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Comparing Interleukin-6, C-Reactive Protein, Erythrocyte Sedimentation Rate, and White Blood Cell Count for the Early Diagnosis of Acute Pyelonephritis in Children 白细胞介素-6、c反应蛋白、红细胞沉降率和白细胞计数在儿童急性肾盂肾炎早期诊断中的比较
Pub Date : 2021-09-29 DOI: 10.34172/hmj.2021.14
K. Ghasemi, Maryam Esteghamati, Mohammad Afshin Ardalan
Background: Urinary tract infection (UTI) is common in children. Differentiating lower UTI from acute pyelonephritis (APN) is of great importance in children since early diagnosis and timely management can prevent kidney scarring and associated complications. Objectives: We aimed to compare the diagnostic performance of serum C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and white blood cell (WBC) count with interleukin-6 (IL-6) for the diagnosis of APN in children. Methods: This cross-sectional study included 38 children with APN (based on clinical findings and positive urine culture) aged 1 month to 15 years admitted to Bandar Abbas Pediatric Hospital, Bandar Abbas, Iran, during 2019-2020. Serum CRP, WBC, IL-6, and WBC count were measured in all children. Age and sex of the participants were also recorded. Results: The mean ± SD age of the children was 65.82±46.67 months, of whom 23 (60.5%) were girls. The sensitivity of WBC, ESR, CRP, and IL-6 for the early diagnosis of APN was 39.5%, 71.1%, 60.5%, and 71.1%, respectively. Taking the results of ESR, CRP, and WBC into account as the basis of diagnosis, altogether 9.98 pg/mL was the best cut-off of serum IL-6 for the diagnosis of APN with 70%-80% sensitivity and 56.5%-73.7% specificity. A significant correlation was found between serum IL-6 and CRP, ESR, and WBC with the strongest correlation between IL-6 and CRP (r=0.451, P=0.004). Age and sex did not affect these correlations. The sensitivity of serum IL-6 at the 5 pg/mL cut-off for the diagnosis of APN was higher in boys and children younger than 6 years. Conclusion: IL-6 can diagnose APN in children aged 1 month to 15 years with 71.1% sensitivity. Its sensitivity is superior to CRP and WBC and comparable with ESR in this regard.
背景:尿路感染(UTI)在儿童中很常见。鉴别下尿路感染与急性肾盂肾炎(APN)对儿童非常重要,因为早期诊断和及时治疗可以预防肾瘢痕及相关并发症。目的:比较血清c反应蛋白(CRP)、红细胞沉降率(ESR)和白细胞(WBC)计数与白细胞介素-6 (IL-6)对儿童APN的诊断价值。方法:本横断面研究纳入了2019-2020年在伊朗阿巴斯港阿巴斯港儿科医院住院的38名1个月至15岁的APN患儿(基于临床表现和尿培养阳性)。检测所有患儿血清CRP、WBC、IL-6和WBC计数。参与者的年龄和性别也被记录下来。结果:患儿平均±SD年龄为65.82±46.67个月,其中女孩23例(60.5%)。WBC、ESR、CRP、IL-6对APN早期诊断的敏感性分别为39.5%、71.1%、60.5%、71.1%。结合ESR、CRP、WBC作为诊断依据,血清IL-6的最佳临界值为9.98 pg/mL,敏感性为70% ~ 80%,特异性为56.5% ~ 73.7%。血清IL-6与CRP、ESR、WBC有显著相关性,其中IL-6与CRP相关性最强(r=0.451, P=0.004)。年龄和性别对这些相关性没有影响。血清IL-6在5 pg/mL临界值下诊断APN的敏感性在男孩和6岁以下儿童中较高。结论:IL-6诊断1个月~ 15岁儿童APN的敏感性为71.1%。其敏感性优于CRP和WBC,与ESR相当。
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引用次数: 0
The Effect of Open Heart Surgery on FVC, FEV1 and FVC/FEV1 of Patients 心内直视手术对患者FVC、FEV1及FVC/FEV1的影响
Pub Date : 2021-09-29 DOI: 10.34172/hmj.2021.16
N. Fayazi, H. Montazerghaem, E. Boushehri
Background: In Iran, 25000 open heart surgeries are performed annually, which are mainly dedicated to coronary artery bypass surgery. Pulmonary complications after open heart surgery impose a high socio-economic burden on the society because of the length of hospital stay and the use of mechanical means. In this study, we aimed to investigate the possibility of impaired forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and FVC/FEV1 indices before and after open heart surgery, which has been directly addressed in fewer studies. Methods: In this cross-sectional study, all 125 candidates for open heart surgery who referred to Shahid Mohammadi Hospital of Bandar Abbas University of Medical Sciences during 2107-2018 were included. The patients were evaluated by spirometry three times. Before the operation, FEV1, FVC, FEV1/FVC were measured 3-10 days and 3-6 months after surgery. Then, the changes obtained from the evaluation were extracted three times before surgery, and 3-10 days and 3-6 months after surgery, using IBM SPSS, version 17, descriptive statistics (mean, standard deviation, percentage, etc.), and one-way and repeated measures analysis of variance. Results: FVC decreased by 0.6 in both patients with asthma and healthy ones. The mean FVC was also 0.4 in the diabetic group and 0.7 in the non-diabetic group. Mean FEV1 before surgery A, one week after surgery B and three to six months after surgery C in the two asthma and healthy groups showed a decrease of 1.2 and 1.3, respectively. Mean FEV1 before surgery A, one week after surgery B and three to six months after surgery C in smokers and non-smokers decreased by 0.9 and 1, respectively. Conclusion: Based on the results of our study, there is no doubt about the development of pulmonary dysfunction after heart surgery. This disorder occurred in the present study independent from asthma, diabetes, and smoking.
