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Chah Bahar, Iran

Kermanshah University of Medical science is a medical school in Kermanshah, Iran.Kermanshah University of Medical science is the publisher of Journal of Injury and Violence Research. Kermanshah University of Medical science is a top ranked state medical university in west of Iran. Achievements in academic excellence and innovative research, as devotion to promote overall health of the society are KUMS's main concerns.History:Kermanshah university of Medical science was first established as the Nursing College affiliated with The Ministry of Health and Welfare in 1968. After the Islamic Revolution, it was merged with college of Medicine and further developed into a medical university in 1364. In addition to medical education and treatment affairs, it has also been dealing with such areas as research, innovations, and an attempt to help develop medical and paramedical science. The university consists of six schools, seven teaching hospitals, and fourteen health centers in Kermanshah. It also has ten non teaching hospitals in the other cities of province -Islam Abad, Paveh, Salas Babajani, Javanroud, Dalahoo, Ravansar, Sarpole' Zohab, Sonqor, Sahneh, Qasre-Shirin,Kangavar, Gilan Gharb, and Harsin. The university also has 9814 employees and 236 faculty members, and based on well-defined duties and in order to serve the recent scientific and technological leap in the country it has designed scientific strategies and performed effective measures to create a healthy society in an atmosphere full of health, which are mentioned briefly.Most prominent capabilities of the university: · The presence of all branches of specialty in the university.· The presence of 24 subspecialists in different branches, and the activity of some unique subspecialties such as cardiovascular surgery, thoracic surgery, pediatric surgery, uropediatric surgery, etc. in Kermanshah.· The activities of Imam Reza Teaching and Treatment Centre as the top hospital in the West of Iran with the highest evaluation rank in the country.· The activities of the subspecial cardiovascular surgery of Imam Ali· The activities of radiotherapy, MRI, renal calculus crushing, and peripheral angiography in the public sector, being the only public center in the west of the country.· The activities of Kidney Transplant Center.· The presence of the only PND center in the west of the country to diagnose prenatal thalassemia.· Performing an educational program for dialysis ward nurses to provide coverage for the west of the country· Unique activities of dialysis ward of the teaching center if Imam Reza with 36 active beds· Proper implementation of planning the Blue Software for thalassemia patients and choosing the province as one of the ten pilot areas.· Activities of the center for minimizing the harms and quitting addiction for women and increasing their sexual health for the first time in the country.Scientific Journals of the UniversityJournal of Reports in Pharmaceutical science Frequency: Biannually Language: English Manager: Dr. Reza Khodarahmi Editor: Dr. GholamReza Bahrami Type of articles: Pharmaceutical science, Basic Medicine and Pharmacy URL: http://journals.kums.ac.ir/ojs/index.php/JRPSRESEARCH CENTERSMedical Biology Research Center URL: http://mbrc.kums.ac.ir/fa/About.aspx Wikipedia.

Rahimi Z.,Kermanshah University of Medical Sciences
Journal of Nephropathology

Context: Angiotensin converting enzyme (ACE) gene encodes ACE, a key component of renin angiotensin system (RAS), plays an important role in blood pressure homeostasis by generating the vasoconstrictor peptide angiotensin II. Evidence Acquisitions: Directory of Open Access Journals (DOAJ), Google Scholar, Pubmed (NLM), LISTA (EBSCO) and Web of Science have been searched. Results: The presence of ACE insertion/deletion (I/D) polymorphism affects the plasma level of ACE. ACE DD genotype is associated with the highest systemic and renal ACE levels compared with the lowest ACE activity in carriers of II genotype. Conclusions: In this review focus has been performed on the study of ACE I/D polymorphism in various populations and its influence on the risk of onset and progression of diabetic nephropathy. Also, association between ACE I/D polymorphism and response to ACE inhibitor and angiotensin II receptor antagonists will be reviewed. Further, synergistic effect of this polymorphism and variants of some genes on the risk of development of diabetic nephropathy will be discussed. © 2014 by Journal of Nephropathology (JNP). Source

Nalini M.,Kermanshah University of Medical Sciences
Journal of Cardiopulmonary Rehabilitation and Prevention

PURPOSE:: Determinants of outpatient cardiac rehabilitation (CR) use in low- and middle-income countries are not well-known. This study analyzed CR use after coronary bypass surgery by gender and geography and effects of systematic referral, program model, and insurance types on CR participation in the west of Iran. METHODS:: This observational study was conducted in Imam-Ali University Hospital in Kermanshah (KSH), the only CR center in the region (2002-2012). There were 2 CR programs: hospital-based and hybrid (combination of home-based and intermittent hospital-based sessions). Patients were divided into groups who lived inside and outside KSH (O-KSH). Referral, participation, and completion rates and program selection were compared by geography, gender, and insurance types. The effects of systematic referral (as of June 2011) were also analyzed. RESULTS:: Of 4735 patients, 44.6% were referred for, 18.7% enrolled in, and 16.5% completed CR. In KSH compared with O-KSH, referral rates were 58.0% versus 30.7% and participation rates were 27.0% versus 10.2%, respectively (P < .001, in both cases). Participation rate in women was lower than that in men (15.6% vs 20.0%, respectively; P = .001). Systematic referral increased participation, especially in women and O-KSH (P < .001, in both cases). The O-KSH patients and those with unfavorable insurance mostly selected the hybrid program (P < .001, in both cases). Among participants, completion rates based on gender and geography were similar. CONCLUSIONS:: Referral and participation rates of coronary bypass surgery patients in CR were low in the west of Iran, especially in women and O-KSH. Systematic referral along with the hybrid program increased them significantly. Copyright © 2014 Wolters Kluwer Health. Source

