JOURNAL OF ISFAHAN MEDICAL SCHOOL (I.U.M.S)
Year:2020 | Volume:38 | Issue:568|Papers Count:3

Background: Despite of the growing trend of varicose ulcers, the effect of vascular surgery is not clear exactly on the treatment of these ulcers. The present study aimed to compare the clinical features of patients before and after the varicose vein surgery. Methods: In a cross-sectional study during 2016, the outcomes of 50 patients who were referred to Alzahra Hospital in Isfahan, Iran, for varicose veins surgery were examined before and after surgery in terms of patients’ opinions, the mean of Vancouver score, and ulcer complications. Findings: The mean Vancouver score was 7. 9 ± 2. 0 and 5. 1 ± 1. 5 before and after surgery, respectively. The relative frequency of wound healing was 35. 1 ± 19. 2 percent, postoperatively. The mean score of varicose ulcer was 9. 20 ± 0. 67 one week before the surgery, and 4. 76 ± 1. 33 and 2. 50 ± 0. 74, one week and one month after it, respectively. Mean Vancouver score before and after treatment was different statistically (P < 0. 001). The wounds and varicose veins complications were reduced statistically (P = 0. 015). Conclusion: The mean Vancouver score, ulcer complications, and varicose ulcers decreased after surgery. Surgery was most effective in patients with active edema or scarring, while those in multiple complications were less likely to recover.

Background: In a person with significant coronary artery disease (CAD), exercise stress can cause reversible myocardial ischemia, which is detectable by single photon emission computed tomography-myocardial perfusion imaging (SPECT-MPI). The aim of present study was to investigate the relationship between post-exercise highsensitive cardiac troponin I (hs-cTnI) serum levels and result of SPECT-MPI as a gold standard. Methods: In this cross-sectional study, 82 patients with no previous history of CAD or any organic disease were evaluated. hs-cTnI serum levels were monitored 75 minutes after the peaked of exercise (achievement to at least 85% of maximum heart rate), and compared with reversible myocardial ischemia. After 3 months, patients’ prognosis and continued chest pain were evaluated. Findings: The mean age of the patients was 59. 4 ± 11. 1, and 60 patients (73%) were women. In 29 patients, reversible myocardial ischemia was detected. There was a significant correlation between hs-cTnI serum level and reversible myocardial ischemia (P = 0. 005); but no significant relationship was seen with infarcted myocardial tissue (P = 0. 063). Based on SPECT-MPI, the hs-cTnI serum amount of 1. 6 ng/dl, as likely as hs-cTnI cut-off level, represented the specificity of 70%, sensitivity of 69%, positive predictive value of 55%, and negative predictive value of 80%. There was no significant relationship between hs-cTnI level and prognosis or chest pain after 3 months. Conclusion: The serum level of hs-cTnI after exercise was higher in the group with reversible myocardial ischemia.

Background: Developmental dysplasia of hip (DDH) encompass a wide range of hip disorders initiated from neonatal or infantile period. Since in some studies there are reports of high rate of hip dislocation cases in which osteotomy has not been performed, this study aimed to compare the results of open reduction with and without Salter osteotomy in patients with DDH. Methods: In a prospective cohort study on two groups of 24 patients with DDH and age of less than 3 years, the recovery outcomes and complications of open reduction with and without Salter osteotomy were postoperatively evaluated and compared 12 months after the surgery. Findings: 100% in open reduction group and 90. 9% in Salter group had hip joint stability (P = 0. 13). Avascular necrosis was seen in one (4. 2%) and two cases (9%) in open reduction without and with Salter osteotomy groups, respectively (P = 0. 49). Improvement of ossification center was seen in 95. 8% and 90. 9% of patients in open reduction without and with Salter groups, respectively (P = 0. 49). Conclusion: The findings of our study showed that both open reduction with and without Salter osteotomy groups had good therapeutic effects and low incidence of postoperative complications; therefore, delay in treatment due to performing osteotomy is not recommended.