背景:在伊朗,每年进行25000例心脏直视手术,主要是冠状动脉搭桥手术。心脏直视手术后肺部并发症由于住院时间长和机械手段的使用,给社会带来了很高的社会经济负担。在本研究中,我们旨在探讨心脏直视手术前后用力肺活量(FVC)、用力呼气量(FEV1)和FVC/FEV1指数受损的可能性,这在较少的研究中得到直接解决。方法:在这项横断面研究中,纳入了2107-2018年期间在阿巴斯医科大学Shahid Mohammadi医院转诊的所有125名心内直视手术患者。用肺活量测定法对患者进行3次评估。术前3-10天和术后3-6个月分别测定FEV1、FVC、FEV1/FVC。然后,术前3次、术后3-10天、3-6个月提取评价结果的变化,采用IBM SPSS, version 17,描述性统计(均值、标准差、百分比等),进行单因素和重复测量方差分析。结果:哮喘患者与健康患者FVC均降低0.6。糖尿病组的平均FVC为0.4,非糖尿病组为0.7。哮喘组和健康组A术前、B术后1周、C术后3 ~ 6个月平均FEV1分别下降1.2、1.3。吸烟者和非吸烟者手术前A、术后1周B和术后3 ~ 6个月C的平均FEV1分别下降0.9和1。结论:根据我们的研究结果,心脏手术后肺功能障碍的发展是毫无疑问的。本研究中出现的这种疾病与哮喘、糖尿病和吸烟无关。
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引用次数: 0
Structural Equation Modeling of Adherence to Treatment on Emotional Regulation Mediated by Coping Strategies by in Women with Breast Cancer Undergoing Chemotherapy 乳腺癌化疗妇女应对策略对治疗依从性情绪调节的结构方程建模
Pub Date : 2021-09-29 DOI: 10.34172/hmj.2021.15
F. Abdoli, M. Madahi, M. Seyrafi
Background: Cancer is a complex, debilitating, and common disease with many dimensions, consequences, and psychological, biological, and social complications. We aimed to investigate the structural equations of treatment adherence based on emotional, cognitive regulation mediated by coping styles in women with breast cancer undergoing chemotherapy. Methods: The present study was a correlational study using structural equation modeling. The statistical population included patients with breast cancer referred to specialized cancer clinics in Tehran between October and February 2018. The sample consisted of 250 patients with breast cancer who were selected by convenience sampling. Data were obtained using the Folkman and Lazarus Coping Strategies Questionnaire, the Cognitive Emotion Regulation Questionnaire (CERQ), and Morisky Medication Adherence Scale (MMAS-8). Data were also analyzed using correlation coefficients, Pearson’s correlation matrix, multiple regression, and structural equation modeling. Also, all statistical calculations were performed using Amos 22 and SPSS 22 software. Results: Emotion regulation had a direct effect on coping strategies (β=0.48, P<0.001) and adherence to treatment (β=0.63, P<0.001). Coping strategies had a mediating role in the relationship between emotion regulation and adherence to treatment (AGFI=0.98, RMSEA=0.067). Conclusion: There is a relationship between emotion regulation and adherence to treatment and coping strategies has a mediating role in women with breast cancer undergoing chemotherapy.
