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Article ; Online: Comparison of metabolic risk factors, lipid indices, healthy eating index, and physical activity among premenopausal, menopausal, and postmenopausal women.

Moradi, Leila / Hashemi, Sayed Jalal / Zaman, Ferdos / Alipour, Meysam / Farhangiyan, Zahra / Sharifzadeh, Maryam

Romanian journal of internal medicine = Revue roumaine de medecine interne

2024

Abstract: Introduction: In this study, we aimed to compare metabolic risk factors, lipid indices, healthy eating index, and physical activity among premenopausal, menopausal, and postmenopausal women.: Methods: In this cross-sectional study, a total of 4,732 ... ...

Abstract	Introduction: In this study, we aimed to compare metabolic risk factors, lipid indices, healthy eating index, and physical activity among premenopausal, menopausal, and postmenopausal women. Methods: In this cross-sectional study, a total of 4,732 women participating in the Hoveyzeh Cohort Study were placed into three groups of premenopausal (n=736), menopausal (n=396), and postmenopausal (n=917) women, according to the inclusion and exclusion criteria . Results: The prevalence of metabolic syndrome was 43.3%, 55.6%, and 62.8% in premenopausal, menopausal, and postmenopausal women, respectively. After menopause, the prevalence of hypertension (50.2%), dyslipidemia (61.2%), diabetes (37.7%), and abdominal obesity according to the Iranian guidelines (75.9%) was higher than before menopause. Based on the results, cardiovascular disease had the highest prevalence after menopause (23%). The weight-adjusted waist index (WWI) had the highest odds ratio (OR) among indices, with values of 2.94 and 1.93 in menopausal and postmenopausal women, respectively (P<0.001). According to the Healthy Eating Index-2015 (HEI-2015), the total consumption of fruits, vegetables, seafood, and protein was higher in premenopausal women than in postmenopausal women, and the consumption of foods containing sugar was higher in menopausal women than in premenopausal women. The results showed that the level of physical activity was the highest and the lowest in premenopausal and postmenopausal women, respectively (P<0.001). Conclusion: Menopause leads to an increase in the prevalence of metabolic syndrome. The Atherogenic Index of Plasma (AIP), Triglyceride Glucose (TyG) index, WWI, and physical activity index increased in postmenopausal women compared to premenopausal women. The TyG index, WWI, and HEI-2015 did not show significant differences between the groups, based on the multiple regression analysis.
Language	English
Publishing date	2024-03-27
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2015966-3
ISSN	2501-062X ; 0035-3973 ; 1582-3296
ISSN (online)	2501-062X
ISSN	0035-3973 ; 1582-3296
DOI	10.2478/rjim-2024-0012
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Article ; Online: Evaluation and Comparison of the Effect of Different Intraoperative Oxygen Concentrations on Reduction of Nausea and Vomiting after Laparoscopic Cholecystectomy under General Anesthesia

Sayed Morteza Heidari / Seyed Jalal Hashemi / Javad Taghizadeh

مجله دانشکده پزشکی اصفهان, Vol 36, Iss 486, Pp 731-

2018 Volume 736

Abstract: Background: Postoperative nausea and vomiting (PONV) is one of the most common complications after anesthesia, and causes discomfort in many people. In some studies, the administration of high oxygen concentration during surgery has reduced postoperative ...

