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Hoseininasab A, Sinaei R, Bagheri MM, Ahmadipour M, Derakhshan R, Najafzadeh MJ, Robati FK, Jafari M, Ebrahimi S, Jafari MA. Multisystem inflammatory syndrome in children (MIS-C) post-COVID-19 in Iran: clinical profile, cardiac features, and outcomes. BMC Pediatr 2024; 24:179. [PMID: 38481221 PMCID: PMC10936036 DOI: 10.1186/s12887-024-04652-y] [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] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Accepted: 02/17/2024] [Indexed: 03/17/2024] Open
Abstract
BACKGROUND In April 2020, an association between multisystem inflammatory syndromes (MIS-C) was observed in children with severe acute respiratory syndrome coronavirus infection (SARS-CoV-2). Most patients had heart involvement alone, and most patients had pericardial effusion. This study aimed to express and emphasize cardiac involvement in pediatric patients with respiratory symptoms who were diagnosed with COVID-19. METHODS This study was conducted in July 2021 in Kerman province, Southeastern Iran, during a notable surge in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections. The study included 904 pediatric patients diagnosed with COVID-19. Data collection involved a comprehensive assessment of clinical symptoms and manifestations. Patients with fever lasting more than five days were admitted to the hospital. Echocardiography was utilized for cardiac involvement diagnosis, with 47 patients undergoing this diagnostic procedure. RESULTS Of the 904 patients, most of them had high fevers (74%). Fifty-five patients had a fever for more than five days and were hospitalized. Of the 47 patients who underwent echocardiography, 45 (81%) had heart involvement. In 75% of patients, pericardial effusion was the only cardiac involvement. Patients with pericardial effusion were treated with dexamethasone up to 3 mg every 8 h for 72 h. CONCLUSIONS MIS-C has a wide range of clinical symptoms. In cases where the fever is prolonged and there are gastrointestinal symptoms, physicians have clinical suspicion to diagnose this syndrome. Most cases of pericardial effusion are alone and improve with treatment with glucocorticosteroids.
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Affiliation(s)
- Ali Hoseininasab
- Research Center of Tropical and Infectious Diseases, Kerman University of Medical Sciences, Kerman, Iran
| | - Reza Sinaei
- Department of Pediatrics, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
- Endocrinology and Metabolism Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran
| | - Mohammad Mehdi Bagheri
- Cardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran
| | - Maryam Ahmadipour
- Department of Pediatrics, Afzalipour Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
| | - Reza Derakhshan
- School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
| | | | - Fatemeh Karami Robati
- Clinical Research Development Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | - Maedeh Jafari
- Department of Pediatrics, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
- Clinical Research Development Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran.
| | - Sarehossadat Ebrahimi
- Department of Pediatrics, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
| | - Mohammad Ali Jafari
- Department of Veterinary Basic Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
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Sabzevari F, Ahmadipour M, Nezamabadipour N, Jahanara A. Assessment of Blood Lead Levels in Mothers Addicted to Opium and Their Neonates in Kerman: A Cross-sectional Study. Addict Health 2024; 16:6-10. [PMID: 38651026 PMCID: PMC11032620 DOI: 10.34172/ahj.2024.1439] [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] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 03/11/2023] [Indexed: 04/25/2024]
Abstract
Background High blood lead levels (BLLs) in pregnant women are associated with poor outcome in neonates. One of the newest non-occupational sources of lead contamination is opium consumption. Accordingly, this study aimed to assess BLLs in mothers addicted to opium and their neonates in Kerman. Methods This cross-sectional was conducted in Afzalipour hospital in Kerman, from February 2019 to February 2020. The BLLs were measured in 100 opium-addicted and non-addicted mothers and their newborns, and the lead levels higher than 5 μg/dL were considered contamination. Then, the demographic and anthropometric data were compared. Findings Based on the results of the present study, the BLLs of opium-addicted mothers (33.40±9.22 μg/dL vs 3.2±1.5 μg/dL) and their neonates (13.46±4.86 vs 1.1±0.9) were significantly higher (P=0.001) than those of non-addicts. Moreover, the average birth weight of the newborns in the addicted group was significantly lower than in the non-addicted group (2572.8±77.49 vs 2946±46.87) (P=0.001). Besides, there was a significant relationship between the average birth weight and the BLL of the mother and baby, and the average weight of the babies was significantly lower at higher levels of lead. However, no correlation was observed regarding the average height and head circumference of the neonates (P>0.05). Conclusion It seems that the serum level of lead in neonates of opium-addicted mothers contaminated with lead is significantly higher than that of non-addicts, but their anthropometric characteristics at birth were not different from those of the nonaddicted group.