背景:癌症是一种复杂的、使人衰弱的常见疾病,具有多方面的后果,以及心理、生物和社会并发症。本研究旨在探讨应对方式介导的乳腺癌化疗妇女情绪、认知调节对治疗依从性的结构方程。方法:采用结构方程模型进行相关研究。统计人群包括2018年10月至2月期间在德黑兰专科癌症诊所转诊的乳腺癌患者。样本由250名乳腺癌患者组成,他们是通过方便抽样选择的。数据采用Folkman和Lazarus应对策略问卷、认知情绪调节问卷(CERQ)和Morisky药物依从性量表(MMAS-8)。采用相关系数、Pearson相关矩阵、多元回归和结构方程模型对数据进行分析。所有统计计算均采用Amos 22和SPSS 22软件进行。结果:情绪调节对应对策略(β=0.48, P<0.001)和治疗依从性有直接影响(β=0.63, P<0.001)。应对策略在情绪调节与治疗依从性之间具有中介作用(AGFI=0.98, RMSEA=0.067)。结论:情绪调节与治疗依从性之间存在关系,应对策略在乳腺癌化疗妇女中起中介作用。
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引用次数: 1
Health risk assessment of heavy metals (Arsenic and Cadmium) in rice (Oryza sativa L.) brands imported to Iran: using Monte Carlo simulation 伊朗进口大米(Oryza sativa L.)中重金属(砷和镉)的健康风险评估:使用蒙特卡罗模拟
Pub Date : 2021-09-29 DOI: 10.34172/hmj.2021.12
Gholamali Javdan, Hamid Reza Ghaffari, Masoomeh Nahidi, Nahid Zeraei, Somayeh Hoseinvandtabar, M. Ahmadi, Fatemeh Pourramezani, Zoha Heidarinejad
Background: Rice contamination with heavy metals is one of the most common cases of environmental pollution. The purpose of this study was to investigate the concentration of heavy metals (arsenic and cadmium) in the most widely consumed rice brands imported to southern Iran and to assess the health risk of exposure to them for consumers. Methods: A total of 103 rice samples were selected from 10 brands imported from India during 2014-2018. Heavy metal concentrations were measured by dry ash method using atomic absorption spectrometer (GBC model SavantAA). After determining the concentration of heavy metals in rice samples, health risk assessment was performed using the Monte-Carlo simulation technique. Results: The concentrations of arsenic and cadmium were 94.3±34.1 and 11.3±6.5 mg/kg, respectively. The values of non-carcinogenic risk index (hazard quotient) of cadmium and arsenic were 0.017 and 0.489, respectively. The average carcinogenic risk index for arsenic was 1.7E10-4, which is higher than the standard range (10-4 to10-6). Conclusion: Consumption of imported rice carries a risk of arsenic-induced carcinogenesis. Consumption of contaminated rice with heavy metals, especially arsenic, can pose potential health risks to the consumer population. Therefore, special attention should be paid to contaminated rice and special interventions should be made to reduce arsenic in imported rice.
背景:水稻重金属污染是最常见的环境污染案例之一。本研究的目的是调查进口到伊朗南部最广泛消费的大米品牌中重金属(砷和镉)的浓度,并评估消费者接触它们的健康风险。方法:选取2014-2018年从印度进口的10个品牌共103份大米样品。采用原子吸收光谱仪(GBC型号SavantAA)干灰法测定重金属浓度。在确定大米样品中的重金属浓度后,利用蒙特卡罗模拟技术进行了健康风险评估。结果:砷和镉的浓度分别为94.3±34.1和11.3±6.5 mg/kg。镉和砷的非致癌风险指数(危害商)分别为0.017和0.489。砷的平均致癌风险指数为1.7E10-4,高于标准范围(10-4 ~ 10-6)。结论:食用进口大米有砷致癌风险。食用受重金属,特别是砷污染的大米,可能对消费者构成潜在的健康风险。因此,应特别关注受污染的大米,并采取特殊措施降低进口大米中的砷含量。
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引用次数: 2
Thromboangiitis Obliterans: A Multifactorial Disease With an Immunological Basis 血栓闭塞性脉管炎:具有免疫学基础的多因素疾病
Pub Date : 2021-09-29 DOI: 10.34172/hmj.2021.19
Amirreza Dehghan Tarazjani, Mehrdad Sarabi, S. Saghebdoust, Alireza Omranzadeh, Mohammad Mobin Mirimoghadam, Hamidreza Rahimi
The aim of this review was to assess several factors associated with Buerger’s disease or thromboangiitis obliterans (TAO), especially the immunological basis of this disease. We found that an established etiology for TAO has not been agreed on so far, but no one denies the strong association between TAO and tobacco consumption. Another possible etiology for this disease is bacterial infections such as Porphyromonas gingivalis and Rickettsia and their possible role via inflammatory processes. TAO was more common in low socioeconomic societies with poor hygiene. It may be attributable to the prevalence of Rickettsia infection because of the tick bite in these societies. In case of autoimmunity, it should be noted that T 17 cells keep the body away from autoimmune processes. The number of infiltrated CD4+ T cells in the arterial wall is higher than B cells. In fact, this may propose the significant role of T cells in the immunopathology of patients with TAO. The disease is also associated with tumor necrosis factor (TNF-α), interleukin (IL)-1β, IL-4, IL-17 and IL-23, as inflammatory cytokines. Antiphospholipid antibodies, anti-CL, anti-TLRVYK, anti-TLRIYT, anti-TLALYK, and anticardiolipin may also play a role in this disease. Further evidence is needed to shed light on the condition, especially in case of T cell lymphocytes’ role.
