M. A. Rad, Abdollah Firoozi, Fatemeh Akbarirad, M. H. Daloee, S. Bonakdaran
Background: In this study we assessed the relationship between corrected-QT intervals and other ECG characteristics with methadone dose and other parameters in MMT patients and healthy subjects. Methods: This was a case-control study which was carried out on patients underwent MMT and healthy control group who had been referred to Ebne-Sina academic hospital, Mashhad during 2014 2015. At the time of the study, 40 patients who received MMT therapy for at least 6 months and 40 voluntary healthy subjects who matched on age and sex enrolled in the study. 12-lead ECG was performed for all the patients. Mean QT interval, PR interval and QRS duration in every 12 leads were documented for each patient
{"title":"Relationship between Corrected-QT Intervals and Other ECG Characteristics with Methadone Dose in Methadone Maintenance Treatment (MMT) Patients and Healthy Subjects: A Case- Control Study","authors":"M. A. Rad, Abdollah Firoozi, Fatemeh Akbarirad, M. H. Daloee, S. Bonakdaran","doi":"10.5812/RIJM.13642","DOIUrl":"https://doi.org/10.5812/RIJM.13642","url":null,"abstract":"Background: In this study we assessed the relationship between corrected-QT intervals and other ECG characteristics with methadone dose and other parameters in MMT patients and healthy subjects. Methods: This was a case-control study which was carried out on patients underwent MMT and healthy control group who had been referred to Ebne-Sina academic hospital, Mashhad during 2014 2015. At the time of the study, 40 patients who received MMT therapy for at least 6 months and 40 voluntary healthy subjects who matched on age and sex enrolled in the study. 12-lead ECG was performed for all the patients. Mean QT interval, PR interval and QRS duration in every 12 leads were documented for each patient","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43643229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: This research aimed to study the effectiveness of “parent training based on the Choice Theory” on the motherdaughter conflicts and increasing mothers’ sense of self-efficacy. Methods: The quasi-experimental method was used to examine the research variables. The research population included a group of mothers of the students who were in sixth to ninth grade at Nure Narges school in region 5 of Tehran. The parentadolescent conflict questionnaire (teen’s papers) was used to assess the frequency and intensity of the conflict. A group of 24 volunteer mothers whose daughters had reported the most conflicts with their mothers was randomly assigned to the experimental and control groups. Both groups filled the parentadolescent conflict questionnaire. The experimental group were trained parenting skills based on the Choice Theory for 8 sessions, while the control group were not trained. Finally, both groups answered the questionnaire again. They also answered the questionnaires three months later, as a follow-up. Multivariate analysis of covariance was used for data
{"title":"Parent Training Based on the Choice Theory: Analysis of its Impact on Mothers’ Sense of Self-efficacy and their Conflicts with their Daughters","authors":"Monireh Hosseini, A. Esmaeili, A. Sahebi","doi":"10.5812/RIJM.13929","DOIUrl":"https://doi.org/10.5812/RIJM.13929","url":null,"abstract":"Background: This research aimed to study the effectiveness of “parent training based on the Choice Theory” on the motherdaughter conflicts and increasing mothers’ sense of self-efficacy. Methods: The quasi-experimental method was used to examine the research variables. The research population included a group of mothers of the students who were in sixth to ninth grade at Nure Narges school in region 5 of Tehran. The parentadolescent conflict questionnaire (teen’s papers) was used to assess the frequency and intensity of the conflict. A group of 24 volunteer mothers whose daughters had reported the most conflicts with their mothers was randomly assigned to the experimental and control groups. Both groups filled the parentadolescent conflict questionnaire. The experimental group were trained parenting skills based on the Choice Theory for 8 sessions, while the control group were not trained. Finally, both groups answered the questionnaire again. They also answered the questionnaires three months later, as a follow-up. Multivariate analysis of covariance was used for data","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44690246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Hosseini, A. Fazlinezhad, M. Jalalyazdi, Azadeh Mahmoodi Gharaee, L. Hosseini, M. Andalibi