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Affiliation(s)
- Fatemeh Sabzevari
- Department of Pediatrics, Afzalipoor Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | - Maryam Ahmadipour
- Department of Pediatrics, Afzalipoor Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | | | - Abbas Jahanara
- Department of Pediatrics, Bam University of Medical Sciences, Bam, Iran
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Ebrahimi Rigi Z, Namjoo Z, Jabarpour M, Ahmadinejad M, Ahmadipour M, Mangolian Shahrbabaki P, Dehghan M. Hospital challenges and managerial approaches to combat COVID-19 outbreak: a qualitative study in southeastern Iran. BMC Health Serv Res 2023; 23:690. [PMID: 37365537 DOI: 10.1186/s12913-023-09631-0] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 05/31/2023] [Indexed: 06/28/2023] Open
Abstract
BACKGROUND During the covid-19 pandemic, hospitals have faced several challenges, so they need to identify and address effective management strategies to cope with these challenges that enhance their current knowledge to deal with similar challenges in the future. This study aimed to identify managerial strategies for dealing with Covid-19 pandemic challenges at a hospital in southeastern Iran. METHODS This qualitative content analysis study used purposive sampling to select eight managers, three nurses, and one worker from Shahid Bahonar Hospital. In this study, semi-structured interviews were used to collect data and Lundman and Graneheim's approach was used to analyze them. RESULTS Three hundred fifty codes remained after constant comparison, compression, and merging. The results demonstrated one theme "Managerial reengineering in the healthcare system during the Covid-19 crisis", two main categories, seven subcategories and, 19 sub- subcategories. The first main category was "The difficulty of managing challenges," including "Insufficient resources and physical space", "Socio-organizational challenges" and, "Incompetence and unpreparedness of managers." The second main category was "Reforming the management duties." This category included "Planning and decision-making," "Organization," "Leadership and motivation," and "Monitoring and control." CONCLUSIONS Hospitals and managers were less prepared to cope with the Covid-19 crisis challenges due to health system organizations' less attention to biological crises. Healthcare organizations can carefully evaluate these challenges, and the strategies managers adopt to deal with these problems. They also can identify the strategies' strengths and weaknesses and propose more effective strategies. As a result, healthcare organizations will be better prepared for similar crises.
