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Showing 4 results for Nikdel
Abnormal movements and its related factors following propofol induction
M Saber Moghadam , Aa Nikdelan, Sm Alavinia,
Volume 3, Issue 4 (winter2011 2012)
Abstract

Abstract Background and Aims:Propofol is the first line drug for intravenous induction of anesthesia. Short action duration and few adverse effects along with potent antiemetic properties made it the most widely used drug Spontaneous movement or myoclonus is one of its adverse effects. We aimed to study the incidence, time of onset, quantity, and quality of the myoclonus and its related factors. Material and methods:The study was conducted on 204 patients who received Propofol for induction while observed by two anesthesiologists for detecting myoclonus. All patients were monitored for depth of anesthesia according to Bispectral index. The abnormal movement was recorded according to movement score. To find the relationship between myoclonus and other variables, logistic regression was applied. All analysis were done using software SPSS version 16. Results:60 patients out of 204 developed myoclonus corresponding with an incidence of 29%. The mean weight in these patients was significantly lower than the patients without myoclonus and they received higher dose of Propofol per kilogram of body weight. Multivariate logistic regression corroborates the relation of age and dose with the incidence of myoclonus. Conclusion:Comparing this study with other studies, a hypothesis about the impact of race on the dose of Propofol required to achieve the planned level of anesthesia is figured out. The difference in dose requirement between races and the importance for prevention of myoclonus remains to be studied in large multicentre studies.


Epidemiologic distribution of cancer in a 10-yearstudy: Retrospective review of hospital records and pathology centers of North Khorasan Province from 2003 to 2012
M Abad, R Gangy, E Sharifian, R Nikdel , M Jafarzadeh, F Jafarzadeh ,
Volume 6, Issue 4 (Winter 2014 2015)
Abstract

Background & Objectives: Changes in life styles and different eating habits of communities, increasing in life expectancy and mean life time, have increased incidence of cancer in populations. According to the latest statistical and epidemiological studies in Iran, cancer is the third leading cause of death after cardiovascular diseases and accidents .The aim of this study was to evaluate the Epidemiologic distribution of cancer in North Khorasan Province. Materials & Methods: This was a retrospective study that the information about the cases were collected from hospital records and pathology centers of Bojnurd, from April 2003 to March 2012. Duplicated data were excluded. Type and location of cancer was coded according to the international cancer classification system (ICD-O) and was put into SPSS software . Results: At last, 2310 new cases were examined in this study, that %58/1 of them were men and %41/9 of them were women (M: F = 1.4).There was a total numberof2310 male and female cases without secondary cancer(metastatic).The occurrence of cancer in 2013 in North Khorasan Province was 94.5per 100000 person and the most common cancer in both sexes were skin, esophagus ands to mach and most common cancers in men were skin, stomach, esophagus, and in women were skin, breast, esophagus cancer . Conclusion: As respects to the multiple pathology centers in Bojnurd and other cities of North Khorasan and optional sampling centers it is necessary for consistency of registration of the cancer patients to make policies towards the detailed cancers records (area and cancers coding) and to provide additional research to identify common risk factors of cancers.


Obstruction of Small Bowel due to Strangulated Obturator Hernia: Case Report
Rasoul Nikdel, Mohammad Ashraf Azimi, Amir Rahmanian Sharifabad, Seyed Hassan Seyed Sharifi,
Volume 16, Issue 2 (Summer 2024)
Abstract
Introduction: Obturator hernia is one of the rare types of hernia and the important cause of small intestine obstruction. It mostly occurs in elderly people and women. This disease is challenging to diagnose and has a high mortality rate.
Cese Presentation: In this study, two patients are introduced. The first patient was a 95-year-old woman who came with symptoms of gastrointestinal obstruction, nausea, bilious vomiting, as well as lack of gas and stool excretion. There was no suspicious pathological examination. The computed tomography (CT) scan was performed for the patient with the report of the left Obturator hernia. The second case is an 88-year-old woman with a history of neurological problems and symptoms of gastrointestinal obstruction, who had tenderness and rebound tenderness of the right lower quadrant of the abdomen during the examination. Since imaging findings were normal, the CT scan was performed for the patient, and the report was in favor of the right obturator hernia. Both patients underwent surgery with a midline incision of the abdomen. The small intestine was gangrenous at the hernia site and did not have proper peristalsis. Therefore, she underwent resection and anastomosis of the small intestine and repair of the obturator hernia.
Conclusion: Obturator hernia is a rare but significant cause of intestinal obstruction, especially in emaciated elderly women. The diagnosis of this disease is challenging for doctors. One of the appropriate methods for diagnosing this disease is a CT scan of the abdomen and pelvis, and the only treatment method is surgery.

Multiple Pyogenic Granulomas Following Burn, Wounds and Their Management: A Case Report
Ali Esmaili, Seyed Hassan Seyed Sharifi, Rasoul Nikdel,
Volume 17, Issue 2 (Summer 2025)
Abstract
Introduction: Pyogenic granuloma (PG) is indeed classified as a benign, non-neoplastic vascular tumor. Pyogenic granuloma, despite its name, is not associated with pus production and is not caused by infection. Multiple pyogenic granulomas arising from burns are extremely rare. We present a new case of numerous pyogenic granulomas secondary to second- and third-degree burns caused by a flame injury, and its management.
Case Presentation: A 39-year-old male smoker presented to Imam Ali (AS) Hospital, Bojnord, Iran, with deep second and third-degree burns to his face and upper torso. The patient’s resuscitation was completed within the first three days, and he became a candidate for surgical debridement. Three weeks later, the patient returned with multiple granulomatous lesions in the burned areas. They were then treated with electrocautery, and the patient recovered well without complications.
Conclusion: The eruptive form of pyogenic granuloma following burns is very rare, and its etiology and pathogenesis remain controversial. Pyogenic granuloma lesions following burns are benign based on clinical features and histopathological examination. Several successful methods have been used to treat pyogenic granulomas; however, surgery, when feasible, is the most reliable method for local control.
 

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