Tohid Mabhut Moghadam, M. Fathi, Sayed Reza Attarzadeh Hosseini, Mohammad Mosaferi Ziaaldini, A. Rashidlamir
Background: There is little information about the effects of high intensity aerobic exercise training (HIT) and L-arginine supplementation on appetite-regulating hormones among obese male adolescents. We aimed to determine the effect of eight weeks of HIT and L-arginine supplementation on appetite-regulating hormones and body composition indices in obese adolescent boys. Methods: Twenty obese adolescents were randomly divided into two groups of HIT and placebo (P-HIT, n=10) and HIT with supplementation of L-arginine (A-HIT, n=10). The HIT protocol was treadmill running with ventilation threshold (VT) intensity and training sessions were isoenergetic and energy consumption were set to 350 kcal per session for each participant, which were evaluated indirectly by calorimetry. The A-HIT group received 3 g of L-arginine per day for 8 weeks. Before the interventions and 48 hours after the last exercise session, anthropometric indices and levels of appetite-regulating hormones were measured. Results: There was no significant changes between the groups with respect to leptin, agouti, and PYY3-36 peptide levels. There were significant changes in weight reduction between the groups (P≤0.05). However, body max index (BMI) and percent body fat (PBF) changes were not significant in between groups (P≥0.05). Conclusion: Our findings suggest that co-supplementation of L-arginine with HIT training had no further effects on appetite regulatory hormones and body composition of obese male adolescents.
背景:关于高强度有氧运动训练(HIT)和补充l -精氨酸对肥胖男性青少年食欲调节激素的影响的信息很少。我们的目的是确定八周的HIT和l -精氨酸补充对肥胖青春期男孩食欲调节激素和身体成分指数的影响。方法:将20名肥胖青少年随机分为HIT加安慰剂组(P-HIT, n=10)和HIT加l -精氨酸组(A-HIT, n=10)。HIT方案是在跑步机上进行通风阈值(VT)强度的跑步，训练阶段是等能量的，每个参与者每次的能量消耗被设定为350千卡，通过量热法间接评估。A-HIT组每天给予3 g l -精氨酸，持续8周。在干预前和最后一次运动后48小时，测量了人体测量指数和食欲调节激素水平。结果:两组间瘦素、针刺素、PYY3-36肽水平无明显变化。各组间体重减轻量差异有统计学意义(P≤0.05)。体最大指数(BMI)和体脂率(PBF)组间差异无统计学意义(P≥0.05)。结论:我们的研究结果表明，在HIT训练的同时补充l -精氨酸对肥胖男性青少年的食欲调节激素和身体成分没有进一步的影响。
{"title":"Effect of Arginine Supplementation and High Intensity Training on Appetite Hormones and Body Composition of Obese Boys","authors":"Tohid Mabhut Moghadam, M. Fathi, Sayed Reza Attarzadeh Hosseini, Mohammad Mosaferi Ziaaldini, A. Rashidlamir","doi":"10.34172/hmj.2021.26","DOIUrl":"https://doi.org/10.34172/hmj.2021.26","url":null,"abstract":"Background: There is little information about the effects of high intensity aerobic exercise training (HIT) and L-arginine supplementation on appetite-regulating hormones among obese male adolescents. We aimed to determine the effect of eight weeks of HIT and L-arginine supplementation on appetite-regulating hormones and body composition indices in obese adolescent boys. Methods: Twenty obese adolescents were randomly divided into two groups of HIT and placebo (P-HIT, n=10) and HIT with supplementation of L-arginine (A-HIT, n=10). The HIT protocol was treadmill running with ventilation threshold (VT) intensity and training sessions were isoenergetic and energy consumption were set to 350 kcal per session for each participant, which were evaluated indirectly by calorimetry. The A-HIT group received 3 g of L-arginine per day for 8 weeks. Before the interventions and 48 hours after the last exercise session, anthropometric indices and levels of appetite-regulating hormones were measured. Results: There was no significant changes between the groups with respect to leptin, agouti, and PYY3-36 peptide levels. There were significant changes in weight reduction between the groups (P≤0.05). However, body max index (BMI) and percent body fat (PBF) changes were not significant in between groups (P≥0.05). Conclusion: Our findings suggest that co-supplementation of L-arginine with HIT training had no further effects on appetite regulatory hormones and body composition of obese male adolescents.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121805368","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}
N. Mohammadi, M. Mohammadi-Sichani, Maryam Allahdadian
