Showing 11 results for Rezaei
Saeid-Reza Entezary, Farnad Imani, Ali Khatibi, Azadeh Rezaei,
Volume 1, Issue 4 (22 2011)
Abstract
Background and aims: Although pregabalin is primarily an anticonvulsive drug and is also
effective on chronic neuropathic pain, there are limited data regarding its effect on acute pain. In
this study we assessed the analgesic effect of pregabalin on acute post operative pain used as
preemptive analgesia in comparison to placebo and compared pain intensity and opium
requirements among placebo and pregabalin group.
Methods and materials: 60 females who scheduled for TAH in Rasoul -Akram hospital were
chosen, aged between 30-70, and weighted between 60 - 80 kg. Thirty had taken oral pregabalin
(300) mg one hour pre surgical procedure, the others received placebo. Pain level and doses of
opioid substance were compared between two groups at 4, 8, 12, 16, 20 and 24 hours after
surgery. Agitation status, nausea, vomiting and dizziness were also recorded and compared.
Results: Pain level at 12, 20, 24 hours were significantly lower in the pregabalin group.
Meperidin needed dosage and agitation level was reduced in the pregabalin group (p < 0.0001).
Nausea and vomiting had no difference between two groups. Dizziness was higher in pregabalin
group (p = 0.03).
Conclusion: Pregabalin as a preemptive drug before surgery can reduce postoperative pain and
agitation. However can increase some complications like dizziness.
Mehrdad Mokaram-Dori, Mohammad Kazem Rezaei Hosein Abadi,
Volume 6, Issue 4 (1-2016)
Abstract
Abstract
Aims and Background: New standards have been developed for pain management in the recent years, and many focused on perioperative pain management to reduce complications during and after the surgery. This study has been designed to determine the impact of ultrasonography on the onset and duration of the analgesia by femoral nerve block after isolated femoral fracture surgery.
Materials and methods: In this randomized clinical trial 48 patients with femoral fracture candidate for plate fixation surgery were randomly enrolled into two groups of 24(nerve stimulator and ultrasonography combined with nerve stimulator). The results were analyzed with SPSS 16 software .P value <0/05 was considered significant.
Finings: The mean onset time of analgesia for nerve stimulator group was 6.375 minutes and for Nerve stimulator with ultrasonography it was 4.333 minutes . Considering the P _ value which was <0.001 for the onset of analgesia, commence of analgesia in ultrasonography group was significantly earlier. The mean duration of analgesia in nerve stimulator group was 299.16 minutes and for ultrasonography with nerve stimulator it was 377.5 minutes ( p<0.001) so long-term analgesia was improved with adding ultrasonography to nerve stimulator.
Conclusions: Ultrasonography improved femoral nerve block efficacy in different aspects such as successful block, time of onset and duration of analgesia.
Amir Asghari Bagh Kheirati, Mostafa Abdollahi, Keyvan Keramati, Fahimeh Rezaei,
Volume 8, Issue 2 (7-2017)
Abstract
Aims and Background: Based on existing scientific information, Thymus vulgaris and Matricaria chamomilla are two kinds of herbs with some anti-inflammatory effects. There are some serious side effects such as psychological dependence or blood dyscrasia subsequent to using synthetic drugs in order to treat unpleasant feeling due to Visceral pain. In order to lessen the side effects, administration of herbal medicines could be helpful. The purpose of this study is evaluating the palliative effects of hydroalcholic extracts of Thymus vulgarisand Matricaria chamomilla and their Synergistic effects on visceral pain. Materials and Methods: This experimental study was performed on 40 N-MRI male mice (36±4g) who were randomly divided into five groups: the Negative Control group treated with normal saline, Positive Control group treated with Flunixin meglumine(2 mg/kg) and the groups of Thymus vulgaris therapy(300mg/kg), Matricaria chamomilla therapy (300mg/kg) and the last one that received both Thymus and Matricaria (total 300mg/kg).These groups received drugs and hydroalcholic extracts with intraperitonial injection. The Mice were injected with acetic acid 0.6% (10ml/kg) to make visceral pain; 15 minutes after each intraperitonial administration, the palliative effects were recorded by counting the number of writhing in 30 minutes. The data was analyzed by SPSS statistical software and One-Way ANOVA (Tukey) test. The significant value was shown with (p <0.001). Findings: Co-administration of Thymus vulgaris (150 mg/kg) and Matricaria chamomilla (150 mg/kg) showed a significant reduction of pain compared to negative control group(p<0.001). But administration of Thymus vulgaris (300 mg/kg) and Matricaria chamomilla(300 mg/kg) seperately, do not induce any significant response compared to negative control group(p>0.001). Conclusion: Co-administration of Thymus vulgaris and Matricaria chamomilla can be more effective than their single administration; however further clinical studies are necessary to find a suitable place for them among other visceral analgesics.
