To investigate the efficacy and safety of two different techniques for spinal ligamentotaxis. Spine ligamentotaxis reduces number retropulsed bone fragments in fractured vertebrae. Two require clinical evaluation.This was a randomized trial. The case group defined as one pedicular screw insertion into vertebra, control no-pedicular index vertebra. biomechanical values were primary outcomes complications secondary outcomes.A total 105 patients enrolled; 23 excluded multiple reasons, remaining...

Abstract Introduction Glioblastoma, as the most common and lethal primary malignant brain tumor, has estimated mean survival of 15 months. GBM is reported more in men. Malignant glioma cause 2.5% cancer deaths. The standard therapy for patients with newly diagnosed includes tumor resection surgeries, followed by radiotherapy chemotherapy. prognosis a major challenge, outcome remained almost unchanged past years. present study aimed to determine patient survival. Methods Patients glioblastoma...

To investigate the role of fusion construct properties, vertebral column reconstruction (VCR)techniques, steroid therapy, laminectomy versus ligamentotaxis in treatment thoracolumbar junction fractures(TLJF). A non-randomized clinical trial was conducted. All eligible patients with TLJF(T12-L2) were operated a standardized long protocol and followed. Fusion rate, hardware failure, sagittal imbalance functional outcome identified as primary outcome. P<0.05 defined significant. Ninety-nine...

Choosing a promising specialty for medical students is not an easy decision, particularly in field like neurosurgery known its high levels of stress. However, recent years, there has been decrease interest, especially among female students, choosing surgical specialties. Therefore, the present study aimed to identify influential factors selection as from perspective students. This descriptive-analytical was conducted 2023 at Shahr-e Kord University Medical Sciences. we estimated sample size...

To evaluate the role of lumbar sacralization (LS) on surgical outcomes L4-L5 microdiscectomy.

ABSTRACT Export Background: Extramedullary tumors account for a small percentage of all the central nervous system and spine. Objectives: We aimed to determine demographic characteristics outcomes treatment patients with surgically resected extramedullary spinal who visited medical centers in Isfahan, Iran. Materials Methods: This descriptive study was conducted Alzahra Kashani Iran, between 2013 2021. Patients underwent surgery were included. Data collected included pain score as measured...

Today, healthcare organizations focus mainly on development and implementation of patient safety strategic plan to improve quality ensure provided services. The purpose this paper is recommend potential strategies for successful program in Iranian hospitals based a strengths, weaknesses, opportunities, threats (SWOT) analysis.In qualitative study, key informant interviews documentation review were done identify strength weakness points addition opportunities facing them program. Accordingly,...

This study aimed to evaluate the efficacy and safety of half-saline (HS) serum as an irrigation solution in chronic subdural hematoma (CSDH) surgery using burr hole craniostomy (BHC) technique.This randomized clinical trial was conducted university hospital referral centers from 2020 2021. Sixty-three patients with CSDH eligible for BHC were primarily enrolled. Two excluded because concurrent stroke. Sixty-one randomly allocated into case (HS=30) control (normal-saline [NS]=31) groups. HS...

Sleep disorders caused by TBI are considered serious post-injury consequences and barriers to recovery. These can last for years disrupt the quality of life. Therefore, present study investigated insomnia, its severity, sleepiness in patients with Mild Traumatic Brain Injury. The descriptive-analytical was conducted 2022. A total 329 diagnosed mTBI, were examined at 2 weeks, 3, 6, 12 months after injury. demographic information medical history, pain, Injury Severity Scores questioned....

Background: The implementation of patient education within a hospital is difficult task that plays key role in improving and controlling diseases providing quality healthcare services. Objective: current study evaluated the effect on nursing care inpatient satisfaction surgical wards selected hospitals Isfahan, Iran. Methods: This quasi-experimental was conducted 2014. sample group consisted 64 patients admitted to select Isfahan using voluntary sampling method. Participants were randomly...

Introduction: It is critical to quickly and easily identify severe coronavirus disease 2019 (COVID-19) patients predict their mortality. This study aimed determine the accuracy of physiologic scoring systems in predicting mortality COVID-19 patients. Methods: prospective cross-sectional was performed on admitted emergency department (ED). The clinical characteristics participants were collected by physicians Quick Sequential Failure Assessment (qSOFA), Coronavirus Clinical Characterization...