Background: Some hypertensive patients experience dyspnea with exercise due to rise in filling pressures. So, exercise is helpful to determine left ventricular filling tension. Objectives: This study aims to evaluate the effect of dobutamine stress echocardiography on diastolic function in hypertensive patients with normal ejection fraction. Methods: In this study, 30 hypertensive patients (52.7 ± 3.6 years) and 30 sex and age matched healthy controls (50.8 ± 7.6 years) were examined. Exclusion criteria were patients with coronary artery disease, significant valvular heart disease, hypertrophic cardiomyopathy, left ventricular systolic dysfunction (EF (ejection fraction) < 50%), atrial fibrillation and bad echogenic view. We performed complete echocardiography and dobutamine stress echocardiography with pulsed wave Doppler tissue imaging at rest and during peak stress to measure primary mitral inflow diastolic wave rate (E), late mitral inflow diastolic wave rate (A), E/A ratio, primary diastolic myocardial wave rate (E′) and late diastolic myocardial wave velocity (A’). Results: At rest, E’ was significantly lower in patients than controls (8.2± 1.6 vs 14.7± 2.6 P value < 0.001) and E/E (early mitral inflow diastolic wave rate/early myocardial diastolic wave rate) was significantly higher in patients (7.6± 1.2 vs 4.8± 1.0 P value <0.001). At peak stress, E/A ratio was significantly lower in patients (P < 0.001) while E/E′ was significantly higher in patients than controls (8.3 ± 2.1 vs 4.7 ± 0.7 P value < 0.001). Conclusions: Dobutamine stress echocardiography with Doppler tissue study is effective in the evaluation of hypertensive patients with dyspnea on exertion with normal resting echocardiography.
背景:一些高血压患者在运动时由于充盈压升高而出现呼吸困难。因此，运动有助于确定左心室充盈张力。目的:探讨多巴酚丁胺应激超声心动图对射血分数正常的高血压患者舒张功能的影响。方法:选取30例高血压患者(52.7±3.6岁)和30例性别、年龄匹配的健康对照(50.8±7.6岁)。排除标准为冠心病、有明显瓣膜病、肥厚性心肌病、左室收缩功能不全(EF(射血分数)< 50%)、心房颤动、超声检查不良者。我们在静息和应激峰值时进行全超声心动图和多巴酚丁胺应激超声心动图及脉冲波多普勒组织成像，测量二尖瓣初级流入舒张波率(E)、二尖瓣晚期流入舒张波率(A)、E/A比值、初级舒张心肌波率(E′)和舒张晚期心肌波速度(A′)。结果:静息时，患者E′显著低于对照组(8.2±1.6 vs 14.7±2.6 P值<0.001)，E/E(早期二尖瓣流入舒张波率/早期心肌舒张波率)显著高于对照组(7.6±1.2 vs 4.8±1.0 P值<0.001)。应激峰值时，患者E/A比显著低于对照组(P < 0.001)，而E/E′显著高于对照组(P值8.3±2.1 vs 4.7±0.7)。结论:多巴酚丁胺应激超声心动图联合多普勒组织研究对正常静息超声心动图评价高血压呼吸困难患者运动时的表现是有效的。
{"title":"Diastolic Function Changes during Stress Echocardiography in Hypertensive Patients","authors":"S. Hosseini, A. Fazlinezhad, M. Jalalyazdi, Azadeh Mahmoodi Gharaee, L. Hosseini, M. Andalibi","doi":"10.5812/RIJM.42876","DOIUrl":"https://doi.org/10.5812/RIJM.42876","url":null,"abstract":"Background: Some hypertensive patients experience dyspnea with exercise due to rise in filling pressures. So, exercise is helpful to determine left ventricular filling tension. Objectives: This study aims to evaluate the effect of dobutamine stress echocardiography on diastolic function in hypertensive patients with normal ejection fraction. Methods: In this study, 30 hypertensive patients (52.7 ± 3.6 years) and 30 sex and age matched healthy controls (50.8 ± 7.6 years) were examined. Exclusion criteria were patients with coronary artery disease, significant valvular heart disease, hypertrophic cardiomyopathy, left ventricular systolic dysfunction (EF (ejection fraction) < 50%), atrial fibrillation and bad echogenic view. We performed complete echocardiography and dobutamine stress echocardiography with pulsed wave Doppler tissue imaging at rest and during peak stress to measure primary mitral inflow diastolic wave rate (E), late mitral inflow diastolic wave rate (A), E/A ratio, primary diastolic myocardial wave rate (E′) and late diastolic myocardial wave velocity (A’). Results: At rest, E’ was significantly lower in patients than controls (8.2± 1.6 vs 14.7± 2.6 P value < 0.001) and E/E (early mitral inflow diastolic wave rate/early myocardial diastolic wave rate) was significantly higher in patients (7.6± 1.2 vs 4.8± 1.0 P value <0.001). At peak stress, E/A ratio was significantly lower in patients (P < 0.001) while E/E′ was significantly higher in patients than controls (8.3 ± 2.1 vs 4.7 ± 0.7 P value < 0.001). Conclusions: Dobutamine stress echocardiography with Doppler tissue study is effective in the evaluation of hypertensive patients with dyspnea on exertion with normal resting echocardiography.