ORIGINAL_ARTICLE
Customer Quality and Rheumatoid Arthritis in the Iranian Patient’s Perspective: A Cross-Sectional Study
Introduction: Customer Quality (CQ) refers to customer’s characteristics and is related to the consumer knowledge, skills and self confidence in active participating in care process and life style improvement. This study was aimed to assess customer quality among people with Rheumatoid Arthritis (RA) according to the patients’ perspective. Materials and Methods:This cross-sectional study was carried out on 170 patients who received care from specialist clinics of Isfahan University of Medical Sciences in 2013. Customer Quality was assessed using Comprehensive Quality Measurement in Health care questionnaire (CQMH_CQ). Questionnaire content validity was reviewed and confirmed by 10 experts and its reliability was confirmed based on Chronbach's alpha index (α=0.803). SPSS-17 statistical software was used to analyze the data. Independent Samples T test and ANOVA were conducted to compare CQ score between categorical variables. Results: The average CQ score was 70.25 (13.20). According to self-reported customer quality score, all participants achieved the scores at the level of stage one. Some (9.2%) of participants didn’t reach the action stage (stag three), then 90.8% took action in facing with health related problem and finally only 19.8% of participant achieved highest level of Self-management. Customer Quality score of employed patients (P=0.026) and patient who had active disease (P =0.030) were significantly. Customer quality scores of illiterate participants were lower than that of the educated (P= 0.001). Conclusion: According to overall score of customer quality, findings indicate the necessity of patients' involvement in care process and self-thought behavior-change skills for ongoing self-management and enhancing their self care abilities in daily life.
https://psj.mums.ac.ir/article_2987_aebca1702a9605d06758cd2b79505a71.pdf
2014-07-01
110
115
10.22038/psj.2014.2987
Customer quality
Iran
Patients’ Perspective
Rheumatoid arthritis
Self-management strategies
Azad
Shokri
1
Hospital Management Research Center, Iran University of Medical Sciences, Tehran, Iran.
AUTHOR
Mohammad Hossein
Yarmohammadian
azad_shkri@yahoo.com
2
Health Management & Economics Research Center (HMERC), Isfahan University of Medical Sciences, Isfahan, Iran.
AUTHOR
Payman
Mottaghi
mottaghi@gmail.com
3
Department of Rheumatology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
AUTHOR
Saeed
Karimi
4
Health Management & Economics Research Center (HMERC), Isfahan University of Medical Sciences, Isfahan, Iran.
AUTHOR
Najmeh
Bahman ziari
bahmanziari@yahoo.com
5
Faculty of Health Service Management and Medical Information, Isfahan University of Medical Science, Isfahan, Iran.
AUTHOR
Kamal
Gholipour
gholipourk@tbzmed.ac.ir
6
Iranian Center of Excellence in Health Management, Department of Health Services Management, Faculty of Management
and Medical Informatics, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
LEAD_AUTHOR
Jafar
Sadegh Tabrizi
7
Department of Health Services Management, Faculty of Management and Medical Informatics, Tabriz Health Service Management
Research Center , Tabriz University of Medical Sciences, Tabriz, Iran
AUTHOR
1- Salesi M, Mottaghi P, Karimifar M, Farajzadegan Z. Intravenous pamidronate for refractory rheumatoid arthritis. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2012 May;17(5):422-7.
1
2- Meesters J, de Boer I, van den Berg M, Fiocco M, Vliet Vlieland T. Unmet information needs about the delivery of rheumatology health care services: a survey among patients with rheumatoid arthritis. Patient education and counseling. 2011 Nov;85(2):299-303.
2
3- Khanna R, Smith MJ. Utilization and costs of medical services and prescription medications for rheumatoid arthritis among recipients covered by a state Medicaid program: a retrospective, cross-sectional, descriptive, database analysis. Clinical therapeutics. 2007 Nov;29(11):2456-67.
3
4- Jacobi CE, Boshuizen HC, Rupp I, Dinant HJ, van den Bos GA. Quality of rheumatoid arthritis care: the patient's perspective. International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua. 2004 Feb;16(1):
4
5- Salesi M, Farajzadegan Z, Karimifar M, Mottaghi P, Sayed Bonakdar Z, Karimzadeh H. Disease activity index and its association with serum concentration of anti-cyclic citrullinated peptide 1 (anti-CCP1) in patients with rheumatoid arthritis. Razi Journal of Medical Sciences. 2010;17(74):15-21.
5
6- Mottaghi P, Karimzade H. Does chloroquine decrease liver enzyme abnormalities induced by methoterexate in patients with rheumatoid arthritis? Journal of Research in Medical Sciences. 2005;10(3):135-8.
6
7- Garip Y, Eser F, Bodur H. Health-related quality of life in rheumatoid arthritis: comparison of RAQoL with other scales in terms of disease activity, severity of pain, and functional status. Rheumatology international. 2011;31(6):769-72.
7
8- Arnold SB. Improving quality health care: the role of consumer engagement: Robert Wood Johnson Foundation; 2007.
8
9- Ghosh AK. On the challenges of using evidence-based information: the role of clinical uncertainty. The Journal of laboratory and clinical medicine. 2004 Aug;144(2):60-4.
9
10- Tabrizi J-s, Jafarabadi MA, Farahbakhsh M, Mohammadzedeh M. Customer quality and maternity care in Tabriz urban health centers and health posts. Journal of Clinical Research & Governance. 2012;1(1):12-5.
10
11- Tabrizi JS. Quality of delivered care for people with type 2 diabetes: a new patient-centred model. Journal of research in health sciences. 2009;9(2):1-9.
11
12- Tabrizi JS, Vahidi RG, Iezadi S, Shokri A. Content of clinical audit programs affecting its effectiveness: A systematic review. The Online Journal of Clinical Audits. 2013;5(2).
12
13- Tabrizi JS, Wilson AJ, O'Rourke PK. Customer quality in health care. Patient education and counseling. 2009 Jan;74(1):130-1.
13
14- Zuidgeest M, Sixma H, Rademakers J. Measuring patients' experiences with rheumatic care: the consumer quality index rheumatoid arthritis. Rheumatol Int. 2009 Dec;30(2):159-67.
14
15- Hibbard JH. Engaging health care consumers to improve the quality of care. Medical care. 2003 Jan;41(1 Suppl):I61-70.