Dr Omidvar Rezaei Mirghaed, Dr Mohammadreza Hajiesmaeili, Dr Kaveh Ebrahimzadeh, Dr Rassoul Noorossana, Omid Shafagh Sorkh, Dr Saeedeh Nateghinia,
Volume 10, Issue 1 (5-2019)
Abstract
Despite surgical, medical, technological, and anesthetic improvements, Patients are faced with various consequences and complications after spine surgery. Accelerate Recovery After Surgery (ERAS) programs is a multimodal, multidisciplinary perioperative care approach that seeks to improve the quality of surgery, reduce complications, reduce the length of stay, and ultimately reduce costs. This program Includes evidence-based guidelines from pre-admission to discharge and recovery time. Due to the complex nature of spine surgery, we demand to design and implementation ERAS in Iran . The success and quality of the implementation of this program depends on strong management, organizational culture, data infrastructure, information systems, and the use of a quality improvement approach with an acceptable design.
Akram Izadi Khah, Mojtaba Ansari Shahidi, Hassan Rezaei Jamaloei, Abbas Haghayegh,
Volume 11, Issue 3 (8-2020)
Abstract
Aims and background: Pain caused by chronic physical illnesses such as migraine headaches causes emotional
and psychological damage to patients. according to this the present study was conducted aiming to Compare the
effectiveness of mindfulness therapy and relaxation on pain in patients with migraine.
Materials and Methods: The present study was quasi-experimental with pretest, posttest, control group and a
two-month follow-up design. The statistical population of the study included the patients with migraine headache
in the town of Shahin Shahr, Isfahan in the first quarter of 2019. 30 patients with migraine headache were selected
through voluntary sampling method and they were randomly replaced into experimental and control groups (15
patients in mindfulness therapy groups, 15 patients in Relaxation therapy groups and 15 in control group). The
experimental groups received 8 sessions of mindfulness therapy sessions of Kabatzin and 7 relaxation sessions of
Ozkan and Rathfisch over two months in 90-minute sessions separately. The applied questionnaire in this study
included Severity of pain questionnaire of Melzack. The data from the study were analyzed through repeated
measurement ANOVA and Bonfrey’s follow-up test.
Results: the results showed that mindfulness therapy and relaxation significantly influences Severity of pain in
patients with migraine headache (p<0.001). In addition, the results of the follow-up test showed that there is a
significant difference between two therapies in variable of pain (p<0.001) and relaxation therapy was more able
to decrease the pain of migraine compared to mindfulness therapy.
Conclusion: According to the findings of the present study it might be stated that Relaxation therapy, due to its
focus on physiological processes such as massage, can be more effective than mindfulness therapy in reducing
the severity of pain in patients with migraine headaches.
Shima Rezaei, Ahmad Ebrahimi Atri, Aliakbar Hashemi Javaheri, Maryam Sahebari,
Volume 12, Issue 1 (4-2021)
Abstract
Aims and background: Rheumatoid arthritis is an inflammatory, autoimmune, chronic, and progressive
connective tissue disease with an unknown cause that is associated with symptoms such as pain, swelling,
tenderness, stiffness, and dryness in the joints and decreased energy, leading to muscle inactivity and atrophy. The
aim of this study was to investigate the effect of Pilates exercises on pain and isometric torque of flexor muscles
and knee extensors in women with rheumatoid arthritis.
