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Articles by Kambiz Masoumi
Total Records ( 3 ) for Kambiz Masoumi
  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.
  Nastaran Ranjbari , Fakher Rahim , Kambiz Masoumi and Firoozeh Kahkeshpuor
  Fine Needle Aspiration (FNA) is a relatively painless, safe and inexpensive diagnostic method, which is a widely accepted for the diagnosis of salivary glands neoplastic and inflammatory lesions before surgery. The aim of this study was to evaluate the diagnostic value of FNA in the diagnosis of salivary gland tumors nature compared with the histopathological results after mass excision. This is a cross-sectional study, where since April 2009 to March 2012, all patients complaining about salivary gland tumors referred to the ear, nose and throat ward of Ahvaz Imam Khomeini hospital and undergone FNA and biopsy have been studied. Then, the results of FNA were compared with pathology results after mass excision, as well as the diagnostic accuracy of FNA was calculated. In this study, 160 patients were studied including 88 females (55%) and 72 males (45%). Most patients were in the age group of 31-40 years and lowest in patients aged over 80 years. The mean age of patients was 41.7±18.9 with a minimum 3 years and the maximum was 85 years old. The FNA sensitivity in salivary gland tumor to pathological findings after mass excision was calculated 92.3% and its characteristics 99%. The positive predictive value was 96% and negative predicted value 97.9%. As shown in this study, FNA sensitivity has a high specificity and diagnostic value in the detection of the salivary gland lesions. Given that it is an inexpensive, safe and reliable method, it is recommended to be used more widely.
  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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