فهرست مطالب عبدالرسول نیکخوی

Cellulitis is an acute infection of cutaneous and subcutaneous tissue. Inaccurate treatment of cellulitis can cause important complications like abscess, myositis, osteomyelitis, bacteremia, septicemia, endocarditis, meningitis, and other complications and can lead to death. The aim of this study was to assess the epidemiology of cellulitis that result in complication among in-patients in infectious diseases ward. Subjects and The population of the study included all patients admitted with final diagnosis of cellulitis in the infectious ward of Ahvaz Razi hospital during 2001-2003. Regarding variables under study (age, sex, occupation and underlying diseases), the relation between complications caused in relation to each of the complications and these variables were assessed. Data were analyzed by SPSS-15 and using descriptive and analytical statistical methods and chi-squared test with P

Toxocariasis is a worldwide zoonosis caused by the acaridae of dogs and rarely cats. Seroprevalance of toxocariasis vary with geographic regions. In this study, the sera of school children aged between 6 to 15 years were examined for the presence of anti T.canis antibodies. Subjects and In this descriptive cross-sectional study the sera of 203 randomly selected school children aged between 6 to 15 years from urban and rural regions in Ahvaz, south western of Iran from 2007 to2008 was examined by means of ELISA with excretory- secretary antigen of infectious larva stage. CBC was performed for the presence of eosinophilia or hypereosinophilia. A short questionnaire was fulfilled to obtain data of age, sex, history of pica, contact with dogs and living area (urban or rural). Of total 203 students 90 (44.3%)were female and 113 (55.7%) were male. 86(42.9%) were rural and 114(57.1%) were urban, 67 (33%) had contact with dogs,35(17%)had history of recent cough,5 (2.5%)had pica, on had hypereosinophilia but 21(10.3%)had eosinophlia, 4 (2%) had positive ELISA for T.canis IgG, of them one was male and three were female, two were urban and two were rural, non had history of contact with dogs, pica, chronic cough or asthma, and also non had hypereosinophilia but all had eosinophilia. Our study showed that toxocariasis is present in the school children of Ahvaz, but it is lower than was expected and also lower than similar tropical regions.

The main health problem of acquired immunodeficiency syndrome is tuberculosis which is a communicable phenomenon. With increasing the population of elderly society and the prevalance of AIDS around the world، unusual manifestations of tuberculosis are seen in the both developed and developing countries. Therefore monitoring and clinical assessing of response to the treatment to get the decision to continue، change or cut the treatment is very a vital point. Relative frequency of response to the treatment also is a very important issue from points of decreasing the patient complains and clinical signs over a period of time. Therefore the ability to draw the clinical response patterns to the variety treatments، including correct treatments of tuberculosis، in the different stages of the treatment process is a very important issue to eliminate the disease. In this cross - sectional study، results of clinical response to treatment of 201 cases with pulmonary tuberculosis were extracted from Ahvaz Razi hospital infectious sector، during 2001 to early 2004. Total 53 files of 201cases were checked out (according to the common protocol at least 2 positive smears). The files were considered from point of clinical symptoms (fever، coughing، night sweatings، sputum، hemoptysis، anorexia، chills، weakness، dyspnea) using daily notes of the intern and resident medicine students and nurses since starting the medications until 5، 10 and 14 days after finishing the cure. All of the patients had coughing. Frequency of the other symptoms were as: 97. 6% fever، 93% anorexia، 86% sputum، 72% Weakness and night sweating، 69. 7% fatigue، 44. 1% chill، 34. 8% dyspenea and18. 6% hemoptysis. Conclution: The severity of fever، anorexia and chill which have been subsided earlier than the other symptoms، 5، 10 and 14 days after the treatment are used as an index to monitor the response of treatment the tuberculosis.

Diabetic mellitus is the most prevalent etiology for non traumatic amputations in the world that usually begin with a wound in lower extremities. About 15% of diabetic patients will have wound in their foot. According to texts there is relation between amputation and some factors like: male sex, neuropathy, vascular diseases, uncontrolled blood sugar, diabetes lasting more than 10 years and abnormal biomechanics of foot. The aim of this study was to determine the relationship between the rate of amputation of diabetic foot with some other variables of patients such as age, sex, where they live and also with specific factors of disease (like lasting time of diabetes, diabetes treatment).Subjects and This is an analytical descriptive study that performs retrospective work on the file of patients with diabetic foot infection who were admitted in Razee hospital in Ahvaz between years 1381-1383. A total of 198 patients were divided in two groups (with and without amputation) statistical analyses were employed using SPSS for windows by different tests. The results showed, that there was not an significant relationship between the rate of amputation and sex, age, site of living, last time of foot wound and foot infection (P>0.05), but there was meaningful relationship between the rate of amputation with the duration of diabetes and the treatment of the disease (P<0.05). According to the results there is a suggestion for screening and precocious distinguish of diabetes and immediate treatment for diabetic patient, Also it is recommended to screen for people with positive family history for diabetes aged less than 45 and in patients more than 45 years overall condition every 3 years for preventing of vascular problems.

Hepatitis E virus (HEV) infection is endemic in Iran and some cases of fulminant hepatit with high mortality rate caused by this virus have been reported in patients with chronic hepatitis E and in pregnant women. Although HEV is mainly transmitted via fecal-oral route, but recently there have been some reports indicating transition of this virus via transfusion. Therefore, this study was aimed to investigate the association of hepatitis E seropositiveness and intravenous drug using in the drug users. This is an analytical-descriptive study which was conducted in a drug treatment center in Ahvaz from 2005 to 2006. A total of 114 intravenous drug users (IVDUs) and 114 inhaling addicts (IADs) were subjected to full physical examination. Subsequently a questionnaire including individual characteristics and related variations was filled in and also a blood sample was obtained. Using ELISA method, the samples were tested for anti-HEV antibody. Data were analyzed using Chi square, t and odds ration (OR) tests. The mean age of the two groups, IVDUs and IADs, were 33.24±8.04 and 31.2±7.59 years respectively, with no significant difference (P>0.05). The mean of duration of addiction in IVDUs and IADs groups was 11.58±6.92 and 9.95±6.42 years, respectively (P>0.05). Anti-HEV antibody was detected in 22.8% of IVDUs and 7.9% of IADs (P<0.01, OR=3.44). There was no significant relationship between previous imprisonment and anti-HEV antibody positiveness in the drug addicts studied (P>0.05, OR=1.15). As it was shown in this study, HEV is probably transmitted via blood transfusion and thus screening of blood donors for anti-HEV antibody may block this route of infection.

The aim of this project was to evaluate the effect of counseling on reduction of depress- ion post tubal ligation surgery. In this interventional study, 99patients referred to the Ahwaz Family Planning Research Center (AFPRC) in1999 were selected randomly and inserted in the case and control groups. The short form, Beck Depression Inventory was used to assess the level of depression. Data were ana-lyzed by descriptive-statistics and t-test. There was a significant difference between the group that received counseling (case group) and the group with no counseling (control group) in the level of depression post surgery. Furthermore, a significant difference in the level of depression was shown between males and females in the study. The level of depression post vasectomy surgery was less in the group that received counsel- ing prior to the surgery than the group with no counseling.