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Showing 3 results for Saberi
Zahra Hosseini, Hamid Peyrovi, Mahmud-Reza Gohari, Aliya Saberi,
Volume 3, Issue 2 (9-2014)
Abstract
Abstract
Aim. The study was conducted to examine the effect of passive range of motion exercises on motor function of patients in acute phase of stroke.
Background. Stroke is one of the most common cerebrovascular disorders. Continuous repetitive exercises in the first six month of stroke may restore significant part of sensory-motor function.
Method. In a randomized controlled trial, the patients with moderate or sever ischemic stroke who experienced hemiparesis or hemiplegia were recruited. Motor function level of defected limb was assessed based on “modified ashworth scale” and motor strength scoring tool. Patients in experimental group (n=37) received passive range of motion exercises, within the 48h of onset of stroke, 6-8 times with 30-45 minutes duration. Patients in control group (n=24) received conventional care. The groups were compared one month after intervention. Findings. The most recovery was found in upper extremity strength after first month (3.45) relative to basic assessment (2.36). In experimental group, motor strength of upper and lower extremity improved, one month after intervention (P<0.0001). The results showed recovery in motor strength just in upper extremity of control group, after one month (P=0.012). Intervention had no effect on muscle tone. Conclusion. According to more positive changes in motor function of experimental group after one month, it is suggested to apply the intervention for this group of patients.
Banafsheh Ghorbani, Nasibeh Ashouri, Kianoush Saberi, Fatemeh Bahramnezhad, Shariat Esmail,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. The purpose of this study was to report a case of mitral valve thrombosis.
Background. Cardiac valve diseases are among the most important diseases, which is widespread despite many treatments. Among the wide range of treatments, replacement or repair of the valve are among the standard treatments. This treatment has many side effects that can be prevented by adhering to a proper diet. The present reports a rare case of mitral valve thrombosis.
Case Report. A 50-year-old female patient undergoes mitral valve replacement (mechanical) and tricuspid valve replacement (mechanical) dated 2018. After discharge, she was treated with 5 mg Warfarin and 80 mg ASA. She returned to the hospital due to progressive shortness of breath. A rare complication of mitral valve thrombosis was diagnosed.
Conclusion. Mitral mechanical valve thrombosis is a rare but dangerous complication. Although thrombosis is closely associated with anticoagulant drug use, this study and similar studies have shown that there is usually no clear relationship between INR and thrombosis.
Tahereh Najafi Gezelje, Seyedeh Marziyeh Moosavi, Peyman Saberian, Shima Haghani,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The present study aims to determine the performance of “Tehran 115 medical emergency” dispatchers in providing services to patients with chest pain.
Background. Chest pain is one of the most common problems for which individuals call medical emergency services. The pace, accuracy, and integration of services by medical emergency dispatchers are highly important to decrease mortality and disability rates.
Method. A cross-sectional descriptive study was carried out on 397 voice records of 80 dispatchers in “Tehran 115 medical emergency services” about chest pain in January 2019. Data gathering was done using the Dispatcher Performance Assessment Checklist. All the obtained scores by the checklist were analyzed in SPSS (V.22).
Findings. All voice records demonstrated an acceptable performance of the dispatchers. The mean score of performance in consultation section was 18±2.66 ranged from 9 to 20. The mean score of performance in key questions section was 35.95±2.16 with a score range from 28 to 38. The total mean score of performance was 53.95±3.57 with a score range from 43 to 58. In addition, employment status (P=0.039) and work experience (P=0.020) were significantly related to dispatchers’ performance in terms of assessing chest pain.
Conclusion. Assessment according to the checklist items and provision of proper consultation services to the patients and patient companions by the 115 dispatchers resulted in a better and timely diagnosis, faster dispatch of ambulance, less damages sustained by heart patients, and prevention of death. The findings emphasized on the necessity of adhering to the questions algorithm and uniform work procedure by dispatchers nationwide. This should be an integral part of telephone triage. Observation of national standard prevents probable damages to patients due to wrong or personalized decision making.
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