本综述的目的是评估与伯格氏病或血栓闭塞性脉管炎(TAO)相关的几个因素,特别是这种疾病的免疫学基础。我们发现,迄今为止,TAO的既定病因尚未达成一致,但没有人否认TAO与烟草消费之间的强烈联系。另一种可能的病因是细菌感染,如牙龈卟啉单胞菌和立克次体,以及它们通过炎症过程可能起的作用。TAO在卫生条件差的低社会经济社会中更为常见。这可能是由于这些社会中蜱叮咬导致立克次体感染的流行。在自身免疫的情况下,应该注意的是,T - 17细胞使身体远离自身免疫过程。动脉壁浸润CD4+ T细胞数量高于B细胞。事实上,这可能提示T细胞在TAO患者免疫病理中的重要作用。该疾病还与肿瘤坏死因子(TNF-α)、白细胞介素(IL)-1β、IL-4、IL-17和IL-23等炎症细胞因子相关。抗磷脂抗体、抗cl、抗tlrvyk、抗tlriyt、抗tlalyk和抗心磷脂也可能在本病中发挥作用。需要进一步的证据来阐明这种情况,特别是在T细胞淋巴细胞的作用下。
{"title":"Thromboangiitis Obliterans: A Multifactorial Disease With an Immunological Basis","authors":"Amirreza Dehghan Tarazjani, Mehrdad Sarabi, S. Saghebdoust, Alireza Omranzadeh, Mohammad Mobin Mirimoghadam, Hamidreza Rahimi","doi":"10.34172/hmj.2021.19","DOIUrl":"https://doi.org/10.34172/hmj.2021.19","url":null,"abstract":"The aim of this review was to assess several factors associated with Buerger’s disease or thromboangiitis obliterans (TAO), especially the immunological basis of this disease. We found that an established etiology for TAO has not been agreed on so far, but no one denies the strong association between TAO and tobacco consumption. Another possible etiology for this disease is bacterial infections such as Porphyromonas gingivalis and Rickettsia and their possible role via inflammatory processes. TAO was more common in low socioeconomic societies with poor hygiene. It may be attributable to the prevalence of Rickettsia infection because of the tick bite in these societies. In case of autoimmunity, it should be noted that T 17 cells keep the body away from autoimmune processes. The number of infiltrated CD4+ T cells in the arterial wall is higher than B cells. In fact, this may propose the significant role of T cells in the immunopathology of patients with TAO. The disease is also associated with tumor necrosis factor (TNF-α), interleukin (IL)-1β, IL-4, IL-17 and IL-23, as inflammatory cytokines. Antiphospholipid antibodies, anti-CL, anti-TLRVYK, anti-TLRIYT, anti-TLALYK, and anticardiolipin may also play a role in this disease. Further evidence is needed to shed light on the condition, especially in case of T cell lymphocytes’ role.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"2 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":"116859340","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}
引用次数: 0
Effect of Face-to-Face and Group Health Counseling on Attitude and Practice of Birth Method Selection in Primiparous Pregnant Women Referring to Health Centers in Dezful City, Khuzestan Province, Iran: A Comparative, Randomized Controlled Trial 面对面和团体健康咨询对伊朗胡齐斯坦省Dezful市卫生中心初产妇分娩方式选择态度和行为的影响:一项比较、随机对照试验
Pub Date : 2021-06-29 DOI: 10.34172/HMJ.2021.07
Mahnaz Nosratabadi, Z. Abbaspoor, K. Hekmat, A. Kassani
Background: Although childbirth is a natural process, the choice of birth method is one of the concerns of pregnant women. Proper counseling for pregnant women can ensure a safe and healthy delivery. Objective: This study We aimed to compare the effects of group and face-to-face health counseling on the attitude of mode of delivery and reduction of Cesarean section in pregnant women. Methods: This study was a comparative randomized controlled trial that was conducted in health centers of Dezful city, in the south west of Iran from April to October 2016. Participants in the study included 150 pregnant women who had no contraindications for normal vaginal delivery, but opted for a cesarean delivery. Initially, multi-stage sampling method was used based on the study objectives, and then the participants were randomly assigned into three groups: group counseling, face-to-face, and control. Demographic characteristics and attitude questionnaires were used for data collection. Data were analyzed through SPSS 22 using One-Sample Kolmogorov-Smirnov test, and Chi-square, ANOVA, McNemar, and t- tests. The P< value less than 0.05 was considered significant. Results: All the participants (100%) in the face-to-face counseling group, 92% in the group counseling, and 12% in the control group changed their selected birth method to vaginal delivery after the consultation. In terms of attitude level, there was a significant difference in all three study groups before and after the intervention (P<0.001). Conclusion: The face-to-face as well as the group health counseling sessions promoted the attitude of pregnant women to the normal vaginal delivery. Individual counseling for people who cannot coordinate with the group is better than group counseling. This way more pregnant women can be consulted.
