Written by Alireza Abdullahi Baghaee, Hashem Jarineshin, Nasim Abdi, Fereydoon Fekrat

 

Year: 2017

Volume: 1

Issue: 1

Pages: 61-80

 

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Abstract

Dexmedetomidine is a member of the alpha-2 agonist family which is highly specific and has highly selective properties. When used as an adjuvant to Bupivacaine, it has been reported to have positive effects. In this review article, the most important efficacies of Dexmedetomidine as an adjuvant to Bupivacaine including prolonging the analgesic and anesthetic effects of bupivacaine, improving post-operative analgesia, improving analgesic effects of bupivacaine, providing better sedation, shortening the onset of block, improving local anesthesia, providing better hemodynamic stability, and reducing the consumption of analgesic substances are discussed.

Keywords: Dexmedetomidine, Bupivacaine, Adjuvant

Written by Maziyar Rastegar, Maryam Yazdanparast, Sholeh Namazi

 

Year: 2017

Volume: 1

Issue: 2

Pages: 81-87

 

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Abstract

Scorpion sting often occurs in tropical areas. Annually, 1.2 million scorpion stings occur. In some case dysfunction of cardiovascular system and death occurs. Scorpion venom affects left ventricle systolic function and causes heart failure. These effects can be determined using electrocardiogram, cardiac enzymes and echocardiography. Therefore, it is very important to determine patients with cardiac dysfunction following scorpion stings and do important treatments for them.

Keywords: Echocardiography, scorpion sting, cardiac dysfunction

Written by Kambiz Ghasemi, Maziar Rastegar, Hamideh PedvarMohsen Azad

 

Year: 2017

Volume: 1

Issue: 2

Pages: 98-107

 

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Abstract

Introduction: Scorpion envenomation is one of the life-threatening factors and health challenges in tropical and subtropical areas. Annually, scorpion envenomation is reported in 1.2 million cases and the mortality rate is high among children. Considering the complications on the cardiovascular system caused by scorpion venom and the importance of early diagnosis of heart problems in stung children, this study aimed to investigate the relationship between cardiac dysfunction diagnosed by Doppler Echocardiography and Tissue Doppler Imaging methods in patients with scorpion envenomation in Bandar Abbas Children's Hospital in 2017.

Method: This descriptive-analytic study was performed on 80 children aged between 2 months to 14 years who were suffering from scorpion envenomation.  All patients had normal echocardiography and tissue doppler for evaluation of systolic function and mitral inflow echo for evaluation of left ventricular diastolic function by pediatric cardiologist during the first 24 hours post hospitalization (12-72 hours after envenomation). Data were analyzed using SPSS 23 Statistical Software and the proper statistical tests. P-value <0.05 was considered as the significance level for this study.

Results: In this study, 38 patients (47.5%) were girls and 42 (52.5%) were boys with the mean age of 2.59 ± 0.882 years. The time between the scorpion sting and the referral to the hospital was 3.25 ± 1.55 hours. In this study, 12.5% had Tachycardia. In this study, abnormal cardiac function was detected by Ejection Fraction method was 2.5%, by E / Ea 10%, by Aa wave 8.8%, and by S-wave tissue doppler was 10%. However, no abnormality was reported by Isovolumic Relaxation Time. 

Conclusion:  The abnormality of systolic function was reported in 2.5% and 10% of patients using EF wave method and S-wave method respectively. Also, using tissue doppler, most abnormalities in diastolic function were reported by E/E wave method (10%). It is recommended that both Doppler Echocardiography and Tissue Doppler Imaging methods be used for patients stung by scorpions for evaluation of cardiac function and the possible complications of envenomation.

Keywords: Scorpion envenomation, Doppler Echocardiography, Tissue Doppler

Written by Kambiz Ghasemi, Mehran Ahmadi, Fatemeh Keshavarz

 

Year: 2017

Volume: 1

Issue: 2

Pages: 88-97

 

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Abstract

Introduction: Kawasaki disease is an acute vesiculitis that involves medium-sized vessels. The disease affects children and adolescents predominantly. Considering the importance of this disease and the prevalence of it in Bandar Abbas, the aim of this retrospective descriptive study was to compare the clinical and laboratory symptoms of Kawasaki patients admitted to Bandar Abbas Children Hospital during 2012-2015.

Methods: The data was collected using a researcher-made checklist. The checklist had two parts; the first part was non-specialized information such as age, sex, season of illness, and the second part contained specialized information such as clinical and paraclinical manifestations.

Results: The minimum age was two months and the maximum age was 144 months. The highest incidence was between 24-36 months in 7 cases (25%) and the lowest was between 12-24 months in 2 cases (7.1%). In terms of clinical manifestations, 22 cases (78.6%) of conjunctivitis, 23 cases (82.1%) of rash, 21 (75%) cases of lymphopoenitis, and 27 (96.4%) cases of oral cavity complication were observed. Increased ESR in 17 patients (60.7%), leukocytosis in 5 patients (17.9%), anemia in 9 patients (32.1%), thrombocytosis in 8 patients (28.6%), and thrombocytopenia in 2 patients (7.1%) were observed.

Conclusion: Knowledge about the sign and symptoms and laboratory abnormalities in Kawasaki disease is important for early diagnosis and treatment of it.

Keywords: Kawasaki disease, Fever, Anemia

Written by Seyed Hamzeh Seddigh, Behnaz Bahmanyar

 

Year: 2017

Volume: 1

Issue: 2

Pages: 108-121

 

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Abstract

Background and aim: Today, it seems that one of the important duties of universities is to pay attention to moral values as well as students' individual, emotional, and personal growth. Therefore, the purpose of this study was to investigate the moral intelligence of medical students of Hormozgan University of Medical Sciences in 2016.                                    

Method: This is a cross-sectional descriptive study which was conducted on undergraduate students of Hormozgan University of Medical Sciences in 2016. The study population of this study were all 250 students of Hormozgan University of Medical Sciences from whom 122 students were entered into the study using convenience sampling method. The data gathering tool was a two-part questionnaire, the first part included demographic characteristics of the subjects, and the second part contained 40-item questionnaire of Lennick and Kiel's moral intelligence scale which had four dimensions (integrity, accountability, compassion and forgiveness) and 10 indicators. Data were analyzed using descriptive statistics, independent sample t-test, and one way ANOVA using IBM SPSS 19 statistical software. P values less than 0.05 were considered statistically significant.

Results: 154 questionnaires were distributed, of which 147 were completed and returned (95.45%). Fifteen students were (10.2%) 18 years old, 38 (25.9%) were 19, 41 (27.9%) were 20, 38 (25.9%) were 21, 8 (7.4%) were 22, and the rest were over 23 years old, with an average age of 20.29 years with a standard deviation of 2.37 years. There was no significant difference between the level of income and the level of education of parents with any of the indicators of moral intelligence and its final score. There were significant differences between different age groups regarding accountability (P = 0.02) and forgiveness (P = 0.04). However, no difference was found between indicators of integrity (P =0.3), compassion (P = 0.2) and the final score of the moral intelligence. There was also no significant difference between the sex of students and their moral intelligence indicators and their final score (P > 0.05), but there was a significant relationship between the place of residence and the forgiveness index (P = 0.01).

Conclusion: In general, students at Hormozgan University of Medical Sciences had a reasonably acceptable moral intelligence. However, due to the development of this characteristic, it is necessary to provide a supportive environment to encourage students towards the moral values with the help and cooperation of faculty members and professors.

Keywords: moral intelligence, medical students, university