15
16- Brus HL, Taal E, van de Laar MA, Rasker JJ, Wiegman O. Patient education and disease activity: a study among rheumatoid arthritis patients. Arthritis & Rheumatism. 1997;10(5):320-4.
16
17- Atapoor J, Shakibi MR, Rajabizadeh G, Sarotehrigi M. The relationship between depression and disability in patients with Rheumatoid arthritis in Kerman. Journal of Kerman University of Medical Sciences. 2002;9(2):79-85.
17
18- Monjamed Z. The Impact of Signs and Symptoms on the Quality of Life in Patients with Rheumatoid Arthritis Referred to the Hospitals of Tehran University of Medical Sciences in Year 2005. Qom University of Medical Sciences Journal. 2012;1(1).
18
19- Kjeken I, Dagfinrud H, Mowinckel P, Uhlig T, Kvien TK, Finset A. Rheumatology care: involvement in medical decisions, received information, satisfaction with care, and unmet health care needs in patients with rheumatoid arthritis and ankylosing spondylitis. Arthritis Care & Research. 2006;55(3):394-401.
19
20- Koehn CL, Esdaile JM. Patient education and self-management of musculoskeletal diseases. Best Practice & Research Clinical Rheumatology. 2008;22(3):395-405.
20
21- Wood AJ, O'Dell JR. Therapeutic strategies for rheumatoid arthritis. New England Journal of Medicine. 2004;350(25):2591-602.
21
22- Kennedy T, McCabe C, Struthers G, Sinclair H, Chakravaty K, Bax D, et al. BSR guidelines on standards of care for persons with rheumatoid arthritis. Rheumatology. 2005;44(4):553-6.
22
23- Vahidi RG, Tabrizi JS, Iezadi S, Gholipour K, Mojahed F, Rasi V. Organizational Facilitators and Barriers to Implementing Effective Clinical Audit: Systematic Review. Journal of Pakistan Medical Students. 2013;3(1).
23
24- Newman S, Steed L, Mulligan K. Self-management interventions for chronic illness. The Lancet. 2004;364(9444):1523-37.
24
25- Yood RA, Guidelines ACoRSoRA. Guidelines for the management of rheumatoid arthritis: 2002 update. 2002 , pp. 328–346.
25
26- Warsi A, LaValley MP, Wang PS, Avorn J, Solomon DH. Arthritis self‐management education programs: A meta‐analysis of the effect on pain and disability. Arthritis & Rheumatism. 2003;48(8):2207-13.
26
27- Keefe FJ, Lefebvre JC, Kerns RD, Rosenberg R, Beaupre P, Prochaska J, et al. Understanding the adoption of arthritis self-management: stages of change profiles among arthritis patients. Pain. 2000;87(3):303-13.
27
28- Coulter A, Parsons S, Askham J, Organization WH, Organization WH. Where are the patients in decision-making about their own care?: World Health Organization Regional Office for Europe; 2008.
28
29- Wilson A, Tabrizi J, Gholipour K, Farahbakhsh M. Technical Quality of Maternity Care: the Pregnant Women’s Perspective. Health Promot Perspect. 2013;3(1):23-31.
29
ORIGINAL_ARTICLE
A Comparison of the Quantity of Unstimulated Whole Saliva between Postmenopausal and Premenopausal Women
Introduction: Menopause associates with some psychological and physical changes in the body as well as various unpleasant symptoms in the orofacial complex such as xerostomia and a sense of burning, the mechanisms of which are yet to be fully understood. The goal of this study is to compare the quantity of unstimulated whole saliva between postmenopausal and premenopausal women. Materials and Methods:In the current study, 40 postmenopausal and 40 premenopausal (20-50 years old) women were chosen. After investigating the psychological condition of patients by Hospital Anxiety and Depression Scale (HADS), the frequency of xerostomia was estimated using a special questionnaire. The volume of accumulative non-stimulated saliva was measured by the spitting method, and the results were analyzed by Chi Square, Mann-Whitney and Kruskal-Wallis test. Results: According to the results, there was no difference in mean volume of unstimulated whole saliva between the two groups. Postmenopausal women, complained from xerostomia significantly more than premenopausal women (%45 versus %17, P= 0.003). Psychological conditions of the two study groups did not show any significant difference. Conclusion: According to the current research, menopause has no effect on the volume of unstimulated saliva in women.
https://psj.mums.ac.ir/article_2988_83d8145b51a2edea26d217811176a7a4.pdf
2014-07-01
116
119
10.22038/psj.2014.2988
Menopause
Unstimulated whole saliva Xerostomia
Hakime
Ahadian
drahadian@ssu.ac.ir
1
Department of Oral Medicine, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
AUTHOR
Mahdie
Mojibian
n.donyadide@yahoo.com
2
Department of Genecology, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
AUTHOR
Bahare
Shababi
b_shababi@yahoo.com
3
Dentist
AUTHOR
Narjes
Jiravand
n.donyadideh@gmail.com
4
Dentist.
AUTHOR
Nastaran
Donyadide
n.donyadide@gmail.com
5
Department of Oral Medicine, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
LEAD_AUTHOR
1- Boschitsch E. Mood, menopause and hysterectomy. Climacteric: the journal of the International Menopause Society. 2012 Oct;15(5):503-4.
1
2- Ross LA, Polotsky AJ. Metabolic correlates of menopause: an update. Current opinion in obstetrics & gynecology. 2012 Dec;24(6):402-7.
2
3- Janssen I, Powell LH, Crawford S, Lasley B, Sutton-Tyrrell K. Menopause and the metabolic syndrome: the Study of Women's Health Across the Nation. Archives of internal medicine. 2008 Jul 28;168(14):1568-75.
3
4- Frutos R, Rodriguez S, Miralles-Jorda L, Machuca G. Oral manifestations and dental treatment in menopause. Medicina oral: organo oficial de la Sociedad Espanola de Medicina Oral y de la Academia Iberoamericana de Patologia y Medicina Bucal. 2002 Jan-Feb;7(1):26-30.
4
5- Muzyka BC, De Rossi SS. A review of burning mouth syndrome. Cutis. 1999 Jul;64(1):29-35.
5
6- Zachariasen RD. Oral manifestations of menopause. Compendium (Newtown, Pa). 1993 Dec;14(12):1584,
6
6-91; quiz 92.
7
7- Friedlander AH. The physiology, medical management and oral implications of menopause. Journal of the American Dental Association (1939). 2002 Jan;133(1):73-81.