背景:虽然分娩是一个自然过程,但分娩方式的选择是孕妇关注的问题之一。对孕妇进行适当的咨询可以确保安全健康地分娩。目的:比较小组健康咨询与面对面健康咨询对孕妇分娩方式态度及剖宫产率的影响。方法:本研究是一项比较随机对照试验,于2016年4月至10月在伊朗西南部Dezful市的卫生中心进行。该研究的参与者包括150名孕妇,她们没有正常阴道分娩的禁忌症,但选择了剖宫产。首先根据研究目的采用多阶段抽样方法,然后将参与者随机分为小组咨询组、面对面组和对照组。采用人口统计学特征和态度问卷进行数据收集。数据通过SPSS 22进行分析,采用单样本Kolmogorov-Smirnov检验、卡方检验、方差分析、McNemar检验和t检验。P< < 0.05被认为是显著的。结果:面对面咨询组全部(100%)、团体咨询组92%、对照组12%在咨询后改变分娩方式选择顺产。在态度水平方面,三个研究组在干预前后均有显著差异(P<0.001)。结论:面对面健康咨询会和团体健康咨询会提高了孕妇对正常阴道分娩的态度。对于不能与团体协调的人,个人咨询比团体咨询更好。这样可以咨询更多的孕妇。
{"title":"Effect of Face-to-Face and Group Health Counseling on Attitude and Practice of Birth Method Selection in Primiparous Pregnant Women Referring to Health Centers in Dezful City, Khuzestan Province, Iran: A Comparative, Randomized Controlled Trial","authors":"Mahnaz Nosratabadi, Z. Abbaspoor, K. Hekmat, A. Kassani","doi":"10.34172/HMJ.2021.07","DOIUrl":"https://doi.org/10.34172/HMJ.2021.07","url":null,"abstract":"Background: Although childbirth is a natural process, the choice of birth method is one of the concerns of pregnant women. Proper counseling for pregnant women can ensure a safe and healthy delivery. Objective: This study We aimed to compare the effects of group and face-to-face health counseling on the attitude of mode of delivery and reduction of Cesarean section in pregnant women. Methods: This study was a comparative randomized controlled trial that was conducted in health centers of Dezful city, in the south west of Iran from April to October 2016. Participants in the study included 150 pregnant women who had no contraindications for normal vaginal delivery, but opted for a cesarean delivery. Initially, multi-stage sampling method was used based on the study objectives, and then the participants were randomly assigned into three groups: group counseling, face-to-face, and control. Demographic characteristics and attitude questionnaires were used for data collection. Data were analyzed through SPSS 22 using One-Sample Kolmogorov-Smirnov test, and Chi-square, ANOVA, McNemar, and t- tests. The P< value less than 0.05 was considered significant. Results: All the participants (100%) in the face-to-face counseling group, 92% in the group counseling, and 12% in the control group changed their selected birth method to vaginal delivery after the consultation. In terms of attitude level, there was a significant difference in all three study groups before and after the intervention (P<0.001). Conclusion: The face-to-face as well as the group health counseling sessions promoted the attitude of pregnant women to the normal vaginal delivery. Individual counseling for people who cannot coordinate with the group is better than group counseling. This way more pregnant women can be consulted.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117199983","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}
引用次数: 0
Topical Piroxicam Gel versus Satureja khuzestanica Jamzad 3% Ointment for Pain Relief in Patients with Osteoarthritis of the Knee; A Randomized Controlled Trial 局部吡罗昔康凝胶与3% khuzestanica Jamzad软膏缓解膝关节骨关节炎患者疼痛的比较随机对照试验
Pub Date : 2021-06-29 DOI: 10.34172/HMJ.2021.04
M. Rashidipour, Mojgan Zarei Venovel, F. Ahmadpour, S. Hadavand, Khadijeh Otadi
