@article { author = {Heydarian, Farhad and Bakhtiari, Elham and Ahanchian, Hamid and Karimdadi, Siroos and Heidarian, Mohammad}, title = {Procalcitonin: in Lobar and Non-Lobar Pneumonia in Children}, journal = {Journal of Patient Safety & Quality Improvement}, volume = {6}, number = {3}, pages = {0-0}, year = {2018}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4482}, eissn = {2345-4490}, doi = {10.22038/psj.2018.11181}, abstract = {Introduction:  To investigate the value of procalcitonin (PCT) in lobar and non-lobar pneumonia in children. Materials and Methods: 80 children with pneumonia were included. 20 healthy children were selected as control. Lobar and non-lobar pneumonia were recognized. The serum level of C reactive protein (CRP), erythrocyte sedimentation rate (ESR), leukocytes and PCT were measured. Statistical analysis was performed using SPSS windows program. Results: Among the 80 children 39 cases (48.75%) were female and 41 cases (51.25%) were male with the average of 17.29±2.43 months. 7 patients (8.75%) were diagnosed with lobar pneumonia. Cough, tachypnea and Crackles were more common symptoms in lobar pneumonic patients. Leukocytosis (more than 15000/microliter) was more prominent in pneumonic patients versus control as well as lobar pneumonia versus non-lobar (p<0.05). The CRP with 3+ level was prominent in lobar pneumonic patients (p=0.02). The mean of ESR in lobar group was higher than non-lobar group (p=0.001). The PCT level of 2ng/mL could consider as cut off point of lobar and non-lobar pneumonia. The PCT level of 0.5ng/mL could consider as cut off point between pneumonic and healthy children. Conclusion: Serum level of PCT is higher in lobar pneumonia than non-lobar pneumonia in children with cut off point of 2ng/mL.}, keywords = {Child,Pneumonia,Procalcitonin}, url = {https://psj.mums.ac.ir/article_11181.html}, eprint = {} } @article { author = {Sadrzadeh, Sayyed Majid and Shayesteh Bilandi, Vajiheh and Vafadar moradi, Elnaz and Vejdani, Mohammad and Mousavi, Seyed Mohammad and Rezvani Kakhki, Behrang and Rahmani, Shaghayegh}, title = {A Rare Manifestation of a Common Disease}, journal = {Journal of Patient Safety & Quality Improvement}, volume = {6}, number = {3}, pages = {0-0}, year = {2018}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4482}, eissn = {2345-4490}, doi = {10.22038/psj.2018.11364}, abstract = {Introduction: Ectopic pregnancy (EP) is considered a common disease worldwide. This study is intended to present a case report of ectopic pregnancy presented with syncope, a rare symptom. Case: A 31 years old woman presented in emergency department of an academic trauma center with the chief complaint of head trauma. She was suffering of severe headache following falling down because of syncope. In prices exam she had unstable vital signs and was complaining of abdominal pain and tenderness. Routine laboratory tests including β-hCG, head CT scan, complete abdominal and abdominopelvic sonography were ordered for the patient. Results showed positive β-hCG and abundant free fluid in the abdominal cavity in sonography. After approval of ruptured ectopic pregnancy diagnosis, patient underwent laparotomy, salpingectomy and cystectomy.}, keywords = {Ectopic pregnancy (EP),β-hCG,Sonography,Syncope}, url = {https://psj.mums.ac.ir/article_11364.html}, eprint = {} } @article { author = {Shirazi, Narges and Rezvani Kakhki, Behrang and Boumeri, Elahe and Ghofrani, Aida and Sadrzadeh, Sayyed Majid and Mousavi, Seyed Mohammad}, title = {Rupture of Posterior Urethra without Pelvic Fracture: A Rare Presentation}, journal = {Journal of Patient Safety & Quality Improvement}, volume = {6}, number = {3}, pages = {0-0}, year = {2018}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4482}, eissn = {2345-4490}, doi = {10.22038/psj.2018.11493}, abstract = {Rupture of the posterior urethra is a rather uncommon finding in patients with pelvic trauma. It is usually accompanied by pelvic fractures. Herein, we report the case of a 27-year-old man with isolated rupture of the posterior urethra –without pelvic fracture- after falling. The patient was successfully treated with primary suprapubic cystostomy and delayed urethral reconstruction surgery, after which he was discharged in good condition with no urologic complication. The consensus on these cases is either to perform an early realignment or to do late reconstructive surgery.}, keywords = {Pelvic Trauma,Perineal Trauma,Posterior Urethra,Urethral Injury,Urethral Rupture}, url = {https://psj.mums.ac.ir/article_11493.html}, eprint = {} } @article { author = {Vafadar Moradi, Elnaz and Sadrzadeh, Sayyed Majid and Amini, Saeed and Habibzadeh, Seyed Reza and Rezvani Kakhki, Behrang}, title = {First Seizure Due to a Ruptured Brain Dermoid Cyst}, journal = {Journal of Patient Safety & Quality Improvement}, volume = {6}, number = {3}, pages = {0-0}, year = {2018}, publisher = {Mashhad University of Medical Sciences}, issn = {2345-4482}, eissn = {2345-4490}, doi = {10.22038/psj.2018.11698}, abstract = {Introduction: first seizure is an unpleasant experience, the underlying cause and probability of recurrence is critical for the patient. Case: A 72 years old female was brought to our emergency department with a complaint of first seizure. Her daughter stated that she had had a tonic colonic generalized seizure that lasted about 10 seconds. She was complaining of a headache at the time of arrival in the ED, and the seizure had ended. The physical examination was normal and she had no past medical history. Spiral axial brain CT scanning demonstrated a sharp, round lesion with peripheral calcification near the pineal gland which compressed the third ventricle. Multiple nodules with fat density were seen in the subarachnoid space. Phenytoin was started for seizure prophylaxis and a neurosurgery consultation was requested. Tumor was completely reacted. Conclusion: This is a rare case of dermoid cyst near the pineal which compressed the third ventricle and caused midline shift and hydrocephaly. The cause of seizure may be the cyst rupturing. Complete cyst resection is the preferred treatment.}, keywords = {Dermoid cyst,Phenytoin,Seizure}, url = {https://psj.mums.ac.ir/article_11698.html}, eprint = {} }