per
Lorestan University of Medical Sciences
Yafteh
1563-0773
2981-0779
2011-03
12
4
5
14
article
The rate of clinical and subclinical mastitis among breastfeeding women based on chemical and physical charactristics of breast milk
katayon Bakhtiyar
k_bakhteyar@yahoo.com
1
mehdi Birjandi
2
mohamad hosein Gharouni
3
Lorestan university of Medical Sciences , Khorramabad , Iran
Lorestan university of Medical Sciences , Khorramabad , Iran
Lorestan University , Khorramabad , Iran.
Mastitis is one of the most common inflammatory conditions of breast that may occur in 10% of the breastfeeding mothers. This complication can cause chemical and physical changes in breast milk and may lead to the discontinuation of breastfeeding and weight loss and growth retardation of infant. This study aims at determination of clinical and subclinical mastitis based on chemical and physical changes in breast milk . Materials and Methods: In this cross sectional study , 229 breastfeeding mothers from clinics of Khorramabad were selected using a random-clustring method and sample of their breast milk were collected.Data gathered by a questionnaire.The data were analyzed using SPSS software. Statistical analysis was done utilizing Chi-square, Mann-Whitney test, and T-test. The p value was <0.05, therefore it was considered to be significant . Results: The results of the study, indicated that mastitis was observed in 13 (5.7% ) of the studied lactating women. The bacteriological culture results were 12 (99.6%) out of 13 positive samples growth of coagulase negative Staphylococci and 1 sample (0.4%) growth of E.Coli. There was a statistically significant difference in the median of breast milk's lactose, protein, pH, and density between two groups ( P< 0.001). Coclusion : These results indicate that mastitis has effect on chemical and physical properties of breast milk is effective, so that the fat, protein, lactose and also pH, density , freezing point of milk in mothers who have mastitis is less in comparision with healthy mothers without mastitis .
http://yafte.lums.ac.ir/article-1-325-en.pdf
Mastitis
Breast milk
Chemical charactristics of breast milk
Physical charactristics of breast milk .
per
Lorestan University of Medical Sciences
Yafteh
1563-0773
2981-0779
2011-03
12
4
15
22
article
Determination of Cadmium and Lead levels in high consumed rice (Oryza Sativa L.) cultivated in Lorestan province and its comparison with national standards
roshanak Hedayatifar
rhedayatifar@yahoo.com
1
ebrahim falahi
2
mehdi birjandi
3
Lorestan University of Medical Sciences, Khorramabad,Iran.
Lorestan University of Medical Sciences, Khorramabad,Iran
, Lorestan University of Medical Sciences, Khorramabad,Iran.
Rice is the main food of people in Iran and about 2.4 billion of the world population. Although its cultivation areas are less than wheat but 85% of the total product is used by people. Consumption of rice per person is estimated 42.5 kg in Iran. So it is the second high consumed agricultural product. The aim of this study was determination amount of toxic and heavy metals in high consumed rice varites cultivated in different areas of Lorestan province. Materials and Methods: In this study 99 rice samples (Tarem and Domsiah) cultivated in three areas of Lorestan( khorramabad, Dorud and Borujerd) province were collected. Amount of Lead and Cadmium were analyzed by atomic absorption model BRAIC WFX 130. Data were gathered and analyzed by SPSS software and compared with national standards. Results: The results for Cd and Pb were 0.037±0.06 and 0.077±0.08 mg/kg respectively. Conclusion: Cadmium and Lead levels in rice samples caltivated in Lorestan province were less than Permissible limit, so there is no risk for human health.