Yari M.,Kermanshah University of Medical Sciences
Journal of injury & violence research

Anterior cruciate ligament (ACL) tearing is a common injury among football players. The present study aims to determine the best single-dose of intra-articular morphine for pain relief after arthroscopic knee surgery that, in addition to adequate and long-term analgesia, leads to fewer systemic side effects. This clinical trial was conducted on 40 ASA-I athletes. After surgery, all participants received an injection of 20 cc of 0.5% intra-articular bupivacaine. In addition, the first control group received a saline injection and 5, 10 and 15 mg of morphine were respectively injected into the joints of the second, third and fourth groups by use of Arthroscopic equipment before the Arthroscopic removal. The amount of pain based on VAS at 1, 2, 4, 6 and 24 hours after surgery, duration of analgesia and the consumption of narcotic drugs were recorded. The VAS scores in the fourth, sixth and twenty-fourth hours after surgery showed a significant difference between the study groups. The average time to the first analgesic request from the bupivacaine plus 15 mg morphine group was significantly longer than other groups and total analgesic requests were significantly lower than other groups. No drowsiness complications were observed in any of the groups in the first 24 hours after injection. Application of 15 mg intra-articular morphine after Arthroscopic knee surgery increases the analgesia level as well as its duration (IRCT138902172946N3). Source

Yeganeh N.,Kermanshah University of Medical Sciences
Journal of injury & violence research

Maintaining blood pressure (BP) and heart rate (HR) after laryngoscopy and tracheal intubation has always been a concern in injured patients. Opioids can attenuate or stop an increase in these two parameters if administered with proper doses or targets in target-controlled infusion (TCI). Remifentanil and sufentanil are widely used for this purpose because their cardiac side effects are low and, especially in traumatic patients, they are tolerated well. A comparison of the benefits and limitations of these two opioids in TCI is much needed. A literature review in electronic data bases revealed few results. 40 normotensive patients were enrolled to this randomized clinical trial study. After BIS guided anesthesia with a target-controlled propofol infusion and muscle relaxation with cisatracurium, remifentanil and sufentanil were infused using TCI with 2 and 0.2 ng.ml-1 targets respectively. BP and HR were recorded for five data points and compared with Fischer's exact test. Systolic, mean and diastolic arterial pressure and HR in different points of the study remained below baseline values but were out of control in some cases, however the out-of-control values showed significant difference between the two groups only for heart rate changes. The relative risk for producing out-of-control changes with remifentanil compared to sufentanil is significantly more than 1 for HR decrease. Sufentanil produced more common pre-intubation hypotension than remifentanil in propofol anesthetized patients but this hypotension disappeared sooner than remifentanil after tracheal intubation. Both opioids prevent an increase in BP and HR after tracheal intubation but the side effects (hypotension and bradycardia) may be a cause for concern (IRCT138710011361N3). Source

Karimi N.,Kermanshah University of Medical Sciences
Journal of injury & violence research

Injury risk during childhood and adolescence vary depending on socio-economic factors. The aim of this study was to study if the risk of fatal and non-fatal unintentional injuries among foreign-born children was similar across parental educational level or not. In this retrospective cohort study we followed 907,335 children between 1961 and 2007 in Sweden. We established the cohort by linkage between Swedish national registers including cause of death register and in-patient register, through unique Personal Identification Numbers. The main exposure variable was parental (maternal and paternal) educational level. The cohorts was followed from start date of follow-up period, or date of birth whichever occurred last, until exit date from the cohort, which was date of hospitalization or death due to unintentional injury, first emigration, death due to other causes than injury or end of follow-up, whichever came first. We calculated hazard ratios (HR) with 95% confidence intervals (95% CI) by Cox proportional hazards regression models. Overall, we found 705 and 78,182 cases of death and hospitalization due to unintentional injuries, respectively. Risk of death and hospitalization due to unintentional injuries was statistically significantly 1.48 (95% CI: 1.24-1.78) and 1.10 (95% CI: 1.08-1.12) times higher among children with lowest parental educational level (9 years and shorter years of study) compared to children with highest parental educational level (+13 years of study). We found similar results when stratified our study group by sex of children, by maternal and paternal educational level separately, and injury type (traffic-related, fall, poisoning, burn and drowning). It seems injury prevention work against unintentional injuries is less effective among children with low parental education compared with those with higher parental education. We recommend designing specific preventive interventions aiming at children with low parental education. © 2014 KUMS, All rights reserved. Source

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