Background: Bacterial vaginosis (BV) is one of the most common causes of abnormal vaginal discharge in women. The disease is characterized by an imbalance in the vaginal bacterial flora. We aimed to determine the frequency of Gardnerella vaginosis by cultivation and molecular method. Methods: In summer 2019, the vaginal secretion of 110 women with BV were collected and isolated for G. vaginalis, in Isfahan. The isolates were identified by the biochemical test. Polymerase chain reaction (PCR) was performed to detect G. vaginalis in vaginal secretions. Antibiotic susceptibility of the isolates was evaluated by disc diffusion method. Results: Gardnerella vaginalis was isolated from five samples among the 110 patients with symptoms of BV by cultivation. Based on molecular identification, G. vaginalis was shown in 32 (29.1%) samples. G. vaginalis isolates were resistant to clindamycin (20%) and amoxicillin/clavulanic acid (80%). All the isolates were sensitive to Metronidazole. All women with this infection were married and most (43.8%) belonged to the 25-30 year-old age group. A significant difference was found between participants with positive clue cell (P<0.01) and pH>4.5 vaginal discharge (P<0.01) in the PCR-positive and the PCR-negative women. Conclusion: High prevalence of Gardnerella vaginalis in women with vaginosis confirms the important role of bacteria in the incidence of BV. Identification of pathogenic agents of G. vaginosis using molecular methods and determining their antibiotic susceptibility pattern is essential for proper treatment in different societies.
{"title":"Identification of Gardnerella vaginalis by Molecular Methods in Women Diagnosed With Bacterial Vaginosis in Isfahan, Iran","authors":"N. Mohammadi, M. Mohammadi-Sichani, Maryam Allahdadian","doi":"10.34172/hmj.2021.25","DOIUrl":"https://doi.org/10.34172/hmj.2021.25","url":null,"abstract":"Background: Bacterial vaginosis (BV) is one of the most common causes of abnormal vaginal discharge in women. The disease is characterized by an imbalance in the vaginal bacterial flora. We aimed to determine the frequency of Gardnerella vaginosis by cultivation and molecular method. Methods: In summer 2019, the vaginal secretion of 110 women with BV were collected and isolated for G. vaginalis, in Isfahan. The isolates were identified by the biochemical test. Polymerase chain reaction (PCR) was performed to detect G. vaginalis in vaginal secretions. Antibiotic susceptibility of the isolates was evaluated by disc diffusion method. Results: Gardnerella vaginalis was isolated from five samples among the 110 patients with symptoms of BV by cultivation. Based on molecular identification, G. vaginalis was shown in 32 (29.1%) samples. G. vaginalis isolates were resistant to clindamycin (20%) and amoxicillin/clavulanic acid (80%). All the isolates were sensitive to Metronidazole. All women with this infection were married and most (43.8%) belonged to the 25-30 year-old age group. A significant difference was found between participants with positive clue cell (P<0.01) and pH>4.5 vaginal discharge (P<0.01) in the PCR-positive and the PCR-negative women. Conclusion: High prevalence of Gardnerella vaginalis in women with vaginosis confirms the important role of bacteria in the incidence of BV. Identification of pathogenic agents of G. vaginosis using molecular methods and determining their antibiotic susceptibility pattern is essential for proper treatment in different societies.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"577 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122762862","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: Development of psychological skills can be used to improve physical illnesses. Pain management strategies are one of the most important psychological skills and strategies that can help improve the disease. We aimed to investigate the effectiveness of self-care education and mindfulness-based stress reduction therapy on pain management strategies in patients with rheumatoid arthritis (RA). Methods: The statistical population of the study included patients with RA referred to rheumatology centers in Isfahan, from which 30 people were selected as a sample. In the study, the effect of two interventions of self-care education and mindfulness-based stress reduction therapy on coping strategies was evaluated and compared. Results: The results showed that self-care training could have a significant effect on coping strategies (P=0.001). Mindfulness-based stress reduction therapy also had a significant effect on coping strategies (P=0.005) and comparing the effectiveness of two interventions showed that self-care training was significantly more effective than mindfulness-based stress reduction therapy on coping strategies in patients with RA. Conclusion: Self-care training was more effective than mindfulness-based stress reduction therapy on coping strategies, and in general, both interventions were able to improve coping strategies in patients.