http://yafte.lums.ac.ir/article-1-326-en.pdf
Rice
Lead
Cadmium
Lorestan
per
Lorestan University of Medical Sciences
Yafteh
1563-0773
2981-0779
2011-03
12
4
23
28
article
Study of effective factors on the pruritus in patients with end stage renal disease under hemodialysis in Valiasr hospital, Arak
mina mir nezami
mirnezamim@yahoo.com
1
hoda rahimi
2
Arak University of Medical Sciences,Arak,Iran
Shahid Beheshti University of Medical Sciences,Tehran,Iran
Pruritus is one of the most disabling problems in patients with chronic renal failure. It is a distressing symptom with a negative impact on quality of life of patients and is also very frustrating for both patients and their physicians. The patophysiologic mechanisms of pruritus are mainly unknown. The aim of this study is to identify effective factors on the pruritus in these patients . Materials and Methods : In this cross sectional study, the degree of itching in 100 patients treated at the Valiasr medical center Hemodialysis unit, was scored according to VAS.We examined the relationship between the presence and severity of pruritus with serum levels of hemoglobin,creatinine, urea, phosphorus, calcium, albumin, parathormone and alkaline phosphatas. Results: One hundred patients( 48 women and 52 men )enrolled in the study. Pruritus was found in 45% of the patients. There was not any relationship between the severity of pruritus and sex, duration of dialysis, underlying renal disease and serum levels of hemoglobolin, urea, albumin, PTH, alkaline phosphatas, calcium, creatinine,but there was correlation between severity of pruritus with age and serum levels of phosphorus . Conclusions: Pruritus is still a common problem in hemodialysis – dependent patients. Higher serum phosphorus and concentrations appear to be important factor associated with uremic pruritus
http://yafte.lums.ac.ir/article-1-327-en.pdf
Pruritus
End – stage renal failure
Hemodialysis
per
Lorestan University of Medical Sciences
Yafteh
1563-0773
2981-0779
2011-03
12
4
29
35
article
The effect of Omega3 and Feluvoxamine on Patients with bipolar disorder typeI referred to psychiatric clinc
mitra saffa
1
mandana saki
mandana_saki@yahoo.com
2
farzad ebrahimzade
3
bahram delfan
4
Beheshti University of Medical Sciences,Massih Daneshvari Hospita,Tehran , Iran
Lorestan University of Medical Sciences, Khoramabad, Iran
Lorestan University of Medical Sciences, Khorramabad, Iran
Lorestan University of Medical Sciences, Khorramabad, Iran
Bipolar disorder type I is one of the most disturbing psychiatric syndromes .It is basically treated by stablizing mood medicienes , psycho- social intervention and, in accute cases ,Electro convulsive therapy . As resources with Omega 3 have been considered effective in treatment of many diseases as well as mental disorders, we decided to study effect of Omega 3, compared to Feluvoxamine, on the treatment of depression in bipolar patients referring to. psychiatric clinic Materials and Methods:The present study which is a clinical trial , carried out on 80 patients selected using double blind randomization in two groups :case and cotrol .The case group Took Feluvoxamine and Omega3 tablets and the control group received only Feluvoxamine . All the subjects were given Hamilton Rating Scale as well as psychiatric clinical interview from the start of the study and after the second ,fourth eighth and twelfth weeks . The data were analyzed after they were collected . Results:The results of the study showed that the mean of the marks in Hamilton Depression Scale in both groups under study in the start of the study and in 2nd, 4th, 8th and 12th weeks was decreased significantly and the patients ‘performances were improved . The statestical Repeated Measures showed a significant difference in mean of depression marks in both groups before the treatment program and in weeks 2 , 4 , 8 and 12 . Conclusion :Considering research findings related to the effect of Omega3 and its harmlessness , it is suggested that Omega3 can be prescribed with other anti depressive medicines
http://yafte.lums.ac.ir/article-1-328-en.pdf
Omega3
Feluvoxamine
Bipolar patients
Psychiatry
per
Lorestan University of Medical Sciences
Yafteh
1563-0773
2981-0779
2011-03
12
4
36
42
article
Frequency of foreign body granuloma presence in the lung of IV-drug abusers referred to Legal Medicine Organization of Tehran during 2008
ardeshir Sheikhazadi
1
zohre Oghabian
zoghabian @yahoo.com
2
mandana Dowlati
3
Tehran University of Medical Sciences, Tehran,Iran
Tehran University of Medical Sciences, Tehran,Iran
Legal Medicine Organization of Tehran
Postmortem diagnosis of drug abuse has an important role in determination of the cause of death and factors leading to death in accidents. One of diagnostic procedures is the pathologic examination of the lungs in search for foreign body granuloma . Materials and Methods: This cross-sectional analysis was performed on cadavers referred to Tehran's Legal Medicine Organization who had risk factors. In cases with positive toxicological tests of urine or bile samples, the pathological examination of the lung tissues was performed. Results: A total of 90 cadavers were examined. The mean age was 33.05 ± 9.45 years (age range: 17-60 years) and 97.8% of the victims were male. Type of drugs used in 53 cases were determined based on the data showing that 40.4% of them were victims of crack, 21.1% heroin, 26.9% opium, 7.7% glass, 3.8% pills and 9.6% abusing all kinds of drugs. 72.2 percent of the victims were single-drug abuser and the remnants were multi-drug abuser. In the pathological study, we found foreign body granuloma in 91.1% of the cases. Age and gender of the victim had no significant correlation with the presence of foreign bodies in lungs. Conclusion: Foreign body granuloma of the lung was found in a high percentage of IV-drug abusers. This method can be used to identify IV-drug abusers as a trusted route.
