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Z. Moodi, Sh. Borjian,
Volume 16, Issue 2 (July 2009)

Background and Aim: Shivering is an unpleasant complication of General Anesthesia which is seen in 40% of cases. Shivering is a serious complication that increases oxygen consumption to several times and results in increased ventilation, cardiac output, myocardial ischemia, intraocular & intracerebral pressure and intensity of postoperative pain. Preventing this unwanted complication is necessary to reach perfect anesthesia and to decrease its hazards. Materials and Methods: This study was performed as a double-blinded randomized clinical trial on 100 patients demanding eye surgery, aged over 18 years old, having ASA class I and II in Alzahra hospital of Zahedan. The patients were randomly divided into two groups using blocking method: Group A received Clonidine and Group B received placebo. Before anaesthesia, each of the cases and controls received 0.2 mg of clonidine and placebo with 30 ml of plain water, respectively. General anesthesia techniques were the same for both groups. In the recovery room, all the subjects were assessed for shivering and special questionnaires were filled out. The obtained data was analyzed through statistical analysis by SPSS version 13 software, using chi-square test, at the significant level of P<0.05. Results: It was found that only 2% of the cases but 20% of the controls developed shivering the difference was statistically significant (P=0.004). Conclusion: This study revealed that clonidine is effective in preventing post-anesthetic shivering and could be used as a routine preoperative medication.
Milad Azami, Milad Borji, Fatemeh Ghanbari, Sasan Nikpay, Kourosh Sayehmiri,
Volume 22, Issue 4 (January 2015)

Background and Aim: Iranian physicians and nurses are not aware of the total extent of  HB vaccination, as the most effective way of preventing HBV infection. The current review study aimed at determining the extent of HB vaccination in these two groups.

Materials and Methods: The current study was done on the basis of received information from Magiran, Iran medex, IranDoc, SID, Medlib and international databases including Embase, Scopus, Web of Science, Pubmed, Science Direct and also  Google Scholar searching motor between . 1993 and 2015, using standard key words. Searching and extraction of data was independently done by two . reviewers. Then, the reviewed articles that had the inclusion criteria were studied. The obtained  data was analyzed by means of random effect model and meta-analyses method, using Stata software (Ver:11.1)

Results: A total of 4104 subjects were studied in 16 articles. . Hepatitis B vaccination history in physicians and nurses were 88.7% (CI: 95%: 81.4-96) and 93.5% (CI: 95%: 65.3-86.7), respectively. Hepatitis B vaccination coverage of physicians and nurses was estimated to be 73.1 %( CI: 95%: 53.2-92.9) and 76% (CI: 95%: 65.3-86.7), respectively. The relationship between hepatitis B vaccinations coverage with the year of study  in physicians  was not statistically significant (P=0.146). But, in nurses this relationship was significant (P=0.016).

Conclusion: The obtained results show in spite of the fact that  approximately two-thirds of physicians  and nurses have their complete  vaccination plan this fraction is far from an ideal state and it requires to be promoted.

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