Checklist for Determining Severity of Pain and Type and Dosage of Analgesics Administered to Patients Undergoing Breast Surgeries

Aghamohamadi, Davoud; Gol, Mehdi Khanbabayi

doi:10.15296/ijwhr.2020.36

Cited by 7 publications

(5 citation statements)

References 14 publications

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“…Headache and low back pain are caused by a variety of factors, only some of which were investigated in this study. Factors such as hemodynamic disorder, post-anesthesia urinary retention, and nausea and vomiting were omitted due to time constraints (19).…”

Section: Discussionmentioning

confidence: 99%

Risk factors for post-spinal anesthesia headache and low back pain after orthopedic lower limb surgery in obese patients in Shohada hospital of Tabriz

Moradi

Abedini

2022

J Renal Endocrinol

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Introduction: The various factors affecting the incidence of post-spinal anesthesia low back pain and headache, such as high body mass index (BMI), the anesthesiologist’s expertise, and spinal needle gauge, make it impossible to adequately plan preventive measures. Objectives: This study aimed to determine the risk factors for post-spinal anesthesia headache and low back pain after orthopedic lower limb surgery in obese patients in Shohada hospital of Tabriz, Iran. Patients and Methods: This descriptive cross-sectional and prospective study was conducted on 200 obese candidates for lower limb surgery under spinal anesthesia in 2019. An anesthesiologist used a 25-gauge needle to induct spinal anesthesia for evaluating the incidence of post-spinal anesthesia headache, low back pain, and their risk factors. Results: The incidence of post-spinal anesthesia headache in obese participants was 6.5% on the first day, 3.5% in the first week, and 1% in the first month; whereas the incidence of low back pain was 16% on the first day, 9% in the first week, and 3.5% in the first month. Postoperative headache and low back pain exhibited a significant correlation with the history of spinal anesthesia and low back pain; therefore, they were found as the main risk factors for these complications. Conclusion: This study found lower post-spinal anesthesia headache and low back pain than in previous studies, which decreased further over time. Skilled anesthesiologists are recommended to use a small-gauge needle to induct spinal anesthesia to participants with a history of spinal anesthesia and low back pain.

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Section: Discussionmentioning

confidence: 99%

Risk factors for post-spinal anesthesia headache and low back pain after orthopedic lower limb surgery in obese patients in Shohada hospital of Tabriz

Moradi

Abedini

2022

J Renal Endocrinol

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“…Reliability Assessment of the Questionnaire The Kuder-Richardson Formula (KR) was used to measure the reliability of the questionnaire. It assesses the ratio of yes-to-no answers given to each item and is useful when items consist of yes/no options receiving a score of 1 or 0, respectively (25)(26)(27). KR >0.64 is acceptable.…”

Section: (B) Content Validitymentioning

confidence: 99%

Designing and Validating Infertility Data Recording Tools in Iran

Farzadi,

Ghasemzadeh,

Sadeghi-Bazargani

et al. 2021

International Journal of Women’s Health and Reproduction Scienc

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Objectives: Considering that the prevalence of infertility in Iran is higher than the world average and there is no system for recording these individuals’ data, this study aimed at designing and validating infertility data recording tools in Iran. Materials and Methods: This questionnaire study was conducted in Tabriz in 2019. Five areas were prepared for the questionnaire (i.e., in vitro fertilization or intracytoplasmic sperm injection, intrauterine insemination, ovulation induction) and treatment outcomes) and used after reviewing the studies. The Delphi quantitative technique was applied to standardize and validate the questionnaire through evaluating five infertility specialists. The content validity index (CVI), content validity ratio (CVR), and coefficient of agreement (Cohen’s kappa coefficient) were employed to assess content validity through a quantitative approach. Finally, the reliability of the questionnaire was evaluated using the Kuder-Richardson formula through the evaluation of 50 infertile couples visiting AL-Zahra specialized and super-specialized hospital in Tabriz. Results: The CVI and CVR of all items were calculated and obtained greater than 0.8 except for items 8, 17, and 18 and thus were identified as appropriate items in the questionnaire. Kappa coefficients (k) were also calculated and found to be greater than 0.8 for all items except for the three above-mentioned items. The items with lower than an acceptable CVI, CVR, and k were modified, and the k of the total items was obtained as 0.95. Eventually, the reliability of the questionnaire and its domains were assessed, and the reliability coefficient of the questionnaire was higher than 0.64, which was acceptable. Conclusions: A questionnaire was designed to evaluate the history and clinical problems of infertile couples with 5 domains and 61 items to record their information (desirable validity and reliability) in their clinical records.

