مجله دانشگاه علوم پزشکی شهرکرد
سال بیستم شماره 3 (پیاپی 97، امرداد و شهریور 1397)

Hydatid cyst disease is not considered as a common disease in humans, but because of the dangerous nature and its deployment in sensitive organs and problems related to treatment is seen as a major problem in many countries. Hydatid cyst disease with multiple organ involvement is rarely in Iran. Most cysts were mainly localized and do not symptoms more than involved organ. Some cases are random diagnosed by diagnostic Sonography during pregnancy or trauma.
Case report: A 33-year-old pregnant woman with a history of a family trauma referred to Marand general hospital in 2015. Tomographic scan in her abdominal showed a large, well-defined heterogeneous mass. In ultrasonic examination, a multi-cystic mass with a large diameter of 84×64×86 mm with a volume of approximately 230 ml on the right side of the abdomen and immediately above right ovary was seen that it was an indicator of hydatid cyst. In upper right lobe of liver cystic mass with 32×39 mm diameters multilocular shape with multiple small cystic images were visible inside. The patient was candidate for open-abdomen surgery. Eight cystic mass was found in segments 3 and 4 and between the second and fourth segments and segment 7.
Four cysts in liver and 2 cysts in pelvic, one cyst in the left ovary and one cyst in mesentery were observed. One of the cysts with severe adhesions underwent for cholecystectomy surgery. The patient was discharged from the hospital in good condition.

Patients with low back pain like other chronic diseases, may experience psychological symptoms in addition to physical symptoms which leads to the exacerbation of the condition of these patients and reduce their quality of life. Due to lack of clinical studies in this field, this study was conducted to investigate the relationship between pain and severity of depression and anxiety in patients with nonspecific chronic low back pain.
This analytic- descriptive study was performed on 250 patients with nonspecific low back pain referring to the orthopedic clinic in Shahrekord selected by convenience sampling. Demographic questionnaire, visual analogue scale of pain, Beck Depression Inventory and Beck Anxiety Inventory were used to collect the patient’s information, pain severity, anxiety and depression. Stata software 14 was used for data analysis.
Mean ± SD of pain in women was 4.6±1.21 and higher than in men (4.1±1.25). Pain severity showed a significant difference between the groups of patients with different levels of anxiety and depression (P Patients with nonspecific chronic low back pain experience higher level of pain with increasing severity of depression and anxiety. It is necessary in treatment of patients with nonspecific low back pain to pay attention to their psychological dimensions in addition to treating physical problems to reduce pain, and take action to relieve for the modulation of anxiety, depression and quality of life in these patients.

Smoking is an important etiologic factor for cardiac and pulmonary diseases. Chronic Obstructive Pulmonary Disease (COPD) is common in candidates for Coronary Artery Bypass Graft (CABG) surgery. Severity of COPD is determined with spirometry. The aim of this study was comparison of complications after CABG in COPD patients with different severity and without COPD.
This study is a cross sectional research. We divided 125 CABG patients more than 40 years old based on preoperative spirometry to four groups: without COPD (60), mild (29), moderate (24) and severe (12). Spirometry was done using spirometer MIR, made in Italia. Mortality and postoperative complications including cardiovascular and respiratory were recorded until 30 days after the surgery. Data were analyzed by SPSS, fisher exact test and 2χ, and P˂0.05) was considered significant.
Complications with significant difference between groups were atrial fibrillation (AF) and delirium. Frequency of AF was: Without COPD 6 (10%), mild COPD 6 (20.70 %), moderate COPD 7 (29.20%), and severe COPD 5 (41.70%) (P=0.02), and delirium was: Without COPD 3 (5%), mild COPD 1 (3.40%), moderate COPD 3 (12.5%), and severe COPD 5 (41.70%) (P=0.003).
Based on our results, COPD even moderate and severe is not contraindication of CABG. These patients should be carefully evaluated before surgery and must be treated preoperative completely by the specialist. Under this condition, patients can tolerate and benefit from surgery with acceptable risk.

Autism is one of the most common disorders affecting children. People with Autism disorder have problems with many motor skills, such as balance and walking speed. This study was aimed to investigate the effect of a period of motor activities along with music on balance performance and running speed in the children between 6 to 9 years old suffering from autism disorder.
This study was a semi-experimental research. Among children with autism disorders in care centers of autistic children in 2017 in Isfahan, 16 children were selected using screening tests. They were randomly divided into two groups (interventional and control) and in each group 8 patients using the Bruninx Oseretsky test as a pre-test, after assessing balance performance and running speed and agility. Then, the interventional group performed motor activities along with music for 8 weeks and 3 sessions per week. Finally, all subjects were subjected to post-test using balance performance and running speed. In order to investigate the natural distribution of data, Shapiro Wilco test was used and the covariance analysis by SPSS 21 was used for the research hypothesis.
The findings of this study showed that the groups were homogeneous in terms of age, IQ and severity of autism. The findings of this study also showed that motor activities along with music in the interventional group was effective on the balance performance, running speed and agility of children suffering from autism disorder and they were significantly improved compared with the control group (P=0.001).
According to the results, motor activity can be considered with music to improve balance performance, speed and agility in children with Autism disorder. Hence, the use of motor activity along with music is suggested as a suitable interventional method for children with Autism disorder.