8
8- Volpe A, Lucenti V, Forabosco A, Boselli F, Latessa AM, Pozzo P, et al. Oral discomfort and hormone replacement therapy in the post-menopause. Maturitas. 1991 Mar;13(1):1-5.
9
9- Forabosco A, Criscuolo M, Coukos G, Uccelli E, Weinstein R, Spinato S, et al. Efficacy of hormone replacement therapy in postmenopausal women with oral discomfort. Oral surgery, oral medicine, and oral pathology. 1992 May;73(5):570-4.
10
10- Guggenheimer J, Moore PA. Xerostomia: etiology, recognition and treatment. Journal of the American Dental Association (1939). 2003 Jan;134(1):61-9.
11
11- Myers A, Naylor GD. Glossodynia as an oral manifestation of sex hormone alterations. Ear, nose, & throat journal. 1989 Oct;68(10):786, 9-90.
12
12- Wardrop RW, Hailes J, Burger H, Reade PC. Oral discThis descriptive-analytic study was done by a
13
case-control method. 80 patients (40 patients in each group) were chosen from the patients who were referred to the gynecology department of Shahid Sadoughi Hospital that is under the supervision of Shahid Sadoughi University of Medical Sciences of Yazd using a convenience sampling method. Chosen patients in both groups were not supposed to have systemic diseases, any history of smoking/ allergy, or a history of consumption of any medications. Women who were confirmed by a gynecology specialist as being in a state of menopause (at least one year had passed from the last menstruation) were chosen as appropriate cases. To cooperate in this study, patients were supposed to agree to the terms of study and sign a written consent. In the study group, after entering the biographic information in a special questionnaire and asking for the patient's level of satisfaction, the patient's psychological condition and her complaint of xerostomia were estimated by HADS and a certain questionnaire (10, 20, 21).
14
ve Evaluation of stimulated salvia in menopause and post menopaused women. Tehran- Dentistry J 2003;16(2):39-45. [In Persian].
15
14- Ahadian H, Akhavan-karbassi MH, Mojjibian M,
16
omfort at menopause.Oral surgery, oral medicine, and oral pathology. 1989 May;67(5):535-40.
17
13- Agha-Hosseini F, Akhavan-karbassi MH. Quantitative Evaluation of stimulated salvia in menopause and post menopaused women. Tehran- Dentistry J 2003;16(2):39-45. [In Persian].
18
14- Ahadian H, Akhavan-karbassi MH, Mojjibian M, Jiravand N. Quantitative comparison of un-stimulated whole salvia flow Rate Among menopausal women and same aged men. Qom university of medical sciences J. 2010;3(4):44-8. [In Persian].
19
15- Asplund R, Aberg HE. Oral dryness, nocturia and the menopause. Maturitas. 2005 Feb 14;50(2):86-90.
20
16- Eliasson L, Carlen A, Laine M, Birkhed D. Minor gland and whole saliva in postmenopausal women using a low potency oestrogen (oestriol). Archives of oral biology. 2003 Jul;48(7):511-7.
21
17- Agha-Hosseini F, Mirzaii-Dizgah I, Moghaddam PP, Akrad ZT. Stimulated whole salivary flow rate and composition in menopausal women with oral dryness feeling. Oral diseases. 2007May;13(3):320-3.
22
18- Agha-Hosseini F, Mirzaii-Dizgah I. Unstimulated saliva 17beta-estradiol and xerostomia in menopause. Gynecological endocrinology: the official journal of the International Society of Gynecological Endocrinology. 2012 Mar;28(3):199-202.
23
19- Johansson AK, Johansson A, Unell L, Ekback G, Ordell S, Carlsson GE. Self-reported dry mouth in Swedish population samples aged 50, 65 and 75 years. Gerodontology. 2012 Jun;29(2):e107-15.
24
20- lee S-s. Type I diabetes mellitus xerostomia, and salivary flow. oral sury oral med oral pathol 2001;92(3):283-9.
25
21- Navazesh M. How can oral health care providers determine if patients have dry mouth? Journal of the American Dental Association (1939). 2003 May;134(5):613-20; quiz 33.
26
22- Green M Gm, ship JA. Burkets oral medicine. 11 ed. philadelphia: BC Decker; 2008. p. 191-222.
27
23- Sreebng lm, Vissink A. Dry mouth. first ed. Singapore: willeg –black well;2010. p. 64-6.
28
24- Sung JM, Kuo SC, Guo HR, Chuang SF, Lee SY, Huang JJ. The role of oral dryness in interdialytic weight gain by diabetic and non-diabetic haemodialysis patients. Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association. 2006 Sep;21(9):2521-8.
29
25- Tohidast E, Nazarnia k. clinical oral medicine .Tehran: shahed university 1997. p. 161-63.
30
26- Bretz WA, Loesche WJ, Chen YM, Schork MA, Dominguez BL, Grossman N. Minor salivary gland secretion in the elderly. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2000 Jun;89(6):696-701.
31
27- Eguia Del Valle A, Aguirre-Urizar JM, Martinez-Conde R, Echebarria-Goikouria MA, Sagasta-Pujana O. Burning mouth syndrome in the Basque Country: a preliminary study of 30 cases. Medicina oral: organo oficial de la Sociedad Espanola de Medicina Oral y de la Academia Iberoamericana de Patologia y Medicina Bucal. 2003 Mar-Apr;8(2):84-90.
32
28- Pisanty S, Rafaely B, Polishuk W. The effect of steroid hormones on buccal mucosa of menopausal women. Oral surgery, oral medicine, and oral pathology. 1975 Sep;40(3):346-53.
33
29- Bergdahl M, Bergdahl J. Burning mouth syndrome: prevalence and associated factors. Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology. 1999 Sep;28(8):350-4.
34
30- Ben Aryeh H, Gottlieb I, Ish-Shalom S, David A, Szargel H, Laufer D. Oral complaints related to menopause. Maturitas. 1996 Jul;24(3):185-9.
35
31- Tarkkila L, Linna M, Tiitinen A, Lindqvist C, Meurman JH. Oral symptoms at menopause--the role of hormone replacement therapy. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2001 Sep;92(3):276-80.
36
32- Yurdukoru B, Terzioglu H, Yilmaz T. Assessment of whole saliva flow rate in denture wearing patients. Journal of oral rehabilitation. 2001 Jan;28(1):109-12.
