Iranian Red Crescent medical journal
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Iran Red Crescent Med J · Sep 2014
The ability of bispectral-guided management compared to routine monitoring for reflecting awareness rate in patients undergoing abdominal surgery.
Awareness during general anesthesia in different types of surgery is an important described adverse event. Bispectral (BIS) monitoring is one of the recent techniques proposed to monitor the depth of anesthesia. ⋯ BIS-guided management may not be superior to routine monitoring protocols to prevent awareness as well as hemodynamic changes during general anesthesia in patients undergoing abdominal surgeries.
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Iran Red Crescent Med J · Sep 2014
Case ReportsGastrointestinal basidiobolomycosis accompanied by liver involvement: a case report.
Basidiobolomycosis is a rare disease that, unlike other fungal infections, affects immunocompetent individuals. It is caused by an environmental saprophyte named the fungus Basidiobolus ranarum. Basidiobolomycosis usually appears as a subcutaneous infection. GI basidiobolomycosis is an emerging disease, and the colon is the most frequent involved part of the GI tract. ⋯ GI basidiobolomycosis is a very rare disease which resembles as an infiltrative, infectious, or inflammatory process. Concomitant liver and bowel involvement is extremely rare too. It is an aggressive disease which has a high mortality rate despite treatments like surgical resection and prolonged antifungal therapy.
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Iran Red Crescent Med J · Sep 2014
Case ReportsSpontaneous uterine perforation caused by pyometra: a case report.
Pyometra is an accumulation of purulent material or pus in the uterine cavity. Spontaneous perforation of uterus by pyometra is rare. This is a clinical presentation and management of a spontaneous perforation of uterine caused by pyometra. ⋯ Spontaneous rupture of pyometra duo to cervical cancer in cases of acute abdomen in elderly patients should be considered.
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Iran Red Crescent Med J · Aug 2014
The effects of inhalation aromatherapy on anxiety in patients with myocardial infarction: a randomized clinical trial.
Anxiety is an important mental health problem in patients with cardiac disease. Anxiety reduces patients' quality of life and increases the risk of different cardiac complications. ⋯ Inhalation aromatherapy with lavender aroma can reduce anxiety in patients with myocardial infarction. Consequently, healthcare providers, particularly nurses, can use this strategy to improve postmyocardial infarction anxiety management.
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Iran Red Crescent Med J · Aug 2014
Comparison of ondansetron and meperidine for treatment of postoperative shivering: a randomized controlled clinical trial.
The involved neurotransmitter pathways in the postoperative shivering (POS) are poorly understood. Recently, 5-hydroxytryptamine 3 (5-HT3) receptor antagonists have been reported to prevent POS. We investigated the effect of ondansetron, a 5-HT3 antagonist that is used to treat postoperative nausea and vomiting, on shivering. ⋯ Ondansetron and meperidine have similar effects on shivering. We concluded that 8 mg of intravenous ondansetron can control shivering and this is the dose of choice, especially in patients with POS with nausea and vomiting.