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Articles by Arash Forouzan
Total Records ( 3 ) for Arash Forouzan
  Arash Forouzan , Kambiz Masoumi , Narges Yadegar , Fakher Rahim , Maryam Feli and Ali Asgari Darian
  The aim of this study was to compare the analgesic effects of Femoral Nerve Block (FNB) with intravenous Morphine Sulfate in different type of femoral fractures in the emergency department. In this randomized not blind clinical trial all patients aged 15-60 diagnosed as femoral fractures with neurovascular and hemodynamic stability were assessed for eligibility. Patients randomized into two groups to receive either FNB blindly with Lidocaine 1% or intravenous Morphine Sulfate 0.1 mg kg–1 the patients`pain score recorded before and 5, 30 and 60 min after intervention using visual analogue scale. The fracture type ( neck, inter-trochanteric or shaft of femur) was recorded for all patients. Present results showed that the pain score before and 5 min after intervention was not significantly different between two groups (p = 0.65 and p = 0.77, respectively) but 30 and 60 min after intervention the pain score in FNB group was significantly lower than that of the Morphine group (p = 0.002 and p = 0.001, respectively). Comparing the pain score at minute 30, as the primary outcome, was not significantly different in neck of femur fracture (p = 0.76), while these differences were significant in inter-trochanteric and shaft of femur fracture (p = 0.00 and p = 0.013, respectively). Present results showed that the blind FNB could be used as an effective analgesic treatment in patients with femoral fracture.
  Hamid Dehdashti Shahrokh , Davood Kashipazha , Fakher Rahim , Masoud Cina , Mina Eslami-Moayed , Seyed Ali Alboshokeh , Marieh Eslami-Moayed and Arash Forouzan
  Carpal Tunnel Syndrome (CTS) is a common problem that is caused by pressure on a nerve in the wrist and is associated with various factors. We compared Cross-Sectional Area (CSA) of the inlet and outlet in CTS patients and healthy controls and define the best cut off point of CSA and assess the utility of US in the diagnosis of CTS patients as well. This cross-sectional, age-group-matched case-control study was performed on 39 patients aged 42-65 years with electro-physiologically confirmed idiopathic CTS and 35 healthy controls from Golestan Hospital, Ahvaz, Iran from Jan 2013 to Feb 2014. Neurological and electro-diagnostic tests for patients were performed by an expert neurologist as the gold standard diagnostic test for CTS cases. Hundred wrists were evaluated. Electromyography (EMG) showed that 16 (32%) cases were mild, 17 (34%) were moderate and 17 (34%) were severe. The results showed that the CSA of carpal tunnel inlet, carpal tunnel outlet and AP diameter were significantly different between the two groups (p<0.001, p = 0.009, respectively). The sensitivity and specificity of carpal tunnel inlet were 92 and 96%, for carpal tunnel outlet were 92 and 92%, for AP diameter were 64 and 58%. longitudinal evaluations are necessary to better know the utility of ultrasound for diagnosing CTS. The accuracy of diagnosis increases in parallel with the increase in the stages and severity of CTS. Therefore, patients with severe CTS would not need the more uncomfortable, costly and invasive techniques.
  Ali Asgari Darian , Kambiz Masoumi and Arash Forouzan
  Workplace violence means incidents or circumstances under which people are threatened verbally or physically due to the conditions relating their jobs. The aim of this study was to investigate the reasons and consequences of acts of violence by physicians on patients and medical staff in the emergency department. This cross-sectional (descriptive-analytical) study collected information of all violent incidents involving the emergency room physicians in Imam Khomeini Hospital, Ahvaz, Iran over a period of 6 months using a questionnaire and face to face interview. The physicians engaged in the act of violence were aged between 24 and 46 years old with mean age of 33.4±0.55 years old. Physicians younger than 30 years old performed significantly more violent acts (p = 0.012). The most common reason and result of the acts of violence were inappropriate behavior by the patient and their companions (50.6%) and improved behavior by the patients and their companions (21.2%), respectively. There was no meaningful relationship between gender and the reason behind the violence (p = 0.725). Nor was there a meaningful relationship between the rank of the doctor and the reason of the violence (p = 0.096) as well as between the shift on which it happened (p = 0.425). Recognizing and eliminating the violence triggers plus training physicians and medical staff to practice anger management could reduce occupational tensions and improve the performance of physicians.
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