37
33- Rivera Gomez B, Hernandez Vallejo G, Arriba de la Fuente L, Lopez Cantor M, Diaz M, Lopez Pintor RM. The relationship between the levels of salivary cortisol and the presence of xerostomia in menopausal women. A preliminary study. Medicina oral, patologia oral y cirugia bucal. 2006 Aug;11(5):E407-12.
38
34- Al-Dwairi Z, Lynch E. Xerostomia in complete denture wearers: prevalence, clinical findings and impact on oral functions. Gerodontology. 2014 Mar;31(1):49-55.
39
ORIGINAL_ARTICLE
Evaluation of the Lipid Profile of Hypertensive Patients Compared to Non- Hypertensive Individuals
Introduction: This study was designed to compare the lipid profiles of hypertensive and non-hypertensive cases. Materials and Methods:In this case-control study, we assessed 200 hypertensive patients alongside 200 healthy individuals who were referred to our cardiology clinics from 2007 to 2008, in Mashhad, Iran. Blood pressure and serum lipids profile including total cholesterol, triglyceride, High-density lipoprotein (HDL) and low-density lipoprotein (LDL) were evaluated in both the case and control group. Results: Total cholesterol and the mean of serum LDL level were significantly higher in the hypertensive patients compared to non-hypertensive cases (P=0.001), while the mean of serum triglyceride levels was higher in the case group compared to the control group (P= 0.001). Conclusion: We concluded that only the serum triglyceride levels were significantly different between the hypertensive and non-hypertensive individuals.
https://psj.mums.ac.ir/article_2989_a14402120a1d53a2ac372d7a4f3fba16.pdf
2014-07-01
120
122
10.22038/psj.2014.2989
Hypercholesterolemia Hyperlipidemia
Hypertension
Hypertriglyceridemia
Golnoosh
Ghooshchi
g_ghooshchi@yahoo.com
1
Varastegan Medical Education Center, Mashhad, Iran.
LEAD_AUTHOR
Mahdi
Masoomian
2
Islamic Azad University, Mashhad Branch, Mashhad, Iran.
AUTHOR
Mohammad
Sarafraz Yazdi
3
Islamic Azad University, Mashhad Branch, Mashhad, Iran.
AUTHOR
Mona
Pour Ramezan
4
Islamic Azad University, Mashhad Branch, Mashhad, Iran.
AUTHOR
1- Lee W, Dennis A. Cecil Medicine. 23 th ed. Philadelphia: W.B. Saunders Elsevier. 2008; 430-50.
1
2- Leone A. Modifying cardiovascular risk factors: epidemiology and characteristics of hypertension-related disorders. Curr Pharm Des. 2011; 17(28):2948-54.
2
3- Ruixing Y, Jinzhen W, Shangling P, Weixiong L, Dezhai Y, Yuming C. Sex differences in environmental and genetic factors for hypertension. Am J Med. 2008 Sep; 121(9):811-9.
3
4- Hansen HS, Larsen ML. [Hypertension and hyperlipidemia]. Ugeskr Laeger. 2009 Jun 8; 171(24):2028-30.
4
5- Feldstein CA. Statins in hypertension: are they a new class of antihypertensive agents? Am J Ther. 2010 May-Jun; 17(3):255-62.
5
6- Hall JE, Brands MW, Henegar JR. Mechanisms of hypertension and kidney disease in obesity. Ann N Y Acad Sci. 1999 Nov 18; 892:91-107.
6
7- Kotsis V, Stabouli S, Papakatsika S, Rizos Z, Parati G. Mechanisms of obesity-induced hypertension. Hypertens Res. 2010 May; 33(5):386-93.
7
8- Pastucha D, Talafa V, Malincikova J, Cihalik C, Hyjanek J, Horakova D, et al. Obesity, hypertension and insulin resistance in childhood--a pilot study. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2010 Mar; 154(1):77-81.
8
9- Brown CD, Higgins M, Donato KA, Rohde FC, Garrison R, Obarzanek E, et al. Body mass index and the prevalence of hypertension and dyslipidemia. Obes Res. 2000 Dec; 8(9):605-19.
9
10- Sabri S, Bener A, Eapen V, Abu Zeid MS, Al-Mazrouei AM, Singh J. Some risk factors for hypertension in the United Arab Emirates. East Mediterr Health J. 2004 Jul-Sep; 10(4-5):610-9.
10
11- Yin R, Chen Y, Pan S, He F, Liu T, Yang D, et al. Comparison of lipid levels, hyperlipidemia prevalence and its risk factors between Guangxi Hei Yi Zhuang and Han populations. Arch Med Res. 2006 Aug; 37(6):787-93.
11
12- Li LL, Liu XY, Ran JX, Wang Y, Luo X, Wang T, et al. Analysis of prevalence and risk factors of hypertension among Uygur adults in Tushala and Hetian Xinjiang Uygur autonomous region. Cardiovasc Toxicol. 2008 summer; 8(2):87-91.
12
13- Assmann G, Schulte H. The Prospective Cardiovascular Munster (PROCAM) study: prevalence of hyperlipidemia in persons with hypertension and/or diabetes mellitus and the relationship to coronary heart disease. Am Heart J. 1988 Dec; 116(6 Pt 2):1713-24.
13
14- Hall JE. Pathophysiology of obesity hypertension. Current hypertension reports. 2000;2(2):139-47.
14
15- Sironi AM, Sicari R, Folli F, Gastaldelli A. Ectopic fat storage, insulin resistance, and hypertension. Curr Pharm Des. 2011;17(28):3074-80.
15
ORIGINAL_ARTICLE
Esophageal Strictures in Children
Introduction: To evaluate main aspects of esophageal strictures in children. Materials and Methods:This cross-sectional study was performed on 43 cases of esophageal stenosis ranging from 1 month to 10 years of age who were admitted in Ghaem and Dr. Sheikh Hospitals from 1995 to 2003 in Mashhad, Iran. Results: Most cases were male (56%). The most common cause of esophageal stricture was anastomotic stricture after esophageal atresia surgery (34.9%) followed by strictures due to gastroesophageal reflux (25.6%), chemical burns (11.6%), and congenital a (11.6%). Proximal esophagus was the most common site of stricture (48.8%). Dilatation and operation had been chosen as the treatment of choice for most of our cases (42%). The majority of our patients recovered after receiving the proper treatment (60.5%). Conclusion: Anastomotic stricture after surgical repair of esophageal atresia comprised the most common cause of esophageal stricture. Proximal esophagus was the most common site of stricture. Most of the patients recovered with dilatation, surgery, or a combination of the two.
https://psj.mums.ac.ir/article_2990_20127c56986364d02e23fe38ce757849.pdf
2014-07-01
123
125
10.22038/psj.2014.2990
Children
Dilatation
Esophageal atresia
Stricture
Ahmad
Bazrafshan
1
Dr. Sheikh hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Farhad
Heydarian
heydarianf@mums.ac.ir
2
Patient Safety Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
LEAD_AUTHOR
Mahboubeh
Sadeghi
3
Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Shaghayegh
Rahmani
rahmanish3@mums.ac.ir
4
Patient Safety Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
1- Stringer MD. Oesophageal substitution: Editorial comment. Pediatric surgery international. 1996 Apr; 11(4):213.