Background: Osteoarthritis (OA) is a common disease without definite and exact treatment. Interventions such as chemical drugs, physiotherapy, and even surgery are suggested for treatment. Herbal medicine, which is currently very popular, has also been suggested for treatment because of fewer side effects, low cost, and the possibility to use it topically home. Satureja khuzestanica jamzad, the native plant of Lorestan and Khuzestan, is known for its analgesic effects. Objective: We aimed to compare the effect of Satureja khuzestanica jamzad 3% ointment with piroxicam gel for pain relief in patients with knee osteoarthritis. Methods: 70 patients with mild to moderate knee OA were randomly divided into experimental groups (essential oil extract of Satureja khuzestanica jamzad 3% or piroxicam gel). The severity of pain was recorded at baseline, and after one and two weeks by visual analogue scale. ANOVA was used for data analysis and the effect size was computed by Cohen’s d. Results: Reduction of pain was seen in both groups and group comparisons also showed a significant difference (P<0.05). The more effect size was detected in the group receiving Satureja khuzestanica jamzad 3% ointment compared with the piroxicam group. Conclusion: The topical use of Satureja khuzestanica jamzad 3% essential oil is a good choice to reduce pain in patients with knee OA. It may be used as a drug in phonophoresis.
背景:骨关节炎(OA)是一种常见病,没有明确的治疗方法。建议采用化学药物、物理治疗甚至手术等干预措施进行治疗。目前非常流行的草药也被建议用于治疗,因为副作用少,成本低,并且可以在家中局部使用。khuzestanica jamzad是Lorestan和Khuzestan的原生植物,以其镇痛作用而闻名。目的:比较3%胡兹坦软膏与吡罗西康凝胶对膝关节骨性关节炎患者疼痛的缓解效果。方法:将70例轻中度膝关节炎患者随机分为实验组(3%胡扎树精油提取物或吡罗西康凝胶)。分别在基线、1周和2周后用视觉模拟量表记录疼痛严重程度。数据分析采用方差分析,效应量采用Cohen’s d计算。结果:两组疼痛均减轻,组间比较差异有统计学意义(P<0.05)。与吡罗西康组相比,接受3%胡兹坦软膏组的效应量更大。结论:3%胡扎树精油外用是减轻膝关节OA患者疼痛的良好选择。它可以作为一种药物用于语音电泳。
{"title":"Topical Piroxicam Gel versus Satureja khuzestanica Jamzad 3% Ointment for Pain Relief in Patients with Osteoarthritis of the Knee; A Randomized Controlled Trial","authors":"M. Rashidipour, Mojgan Zarei Venovel, F. Ahmadpour, S. Hadavand, Khadijeh Otadi","doi":"10.34172/HMJ.2021.04","DOIUrl":"https://doi.org/10.34172/HMJ.2021.04","url":null,"abstract":"Background: Osteoarthritis (OA) is a common disease without definite and exact treatment. Interventions such as chemical drugs, physiotherapy, and even surgery are suggested for treatment. Herbal medicine, which is currently very popular, has also been suggested for treatment because of fewer side effects, low cost, and the possibility to use it topically home. Satureja khuzestanica jamzad, the native plant of Lorestan and Khuzestan, is known for its analgesic effects. Objective: We aimed to compare the effect of Satureja khuzestanica jamzad 3% ointment with piroxicam gel for pain relief in patients with knee osteoarthritis. Methods: 70 patients with mild to moderate knee OA were randomly divided into experimental groups (essential oil extract of Satureja khuzestanica jamzad 3% or piroxicam gel). The severity of pain was recorded at baseline, and after one and two weeks by visual analogue scale. ANOVA was used for data analysis and the effect size was computed by Cohen’s d. Results: Reduction of pain was seen in both groups and group comparisons also showed a significant difference (P<0.05). The more effect size was detected in the group receiving Satureja khuzestanica jamzad 3% ointment compared with the piroxicam group. Conclusion: The topical use of Satureja khuzestanica jamzad 3% essential oil is a good choice to reduce pain in patients with knee OA. It may be used as a drug in phonophoresis.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114079231","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}
引用次数: 0
Cardiac Tamponade in Patients with COVID-19 Infection; A Case Report COVID-19感染患者的心脏填塞病例报告
Pub Date : 2021-06-29 DOI: 10.34172/HMJ.2021.10
H. Jarineshin, H. Montazerghaem, Atena Hatami, Hamid Nabibidhendi
Coronavirus disease 2019 (COVID-19) is a novel pandemic that affects the cardiovascular system by various mechanisms. We report two cases of cardiac tamponade in patients with COVID-19, who underwent surgery and had different outcomes. Cardiac complications can occur in patients with COVID-19 that need special attention and may increase mortality and morbidity.