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Affiliation(s)
- Zahra Ebrahimi Rigi
- Department of Nursing, School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr, Iran
| | - Zakieh Namjoo
- Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | - Maryam Jabarpour
- Clinical research unit, Shahid Bahonar Academic Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Mehdi Ahmadinejad
- Department of Anesthesiology, School of Medicine, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | - Maryam Ahmadipour
- Department of Pediatric, School of Medicine, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | | | - Mahlagha Dehghan
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
- Department of Critical Care Nursing, Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
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Ahmadipour M, Lashkari M, Ahmadinejad M. Comparison of Morbidity, Mortality, and Costs of VAP Patients with Non-VAP Patients in the Tertiary Referral Hospital of Kerman, Iran. Tanaffos 2023; 22:61-69. [PMID: 37920318 PMCID: PMC10618589] [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] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 10/01/2022] [Indexed: 11/04/2023]
Abstract
Background Ventilator-associated pneumonia is the most common type of nosocomial infection in ICUs. Hence, this study shall focus on the morbidity, mortality, and costs associated with this infection among ICU patients. Materials and Methods The current research is a prospective descriptive-analytical study. The study population included patients admitted to the Tertiary Referral Hospital of Kerman University of Medical Sciences who were enrolled in the study according to inclusion criteria and demographic characteristics data, length of stay in ICU and general wards, and direct and indirect medical expenses such as unemployment and rehabilitation cost, etc. Results Nine of the 144 patients studied died. (4 in the Ventilator-Associated Pneumonia (VAP) group and 5 in the non-VAP group). Among them, the prevalence of Acinetobacter Baumannii was significantly higher than other bacteria (P-Value=0.001). The duration of hospitalization in the ICU (18±9 vs. 9.5±6 days) and recovery time (21.6±9 9.6 vs. 13.2±7 days) were higher in the VAP group (P-Value<0.05). Moreover, the duration of hospitalization in the general ward was 15.4±8 days in the VAP group and 10.6±6 days in the non-VAP group (P-Value<0.05). The cost of treatment in the VAP group ($7952.28) was significantly higher than in the non-infected group ($4400.98). The average rehabilitation cost in the VAP group was $2571.42 and in the non-affected group was $1530.88. The financial loss due to the delay in work starting was $482 in the non-VAP group which was significantly less than the VAP group ($792). Conclusion Having VAP can significantly increase mortality, length of stay in the ICU as well as increase direct and indirect costs for patients.
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Affiliation(s)
- Maryam Ahmadipour
- Department of Pediatrics, Kerman University of Medical Sciences, Kerman, Iran
| | - Marzieh Lashkari
- Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Mehdi Ahmadinejad
- Department of Anesthesia, Kerman University of Medical Sciences, Kerman, Iran
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Ahmadipour M, Dehghan M, Ahmadinejad M, Jabarpour M, Mangolian Shahrbabaki P, Ebrahimi Rigi Z. Barriers to hand hygiene compliance in intensive care units during the COVID-19 pandemic: A qualitative study. Front Public Health 2022; 10:968231. [PMID: 36062108 PMCID: PMC9433968 DOI: 10.3389/fpubh.2022.968231] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 07/28/2022] [Indexed: 01/25/2023] Open
Abstract
Background The practice of hand washing is an effective way to prevent contamination and disease transmission. Following the COVID-19 pandemic, hand washing has become increasingly important. Therefore, this qualitative study aimed to understand barriers to hand hygiene compliance among healthcare workers during the COVID-19 pandemic. Materials and methods Twenty-five healthcare workers from intensive care units were sampled using purposive sampling in a qualitative content analysis study. Data were collected through a semi-structured interview and field notes. Based on the Lundman and Graneheim approach, the data were analyzed. COREQ checklist was used to report the research. Results According to the findings, there are three main categories of barriers to hand hygiene practice: barriers related to individuals (including two subcategories of lack of knowledge of healthcare workers and healthcare workers' improper attitude), barriers related to management (including two subcategories of wrong behavioral patterns and unsuitable training and planning), and barriers related to organizations (including four subcategories of heavy workloads, improperly designed wards, a lack of equipment, and lack of quality equipment). Conclusions This research indicates that hand washing practice increased during the COVID-19 pandemic. Nevertheless, some barriers persist, resulting in a decline in hand washing compliance among health care workers. This finding can help managers and policymakers remove barriers to hand washing compliance and improve healthcare workers' adherence to hand washing.
