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Namavar Jahromi B, Farrokhnia F, Tanideh N, Vijayananda Kumar P, Parsanezhad ME, Alaee S. Comparing The Effects of Glycyrrhiza glabra Root Extract, A Cyclooxygenase-2 Inhibitor (Celecoxib) and A Gonadotropin-Releasing Hormone Analog (Diphereline) in A Rat Model of Endometriosis. Int J Fertil Steril 2019; 13:45-50. [PMID: 30644244 PMCID: PMC6334018 DOI: 10.22074/ijfs.2019.5446] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2017] [Accepted: 06/26/2018] [Indexed: 12/27/2022]
Abstract
Background The purpose of this study was to compare the effects of Glycyrrhiza glabra (Licorice), a cyclooxyge-
nase-2 inhibitor (Celecoxib) and a gonadotropin-releasing hormone analog (Diphereline®), with a control group on
endometrial implants in rats. Materials and Methods In this experimental study, endometriosis was induced in rats by auto transplantation and
after confirmation, the rats were divided into 4 groups that were treated for 6 weeks with normal saline (0.5 ml/day,
orally), licorice extract (3000 mg/kg/day, orally), celecoxib (50 mg/kg, twice a day, orally) or diphereline (3 mg/kg,
intramuscularly). At the end of treatments, the mean area, volume, histopathology and hemosiderin-laden macrophage
(HLM) counts of the endometrial implants were evaluated and compared among the four groups. Results The mean area, volume and HLM counts of the implants in the licorice group were significantly lower than
those of the control group (P<0.001). The histopathologic grades of endometrial implants were significantly decreased
by licorice compared to the control group (P<0.001). There was no significant change in the mentioned parameters in
rats treated with celecoxib compared to the control group. Diphereline was the most potent agent for suppressing the
growth of endometrial implants in terms of all of the above-mentioned parameters. Conclusion Licorice decreased the growth and histopathologic grades of auto-transplanted endometrial implants.
However, while celcoxib had no significant effect, diphereline showed the highest potency for decreasing the endome-
trial growth. Licorice may have the potential to be used as an alternative medication for the treatment of endometriosis.
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Affiliation(s)
- Bahia Namavar Jahromi
- Infertility Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic Address: .,Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Farnaz Farrokhnia
- Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.,Student Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Nader Tanideh
- Stem Cell Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.,Department of Pharmacology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - Mohammad Ebrahim Parsanezhad
- Infertility Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.,Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Sanaz Alaee
- Department of Reproductive Biology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran.Electronic Address:
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Paydar S, Mahmoodi M, Jamshidi M, Niakan H, Keshavarz M, Moeenvaziri N, Ghorbaninejad ME, Farrokhnia F, Izadi Fard F, Jaafari Z, Golshan Y, Abbasi H, Bolandparvaz S, Honarvar B. Perihepatic Packing versus Primary Surgical Repair in Patients with Blunt Liver Trauma; an 8-year Experience. Bull Emerg Trauma 2014; 2:103-109. [PMID: 27162877 PMCID: PMC4771272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2014] [Revised: 06/05/2014] [Accepted: 06/16/2014] [Indexed: 06/05/2023] Open
Abstract
OBJECTIVE To explore the pros and cons of early versus delayed intervention when dealing with severe blunt liver injury with significant hemoperitoneum and hemodynamic instability. METHODS This retrospective cross-sectional study was performed at the Nemazi hospital, Shiraz, Southern Iran, level I trauma Center affiliated with Shiraz University of Medical Sciences. The study population comprised of all patients who were operated with the impression of blunt abdominal trauma and confirmed diagnosis of liver trauma during an 8-year period. All data were extracted from patients' hospital medical records during the study period. The patients' outcome was compared between those who underwent perihepatic packing or primary surgical repair. RESULTS Medical records of 76 patients with blunt abdominal liver trauma who underwent surgical intervention were evaluated. Perihepatic packing was performed more in patients who have been transferred to operation room due to unstable hemodynamics (p<0.001) as well as in patients with more than 1000 milliliters of hemoperitoneum based on pre-operative imaging studies (e.g. CT/US) (p=0.002). CONCLUSION We recommend that trauma surgeons should approach perihepatic packing earlier in patients who have been developed at least two of these three criteria; unstable hemodynamics, more than 1000 milliliters hemoperitoneum and more than 1600 milliliters of intra-operative estimated blood loss. We believe that considering these criteria will help trauma surgeons to diagnose and treat high risk patients in time so significant hemorrhage (e.g. caused by dilatational coagulopathy, hypothermia and acidosis, etc.) can ultimately be prevented and more lives can be saved.