1
2- Broor SL, Lahoti D, Bose PP, Ramesh GN, Raju GS, Kumar A. Benign esophageal strictures in children and adolescents: etiology, clinical profile, and results of endoscopic dilation. Gastrointestinal endoscopy. 1996 May; 43(5):474-7.
2
3- Broto J, Asensio M, Jorro CS, Marhuenda C, Vernet JM, Acosta D, et al. Conservative treatment of caustic esophageal injuries in children: 20 years of experience. Pediatric surgery international. 1999 Jul; 15(5-6):323-5.
3
4- Saleem MM. Acquired oesophageal strictures in children: emphasis on the use of string-guided dilatations. Singapore medical journal. 2009 Jan; 50(1):82-6.
4
5- Jones DW, Kunisaki SM, Teitelbaum DH, Spigland NA, Coran AG. Congenital esophageal stenosis: the differential diagnosis and management. Pediatric surgery international. 2010 May; 26(5):547-51.
5
6- Takamizawa S, Tsugawa C, Mouri N, Satoh S, Kanegawa K, Nishijima E, et al. Congenital esophageal stenosis: Therapeutic strategy based on etiology. Journal of pediatric surgery. 2002 Feb; 37(2):197-201.
6
7- Numanoglu A, Millar AJ, Brown RA, Rode H. Gastroesophageal reflux strictures in children, management and outcome. Pediatric surgery international. 2005 Aug; 21(8):631-4.
7
8- Jayakrishnan VK, Wilkinson AG. Treatment of oesophageal strictures in children: a comparison of fluoroscopically guided balloon dilatation with surgical bouginage. Pediatric radiology. 2001 Feb; 31(2):98-101.
8
9- Lan LC, Wong KK, Lin SC, Sprigg A, Clarke S, Johnson PR, et al. Endoscopic balloon dilatation of esophageal strictures in infants and children: 17 years' experience and a literature review. Journal of pediatric surgery. 2003 Dec; 38(12):1712-5.
9
10- Elhalaby EA, Elbarbary MM, Hashish AA, Kaddah SN, Hamza AF, Waheeb SM, et al. Congenital esophageal stenosis: to dilate or to resect. Annals of Pediatric Surgery. 2006;2(1):2-9.
10
ORIGINAL_ARTICLE
A Study on the Challenges Faced By Health Systems in Establishing Risk Management in Selected Hospitals of Tehran University of Medical Sciences
Introduction: This study aimed to identify the challenges of risk management in the context of clinical governance in selected hospitals of Tehran University of Medical Sciences. Materials and Methods:This study was implemented in two phases: qualitative step and quantitative step (survey). The first step was conducted using in-depth interviews and the second was carried out through a survey by questionnaire. Data were collected in hospitals through in-depth interviews with hospitals managers and the experts involved in clinical governance who had been introduced by the hospital manager. All professionals affiliated with clinical governance in Baharloo, Firoozgar, Farabi, Shahid Rajai, Ziaeian, Motahari and Sina hospitals were selected. Results: 35 experts involved in clinical governance were interviewed. According to these experts, the main obstacles in hospital risk management were: Lack of an error reporting culture, exaggerated fear of the consequences, and physicians' lack of interest in this domain. High workloads in this area have led to a reduction in employees' contributions. Conclusion: Establishing clinical governance in health care organizations has had many benefits, such as improving patient care, increased level of patients' satisfaction, establishment of a risk management system, improvement in staff and health-care personnel cooperation, and achieving a more successful organizational management. Appropriate changes in the organizational culture are necessities for the successful establishment of risk management. Human and cultural obstacles that hinder the implementation of risk management in hospitals are evident; thus, major actions are necessary to implement risk management properly in a disciplined manner.
https://psj.mums.ac.ir/article_2991_ba5a3e9d710404f6f1c7847040c9058b.pdf
2014-07-01
126
130
10.22038/psj.2014.2991
Clinical governance
Medical error
risk management
Batoul
Ahmadi
ahmadiba@tums.ac.ir
1
School of Public Health and Institute for Public Health Research, Tehran University of Medical Science, Tehran, Iran.
AUTHOR
Mohammad
Keshvari
keshvari@gmail.com
2
Master Departments of Management and Health Economics, School of Public Health, Tehran University of Medical Science,
Tehran, Iran.
LEAD_AUTHOR
Abbas
Homauni
3
Master of Healthcare Management, Shahid Sadoughi University of Medical Science, Yazd, Iran
AUTHOR
Hojat
Gharaei
4
Healthcare Management, Hamadan University of Medical Science, Health Center of Hamadan, Hamadan, Iran.
AUTHOR
1- Smits M, Christiaans-Dingelhoff I, Wagner C, Wal G, Groenewegen PP. The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals. BMC Health Serv Res. 2008;8:230.
1
2- Moghri J. Validation of Hospital Survey of Patient Safety Culture (HSOPSC) and assessment patient safety culture from physicians, nurses and radiology and laboratory staff view [M.S thesis]. Tehran Tehran University of Medical Sciences.2009.
2
3- Shekelle PG, Pronovost PJ, Wachter RM, Taylor SL, Dy SM, Foy R, et al. Advancing the science of patient safety. Annals of Internal Medicine. 2011;154(10):693-6.
3
4- Mohammad Nejad I, Hojjati H, Sharifniya SH, Ehsani SR. Evaluation of medication error in nursing students in four educational hospitals in Tehran. Iranian Journal of Medical Ethics and History of Medicine. 2010;3:60-9.
