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فهرست مطالب نویسنده:

bita hazhir karzar

  • Bita Hazhir Karzar, Parisa Lotfinejad, Masumeh Zamanlu, Afshin Khaki Amir, Mohammad Amini, AliSheikh Olya Lavasani, Badrossadat Rahnama
    Objectives

    Electromagnetic fields (EMFs) are developing in scientific areas while biologic and immunologic effects have been proven in many studies. The purpose of the present study was to determine the effect of 50 Hz EMFs in the manner of the whole body exposure on the T-helper balance (Th1/Th2) in rats.

    Materials and Methods

    This experimental research evaluated the impact of the EMF on T-helper balance, including 30 rats that were randomly divided into 3 groups. The control group and experimental groups were exposed to 50 Hz EMF with the intensity of 0.5 mT for one and two month(s), respectively. At the end of the exposure period, blood samples were collected from the left ventricle of the hearts of the rats and the serum levels of interleukin 4 (IL-4) and interferon gamma (INF-γ) were measured by the enzyme-linked immunosorbent assay and compared in all three groups.

    Results

    The level of IL-4 and INF-γ showed a notable change (P=0.032) during one month of EMF exposure, indicating a shift of T-helper balance toward the Th2 arm, meaning more strong allergic reactions and weaker immune responses against tumors and many other diseases. After 2 months, the levels of cytokines and the balance of the T-helper came close to the baseline (the control group samples), representing the adaptive trends of T-helper balance in longer exposures.

    Conclusions

    The results of the present research revealed that EMFs produced important changes in IL-4 and INF-γ levels and affected the T-helper balance shift toward the Th2 arm, implying stronger allergic reactions and weaker defense against tumor and various other diseases. However, understanding the true nature of these changes and their actual health effects requires further studies.

    Keywords: Electromagnetic radiation, Immunity, IL-4, INF-γ
  • Independent Predictive Factors of Hospitalization in a North-West Burn Center of Iran; an Epidemiologic Study
    Samad Shams Vahdati, Bita Hazhir Karzar, Negar Momen
    Introduction
    A high grade burn is one of the most devastating injuries with several medical, social, economic, and psychological effects. These injuries are the most common cause of accidental deaths after traffic injuries in both the developed and developing countries. Therefore this research was aimed to determine demographic characteristics of patients with burn injury admitted to the emergency department and identify predictive factors of hospitalization.
    Methods
    This is a cross sectional descriptive study, which is done in 20 March up to 20 September 2011 in emergency department of Sina Hospital, Tabriz, Iran. Patients’ information including demographic characteristic, cause of burn, place of accident, anatomical areas burned, grading and percent of burning and disposition were gathered and analyzed using SPSS version 18.0 statistical software. Stepwise multivariate regression analysis was used for recognition of independent predictive factors of hospitalization in burned patients.
    Results
    One hundred and sixty patients were enrolled (54.4% female). The average age of those was 20.47±13.5 years. The prevalence of burn was significantly higher in ages under 20 years (p<0.001). Lower limb (37.5%), head and neck (21.25%) and upper limb (17.5%) were three frequent site of burn. The most common cause of burns was boiling water scalding (34.4%). Home related burn was significantly higher than other place (p<0.001). The most frequent percent of burn was <5% (46.25%). Finally 50 (31.25%) cases hospitalized. Univariate analysis demonstrated that age under 20 years old (p=0.02) female gender (p=0.02), burning site (p=0.002), cause (p=0.005), place (p<0.001), grade (p<0.001), and percent (p<0.001) was related to disposition of patients. Stepwise multiple logistic regression showed female gender (OR=3.52; 95% CI: 1.57-7.88; p=0.002), work related burning (OR=1.78; 95% CI: 1.26-2.52; p=0.001), and burning over 5 percent (OR=2.15; 95% CI: 1.35-3.41; p=0.001) as independent predictive factors of hospitalization.
    Conclusion
    The results of present study showed that burns injury are most frequent in age under 20 year old, lower limbs, with boiling water, and at home. Also the most frequent type and percentage of burned area were second degree and <5% of total body surface area, respectively. Among age under 20 years old, female gender, burning site, cause, place, grade, and percent only female gender, work related burning, and burning over 5% were detected as independent predictive factors of hospitalization.
    Keywords: Epidemiology, burn units, hospitalization, risk factors, emergency department
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