Papers by zakiyeh jafaryparvar
International Wound Journal
Journal of Burn Care & Research
Burns are a leading cause of global mortality and disability. Burns have the mental, psychologica... more Burns are a leading cause of global mortality and disability. Burns have the mental, psychological and physical impact on the sufferers. Burn patients need special care, both physical and mental, and majority of them are suffering from symptom of difficulty, such as depression, anxiety, post-traumatic stress disorder, and isolation. Finding the predictors of post-burn anxiety and depression can accelerate the treatment and recovery process and maintain the mental health of the patients. The present study investigated the depression and anxiety predictors in burn patients admitted to a medical facility in northern Iran. The present study is a descriptive-analytical study with a cross-sectional methodology on all the burn patients (n = 611) admitted to the Velayat Subspecialty Burn and Reconstructive Surgery Center, Rasht, Iran during 2013–2019. The study tools included the demographic and clinical questionnaire and the Symptom Checklist-90-Revised (SCL-90-R) for anxiety and depressio...
Oxford Medical Case Reports, 2018
Primary simultaneous multiple organs teratomas are extremely rare. They usually arise in the gona... more Primary simultaneous multiple organs teratomas are extremely rare. They usually arise in the gonads, and only 1–3 % of them arise in the mediastinum. We present a case of simultaneous multiple organs immature teratomas who was admitted to Razi hospital because of cough, dyspnea, and left-side supraclavicular mass. Computed tomography (CT) showed a big mass with multiple high densities, nodular, semi-solid, heterogenic structures on the left side of the neck, left-side anterior mediastinum, right-side middle mediastinum and right-side suprarenal region. CT-guided needle biopsy was performed and histopathological study showed immature teratoma. After performing neoadjuvant therapy, the tumors were removed. The patient underwent chemo radiation therapy on the mediastinum and abdomen. On 6-months follow-up, he was asymptomatic. This case is being reported because of the rarity of multiple organs immature teratomas and informing other clinicians about managing these cases.
Journal of Guilan University of Medical Sciences, 2018
European journal of trauma and emergency surgery : official publication of the European Trauma Society, Jan 21, 2018
Burns are considered as one of the most serious health problems throughout the world. They may le... more Burns are considered as one of the most serious health problems throughout the world. They may lead to adverse consequences and outcomes. One of these outcomes is unplanned readmission. Unplanned readmission has been commonly used as a quality indicator by hospitals and governments. This study aimed to determine the predictors of unplanned readmission in patients with burns hospitalized in a burn center in the North of Iran (Guilan province, Rasht). This retrospective analytic study has been done on the medical records of hospitalized patients with burns in Velayat Sub-Specialty Burn and Plastic Surgery Center, Rasht, Iran during 2008-2013. In general, 703 medical records have been reviewed but statistical analysis was performed on 626 medical records. All data were entered in SPSS (version 16) and analyzed by descriptive and inferential statistics. Among 626 patients with burns, the overall readmission rate was 5.1%. Predictors of readmission included total body surface area (OR 1....
AJN, American Journal of Nursing, 1969
Iranian Journal of Vascular Surgery and Endovascular Therapy, 2021
Varicose veins are the most common human vascular disease. For the past two decades, intravenous ... more Varicose veins are the most common human vascular disease. For the past two decades, intravenous destruction techniques, laser therapy, radiofrequency ablation (RFA), and ultrasound-guided foam sclerotherapy (UGFS) are some of these intravenous techniques which have been used as an alternative to the surgical removal of saphenous varicose veins. This cross-sectional analytical study was performed on 35 patients with venous insufficiency of the lower extremities who were referred to Razi Hospital Vascular Surgery Clinic, during the first 6 months of 2019. Patients were treated with RF and UGFS which were performed by a vascular surgeon. A checklist with necessary information was prepared for patients individually. The sexual frequency of patients with 25 cases (71.4%) was male and 10 cases (28.6%) were female. Totally, 25 cases (71.4%) were treated by sclerotherapy method and 10 cases (28.6%) were treated by RF. The results of our study showed that there was no significant differen...
ACTA MEDICA IRANICA
Vitamin D plays a crucial role in calcium metabolism through the parathormone-dependent process. ... more Vitamin D plays a crucial role in calcium metabolism through the parathormone-dependent process. The deficiency of this important nutrient may be associated with hypocalcemia after thyroidectomy. To evaluate the role of vitamin D in predicting hypocalcemia following total thyroidectomy. In this study, sixty-two patients who underwent total thyroidectomy for benign or malignant thyroid disease were included in this prospective study. Preoperative vitamin D serum levels and parathormone (PTH) levels were determined. The association between preoperative vitamin D status and the development of hypocalcemia was investigated. In this study, 62 patients were evaluated. The mean age of the subjects was 47 years. Of the 62 patients studied, of which 9 were male patients (14.5%), and 53 were female (85.5%), the results of our study showed. In both groups with and without vitamin D deficiency, calcium levels decreased significantly (P=0.01). In our study, it was found that there was no signifi...