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Affiliation(s)
- Maryam Ahmadipour
- Department of Pediatric, School of Medicine Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | - Mahlagha Dehghan
- Department of Critical Care Nursing, Facullty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Mehdi Ahmadinejad
- Department of Anaesthesiology, School of Medicine, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | - Maryam Jabarpour
- Clinical Research Unit, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | | | - Zahra Ebrahimi Rigi
- Department of Nursing, School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr, Iran
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Ahmadipour M, Sattari H, Nejad MA. Incidence and risk factors related to anxiety of children and adolescents before elective surgery. Eur J Transl Myol 2022; 32. [PMID: 35546729 PMCID: PMC9295168 DOI: 10.4081/ejtm.2022.10449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2022] [Accepted: 03/11/2022] [Indexed: 11/22/2022] Open
Abstract
The goal of this study was to evaluate the preoperative anxiety in children and adolescents and to identify some of the risk factors associated with the incidence of anxiety in 9–18 years old group. Children and adolescents 9–18 years old hospitalized the night before elective surgeries were analyzed in terms of incidence and severity of anxiety using the State-Trait Anxiety Inventory (STAI) measure. Of the 164 patients, 111 (67.6%) suffered from preoperative anxiety. The incidence of anxiety in children aged 9–12 was 2.88 times the anxiety of those aged 12–18 (OR = 2.88) (1.65, 5.98). Moreover, the incidence of anxiety in only children was 0.65 times that of children with siblings (OR = 0.78) (0.11,2.93), and in patients with a history of hospitalization, the incidence was 1.85 times the stress in children without hospitalization history (OR = 1.85)(1.31,3.99); finally, the incidence of anxiety in children of higher socioeconomic status was lower compared with those of lower socioeconomic status (OR = 0.13) (0.08,0.35). Having close frend or family in the healthcare staff decreased the prevalence (OR = 0.64 (0.23,1.79) and severity of anxiety (47.02 ± 5.48 vs. 54.18 ± 7.18) (P-value = 0.001). There was no relationship between gender and the incidence of anxiety (OR = 1). Incidence of preoperative anexiety in foriner was1.72 times of persion patients (OR=1.72) (0.99,4.25). The severity of anxiety was lower in boys (46.22 ± 6.68) compared with girls (52.55 ± 7.52) (P-value = 0.002) and lower in patients of medium-to-high socioeconomic status (43.64 ± 5.45) compared with those with lower socioeconomic status (49.66 ± 6.49) (P-value = 0.003). There was no relationship between being an only child and severity of anxiety (P-value = 0.54) (48.31 ± 5.05 vs. 48.12 ± 6.81). However, anxiety was more severe in patients with a history of hospitalization (50.55 ± 4.64) (49.2 ± 6.23) (P-value = 0.09). Severity of anexiety was not dependent to nationality of patients(P-value = 0.6) .Taken together, our data suggest that various methods should be used to reduce anxiety and associated complications, regarding the high prevalence of anxiety in mentioned groups of children and adolescents.
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Affiliation(s)
- Maryam Ahmadipour
- Faculty of Medicine, Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman.
| | - Hossein Sattari
- Medical school of Kerman University of. Medical sciences, Kerman.
| | - Mehdi Ahmadi Nejad
- Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman.
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Zakeri MA, Dakkalirad A, Saedi F, Shahnavazi A, Kordi M, Ahmadipour M, Dehghan M. Depression and Self-Efficacy Among Iranian Children During the Prevalence of COVID-19 Disease. Front Pediatr 2022; 10:888712. [PMID: 35844744 PMCID: PMC9279903 DOI: 10.3389/fped.2022.888712] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 05/31/2022] [Indexed: 11/17/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) outbreak has quickly endangered the physical and mental health of people in the community, particularly vulnerable people such as children. This study was carried out to investigate the depression and self-efficacy of Iranian children during the COVID-19 outbreak. This cross-sectional research was conducted on 321 students aged 8 to 17 in southeast Iran. A social media-based online questionnaire was used to collect data. The information was gathered using demographic and COVID-related items, the Children's Depression Inventory (CDI), and the Self-Efficacy Questionnaire for Children (SEQ-C). No significant correlation was observed between depression and self-efficacy of children (P = 0.23). However, in subscale of CDI, negative mood, ineffectiveness and negative self-esteem had a significant correlation with self-efficacy (<0.001). Depression had a significant correlation with family income (p = 0.017), being at risk of coronavirus infection (p = 0.036), effectiveness of preventive measures (p = 0.015) and how information about the coronavirus disease was obtained (p = 0.018). According to the results, the mean score of depression was higher than the midpoint of the questionnaire in Iranian children, therefore, it is needed to take the necessary measures and treatment plans to reduce the rate of depression in children. Further research is needed to assess and prevent childhood depression.