Abstract	Background: Postoperative nausea and vomiting (PONV) is one of the most common complications after anesthesia, and causes discomfort in many people. In some studies, the administration of high oxygen concentration during surgery has reduced postoperative nausea and vomiting. The purpose of this study was to evaluate the effect of different intraoperative oxygen concentrations on reduction of nausea and vomiting after laparoscopic cholecystectomy under general anesthesia. Methods: In this randomized clinical trial study, 105 patients who underwent laparoscopic cholecystectomy under general anesthesia were randomly assigned to three groups; the first group received 30% oxygen + 70% air, the second group 50% oxygen + 50% air, and the third group 70% oxygen + 30% air. Pain and nausea intensity was assessed using visual analogue scale. The data of this study were compared between the groups. Findings: There were significant differences between the groups based on the number vomits, and nausea and pain intensity at end of recovery, and 6, 12, and 18 hours postoperatively (P < 0.050 for all). Conclusion: High concentrations of oxygen reduces postoperative nausea, vomiting, and pain in laparoscopic cholecystectomy compared with lower concentrations, but does not reduce the need for metoclopramide.
Keywords	Vomiting ; Oxygen ; Nausea ; Laparoscopic surgery ; Medicine ; R ; Medicine (General) ; R5-920
Subject code	610
Language	Persian
Publishing date	2018-09-01T00:00:00Z
Publisher	Vesnu Publications
Document type	Article ; Online
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Article ; Online: Frequency of Hepatitis B Virus infection among Patients before Chemotherapy Treatment.

Mahmoudvand, Shahab / Shokri, Somaya / Mirzaei, Habibollah / Ramazani, Ali / Makvandi, Manoochehr / Neisi, Nilofar / Hashemi, Sayed Jalal

Asian Pacific journal of cancer prevention : APJCP

2021 Volume 22, Issue 9, Page(s) 2939–2944

Abstract: Background: Hepatitis B virus (HBV) is an important public health problem worldwide. Chronic HBV in patients undergoing chemotherapy and immunosuppressive treatment are at risk of HBV reactivation. The consequence of HBV reactivation in immunosuppressed ...

Abstract	Background: Hepatitis B virus (HBV) is an important public health problem worldwide. Chronic HBV in patients undergoing chemotherapy and immunosuppressive treatment are at risk of HBV reactivation. The consequence of HBV reactivation in immunosuppressed patients may lead to liver failure and death. Therefore, this study was conducted to investigate the frequency of HBV markers in cancer patients before chemotherapy. Materials and methods: In this study cross-sectional, blood samples were collected from 90 cancer patients before chemotherapy. The patient's sera were tested for the presence of HBsAg and anti-HBc using enzyme-linked immunosorbent assay (ELISA). The HBVDNA was tested for patient's sera using nested polymerase chain reaction (nested-PCR). Results: Among 90 patients, 42(46.7%) were males and 48 (53.3%) females, with a mean age of 52.52 ± 11.71 years (range, 25-83 years). Of the 6/90 (6.66%) patients, including 4/42 (9.5%) males and 2/48 (4.1%) females cases were positive for HBsAg, anti-HBc and HBV DNA, (P=0.31). The frequency of HBV infection in cancer patients was rectal 3(3.33%), breast cancer 2 (2.22%) and prostate 1(1.11%) cases. The sera of 8/84 (9.52%) patients including 5/39 (12.82%) males and 3/45 (6.66%) females tested positive for anti-HBc, but negative for HBsAg and HBV DNA. (P=0.55). The results of phylogenetic tree revealed that four isolated HBV DNA in cancer patients were cluster with genotype D. Conclusions: High frequency of 6.66% HBV infection have been observed in cancer patients before chemotherapy. The sera of 9.52% patients were only positive for anti-HBc IgG which may indicate the past HBV infection or presence of OBI but requires further investigation. To prevent HBV or OBI reactivation, the screening of HBV DNA and anti HBc should be implemented for cancers patients before chemotherapy.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; DNA, Viral/blood ; Enzyme-Linked Immunosorbent Assay ; Female ; Hepatitis B/epidemiology ; Hepatitis B Antibodies/blood ; Hepatitis B Surface Antigens/blood ; Hepatitis B virus/genetics ; Hepatitis B virus/immunology ; Hepatitis B virus/isolation & purification ; Humans ; Male ; Middle Aged ; Neoplasms/drug therapy ; Neoplasms/virology ; Phylogeny ; Polymerase Chain Reaction
Chemical Substances	DNA, Viral ; Hepatitis B Antibodies ; Hepatitis B Surface Antigens
Language	English
Publishing date	2021-09-01
Publishing country	Thailand
Document type	Journal Article
ZDB-ID	2218955-5
ISSN	2476-762X ; 1513-7368
ISSN (online)	2476-762X
ISSN	1513-7368
DOI	10.31557/APJCP.2021.22.9.2939
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Article ; Online: Acid–base and hemodynamic status of patients with intraoperative hemorrhage using two solution types