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Affiliation(s)
- Shahram Paydar
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mojtaba Mahmoodi
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Jamshidi
- Cardio-Vascular Health Institute, TriCity Medical Center, Oceanside, California, USA and Oklahoma State University, Oklahoma, USA
| | - Hadi Niakan
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Keshavarz
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Nader Moeenvaziri
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - Farnaz Farrokhnia
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Forough Izadi Fard
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Jaafari
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Yalda Golshan
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hamidreza Abbasi
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Shahram Bolandparvaz
- Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Behnam Honarvar
- Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Abbasi HR, Farrokhnia F, Sefidbakht S, Paydar S, Bolandparvaz S. Chest Tube Removal Time in Trauma Patients on Positive Ventilation Pressure: A Randomized Clinical Trial. Bull Emerg Trauma 2013; 1:17-21. [PMID: 27162816 PMCID: PMC4771237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2012] [Revised: 10/13/2012] [Accepted: 11/12/2012] [Indexed: 06/05/2023] Open
Abstract
OBJECTIVE To determine the removal time of the chest tube in ICU trauma patients under positive ventilation pressure (PVP). METHODS This was randomized clinical trial being performed in ICU department of Rajaei trauma hospital from March to December 2011. A total number of 92 trauma patients who were admitted in ICU and were under ventilation and had chest tube were randomly assigned into two groups. In case group, chest tube was clamped after 5-7 days. In the control group, chest tube was retained until the patients were under PVP. The chest tube was removed if there was no air leak or the drainage was less than 300 mL. RESULTS Complications observed in the case and control groups were 4.4% of 4.3% respectively (p=0.862). Among case group with hemothorax, 6.7% developed complication while this ratio for pneumothorax was 7.1% and zero in those with hemopneumothorax (p=0.561), whereas respective values for the control group were 11.1%, 8.3% and zero (p=0.262). Complications were noticed in 10.5% of those with more than 300 ml of pulmonary drainage. There were no complications in patients without air leak. In mild leak, 4.8% of subjects experienced complication, in moderate leak, no complication occurred and in severe ones, complication was visible in 7.7% of patients (p=0.842). CONCLUSION The present study showed that the removal of chest tube in patients under ventilation within 5-7 days after its insertion is safe without any complications.
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Affiliation(s)
- Hamid Reza Abbasi
- Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Farnaz Farrokhnia
- Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Sepideh Sefidbakht
- Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
- Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Shahram Paydar
- Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
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Paydar S, Salahi R, Izadifard F, Jaafari Z, Abbasi HR, Eshraghian A, Hosseini SV, Farrokhnia F, Golshan Y, Bolandparvaz S. Comparison of conservative management and laparotomy in the management of stable patients with abdominal stab wound. Am J Emerg Med 2011; 30:1146-51. [PMID: 22100482 DOI: 10.1016/j.ajem.2011.08.012] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2011] [Revised: 08/15/2011] [Accepted: 08/16/2011] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION The management of the hemodynamically stable patients with penetrating abdominal stab wounds is a problematic issue among trauma surgeons. METHODS In a retrospective study, we analyzed stable patients with anterior abdominal stab wound from August 2009 to 2010. The patients who were hemodynamically unstable or had developed peritonitis were excluded. In our center, the patients are treated through conservative or operative management depending on the protocol of management of the stable penetrating abdominal stab wound in our center. We compared the effectiveness, mean duration of hospital admission, and the time of starting diet in 2 groups. RESULTS There were 99 cases including 47 patients in the conservative group and 52 in the laparotomy group. The laparotomy was negative in 73% and positive in 27% of the patients. In the conservative group, all the patients remained asymptomatic and stable except for 6 patients who needed subsequent laparotomy. The maximum period between admission and delayed laparotomy in these 6 patients was 17 hours. The mean length of hospital stay and the time of starting diet were 70.4 vs 43 hours and 42.3 vs 30.6 hours in the operative group and conservative group, respectively. P < .05 was considered significant. CONCLUSION Our study showed that conservative management of asymptomatic and stable patients with anterior abdominal stab wound with physical examination can decrease the rate of normal laparotomy and the length of hospitalization and help to start diet earlier. This study made this hypothesis that after 17 hours of observation, diet can be started for the stable asymptomatic patients.
