Iranian Red Crescent medical journal
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Iran Red Crescent Med J · Sep 2014
Effectiveness of oral ketamine, midazolam, and atropine cocktail versus oral diphenhydramine for pediatric sedation in the emergency department.
Sedation is a condition of reduced level of consciousness (LOC) for a patient that is created to decrease irritability, anxiety, and restlessness. ⋯ Oral administration of ketamine, midazolam, and atropine cocktail induces better sedation than diphenhydramine with respect to its limited mood changes in children, who need a medical procedure at emergency department.
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Iran Red Crescent Med J · Sep 2014
Case ReportsGastrointestinal basidiobolomycosis accompanied by liver involvement: a case report.
Basidiobolomycosis is a rare disease that, unlike other fungal infections, affects immunocompetent individuals. It is caused by an environmental saprophyte named the fungus Basidiobolus ranarum. Basidiobolomycosis usually appears as a subcutaneous infection. GI basidiobolomycosis is an emerging disease, and the colon is the most frequent involved part of the GI tract. ⋯ GI basidiobolomycosis is a very rare disease which resembles as an infiltrative, infectious, or inflammatory process. Concomitant liver and bowel involvement is extremely rare too. It is an aggressive disease which has a high mortality rate despite treatments like surgical resection and prolonged antifungal therapy.
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Iran Red Crescent Med J · Sep 2014
Case ReportsSpontaneous uterine perforation caused by pyometra: a case report.
Pyometra is an accumulation of purulent material or pus in the uterine cavity. Spontaneous perforation of uterus by pyometra is rare. This is a clinical presentation and management of a spontaneous perforation of uterine caused by pyometra. ⋯ Spontaneous rupture of pyometra duo to cervical cancer in cases of acute abdomen in elderly patients should be considered.
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Iran Red Crescent Med J · Aug 2014
Association of psychologic and nonpsychologic factors with primary dysmenorrhea.
Primary dysmenorrhea seems to be one the most common gynecologic condition in women of childbearing age. ⋯ Low social support, alexithymia, neuroticism trait, long menstrual bleeding, family history of dysmenorrhea, and high-caffeine diet are important risk factors for women with primary dysmenorrhea. This study recommended considering psychologic factors as an adjuvant to medical risks in evaluation and treatment of primary dysmenorrhea.
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Iran Red Crescent Med J · Aug 2014
Comparison of ondansetron and meperidine for treatment of postoperative shivering: a randomized controlled clinical trial.
The involved neurotransmitter pathways in the postoperative shivering (POS) are poorly understood. Recently, 5-hydroxytryptamine 3 (5-HT3) receptor antagonists have been reported to prevent POS. We investigated the effect of ondansetron, a 5-HT3 antagonist that is used to treat postoperative nausea and vomiting, on shivering. ⋯ Ondansetron and meperidine have similar effects on shivering. We concluded that 8 mg of intravenous ondansetron can control shivering and this is the dose of choice, especially in patients with POS with nausea and vomiting.