{"title":"The Effectiveness of Mindfulness-based Self-care Education and Stress Reduction Therapy on Pain Management Strategies in Patients with Rheumatoid Arthritis","authors":"F. Daneshnia, Kobra Hajalizadeh, S. Abedini","doi":"10.34172/hmj.2021.22","DOIUrl":"https://doi.org/10.34172/hmj.2021.22","url":null,"abstract":"Background: Development of psychological skills can be used to improve physical illnesses. Pain management strategies are one of the most important psychological skills and strategies that can help improve the disease. We aimed to investigate the effectiveness of self-care education and mindfulness-based stress reduction therapy on pain management strategies in patients with rheumatoid arthritis (RA). Methods: The statistical population of the study included patients with RA referred to rheumatology centers in Isfahan, from which 30 people were selected as a sample. In the study, the effect of two interventions of self-care education and mindfulness-based stress reduction therapy on coping strategies was evaluated and compared. Results: The results showed that self-care training could have a significant effect on coping strategies (P=0.001). Mindfulness-based stress reduction therapy also had a significant effect on coping strategies (P=0.005) and comparing the effectiveness of two interventions showed that self-care training was significantly more effective than mindfulness-based stress reduction therapy on coping strategies in patients with RA. Conclusion: Self-care training was more effective than mindfulness-based stress reduction therapy on coping strategies, and in general, both interventions were able to improve coping strategies in patients.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121582132","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}
Coronavirus disease 2019 (COVID-19) continues to spread rapidly worldwide with significant infection rates and the risk for the development of psychosis. Currently, most studies have focused on the clinical and epidemiological features of inpatients suffering from COVID-19. However, less attention has been given to the long-lasting consequences of this infectious disease. Strong epidemiological studies mainly from the past influenza pandemics suggest the positive association between prenatal infection and increased incidence of schizophrenia in the offspring. Therefore, it can be postulated that prenatal exposure to COVID-19 virus may put the offspring at risk for the development of schizophrenia. For this reason, longitudinal studies of this population may help elucidate the pathomechanisms involved in this complex illness and provide an opportunity for reducing the impact of this disorder on the next generation. In this review, we discussed the evidence for the association between in utero exposure to infection and schizophrenia risk in the offspring.