4
5- Baghaei R, Feizi A. A survey of frequency and type of medical errors done by nursing students of Urmia Medical Sciences University in 1390. Journal of Urmia Nursing & Midwifery Faculty. 2012;10(2).
5
6- Ravaghi H. Clinical governance principles. Tehran; 2010. Report No.
6
7- Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000 Mar 18;320(7237):726-7.
7
8- Wachter R. Undresranding patient safetly. In: Hill MG-, editor. United States of America;2008. p. 23-4.
8
9- Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp MD, Federico F, et al. Medication errors and adverse drug events in pediatric inpatients. Jama. 2001;285(16):2114-20.
9
10- Penjvini S. Investigation of the rate and type of medication errors of nurses in Sanandaj Hospitals. Iranian Journal OF Nursing Research. 2006;1(1):
10
11- AHRQ Patient Safety Tools and Resources Agency for Healthcare Research and Quality (AHRQ); [cited Cited August 2012]. Available from: http://www.ahrq.gov/qual/pstools.htm.
11
12- Rashidian A. Clinical service governanve. Tehran: Vista publication;2012.
12
13- Helmreich RL. On error management: lessons from aviation. Bmj. 2000;320(7237):781-5.
13
14- Delkhorooshan A, Dehghani M, Raghebi S, Farhadian AR, . Clinical governance. Birgand: Birgand university of medical science; 2011.
14
15- Hogan H, Basnett I, McKee M. Consultants' attitudes to clinical governance: barriers and incentives to engagement. Public Health. 2007 Aug;121(8):614-22.
15
16- Hartley AM, Griffiths RK, Saunders KL. An evaluation of clinical governance in the public health departments of the West Midlands Region. J Epidemiol Community Health. 2002 Aug;56(8):
16
17- Verbano C, Turra F. A human factors and reliability approach to clinical risk management: Evidence from Italian cases. Safety science. 2010;48(5):625-39.
17
18- Seidi M, Zardosht R. Survey of Nurses' Viewpoints on Causes of Medicinal Errors and Barriers to Reporting in Pediatric Units in Hospitals of Mashhad University of Medical Sciences. Journal of Fasa University of Medical Sciences. 2012;2(3):142-7.
18
19- Joulaei S, Hajibabaei F, Peiravi H, Haghani H. Study of occurrence and reporting of medication errors in nursing and its relation to working conditions in the hospitals of Iran University of Medical Sciences. Medical ethics and history. 2010;3(1):65-76.
19
20- Rezaeian A. Principles of Organizational Behavior Management. Tehran: SAMT; 2012.
20
21- Neale F. Western Australian Clinical Governance Guidelines, Health Reform Implementation Taskforce. 2005.
21
22- Mohammad pour A DnN. study of Educational needs at discharge in patients admitted to Gonabad health centers. Gonabad university of medical science. 2005;12(4):45-52.
22
ORIGINAL_ARTICLE
The Relationship between Matrons' Knowledge, Attitude, and Performance in Clinical Governance Domain and Mashhad Hospitals Fulfillment of Clinical Governance: 2013
Introduction: Clinical Governance (CG) is a systematic approach to the maintaining and improving the quality of provided services for patients in the health system. With regards to the implementation of clinical governance in hospitals affiliated to Mashhad University of Medical Sciences and the role of matrons in ensuring quality care, little is known about the relationship between matrons’ participation in this plan and hospital success in clinical governance fulfillment. Materials and Methods:This cross-sectional, analytic-descriptive study was conducted to investigate the relationship between matrons’ knowledge, attitude, and performance in clinical governance and Mashhad hospitals' fulfillment of clinical governance. A researcher-made questionnaire was used for data collection on matrons’ knowledge, attitude, and performance. The standard checklist of the health ministry and observation were used to assess hospital clinical governance fulfillment. Data was analyzed at the hospital level by SPSS16. Results: The mean scores of matrons' knowledge, attitude, and performance were above average. Matrons' attitude towards clinical governance achieved the highest mark (4.46). There was no significant correlation between matrons' knowledge/attitude/performance and hospital scores for clinical governance fulfillment (P>0.05). Conclusion: While the levels of matrons' knowledge, attitude, and performance were satisfactory, there is still a need for improving matrons' knowledge. Absence of any statistically significant relationship between matrons' knowledge, attitude, performance and hospitals scores for clinical governance fulfillment may be due to the study small sample size.
https://psj.mums.ac.ir/article_2992_85436d6ce09a5077a88c93c7fff4e53a.pdf
2014-07-01
131
134
10.22038/psj.2014.2992
Attitude
Clinical governance
Knowledge
Hospital
Rozita
Davoodi
davoodir@mums.ac.ir
1
Patient Safety Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Golnaz
Sabouri
2
Patient Safety Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Mahboubeh
Asadi
3
Patient Safety Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Afsane
Takbiri
takbiri2010@gmail.com
4
Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of
Medical Sciences, Tehran, Iran.
LEAD_AUTHOR
Maryam
Zare Hoseini
5
Patient Safety Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Fatemeh
Koleini
6
Patient Safety Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Sahra
Gol
7
Patient Safety Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Neda
Samimi Greo
8
Patient Safety Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
1- Stagliano AA. Rath & Strong's Six Sigma Advanced Tools Pocket Guide. [M. Pourhosein, M.T. Raeisi, Trans]. McGraw Hill Professional; 2004.
1
2- Smits M, Christiaans-Dingelhoff I, Wagner C, Wal G, Groenewegen PP. The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals. BMC health services research.
2
2008; 8:230.
3
3- Azami A AK. Assessment of patient satisfaction in hospital care Ilam. Ilam University of Medical Science. 2004;12(10):45-10. [In Persian].
4
4- Buetow SA, Roland M. Clinical governance: bridging the gap between managerial and clinical approaches to quality of care. Quality in Health Care. 1999; 8(3):184-90.
5
5- Siddiqi S, Masud TI, Nishtar S, Peters DH, Sabri B, Bile KM, et al. Framework for assessing governance of the health system in developing countries: gateway to good governance. Health Policy. 2009;
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90(1):13-25.
7
6- Chandraharan E, Arulkumaran S. Clinical governance. Obstetrics, Gynaecology & Reproductive Medicine. 2007;17(7):222-4.
8
7- John H, Paskins Z, Hassell A, Rowe IF. Eight years' experience of regional audit: an assessment of its value as a clinical governance tool. Clinical medicine (London, England). 2010 Feb; 10(1):20-5.
