Background: Pain is a common complaint among patients referring to the emergency department. This study aimed at comparing the effect of fentanyl and vitamin B12 to decrease the abdominal pain in patients who are addicted to oral opium.
Methods: This study conducted a double-blind randomized clinical trial on patients addicted to oral opium during a one-year period. The effects of fentanyl and vitamin B12 were compared for the relief of abdominal pain in such patients.
Results: The 136 patients studied had a mean age of 47.77 ± 13.6 years (mean ± SD). There was a significant difference in mean pain severity at 10, 15, 30, 45, 60, and 120 min (P < .05). The mean pain severity in the fentanyl group was significant at 30 min compared to the earlier times and showed a decreasing trend in pain severity (P < .05). This decreasing trend was observed up to 120 min for the fentanyl + vitamin B12 group, which showed a significant difference between each time and the time preceding it (P < .05).
Conclusions: The proper and permanent control of abdominal pain experienced by patients addicted to oral opium is essential. The combined use of fentanyl and vitamin B12 is effective in reaching this goal. 相似文献
Resistance of Pseudomonas aeruginosa strains to the broad-spectrum cephalosporins may be mediated by the extended-spectrum β-lactamases (ESBLs). These enzymes are encoded by different genes located on either chromosomes or plasmids. This study aimed to investigate the prevalence of ESBLs and antimicrobial susceptibilities of P. aeruginosa isolated from burn patients in Tehran, Iran. Antimicrobial susceptibility of 170 isolates to cefpodoxime, aztreonam, ciprofloxacin, ofloxacin, ceftazidime, cefepime, imipenem, meropenem, cefotaxime, levofloxacin, piperacillin–tazobactam and ceftriaxone was determined by disc agar diffusion test. Polymerase chain reaction (PCR) amplification of the genes encoding OXA-10, PER-1 and VEB-1 was also performed. All isolates (100%) were resistant to ceftazidime, cefotaxime, cefepime and aztreonam. Imipenem and meropenem were the most effective anti-pseudomonal agents. The results revealed that 148 (87.05%) of the isolates were multidrug resistant and 67 (39.41%) of the isolates were ESBL positive. Fifty (74.62%), 33 (49.25%) and 21 (31.34%) strains among 67 ESBL-producing strains amplified blaOXA-10, blaPER-1 and blaVEB-1 respectively. 相似文献
This study examined the clinical validity of a Persian language version of the Automatic Thoughts Questionnaire (ATQ-Persian). We hypothesized that patients with major depression can be clearly distinguished from non-patient members of general population regarding both frequency of negative thoughts (ATQ-F) and degree of belief in these thoughts (ATQ-B). To test this hypothesis, we used discriminant function analysis in a group of 30 female patients with major depression and 30 female non-patient volunteers. ATQ-F and ATQ-B discriminated the large majority of depressed patients from non-patient volunteers and were correlated with the severity of depression as measured by scores on the Beck Depression Inventory-second edition. The data provide preliminary evidence for clinical validity and utility of ATQ-Persian. 相似文献
Objective:To explore the effect of ethyl acetate gum resin extract of Boswellia serrata on lipopolysaccharide(LPS)induced inflammation and oxidative damage in hepatic and renal tissues of rats.Methods:The rats were divided into four groups:control,LPS,LPS+Boswellia serrata extracts(100 mg/kg and 200 mg/kg).LPS(1 mg/kg)and the extract(100 and 200 mg/kg,30 min before LPS)were administered intraperitoneally for 3 weeks.The levels of liver enzymes,albumin,total protein,creatinine,blood urea nitrogen(BUN),interleukin(IL)-6,malondialdehyde(MDA),and total thiol groups and superoxide dismutase(SOD)and catalase(CAT)activities were measured.Results:The levels of liver enzymes,creatinine,and BUN,IL-6,MDA in the LPS group were markedly increased(P<0.001)while albumin,total protein,and total thiol concentration,as well as SOD and CAT activities,were decreased compared with the control group(P<0.05 or 0.01).Boswellia serrata extracts diminished the levels of liver enzymes,creatinine,BUN,IL-6,and MDA(P<0.01 and P<0.001),and elevated the concentration of total protein and total thiol and SOD and CAT activities(P<0.05 or 0.01).Conclusions:The ethyl acetate gum resin extract of Boswellia serrata reduces LPS-induced inflammatory reactions and oxidative damage,thus ameliorating hepatic and renal function. 相似文献
Polychlorinated biphenyls used previously in industry are widespread environmental contaminants under scrutiny for their possible reproductive effects in humans. In this study, 200 breast milk samples from eligible Victorian mothers were used for measuring maternal contamination and their possible effect on the offspring was investigated. No significant association was found between maternal PCB contamination and low birth weight, small for gestational age and previous miscarriage or stillbirth. The elevated odd ratios of prematurity, increased with increase in contamination level but were nonsignificant. Higher PCB contamination was not in favor of any gender in the offspring. Our results suggest that chronic, low contamination with PCBs does not pose a reproduction threat in humans. 相似文献
This ex-vivo study aimed to compare canal transportation in mesio-buccal canal of mandibular first molars prepared with Mtwo and Revo-S multi-file and Neoniti single-file nickel–titanium (Ni–Ti) rotary systems using cone-beam computed tomography (CBCT).
Methodology
CBCT scans were obtained from 60 extracted mandibular first molars and the teeth were randomly divided into three groups. Mesio-buccal canal of mesial root was prepared with Revo-S, Neoniti or Mtwo rotary systems according to the instructions of the manufacturers. Post-operative CBCT scans were also obtained. A single operator performed canal preparations while another operator blinded to the group allocation of teeth did the measurements. Data were analyzed using SPSS 20. The mean and standard deviation (SD) of the amount of canal transportation were calculated and compared between the groups using the Friedman test (P ≤ 0.05).
Results
No significant difference was noted in canal transportation among the groups in the middle and apical third (P > 0.05). The rotary single-file instrument caused significantly greater canal transportation in the coronal third.
Conclusion
No significant difference exists among different rotary systems in the amount of canal transportation caused in the middle and apical third of the mesio-buccal canal in mandibular first molars. Although all rotary files caused some degrees of canal transportation, the rotary single-file instrument caused significantly greater canal transportation than the multiple-file sequences in the coronal third. 相似文献