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45019769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Ghazanfarpour, T. Khadivzade, Elham Arghavani, H. Kareshki
Background: Thereisapaucitystudiesonpartners’ discussionsaboutchildbearinginIran. Toshedsomelightonthisunderstud-ied subject, we need to develop a valid and reliable instrument at first. Objectives: To formulate a questionnaire that evaluates the responsible participation of couples in childbearing decision making. Methods: In this paper, a mixed-method sequential explanatory design was used to design the proper instrument. The questionnaire was developed and tested in three stages. In stage 1, an item pool was generated. In stage 2, content validity was assessed and in stage 3, validity (exploratory factor analysis and confirmatory factor analysis) was performed. Results: At the first step, a 13-item instrument was designed, with the results yielding a content validity index of 0.80 for the instrument. The principal component analysis was applied to a sample population consisting of 450 couples to identify the factor structure of the inventory. According to the results, values of 4.458 (df = 78, P < 0.001) and 0.84 were obtained for Bartlett’s test of sphericity and Kaiser-Meyer-Olkin (KMO) measure of sampling adequacy respectively. As such, three factors with a total variance of 62% were extracted, out of which four factors had acceptable reliability with a Cronbach’s alpha of 0.60 to 0.85. The results of confirmatory analysis of RPCF questionnaire demonstrated the acceptable fitness of the model (CFI = 0.95 TLI = 0.94 and RMSEA = 0.05 and x 2 / df = 2.99). Conclusions: Our results showed that the instrument consisted of three dimensions and exhibits high internal consistency. Also this study approved the use of RPCFQ to measure responsible participation of couples in childbearing.
{"title":"An Investigation of the Factor Structure and Validity of Responsible Participation of Couples in Childbearing Scale","authors":"M. Ghazanfarpour, T. Khadivzade, Elham Arghavani, H. Kareshki","doi":"10.5812/RIJM.43355","DOIUrl":"https://doi.org/10.5812/RIJM.43355","url":null,"abstract":"Background: Thereisapaucitystudiesonpartners’ discussionsaboutchildbearinginIran. Toshedsomelightonthisunderstud-ied subject, we need to develop a valid and reliable instrument at first. Objectives: To formulate a questionnaire that evaluates the responsible participation of couples in childbearing decision making. Methods: In this paper, a mixed-method sequential explanatory design was used to design the proper instrument. The questionnaire was developed and tested in three stages. In stage 1, an item pool was generated. In stage 2, content validity was assessed and in stage 3, validity (exploratory factor analysis and confirmatory factor analysis) was performed. Results: At the first step, a 13-item instrument was designed, with the results yielding a content validity index of 0.80 for the instrument. The principal component analysis was applied to a sample population consisting of 450 couples to identify the factor structure of the inventory. According to the results, values of 4.458 (df = 78, P < 0.001) and 0.84 were obtained for Bartlett’s test of sphericity and Kaiser-Meyer-Olkin (KMO) measure of sampling adequacy respectively. As such, three factors with a total variance of 62% were extracted, out of which four factors had acceptable reliability with a Cronbach’s alpha of 0.60 to 0.85. The results of confirmatory analysis of RPCF questionnaire demonstrated the acceptable fitness of the model (CFI = 0.95 TLI = 0.94 and RMSEA = 0.05 and x 2 / df = 2.99). Conclusions: Our results showed that the instrument consisted of three dimensions and exhibits high internal consistency. Also this study approved the use of RPCFQ to measure responsible participation of couples in childbearing.