: Introduction: The typical order of nothing per oral (NPO) after midnight has been challenged in recent years, thus the American Society of Anesthesiology (ASA) revised in practice guidelines for preoperative fasting in healthy patients undergoing elective procedures, but many studies have showed that guidelines were not considered in clinical practice. The aim of this study was to evaluate the adjustment of preoperative NPO time with fasting guidelines in adult elective ophthalmic surgeries in a university educational ophthalmology hospital in Tabriz, Iran. Methods: In 3 months period, this descriptive study was conducted on 250 patients who scheduled for elective eye surgery. The investigator interviewed with patients before beginning of anesthesia and evaluated fasting duration for heavy meal, light meal and clear liquids and his or her satisfaction from NPO time and also investigated which staff recommended NPO time before anesthesia induction. Results: Fasting duration from heavy and light meal and clear liquids was 14.31 hours (8 - 23 hours), 12.46 hours (6 - 21 hours) and 11.54 hours (3 - 18 hours), respectively, that was not consistent with ASA guidelines. The discontent of the patients from prolonged NPO time was 60.8%. The most complaint was thirsty (42%). Ward nurses were the personnel who had the primary role in patients fasting time period (47.6%). Conclusion: Preoperative fasting duration for heavy and light meal and clear liquids for elective ophthalmic surgery in this teaching hospital was very long and not consistent with ASA guidelines. Ward nurses had the major role in this malpractice. Thus it seems that personnel education may be very helpful.
Connectedness of the set of central Lyapunov exponents
Abbas Fakhari
Mathematics , 2013,
Abstract: In this brief note we prove that there is a residual subset $\mathcal{R}$ of $\textrm{Diff}^1(M)$ such that for any $f\in\mathcal{R}$ and any partially hyperbolic homoclinic class $H(p,f)$ with one dimensional center direction, the set of central Lyapunov exponents associated to the ergodic with full support is an interval. Also, some remarks on the general case presented.
Higgs Boson Searches via Dileptonic Bottomonium Decays
Solmaz, Saime
High Energy Physics - Phenomenology , 2008, DOI: 10.1016/j.physletb.2009.06.054
Abstract: We explore the pseudoscalar $\eta_b$ and the scalar $\chi_{b0}$ decays into $\ell^+\ell^-$ to probe whether it is possible to probe the Higgs sectors beyond that of the Standard Model. We, in particular, focus on the Minimal Supersymmetric Standard Model, and determine the effects of its Higgs bosons on the aforementioned bottomonium decays into lepton pairs. We find that the dileptonic branchings of the bottomonia can be sizeable for a relatively light Higgs sector.
AN ASSESSMENT ON THE TOPICS RELATED TO PHONOLOGY AND PHONETICS CONTAINED IN THE HIGH SCHOOL COURSE BOOKS ORTA RET M D L B LG S K TAPLARINDAK SES B LG S ve SES B L M YLE LG L KONULAR üER NE B R DE ERLEND RME
Mehmet SOLMAZ
Turkish Studies , 2011,
Abstract: Course books are the most widely used sources by both students and teachers in attaining knowledge. Researches show that in language teaching classes also the most widely used materials are the course books. The purpose of this study was to appraise the grammar course books in the secondary schools, where at least four million students go on, on the account of phonetics and aspects related to phonetics. Three different grammar books prepared for different programs were analyzed and many lackings and shortcomings were realized related to phonetics and issues related to phonetics. The findings of the study showed that scientific principles and methods are not applied enough in the preparation of the grammar course books Ders kitaplar , bilgiye ula ma konusunda renciler ve retmenler taraf ndan günümüzde en s k ba vurulan ders ara lar d r. Yap lan ara t rmalar, dil bilgisi retiminde de en ok kullan lan retim malzemelerinin ders kitaplar oldu unu ortaya koymaktad r. Bu ara t rmada, d rt milyondan fazla rencinin renim g rdü ü orta retim basama nda kullan lan dil bilgisi ders kitaplar , dil biliminin ses bilgisi ve ses bilimi alan yla ilgili konular a s ndan de erlendirilmi tir. Farkl retim programlar i in haz rlanm olan ü ayr ders kitab n n incelendi i al mada, s z konusu ders kitaplar nda ses bilgisi ve ses bilimiyle ilgili e itli eksikliklerle ele al nan konularda bir ok problem tespit edilmi tir. Ara t rman n bulgular , orta retim basama nda kullan lan dil bilgisi ders kitaplar n n haz rlanmas nda bilimsel ilke ve y ntemlere yeterince uyulmad n ortaya koymaktad r.
Varicella Vaccine
Solmaz ?elebi
Cocuk Enfeksiyon Dergisi , 2009,
Abstract: Varicella-zoster virus (VZV) infection causes two clinically distinct forms of disease: varicella and herpes zoster. Primary VZV infection results in the diffuse vesicular rash of varicella, or chickenpox. Whereas chickenpox is a mild disease in otherwise healthy children, varicella virus in an immunodeficient individual may lead to a more serious form. The epidemiology of varicella has changed dramatically since the introduction of the varicella vaccine in 1995. Two live, attenuated varicella zoster virus-vaccines are licensed in the United States for the prevention of chickenpox. Varicella vaccine is licensed for use in healthy children at 12 months of age.
Letter to the Editor
Solmaz ?elebi
Cocuk Enfeksiyon Dergisi , 2010,
Abstract:
Travel Vaccinations
Solmaz ?elebi
Cocuk Enfeksiyon Dergisi , 2008,
Abstract: Travelers encounter infections that are absent or uncommon in their own country. The risk of travelers contracting infectious diseases depends on the destination, duration of the trip, and nature and conditions of travel. The risk of specific diseases may be increased during periods in which outbreaks of disease are occurring, such as with meningococcal disease in Sub-Saharan Africa. Immunizations are important for reducing risks of infections in travelers. Also, immunization is probably the most cost effective medical intervention. It provides a high level of immunity against a range of general and travel specific pathogens. There is an increasing range of vaccinations available as research and development of vaccines progresses. Some vaccines require multiple doses to induce long lasting protective immunity, and some will only induce protective immunity for a limited period of time. Many countries publish national guidelines regarding travel health information, and readers are encouraged to contact their local and national public health services. The two steps in immunizing travelers are to update routine immunizations and to provide travel-specific immunizations. To do the first, knowledge of a patient’s previous immunizations and medical history is necessary. For the second, detailed information about the journey, mode of travel and purpose of travel (e.g, medical or veterinary work, tourism, visiting relatives) is needed. Protection against vaccine-preventable childhood diseases is particulary important for children who visit developing countries. Vaccinating children for travel requires consideration of the development of the pediatric immune response and the rationale for vaccine use. Routine pediatric vaccinations may need to be accelerated for young children. Pretravel consultation is an opportunity to update the immunization status of adults. In this paper, vaccines for preventing enteric infections (polio, cholera, hepatitis A and typhoid), as well as those for hepatitis B, Japanese encephalitis, yellow fever, meningococcal diseases, varicella, rabies, lyme and tickborne encephalitis are reviewed.
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