Sayed Jalal Hashemi / Sayed Morteza Heidari / Ahmad Yaraghi / Reza Seirafi

Advanced Biomedical Research, Vol 5, Iss 1, Pp 190-

Crystalloid Ringer lactate and 1.3% sodium bicarbonate in half-normal saline solution

2016 Volume 190

Abstract: Background: Intraoperative hemorrhage is one of the problems during surgery and, if it happens in a high volume without an immediate action to control, it can be fatal. Nowadays, various injectable solutions are used. The aim of this study was to compare ...

Abstract	Background: Intraoperative hemorrhage is one of the problems during surgery and, if it happens in a high volume without an immediate action to control, it can be fatal. Nowadays, various injectable solutions are used. The aim of this study was to compare the acid–base and hemodynamic status of the patient using two solutions, Ringer lactate and 1.3% sodium bicarbonate, in half saline solution. Materials and Methods: This clinical trial was performed at the Al-Zahra Hospital in 2013 on 66 patients who were randomly selected and put in two studied groups at the onset of hemorrhage. For the first group, crystalloid Ringer lactate solution and for the second group, 1.3% sodium bicarbonate in half-normal saline solution was used. Electrocardiogram, heart rate, O2 saturation non-invasive blood pressure and end-tidal CO2 were monitored. The arterial blood gas, blood electrolytes, glucose and blood urea nitrogen were measured before serum and blood injection. After the infusion of solutions and before blood transfusions, another sample was sent for measurement of blood parameters. Data were analyzed using SPSS software. Results: The mean arterial pressure was significantly higher in the second group than in the first group at some times after the infusion of solutions. pHh levels, base excess, bicarbonate, sodium, strong ion differences and osmolarity were significantly greater and potassium and chloride were significantly lower in the second group than in the first group after the infusion of solutions. Conclusion: 1.3% sodium bicarbonate in half-normal saline solution can lead to a proper correction of hemodynamic instability. By maintaining hemodynamic status, osmolarity and electrolytes as well as better balance of acid–base, 1.3% sodium bicarbonate solution in half-normal saline solution can be more effective than Ringer lactate solution during intraoperative bleeding.
Keywords	1.3% sodium bicarbonate in half-normal saline solution ; intraoperative hemorrhage ; Ringer lactate ; Medicine ; R ; Biology (General) ; QH301-705.5
Subject code	610
Language	English
Publishing date	2016-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Acid-base and hemodynamic status of patients with intraoperative hemorrhage using two solution types: Crystalloid Ringer lactate and 1.3% sodium bicarbonate in half-normal saline solution.

Hashemi, Sayed Jalal / Heidari, Sayed Morteza / Yaraghi, Ahmad / Seirafi, Reza

Advanced biomedical research

2016 Volume 5, Page(s) 190

Abstract	Background: Intraoperative hemorrhage is one of the problems during surgery and, if it happens in a high volume without an immediate action to control, it can be fatal. Nowadays, various injectable solutions are used. The aim of this study was to compare the acid-base and hemodynamic status of the patient using two solutions, Ringer lactate and 1.3% sodium bicarbonate, in half saline solution. Materials and methods: This clinical trial was performed at the Al-Zahra Hospital in 2013 on 66 patients who were randomly selected and put in two studied groups at the onset of hemorrhage. For the first group, crystalloid Ringer lactate solution and for the second group, 1.3% sodium bicarbonate in half-normal saline solution was used. Electrocardiogram, heart rate, O2 saturation non-invasive blood pressure and end-tidal CO2 were monitored. The arterial blood gas, blood electrolytes, glucose and blood urea nitrogen were measured before serum and blood injection. After the infusion of solutions and before blood transfusions, another sample was sent for measurement of blood parameters. Data were analyzed using SPSS software. Results: The mean arterial pressure was significantly higher in the second group than in the first group at some times after the infusion of solutions. pHh levels, base excess, bicarbonate, sodium, strong ion differences and osmolarity were significantly greater and potassium and chloride were significantly lower in the second group than in the first group after the infusion of solutions. Conclusion: 1.3% sodium bicarbonate in half-normal saline solution can lead to a proper correction of hemodynamic instability. By maintaining hemodynamic status, osmolarity and electrolytes as well as better balance of acid-base, 1.3% sodium bicarbonate solution in half-normal saline solution can be more effective than Ringer lactate solution during intraoperative bleeding.
Language	English
Publishing date	2016-11-28
Publishing country	India
Document type	Journal Article
ZDB-ID	2672524-1
ISSN	2277-9175
ISSN	2277-9175
DOI	10.4103/2277-9175.191000
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Article ; Online: Lidocaine administration before tracheal extubation cannot reduce post-operative cognition disorders in elderly patients