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46090666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Lens luxation generally happens secondary to trauma and hereditary disorders into the vitreous body. However, spontaneous dislocation especially into the anterior chamber occurs rarely. We report an unusual case with spontaneous anterior dislocation of a posterior chamber intraocular lens (IOL) 4 years after cataract surgery. Case Presentation: A 42-year-old woman was referred to ophthalmology department with complaint of sudden onset blurring of vision in the left eye 4 years after cataract surgery. No history of trauma and systemic disorder was reported and no capsular fibrosis was found during eye examination. The patient underwent corneoscleral incision under general anesthesia and the IOL was extracted using a viscoelastic material. Conclusions: To our knowledge, this is the first reported case in the literature. This report may imply that IOL related factors could be considered for spontaneous dislocation of intraocular lenses.
{"title":"Late Spontaneous Dislocation of a Posterior Chamber Intraocular Lens into Anterior Chamber: A Case Report","authors":"K. Jadidi, S. Mosavi","doi":"10.5812/RIJM.42755","DOIUrl":"https://doi.org/10.5812/RIJM.42755","url":null,"abstract":"Introduction: Lens luxation generally happens secondary to trauma and hereditary disorders into the vitreous body. However, spontaneous dislocation especially into the anterior chamber occurs rarely. We report an unusual case with spontaneous anterior dislocation of a posterior chamber intraocular lens (IOL) 4 years after cataract surgery. Case Presentation: A 42-year-old woman was referred to ophthalmology department with complaint of sudden onset blurring of vision in the left eye 4 years after cataract surgery. No history of trauma and systemic disorder was reported and no capsular fibrosis was found during eye examination. The patient underwent corneoscleral incision under general anesthesia and the IOL was extracted using a viscoelastic material. Conclusions: To our knowledge, this is the first reported case in the literature. This report may imply that IOL related factors could be considered for spontaneous dislocation of intraocular lenses.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46896981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Arezoo Paliziyan, Mahnaz Mehrabizade Honarman, N. Arshadi
Background: The fact that emotional dysregulation and early maladaptive schemas are considered as the defining core of conduct disorder has been validated through numerous studies. A strong association between the diagnosis of conduct disorder and callousunemotional traits has also been found by numerous studies. Objectives: This study was carried out in order to inspect the relationship between conduct disorder and emotion regulation, callousunemotional traits, and schema in male high-school students in Dezfoul, SW Iran. Methods: In the present descriptive correlational study, 320 male high school students were chosen in Dezfoul, using the multistage random sampling. Data collection was carried out using some instruments including the child behavior checklist (CBCL), difficulties in emotion-regulation scale (DERS) inventory of callousunemotional traits (ICUT) young schema questionnaire-short form. The collected data were analyzed using multivariate regression analysis and the pearson correlation coefficient. Results: The results indicated a meaningfully positive correlation between emotion regulation, callousunemotional traits and schema with conduct disorder. In addition, the results of multivariate regression analysis showed that among the above-mentioned variables studied, callousunemotional trait was found to be the most effective predicting variable in conduct disorder (P < 0.001). Conclusions: The findings of this study are in full agreement with those of previous ones, and basically show a significant association between callousunemotional traits, emotion regulation and schema with conduct disorder.
