Jundishapur Scientific Medical Journal
Year:2013 | Volume:12 | Issue:4 (85)|Papers Count:13

Background& Objective: The aim of this study is evaluation of cardiovascular risk factors in diabetic patients between two cities Kerman and Ahvaz with difference in culture, race and climate.Subjects & Methods: In this crass-sectional study we enrolled 211 diabetic patients from Golestan diabetes care center of Ahvaz and 190 diabetic patients who were referred to Samen diabetes care center in Kerman. A questionnaire completed after direct interview examination and libratory assessment. The data were analyzed by SPSS 15 software. Standard chi-square test was used to compare the prevalence rates and the Means were compared by standard t test.Results: The total number of patients from Golestan center of Ahvaz was 211 (144 female (68.6%) and 67 male (31.4%)) with mean age of 55.52±10.32 years old and mean of duration of disease 6.72±6.39 years. Also the total number of patients from Samen center of Kerman was 190 (161 female (85.5%) and 29 male (14.5%)) with mean age of 54.37±9.75 years old and mean of duration of disease 8.78±7.48 years. Overall, arterial hypertension, cigarette smoking and low HDL-C were more frequent between Ahvasien patients (P<0.0001, P=0.0004 and P<0.0001 respectively.) In contrast 20.4% of Kermanien patients were opium user and dyslipidemy as trouble in triglyceride were more frequent between them (P<0.0001 and P=0.027 respectively). Renal insufficiency and uncontrolled diabetes were frequent in both two groups and there was no statistically significant different between them.Conclusion: Cardiovascular risk factors are frequent between the patients of both two cities. Differences in race; climate and social habits may be the related causes of higher prevalence of hypertension in Ahvaz and dyslipidemia in Kerman.

Background and Objective: Coronary heart disease (CHD) is a major cause of mortality in developed countries and various risk factors have been proposed for them, among which psychological factors have important role in outbreak or intensification and continuance of these disruptions. The aim of this study was to determine the difference between normal people and people with coronary heart disease with regards to anger and quality of life.Subjects and Methods: This study was performed as a case-control design. Data was collected from 40 male and 40 female patients with CHD who had referred to Golestan Hospital specialist clinic in Ahwaz and 40 male and 40 female who were healthy on physician check-up, were used as control. Two groups completed the spiel Berger’s State-trait Anger Expression Inventory 2 (STAXI-2) and Quality of Life Inventory (SF-36) to measure their anger and Quality of life. MANOVA test was used to analyze the data.Results: The Quality of life. A significant (P<0.001) difference was found on the Interaction Effect of Anger and Quality of Life between case and control groups. The comparison of means showed that male and female patients had more anger in desirable, semi and non-desirable quality of life.Conclusion: These finding illustrated that the effect of anger and quality of life style extremely related to coronary heart disease. Therefore, raising awareness may be an effective factor to prevent coronary heart disease while training of the patients to control their temper and having healthy life style to promote their health.

Background and Objective: With changes in lifestyle, childhood overweight and obesity are most important health problems in both developed and developing countries. The aim of this study was to determine the frequency of overweight and obesity in schoolchildren in Ahvaz.Subjects and Methods: In a descriptive cross-sectional study 1, 594 (52.38% male) healthy schoolchildren aged 6 to 10 in Ahvaz were assessed. Height and weight were measured and body mass index (BMI) calculated for all. They were considered overweight and obese if BMI was >85 and >95 percentile respectively compared to standards.Results: 52.38% were male. Age distribution for 6 to 10 years old was 18, 21.3, 19.9, 20.2, and 20.5% respectively. Prevalence of overweight and obesity was 17.7 and 18.8%. Girls had greater risk to be overweight and obese compared to boys (21.74 vs. 16.17%; P=0.001, and 21.08 vs. 14.65 %, P=0.005 respectively).Conclusion: The results of this study showed that prevalence of overweight and obesity is noticeable, especially among girls. Near a hundred percent increase in both overweight and obesity in less than ten years is a warning. Intervention with education and change in habits and feeding behavior are mandatory.