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Affiliation(s)
- Mohammad Ali Zakeri
- Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.,Non-communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Abdollah Dakkalirad
- Tropical and Communicable Disease Reasearch Center, Iranshahr University of Medical Sciences, Iranshahr, Iran
| | - Fahimeh Saedi
- Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran
| | - Allahyar Shahnavazi
- School of Nursing and Midwifery, Iranshahr University of Medical Sciences, Iranshahr, Iran
| | - Mehri Kordi
- Nursing Office, Iranshahr University of Medical Sciences, Iranshahr, Iran
| | - Maryam Ahmadipour
- Department of Pediatric, Afzalipour Hospital, Afzalipour Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
| | - Mahlagha Dehghan
- Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
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Abbaslou P, Ahmadipour M. Case report of a piece of dishwashing steel wool in a child’s pharynx. J Emerg Pract Trauma 2020. [DOI: 10.34172/jept.2020.09] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objective: Foreign body swallowing is a common pediatric problem. A foreign body in the pharynx is a medical emergency that requires urgent intervention. Evaluation and treatment of pharyngeal foreign bodies is much more difficult in children than in adults and sometimes requires hospitalization and removal of the foreign bodies under general anesthesia due to children’s lack of cooperation. Fish and chicken bones are the most common swallowed foreign bodies, but an interesting case of a piece of dishwashing steel wool stuck in a child’s pharynx is reported in this article. Case Presentation: A 10-year old boy was presented with a history of dysphagia from five weeks ago. Oral examination did not reveal anything significant. In lateral neck radiographs of the patient, a metal wire was observed in the hypopharyngeal region opposite the 4th and 5th cervical vertebrae. Endoscopic attempts to remove the foreign body were not successful. Therefore, the foreign body was removed from the patient’s pharynx in the operating room under general anesthesia. No complications were observed. Conclusion: Despite the prevalence of swallowing foreign bodies in children, ingestion of a piece of dishwashing steel wool not diagnosed for three weeks was considered interesting to report. Pharyngeal foreign bodies are medical emergencies; therefore, it is particularly important to suspect the presence of a foreign body and perform diagnostic procedures.
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Affiliation(s)
- Parvin Abbaslou
- Department of Pediatric, Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
| | - Maryam Ahmadipour
- Department of Pediatric, Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran
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Ahmadinejad M, Ahmadipour M. COMPARISON OF THE EFFECT OF LOW FLOW AND HIGH FLOW OXYGEN THERAPIES ON LUNG CONTUSION PATIENTS’ RESPIRATORY PARAMETERS. JPJB 2020. [DOI: 10.17654/jb017010071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Ahmadinejad M, Bilesteh Y, Ahmadipour M. Prevalence and Risk Factors of Bacterial Meningitis after Craniotomy in Shahid Bahonar Hospital of Kerman in 2016. JPRI 2019. [DOI: 10.9734/jpri/2019/v27i530180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Objective: Postoperative infections of the central nervous system are common complications of neurological surgeries, which can lead to bad consequences for the patient and increase the cost of treatment. Incorrect diagnosis or treatment of meningitis after craniotomy can lead to irrecoverable disabilities. Therefore, this study tends to investigate the prevalence and risk factors of bacterial meningitis after craniotomy in Shahid Bahonar Hospital of Kerman.
Methods: This was a cross-sectional, analytical, descriptive study. The statistical population was 146 patients who underwent craniotomy in Shahid Bahonar Hospital of Kerman during 2016. To find out the relationship between each risk factor and meningitis, multivariate logistic regression was used. Data was analysed by SPSS software version 16. For comparison of percentages between two groups, Chi-square test or Fisher's exact test was used. In order to compare quantitative variables between the two groups, independent t-test was used; if the data was nonparametric, U-Mann-Whitney test was used.