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8- Hewson-Conroy KM, Elliott D, Burrell AR. Quality and safety in intensive care-A means to an end is critical. Australian critical care: official journal of the Confederation of Australian Critical Care Nurses. 2010 Aug; 23(3):109-29.
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9- Jafari M. Base of clinical governance. clinical governance congeres; Iran 2010. [In Persian].
11
10- Campbell SM, Sheaff R, Sibbald B, Marshall MN, Pickard S, Gask L, et al. Implementing clinical governance in English primary care groups/trusts: reconciling quality improvement and quality assurance. Quality & safety in health care. 2002 Mar; 11(1):9-14.
12
11- Murray J, Fell-Rayner H, Fine H, Karia N, Sweetingham R. What do NHS staff think and know about clinical governance? Clinical Governance: An International Journal. 2004; 9(3):172-80.
13
12- Shakeshaft AM. A study of the attitudes and perceived barriers to undertaking clinical governance activities of dietitians in a Welsh National Health Service trust. Journal of human nutrition and dietetics: the official journal of the British Dietetic Association. 2008 Jun; 21(3):225-38.
14
13- Som C. Nothing seems to have changed, nothing seems to be changing and perhaps nothing will change in the NHS: doctors' response to clinical governance. International Journal of Public Sector Management. 2005;18(5):463-77.
15
14- Feng XQ, Acord L, Cheng YJ, Zeng JH, Song JP. The relationship between management safety commitment and patient safety culture. International nursing review. 2011 Jun; 58(2):249-54.
16
ORIGINAL_ARTICLE
Review of Post-Carotid Endarterectomy Complications
Atherosclerotic carotid artery stenosis is one of the most common causes of stroke worldwide. Carotid revascularization using Carotid Endarterectomy (CEA) may play an important role in reducing the stroke prevalence in selected patients. Post-CEA complications of significant concern include cerebral hyperperfusion syndrome, ischemic stroke and cranial nerve injury, perioperative myocardial infarction, unstable angina, respiratory problems, renal failure, wound complications, and postoperative hyper- or hypotension. With regards to CEA complications, the individual risk assessment plays an inevitable role in reducing the negative outcomes and increasing the procedure efficacy. In this review, we studied CEA complications by reviewing the previously published literature. In addition to its benefits, CEA has its own complications, but at a lower severity. Reducing the incidence of post-CEA complications is crucial, especially in the patients with a less remarkable margin of benefit in stroke prevention. Despite its complications, CEA remains the gold standard for treating carotid stenosis in selected symptomatic and asymptomatic patients. Accurate perioperative diagnosis and evaluation may help us develop a practical approach to more a beneficial and accurate surgical strategy.
https://psj.mums.ac.ir/article_2993_c447ede0d10b71b941404d2fe5bb9eca.pdf
2014-07-01
135
138
10.22038/psj.2014.2993
Carotid endarterectomy
Complications
Post operative
Surgery
Mohammad Hadi
Modaghegh
modaghgh@mums.ac.ir
1
Vascular Surgery Department, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
Monireh
Ravanbakhsh
ravanbakhshm891@mums.ac.ir
2
Surgery Department, Ghaem Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
LEAD_AUTHOR
Ehsanolah
Ghorbanian
ehsanalah@yahoo.com
3
Member of Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
AUTHOR
1- Moore WS, Barnett HJ, Beebe HG, Bernstein EF, Brener BJ, Brott T, et al. Guidelines for carotid endarterectomy. A multidisciplinary consensus statement from the ad hoc Committee, American Heart Association. Stroke. 1995 Jan;26(1):188-201.
1
2- Bond R, Rerkasem K, Rothwell PM. Systematic review of the risks of carotid endarterectomy in relation to the clinical indication for and timing of surgery. Stroke. 2003 Sep;34(9):2290-301.
2
3- Eastcott HH, Pickering GW, Rob CG. Reconstruction of internal carotid artery in a patient with intermittent attacks of hemiplegia. Lancet. 1954 Nov 13;267(6846):994-6.
3
4- Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. The New England journal of medicine. 1991 Aug 15;325(7):445-53.
4
5- Hobson RW, 2nd, Weiss DG, Fields WS, Goldstone J, Moore WS, Towne JB, et al. Efficacy of carotid endarterectomy for asymptomatic carotid stenosis. The Veterans Affairs Cooperative Study Group. The New England journal of medicine. 1993 Jan 28;328(4):221-7.
5
6- MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70-99%) or with mild (0-29%) carotid stenosis. European Carotid Surgery Trialists' Collaborative Group. Lancet. 1991 May 25;337(8752):1235-43.
6
7- Barnett HJ, Taylor DW, Eliasziw M, Fox AJ, Ferguson GG, Haynes RB, et al. Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. The New England journal of medicine. 1998 Nov 12;339(20):1415-25.
7
8- Maas MB, Kwolek CJ, Hirsch JA, Jaff MR, Rordorf GA. Clinical risk predictors for cerebral hyperperfusion syndrome after carotid endarterectomy. J Neurol Neurosurg Psychiatry. 2013May;84(5):569-72.
8
9- Kim KH, Lee CH, Son YJ, Yang HJ, Chung YS, Lee SH. Post-carotid endarterectomy cerebral hyperperfusion syndrome: is it preventable by strict blood pressure control? J Korean Neurosurg Soc. 2013 Sep;54(3):159-63.
9
10- Blackshear JL, Cutlip DE, Roubin GS, Hill MD, Leimgruber PP, Begg RJ, et al. Myocardial infarction after carotid stenting and endarterectomy: results from the carotid revascularization endarterectomy versus stenting trial. Circulation. 2011 Jun 7;123(22):2571-8.
10
11- Khan A, Adil MM, Qureshi AI. Non-ST-elevation myocardial infarction in patients undergoing carotid endarterectomy or carotid artery stent placement. Stroke. 2014 Feb;45(2):595-7.
11
12- Cunningham EJ, Bond R, Mayberg MR, Warlow CP, Rothwell PM. Risk of persistent cranial nerve injury after carotid endarterectomy. J Neurosurg. 2004 Sep;101(3):445-8.
12
13- Fokkema M, de Borst GJ, Nolan BW, Indes J, Buck DB, Lo RC, et al. Clinical relevance of cranial nerve injury following carotid endarterectomy. Eur J Vasc Endovasc Surg. 2014 Jan;47(1):2-7.
