Yafteh

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Jebraili R1, Rezaei K2, Matourianpour H3, Moradi L4, Meshkaat MH5, Tarrahi MJ6 1. Assistant professor, Department of Dermatology, Faculty of Medicine, Islamic Azad University of Tehran 2. Instructor, Department of Nursing, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences 3. Assistant Professor, Department of Dermatology, Faculty of Medicine, Lorestan University of Medical Sciences 4. BSc. Nurse, Haaj Seddiq Health and Treatment Center, Khorramabad 5. Assistant Professor, Department of Chemistry, Lorestan University 6. Instructor, Department of Epidemiology and Statistics, Faculty of Medicine, Lorestan University of Medical Sciences Abstract Background: Wart is a common and contagious viral disease of the skin caused by papilloma viruses which leads to aesthetic and psychological problems, and if occurred in touching and pressured parts of the body causes pain and inflammation. The aim of this study was to investigate the effect of Clove bud, Nigella, Salix alba and Olive oil which have wound disinfectant, anesthetic, analgesic and wound healing properties on wart treatment in comparison with the conventional treatment. Materials and methods: This randomized double blind controlled clinical trial was conducted on 291 female students selected form guidance and high schools in Khorramabad, Lorestan, Iran, during the year 2007. The diagnosis of wart was confirmed by a dermatologist according to the diagnosis criteria. The cases fulfilling the inclusion criteria were assigned in 3 study groups randomly. The first group was treated with the conventional treatment (Salicylic acid 16.7%, lactic acid 16.7% in Collodione body), the second group with herbal medicine without acid in olive oil, and the third group with herbal medicine alongside salicylic acid 1% and lactic acid 1% in olive oil. Each group was administered the drugs for 6 weeks. The effects of drugs on lesions were assessed after 4 and 6 weeks and compared among 3 groups using repeated measures test. Results: Out of 291 cases, a total of 177 cases used the drug on a regular basis. Improvement of lesion, after 4 weeks, was 62.6% for conventional therapy, 42.9% far herbal therapy with acid, and 55.1% for herbal therapy without acid. After 6 weeks, this improvement was 89.9% for conventional therapy, 61.3% for herbal therapy with acid, and 87.8% for herbal therapy without acid. Routine treatment was more efficient than herbal therapy with acid (P<0.000). The efficacy of routine therapy was not significantly different from that of herbal therapy without acid (P=1.000) and herbal therapy with acid was less efficient than herbal therapy without acid (P < 0.001). Conclusion: Using herbal therapy, with or without acid is significantly efficient in lesion regression. Also, a prolonged duration of therapy leads to a better resolution of lesions in all three types of therapy. The above-mentioned plants may be used as complementary or alternative therapies in the treatment of common wart.

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Background: To provide, maintain and promote the health of children as a vulnerable group in the health service has a special place. So, the first step in reducing mortality and improve their health, identify causes of morbidity and mortality.

Materials and Methods: In this retrospective study, the main causes of neonate death in the case of neonatal who died in Aboozar hospital in 1390  were extracted, then based on the new international coding of diseases (International Coding Of Disease version 10) were categorized and the information on gestational age, type of delivery, birth weight, sex and age after birth .

Results: Five main causes of death were generally: prematurity, respiratory distress syndrome, sepsis, asphyxia and intracranial hemorrhage. It was also revealed that the causes of death in neonatal with low birth weight premature neonatal are similar and include: respiratory distress syndrome, sepsis, asphyxia and intracranial hemorrhage. In this study, between death and gestational age, mode of delivery, age after birth and birth weight there were a significant relationship   , but no significant relationship between the death and age.

Conclusion: While in this study infection as the primary cause of death in neonatal   , but important cause of mortality in preterm and low birth weight had no major difference with other studies.According to its ease and efficiency ICD10 and determine the underlying causes of neonatal mortality, neonatal death certificates this classification is recommended.

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Background: Recurrent abdominal pain is one of the common complaints in childhood. The aim of this study was to determine the frequency of Helicobacter pylori and giardiasis in children with recurrent abdominal pain and to investigate some risk factors in both infections.
Materials and Methods: In a case-control study 50 symptomatic children and 50 healthy children at Pediatric Center in Zahedan, Iran from 2014-2015 were enrolled. All cases had gastric complaints and undergone endoscopy. Children in both groups were examined for detecting H.pylori stool antigen and presence of giardia infection by direct examination of stools. Risk factors were recorded in both groups by a questionnaire.
Results: 100 children with the age of 6.2 ± 3.7 (58 female) were included. H.pylori stool antigen was positive in 32(64%) cases and 10 (20%) in control group which showed significant differences. Also, endoscopic antral gastritis with colonization of helicobacter pylori were found in 46 cases (92%). Giardiasis was detected in 12% patients and 6% controls, respectively. Co-infection with H. pylori and giardiasis was present in 8% of patients compared to 2% of controls. There was no difference between groups regarding some risk factors except more using common bed in cases.
Conclusion: Co-infection with H.pylori and giardiasis was more frequent in children with recurrent abdominal pain compare to control group. More attention to hygienic conditions in the community is recommended.
 

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