{"title":"Gestational Viral Infection and the Development of Neuropsychiatric Diseases in Offspring: A Possible Long-lasting Effect of COVID-19","authors":"M. A. Firouzjaei, Nahid Davoodian","doi":"10.34172/hmj.2021.27","DOIUrl":"https://doi.org/10.34172/hmj.2021.27","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) continues to spread rapidly worldwide with significant infection rates and the risk for the development of psychosis. Currently, most studies have focused on the clinical and epidemiological features of inpatients suffering from COVID-19. However, less attention has been given to the long-lasting consequences of this infectious disease. Strong epidemiological studies mainly from the past influenza pandemics suggest the positive association between prenatal infection and increased incidence of schizophrenia in the offspring. Therefore, it can be postulated that prenatal exposure to COVID-19 virus may put the offspring at risk for the development of schizophrenia. For this reason, longitudinal studies of this population may help elucidate the pathomechanisms involved in this complex illness and provide an opportunity for reducing the impact of this disorder on the next generation. In this review, we discussed the evidence for the association between in utero exposure to infection and schizophrenia risk in the offspring.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128165232","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}
Masoumeh Kheirandish, Feysal Yousefzade, K. Seddighi, Mojtaba Khademi Bafrouie, A. Rahimi
The novel coronavirus infection 2019 (COVID-19) is a pandemic viral disease officially named by World Health Organization (WHO) on March 11, 2020. It is mainly a respiratory disease but can involve other organs. Extrapulmonary presentations are broad and not well recognized. COVID-19 may trigger diabetic ketoacidosis (DKA) in a patient with adequately controlled diabetes. Pregnancy is an incomplete immune suppression status, making women more susceptible to infections, and the disease-related morbidity is higher during pregnancy. Herein, we present the case of a 23-year-old diabetic pregnant woman at 28 weeks gestation with acute pancreatitis, DKA, hypertriglyceridemia, with confirmed COVID-19 infection using polymerase change reaction (PCR). She underwent antiviral therapy, adequate intravenous hydration, insulin infusion, and plasmapheresis in the intensive care unit (ICU). Her condition ultimately improved. COVID-19 with simultaneous pregnancy and diabetes mellitus increases the risk of metabolic disorders. Therefore, rapid diagnosis and adequate management would be considered.
{"title":"A Pregnant Woman With COVID-19, Diabetic Ketoacidosis, and Pancreatitis","authors":"Masoumeh Kheirandish, Feysal Yousefzade, K. Seddighi, Mojtaba Khademi Bafrouie, A. Rahimi","doi":"10.34172/hmj.2021.28","DOIUrl":"https://doi.org/10.34172/hmj.2021.28","url":null,"abstract":"The novel coronavirus infection 2019 (COVID-19) is a pandemic viral disease officially named by World Health Organization (WHO) on March 11, 2020. It is mainly a respiratory disease but can involve other organs. Extrapulmonary presentations are broad and not well recognized. COVID-19 may trigger diabetic ketoacidosis (DKA) in a patient with adequately controlled diabetes. Pregnancy is an incomplete immune suppression status, making women more susceptible to infections, and the disease-related morbidity is higher during pregnancy. Herein, we present the case of a 23-year-old diabetic pregnant woman at 28 weeks gestation with acute pancreatitis, DKA, hypertriglyceridemia, with confirmed COVID-19 infection using polymerase change reaction (PCR). She underwent antiviral therapy, adequate intravenous hydration, insulin infusion, and plasmapheresis in the intensive care unit (ICU). Her condition ultimately improved. COVID-19 with simultaneous pregnancy and diabetes mellitus increases the risk of metabolic disorders. Therefore, rapid diagnosis and adequate management would be considered.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128313950","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: Considering the important role of anxiety in people with psychosomatic disorders, recognizing their defense mechanisms, emotion regulation techniques, and attachment styles can help support them against anxiety and stress. The aim of this study was to develop a psychosomatic symptoms model based on emotional regulation, defense mechanisms, and attachment styles mediated by distress level. Methods: In this descriptive correlational study using path analysis, 540 patients diagnosed with psychosomatic disorder using the Physical Health Questionnaire (PHQ15), were selected through purposive sampling among all medical centers in Tehran, Iran, during 2019. Then, they completed the short form of Cognitive Emotion Regulation Questionnaire, Adult Attachment Styles Questionnaire, Defense Styles Questionnaire, and Kessler Psychological distress Assessment Scale (Kessler, 2002). AMOS.22 and SPSS.22 software was used for data analysis. Results: The indirect effect of anxious attachment (P<0.001), ambivalent attachment (P=0.048), immature defense mechanism (P<0.001), and neurotic defense mechanism (P<0.001) were confirmed to psychosomatic symptoms mediated by low distress. Also, the indirect effect of anxious attachment (P<0.001), mature defense mechanism (P=0.045), immature (P<0.001), and neurotic (P<0.001) correlated with psychosomatic symptoms mediated by high distress. Conclusion: Considering distress tolerance as a moderating mechanism, there was a relationship between ambivalent and anxious attachment styles, and neurotic and immature defense mechanisms with psychosomatic symptoms.