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Affiliation(s)
- Shahram Paydar
- Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Farrokhnia F, Makarem J, Khan ZH, Mohagheghi M, Maghsoudlou M, Abdollahi A. The Effects of Prostaglandin E1 on Interleukin-6, Pulmonary Function and Postoperative Recovery in Oesophageetomised Patients. Anaesth Intensive Care 2009; 37:937-43. [DOI: 10.1177/0310057x0903700618] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The inflammatory reactions and tissue response after oesophagectomy are leading causes of postoperative morbidity and mortality. We evaluated the effects of intraoperative infusion of prostaglandin E1 (PGE1) on interleukin-6 (IL-6) levels, (A-a) DO2, pulmonary function and complications. This randomised double-blind clinical trial study was performed on patients undergoing transthoracic oesophagectomy due to cancer. Thirty patients were randomly allocated to two groups: the PGE1 group (infusion of PGE1, 20 ng.kg−1.min−1) and a placebo group (infusion of normal saline 0.9%). The infusion was started before induction of anaesthesia and continued until the end of the operation. The groups were comparable in basic characteristics and preoperative pulmonary function. Patients in the PGE1 group were discharged significantly earlier from the intensive care unit (72±9 vs 83±17 hours) and hospital (13±4 vs 18±8 days) (P=0.04 and 0.03, respectively). The (A-a) DO2 was significantly less in the PGE1 group at 12 and 24 hours after the operation (P=0.001, P=0.003, respectively). Postoperatively, IL-6 levels were significantly higher in the placebo group than in the PGE1 group. There were no differences in the forced expiratory volume in the first second or forced vital capacity. The findings indicate that infusion of PGE1 attenuates the increase in serum levels of IL-6 in patients undergoing esophagectomy and improves the (A-a) DO2. Stays in the intensive care unit and hospital were shorter in the PGE1 group. However, there were no differences in pulmonary complications.
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Affiliation(s)
- F. Farrokhnia
- The Cancer Institute, Imam Khomeini Medical Center, Tehran University, School of Medicine, Tehran, Iran
- Associate Professor of Anesthesiology and Intensive Care, Anesthesiology and Intensive Care Department
| | - J. Makarem
- The Cancer Institute, Imam Khomeini Medical Center, Tehran University, School of Medicine, Tehran, Iran
- Resident in Training of Anesthesiology and Intensive Care, Anesthesiology and Intensive Care Department
| | - Z. H. Khan
- The Cancer Institute, Imam Khomeini Medical Center, Tehran University, School of Medicine, Tehran, Iran
- Professor of Anesthesiology and Intensive Care, Department of Anesthesiology, Imam Khomeini Hospital Complex, Tehran University
| | - M. Mohagheghi
- The Cancer Institute, Imam Khomeini Medical Center, Tehran University, School of Medicine, Tehran, Iran
- Professor of Surgery, Department of Surgery
| | - M. Maghsoudlou
- The Cancer Institute, Imam Khomeini Medical Center, Tehran University, School of Medicine, Tehran, Iran
- Assistant Professor of Anesthesiology and Intensive Care, Department of Anesthesiology
| | - A. Abdollahi
- The Cancer Institute, Imam Khomeini Medical Center, Tehran University, School of Medicine, Tehran, Iran
- Assistant Professor of Anatomical and Clinical Pathology, Department of Pathology
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