http://yafte.lums.ac.ir/article-1-329-en.pdf
Foreign body granuloma
Lung
Talc
IV-drug abuse.
per
Lorestan University of Medical Sciences
Yafteh
1563-0773
2981-0779
2011-03
12
4
43
49
article
Ovarian stimulation, endometrium and implantation
mandana Beigi Boroujeni
mandbe2000@yahoo.com
1
nasim Beigi Boroujeni
2
mozhde Salehnia
3
masood Beigi Boroujeni
4
Lorestan University of Medical Science , Khorramabad,Iran.
Tehran University of Medical Science,Tehran,Iran.
Tarbiat Modares University,Tehran,Iran.
Shahrekord University.
In the Paper article, the collection of the studies related to the effect of ovarian stimulation on endometrium of uterus and implantation have been investigated. History: Monash group used ovarian stimulation method for the first time in infertility treatment and also, they could increase the pregnancy rate using this method. However, the percentage of successful embryonic implantation has been decreased by this method due to imbalance of hormones and the effect of these hormonal changes on endometrium. Materials and Methods: Studies done by researchers have shown that ovarian stimulation causes undesirable changes in endometrium which in turn such alterations lead to inadequate attachment of embryo to endometrium and finally decrease the percentage of embryonic implantation. Conclusion: Based on several researches and the importance of using the ovarian stimulation method in treatment of infertility, also due to undesirable effects that ovarian stimulation has on endometrium during embryonic implantation it is inevitable that more investigations should be done for improvement of treatment methods in infertility clinics.
http://yafte.lums.ac.ir/article-1-330-en.pdf
Endometrium
Implantation
Ovarian stimulation
per
Lorestan University of Medical Sciences
Yafteh
1563-0773
2981-0779
2011-03
12
4
51
60
article
The comparison of dietary intake of effective foods on clinical outcomes of rheumatoid arthritis: A case - control study
mahsa jalili
Jalili.mah @hotmail.com
1
seyed rafi Aref hosseini
2
sosan kolahi
3
mehr angiz Ebrahimi Mamegani
4
Tabriz University of Medical Sciences,Member of Medical Students Research Committee of Tabriz University of Medical Sciences,Tabriz,Iran.
Food Sciences and Food Industry Department ,Tabriz,Iran.
Member of Rheumatology Research Team of Tabriz University of Medical Sciences- Member of Medicine Faculty of Tabriz University of Medical Sciences- Rheumatology Department ,Tabriz,Iran.
Nutrition and Diet Therapy Department ,Tabriz,Iran.
Rheumatoid arthritis (RA) is one of the common chronic diseases. Some vegetables and oils may reduce the inflammation in RA and citrus fruits, tomatoes, red meat and salty pickles may worsen the pain and tenderness in joints. The objective of this study is to compare dietary intake of some foods in female RA patients with healthy control group. Materials and Methods: In this case-control study, 44 female RA patients were compared with 41 healthy age-matched controls. Quantitative food frequency questionnaire (FFQ) was filled to achieve dietary patterns as interview. The data were analyzed by Kolmogrov-Smirnov and histogram for normality test and Mann U Whitney test for comparing differences between groups using SPSS software version 13.5. Results: mean ± standard deviation of body mass index (BMI) was 28.6±3.95 and 28.23±4.32 in RA and control groups respectively. Weekly intake of tomato, cantaloupe, tea and spinach in cases was higher than that of controls (p<0.001) although yogurt (p=0.001), berries (p=0.01), peach (p<0.001), coffee (p<0.001), fast foods (p=0.009), fried foods (p=0.003) and mango (p<0.001) were less common foods in RA patients rather than controls. Conclusion: RA patients had more rate of overweight, but difference between two groups were not significant. The intake of some allergen foods like tomato and cantaloupe was higher in RA patients and some antioxidant-rich foods were eaten less in patients compared with controls so,weight reduction and consumption of more fresh vegetables are recommended.
http://yafte.lums.ac.ir/article-1-331-en.pdf
Rheumatoid arthritis
Dietary intake
Nutrition
Foods
Case- control
per
Lorestan University of Medical Sciences
Yafteh
1563-0773
2981-0779
2011-03
12
4
61
66
article
The relationship between history of ischemic heart disease in parents of children with Kawasaki Disease with severity of heart complications and disease recurrence in these children
saeid Mojtahedzadeh
1
sasan saket
2
reza Shiari
3
fariba shirvani
4
abdolah Karimi
Pircpub@gmail.com
5
Member of the Pediatric Infectious Research Center.