Results: Of 77 patients, who underwent elective surgery, 5 cases (6.5%) developed bacterial meningitis; of patents that underwent emergency surgery, 8 cases (11.6%) developed bacterial meningitis. Two of 43 female patients (4.7%) and 11 of 103 male patients (10.7%) developed bacterial meningitis of patients with underlying disease, 4 (5.6%) patients developed bacterial meningitis and 9 (12%) of other patients developed bacterial meningitis. There were 4 cases of cerebrospinal fluid leakage. Of 146 patients, 13 cases (8.9%) developed bacterial meningitis, of which 5 had positive bacterial CSF culture; one case of Acinetobacter baumannii, one case of Staphylococcus Epidermidis ,one case of Streptococcus pyogenes, one case of Staphylococcus aureus and one case of Pseudomonas aeruginosa were reported.
Conclusion: It can be concluded that prevalence of bacterial meningitis increases with the increase in the number of received blood units, the presence of associated infection, the increase in duration of stay in hospital and ICU, the increase in duration of mechanical ventilation and repeated craniotomy and lower GCS.
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Ahmadinegad M, Lashkarizadeh MR, Ghahreman M, Shabani M, Mokhtare M, Ahmadipour M. Efficacy of Dressing with Absorbent Foam versus Dressing with Gauze in Prevention of Tracheostomy Site Infection. Tanaffos 2014; 13:13-19. [PMID: 25506371 PMCID: PMC4260068] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/30/2014] [Accepted: 05/28/2014] [Indexed: 06/04/2023]
Abstract
BACKGROUND Tracheostomy site infection can cause numerous problems. Absorbent foam dressing may be able to prevent proliferation of infectious microorganisms by absorbing the tracheostomy stoma exudate. This study aimed to compare the efficacy of absorbent foam with gauze dressing for prevention of tracheostomy site infection. MATERIALS AND METHODS In this double-blind randomized clinical trial, 80 patients (18 to 60 years) hospitalized in the intensive care unit (ICU) due to severe head injury were randomly divided into two groups and early tracheostomy was done for them during the first 2 days. In the first group, gauze was used as tracheostomy site dressing, while in the second, absorbent foam, was placed. Tracheostomy site was checked daily for any sign of infection and samples were taken from the stoma for culture in case of presence of any sign of infection. RESULTS Of a total of 80, 11 had tracheostomy site infection (13.75%), including 7 (17.5%) in the gauze group and 4 (10%) in the foam group. The difference in this regard between the two groups was not significant (P=0.051). Also, the dominant strains in the culture of gauze group were hospital-acquired Gram-negative bacteria (particularly Acinetobacter), while in the foam group, Gram-positives and more commonly Staphylococcus epidermidis were found. CONCLUSION Absorbent foam dressing is not superior to gauze dressings for prevention of tracheostomy site infection.
