Renal impairment and analgesia: From effectiveness to adverse effects

Alizadeh, Reza; Fard, Ziba Aghsaie

doi:10.1002/jcp.28506

Cited by 18 publications

(5 citation statements)

References 92 publications

(93 reference statements)

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“…45 Phenotype I is characterized by highest levels of fasting insulin, hypervolemic ovaries with greatest prevalence of cysts whereas, IV exhibits highest levels of luteinizing hormone (LH). 46,47 Bil et al 48 showed in a study that phenotype I and II are at the greater risk to develop metabolic syndrome as compared with the other phenotypes, owing to the visceral adiposity index. Obesity in PCOS women is evident due to hyperandrogensim.…”

Section: Cardiovascular Diseases Metabolic Syndrome and Diabetes mentioning

confidence: 99%

Human immunodeficiency: Extragonadal comorbidities of infertility in women

Lorzadeh

Kazemirad

2020

Immunity Inflam & Disease

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Introduction: Infertility is mediated by several changes system-wide. These changes are likely to cause other systems-related pathologies, such as changes in systemic immune response, particularly inflammatory response can lead to cardiovascular diseases and breast cancer. Methods: These morbidities can exist immediately or years after the diagnosis of infertility. Therefore, understanding the mechanism is important to move toward therapeutic interventions. Results: Several extragonadal pathologies are reported due to infertility, as well as, how these might also contribute to reproductive disabilities. Detailed evidence are still not present that can give stronger result. Conclusion: This review highlights some of the most frequent comorbidities that are seen in infertile women, hence requiring a need for complete clinical screening and care, as well as diagnosis and treatment in early stages. K E Y W O R D S extragonadal comorbidities, infertile women, infertility 1 | INTRODUCTION Up to 18% of general population is prone to infertility. 1 However, fewer studies target coexisting pathologies with infertility. Infertility is not a remote pathology and it can proffer effects on various systems in the body. Women infertility can have several causes, such as polycystic ovary syndrome (PCOS), endometriosis, tubal blockage, and hydrosalpinges. 2-4 Despite, availability of diversity of treatment options, prevalence extragonadal pathologies might influence the treatment outcomes for infertility. 5,6 Certain dietary intake can also elevate the risk to attain infertility. 7 A study reports genital infections like those in vagina, uterus, and ovaries that greatly contributes to infertility rather than cardiovascular factors. 8 PCOS is characterized by various phenotypes (Figure 1) and thereby existence of comorbidities varies according to each category. In general, these women present elevated body mass index (BMI), follicle count

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Section: Cardiovascular Diseases Metabolic Syndrome and Diabetes mentioning

confidence: 99%

Human immunodeficiency: Extragonadal comorbidities of infertility in women

Lorzadeh

Kazemirad

2020

Immunity Inflam & Disease

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“…Numerous studies have shown that adrenal insufficiency and high levels of plasma adrenocorticotropic hormone and antidiuretic hormone cause shock and increased mortality in patients, and therefore adrenal insufficiency in patients with return of spontaneous circulation (ROSC) following cardiac arrest will cause poor outcomes [ 9 , 10 ]. Treatment of adrenal insufficiency with corticosteroids, can reduce mortality and dysfunction of vital organs and improves neurological complications [ [11] , [12] , [13] ]. In cardiac arrest, cortisol levels decrease during and after resuscitation, and studies have shown that ROSC and the prognosis of patients improves with combinational use of steroid and epinephrine in CPR [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of epinephrine and methylprednisolone on cardiac arrest patients

Rafiei

Bahrami

Meisami

et al. 2022

Annals of Medicine &Amp; Surgery

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“…Injury of parathyroid gland or devascularization is known etiology of hypocalcemia after the procedure [ 8 , 9 ]. Persistent hypothyroidism after the surgery is associated with decrease in calcium levels [ 10 ]. Hypocalcemia can lead to neuromuscular and psychological dysfunction [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Hypocalcemia following total and subtotal thyroidectomy and associated factors

Azadbakht

Emadi-jamali

Azadbakht

2021

Annals of Medicine &Amp; Surgery

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Background Thyroidectomy is one of the common endocrinological surgeries for the treatment of thyroid disorders. Hypocalcemia is the potential complication after thyroidectomy, where is persistency can lead to serious systemic effects. The aim of this study is to evaluate the incidence of hypocalcemia in thyroidectomy patients. Methods In this cross-sectional study, patients referred to (XXX) for thyroidectomy from 2019 to 2020 were enrolled. Preoperative serum calcium and postoperative 24- and 48-h calcium levels were evaluated in these patients. Demographic data (sex and gender), calcium levels, type of thyroidectomy and duration of surgery was recorded for all the patients. SPSS v22 was used for statistical analysis. P < 0.05 was considered as statistically significant. Results Of 143 patients included in the study, the mean age was 49.7 ± 10.9 years and 61.5% were females and 38.5% were males. 49% patients had hypocalcemia in the first 24 hours after surgery and 63.6% following 48 hours of the surgery. The difference in calcium levels at three intervals were statistically significant, p = 0.001. The incidence of hypocalcemia was significantly more in women at 48 postoperative hours, p = 0.025. The age and duration of surgery was not significantly correlated with hypocalcemia, p > 0.05, whereas, patients who underwent total thyroidectomy had greater incidence of hypocalcemia 24 hours after the surgery, p = 0.021. Conclusions The incidence of hypocalcemia is greater in total thyroidectomy and female patients. Our study did not report significant correlation between duration of the surgery and age of the patients.

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Renal impairment and analgesia: From effectiveness to adverse effects

Cited by 18 publications

References 92 publications

Human immunodeficiency: Extragonadal comorbidities of infertility in women

Human immunodeficiency: Extragonadal comorbidities of infertility in women

The effect of epinephrine and methylprednisolone on cardiac arrest patients

Hypocalcemia following total and subtotal thyroidectomy and associated factors

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