Journal of Mazandaran University of Medical Sciences, 2020
Background and purpose: Despite extensive studies on prevention and management of deep vein throm... more Background and purpose: Despite extensive studies on prevention and management of deep vein thrombosis (DVT), less attention has been paid to chronic venous insufficiency. The persend study aimed to investegite the incidence and clinical signs of post thrombotic syndrome in patients with deep vein thrombosis. Materials and methods: A descriptive retrospective study was done in patients with DVT from 2010 to 2013 in Rasht, Iran. Informed written consent was taken from the patients who were willing to participate in this research and photolithography was performed. Demographic and clinical information, underlying diseases, and photolithography results were recorded. Results: A total of 153 lower limbs was evaluated (mean age of the patients: 14 ± 50 years). In most of the samples, the DVT involvement was iliofemoral (43.1%) and the mean time from developing DVT was 2.8 ± 0.83 years. In these patients, the most common symptoms were edema (66%), telangiectasia (47.7%), and pain (43.8%)....
Ectopic pregnancy is an urgent and life-threatening condition that must be diagnosed and treated ... more Ectopic pregnancy is an urgent and life-threatening condition that must be diagnosed and treated rapidly. The aim of the current study was to evaluate outcomes and complications of uterine arterial embolization (UAE) in patients with cervical ectopic pregnancy and ectopic pregnancies caused by surgical incisions. In a retrospective study, all patients with cervical and incisional ectopic pregnancies treated by administration of methotrexate and bilateral angioembolization of the uterine artery between September 2012 and September 2017 were reviewed. Inclusion criteria include all pregnancies with abdominal or pelvic pain, vaginal bleeding or spotting with the diagnosis of cervical or incisional ectopic pregnancy undergoing the operation of uterine artery angioembolization. Mothers with a history of kidney diseases, high diastolic blood pressure, and allergy to radiocontrast agents, active hyperthyroidism, and unwillingness to undergo the surgery were excluded from the study. The pat...
Background: Due to the Covid 19 pandemic and the lack of useful information, in this study, we ev... more Background: Due to the Covid 19 pandemic and the lack of useful information, in this study, we evaluated the hrct of patients with Covid 19Method: 92 patients confirmed by RT_PCR in Razi Hospital in Rasht were included in the study. In addition to their demographic and clinical information, their hrct findings were collected for evaluation. Among 92 patients (47 men, 45 women), the earliest symptoms included cough (81.5%), fever (67.4%), and muscle pain (58.7%) And Six patients required intubation and mechanical ventilation at some point during their hospital stay.Results: The most common hrct findings in our study were grade 4, peripheral lesion 87%, bilateral 95.7%, mixed 76.08%, ggos 75%, left lower lobe 94.56%. Among 92 patients, we had some inconsistent findings including two patients with cardiomegaly, three patients with pleural effusion, and bilateral pleural effusion in only one patient Conclusion: Compared to other studies, it can be concluded that peripheral, bilateral, m...
Nursing Open
This study aimed to determine the predictors of hospital stay and mortality in patients with burns.
Hormozgan Medical Journal, Dec 3, 2019
Introduction: The incidence of melanoma has remarkably increased over the last years. It commonly... more Introduction: The incidence of melanoma has remarkably increased over the last years. It commonly involves the extremities in females and the trunk in males. Cutaneous malignant melanoma (CMM) of the breast accounts for less than 5% of all melanomas. Case Presentation: A 60-year-old man referred with a black pigmented skin lesion (4 × 2 cm) on the periareolar skin in the upper inner quadrant of the right breast without nipple retraction. The patient mentioned that he failed medical follow-up of the lesion, which had been excised for about a year in 2016 as a CMM that resulted in its rapid growth. Examinations revealed a mole (4 cm) on the right areola and also a palpable axillary lymph node. Incisional biopsy reported malignant melanoma. After final confirmation, he underwent a modified mastectomy. The pathology report revealed that nipple and areolae were free of tumor, however, a deep margin and two axillary lymph nodes were involved, which resulted in considered adjuvant radiotherapy. Two months after the surgery, his health condition was normal without any sign of recurrent metastasis. Conclusions: In this case, the modified mastectomy was inevitably done and no recurrence or complication was observed.
Tropical medicine & international health : TM & IH, Jan 29, 2018
To evaluate the quality of life (QoL) of patients with Chagas disease (CD) and the association be... more To evaluate the quality of life (QoL) of patients with Chagas disease (CD) and the association between QoL domains and several clinical, socioeconomic and lifestyle characteristics of this population. Cross-sectional observational study conducted from March 2014 to March 2017 including a total of 361 outpatients followed at Evandro Chagas National Institute of Infectious Disease, Brazil. QoL was assessed using the Portuguese shorter version of the original WHO Quality of Life questionnaire (WHOQOL-BREF). Information about clinical CD presentation, presence of comorbidities, functional class, previous benznidazole treatment, socioeconomic profile and lifestyle was also obtained. Environment and physical domains presented the worst QoL scores, while the social relationship domain presented the highest score. Multivariate regression analysis demonstrated that variables independently associated with QoL were functional class, sex, clinical presentation of CD, sleep duration, schooling, ...
