Showing 5 results for Moini
A Moini , A Khademi ,
Volume 56, Issue 2 (30 1998)
Abstract
Incidence of infertility is 15-20%. Tubal and peritontal factors are responsible for 30-40% of infertility cases. In evaluation of infertile women, hysterosalpingography (HSG) is the first test in evaluating of fallopian tubes and laparoscopy is the gold standard test for diagnosing tubal problems and pelvic adhesions. In this study we evaluated 291 infertile couples. Study is prospective, descriptive and cross sectional. After ruling out male, ovulatory and cervical factors, HSG and laparoscopy was done for all women. In response to pathologic process, right or left tube will be damaged by the same rate (P<0.05). In evaluating of tubes, similarty of findings in HSG and laparoscopy was 50%. Sensitivity and specificity of HSG in diagnosing of patency of tubes was 82% and 81%, respectively, but sensitivity of it in diagnosing of peritubal adhesions is low (31%), but specificity is good (88%). After dividing the patients into groups with and without past history of pelvic surgery, we find that similarly of findings in HSG and laparoscopy in patients with positive history is lower than those with negative history. So, diagnostic accuracy of HSG in patients with past history of pelvic surgery is low (P<0.05).
Chamani-Tabriz L, Tehrani Mj, Zeraati H, Asgari S, Tarahomi M, Moini M, Ghasemi J,
Volume 66, Issue 7 (6 2008)
Abstract
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Background: Chlamydia
trachomatis is a common and curable STI that may be
symptomatic or asymptomatic. The few studies on C. trachomatis among Iranian women have
had, for the most part, small sample sizes and are therefore unsuitable for
epidemiological deductions. The aim of this study was to estimate the
prevalence of urogenital C. trachomatis infections by PCR on urine samples of married women in their
fertile years in order to determine the need for a C. trachomatis screening program for
asymptomatic women in Iran.
Methods: This descriptive-analytical and cross-sectional study
was performed on 991 married women. The research material consisted of
questionnaires and urine samples, which were transported daily to Avesina
Research Institute, Tehran,
Iran, to
extract their DNA and prepare them for PCR tests. The gathered data were
analyzed by SPSS, version 13, and evaluated statistically by t-test, chi-square
test, Fisher's exact test and logistic regression, considering p<0.05 as
significant.
Results: Of all the subjects, 127 (12.8%) were positive by PCR for C. trachomatis.
The mean age of the participants was 28.88±
6.19 years. Infection was more prevalent among
those with lower levels of education, who were employed and not pregnant. This
infection was more prevalent among those who were using contraception, especially
condoms. Reproductive history revealed that infection was more prevalent among
participants with a history of vaginal discharge, pelvic pain, infertility and
low birth-weight infants, and less prevalent among those with a history of abortion,
preterm delivery and ectopic pregnancy. However, these patterns were not statistically
significant.
Conclusion: In populations with C. trachomatis prevalences higher than 4%,
screening programs are recommended. Thus, Chlamydia screening should be part of the health care program in Iran to reduce the
burden of this disease.
Beigi A, Tabarestani H, Moini A, Zarrinkoub F, Kazempour M, Hadian Amree A,
Volume 67, Issue 8 (6 2009)
Abstract
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Background: Postpartum hemorrhage is a major cause of maternal mortality and morbidity. It
has been identified that active management of third stage of labor is an
effective way in preventing postpartum hemorrhage. This randomized controlled
trial was conducted to compare sublingual misoprostol versus intravenous
oxytocin in the management of postpartum hemorrhage in nulliparous women.
Methods: In this randomized controlled trial conducted in Arash hospital from 2006
to 2009, Five hundred forty
two nulliparous pregnant women were enrolled. They were randomized to receive
either 400 microgram sublingual
misoprostol or 20 IU oxytocin
intravenously, immediately after the birth of newborn.
Results: Post partum Hemorrhage was significantly lower in women who received sublingual
misoprostol (p<0.0001). Patients who
received misoprostol had shorter length of third stage of labor (6.45
minute in misoprostol Vs 6.9
minute in oxytocin group, p=0.003). Comparison
of hemoglobin levels in two groups before and after delivery showed that there
is a significant lesser hemoglobin drop in misoprostol group p=0.046.
