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Showing 2 results for Rajabpour sanati

Fateme Shakhsemampour, Elahe Allahyari, Ali Rajabpour sanati, Amir Sabertanha,
Volume 6, Issue 1 (2-2018)
Abstract

Introduction: Inflammation is one of the probable causes of post-dural puncture headache (PDPH); logically, therefore, anti-inflammatory drugs such as dexamethasone can reduce the headache. The aim of this study was to evaluate the effect of intravenous dexamethasone 8 mg on PDPH in cesarean surgery.
Methods: This randomized double-blind clinical study was conducted on 104 patients aged from 15 to 45 years. They were in classes 1 or 2 according to the American Society of Anesthesiologists (ASA) physical status classification system and scheduled for elective cesarean section in Valiasr Hospital affiliated with Birjand University of Medical Sciences. The patients were allocated into one of two groups using simple randomization method. In one group, the patients received dexamethasone intravenously before anesthesia technique, while the other group received placebo. Spinal anesthesia using quince 25 needle with 0.5 percent 12-15 milligram bupivacaine was performed for patients in both groups. Forty-eight hours after the operation, the severity of headache was studied and recorded. The collected data were analyzed in SPSS-16 using independent t-test and Fisher’s exact test. The significance level was set at P <0.05.
Results: Analysis showed that dexamethasone could not significantly decrease the incidence of PDPH and severity of headache after spinal anesthesia in recovery and within 48 hours after surgery (P >0.05).
Conclusions: This study showed that dexamethasone did not have any beneficial effect in prevention of PDPH in cesarean surgery.
Ali Rajabpour sanati, Ahmad Amouzeshi, Ali Mohammad Pourbagher Shahri,
Volume 6, Issue 2 (8-2018)
Abstract

Dear Editor,
As you know physical and mental wellness of physicians and nurses, as the main role in the treatment of patients, in conditions such as burnout, compassion fatigue, depression, and poor work-life balance, is one of the top priorities in the U.S.A. National Academy of Medicine  (1-4).
Although healthcare team members are generally known as a caregiver to others;  their high workload commonly lead to lack of enough self-care, which ultimately can result in medical errors.
Medical errors are known as the third leading cause of death in the U.S.A. accounting for approximately 50 percent of deaths in hospitalized patients (5, 6).
In Iran, due to the absence of a comprehensive system for registration of medical errors, no precise statistics are available. However, by different social and economic factors, the prevalence of medical errors is higher than reports from global standards and scientific data (7).
Systematic review studies showed that poor wellbeing and moderate to high levels of burnout were significantly related to medical errors (5, 6).
Studies also indicated that work shifts longer than 12 hours per day or 40 hours per week were significantly associated with the occurrence of medical errors (8-12).
On the other hand, the unhealthy work environment of staff causes noxious effects on the wellbeing of the health team and ultimately leads to increased occurrence of medical errors (4).
Considering the above-mentioned issues and in line with this fact that a comprehensive study of effective variables on environmental conditions, physical and mental wellbeing of health team members, especially surgeons and surgery wards nurses, has not been conducted in Iran yet, it is suggested that providing and conducting encouraging programs for authors can disseminate studies in this field. Therefore, with a meta-analysis study of gathered data, necessary approaches and actions to identify and resolve these factors and obstacles can be achieved, which can successfully result in decreasing medical errors rate.

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نشریه جراحی و تروما Journal of Surgery and Trauma
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