Materials and methods: Thirty female patients with rheumatoid arthritis (hip and knee joints) were randomly
divided into two groups (15 experimental groups and 15 control groups). Evaluation of the pain performed with
visual Analogue Scale (VAS) scale and Kin-com 125A isokinetic dynamometer were used to assess the isometric
torque of the muscles. The experimental group performed Pilates exercises for eight weeks and three sessions a
week. Paired t-test and analysis of covariance were used to interpret the data in two groups. (P≤0.05).
Results: The findings showed that the pain of the experimental group after eight weeks of Pilates exercises was
significantly lower than the control group (P <0.05). Also, the isometric torque of the knee flexor and extensor
muscles of the experimental group is significantly better than the control group members (P <0.05).
Conclusion: According to the findings of this study, Pilates exercises can improve the pain and the knee flexor
and extensor muscles isometric torque of patients with rheumatoid arthritis.
Shima Mansourifar., Dr Hasan Rezaei-Jamalouei, Dr Seyyed Mohammad Hassan Emamidehkordi,
Volume 12, Issue 1 (4-2021)
Abstract
Aims and background: Living with the chronic pain of inflammatory bowel disease requires considerable
emotional pressure, as pain reduces a person’s emotional abilities so the aim of this study was to explain the
Structural model of relationships between family communication patterns and quality of life in patients with
inflammatory bowel disease with the pain perception.
Materials and Methods: The research method is cross-sectional correlation using structural equation modeling.
The statistical population of this study consisted of all people with inflammatory bowel disease in Isfahan in 1399,
from which 331 people were selected by convenience sampling. In this study of family communication model
tools, quality of life of inflammatory bowel patient, McGill pain perception were used. Lisrel-V8.8 software were
used to analyze the data.
Results: Findings showed that family communication patterns through pain perception have an indirect and
significant effect on the quality of life of inflammatory bowel patients. The research findings also showed that
the communication component of dialogue has a positive effect on quality of life and negative effect on pain
perception and the compliance component has a negative effect on quality of life positive effect on pain perception.
Conclusion: Based on the findings it can be said that pain perception plays an important role in the quality of life
of inflammatory bowel patients, therefore paying attention to the mentioned variables in prevention and designing
more appropriate treatments helps researchers and therapists.
Maryam Tofangchi, Zohreh Raeisi, Ghamarani Amir, Rezaei Hasan,
Volume 12, Issue 2 (8-2021)
Abstract
Aims and background: As shown in many studies, one of the most important reasons for headaches in individuals is their tendency to self-criticism. Discovering some protective factors in order to moderate this tendency, thus, can be one of the important goals of health psychology research. Therefore, the current study aimed at investigating the relationship between self-compassion and self-criticism in women suffering from tension headaches using structural equation modeling.
Material & Methods: To do so, 110 women with tension-type headaches were selected through purposeful sampling from psychiatric and neurological clinics and specialized headache centers in Isfahan, and were asked to respond to self-compassion and self-criticism questionnaires. The collected data were analyzed using the structural equation modeling (SEM) on Amos and SPSS software programs.
Findings: The results revealed that the presented model fitted the data well. There were negative relationships between positive components of self-compassion (self-kindness, common human humanity, and mindfulness) and self-criticism. On the other hand, there were positive relationships between the negative components of self-compassion (self-judgment, isolation, and over-identification) and self-criticism. The findings showed the research model was appropriately presented.
Conclusions: Therefore, based on the results obtained from the present research, it can be concluded that self-compassion as a protective factor can have a significant impact on self-criticism in women with tension-type headaches.
Maryam Tofangchi, , Amir Ghamarani, Hasan Rezaei,
Volume 12, Issue 4 (1-2022)
Abstract
Aims and background: Distress tolerance is an important psychological phenomenon which affects self-regulation processes including cognitive appraisal of emotional or physical states. Given that individuals with tension-type headaches are most likely to have low levels of distress tolerance, the evaluation of this variable is, therefore, very essential as the initial step of treatment in this population. The present research aimed at evaluating the psychometric properties of the Persian version of Distress Tolerance Scale (DTS) in women suffering from tension-type headaches in Isfahan.
