Nasser Simforoosh, Ameneh Shirin Zafarghandi, Farhad Sepahpanah,
Volume 7, Issue 1 (5-1993)
Abstract
From October 1990, to June 1992, more than 800 electroejaculations and
108 intrauterine inseminations (IUI) were performed in 250 paraplegic males
and their wives. Seven successful pregnancies are the results of this 20-month
effort. This is the first report of electroejaculation and successful pregnancy
with its use in paraplegics in Iran and the Middle East.
Mrk Motamedi, Mr Zafarghandi, Mhs Modaghegh,
Volume 10, Issue 4 (2-1997)
Abstract
Torsion and infarction of the greater omentum are two rare clinical situations
which present as an acute abdomen. Nevertheless, knowledge concerning these
two problems can help the surgeon in proper diagnosis and treatment. Since the
first report on primary torsion by Eitel in 1899, a few hundred more have been
reported and some collective reviews published to date. In this study we will
present a complete review concerning the history, classification, pathophysiology,
clinical manifestations and treatment of these disorders. In addition, we will report
seven cases, four of whom developed primary torsion and the other three
idiopathic segmental infarction of the omentum.
Valiollah Hassani, Maryam Zafarghandi, Mohammad Farhadi,
Volume 24, Issue 2 (8-2010)
Abstract
Abstract
Background
and endotracheal intubation under direct vision in both anticipated and unexpected
difficult intubation situations.
: The LMA CTrach system is a new device for airway managementMethods
different types of elective surgeries. After randomly selecting the patients for intubation
with this new device, the airway characteristics, height, weight, dental overbite
and thyromental distance were all evaluated before induction. Our goal was to explore
primarily the success rate of intubation with LMACTrach.
: We used this system in 100 patients undergoing general anesthesia forResults
all 100 patients. Nonetheless, successful tracheal intubation was performed in 95 patients.
Among our patients, 2 had Mallampati grade IV airways with short necks,
body mass index (BMI) > 30, and without the capability to bite their upper lips.
Amazingly both patients were intubated with this method, proving a device as an assuring
approach in cases of difficulty with ventilation and intubation. Of all patients,
44 were females and 56 males. The mean age was 34 ± 2 years. BMI measured for all
patients was 20-25 except for two cases who had BMI > 30.
: We were able to insert LMA CTrach and provide optimal ventilation inConclusion
and vocal cords during intubation even in difficult cases, it can be assumed that this
device is a precious aid as equal as fiberoptic bronchoscopy for the anesthesiologists.
: Since the LMA CTrach provided us with direct view of the larynx
Armin Khavandegar, Vali Baigi, Mohammadreza Zafarghandi, Vafa Rahimi-Movaghar, Reza Farahmand-Rad, Seyed-Mohammad Piri, Mahgol Sadat Hassan Zadeh Tabatabaei, Khatereh Naghdi, Payman Salamati,
Volume 38, Issue 1 (1-2024)
Abstract
Background: Lengthy hospitalization may lead to an increased hospital-acquired patient complication, including infections, as well as increased costs for both healthcare systems and patients. A few studies evaluated the impact of various clinical and demographic variables on patients' length of stay (LOS). Hence, in this study, we aimed to investigate the impact of various variables on traumatic patients' LOS.
Methods: This is a retrospective single-center, registry-based study of traumatic patients admitted to Taleqani, a major trauma center in Kermanshah, Iran. A Minimal Dataset (MDS) was developed to retrieve traumatic data on demographic and clinical aspects. We used univariable and multiple quantile regression models to evaluate the association between independent variables, including ISS, GCS, and SBP, with LOS. LOS is practically defined as the time interval between hospital admission and discharge. The LOS durations have been presented as median (Q1 to Q3) hours. A p-value of <0.05 was considered statistically significant.
Results: A total of 2708 cases were included in this study, with 1989 (73.4%) of them being male. The median LOS was 87.00 (48.00 to 144.00) hours. When adjusted for systolic blood pressure (SBP), Glasgow Coma Scale (GCS), Injury Severity Score (ISS), and cause of injury, the two characteristics of spine/back and multiple trauma were significantly associated with the higher LOS, with 43 (20.5 to 65.48) and 24 (10.39 to 37.60) hours more than extremities (P < 0.001 and P = 0.005). Besides, the patients admitted due to road traffic injuries (RTI) were discharged 16 and 41 hours later than falling and cutting/stabbing (P = 0.008 and < 0.001, respectively). Moreover, the patients with ISS≥16 and 9≤ISS≤15 had a median of 51 (21 to 80) and 34 (22 to 45) LOS hours more, compared to 1≤ISS≤8, respectively (P < 0.001). The trauma cases experiencing SBP ≤ 90 mmhg on admission had a median of 41 (20 to 62) hours more hospitalization period than those with SBP> 90 mmhg (P < 0.001). At last, the patients with GCS of 9 to 12 and GCS of 3 to 8 were hospitalized for 39 and 266 hours more than GCS of 13 to 15 (P < 0.001).
Conclusion: Determining independent determinants of prolonged LOS may lead to better identifying at-risk patients on admission. Trauma care providers should consider the following risk factors for increased LOS: higher ISS, Lower GCS, and SBP, multiple trauma or spine injury, and trauma resulting from falling or cutting/stabbing. As a result, the impact of extended LOS might be reduced by intervening in the related influencing factors.