Tabari Biomedical Student Research Journal
Introduction: The purpose of this longitudinal study was to determine the extent of hemodynamic c... more Introduction: The purpose of this longitudinal study was to determine the extent of hemodynamic changes after carotid antrectomy in patients with carotid artery stenosis hospitalization to intensive care unit (ICU) of Razi Hospital and how factors affect it and provide necessary measures to improve blood pressure control and increase the quality of life in these patients. Material and Methods: This is a longitudinal study in which all patients with carotid artery stenosis referred to Razi Hospital of Rasht from 2006 to 2016 who underwent carotid endarterectomy were enrolled. Changes in vital signs including systolic and diastolic pressure, heart rate and body temperature of patients who were checked every 6 hours before and after surgery, in the second 24 hours after surgery, ICU, Length of hospital stay and ICU mortality were recorded. Results: In this study, the mean age of patients was 68.42 ± 9.97 years. Sixty-four (97%) patients had at least one underlying disease. Our results ...
Abstract
Introduction
Burns are considered as one of the most serious health problems throughout ... more Abstract
Introduction
Burns are considered as one of the most serious health problems throughout the world. They may lead to adverse consequences and outcomes. One of these outcomes is unplanned readmission. Unplanned readmission has been commonly used as a quality indicator by hospitals and governments. This study aimed to determine the predictors of unplanned readmission in patients with burns hospitalized in a burn center in the North of Iran (Guilan province, Rasht).
Methods
This retrospective analytic study has been done on the medical records of hospitalized patients with burns in Velayat Sub-Specialty Burn and Plastic Surgery Center, Rasht, Iran during 2008–2013. In general, 703 medical records have been reviewed but statistical analysis was performed on 626 medical records. All data were entered in SPSS (version 16) and analyzed by descriptive and inferential statistics.
Results
Among 626 patients with burns, the overall readmission rate was 5.1%. Predictors of readmission included total body surface area (OR 1.030, CI 1.011–1.049), hypertension (OR 2.923, CI 1.089–7.845) and skin graft (OR 7.045, CI 2.718–18.258).
Conclusion
Considering the outcome, predictors following burn have a crucial role in the allocation of treatment cost for patients with burns and they can be used as one of the quality indicators for health care providers and governments.
Keywords
Burns Complications Inpatients Readmission Iran
Introduction: The advances in the field of burn treatment resulted in increased survival of burn ... more Introduction: The advances in the field of burn treatment resulted in increased survival of burn patients, which led to increased attention to the issues associated with the quality of life. The assessment of the quality of life and the associated factors might help in identifying the needs of affected patients and designing suitable therapeutic and supportive programs.
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Papers by zakiyeh jafaryparvar
Introduction
Burns are considered as one of the most serious health problems throughout the world. They may lead to adverse consequences and outcomes. One of these outcomes is unplanned readmission. Unplanned readmission has been commonly used as a quality indicator by hospitals and governments. This study aimed to determine the predictors of unplanned readmission in patients with burns hospitalized in a burn center in the North of Iran (Guilan province, Rasht).
Methods
This retrospective analytic study has been done on the medical records of hospitalized patients with burns in Velayat Sub-Specialty Burn and Plastic Surgery Center, Rasht, Iran during 2008–2013. In general, 703 medical records have been reviewed but statistical analysis was performed on 626 medical records. All data were entered in SPSS (version 16) and analyzed by descriptive and inferential statistics.
Results
Among 626 patients with burns, the overall readmission rate was 5.1%. Predictors of readmission included total body surface area (OR 1.030, CI 1.011–1.049), hypertension (OR 2.923, CI 1.089–7.845) and skin graft (OR 7.045, CI 2.718–18.258).
Conclusion
Considering the outcome, predictors following burn have a crucial role in the allocation of treatment cost for patients with burns and they can be used as one of the quality indicators for health care providers and governments.
Keywords
Burns Complications Inpatients Readmission Iran
Introduction
Burns are considered as one of the most serious health problems throughout the world. They may lead to adverse consequences and outcomes. One of these outcomes is unplanned readmission. Unplanned readmission has been commonly used as a quality indicator by hospitals and governments. This study aimed to determine the predictors of unplanned readmission in patients with burns hospitalized in a burn center in the North of Iran (Guilan province, Rasht).
Methods
This retrospective analytic study has been done on the medical records of hospitalized patients with burns in Velayat Sub-Specialty Burn and Plastic Surgery Center, Rasht, Iran during 2008–2013. In general, 703 medical records have been reviewed but statistical analysis was performed on 626 medical records. All data were entered in SPSS (version 16) and analyzed by descriptive and inferential statistics.
Results
Among 626 patients with burns, the overall readmission rate was 5.1%. Predictors of readmission included total body surface area (OR 1.030, CI 1.011–1.049), hypertension (OR 2.923, CI 1.089–7.845) and skin graft (OR 7.045, CI 2.718–18.258).
Conclusion
Considering the outcome, predictors following burn have a crucial role in the allocation of treatment cost for patients with burns and they can be used as one of the quality indicators for health care providers and governments.
Keywords
Burns Complications Inpatients Readmission Iran