{"title":"Developing a Psychosomatic Symptoms Model based on Emotional Regulation, Defense Mechanisms, and Attachment Styles Mediated by Distress Level in psychosomatic Patients","authors":"Asghar Badaye, S. Vaziri, F. Lotfi Kashani","doi":"10.34172/hmj.2021.11","DOIUrl":"https://doi.org/10.34172/hmj.2021.11","url":null,"abstract":"Background: Considering the important role of anxiety in people with psychosomatic disorders, recognizing their defense mechanisms, emotion regulation techniques, and attachment styles can help support them against anxiety and stress. The aim of this study was to develop a psychosomatic symptoms model based on emotional regulation, defense mechanisms, and attachment styles mediated by distress level. Methods: In this descriptive correlational study using path analysis, 540 patients diagnosed with psychosomatic disorder using the Physical Health Questionnaire (PHQ15), were selected through purposive sampling among all medical centers in Tehran, Iran, during 2019. Then, they completed the short form of Cognitive Emotion Regulation Questionnaire, Adult Attachment Styles Questionnaire, Defense Styles Questionnaire, and Kessler Psychological distress Assessment Scale (Kessler, 2002). AMOS.22 and SPSS.22 software was used for data analysis. Results: The indirect effect of anxious attachment (P<0.001), ambivalent attachment (P=0.048), immature defense mechanism (P<0.001), and neurotic defense mechanism (P<0.001) were confirmed to psychosomatic symptoms mediated by low distress. Also, the indirect effect of anxious attachment (P<0.001), mature defense mechanism (P=0.045), immature (P<0.001), and neurotic (P<0.001) correlated with psychosomatic symptoms mediated by high distress. Conclusion: Considering distress tolerance as a moderating mechanism, there was a relationship between ambivalent and anxious attachment styles, and neurotic and immature defense mechanisms with psychosomatic symptoms.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130613662","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}
Aram Asadi Karam, J. Nemati, M. Asadi-Shekaari, F. Daryanoosh, M. Hemmatinafar
Background: This study aimed to measure PGC-1α4 soleus muscle and to investigate the effect of endurance training pre-conditioning with different intensities on the atrophy response of the soleus muscle to a period of inactivity. Methods: In this experimental study, 24 male Wistar rats were randomly divided into equal groups of control (C), control inactivity (CI), high-intensity endurance training group (HE) (treadmill speed 30 km/h), and low-intensity endurance training (LE) (treadmill’s speed: 10 km/h). After two weeks of familiarization, the endurance training group ran on a treadmill for two weeks (five sessions each week). The animal’s lower limbs were then immobilized for seven days. Then the soleus muscle was extracted, and after weighting, the expression of the PGC-1α4 gene was measured using the real-time polymerase chain reaction (realtime PCR) technique. Data were analyzed using SPSS software, version 24. Results: The expression of the PGC-1α4 gene was significantly higher in the HE group than the CI group. However, compared to the C group, all groups with inactivity intervention showed significantly lower PGC-1α4 gene levels. The ratio of muscle mass to body weight in the C group was significantly higher than the LE and CI groups, and higher in the HE group than the CI group. Conclusion: Endurance training seems to be able to reduce the destructive effects of inactive atrophy. The higher intensity of these exercises was more effective, which was associated with increased expression of the PGC-1α4 gene.