Background and Objective: This study examined the simple and multiple relationships between morningness and sleep quality among students with addiction potential in students Shahid Chamran University of Ahvaz.Subjects and Methods: One hundred and fifty subjects were selected by multistage random sampling from the whole students of Shahid Chamran University of Ahvaz. The scales used for this study were Iranian Addiction Potential Scale (IAPS), morningness questioner (CSM) and sleep quality (PSQI). The method of this study was descriptive. In order to analysis the data, used Pierson correlation and regression analysis.Results: There were significant simple and multiple relationships between predictors and criterion variables. There was significant correlation between morningness and addiction potential. In addition, there was significant correlation between sleep quality and addiction potential. Regression analysis showed that there were multiple relationships between morningness and sleep quality with addiction potential.Conclusions: The overall results showed that students with low morningness and low sleep quality are exposed to higher risk of addiction.

Background and Objecitve: Parkinson’s disease (PD) is a progressive disease resulting from a reduction in the release of dopamine. This loss of dopamine can have an effect on non- speech movements, as well as various aspects of speech production. Dysarthria is a collective name for a group of speech disorders resulting from disturbance in muscular control over the speech mechanism due to damage to the central or peripheral nervous system. It produces problems in oral communication due to paralysis, weakness or incoordination of the speech musculature. A synthesis of research on normal and neurologically disordered speech should lead to an improved understanding of the neural regulation of speech.Subjects and Methods: In this cross-sectional study, 36 voice samples in normal voiceless environment were recorded. Frequency difference in high and low vowels was measured by Praat software. Data analysis was performed by Independent Samples Test and Maan-Whiteny tests.Results: All variables showed significant differences. F1-F0 in low vowels were significantly decreased in adults with Parkinson (P<0.001). F2-F1 in high vowels was significantly decreased in adults with Parkinson (P<0.05).Conclusion: The results showed that Parkinson disease affects formant frequency.

Background and Objective: Working length determination is a basic procedure in endodontic treatment of permanent and deciduous teeth. Radiography is the conventional method of canal length determination. In this method the distance between tip of the file inserted in the root canal and the tip of the radiographic apex is measured. The purpose of this study was to compare working length determination by NSK (NSK; Japan) electronic apex locator (EAL) with the radiographic method on necrotic deciduous molars.Subjects and Methods: This in vivo study performed on 60 root canals of 20 primary molars. Canal length measured by NSK (NSK; Japan) electronic apex locator compared with radiographic method. Paired samples test was used for the statistical analysis.Results: The mean canal length of D teeth was 13.82 mm with the radiologic method, and 13.83 mm with EAL. There were no significant differences between the two methods (P=0.81). The average canal length of E teeth was 15.03 mm with the radiologic method, and 15 mm with EAL showed no statistically significant differences between the two methods (P=0.57).Totally the canal length was 14.43mm with the radiologic method, and 14.42 mm with EAL with no statistical significant differences (P=0.85).Conclusion: According to these results of this study we can use EAL instead of radiographic method in working length determination of primary teeth.

Background and Objective: The aim of this study was to evaluate the effect of the albumin in clinical function after acute intracerebral hemorrhage.Subjects and Methods: The study was a double-blind clinical trial in two group of patient with hemorrhagic stroke, including those with stroke occurred in the last 24 hours. The first group treated with albumin infusion with total dose of 1 g/Kg body weight for two hours per day and the second group was treated with normal saline with the same dose. The treatment duration was 7 days. Functional outcome of the first day, 8th days and 3 months after treatment were investigated on the basis of NIHSS. By Chi square and T-Test tatistical analyses and evaluation of the effectiveness of the intervention in the two groups were studied.Results: Each arm of study contained 30 patients. Both groups were the similar in age, sex and risk factors. There were no significant difference in mortality rate (P=0.353), hospitalization duration (P=0.343) and hematoma size before (P=0.596) and after (P=0.483) treatment in two groups. NIHSS of the first day (P=0.474) and after 3 months (P=0.095 following treatment did not show significant differences among both groups. However, the result at the 8th day of treatment showed significant differences (P=0.025).Conclusion: The findings of this study confirmed that, intravenous albumin used in the initial days in the patient with hemorrhagic stroke would improve short-term clinical and functional outcome, but this positive effect is diminished in the long-term.

Background and Objective: Contamination of water and soil with heavy metals results from industrial activities is one of the important dangers that threaten natural ecosystems and human being. Because these metals do not degrade and due to their biological accumulation property in tissues, they enter to food chain and lead to different diseases. For these reasons, fish are among the organisms that are exposed to biological accumulation of these metals. The aim of this study was to evaluate health quality of consumable fish by Khorramshahr people.Subjects and Methods: In this study we collected 30 Otolithes rubber and 30 Pampus argenteus fish species from the fish market of Khorramshahr. After chemical digesting of muscle tissue, concentration of lead, cadmium and nickel were measured using Inductively Coupled Plasma (model, USA).Results: Average concentration of lead, cadmium and nickel were estimated in Otolithes rubber respectively 1.89, 0.58 and 2.20 mg/g dry weights and in Pampus argenteus respectively 1.52, 0.48 and 1.08 mg/g dry weight units.Conclusion: The results of this study in comparison with standards of WHO showed that average concentration of these three metals in muscle tissue of both fish was higher than allowed limit of WHO that can pose danger to human health.

