Background: Sleep apnea is a prevalent sleep disorder, especially in males and older ages. The common diagnostic methods, including polysomnography (PSG), are expensive, difficult to perform, time-consuming. Numerous studies focusing on developing easy-to-perform methods based artificial intelligence (AI) for the early diagnosis of apnea. This systematic review aimed gather current convolutional neural network (CNN) Methods: Three international electronic databases (PubMed, Web Science...

ABSTRACT Background Obstructive sleep apnea (OSA) is characterized by disruptive breathing, resulting in a decline cognitive performance. This study investigates the role of oxygen extraction fraction (OEF) and quantitative susceptibility mapping (QSM) OSA‐related impairment. Methods The recruited 15 patients with confirmed OSA 16 healthy controls, who underwent overnight polysomnography brain MRI using 3 Tesla machine 64‐channel head coil. A two‐step analysis was employed to measure OEF....

Shivering causes various adverse disturbances and interferes with monitoring. The optimal dose of intrathecal meperidine to prevent shivering without producing other side-effects remains unknown. This prospective randomised double-blinded study was conducted compare the antishivering effects two different doses meperidine.Seventy parturients, scheduled for elective caesarean section under spinal anaesthesia, were enrolled in three groups. Spinal anaesthesia consisted bupivacaine 0.5% (10 mg)...

Hearing loss as a sequel of chronic suppurative otitis media (CSOM) is often conductive, but recent studies have found an additional sensorineural component in these patients, thus demonstrating inner ear damage. The aim the study was to determine association between CSOM and hearing (SNHL) assess influence patient's age, duration disease, presence cholesteatoma ossicular erosion on degree SNHL.In retrospective study, medical records 119 patients who underwent surgery reviewed. Seventy met...

Abstract Background Obstructive sleep apnea (OSA) is a prevalent disorder that associated with structural brain damage and cognitive impairment. The hypothalamus plays crucial role in regulating wakefulness. We aimed to evaluate hypothalamic subunit volumes patients OSA. Methods enrolled 30 participants (15 OSA 15 healthy controls (HC)). Patients underwent complete overnight polysomnography (PSG) examination. All the MRI. were calculated using segmentation technique trained 3D convolutional...

Background: Burnout syndrome (BOS) is a common occupational disease amongst medical physicians; especially anesthesiologists. BOS known to result in increased expenditure of the healthcare system and decreased patient satisfaction. In order substitute for good conduct by its staff, Tehran University Medical established own guidelines on professionalism as professional personnel. Learning practicing not only requirement be competent specialist, but also it results increasing quality There...

In this study we aimed to conduct a comprehensive review of sleep medicine in Iran, focusing on the country's advancements, challenges, and global context.

This retrospective cohort study aimed to assess the frequency of emergency cesarean sections with epidural analgesia and its implications on Apgar scores Neonatal Intensive Care Unit (NICU) admissions among patients at Tehran University Medical Sciences Hospitals from 2017 2018. Data 7170 were extracted hospital information system (HIS) through a consensus method. Descriptive statistics, cross-tabulation, logistic regression analyses conducted using Stata v17 software. Out 9387 patients,...

The use of educational technology is considered a necessity due to the increasing changes in medical education. This study aimed design novel blended virtual reality and clinical learning environment (CLE) investigate its effectiveness transfer anesthesiology residents during spinal anesthesia procedures. In this experimental study, 25 (academic year 2020/2021) were randomly divided into (n=11) (n=14) groups. Spinal training for group was performed laboratory (week 1) operating room (from...

Induction of anaesthesia and its associated spikes in blood pressure can cause rupture an aneurysm during intracranial surgery. Lidocaine reportedly provide hemodynamic stability when applied before endotracheal intubation. Rapid injection large doses lidocaine unconsciousness.Lidocaine was as the sole anaesthetic for induction maintenance surgery four patients undergoing Blood alteration after surgery, bleeding, brain laxity, extubation time were acceptable.Although propofol remains a...

Observing professional behavior in clinical settings encounters many obstacles. In this research, the effect of defects educational system observing Tehran University Medical Sciences (TUMS) has been investigated. This qualitative content analysis study was conducted using focused group discussions TUMS. Twenty-two with 182 faculty members, medical students, and staff were conducted. Conventional used to analyze data. One hundred sixty codes (90 from viewpoint 70 members students) extracted....

COVID-19 has literally ravaged the entire world. People from all walks of life are badly affected because compulsory lockdown around Timely diagnosis is a problem as there no single test that can achieve highest acceptable sensitivity. Some tests indeed costly and footing bill by governments cause tremendous load on Treasury. As it stands, current beyond patient means and, thus, would never have performed. Lastly, consensus to whether everyone should be tested for not based presence clinical...

Objective: During the COVID-19 pandemic, burnout of healthcare workers, including anesthetists, has become a critical issue. This study aimed to provide practical framework for decreasing and preventing among anesthesiology residents through preserving their good mental health. Materials methods: Since onset outbreak, have been members medical teams with attending staff, senior residents, partner residents. Besides, following measures were taken reduce burnout: providing financial support...

Professional behavior with patients and interactions colleagues, the institution professional bodies are influenced by many factors. The purpose of this manuscript is to clarify those personal factors affecting medical professionalism in clinical settings affiliated Tehran University Medical Sciences. For purpose, a qualitative study was carried out. One hundred eighty-two participants were recruited through purposive sampling staff, physicians, students Tehran. Data collected 22 focus group...

Objective: The goal of this research was to investigate the efficacy perioperative manual acupuncture in LV 3 and LI 4 points for lessening hemodynamic changes during endotracheal intubation patients who were receiving anesthesia. Materials Methods: This double-blinded randomized controlled study enrolled undergoing intubation, 2015-2016, general anesthesia surgery department Imam Khomeini Hospital complex, Tehran University Medical Sciences, Iran. randomly allocated into 2 groups with 30...

Lecture is a common teaching method, which not considered efficient for the development of critical and intellectual acquisition in students clinical courses. Although theory combined methods are known acceptable, practice, they commonly applicable. The present study aimed to compare combination problem-based learning (PBL), weblogs, lectures with lecture alone achieve an advantageous method courses.This quasi-experimental was conducted on 63 medical (5th year) taking obstetrics gynecology...

Background: Nursing is a physically and emotionally demanding job, making nurses highly susceptible to burnout. Burnout associated with many deleterious consequences affecting health care outcomes. Objectives: We aimed evaluate compare burnout its risk factors in working 2 different wards: Operating rooms surgical wards. Methods: This cross-sectional analytical study was conducted on 100 operating room ward at Vali-Asr Hospital, Tehran University of Medical Sciences. Data collection...