Material & Methods: The research method was a cross-sectional validation study of 110 women with tension-type headaches in Isfahan in 2019. The research population was selected through purposful sampling method. In order to analyze the psychometric properties of DTS, Cronbach's alpha, composite reliability, convergent validity, and confirmatory factor analysis were used.
Findings:: The results showed that the overall Cronbach’s alpha and composite reliability values for DTS were 0.96 and 090, respectively. The convergent validity was obtained as 0.590, suggesting a reasonably good convergent validity for DTS. Furthermore, the one-factor structure of DTS was supported by confirmatory factor analysis.
Conclusions: The findings revealed acceptable validity and reliability of DTS. Thus, DTS can be used as a research and clinical tool among women with tension-type headaches.
Behzad Nazemroaya, Seyed Taghi Hashemi, Moeen Rezaei,
Volume 13, Issue 3 (11-2022)
Abstract
Background: Propofol is commonly used in anesthesia practice because of its rapid recovery time, but pain upon injection is one of the unfavorable complications of this drug, which can cause both physical and mental discomfort for patients. Therefore, it is important to lower the pain on injection of Propofol in patients undergoing anesthesia. As a result, the current study was conducted in order to compare the effects of lidocaine, lidocaine, and the Valsalva maneuver, and the Valsalva maneuver on decreasing the pain of Propofol injection.
methods: This study is a clinical trial with 111 patients. The patients were allocated into 3 groups with one group receiving lidocaine, the second group receiving lidocaine and the Valsalva maneuver , and Valsalva maneuver. The pain resulting from injecting Propofol based upon the Visual Analog Scale (VAS) score was evaluated (with 1 being no pain and 10 the most severe imaginable pain). Data were compared and analysed using proper statistical tests using SPSS version 23.
Results: The mean pain score in the combination group of lidocaine and Valsalva maneuver was lower than the other two groups and was equal to 0.5 ± 0.33. In addition, the mean pain scores in the lidocaine group and the Valsalva maneuver group were 4.6 ± 1.41 and7.81±1/91, respectively. The mean pain intensity in the age groups and the sexes did not show a significant difference with each other.
Conclusion: The current study showed that the injection of Propofol in the three groups of the study was reduced in a similar fashion, however in the group which combined lidocaine, Valsalva, and the Valsalva maneuver, pain was lowest, but the overall score in the three groups was not statistically different.
Mansour Rezaei, Pooya Jafari Doudaran, Mohammad Gholizade, Mina Zeynalzade,
Volume 13, Issue 3 (11-2022)
Abstract
Introduction: There are different methods for pain management after cesarean section. Due to the importance of proper pain management after cesarean section, this study was performed to provide alternative methods and main analgesic compounds that can be used in women undergoing cesarean section.
Methods: This study was performed by non-systematic and narrative review method in the first quarter of 2022; In this study, search without any restrictions (time and type of study) in articles published in two databases, Medline and PubMed, using selected keywords based on mesh, which include: cesarean section, multidimensional analgesia, pain management, Complications, anesthesia, anesthesia, analgesia, elective cesarean section, treatment and intrathecal drugs were performed.
Results: Fifty articles were evaluated and topics such as the development of analgesia in cesarean section, intrathecal opioids, epidural opioids, associated neuroaxial non-narcotics, non-neuroaxial drugs (oral, intravenous, subcutaneous and lingual) including paracetamol , Nonsteroidal anti-inflammatory drugs, ketamine, dexamethasone, gabapentin, magnesium and opioids. After that, the side effects of drug use such as: respiratory depression, pruritus, urinary retention, nausea and vomiting were presented, and then peripheral nerve block, non-pharmacological methods were studied.
Conclusion: The use of non-narcotic methods in the optimal management of pain after cesarean section is preferable to the old methods.