Side effects were more common in misoprostol group (p<0.0001).
However, they were not serious shivering (35.66%)
in misoprostol group and headache (9.63%)
in oxytocin group were the most common adverse effects.
Conclusions: Sublingual misoprostol is more effective than intravenous oxytocin in
preventing postpartum hemorrhage and is recommended for prevention of
postpartum hemorrhage.
Tehranian A, Beigishah F, Moini A, Arab M, Farzaneh F,
Volume 68, Issue 4 (6 2010)
Abstract
Background: Intravaginal misoprostol has been shown to be an effective agent forcervical ripening and induction of labor. The aim of present study was to assess the effects of adding hyoscine to vaginal misoprostol on its success rate.
Methods: In a clinical trial, 74 women who were referred to undergo legal induction of labor during first pregnancy trimester in Arash Hospital, in Tehran, Iran, between March 2006 and March 2007 were enrolled, and were randomly divided in to two groups of misoprostol (400 μg/4h, vaginal) (n=37) or misoprostol (400 μg/4h, vaginal) plus hyoscine (20 mg IV) (n=37). Their complications including nausea, vomiting, fever, abdominal pain, need for analgesics, diarrhea, vaginal bleeding, decline in hemoglobin more than 3 g/dl, need for blood transfusion and failure of treatment according to the failure of induction of labor or cervical opening in 24 hours after starting treatment and the total duration of hospitalization were compared between groups. Results: There were no significant differences between groups regarding the rate of side effects like nausea, abdominal pain and vaginal bleeding. In misoprostol plus hyoscine group, the success rate in abortion was significantly higher (40.5% vs. 18.9%, p=0.04) and total duration of hospitalization were significantly lower (1.16±0.41 vs.
1.42±0.45 days, p=0.01). There was no case of fever, need for blood transfusion or significant vaginal bleeding in both groups.
Conclusions: Adding 20 mg hyoscine via IV rout to vaginal misoprostol will raise the success rate in induction of abortion, and decreases the total duration of hospitalization without adding adverse effects.
Ali Arash Anoushiravani , Abdollatif Moini , Reza Hajihossein , Abbas Alimoradian , Mojtaba Didehdar ,
Volume 77, Issue 5 (August 2019)
Abstract
Background: With increasing immunocompromised patients, fungal infections especially lung infection, have also increased. In this study, fungal contamination of the respiratory system in immunocompromised patients was evaluated.
Methods: This descriptive cross-sectional study was conducted in immunocompromised patients suspicious of pulmonary infections referring to specialized lung clinic of Amir-Al-Momenin University Hospital in Arak City, Iran, from April 2017 to June 2018. Of these 64 patients, including 35 women and 29 men, were selected. After recording the demographic information, a bronchoalveolar lavage (BAL) sample was prepared by the physician from these patients and was immediately sent to the medical mycology laboratory, school of medicine. Bronchoalveolar lavage specimens were investigated by Grocott-Gomori's methenamine silver (GMS) staining and culture method. Data were analyzed by SPSS software, version 16 (IBM SPSS, Armonk, NY, USA).
Results: Of 64 patients, 9 (14%) were infected with pulmonary fungal infections. Among the patients infected with fungal infection, 9 (100%) were positive in the culture examine and 8 (72%) by GMS staining. Among infected people, 7 (77.8%) were female and 2 (22.2%) were male. The most common isolated fungi were Candida albicans, Aspergillus fumigatus and Mucor species (2 cases). The highest infection was seen in the age group of less than 60 (33.3%). 66.7% of infections were among the unemployed persons and 33.3% of other cases of infection were seen in people with free jobs, workers and employees. The most important factors in the development of pulmonary fungal infections in the patients were: 5 cases of malignancy (33.3%), corticosteroid use in 2 cases (33.3%), tuberculosis in 1 case (22.2%) and diabetes mellitus in 1 case (11.2%). There was no significant relationship between fungal contamination with sex, age, occupation, marriage and type of disease.
Conclusion: The results of this study showed that immunocompromised patients are prone to fungal infections, especially Candidiasis and Aspergillosis. Therefore, the use of control methods to reduce the probability of such patients to fungal infections should be considered.