Sayed Jalal Hashemi / Sayed Morteza Heidari / Azadeh Rahavi

Advanced Biomedical Research, Vol 2, Iss 1, Pp 81-

2013 Volume 81

Abstract: Background: Cognitive dysfunction after surgery is common in elderly patients. Many factors such as anesthetic drugs can cause complication in this surgery. Lidocaine is one of the drugs commonly used during anesthesia. So, we designed this study to find ...

Abstract	Background: Cognitive dysfunction after surgery is common in elderly patients. Many factors such as anesthetic drugs can cause complication in this surgery. Lidocaine is one of the drugs commonly used during anesthesia. So, we designed this study to find out cognitive effect of lidocaine in elderly patients undergoing non-cardiac surgeries. Materials and Methods: In this double-blinded clinical trial, we enrolled 70 patients older than 65 years age undergoing urologic or orthopedic surgeries, were divided in two groups. Patients randomly received intravenous lidocaine (1.5 mg/kg) or normal saline in the same volume immediately before extubation. Mini mental state examination (MMSE) test was used to evaluate cognitive state at discharge time, 6 and 24 h after surgery. Results: Mean MMSE scores at the time of discharge from recovery room in lidocaine and saline groups were 22.4 ± 4.5 vs. 22.1 ± 4.4, P = 0.755, respectively. It was significantly lower than MMSE before surgery, 6 and 24 h after the operation. The mean MMSE scores and frequency distribution of intensity of cognitive impairments were not significantly different between two groups at different times. Conclusion: Bolus intravenous lidocaine before extubation, did not affect cognitive states in elders undergoing non-cardiac surgery. Effect of lidocaine on cardiac surgeries is clear, but in non-cardiac surgeries, lidocaine has no clinical effects. So, more studies with different doses of lidocaine and different assessment methods are recommended.
Keywords	Cognitive dysfunction ; elderly patients ; lidocaine ; post-operative ; Medicine ; R ; Biology (General) ; QH301-705.5
Subject code	616
Language	English
Publishing date	2013-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Lidocaine administration before tracheal extubation cannot reduce post-operative cognition disorders in elderly patients.