13
14- Sundt TM, Whisnant JP, Houser OW, Fode NC. Prospective study of the effectiveness and durability of carotid endarterectomy. Mayo Clin Proc. 1990 May;65(5):625-35.
14
15- Sundt TM, Sandok BA, Whisnant JP. Carotid endarterectomy. Complications and preoperative assessment of risk. Mayo Clin Proc. 1975 Jun;50(6):301-6.
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16- Randomised trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST). Lancet. 1998 May 9;351(9113):1379-87.
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17- Mas JL, Chatellier G, Beyssen B, Branchereau A, Moulin T, Becquemin JP, et al. Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. The New England journal of medicine. 2006 Oct 19;355(16):1660-71.
17
18- Ederle J, Dobson J, Featherstone RL, Bonati LH, van der Worp HB, de Borst GJ, et al. Carotid artery stenting compared with endarterectomy in patients with symptomatic carotid stenosis (International Carotid Stenting Study): an interim analysis of a randomised controlled trial. Lancet. 2010 Mar 20;375(9719):985-97.
18
19- Greenstein AJ, Chassin MR, Wang J, Rockman CB, Riles TS, Tuhrim S, et al. Association between minor and major surgical complications after carotid endarterectomy: results of the New York Carotid Artery Surgery study. J Vasc Surg. 2007 Dec;46(6):1138-44; discussion 45-6.
19
20- Paciaroni M, Eliasziw M, Kappelle LJ, Finan JW, Ferguson GG, Barnett HJ. Medical complications associated with carotid endarterectomy. North American Symptomatic Carotid Endarterectomy Trial (NASCET). Stroke. 1999 Sep;30(9):1759-63.
20
21- Tonev A, Dimitrov S, Zahariev T, Nachev G. Surgical strategy for patients undergoing carotid endarterectomy. Khirurgiia (Sofiia). 2013 (3):48-55.
21
22- O'Donnell MJ, Xavier D, Liu L, Zhang H, Chin SL, Rao-Melacini P, et al. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. Lancet. 2010 Jul 10;376(9735):112-23.
22
23- Ho KJ, Madenci AL, McPhee JT, Semel ME,
23
Bafford RA, Nguyen LL, et al. Contemporary predictors of extended postoperative hospital length of stay after carotid endarterectomy. J Vasc Surg. 2014 Jan 18.
24
24- Rockman CB, Maldonado TS, Jacobowitz GR, Cayne NS, Gagne PJ, Riles TS. Early carotid endarterectomy in symptomatic patients is associated with poorer perioperative outcomes. J Vasc Surg. 2006 Sep;44(3):480-7.
25
25- Annambhotla S, Park MS, Keldahl ML, Morasch MD, Rodriguez HE, Pearce WH, et al. Early versus delayed carotid endarterectomy in symptomatic patients. J Vasc Surg. 2012 Nov;56(5):1296-302; discussion 302.
26
ORIGINAL_ARTICLE
Simultaneous Presentation of Duane Retraction Syndrome and Coats' Disease: A Case Report
Introduction: Duane retraction syndrome and Coats' disease are two relatively rare ocular conditions that occur in congenital and acquired forms in children. We present a 12-year-old boy with the chief complaint of eye deviation who was diagnosed later on to have Duane retraction syndrome in one eye and Coats' disease in the other. After a comprehensive review of literature, we assume that this is the first case of simultaneous presentation of these two disorders ever to be published. However, we do believe that these are two separated entities and their simultaneous presentation in this patient is pure coincident. Case:A twelve-year-old Asian male was presented with about 25 prism diopters of exotropia in primary position, limited abduction/adduction, and narrowing of palpebral fissure of the right eye since childhood. The left eye showed lipid deposition, macular edema, and peripheral retinal telangiectasia. Conclusion: The occurrence of two different congenital and acquired ocular diseases is rare. This is the first simultaneous presentation of Duane syndrome and Coats' disease ever to be reported in a young patient.
https://psj.mums.ac.ir/article_2994_1d717e746ae450e810a5cf11709593e7.pdf
2014-07-01
139
141
10.22038/psj.2014.2994
Coats' disease
Duane retraction syndrome Simultaneous
Mohammad
Sharifi
sharifim@mums.ac.ir
1
Eye Research Center, Khatam-al-Anbia Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
LEAD_AUTHOR
1- Edward L, Aazy A, Jeffrey N, Jane C, Gregg R. Basic and Clinical Science Course: Amer Academy of Ophthalmology; 2010-2011. p. 127-9.
1
2- Edward L, Aazy A, Jeffrey N, Jane C, Gregg R. Basic and Clinical Science Course: Amer Academy of Ophthalmology; 2010-2011. p. 170.
2
3- Chung M, Stout JT, Borchert MS. Clinical diversity of hereditary Duane's retraction syndrome. Ophthalmology. 2000 Mar;107(3):500-3.
3
4- Amouroux C, Vincent M, Blanchet P, Puechberty J, Schneider A, Chaze AM, et al. Duplication 8q12: confirmation of a novel recognizable phenotype with duane retraction syndrome and developmental delay. European journal of human genetics : EJHG. 2012 May;20(5):580-3.
4
5- Kumar A, Shetty S, Vijayalakshmi P. Bilateral Duane retraction syndrome with optic nerve hypoplasia. Journal of pediatric ophthalmology and strabismus. 2010;47 Online:e1-4.
5
6- Kawano K, Fujita S. Duane's retraction syndrome associated with morning glory syndrome. Journal of pediatric ophthalmology and strabismus. 1981 Jan- Feb;18(1):51-4.
6
7- Pelit A, Aydogan N, Oto S, Haciyakupoglu G, Yilmaz Z, Akova YA. Duane's retraction syndrome in association with retinitis pigmentosa. Journal of AAPOS: the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus. 2003Dec;7(6):423-4.
7
8- Chan WM, Miyake N, Zhu-Tam L, Andrews C, Engle EC. Two novel CHN1 mutations in 2 families with Duane retraction syndrome. Archives of ophthalmology. 2011 May;129(5):649-52.
8
9- Weis A, Bialer MG, Kodsi S. Duane syndrome in association with 48,XXYY karyotype. Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus / American Association for Pediatric Ophthalmology and Strabismus. 2011 Jun;15(3):
9
10- Coats G. Forms of retinal disease with massive exudation. Roy lond ophthalmol hosp rep. 1908;17(3):440-525.
10