Volume 22, Issue 92, July – August, 2018

About the Cover

Ventricular septal defect (VSD) is the most common pathology among congenital heart diseases. Surgical closure, transcatheter closure or medical follow-up are among the treatment strategies. Surgical closure of VSD can now be safely performed with low morbidity and mortality. In this study, we aimed to compare the efficacy of blood cardioplegia and del Nido cardioplegia during VSD operation. In our Pediatric Cardiovascular Surgery Clinic, we retrospectively evaluated 186 patients, between 6 weeks and 18 years of age, who underwent operation due to isolated VSD between September 2013 and December 2017. Patients were divided into two groups as Group 1 (n = 108 using blood cardioplegia) and Group 2 (n = 78 using del Nido cardioplegia). Pre-operative data, peri-operative data and post-operative data of patients were retrospectively recorded and reviewed in detail. 153 patients (82.2%) were under 5 years old, 24 (12.9%) were between 5 and 10 years old, and 9 (4.8%) were between 10 and 20 years of age. 112 (60.2%) of the patients were male and 74 (39.8%) were female. The mean age of the patients was 3.8 ± 2.08 in Group 1 and 4.2 ± 2.13 in Group 2. There was no statistically significant difference in preoperative demographic data between Group 1 and Group 2 patients (p> 0.05).

Table of Contents

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RESEARCH

Ultrasonography-Assisted Infraclavicular Block in Upper Extremity Surgery with 3 Different Bupivacaine Doses

Fatih Dogu Geyik, Yucel Yuce, Zakiye Likoglu, Necati Citak

Ultrasonography in peripheral nerve blocks without nerve stimulator has become increasingly widespread. We tried to determine the minimum effective bupivacaine dose using three different constants of bupivacaine. 60 patients with the infraclavicular brachial block in hand, wrist, and forearm surgeries were evaluated prospectively.

Medical Science, 2018, 22(92), 357-363

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ANALYSIS

Study of the status of access to the information and quality improvement in radiology department of the five teaching hospitals

Ahmad Hajebrahimi, Siamak Aghlmand, Seied Mojtaba Hosseini, Tahereh Behrouzlak

The aim of this study was to determine the status of quantitative and qualitative control of X-ray exposure in the radiology departments of the teaching hospitals of Urmia University of Medical Sciences. This study was a mixed method study that was conducted in 5teaching hospitals on 2017.

Medical Science, 2018, 22(92), 364-371

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Comparison of Blood Cardioplegia and Del Nido Cardioplegia Use in Isolated VSD Patients

Baburhan Ozbek, Ali Kemal Gur, Mehmet Coskun Aykac, Esra Eker

Ventricular septal defect (VSD) is the most common pathology among congenital heart diseases. Surgical closure, transcatheter closure or medical follow-up are among the treatment strategies. Surgical closure of VSD can now be safely performed with low morbidity and mortality. In this study, we aimed to compare the efficacy of blood cardioplegia and del Nido cardioplegia during VSD operation.

Medical Science, 2018, 22(92), 372-376

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Evidence based medicine summer school for undergraduate medical students using innovative methods

Farhadi Fereshteh, Mostafaie Hadi, Taleschian-Tabrizi Negar, Hajebrahimi Sakineh, Madani Neda, Hajebrahimi Mohammadali, Parnianfard Neda, Abbaspour Morteza, Talebpour Amin, Pashazadeh Fariba

There is a clear need to train next generation clinicians in order to keep up-to date and ensure the best practice for patients. The aim of this study was to report the procedure of summer school held in Tabriz University of Medical Science, 2013. Students learnt about Evidenced Based Medicine (EBM) efficiently.

Medical Science, 2018, 22(92), 377-384

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Should Plication or Graft be used in Pulmonary Artery Aneurysm operations?

Baburhan Ozbek, Ali Kemal Gur, Mehmet Coskun Aykac, Mahmut Yargı

Pulmonary artery aneurysms (PAA) are rare diseases generally diagnosed coincidentally. Although most of the PAA patients are asymptomatic, they can be symptomatic due to complications such as rupture, pulmonary valve leakage, thromboemboli, dissection and pressure on coronary arteries and pulmonary valve.

Medical Science, 2018, 22(92), 385-389

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The effect of educational intervention on the components of PRECEDE model in hypertension patients

Farshad Mohammadi, Meimanat Hosseini, Mahsa Matbouei, Reyhaneh Sefidkar

Hypertension is one of the common and dangerous diseases and the most important risk factor of incidence of cardiovascular diseases, stroke, and kidney failure. As with most chronic diseases, this disease is closely associated with the lifestyle of patients. The most useful application of PRECEDE model is interpreting the factors associated with behavior.

Medical Science, 2018, 22(92), 390-396

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Cost analysis of Medical diagnostic Services of Hormone section of the central laboratory in Iran’s East Azerbaijan Province using activity-based costing method in 2013

Ali Imani, Behrooz Sabeti Sis, Ali Janati, Mina Golestani

The most basic financial data required for a laboratory manager consist of costs allocated to the cost units. The analysis of cost can promote the management performance in budgeting, strategic planning, privatization, accrual accounting and in overall performance of an organization.

Medical Science, 2018, 22(92), 397-402

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CASE REPORT

Medullary Carcinoma Thyroid surgery associated with Multiple Endocrine Neoplasia Type 2B (MEN 2B): a case report

Loghman Ghaderi, Fazel Dehvan, Shahnaz Ghafoori, Ramesh Rahehagh, Jamal Seidi

MEN2B syndrome is a syndrome associated with systemic malignancies such as carcinoma of the thyroid and pheochromocytoma. An 18-year-old male patient with a neck mass was admitted to the Besat hospital in Sanandaj in 2015.

Medical Science, 2018, 22(92), 403-406

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RESEARCH

Multigenerational transition of fertility and family values in rural families of Iran: A life history and narrative research

Zohreh Najafi Asl, Mahmoud Ghazi Tababtabei, Abou Ali Vedadhir

The widespread changes in the context of globalized world have affected Iranian society in general and its' rural communities in particular. This article examines the generational changes in familial values, attitudes, and reproductive practices in rural families in Iran.

Medical Science, 2018, 22(92), 407-417

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ANALYSIS

The effect of care plan based on Roy Adaptation Model on the spiritual well-being of women with breast cancer

Masoumeh Otaghi, Bahareh Nazarpour, Hamid Taghinegad, Ali Khorshidi

Roy Adaptation Model is one of the nursing theories applied in the adaptation of patients suffering from chronic diseases. Breast cancer is the most prevalent kind of cancer among women in Iran.

Medical Science, 2018, 22(92), 418-422

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Postoperative analgesic effect of TAP (transabdominal plane) block implementation in open appendectomies

Zakiye Likoglu, Fatih Dogu Geyik, Yucel Yuce, Banu Cevik

Inadequate pain treatment after surgery is an important factor that negatively affects the healing of the patient. Transversus abdominis plane (TAP) block is used to provide postoperative analgesia.

Medical Science, 2018, 22(92), 423-430

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RESEARCH

Preventive efficacy evaluation of Urtica dioica on in vitro fertilization and embryo development in exposed mice

Ardeshir Moayeri, Reza Ahmadi, Ayoob Rostamzadeh, Najmeh Salehi, Mohsen Mohammadi, Daryoush Fatehi

Nowadays impact of cell-phone RF on human health is subject of many researches. Antioxidant properties of hydroalcoholic extract of Urtica dioica (UD) have been proven to eliminate free radicals and oxidative stress.

Medical Science, 2018, 22(92), 431-438

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