HCA2 receptors have attracted much interest due to their role as the target of important hypolipidemic agent, niacin. In this study, the presence of HCA2 receptors as well as cell types that express them has been evaluated in different parts of male rat's urinary system including kidney, ureter, urinary bladder and urethra (in penis).
In this experimental study, six adult male Wistar rats were used. Histological slides were made from above mentioned parts and were evaluated by immunohistochemical method.
In kidney, capillary epithelium showed a high reactivity while proximal epithelial cells were stained moderately. The epithelial cells of loop of Henle, distal and collective tubules as well as glomerular cells showed weak staining. In urinary bladder, transitional epithelium and capillary endothelium showed weak staining, while smooth muscle had no reactivity. In penile tissue, urethral epithelium and smooth muscle cells were weakly positive while capillary endothelial cells showed moderate reactivity.
This study shows that HCA2 receptors are present in different parts of male rat's urinary tract. Distribution of these receptors is dependent to cell type and location in the urinary tract. The findings pave the road for future studies on possible role of these receptors in urinary system.

One of the important stresses in the family is the fact that a family member suffers from a mental illness. It not only has a negative effect on the patient, but also has a lot of psychological consequences on the patient's family. This research examines (studies) the effect of quality of life therapy (QOLT) on mental health for the families of chronic psychotic patients.
This is a semi-experimental research in pretest-posttest with the control group. The samples were 60 individuals from families who had chronic psychopathic patients, and were selected randomly from support center by Behzisti organization in Shahrekord. The subjects were divided into two groups containing 30 individuals in each group, randomly, and then they got homogenous according to demographic characteristics. The used tools were checklist about general health GHQ-28, performed before and after treatment on subject. The experimental group treated based on quality of life for 8 sessions and each session for 2 hours, but the control group received no treatment. The obtained data were analyzed using co-variance statistic test by SPSS.
According to the results, quality of life therapy improves mental health in the families of chronic psychotic patients, that is, there is a significant difference between two groups in posttest and after intervention in physical signs, anxiety, insomnia, social insufficient interaction, and depression as mental health subscales (P According to results, quality of life therapy can be used to empower mental health in the families of chronic psychotic patients.

Changes in the expression of lipid droplet adipocyte proteins, such as prelipipin A (PLINA) cause alter lipolysis and insulin resistance. The aim of this study was to compare the three endurance training intensities (low, moderate and high) on the expression of PLINA protein in visceral adipose tissue, serum glucose and insulin levels in male diabetic Wistar rats.
40 male Wistar rats were assigned to five groups (n=8) including diabetic group with low intensity endurance training, moderate intensity group, high intensity group, diabetic and healthy control groups. After induction of diabetic rats by injection of streptozotocin, endurance training was performed with different intensities for eight weeks, three sessions per week. The relative expression of PLINA protein was measured by western blot technique. One-way variance analysis and Tukey's post hoc test were used to determine the difference between the groups.
The results showed that there was a significant difference between PLINA levels in healthy and diabetic control groups with endurance training groups (with low, moderate and high intensity) (P=0.018). These differences were between low intensity training and healthy control groups (P=0.033) and between diabetic and healthy control groups (P=0.020). Serum glucose and insulin levels were significantly different between the diabetic control and endurance training groups (low, moderate and high) (P=0.001). This difference was between high-intensity training group with low intensity training (P=0.046), diabetic control (P=0.001) and healthy control (P=0.011) groups.
Moderate and high intensity endurance training can compensate for the loss caused by diabetes in the expression of the PLINA protein and reduces serum levels of insulin and glucose in these mice. It seems that more intensity endurance training leads to more increase in PLINA expression in diabetic rats.

Occurrence of celiac and diabetes is accompanied by numerous complications in children and if diagnoses do not occur promptly, celiac disease complications including gastrointestinal disorders, loss of appetite and damage caused by hypoproteinemia, and most importantly, impaired growth occur in diabetic children. this study was conducted to compare the frequency of celiac disease in children with diabetes aged under 15 years and the controls of the same age referring to the clinics affiliated with Shahrekord University of Medical Sciences.
In this case-control study, Using convenience sampling, 42 patients with diabetes and 43 patients without diabetes admitted for gastrointestinal diseases were assigned as cases and controls, respectively. The description of all patients was provided, and physical examinations and serologic tests were conducted on them. If the serologic tests tTGA-IgA and tTGA-IgG were positive, the intestinal biopsy was taken. The data were analyzed by descriptive statistics and t-test, chi-square, and Mann–Whitney U test in SPSS 16.
The mean serum levels of tTGA-IgAæ tTGA-IgG and total IgA were significantly higher in the case group than the control group (P In this study the frequency of celiac disease was higher in children with diabetes than children without. Therefore, in the study area, routine screening for celiac disease is helpful in reducing possible disorders and complications in diabetic children.