Journal of Sabzevar University of Medical Sciences
Year:2009 | Volume:16 | Issue:3 (53)|Papers Count:10

Background and Purpose: It seems that during seizures special inflammatory processes remain in the epileptic tissues and can induce still another attack. Based on this hypothesis many studies have been conducted to determine the efficacy of non-steroidal anti-inflammatory drugs on controlling seizures and have obtained different results. so we decided to perform this research. Therefore the present research was conducted to investigate the effect of ibuprofen on controlling intractable epileptic attacks in children. Methods and Materials: This quasi-experimental double-blind study was conducted in 2006-2007 on 30 patients (3-13 years old) with intractable epilepsy. The patients were observed for one month; then they were given ibuprofen syrup (30 mg/k/day divided into 3 doses) for two months; taking ibuprofen syrup was paused for one month; placebo was given for two months with a similar dosage. Patients simultaneously received their previous anticonvulsant drugs during the study period. In each stage the frequency duration and probable complications of each attack were recorded. The obtained data were analyzed in SPSS using paired t-test and chi-square. Results: Patients’ mean age and mean seizures onset age were 7.23±3.22 and 2.73±2.43 years respectively. Partial complex epilepsy occurred in 13 cases (43.3%) and 17 patients (56.7%) experienced myoclonic epilepsy. Ibuprofen decreased frequency of attacks in 8 cases (26.7%) and even stopped them in 4 cases. However placebo just decreased attacks in 4 cases (13.3%) but the observed difference was not statistically significant (P=0.434). Conclusion: Based on the findings there was no statistically difference between effects of Ibuprofen and placebo on controlling epileptic attacks.

Background and Purpose: Post-episiotomy pain affects maternal life quality and mental health as well as her care and relationship with the infant. Currently the use of complementary medicine has become common; for instance the use of lavender essence is specifically prevalent in medicine and midwifery but findings about this essence are few and contradictory. Therefore the present research was conducted to investigate the effect of lavender essence on post-episiotomy pain in primipara. Methods and Materials: This single-blind clinical trial involved 60 qualified primiparous women admitted for labor in Kamali Hospital in Karaj Iran. They were randomly allocated into two groups: cases (bathing in lavender essence) and controls (receiving the hospital routine). For five days after labor case mothers were given essential oil of lavender (twice a day each time 6 drops in 5 liters of water) and control mothers were given the hospital; routine (Betadine) for bathing in. The study data were collected through demographic data questionnaire analgesic checklist and visual analog scale of pain. The participants’ pain was recorded on the VAS scale 4 hours 12 hours ad 5 days after episiotomy. The obtained data were analyzed in SPSS 14 using independent t-test and chi-square. Results: The two groups did not show any significant differences as for their demographic data and variables of the study. Mean pain intensity in the lavender and Betadine groups were 2.7±1.7 and 4.23±1.59 respectively which shifted to 2.43±1.94 and 4.60±1.79 respectively five days after surgery; the difference came out to be significant (p…

Background and Purpose: It is believed that insecure attachment styles and immature defense mechanisms render individuals vulnerable to cigarette and substance use; these people experience more negative emotions and have fewer options for reducing psychological distresses. The aim of the present research was to investigate the role of attachment styles defense mechanisms and health status in discriminating cigarette-smoker students from non-smokers. Methods and Materials: This research is a case-control study. The research sample consisted of 100 cigarette-smoker and 100 non-smoker students selected from among the students of University of Mohaghegh Ardabili. Data collection was done through the use of Attachment Styles Scale Defense Style Questionnaire and General Health Survey. In order to analyze the data discriminant analysis was used in SPSS 14. Results: The results indicated that 71 percent of the variance of insecurity of attachment style immature defense mechanisms and health status can account for the only function between groups of smokers and non-smokers. The discriminant function obtained was classified correctly with the concurrent method for 94.5% of smokers and through step-by-step method for 93.5% of non-smokers. Conclusion: The results indicated that cigarette-smoking and nonsmoking university students can be discriminated through their immature defense mechanisms insecure attachment styles and health status.