Member of the Pediatric Infectious Research Center.
Member of the Pediatric Infectious Research Center.
Member of the Pediatric Infectious Research Center.
Shahid Beheshti University, M.C, Tehran, Iran
Kawasaki disease (KD, also called mucocutaneous lymph node syndrome) is one of the most common childhood vasculitis. Although the etiology of the disease is unknown infectious, genetic and immunologic factors have been supposed to be responsible for KD occurrence. Complications such as coronary artery aneurysm, cardiomyopathy and heart failure, may occur, which can cause significant morbidity and mortality in children. KD is the common cause of acquired heart disease in children in the United States and Japan. Materials and Methods: 61 patients with approved KD admitted in the Mofid Children’s Hospital (from December 2004 to January 2008) and their parents were studied in this cross-sectional survey. 11 patients were omitted according to exclusion criteria, 50 patients were divided into two groups: Mild (n=26) and severe (n=24). Data was analyzed via Fisher’s exact test and student’s t-test using SPSS software, V. 11,5. p<0.05was taken into account significant. Results: 50 patients (32 males, 18 females) with mean age of 43 months were concluded in this survey. All of the patients had fever (100%), coronary artery aneurism was seen in 2% of the patients. No recurrence of KD was seen among these children and there was no history of KD in their parents and siblings. Mitral valve prolaps in mothers and ischemic heart disease in fathers among sever group were significantly higher than mild group (p=0.03 and p=0.001, respectively). Mitral regurgitation and 2-times receiving IVIG was significantly higher in severe group (p=0.02 and p=0.008, respectively). Conclusion: This study showed that mitral valve prolaps in mothers and ischemic heart disease in fathers had significant relation with Kawasaki disease in their children. Also, CRP, ESR, Na, LFT and echocardiography are useful to detect and manage severe Kawasaki disease. To provide more accurate conclusions, prospective and multicentric studies with larger sample sizes are necessary.
http://yafte.lums.ac.ir/article-1-332-en.pdf
Kawasaki disease
Severity
Recurrence
Ischemic heart disease
Parents.
per
Lorestan University of Medical Sciences
Yafteh
1563-0773
2981-0779
2011-03
12
4
67
74
article
Epidemiological study of cumulative trauma disorder in Kerman\'s state office workers in 2007
Saberi
h_saberi@kmu.ac.ir
1
Shojaei
2
Kerman University of Medical Sciences, Kerman, Iran
Tehran University of Medical Sciences , Tehran, Iran
Occupational diseases are consequences of various workplace hazards. Cumulative trauma disorder or repetitive strain injury indicates the effect of repeated physical movements and partial pressure on muscles, tendons and other soft tissues of body. This is the most common disease caused by work. Materials and Methods: This descriptive cross-sectional study performed on state office workers in Kerman city in 2007. Data was collected using examination and three questionnaires about work-related diseases, job satisfaction and job stress. After completion of the questionnaires, a trained researcher analyzed the collected data by SPSS 13 and Chi square test. A level of P≤0.05 was considered significant. Results: Data analysis showed that factors such as repeated writing, typing, using computers at work, repeated lifting objects at the table level, traffic through the steps, traffic through the office corridor, reach of foot to the ground when sitting on the chair, using footrests under desk, using chair cushions, using lumber pillows, or swivel chair were not the cause of cumulative trauma disorder. Repetitive bending and refusal to lean against the seat when sitting were effective in causing the disease. Other findings of our research were employees’ ergonomic awareness status, job satisfaction and job stress being calculated according to the median scores for all three factors as average. Conclusion: Repetitive bending and avoidance from leaning against the chair were significant factors causing high rates of cumulative trauma disorder in office workers of Kerman city. Modification of these factors or even using lumbar supportive equipment may reduce the high prevalence of this disease. Cumulative trauma disorder was found less in employees under the age of thirty and the rates increased with age and work history, linearly.
http://yafte.lums.ac.ir/article-1-333-en.pdf
Occupational diseases
Cumulative trauma disorder
Job stress
Job satisfaction
Ergonomic awareness.