2019冠状病毒病(COVID-19)是一种通过多种机制影响心血管系统的新型大流行。我们报告了两例COVID-19患者的心脏填塞,他们接受了手术,结果不同。COVID-19患者可能出现心脏并发症,需要特别注意,并可能增加死亡率和发病率。
{"title":"Cardiac Tamponade in Patients with COVID-19 Infection; A Case Report","authors":"H. Jarineshin, H. Montazerghaem, Atena Hatami, Hamid Nabibidhendi","doi":"10.34172/HMJ.2021.10","DOIUrl":"https://doi.org/10.34172/HMJ.2021.10","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) is a novel pandemic that affects the cardiovascular system by various mechanisms. We report two cases of cardiac tamponade in patients with COVID-19, who underwent surgery and had different outcomes. Cardiac complications can occur in patients with COVID-19 that need special attention and may increase mortality and morbidity.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129906575","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}
引用次数: 0
The Effect of WATERinMOTION (WiM) Aquatic Exercise on Weight Loss and Metabolic Profiles in Sedentary Obese Elderly Men WATERinMOTION (WiM)水上运动对久坐肥胖老年男性减肥和代谢的影响
Pub Date : 2021-06-29 DOI: 10.34172/HMJ.2021.05
Mohammadreza Rezaeipour, Vladimir Ivanovich Nychyporuk
Background: The effect of water exercise on weight-loss parameters is still controversial. We aimed to explore the effect of WATERinMOTION (WiM) aquatic exercise on weight loss and metabolic profiles in sedentary obese elderly men. Methods: Sixty-one sedentary older men, who came to the Ukrainian Sports Medicine Center for a weight-loss consultation, voluntarily took part in this cross-sectional study (Kyiv, summer 2019). The participants were selected using convenient sampling and allocated randomly to two groups: WiM (n=31) or a control group (n=30). Meanwhile, the WiM group performed the WiM exercise plan with two weekly sessions of 55 minutes each. The control subjects did not participate in any physical exercise. They were asked to perform their routine activities during the study. This study lasted for one month. Anthropometric indices (height, weight, and waist circumference) and metabolic profile assessment (glycemia and lipid profiles) were obtained at baseline and after the study. Results: No significant differences were found in any of the analyzed parameters. Pre- and post-study comparison showed a significant reduction in weight (-1.8, P = 0.003) and mean BMI (-0.7, P = 0.004) in the WiM group. Furthermore, a significant difference was found only in weight after the study (P = 0.002). Conclusion: The WiM plan, without dietetic intervention, had a positive influence on weight, waist circumference, and metabolic profiles in sedentary obese elderly men.