{"title":"Effect of Pre-conditioning of Endurance Training with Different Intensities on Soleus Muscle Atrophy in a Period of Inactivity: The Role of PGC-1α4 Gene","authors":"Aram Asadi Karam, J. Nemati, M. Asadi-Shekaari, F. Daryanoosh, M. Hemmatinafar","doi":"10.34172/hmj.2021.18","DOIUrl":"https://doi.org/10.34172/hmj.2021.18","url":null,"abstract":"Background: This study aimed to measure PGC-1α4 soleus muscle and to investigate the effect of endurance training pre-conditioning with different intensities on the atrophy response of the soleus muscle to a period of inactivity. Methods: In this experimental study, 24 male Wistar rats were randomly divided into equal groups of control (C), control inactivity (CI), high-intensity endurance training group (HE) (treadmill speed 30 km/h), and low-intensity endurance training (LE) (treadmill’s speed: 10 km/h). After two weeks of familiarization, the endurance training group ran on a treadmill for two weeks (five sessions each week). The animal’s lower limbs were then immobilized for seven days. Then the soleus muscle was extracted, and after weighting, the expression of the PGC-1α4 gene was measured using the real-time polymerase chain reaction (realtime PCR) technique. Data were analyzed using SPSS software, version 24. Results: The expression of the PGC-1α4 gene was significantly higher in the HE group than the CI group. However, compared to the C group, all groups with inactivity intervention showed significantly lower PGC-1α4 gene levels. The ratio of muscle mass to body weight in the C group was significantly higher than the LE and CI groups, and higher in the HE group than the CI group. Conclusion: Endurance training seems to be able to reduce the destructive effects of inactive atrophy. The higher intensity of these exercises was more effective, which was associated with increased expression of the PGC-1α4 gene.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116151367","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}
Seyed Hesamaddin Banihashemi, Seyedeh Hanan Banihashemi, A. Foroutan
Background: Although hyperhidrosis is regarded as a benign sympathetic disorder, it can have a significant psychosocial impact on affected individuals while markedly affecting their quality of life (QoL). Objectives: We aimed to evaluate the effects of endoscopic thoracic sympathectomy (ETS) on the treatment of primary hyperhidrosis and patients’ QoL). Methods: This prospective interventional study included patients with primary hyperhidrosis referred to Shahid Mohammadi Hospital, Bandar Abbas, Iran, for ETS during 2012-2019. General characteristics including age, sex, and body mass index (BMI) were recorded for all patients. All participants underwent ETS by a single experienced surgeon. Patients were evaluated twice; once before the procedure and once one month after the procedure. The sites of hyperhidrosis, Hyperhidrosis Disease Severity Scale (HDSS), and QoL were the evaluated variables. Patients’ satisfaction, compensatory hyperhidrosis, and procedural complications such as pneumothorax were also assessed on follow-up. Results: From the 47 patients evaluated in this study with a mean ± SD age of 28.2±1.21 years, 27 (57.4%) were men. No patient experienced compensatory hyperhidrosis and procedural complications after the procedure. Also, 45 (95.7%) patients were 100% satisfied and 2 (4.3%) were 90% satisfied with the procedure. There was a significant reduction in the number of hyperhidrosis sites and HDSS score after one month compared with baseline (P=0.006 and P<0.001, respectively). Moreover, the QoL significantly improved after the procedure (P<0.001). Conclusion: ETS appears to be very safe and effective for the treatment of primary hyperhidrosis in terms of the reduction of hyperhidrosis sites and HDSS score, as well as improving QoL and patient satisfaction.
