224 results match your criteria: "Rasoul-e-Akram Hospital[Affiliation]"

Background: Total Hip Arthroplasty (THA) is a transformative surgical intervention for hip joint disorders, necessitating meticulous preoperative planning for optimal outcomes. With the emergence of Artificial Intelligence (AI), preoperative planning paradigms have evolved, leveraging AI algorithms for enhanced decision support and imaging analysis. This systematic review aims to comprehensively evaluate the role of AI in THA preoperative planning, synthesizing evidence from studies exploring various AI techniques and their applications.

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  • - The study found that 38.7% of hospitalized patients in Iran reported mental distress, with a higher prevalence in males (52.0%) compared to females (34.0%) and significant variations based on job status and hospital wards.
  • - Data was collected using the General Health Questionnaire-12 (GHQ-12), with scores of 4 or higher designated as "mentally distressed," revealing that retired patients faced the highest rates of distress at 64.7%.
  • - The results emphasize the necessity for combining mental health evaluations with medical care to enhance treatment outcomes and quality of life for hospitalized patients experiencing mental distress.
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This paper provides a comparison and critique of four nursing theories that define nursing as caring for nursing in Iran. The theory evaluation model provided by Meleis was used to organize this comparison. It consists of five phases: description, analysis, criticism, test, and support.

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Background And Objective: Rifaximin is used to treat diarrhea-predominant irritable bowel syndrome (IBS-D). However, determining the most effective regimen remains a challenge. This study aimed to evaluate the effectiveness and safety of a 10-day high-dose course of rifaximin (2200 mg/day) and its effects on both abdominal symptoms and quality of life (QOL) in patients with IBS-D.

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Background: Percutaneous balloon mitral valvuloplasty (PBMV) is the ACC/AHA class I recommendation for treating symptomatic rheumatic mitral stenosis with suitable valve morphology, less than moderate MR and absence of left atrium clot. The mitral valve restenosis and significant mitral regurgitation (MR) are known adverse outcomes of PBMV. This study aimed to evaluate the outcomes of PBMV in patients with severe mitral stenosis and the effect of Commissural Calcification (CC) on the outcomes.

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Objective: Considering the importance of endometriosis and its relatively high prevalence among women, this study sought to investigate clinical and Transrectal and transvaginal ultrasounds (TVS) findings of disease.

Methods: This descriptive-analytical study was performed based on medical records of 155 women with endometriosis admitted to Rasool-e Akram Hospital in Tehran for a TVS. All the sonography data and patients' information were collected into checklists and analyzed in SPSS-25 software (IBM).

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  • Distal radius fractures are common injuries that are increasing in frequency, largely due to aging populations and osteoporosis, leading to a study comparing the effectiveness of two analgesic methods—hematoma blocks and ultrasound-guided nerve blocks.
  • The study involved 120 patients who were randomly assigned to receive either a hematoma block or a radial/median nerve block, with pain levels measured at various intervals during treatment.
  • Results showed no significant differences in pain reduction between the two methods, although analgesic medication was required for 17 patients during the procedure.
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Key Clinical Message: Physicians must be alert for the exocrine pancreatic insufficiency diagnosis through the follow-up of postgastrectomy patients, regardless the severity and lag time. Urgent albumin and pancreatic enzyme replacement should be considered when diagnosed.

Abstract: It is documented that exocrine pancreatic insufficiency (EPI) can develop after gastrectomy.

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Self-assessment of residents in breaking bad news; skills and barriers.

BMC Med Educ

October 2023

Mental Health Research Center, Department of Psychiatry, School of Medicine, Psychosocial Health Research Institute, Rasoul-e-Akram Hospital, Iran University of Medical Sciences, 14456-13131, Tehran, Iran.

Introduction: Breaking bad news (BBN) is inevitable in medicine and is one of the most important and difficult professional tasks of physicians. The main aims of this study are to evaluate residents' practice of BBN and identify perceived barriers to its implementation.

Methods: In this cross-sectional study in 2021, 240 residents from medical, surgical, and emergency medicine departments completed the demographic questionnaire, the Persian SPIKES questionnaire (P-SPIKES), and the researchers-made questionnaire of Barriers to Breaking Bad News (BBBN).

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Introduction: Recently, studies have investigated the relationship between blood types and cancers. Contradictory results regarding the relationship between blood group type and colorectal cancer(CC) have been reported. The purpose of this study was to systematically investigate the distribution of ABO blood group frequency and evaluate its relationship with CC.

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Objective: Psoriasis is a common, auto-immune skin disease characterized by abnormal proliferation and differentiation of keratinocytes. Studies revealed the role of stress stimulators in the pathogenesis of psoriasis. Oxidative stress and heat shock are two important stress factors tuning differentiation and proliferation of keratinocytes, regarding to psoriasis disease.