背景:水上运动对减肥参数的影响仍存在争议。我们的目的是探讨WATERinMOTION (WiM)水上运动对久坐肥胖老年男性体重减轻和代谢谱的影响。方法:61名久坐不动的老年男性自愿参加了这项横断面研究(基辅,2019年夏季),他们来到乌克兰运动医学中心进行减肥咨询。采用方便抽样的方法选择参与者,随机分为两组:WiM组(n=31)和对照组(n=30)。与此同时,WiM组执行WiM锻炼计划,每周两次,每次55分钟。对照组不参加任何体育锻炼。他们被要求在研究期间进行日常活动。这项研究持续了一个月。在基线和研究结束后获得人体测量指数(身高、体重和腰围)和代谢谱评估(血糖和脂质谱)。结果:各分析参数无显著性差异。研究前后比较显示,WiM组体重(-1.8,P = 0.003)和平均BMI (-0.7, P = 0.004)显著降低。此外,研究结束后,只有体重有显著差异(P = 0.002)。结论:在没有饮食干预的情况下,WiM计划对久坐肥胖老年男性的体重、腰围和代谢谱有积极影响。
{"title":"The Effect of WATERinMOTION (WiM) Aquatic Exercise on Weight Loss and Metabolic Profiles in Sedentary Obese Elderly Men","authors":"Mohammadreza Rezaeipour, Vladimir Ivanovich Nychyporuk","doi":"10.34172/HMJ.2021.05","DOIUrl":"https://doi.org/10.34172/HMJ.2021.05","url":null,"abstract":"Background: The effect of water exercise on weight-loss parameters is still controversial. We aimed to explore the effect of WATERinMOTION (WiM) aquatic exercise on weight loss and metabolic profiles in sedentary obese elderly men. Methods: Sixty-one sedentary older men, who came to the Ukrainian Sports Medicine Center for a weight-loss consultation, voluntarily took part in this cross-sectional study (Kyiv, summer 2019). The participants were selected using convenient sampling and allocated randomly to two groups: WiM (n=31) or a control group (n=30). Meanwhile, the WiM group performed the WiM exercise plan with two weekly sessions of 55 minutes each. The control subjects did not participate in any physical exercise. They were asked to perform their routine activities during the study. This study lasted for one month. Anthropometric indices (height, weight, and waist circumference) and metabolic profile assessment (glycemia and lipid profiles) were obtained at baseline and after the study. Results: No significant differences were found in any of the analyzed parameters. Pre- and post-study comparison showed a significant reduction in weight (-1.8, P = 0.003) and mean BMI (-0.7, P = 0.004) in the WiM group. Furthermore, a significant difference was found only in weight after the study (P = 0.002). Conclusion: The WiM plan, without dietetic intervention, had a positive influence on weight, waist circumference, and metabolic profiles in sedentary obese elderly men.","PeriodicalId":271947,"journal":{"name":"Hormozgan Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130613696","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}
引用次数: 0
Nutrition During COVID-19 Quarantine COVID-19隔离期间的营养
Pub Date : 2021-06-29 DOI: 10.34172/HMJ.2021.09
A. Ayoubian, M. Koolivand, Sajad Shamloo, Mohammadjavad Hesam, Amir Norouzi Apourvari, S. Fallahi
Based on past experience, in the context of epidemics, the nutritional status of individuals is considered as an indicator of resistance to critical situations. During quarantine, inappropriate eating patterns will increase calorie intake and lead to obesity. Unhealthy eating habits during the coronavirus disease 2019 (COVID-19) pandemic have raised the risk of obesity, followed by an increase in the incidence of cardiovascular disease, diabetes mellitus, and lung disease. Certain nutrients or food combinations can affect the body by activating the cellular immune system, modifying the production of molecular signaling, and gene expression. Dietary supplements with vitamins, bioactive lipids, flavonoids, and herbs support the human immune system against COVID-19. Since there is still no definitive cure for COVID-19 infection and owing to obligatory symbiosis with this virus in the future, the behavior and attitude as well as the lifestyle of people to maintain their health should change. To achieve the desired goal, in the future, it is increasingly necessary to look for suitable and safe food products to strengthen the immune system against diseases, especially during the COVID-19 pandemic.
根据过去的经验,在流行病的情况下,个人的营养状况被视为对危急情况的抵抗力的一个指标。在隔离期间,不适当的饮食习惯会增加热量摄入,导致肥胖。在2019冠状病毒病(COVID-19)大流行期间,不健康的饮食习惯增加了肥胖的风险,随后心血管疾病、糖尿病和肺部疾病的发病率增加。某些营养物质或食物组合可以通过激活细胞免疫系统、改变分子信号的产生和基因表达来影响身体。含有维生素、生物活性脂质、类黄酮和草药的膳食补充剂有助于人体免疫系统抵御COVID-19。由于COVID-19感染仍然没有明确的治疗方法,并且由于未来与这种病毒的强制性共生,人们保持健康的行为和态度以及生活方式应该改变。为了实现预期目标,在未来,寻找合适和安全的食品来增强对疾病的免疫系统越来越有必要,特别是在COVID-19大流行期间。
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Hormozgan Medical Journal
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