Background and Objective: The aim of this study was to evaluate the diagnostic ability of CBCT to detect external root resorption.Subjects and Methods: External root resorption defects of different sizes and in different locations were simulated in 60 human mandibular incisors. Cavities simulating root resorption defects of small size (0.3´0.6 mm), medium (1.2´0.6 mm) and large (1.8´0.9 mm) were drilled in the cervical, medial and apical thirds of buccal surfaces. The teeth were divided in random groups and mounted in the mixture of acryle and dryed skull sheep powder. CBCT scan was used to evaluate external root resorption in 180 root thirds by two blinded observer. Statistical analysis was done with Kappa test.Results: Sensitivity of CBCT to detect external root resorption was 89% and the specificity was 99 %.The most defects that was detected were on the medial root thirds and the lowest defects that were detected were on the apical root. The percentage of small defects detection was 80%.Conclusion: CBCT technique is a very good method to evaluate external root resorption with high sensitivity and excellent specificity. It can detect the defects as small as 0.3mm.

Background and Objective: The aim of this study was to evaluate the effect of albumin in hematom volume after hemorrhagic stroke.Subjects and Methods: The study was conducted in a randomized clinical trial; patients with hemorrhagic stroke in 24 hours of onset were included. Patients were divided into two groups, the first group was treated with intravenous albumin (1 g/Kg) and second group treated similarly with normal saline as placebo. Hematom volume was calculated before and at the end of treatment. Analyzes of data was made using Chi square and T-Test. Level of disability at baseline and end of treatment were compared with the NIHSS.Results: From 61 patients were studied; 31 patients treated with albumin and 30 patients received placebo. Patients were matched for age, sex and risk factors. Mean changes in hematoma volume in the control group was 2.88 (SD=1.42) ml and in the placebo group was 1.75 (SD=1.27) ml. The differences observed between the two groups was statistically significant (P=0.002). In the control group the mean change in NIHSS was 2.83 (SD=1.26) and the median change was 3 and in the case group the mean change in NIHSS was 1.59 (SD=1.21) and the median changes was 1. The difference between the two groups was statistically significant (P<0.001).Conclusion: The results of this study showed that the use of intravenous albumin in patients with hemorrhagic stroke can further reducing the size of the hematoma and the patient''s neurological deficits with possible better outcomes.

Background and Objective: Ductus arterisus is a large normally duct that communicate pulmonary artery and disending aorta in fetus. After birth and respiration this duct is normally closed. One of the congenital heart diseases is patent ductus arteriosus (PDA). Patency of this duct results in heart failure or endarteritis. Treatment involves both surgical and non-surgical interventions. In this study we evaluate our first non-surgical intervention experiences in Khuzestan.Subjects and Methods: Fourteen PDA patients who were diagnosed by echocardiography underwent of trans catheter closure with amplatzer or coil.Results: Narrowest part of the PDA close to pulmonary artery had a median size of 3.7 mm (range from 1.6- 6.2 mm). All PDA patents with exception of one, complete occlusion were acheived after the procedure. On follow up, that patient had no residual shunt after three months. None of our patients had complications immediately and on follow-up.Conclusion: Our first experience showed that PDA occluder by amplatzer or coil is safe and effective and recommended for majority of PDA.

Abdominal pain is a common complaint in patients presenting to the emergency department. It is estimated that 4 to 8 % of emergency department visits for adults is abdominal pain. Causes of abdominal pain are many and varied depending on age, sex and underlying physiological, pathological or developmental variables and usually detailed a list of differential diagnoses. There are variable acute abdomen manifestations in patients with situs inversus. Development of abdominal visceral nerve in situs inversus is normal and incidence of acute abdominal pain is same as in patient without situs inversus and is felt in the same site.In this article, two cases of acute abdomen, acute appendicitis and gallbladder inflammation that manifestated with pain and tenderness in the right abdomen. Further examinations and during surgical intervention it was revealed that they had situs inversus.