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In Adolescent Idiopathic Scoliosis (AIS), correction surgery can correct the maximum movement and balance of the spine. Under certain conditions for two simultaneous curvatures, the procedure, in which correcting one of the curvatures can result in the automatic correction of another curvature, is called selective fusion, attracting spine surgeons' interest because of more movement in the spine. However, the majority of surgeons have not used this technique due to the lack of sufficient information.

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Purpose: Studies have shown a high prevalence of food addiction (FA) in bariatric surgery candidates. This study examines prevalence of FA prior to and one year after bariatric surgery and the determinants of preoperative FA. Additionally, this study investigates how preoperative variables affect excess weight loss (EWL) one year after bariatric surgery.

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  • The INSPIRATION-S trial investigated the effects of atorvastatin versus placebo on 90-day outcomes in ICU patients with COVID-19, focusing on complications like thrombosis and mortality.
  • Results showed that atorvastatin users had a slightly lower incidence of severe outcomes compared to placebo (33.1% vs 38.0%), but the difference was not statistically significant.
  • The study indicated a potential benefit of atorvastatin, particularly for patients who began treatment within the first week of symptom onset, with improved functional status noted, although definitive conclusions couldn't be made.
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Background: Multiple sclerosis (MS) is the most prevalent neurological disease among young adults. Because of the chronic nature of this disease, it is important to assess quality of life in these patients. The Multiple Sclerosis Quality of Life -29 (MSQOL-29) questionnaire which contains two main scales, Physical Health Composite (PHC) and Mental Health Composite (MHC), has been designed for this goal.

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Background: Coronavirus disease 2019 (COVID-19) has given rise to several new onset or exacerbated dermatologic disorders including vitiligo.

Aim And Method: Here, we present different aspects of relationship between SARS-CoV-2 infection or its associated vaccines and vitiligo and aim to provide solutions to overcome the potential challenges.

Results And Conclusion: In brief, as the benefits overweigh the risks and since vaccine-triggered de novo or flares of vitiligo are uncommon and benign, these patients are recommended to get SARS-CoV-2 vaccines.

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The optimal treatment of flat foot is still controversial. In this study, we evaluated the outcome the Mosca's lateral column lengthening with the advancement of the tibialis posterior. In a retrospective study .

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Background: To avoid skin necrosis, an 8 cm distance between the new and previous incision is recommended in patients undergoing total knee arthroplasty (TKA). It was hypothesized that making a new incision less than 8 cm of the prior scar does not increase the risk of skin complications, and the new incision can be made anywhere, regardless of the distance from the previous scar. This study investigated how making a new incision, irrespective of the previous scars, affects skin necrosis.

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Flatfoot is a relatively frequent deformity seen in almost 5% of children. It is classified into flexible and rigid flatfoot. Symptomatic flexible flatfoot (FFF) can be managed using several procedures, and calcaneostop is one of the procedures that has gained popularity recently.

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Backgrounds And Aims: One of the most important risk factors for Helicobacter pylori (H. pylori) infection is nutrition. Balanced diets with high antioxidant properties may have protective effects against the consequences of this infection.

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The purpose of this research was to investigate the gene expression levels of inflammatory cytokines interferon (IFN), tumor necrosis factor (TNF), interleukin (IL)1, IL2, IL6, IL8, and IL17, and anti-inflammatory cytokines IL4, IL10, IFN, and IFN, as well as relevant key transcription factors (TFs), including GATA3, PU1, NF-B (nuclear factor kappa-light-chain-enhancer of activated B cells), IRF3 (interferon regulatory factor 3), BCL6 (B cell lymphoma 6 protein), FOXP3 (forkhead box P3), RORt, and T-bet (T-box expressed in T cell) in Iranian patients with moderate and severe coronavirus disease 2019 (COVID-19). Fifty-six patients with COVID-19, and 25 healthy controls (HCs) age and sex matched were investigated. Based on the interim guidance of COVID-19 from the World Health Organization, the patients were classified into 33 moderate and 23 severe patients with COVID-19.

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Purpose: To evaluate the correlation between whole lung enhancement (WLE) and pulmonary blood volume (PBV) obtained through dual energy computed tomography pulmonary angiography (DECTPA) and echocardiography-derived systolic pulmonary arterial pressure (SPAP).

Methods: Sixty-eight patients who underwent DECTPA were enrolled in the study after giving informed consent. A transthoracic echocardiography was performed for all the subjects within 48 h of their DECTPA study to measure SPAP.

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This is an extremely rare case of scapular winging following posterior spinal fusion for correction of adolescent idiopathic scoliosis in an 18-year-old boy due to iatrogenic injury to a long thoracic nerve. Scapular winging manifested 5 days after the operation and spontaneously improved after 7 months.

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