The definition of recurrent shoulder dislocation in tramadol induced seizure patients

Background: Prevalence of recurrent shoulder dislocation in patients taking tramadol has not been studied yet; so, this study aims to study the recurrent shoulder dislocation following tramadol induced seizure. Methods: In this cross-sectional study, 205 patients with recurrent shoulder dislocation complaints (2 or more) referred to Shafa Orthopedic and Iranmehr hospitals Tehran, Iran, from October 2012 to October 2014 were studied. Data on patient history and physical examination, patient demographic information such as age, sex, age at first dislocation, total number of dislocation, cause of the first dislocation, history of tramadol use, number of dislocation following tramadol induced seizure, history of other drugs use, the dominant hand, involved side, direction of dislocations and greater tuberosity fracture was recorded using a pre-designed questionnaire. Categorical variables were compared by chi-square test and the means were compared with student T-test. Results: In this study, 50 patients (24.4) suffered from tramadol induced seizures and recurrent shoulder dislocation. Results showed that there was a significant relationship between the number of dislocation and tramadol use (P = 0.02). Recurrent shoulder dislocation following tramadol induced seizure was significantly associated with greater tuberosity fracture of humerus (P = 0.04); in 49 out of 50 patients (98) dislocation was of anterior type. Conclusion: The findings of this study suggest that tramadol induced seizure may increase the risk of recurrent shoulder dislocation. Furthermore, the prevalence of greater tuberosity fracture in shoulder dislocation increases following tramadol induced seizure; and anterior shoulder dislocation is the most common type of dislocation following tramadol induced seizure

Optical anisotropy and electronic structures of CdMoO4 and CdWO4 crystals: Polarized reflection measurements, x-ray photoelectron spectroscopy, and electronic structure calculations

Copyright (c) 2008 American Physical SocietyArticlePHYSICAL REVIEW B. 77(15): 155118 (2008)journal articl

An assessment the effect of Fructo-oligosaccharide on growth performance, survival and hematological factors in sturgeon juvenile (Acipenser sttellatus)

The purpose of this study was to evaluate the effect of Fructo-oligosaccharide (FOS) on growth and survival performances of sturgeon juvenile fish (Acipenser stellatus). 90 sturgeon fry fishes (average weight 30.16±0/14 gram) has been brought from Sturgeon International, Research Institute and stored in fiberglass tanks using randomize design with 3 treatments each with 3 replicates in relative constant physico-chemical water parameters(P>0.05) then fed with basal adaptive food for two weeks. Fry fed 11 weeks with diets containing 0% (Basal food), 1% and 2% oligofructose (Raftilose p95, Sigma Co.) added to the basal food. The results revealed that 1% pribiotic compare to other treatments caused increasing weight gain, specific growth rate, feed conversion, feed efficiency, protein efficiency ratio and liver indices significantly (p 0.05). At the end of experiment, after bleeding from sample fries, the hematological characters showed that there are no any differences between hemoglobin, WBC and RBC numbers, hematocrit, MCV, MCH and MCHC between treatments(P>0.05) although the number of WBC in 1% and numbers of neutrophils in 1 and 2% prebiotic had differences with zero% significantly (P< 0.05). Based on these results good influence on the improving growth and feeding performances by oligofroctose as prebiotic was proved in Acipenser stellatus fries and 1% level was the best

The impact of social network-based nursing care training on oncology nurses� occupational stress and self-efficacy: Non-randomized clinical trial

Background & Aim: Inadequate clinical knowledge is one of the leading causes of stress and low occupational self-efficacy among nurses. Nursing training can enhance self-efficacy and reduce stress. Therefore, this study aimed to determine the effect of social network-based nursing care training, using mobile phones, occupational stress, and self-efficacy among oncology nurses. Methods & Materials: This non-randomized clinical trial study was conducted on 78 nurses working in oncology wards of two selected educational hospitals in Tehran in 2018. The nurses entered the study through available sampling. They were randomly assigned to two groups of control and intervention. Nursing care training in chemotherapy was provided to the nurses in the intervention group through a mobile phone social network for four weeks. On the other hand, the nurses in the control group were provided with the routine training pamphlets and brochures in the oncology ward. The nurses� stress level was examined using an expanded nursing stress scale and their occupational stress was measured using a job self-efficacy questionnaire once before the intervention and then one month after the intervention. The data analysis was then performed according to independent t-test, paired t-test, and chi-square using SPSS software version 16. Results: The two groups were homogeneous in terms of age, gender, work experience, and education. There was no significant difference in terms of occupational stress and self-efficacy between the two groups before the intervention (P<0.05). The changes in the occupational stress score were statistically significant (P<0.05) among the nurses in the intervention group. Moreover, the changes in the occupational self-efficacy score were statistically significant among nurses in the intervention group compared to the control group (P<0.05). Conclusion: Educational intervention through social networking can lead to a reduction of occupational stress and an increase in self-efficacy among oncology nurses. Reducing stress and increasing nurses� occupational self-efficacy will improve their performance at the bedside. This is an easy, inexpensive, and effective training method that can be used by health managers and educators to enhance employee�s performance. © 2021, Tehran University of Medical Sciences. All rights reserved

How Nigeria’s 2015 presidential election outcome was forecasted with geodemographics and public sentiment analytics

In 2015, Nigeria held one of the most fiercely contested presidential elections in the nation’s recent democratic history. The outcome of the election was expected to exert significant influence on democratic practices on the African continent. The stiffness of the contest also meant that it was difficult to predict the likely winner of the election. This paper summarizes how an empirical approach was used to forecast the outcome of the election by modeling public sentiment data-set using a geodemographic framework. Results indicate that the main electorates that determined the outcome of the election were situated in thirteen battleground states. Additionally, results showed that two years before the presidential election, Goodluck Jonathan’s public approval ratings on corruption, insecurity, and the economy (the main drivers of the 2015 election) had nose-dived across many of the battleground states. This eventually contributed toward his loss