Hashemi, Sayed Jalal / Heidari, Sayed Morteza / Rahavi, Azadeh

Advanced biomedical research

2013 Volume 2, Page(s) 81

Abstract	Background: Cognitive dysfunction after surgery is common in elderly patients. Many factors such as anesthetic drugs can cause complication in this surgery. Lidocaine is one of the drugs commonly used during anesthesia. So, we designed this study to find out cognitive effect of lidocaine in elderly patients undergoing non-cardiac surgeries. Materials and methods: In this double-blinded clinical trial, we enrolled 70 patients older than 65 years age undergoing urologic or orthopedic surgeries, were divided in two groups. Patients randomly received intravenous lidocaine (1.5 mg/kg) or normal saline in the same volume immediately before extubation. Mini mental state examination (MMSE) test was used to evaluate cognitive state at discharge time, 6 and 24 h after surgery. Results: Mean MMSE scores at the time of discharge from recovery room in lidocaine and saline groups were 22.4 ± 4.5 vs. 22.1 ± 4.4, P = 0.755, respectively. It was significantly lower than MMSE before surgery, 6 and 24 h after the operation. The mean MMSE scores and frequency distribution of intensity of cognitive impairments were not significantly different between two groups at different times. Conclusion: Bolus intravenous lidocaine before extubation, did not affect cognitive states in elders undergoing non-cardiac surgery. Effect of lidocaine on cardiac surgeries is clear, but in non-cardiac surgeries, lidocaine has no clinical effects. So, more studies with different doses of lidocaine and different assessment methods are recommended.
Language	English
Publishing date	2013-10-30
Publishing country	India
Document type	Journal Article
ZDB-ID	2672524-1
ISSN	2277-9175
ISSN	2277-9175
DOI	10.4103/2277-9175.120869
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Article ; Online: Preemptive analgesia with intra-articular pethidine reduces pain after arthroscopic knee surgery

Sayed Jalal Hashemi / Hasanali Soltani / Sayed Morteza Heidari / Mahmoud Rezakohanfekr

Advanced Biomedical Research, Vol 2, Iss 1, Pp 9-

2013 Volume 9

Abstract: Background: Postoperative pain relief is important in procedures of the lower extremity. Several previous studies have evaluated the efficacy of intra-articular (IA) pethidine as a compound, which has local anesthetic and opioid agonist properties, on ... ...

Abstract	Background: Postoperative pain relief is important in procedures of the lower extremity. Several previous studies have evaluated the efficacy of intra-articular (IA) pethidine as a compound, which has local anesthetic and opioid agonist properties, on postoperative pain relief in arthroscopic knee surgery (AKS). This study compared the postoperative analgesic effect of pre- and post-surgical IA pethidine administration in AKS. Materials and Methods: Seventy-five patients of American Society of Anesthesiologists (ASA) I and II undergoing AKS with general anesthesia were enrolled in this double-blind study. Patients were randomized in three equal groups to receive either 50 mg IA pethidine before surgical incision incision and saline after skin closure (PS), saline before surgical incision and pethedine after skin closure (SP), and only saline at two different times (SS). In each patient with operated knee joint, pain at rest and joint movement was evaluated at 1, 2, 6, 12, and 24 h after surgery completion using Visual Analog Scale (VAS). Data were analyzed using analysis of variance (ANOVA)-repeated measure, t-paired, and Chi-square tests. Results: Postoperative pain score at rest and joint movement in PS group was significantly lower than those in other groups. The time (Mean ± SD) between completion of operation and patient′s request for morphine, total morphine consumption (Mean ± SD) in postoperative 24 h, and the numbers of patients requesting analgesic in PS, SP, SS, groups were: 5.2 ± 1.3, 3.3 ± 1.5, and 2 ± 1.3 h (P < 0.05); 4.4 ± 2.4, 8.7 ± 2, and 11.6 ± 4.4 mg (P < 0.05); 11, 18, and 21 persons (P < 0.05), respectively. Conclusion: The present study shows that preemptive intra-articular pethidine 50 mg injection is more effective than preventive injection for postoperative pain relief at rest and joint movement in arthroscopic knee surgery.
Keywords	Arthroscopy ; intra-articular ; knee ; pain after surgery ; pethidine ; Medicine ; R ; Biology (General) ; QH301-705.5
Subject code	796
Language	English
Publishing date	2013-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Effect of Different Methods of Skin Infiltration of Local Anesthetics on Pain during Spinal Anesthesia Induction

Sayed Jalal Hashemi / Gholam-Reza Khalili / Samanehsadat Moosavi

مجله دانشکده پزشکی اصفهان, Vol 31, Iss 250, Pp 1351-

2013 Volume 1359

Abstract: Background: Spinal anesthesia needs needle insertion through the skin into the subarachnoid space. In most patients, this insertion causes pain which leads to discomfort, stress, unintended moving and finally, failure in spinal block. Heretofore, ... ...