{"title":"Conduct Disorder in Student: The Predicting Role of Emotion Regulation, Callous-Unemotional Traits and Schema","authors":"Arezoo Paliziyan, Mahnaz Mehrabizade Honarman, N. Arshadi","doi":"10.17795/RIJM42801","DOIUrl":"https://doi.org/10.17795/RIJM42801","url":null,"abstract":"Background: The fact that emotional dysregulation and early maladaptive schemas are considered as the defining core of conduct disorder has been validated through numerous studies. A strong association between the diagnosis of conduct disorder and callousunemotional traits has also been found by numerous studies. Objectives: This study was carried out in order to inspect the relationship between conduct disorder and emotion regulation, callousunemotional traits, and schema in male high-school students in Dezfoul, SW Iran. Methods: In the present descriptive correlational study, 320 male high school students were chosen in Dezfoul, using the multistage random sampling. Data collection was carried out using some instruments including the child behavior checklist (CBCL), difficulties in emotion-regulation scale (DERS) inventory of callousunemotional traits (ICUT) young schema questionnaire-short form. The collected data were analyzed using multivariate regression analysis and the pearson correlation coefficient. Results: The results indicated a meaningfully positive correlation between emotion regulation, callousunemotional traits and schema with conduct disorder. In addition, the results of multivariate regression analysis showed that among the above-mentioned variables studied, callousunemotional trait was found to be the most effective predicting variable in conduct disorder (P < 0.001). Conclusions: The findings of this study are in full agreement with those of previous ones, and basically show a significant association between callousunemotional traits, emotion regulation and schema with conduct disorder.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44335666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Karimi, H. Esfandiari, H. Nikkhah, M. Gozin, S. Mosavi
Introduction: Nonarteritic anterior ischemic optic neuropathy (NAION) is a rare condition but one of the most important ocular side effects of sildenafil. Case Presentation: We presented a 65-yearold man with the history of sudden painless loss of vision in both eyes following taking
{"title":"Bilateral Simultaneous Nonarteritic Anterior Ischemic Optic Neuropathy Associated with The Use of Sildenafil: A Case Report","authors":"S. Karimi, H. Esfandiari, H. Nikkhah, M. Gozin, S. Mosavi","doi":"10.5812/RIJM.39907","DOIUrl":"https://doi.org/10.5812/RIJM.39907","url":null,"abstract":"Introduction: Nonarteritic anterior ischemic optic neuropathy (NAION) is a rare condition but one of the most important ocular side effects of sildenafil. Case Presentation: We presented a 65-yearold man with the history of sudden painless loss of vision in both eyes following taking","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43733470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hamideh Ebrahimi, M. Dadgarmoghaddam, M. Emadzadeh, Abbasali Abbasi
Background: Many studies indicate that one of the leading preventable causes of premature death, disease and disability around the world is Tobacco use. Unfortunately, adolescents and young adults of colleges are often targeted of marketing by the tobacco industry. The aim of this study was to assess the relative frequency of tobacco use and associated factors in medical students. Methods: This cross-sectional study has done among medical students in 2014 2015. Totally, 284 students from 4 levels (basic, extern, intern and residents) were selected by random sampling from each category. We used a checklist for collecting demographic information that was distributed among participants by a trained interviewer. SPSS-11.5 software was used for data analysis andsignificance level was considered < 0.05. Results: Among 284 medical students, 17 (6%) smoked cigarette and 3 (1.05%) used illicit substance. All of the users were male, 15 (88%) of which were single. 1 (1.4 %) of the basic level students, 6 (6.9 %) of the externs, 9 (14.8 %) of the Interns and 1(1.6 %) of the residents used cigarette but the differences among these groups were not significant (P = 0.36). Generally, 13 (76.5%) of the users resided in dormitory and the others lived in parental home, which shows a significant difference among these groups (P = 0.01).The logistic regression indicated stage level was positively associated with cigarette use (P < 0.007). Conclusions: In this study, we evaluated how several environmental factors may influence illicit substance and tobacco use. We found an association between living in a dormitory and smoking cigarette, so it is an important factor to be considered in program planning for new students who entered into this environment.