With the spread of COVID-19, treatment diseases such as multiple sclerosis (MS) should be resumed with caution due to disease-modifying therapies (DMTs) used in this subset patients and immunoregulatory effects these drugs. We aim assess outcome COVID-19 infection MS receiving DMTs.This is a cross-sectional study involving 45 COVID-19-infected previously diagnosed MS. The data regarding their status type DMT taken by were extracted from Isfahan Institute registry summarized. Diagnosis was...

Abstract Background Functional and structural complexities associated with craniosynostosis present challenges for families of affected individuals. Additionally, these patients undergo childhood surgeries that significantly impact the role family/caregiver. Consequently, multiple therapeutic teams have provided various guidelines, most recent version in 2023 introducing patient/family guide. The objective this study was to evaluate level awareness among patient’s family/caregiver regarding...

Abstract Introduction A disorder causes congenital kyphosis in the last stages of ossification and cartilage formation during embryonic development. The main treatment for this disease is surgery with various methods. present study was performed to evaluate results posterior surgery. Methods This a descriptive comparing before after which 2022 on 14 patients referred Al-Zahra Hospital Isfahan. Initial assessments were performed, patient underwent re-evaluated immediately followed up...

Sleep has confirmed physical, psychological, and behavioral benefits, disruptions can result in disturbances these states. Moreover, it be linked bidirectionally with susceptibility to the subsequent status of brain tumors. The current study examined mood disorders sleep quality before after surgery for hemangioblastoma

Traffic accidents are a major public health concern worldwide, resulting in significant injuries, fatalities, and economic costs. In urban zones, traffic accident dynamics can vary significantly due to population density, infrastructure, emergency response capabilities. The present study was conducted determine the time intervals of prehospital emergencies by separating 15 zones Isfahan city, Iran. This descriptive 2023. sampling approach involved census that included all missions occurred...

Craniosynostosis is a congenital anomaly disturbing children's cognitive disability and motor status appearance. The present study aimed to determine the physical neurocognitive outcomes of children with primary non-syndromic single-suture craniosynostosis. cohort started data collection from Imam Hossein Hospital Isfahan in 2019 continued it until 2022. A total 70 craniosynostosis were selected by census method then included study. Children examined before treatment up one year after...

Obesity is a complex multifactorial disease with increasing prevalence worldwide. The present study was conducted, since there were different results on the effect of obesity prognosis patients moderate and severe brain trauma, issue less investigated. descriptive-analytical conducted in 2 hospitals, Al-Zahra Kashani year 2022. Patients GCS score 9 to 12 (moderate concussion) < 8 (severe who consented participate included study. died; had serious injuries related chest, abdomen, pelvis,...

One of the most common types spinal diseases is spondylolisthesis, which in advanced cases requires surgical intervention. This study aimed to compare results L4-L5-S1 and L5-S1 vertebral fusion treatment high-grade spondylolisthesis.A design that randomized controlled trial. A total 70 consecutive patients who underwent surgery for spondylolisthesis at Al-Zahra Hospital Isfahan, Iran, were evaluated from July 2020 February 2021 (35 35 received treatment). The radicular low back pain (LBP)...

INTRODUCTION: The most important goal of a proper health-care system is to provide good health. Today, patients do not consider hospitals as simply place rehabilitation; rather, they compare the hospital with hotel in terms environment, facilities, services, and quality accommodation. This study aims use DEMATEL approach extract factors affecting hoteling quality.METHODS: was descriptive, cross-sectional conducted 2018. carried out two steps. In first step, were extracted, second technique...

Introduction: Patients undergoing surgery may need transfusion of blood products for a variety reasons. Therefore, this study aimed to determine the incidence complications in patients surgery. Methods: The present was performed as cross-sectional 2020 at Shohadaye Tajrish Hospital Tehran, Iran. A total 1132 who had during upon and from 2015 were included census. To collect information, checklist, including patients’ type product, types used. SPSS software version 21 used data analysis....