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Affiliation(s)
- Mehdi Ahmadinegad
- Department of Anesthesiology and Critical Care, Kerman University of Medical Sciences, Kerman, Iran
| | | | - Minoo Ghahreman
- Department of Anesthesiology and Critical Care, Kerman University of Medical Sciences, Kerman, Iran
| | - Mohammad Shabani
- Kerman Neuroscience Research Center, Neuropharmacology Institute, Kerman, Iran
| | - Mahsa Mokhtare
- Department of Anesthesiology and Critical Care, Kerman University of Medical Sciences, Kerman, Iran
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Ajami G, Ahmadipour M, Amoozgar H, Bourzoee M, Cheriki S, Shakiba AM, Edraki MR. Acute Hemodynamic Effects of Single Oral Dose of Bosentan in Patients with Pulmonary Arterial Hypertension Related to Congenital Heart Disease. CONGENIT HEART DIS 2013; 9:343-8. [DOI: 10.1111/chd.12147] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Gholamhossein Ajami
- Division of Pediatric Cardiology; Department of Pediatrics; Shiraz University of Medical Sciences; Shiraz Iran
| | - Maryam Ahmadipour
- Division of Pediatric Cardiology; Department of Pediatrics; Shiraz University of Medical Sciences; Shiraz Iran
| | - Hamid Amoozgar
- Division of Pediatric Cardiology; Department of Pediatrics; Shiraz University of Medical Sciences; Shiraz Iran
| | - Mohammad Bourzoee
- Division of Pediatric Cardiology; Department of Pediatrics; Shiraz University of Medical Sciences; Shiraz Iran
| | - Sirous Cheriki
- Division of Pediatric Cardiology; Department of Pediatrics; Shiraz University of Medical Sciences; Shiraz Iran
| | - Ali Mohammad Shakiba
- Division of Pediatric Cardiology; Department of Pediatrics; Shiraz University of Medical Sciences; Shiraz Iran
| | - Mohammad Reza Edraki
- Division of Pediatric Cardiology; Department of Pediatrics; Shiraz University of Medical Sciences; Shiraz Iran
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Amoozgar H, Ahmadipour M, Amirhakimi A. QT Dispersion and T Wave Peak-to-end Interval Dispersion in Children with Kawasaki Disease. Int Cardiovasc Res J 2013; 7:99-103. [PMID: 24757631 PMCID: PMC3987441] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2013] [Revised: 07/08/2013] [Accepted: 07/13/2013] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND The main complication of Kawasaki disease is the Coronary Artery (CA) involvement and long term follow up of patients depends on the severity of coronary arterial aneurysms, ischemia, and thrombosis. Early diagnosis of these complications can lead to a more desirable outcome for patients. Myocardial ischemia can prolong QT dispersion and increase the risk of cardiac arrhythmias as well as sudden cardiac arrests. Also, T wave peak-to-end (Tp-Te) interval dispersion, which provides a valuable index of transmural dispersion of repolarization, can trigger the arrhythmia. MATERIALS AND METHODS We evaluated the non-corrected QT interval dispersion (QTD) and the corrected QT (QTc) dispersion and measured Tp-Te interval dispersion in 49 Iranian children (28 males and 21 females) with the diagnosis of Kawasaki disease (KD) in the acute phase and 49 age-matched controls in a prospective study from 2009 to 2012. Student's t-test and Pearson correlation were used to analyze the data. All the statistical analyses were performed through the SPSS 16. Besides, P<0.05 was considered as statistically significant. RESULTS Patients with KD had significantly longer QTc dispersion (0.099±0.055 s versus. 0.040±0.018 s; P<0.001), non-corrected QT dispersion (0.075±0.046 versus 0.042±0.019; P<0.001), and Tp-Te dispersion (0.047±0.054 versus 0.022±0.011; P=0.015). The patients with elevation in white blood cell count (above 15000) had a statistically significant increased in QTD (P=0.011). No significant correlation was found between coronary involvement and repolarization indexes. CONCLUSIONS In conclusion, the QT interval (corrected or non-corrected) and the Tp-Te dispersion significantly increased in the patients with KD which shows repolarization changes during the acute phase of KD. However, there is no correlation between the QT interval and the coronary involvement.
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Affiliation(s)
- Hamid Amoozgar
- Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran
| | - Maryam Ahmadipour
- Division of Pediatric Cardiology, Department of Pediatric, Shiraz University of Medical Sciences, Shiraz, IR Iran,Corresponding author: Maryam Ahmadipour, Department of Pediatrics, Nemazee Hospital, Shiraz, IR Iran. Post code: 7193711351, Tel/Fax: +98-7116474298, E-mail:
| | - Anis Amirhakimi
- Division of Pediatric Cardiology, Department of Pediatric, Shiraz University of Medical Sciences, Shiraz, IR Iran
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Ahmadipour M, Rashchi F, Ghafarizadeh B, Mostoufi N. Synergistic Effect of D2EHPA and Cyanex 272 on Separation of Zinc and Manganese by Solvent Extraction. SEP SCI TECHNOL 2011. [DOI: 10.1080/01496395.2011.594848] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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