{"title":"Endoscopic Thoracic Sympathectomy for the Treatment of Hyperhidrosis","authors":"Seyed Hesamaddin Banihashemi, Seyedeh Hanan Banihashemi, A. Foroutan","doi":"10.34172/hmj.2021.13","DOIUrl":"https://doi.org/10.34172/hmj.2021.13","url":null,"abstract":"Background: Although hyperhidrosis is regarded as a benign sympathetic disorder, it can have a significant psychosocial impact on affected individuals while markedly affecting their quality of life (QoL). Objectives: We aimed to evaluate the effects of endoscopic thoracic sympathectomy (ETS) on the treatment of primary hyperhidrosis and patients’ QoL). Methods: This prospective interventional study included patients with primary hyperhidrosis referred to Shahid Mohammadi Hospital, Bandar Abbas, Iran, for ETS during 2012-2019. General characteristics including age, sex, and body mass index (BMI) were recorded for all patients. All participants underwent ETS by a single experienced surgeon. Patients were evaluated twice; once before the procedure and once one month after the procedure. The sites of hyperhidrosis, Hyperhidrosis Disease Severity Scale (HDSS), and QoL were the evaluated variables. Patients’ satisfaction, compensatory hyperhidrosis, and procedural complications such as pneumothorax were also assessed on follow-up. Results: From the 47 patients evaluated in this study with a mean ± SD age of 28.2±1.21 years, 27 (57.4%) were men. No patient experienced compensatory hyperhidrosis and procedural complications after the procedure. Also, 45 (95.7%) patients were 100% satisfied and 2 (4.3%) were 90% satisfied with the procedure. There was a significant reduction in the number of hyperhidrosis sites and HDSS score after one month compared with baseline (P=0.006 and P<0.001, respectively). Moreover, the QoL significantly improved after the procedure (P<0.001). Conclusion: ETS appears to be very safe and effective for the treatment of primary hyperhidrosis in terms of the reduction of hyperhidrosis sites and HDSS score, as well as improving QoL and patient satisfaction.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115888381","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}
Mehdi Askari, M. Kadivar, S. Mohebbi, Ghazal Zoghi
Background: Nasal chondromesenchymal hamartoma (NCMH) is a rare benign tumor almost always found in children. NCMH was first described by McDermott in 1998. To the best our knowledge, about 50 NCMH cases have been reported worldwide with very few adult cases and no long-term follow-ups. Case Presentation: Here, we report a 43-year-old woman who referred to the Otolaryngology Clinic of Payambar Azam Hospital, Bandar Abbas, Iran, in 2008, with a one-year history of progressive left-sided nasal obstruction that had not relieved with topical nasal decongestants and steroid sprays. A unilateral left-sided nasal soft-tissue mass was found upon examination. Histological and immunohistochemical analyses were consistent with NCMH. Trans-nasal endoscopic excision showed good results and no sign of recurrence has been observed after 12 years of regular follow-up. Conclusion: Awareness of imaging and immunohistochemical characteristics of NCMH combined with the probability of presentation in the adult population are necessary for correct diagnosis and adequate therapy.
{"title":"Nasal Chondromesenchymal Hamartoma: An Adult Case Report","authors":"Mehdi Askari, M. Kadivar, S. Mohebbi, Ghazal Zoghi","doi":"10.34172/hmj.2021.20","DOIUrl":"https://doi.org/10.34172/hmj.2021.20","url":null,"abstract":"Background: Nasal chondromesenchymal hamartoma (NCMH) is a rare benign tumor almost always found in children. NCMH was first described by McDermott in 1998. To the best our knowledge, about 50 NCMH cases have been reported worldwide with very few adult cases and no long-term follow-ups. Case Presentation: Here, we report a 43-year-old woman who referred to the Otolaryngology Clinic of Payambar Azam Hospital, Bandar Abbas, Iran, in 2008, with a one-year history of progressive left-sided nasal obstruction that had not relieved with topical nasal decongestants and steroid sprays. A unilateral left-sided nasal soft-tissue mass was found upon examination. Histological and immunohistochemical analyses were consistent with NCMH. Trans-nasal endoscopic excision showed good results and no sign of recurrence has been observed after 12 years of regular follow-up. Conclusion: Awareness of imaging and immunohistochemical characteristics of NCMH combined with the probability of presentation in the adult population are necessary for correct diagnosis and adequate therapy.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121326874","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}
Z. Kamiab, N. Masoodpoor, Zeinab Hassani Kabotarkhani
Background: Various treatment approaches are used in different centers to treat infant bronchiolitis, some of which are not indicated and are not based on strong scientific evidence. W aimed to evaluate the treatment of admitted infants with acute bronchiolitis in the only medical hospital in Rafsanjan and compare it with modern treatment methods. Methods: This descriptive study was conducted on 100 infants admitted to Ali-Ibn Abi Talib hospital in Rafsanjan, southern Iran. Demographic information and risk factors, including age, birth weight, history of exposure to cigarette smoke, and other factors affecting this disease, and all therapeutic measures were collected in a researcher-made checklist. The data were analyzed using SPSS software, version 20, and the treatment was compared to the latest clinical guidelines of the American Academy of Pediatrics (AAP) and England National Institute for Health and Care Excellence (NICE), and Cochrane meta-analyses. Results: 79%, 37%, 41%, and 3% of the children received antibiotics, corticosteroids, bronchodilators, and epinephrine, respectively. The most important risk factors were smoking in parents (91%), malnutrition (60%), low birth weight (71%), male sex (62%), and being born in autumn (60%). Conclusion: According to the results of this study, there is a large gap between treatment approaches and up-to-date and valid international guidelines. Therefore, compiling local treatment and care instructions for these patients to be used in medical centers would be useful.
