Background: Total hip arthroplasty (THA) stands as the definitive gold standard treatment for degenerative disorders. Various approaches have been proposed THA, each with its own set of advantages and disadvantages. This study aimed to compare initial functional outcomes lateral posterolateral determine approach superior outcomes. Materials Methods: Through a retrospective cohort study, THA candidates over 1-year period were analyzed. Patients who underwent surgery via or included....

Background: Spinal surgery can be performed under either general anesthesia (GA) or regional (RA). Objectives: This study compared outcomes between two groups of patients undergoing spinal neurosurgery with RA versus GA. Methods: randomized clinical trial was conducted in the Neurosurgery Ward Imam Hossein Hospital, Tehran, Iran, from 2021-08-23 to 2022-08-23. Of 126 initially enrolled for surgery, 26 were excluded. The remaining 100 into GA (n = 49) and 51) groups. primary outcome operation...

Controversy remains about the positive role of music during general anesthesia and postoperative recovery. We, therefore, tested hypothesis that intraoperative exposure to classical reduces propofol necessary maintain bispectral index (BIS) close 50 vitrectomy surgery.This double-blind clinical study is evaluating patients undergoing surgery under anesthesia. Patients were randomly assigned white noise groups, relevant sounds played after induction The two groups compared for use as an...

Surgical treatment of brain tumors, especially those located in the eloquent areas such as anterior temporal, frontal lobes, language, memory areas, and near motor cortex causes high risk impairment. Awake craniotomy displays major rule for maximum resection tumor with minimum functional impairment Central Nervous System. These case reports discuss use awake during surgery Alzahra Hospital, Isfahan, Iran. A 56-year-old woman left-sided body hypoesthesia since last 3 months a 25-year-old...

The world has experienced a pandemic due to novel Severe Acute Respiratory Disease Corona Virus-2 (SARS-CoV2) since December 2019. clinical spectrum of the disease known as Coronavirus 2019 (COVID-19) is so much wide, starting from an asymptomatic state paucisymptomatic presentation, pneumonia, respiratory failure even death. Supplemental oxygen therapy essential in managing COVID-19. Also, there sparse evidence regarding use non-invasive ventilation (NIV) pandemics like SARS-CoV-2. This...

Background: Low pressure laparoscopic cholecystectomy has been advocated due to reduction in postoperative pain, ventilation problems, hemodynamic complications, and potential for surgical events. No reported data have found focusing on the effects of low-pressure intracranial (ICP). The aim this study was investigate effect measured by optic nerve sheath diameter (ONSD) Imam Hossein Medical Center, Tehran, Iran. Methods: patients classified as American Society Anesthesiologists physical...

Background: Heat loss and core-to-peripheral redistribution of body heat occur in patients undergoing neuraxial anesthesia resulted to decrease core temperature early reach shivering threshold. Because has deleterious metabolic cardiovascular effects, it should ideally be prevented by pharmacologic or other means. Tizanidine is an alpha-2 agonist. We evaluated the usefulness oral tizanidine (TI) tramadol preventing spinal for transurethral resection prostate (TURP). Materials Methods: Ninety...

Background: The pain experienced following supratentorial brain surgery is usually defined as moderate to severe. Therefore, pain-management approaches, including narcotics, are an integral part of treatment regimens that cause respiratory complications or seizures, and reducing this level increasing patient satisfaction vital. Methods: This randomized, double-blind clinical trial study evaluate the in patients undergoing for neoplasms was performed on two groups with a sample size 50...

Background: The standard treatment for cervical disc herniation is open discectomy surgery but some of techniques, such as nucleoplasty were applied by neurosurgeons in recent decade. aim this study was to compare the postoperation results and methods people suffering from single herniation. Materials Methods: In a clinical trial that performed during 2012–2013, 70 patients who candidate neck selected randomly divided into two groups. first group operated with discectomia second method. All...

Sexual violence is one of the worst forms with long-term physical and psychological effects on victims. It has been stated that sexual stimulation was responsible for 78% clinically relevant foreign rectal bodies. About 10% cases were due to assault. A problem commonly encountered in patients RFB delay presentation. While may be reluctant disclose cause their presentation.All males a mean age 41.1 years old. On average, they presented 2 days after rape, Diagnosis made all 3 history abdominal...

Posterior cerebral artery (PCA) aneurysms are a rare group of intracranial aneurysms. Pediatric account for approximately 4% all and commonly associated with an underlying predisposing disorder, such as trauma. In contrast to traumatic aneurysms, spontaneous dissecting cases pointed out cause pediatric The current paper presented aneurysm in 10-month-old female infant.The case was infant admitted the Neurology Ward Imam Hossein Hospital, Tehran, Iran, ruptured PCA diagnostic brain...

Guillain-Barré syndrome is an autoimmune disorder presented by ascending paralysis and areflexia. The condition has been reported after many infections, but spine surgery rare. We, herein, present a case of multiple surgeries for degenerative lumbar scoliosis. A 60-year-old woman with scoliosis underwent the third time developed 3 weeks final operation. patient received intravenous immune globulin therapy needed mechanical ventilation intensive care. She was discharged in good 5 weeks.

In this retrospective multicenter case series study, the predictive value of initial findings confirm COVID-19 cases in determining outcome disease was assessed. Patients were divided into two groups based on outcome: low risk (hospitalization infectious ward and discharge) high ICU or death). A total 164 patients with positive PCR-RT enrolled study. About 36 (22%) high-risk group 128 (78%) low-risk group. Results statistical analysis revealed a significant relationship between age, fatigue,...

Nonfunctioning pituitary adenomas (NFPAs) are the most common tumors and although they do not secrete hormones, can have systemic effects. These affect function of other organs in body by exerting pressure on gland. There differences between biomarkers NFPAs compared to healthy people. This study was conducted show blood marker changes people.This article markers with individuals retrospectively. The difference two groups statistically investigated where predictive value differentiation...

Background: To prove the position of aripiprazole as a preventive and safe agent in delirium patients admitted to intensive care unit (ICU), it is necessary conduct randomized controlled clinical trials with appropriate design. Materials Methods: In this study, 80 were randomly divided into two groups 40. Group A received placebo mart for one week, group B 15 mg daily (dissolved 10 cc) daily. As criterion assessing delirium, Confusion Assessment methods ICU (CAM-ICUs) evaluated patients. At...