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“…Surgery General anesthesia in pregnant women is associated with conditions such as increased blood volume, coagulopathy, decreased lung capacity, slow gastric emptying, and postural hypotension (78)(79)(80). The results of a study of 5405 pregnant women with breast cancer undergoing surgery and comparing it to 720 000 healthy pregnant women showed an increase in low birth weight due to prematurity, intrauterine growth restriction, and neonatal mortality without an increase in congenital abnormalities or stillbirth.…”

Section: Breast Cancer Treatment During Pregnancymentioning

confidence: 99%

Breast Cancer and Ways to Diagnose the Risk Factors and Treat it During Pregnancy: A Narrative Review

Ghamari¹,

Ghaderi²,

Moghaddam³

et al. 2020

International Journal of Women’s Health and Reproduction Scienc

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IntroductionBreast cancer is a type of cancer that starts in the breast tissue and can spread to other nearby tissues in addition to affecting the entire breast tissue (1). It is the most common cancer worldwide, causing extensive mortality and many complications (2-4). The incidence of breast cancer is globally increasing, especially in developing countries. Notably, about 6 million women with breast cancer were globally identified during 2008-2013 (5). More than 255 000 new cases of breast cancer occurred in the United States in 2017. Meanwhile, the annual incidence of breast cancer is 33 cases per 100 000 people in Iran, and the highest rate has occurred in Tehran, Isfahan, Yazd, Markazi, and Fars provinces (6).One of the concerns associated with breast cancer is its experience during pregnancy (7). Pregnancy-associated breast cancer refers to cancer that occurs during pregnancy, breastfeeding, or one year after delivery. It is the second most common cancer in pregnancy, which rarely occurs and does not cause many deaths (8,9). Diagnostic and therapeutic interventions during this period are implemented with special considerations. Women with breast cancer are clearly at a more advanced stage of the disease during pregnancy and usually have a poorer prognosis (10,11). One of the major challenges in diagnosis and treatment during this period is maintaining a balance in the aggressive care of these patients and appropriate treatments to maintain the health of the fetus/ baby. Given that the occurrence of this cancer during pregnancy can have adverse effects on the health of the mother, the baby, and the fetus, the current study aimed to investigate the factors affecting the incidence of this type of cancer during pregnancy. Materials and MethodsThis review study aimed at evaluating the relationship between pregnancy-related variables and the risk of breast cancer. This article review focused on all studies performed in this field until 2019. The related studies were selected from Persian and English databases. Iranian databases included SID, Irandoc, and Magiran, and English databases included PubMed, Scopus, Science Direct, Cochrane, Google Scholar, and Embase. Keywords were based on Mesh, including breast cancer and pregnancy. The inclusion criterion was accessing the full text of the articles, and the exclusion criterion was conference papers and articles, full-text versions of which were unavailable. ResultsIn general, 161 articles were found in the first stage although they were excluded from the review process at different stages and for scientific reasons. Finally, 83

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Checklist for Determining Severity of Pain and Type and Dosage of Analgesics Administered to Patients Undergoing Breast Surgeries

Cited by 7 publications

References 14 publications

Risk factors for post-spinal anesthesia headache and low back pain after orthopedic lower limb surgery in obese patients in Shohada hospital of Tabriz

Risk factors for post-spinal anesthesia headache and low back pain after orthopedic lower limb surgery in obese patients in Shohada hospital of Tabriz

Designing and Validating Infertility Data Recording Tools in Iran

Breast Cancer and Ways to Diagnose the Risk Factors and Treat it During Pregnancy: A Narrative Review

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