背景:不同的治疗中心使用不同的治疗方法来治疗婴儿毛细支气管炎，其中一些治疗方法没有指征，也没有强有力的科学证据。W旨在评估拉夫桑詹唯一一家医院收治的急性毛细支气管炎患儿的治疗情况，并将其与现代治疗方法进行比较。方法:对伊朗南部拉夫桑詹Ali-Ibn Abi Talib医院收治的100名婴儿进行了描述性研究。人口统计信息和危险因素，包括年龄、出生体重、吸烟史和其他影响该病的因素，以及所有治疗措施都收集在研究人员制作的检查表中。使用SPSS软件对数据进行分析，并将治疗方法与美国儿科学会(AAP)和英国国家健康与护理卓越研究所(NICE)的最新临床指南进行比较，并进行Cochrane荟萃分析。结果:分别有79%、37%、41%和3%的儿童接受了抗生素、皮质类固醇、支气管扩张剂和肾上腺素治疗。最重要的危险因素是父母吸烟(91%)、营养不良(60%)、出生体重过低(71%)、男性(62%)和秋季出生(60%)。结论:根据本研究的结果，治疗方法与最新有效的国际指南之间存在很大差距。因此，为这些患者编写当地的治疗和护理说明以供医疗中心使用将是有用的。
{"title":"Treatment of Infants Admitted With Acute Bronchiolitis and its Comparison with Modern Treatment Methods in the Only University Hospital in Rafsanjan","authors":"Z. Kamiab, N. Masoodpoor, Zeinab Hassani Kabotarkhani","doi":"10.34172/hmj.2021.17","DOIUrl":"https://doi.org/10.34172/hmj.2021.17","url":null,"abstract":"Background: Various treatment approaches are used in different centers to treat infant bronchiolitis, some of which are not indicated and are not based on strong scientific evidence. W aimed to evaluate the treatment of admitted infants with acute bronchiolitis in the only medical hospital in Rafsanjan and compare it with modern treatment methods. Methods: This descriptive study was conducted on 100 infants admitted to Ali-Ibn Abi Talib hospital in Rafsanjan, southern Iran. Demographic information and risk factors, including age, birth weight, history of exposure to cigarette smoke, and other factors affecting this disease, and all therapeutic measures were collected in a researcher-made checklist. The data were analyzed using SPSS software, version 20, and the treatment was compared to the latest clinical guidelines of the American Academy of Pediatrics (AAP) and England National Institute for Health and Care Excellence (NICE), and Cochrane meta-analyses. Results: 79%, 37%, 41%, and 3% of the children received antibiotics, corticosteroids, bronchodilators, and epinephrine, respectively. The most important risk factors were smoking in parents (91%), malnutrition (60%), low birth weight (71%), male sex (62%), and being born in autumn (60%). Conclusion: According to the results of this study, there is a large gap between treatment approaches and up-to-date and valid international guidelines. Therefore, compiling local treatment and care instructions for these patients to be used in medical centers would be useful.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130019105","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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