Shima Molaee

Tehran University of Medical Sciences

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Soheil Peiman

Tehran University of Medical Sciences

Morteza Foroumandi

Imam Khomeini Hospital

Ali Amanati

Shiraz University of Medical Sciences

Hossein Khoeinipourfar

Hamedan University of Medical Sciences

Iraj Sedighi

Hamedan University of Medical Sciences

Hossein Ghanaati

Tehran University of Medical Sciences

Enayat Safavi

Tehran University of Medical Sciences

Shahla Nouri

Hamedan University of Medical Sciences

Farnoosh Larti

Imam Khomeini Hospital

Cooperative Institutions

Tehran University of Medical Sciences

Imam Khomeini Hospital

Hamedan University of Medical Sciences

Shahid Beheshti University of Medical Sciences

University of Tehran

Islamic Azad University, Tehran

Shiraz University of Medical Sciences

Namazi Hospital

Amir Oncology Hospital

AdventHealth Orlando

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Giant pulmonary Arteriovenous malformations

Case Reports in Clinical Practice (2016)

Morteza Foroumandi Farnoosh Larti Soheil Peiman Shima Molaee

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Computed Tomography Pulmonary Angiography for Evaluation of Patients with Suspected Pulmonary Embolism: Use or Overuse

Iranian Journal of Radiology (2015)

Shima Molaee Hossein Ghanaati Enayat Safavi Morteza Foroumandi Soheil Peiman

The use of computed tomography pulmonary angiography (CTPA) has been increased during the last decade.We studied the adherence to current diagnostic recommendations for evaluation of pulmonary embolism in a teaching hospital of Tehran University of Medical Sciences.The registered medical records (Wells scores and serum D-dimer level) of all patients whose CTPA was performed with suspicion of pulmonary thromboembolism (PTE) were studied retrospectively. Modified Wells score of each patient was determined without being aware of the CTPA results. The patients were categorized to those with a high (likely) clinical probability (score > 4) and low (unlikely) clinical probability (score≤ 4) of PTE.During a 6-month period, 82 patients who underwent CTPA were included. The prevalence of PTE was 62.2% in the group of subjects with a likely clinical risk. In 45 (54.8%) of those patients whose CTPA was requested, the PTE was unlikely based on modified Wells criteria. In the clinically unlikely group, serum D-dimer assay was done in 15 out of 45 (33.3%), while it was inappropriately checked in 10 out of 37 (27.0%) with a clinically likely risk. General adherence rate to diagnostic algorithm of PTE was 43.9%.There is still excessive unjustified concern of PTE in less trained physicians leading to excessive diagnostic work-up. Loyalty to the existing guideline for management of suspected PTE in educational hospitals and supervision of attending physicians could prevent overuse of CTPA.

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Pulmonary angiography

10.5812/iranjradiol.12(2)2015.22383

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Antimicrobial Activity of Natural Honey: Topical Application of Pure Natural Honey in Prevention of Chemotherapy Induced Oral Mucositis

Journal of Comprehensive Pediatrics (2013)

Iraj Sedighi Shima Molaee Ali Amanati Hossein Khoeinipourfar Shahla Nouri

Background: Oral mucositis is a frequent problem after high-dose chemotherapy which could impair patient's quality of life, higher rates of infections, and delay in subsequent chemotherapy. Objectives: The present study was performed to assess the effect of topical application of pure natural honey in prevention of chemotherapy induced mucositis in patients with cancer. Patients and Methods: In this randomized clinical trial 48 patients with acute leukemia requiring chemotherapy were assigned to three equal groups. During induction or reinduction period of chemotherapy, first group received honey plus normal saline; the second one received just normal saline and third, (in control group) did not receive any prophylaxis. Patients were evaluated weekly for progression of mucositis according to the WHO mucositis scale. Data were analyzed with the Pearson Chi-Square and Fisher Exact test, by fifteen edition of SPSS software. Results: In group of 'honey plus normal saline' no patients developed mucositis, while in normal saline group 4 patients and in control group 12 patients developed mucositis. The rate of mucositis was significantly lower in both intervention groups compared to control (P < 0.001). Conclusions: This study demonstrates that using either honey or normal saline can reduce the rate and severity of chemotherapy induced mucositis.

Mucositis

Kowsar

10.17795/compreped-10348

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Citations (8)