{"title":"Tobacco Use and Associated Factors in Medical Students","authors":"Hamideh Ebrahimi, M. Dadgarmoghaddam, M. Emadzadeh, Abbasali Abbasi","doi":"10.5812/RIJM.43120","DOIUrl":"https://doi.org/10.5812/RIJM.43120","url":null,"abstract":"Background: Many studies indicate that one of the leading preventable causes of premature death, disease and disability around the world is Tobacco use. Unfortunately, adolescents and young adults of colleges are often targeted of marketing by the tobacco industry. The aim of this study was to assess the relative frequency of tobacco use and associated factors in medical students. Methods: This cross-sectional study has done among medical students in 2014 2015. Totally, 284 students from 4 levels (basic, extern, intern and residents) were selected by random sampling from each category. We used a checklist for collecting demographic information that was distributed among participants by a trained interviewer. SPSS-11.5 software was used for data analysis andsignificance level was considered < 0.05. Results: Among 284 medical students, 17 (6%) smoked cigarette and 3 (1.05%) used illicit substance. All of the users were male, 15 (88%) of which were single. 1 (1.4 %) of the basic level students, 6 (6.9 %) of the externs, 9 (14.8 %) of the Interns and 1(1.6 %) of the residents used cigarette but the differences among these groups were not significant (P = 0.36). Generally, 13 (76.5%) of the users resided in dormitory and the others lived in parental home, which shows a significant difference among these groups (P = 0.01).The logistic regression indicated stage level was positively associated with cigarette use (P < 0.007). Conclusions: In this study, we evaluated how several environmental factors may influence illicit substance and tobacco use. We found an association between living in a dormitory and smoking cigarette, so it is an important factor to be considered in program planning for new students who entered into this environment.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42068532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karim Pisoudeh, M. Mirkazemi, Noushin Aghavali, A. Izanloo
Osteoid osteoma near the joints is a rare case which is difficult to diagnose. Osteoid osteomas refer to solitary, benign, agonizing lesions of the bone with a nidus of 1.5 to 2 cm, which consists of osteoid, osteoblasts, and varying quantity of fibrovascular stroma. This study reports the case of 37-year-old man with a painful flexion contracture of left elbow for 18 months, then was diagnosed a peri-articular osteoid osteoma. Any attempt for movement, whether passive or active, exacerbated the pain. His conditions was treated as tennis elbow and treated for several months, but his pain persisted continuously. A subcortical osteoid osteoma was observed in fine-cut CT scan within the posterior cortex of the capitulum. Thus, a wide en bloc surgical excision of the nidus was implemented, with total mitigation of pain and quick return to daily activities. It is stressed that history of disease and detailed physical examination can help diagnosis.
{"title":"Sub Cortical Osteoid Osteoma of the Capitulum: A Case Report","authors":"Karim Pisoudeh, M. Mirkazemi, Noushin Aghavali, A. Izanloo","doi":"10.5812/RIJM.44340","DOIUrl":"https://doi.org/10.5812/RIJM.44340","url":null,"abstract":"Osteoid osteoma near the joints is a rare case which is difficult to diagnose. Osteoid osteomas refer to solitary, benign, agonizing lesions of the bone with a nidus of 1.5 to 2 cm, which consists of osteoid, osteoblasts, and varying quantity of fibrovascular stroma. This study reports the case of 37-year-old man with a painful flexion contracture of left elbow for 18 months, then was diagnosed a peri-articular osteoid osteoma. Any attempt for movement, whether passive or active, exacerbated the pain. His conditions was treated as tennis elbow and treated for several months, but his pain persisted continuously. A subcortical osteoid osteoma was observed in fine-cut CT scan within the posterior cortex of the capitulum. Thus, a wide en bloc surgical excision of the nidus was implemented, with total mitigation of pain and quick return to daily activities. It is stressed that history of disease and detailed physical examination can help diagnosis.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46653367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mashallah Dehghani Dashtabi, H. Falsoleiman, Elham Dehghani, A. Fazlinezhad, M. Mojahedi, M. Shakeri
