Caring for patients with cancer can result in significant burden, anxiety, and depression among family caregivers, leading to alterations their mental physical wellbeing. Evidence on the level of caregivers' depression, role assisting patients, other patient caregiver factors that play improving/worsening outcomes, is limited. This study explored prevalence caregiving anxiety a focus caregiver-related caregivers.A cross-sectional was conducted population caregivers adult Zanjan, Iran between...

Emergency departments (EDs) are characterized by simultaneous care of multiple patients with various medical conditions. Due to a large number complex diseases, speed and complexity medication use, working in under-staffing crowded environment, errors commonly perpetrated emergency providers. This study was designed evaluate the incidence among attending an ED teaching hospital Iran.In this cross-sectional study, total 500 were randomly assessed for types errors. Some factors related such as...

Abstract Background With improving survival rates, cancer has become more of a chronic disease with long-term palliative care requirements. Thus, it is even than ever necessary to pay careful attention the well-being family caregivers patients, as trajectory challenging path for both patients and their caregivers. This study focusses on ascertaining level quality life (QoL) domains attributable significant factors among population Methods was cross-sectional study. The consist adult in...

Abstract Background Neck pain and disability is a significant public health problem with only very few evidence-based treatment option. The aim of this study was to evaluate the effect isometric exercise on cervical spondylosis. Methods Twenty four patients osteoarthritis neck (22 females 2 males; mean age, 46.70 ± 13.71 years) were recruited randomly allocated into arms: exercises (n = 12) conservative management without 12). Disability Index (NDI) Pain Scale (NPAD) used assess participants...

Knee osteoarthritis (OA) is one of the major causes dysfunction that reduces patients' quality life. The aim current study was to investigate effectiveness muscle strengthening exercises on clinical outcomes patients with knee OA.We conducted a single-blind trial 96 mild moderate osteoarthritis. Patients were randomly assigned 4 groups 24 and followed-up for 8 weeks. Quadriceps, hamstring both quadriceps received by first (G1), second (G2) third (G3) groups, respectively. fourth group (G4)...

The detection of pulmonary embolism in emergency department requires an urgent therapeutic and diagnostic attention. This study was performed to determine the accuracy efficacy ultrasound diagnosis embolism.In this study, 110 patients who referred with traumatic symptoms were enrolled. All underwent computed tomography (CT) angiography. Patients divided into positive negative outcomes according results transthoracic ultrasonography CT angiography.In enrolled, whom 52 (47.3%) male 58 (52.7%)...

Introduction: Behçet's Disease (BD) is a systemic vasculitis, highly prevalent in Eastern Asia to Mediterranean countries.Iran among the countries with highest prevalence of BD, and previous studies different have shown broad range clinical manifestations disease.The present study conducted evaluate BD patients referring rheumatology clinics two distinct referral hospitals Tehran Zanjan, Iran.Methods: In this retrospective, cross-sectional study, medical records were reviewed, age at onset,...

Side effects of chemotherapy in cancer patients need to be investigated more detail.To determine the incidence cardiotoxicity treated with different regimens containing 5-fluorouracil (5-FU) Zanjan, Iran.In a prospective cohort study, types solid gastrointestinal tumors who were candidates for 5-FU based enrolled. The study population consisted 100 (48 females and 52 males) mean age 63.99 ± 12.40 years. We measured serum cardiac troponin I (cTnI) levels before during each cycle determined...

Introduction:  Considering the importance of role and function emergency medical services (EMS) in a society’s health need for continuously evaluating its function, especially indices affecting process giving service to patients, present study was done with aim comparing time providing EMS during two 6-month periods 1 year apart throughout Zanjan province, Iran.  Methods:  This retrospective cross-sectional study. Out all calls recorded centers province October March 2013 2014, 742 that had...

Background: The evidence specific for the benefits and harms of exercises in hand osteoarthritis (OA) is limited conflicting. We set out to investigate whether exercise leads a clinically important change pain, its function. Methods: A total 40 patients over years age whose OA was confirmed by American College Rheumatology (ACR) criteria, were divided into control intervention groups filled visual analogue scale (VAS) Functional Index Hand Osteoarthritis (FIHOA) questionnaires. 4 weeks...

Abstract Background Chemoradiotherapy complications has always been of great concern to both clinicians and patients during the course treatment. The purpose present study was examine effectiveness oral famotidine on reduction hematologic with esophageal gastric cardia cancers undergoing radiotherapy. Methods A single-blind controlled trial conducted 60 cancers, who were chemoradiotherapy. Patients randomly assigned 2 groups 30 receive either 40 mg (daily 4 h before each session) or placebo....

Abstract Background Deciding whether a cranial Computed Tomography (CT) scan in patient with minor head trauma (MHT) is necessary or not has always been challenging. Diagnosing Traumatic Brain Injury (TBI) fundamental part of MHT managing especially children who are more vulnerable terms brain CT radiation consequences and TBI. Defining some indications to timely efficiently predict the likelihood TBI necessary. Thus , we aimed determine impact clinical findings need for MHT. Methods In...

Background: Hemodynamic monitoring its early stabilization is very important in critically ill patients. Evaluating the Internal jugular vein diameter during respiratory cycles by means of Point-of care ultrasound provides an important, easily available and precise index for hemodynamic status; a new method which called Jugular Vein Collapsibility Index (IJV-CI). Any events that alters intrathoracic volumes pressures may affect this index. In study we investigate effects various levels...

Background & Objective: The diameter of the internal jugular vein changes with variations in intrathoracic pressure during inhalation and exhalation this difference increases hypovolemia.One causes increased patients under mechanical ventilation is tidal volume, which can affect vein.On basis, present study was designed to investigate effect volume on collapsibility index. Materials Methods:In clinical trial, 30 hypovolemic were studied three volumes 8, 10, 12 cc/kg applied...

10.30699/jambs.27.123.49Acroangiodermatitis (AAD), also known as Pseudo-Kaposi's sarcoma, is a rare benign angioproliferative disease associated with chronic venous insufficiency (CVI) or other vascular disorders.We present an 81-year-old male plaque-like cutaneous lesions, which had progressive erythematous margins, severe pain, and intense pruritus, well bilateral swollen painful feet.It was around five months that he these problems.Based on the pathology of skin lesion biopsy specimens...