Abstract	Background: Spinal anesthesia needs needle insertion through the skin into the subarachnoid space. In most patients, this insertion causes pain which leads to discomfort, stress, unintended moving and finally, failure in spinal block. Heretofore, different methods have been evaluated to decrease the pain during spinal anesthesia. This study aimed to compare the effect of different methods of skin infiltration of local anesthetics on pain during spinal needle insertion. Methods: In a clinical trial study, 172 patients scheduled to undergo spinal anesthesia were randomly allocated into 4 equal groups: group 1 received intratecal injection without local anesthetic (control); group 2 received interatecal injection with local anesthesia of 1 cc lidocain 1% (skin wheal); group 3 received interatecal with local anesthesia of 2 cc lidocain 1% (subcutaneous); and group 4 received interatecal with local anesthesia with 3 cc lidocain 1% (subcutaneous and deep). Assessment of pain intensity during the spinal anesthesia induction using visual analog scale (VAS) was done. Findings: Mean pain intensity right after skin infiltaration in was not statistically different between the groups (P = 0.94). Mean pain intensity during the spinal anesthesia induction in was no statistically different between them, too (P = 0.54). But, the frequency of satisfaction was higher in those underwent skin wheal and subcutaneous methods than others. Conclusion: Skin infiltration in spinal anesthesia, if done appropriately, can improve the anesthesia procedure and patient satisfaction. Local anesthetic infiltration with skin wheal and subcutaneous methods improves the patients' satisfaction.
Keywords	Spinal anesthesia ; Skin infiltration ; Local anesthesia ; Medicine ; R ; Medicine (General) ; R5-920
Subject code	616 ; 571
Language	Persian
Publishing date	2013-10-01T00:00:00Z
Publisher	Vesnu Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: Preemptive analgesia with intra-articular pethidine reduces pain after arthroscopic knee surgery.

Hashemi, Sayed Jalal / Soltani, Hasanali / Heidari, Sayed Morteza / Rezakohanfekr, Mahmoud

Advanced biomedical research

2013 Volume 2, Page(s) 9

Abstract	Background: Postoperative pain relief is important in procedures of the lower extremity. Several previous studies have evaluated the efficacy of intra-articular (IA) pethidine as a compound, which has local anesthetic and opioid agonist properties, on postoperative pain relief in arthroscopic knee surgery (AKS). This study compared the postoperative analgesic effect of pre- and post-surgical IA pethidine administration in AKS. Materials and methods: Seventy-five patients of American Society of Anesthesiologists (ASA) I and II undergoing AKS with general anesthesia were enrolled in this double-blind study. Patients were randomized in three equal groups to receive either 50 mg IA pethidine before surgical incision incision and saline after skin closure (PS), saline before surgical incision and pethedine after skin closure (SP), and only saline at two different times (SS). In each patient with operated knee joint, pain at rest and joint movement was evaluated at 1, 2, 6, 12, and 24 h after surgery completion using Visual Analog Scale (VAS). Data were analyzed using analysis of variance (ANOVA)-repeated measure, t-paired, and Chi-square tests. Results: Postoperative pain score at rest and joint movement in PS group was significantly lower than those in other groups. The time (Mean ± SD) between completion of operation and patient's request for morphine, total morphine consumption (Mean ± SD) in postoperative 24 h, and the numbers of patients requesting analgesic in PS, SP, SS, groups were: 5.2 ± 1.3, 3.3 ± 1.5, and 2 ± 1.3 h (P < 0.05); 4.4 ± 2.4, 8.7 ± 2, and 11.6 ± 4.4 mg (P < 0.05); 11, 18, and 21 persons (P < 0.05), respectively. Conclusion: The present study shows that preemptive intra-articular pethidine 50 mg injection is more effective than preventive injection for postoperative pain relief at rest and joint movement in arthroscopic knee surgery.
Language	English
Publishing date	2013-03-06
Publishing country	India
Document type	Journal Article
ZDB-ID	2672524-1
ISSN	2277-9175
ISSN	2277-9175
DOI	10.4103/2277-9175.107971
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