Background: Many small trials showed a significant improvement in blood pressure following renal artery stenting in patients with severe atherosclerotic renal artery stenosis, but data on renal function improvement is more conflicting. Recently, few trials have been conducted to evaluate the effect of this procedure on Left Ventricular Mass (LVM) and Left Ventricular Mass Index (LVMI). Objectives: The aim of this study is to determine the effect of renal artery stenting on Blood Pressure, estimated Glomerular Filtration Rate (eGFR), Left Ventricular Mass (LVM), and Left Ventricular Mass Index (LVMI) in patients with severe atherosclerotic renal artery stenosis. Methods: This is a prospective interventional study performed on forty patients with ischemic heart disease and medication resistant hypertension, who had severe (≥ 70%) atherosclerotic renal artery stenosis and underwent renal artery stenting. Blood pressure, LVM, LVMI and eFGR before renal artery stenting and after six months were assessed in these patients. Results: There were significant reduction in systolic blood pressure (from 175.50± 17.28 mmHg to 137.30± 13.21 mmHg) (P < 0.001), and diastolic blood pressure (from 103.45 ± 8.91 mmHg to 84.30 ± 7.33 mmHg) (P < 0.001). Also, there were significant decrease in LVM (from 307.73 ± 108.13 g to 259.34 ± 92.17 g) (P = 0.004) and LVMI (from 174.70 ± 58.26 to 148.01 ± 49.77) (P = 0.004). LVM reduction was independent of SBP and DBP reduction (P = 0.376 and P = 0.196, respectively). Conclusions: Renal artery stenting reduces Blood pressure and leads to regression of LVM independent of blood pressure reduction. Regardless of baseline eGFR, our study failed to find a significant increase in glomerular filtration rate.
{"title":"Effect of Renal Artery Stenting on Blood Pressure, Glomerular Filtration Rate and Left Ventricular Mass in Hypertensive Patients with Severe Atherosclerotic Renal Artery Stenosis","authors":"Mashallah Dehghani Dashtabi, H. Falsoleiman, Elham Dehghani, A. Fazlinezhad, M. Mojahedi, M. Shakeri","doi":"10.5812/RIJM.43288","DOIUrl":"https://doi.org/10.5812/RIJM.43288","url":null,"abstract":"Background: Many small trials showed a significant improvement in blood pressure following renal artery stenting in patients with severe atherosclerotic renal artery stenosis, but data on renal function improvement is more conflicting. Recently, few trials have been conducted to evaluate the effect of this procedure on Left Ventricular Mass (LVM) and Left Ventricular Mass Index (LVMI). Objectives: The aim of this study is to determine the effect of renal artery stenting on Blood Pressure, estimated Glomerular Filtration Rate (eGFR), Left Ventricular Mass (LVM), and Left Ventricular Mass Index (LVMI) in patients with severe atherosclerotic renal artery stenosis. Methods: This is a prospective interventional study performed on forty patients with ischemic heart disease and medication resistant hypertension, who had severe (≥ 70%) atherosclerotic renal artery stenosis and underwent renal artery stenting. Blood pressure, LVM, LVMI and eFGR before renal artery stenting and after six months were assessed in these patients. Results: There were significant reduction in systolic blood pressure (from 175.50± 17.28 mmHg to 137.30± 13.21 mmHg) (P < 0.001), and diastolic blood pressure (from 103.45 ± 8.91 mmHg to 84.30 ± 7.33 mmHg) (P < 0.001). Also, there were significant decrease in LVM (from 307.73 ± 108.13 g to 259.34 ± 92.17 g) (P = 0.004) and LVMI (from 174.70 ± 58.26 to 148.01 ± 49.77) (P = 0.004). LVM reduction was independent of SBP and DBP reduction (P = 0.376 and P = 0.196, respectively). Conclusions: Renal artery stenting reduces Blood pressure and leads to regression of LVM independent of blood pressure reduction. Regardless of baseline eGFR, our study failed to find a significant increase in glomerular filtration rate.","PeriodicalId":20994,"journal":{"name":"Razavi International Journal of Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48947188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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