Background and Purpose: Meeting the physical movement requirements of community members will remarkably increase its power. Studies on the effect of self-esteem and health locus of control (HLC) in inducing healthy behaviors have provided a scientific framework for these concepts in public health and health psychology. The present study investigates the relationship of physical activities and self-esteem with health locus of control in athletic and non-athletic university students. Methods and Materials: The research is a case-control study involving 74 athletic university students (cases) and 74 non-athletics (controls) from Gonabad University of Medical University. Data were collected by a demographic questionnaire Self-esteem scale and MHLC-Form B. The obtained data were analyzed in SPSS 11.5 using one-way ANOVA logistic regression chi-square Pearson correlation coefficient and independent t-test. Results: The findings showed that in athletic students mean internal beliefs were 28.51±3.7 influential persons 20.89±4.9 and chance 14.67±3.7 corresponding to 27.87±4.6 21.64±4.97 and 15.48±4.64 in non-athletics respectively; the differences were however not significant. But the self-esteem scores of athletics (31.2) were significantly higher than that of non-athletics (28.79) (P

Background and Purpose: Bili-Check is a simple method used to provide a rapid pain-free and noninvasive transcutaneous estimation of total serum bilirubin. The present study was conducted to compare estimates of serum bilirubin using Bili-Check (TCB) with total serum bilirubin (TSB) values determined in a clinical laboratory. Methods and Materials: This is a dehlive analytical cross-sectional study conducted in Ghaem Hospital NICU from September 2008 to March 2008. With a confidence interval of 95% and test power of 80% 109 neonates were selected through convenient non-randomized sampling as the study sample. TSB was determined in a clinical laboratory using the diazo with photometric method. Then within 10 minutes transcutaneous measurements were performed via Bili-Check. Data analysis was done in SPSS11.5 using correlation coefficient. Results: From 109 neonates included in the study 75 were male (68.8%) and 34 female (31.2%) with an age range of 1 to 26 days. Mean serum Bilirubin was 12.979 and TCB estimate was 12.219. Laboratory findings highly correlated with the results of TCB (r=0.766) (P=0.0001). Conclusion: Bili-Check has the sufficient adequacy as the measurement and observation device for neonates and can replace serum bilirubinometry in laboratory fro Icteric neonates.

Background and Purpose: Hemodialysis patients undergo dialysis for survival and this brings them specific limitations affecting their quality of life. Also stress from dialysis makes them enjoy a lower quality of life. Therefore the present study was conducted to determine the relationship between stress intensity and life quality in hemodialysis patients. Methods and Materials: As a deh1ive study this research was conducted on 100 hemodialysis patients in two major dialysis centers in Sari Iran in 2008. All patients were investigated and relevant data were collected through a questionnaire in three parts (personal characteristics life quality and stress intensity). Life quality was first investigated and then patients’ stress intensity was studies. For data summarization deh1ive statistics were used in SPSS. Results: In this study 53 men and 47 women participated. Also 42% of the patients with the almost satisfactory life quality experienced partial stress. Conclusion: The results indicated that the more intense the patients’ stress is the lower their life quality will be.

Background and Purpose: One of the most documented ways of evaluating drug preh1ion patterns in a community is through the assessment of physician’s preh1ions. As no studies have been conducted so far on this issue the present study was done to evaluate the preh1ion patterns of physicians in Sabzevar Iran in 2008. Methods and Materials: In this deh1ive cross- sectional study 167305 preh1ions from 270 medical practitioners in Sabzevar Iran from three insurance companies (Medical Services Insurance Social Security Insurance and Army Medical Insurance) were collected on a CD which were then analyzed for preh1ion indexes using Preh1ion Evaluation Software. The preh1ions were issued in the first six months of 2008. Data summarization was done using figures percentage and means. Results: Mean number of prescribed drugs was 3.22. About 35% of the patients received an injection 45% received antibiotics and 14% were prescribed corticosteroids. Conclusions: Inappropriate preh1ion of antibiotics corticosteroids and injection as well as mean preh1ion items being above normal rate and non-conventional drug interaction rates were observed in preh1ions issued by physicians in Sabzevar Iran.

Background and Purpose: Osteoid Osteoma is a benign tumor often involving long bones of lower limb and diaphysis. This article is a case report of osteoid osteoma of the right distal metaphysis of radius. The Patient: A 26-year male computer operator referred with the chief complaint of pain in the right wrist from three years ago manifested as a small bone tumor in the distal radius. The pain was intermittent tending to become more severe at night with only ibuprofen (tablet) being effective on his pain. MRI and X-ray images taken from the wrist signified osteoid osteoma. Finally the tumor was removed under general anesthesia and biopsy confirmed the osteoid osteoma too. Conclusion: One of the causes of chronic wrist pain can be osteoid osteoma and should be differentiated from Carpal tunnel syndrome osteomyelitis rheumatoid arthritis and lymphoproliferative Synovitis.