Maryam Hami; Mehrdad Sarabi; Mehdi Hassanzade Daloee; Hasan Mehrad Majd; Niloofar Nourizadeh; Abdollah Firoozi; Niloofar Nikpasand; Sara Naghizadeh Kashani; Mina AkbariRad
Abstract
Background and aim: Cardiac arrhythmia is common in end-stage renal disease (ESRD) patients, especially those undergoing hemodialysis. One of the most significant risk factors for cardiac arrhythmias is thought to be electrolytic abnormalities. This study aimed to assess the effect of hemodialysis on ...
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Background and aim: Cardiac arrhythmia is common in end-stage renal disease (ESRD) patients, especially those undergoing hemodialysis. One of the most significant risk factors for cardiac arrhythmias is thought to be electrolytic abnormalities. This study aimed to assess the effect of hemodialysis on cardiac arrhythmias according to electrolytic disorders in chronic kidney disease (CKD) patients.Materials and methods: This cross-sectional study was conducted on ESRD patients who had undergone hemodialysis for at least six months. An electrocardiogram (ECG) and serum levels of sodium, potassium, calcium, and magnesium were checked before and after hemodialysis for all the patients. The data were entered and analyzed using SPSS software.Results: In this study, 96 patients were included. The most common arrhythmia was atrial fibrillation (AF) (22.9%). Our findings revealed that changes in serum potassium levels (p = 0.036) had a significant relationship with the occurrence of AF. There was a significant negative relationship between changes in serum calcium level and the QTc interval (r = -0.223 and p = 0.023). Furthermore, there was a significant positive relationship between changes in serum calcium levels and the QRS complex amplitude (r = 0.350 and p = 0.0001).Conclusion: ECG abnormalities, especially AF arrhythmias, are common in patients undergoing hemodialysis, which highlights the need for ECG monitoring both during and after hemodialysis.
Mehdi Hassanzade Daloee; Mina AkbariRad; Sahar Rajabzadeh karizi; Mehrdad Sarabi
Abstract
Burnout among physicians is a potential warning to the health system and one of the prime occupational hazards of recent years. Burnout is characterized by emotional, mental, and physical fatigue. Numerous studies have shown that burnout has a high prevalence among physicians, such that about one-third ...
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Burnout among physicians is a potential warning to the health system and one of the prime occupational hazards of recent years. Burnout is characterized by emotional, mental, and physical fatigue. Numerous studies have shown that burnout has a high prevalence among physicians, such that about one-third of them are affected at some point in their career. A recent study from the United States reported that 45.8% of physicians present at least one symptom of burnout. Statistics indicating one suicide per day among physicians show the urgency of the matter and the need for improvement. It has been reported that this syndrome may even start from the beginning of medical studies such that medical students and r=is review article, we describe the main cause and consequences of physician burnout. To investigate the issue, the two keywords of “burnout” and “physician” were searched in PubMed, Medline, Sciences Direct, and Google Scholar. We did a comprehensive literature review to extract any recent related content about the cause and consequences of physician burnout. Drawing from the studied literature, it is concluded that to address the issue, first, the elements of physicians’ wellness and satisfaction should precisely be determined, then necessary interventions should be adopted to improve the situation.
Mitra Ahadi; Negin Masoudifar; Mina Akbari Rad
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has brought unpredictable challenges to the whole world by causing Coronavirus disease2019(COVID-19). Although respiratory tract manifestations are the most commonly reported symptoms in COVID-19, early studies reported a low incidence of typical ...
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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has brought unpredictable challenges to the whole world by causing Coronavirus disease2019(COVID-19). Although respiratory tract manifestations are the most commonly reported symptoms in COVID-19, early studies reported a low incidence of typical gastrointestinal (GI) symptoms, such as diarrhea, nausea, vomiting, and even liver dysfunctions. However, The prevalence and prognosis of Gastrointestinal system involvement, including gastrointestinal symptoms and liver injury, remains mostly unknown in patients with COVID-19. We aimed to review the effects of COVID-19 on the GI system. Anorexia was the most frequent digestive symptom in adults (39.9%‐50.2%), and diarrhea was the most frequent symptom in both adults and children.Moreover, vomiting was more common in children. Approximately nine percent of adult patients showed vomiting. Almost 36% of children encounter vomiting; nausea is considered for 15% of children. Gastrointestinal bleeding was presented in more than ten percent of children, while abdominal pain was more frequent in severely ill patients.