فهرست مطالب

  • Volume:17 Issue: 1, 2020
  • تاریخ انتشار: 1398/11/03
  • تعداد عناوین: 5
|
  • Reza Ghasemi, Mehdi Miri, Maliheh Khorsandi, Mohsen Yaghubi* Page 1
    Introduction

    Dilated cardiomyopathy following total thyroidectomy is an unusual, very rare event, which is intractable to conventional therapies for heart failure.

    Case Presentation

    We report dilated cardiomyopathy in a 48-year-old woman after total thyroidectomy, by diminishing the left ventricular ejection fraction and transient ventricular tachycardia, which is identified as the manifestation of rapid hypocalcemic situation.

    Conclusions

    This study indicates the importance of electrolyte disturbance correction for hypocalcemia as a rare cause of cardiomyopathy and emphasizes the immediate treatment of this disorder for the enhancement of patient prognosis.

    Keywords: Acute Heart Failure, Hypocalcemia, Ventricular Tachycardia
  • Maliheh Nikandish * Page 2
    Background

    Ocular trauma is an important cause of preventable morbidity, and accounts for half a million cases of monocular blindness worldwide.

    Objectives

    This study conducted to evaluate the profile of ophthalmic emergencies in a tertiary educational hospital during the “Nowruz” holiday 2019 in Birjand, Iran.

    Methods

    This cross-sectional survey included all patients visiting the eye-related Emergency Department during “Nowruz” holiday 2019 in the Valiasr Hospital of Birjand. The demographic information and clinical findings, such as presented complaints, the diagnosed eye disease, and the need for hospitalization were recorded. Descriptive statistics (i.e., frequencies and percentages) were calculated.

    Results

    In the study, 86 patients with a mean age of 42.9 years were enrolled. The number of male subjects was more than female patients (60 (69.8%) and 26 (30.2%), respectively). The most presenting complaints were foreign body sensation (34.9%), followed by red-eye (30.2%) and ocular pain (11.6%). The most frequent diagnosis was corneal metal foreign body (24.4%), followed by conjunctivitis (16.3%) and ocular trauma (10.5%). All patients with penetrating injuries were younger than 12 years. Five patients (5.8%) needed hospitalization and surgery. Approximately, half of the patients were not considered as true emergency case.

    Conclusions

    In holidays, work-related injuries were the major causes of referral to eye emergency ward with the worse prognosis for children. Therefore, special educational prevention programs to care children should be provided for their parents.

    Keywords: Ophthalmology, Emergency, Holiday
  • Korosh Razi, Seyed Ali Hosseini *, Saeedeh Shadmehri, Omid Reza Salehi, Mozhgan Ahmadi, Mohammad Karimi Page 3
    Background

    The effect of exercises on the heart has been widely studied. Music can stimulate emotions as well as changes in cardiac activity.

    Objectives

    The present research aimed to investigate the effect of aerobic training and music on the electrical activity of the heart in non-athletic men.

    Methods

    A total of 32 non-athletic men were selected and divided into four groups (n = 8) including; (1) aerobic exercises, (2) music without aerobic exercises, (3) aerobic exercise with music, and (4) control subjects. Groups 1 and 3 only performed aerobic exercises for eight weeks, groups 2 and 3 listened to music for eight weeks, and group 4 only had their daily activities during this period. At the beginning of the study and at the end of the eighth week, the subjects’ electrocardiogram (ECG) was measured. To analyze the findings, paired sample t-test and two-way ANOVA were used at a significance level of 0.05.

    Results

    Aerobic training had a significant effect on QRS wave increase (P ≤ 0.05). Music had a significant effect on heart rate (HR) reduction and QRS wave enhancement (P ≤ 0.05). Aerobic exercise along with music had significant interactive effects on HR reduction and QRS wave enhancement (P ≤ 0.05). However, aerobic training had no significant effect on HR (P ≥ 0.05). Aerobic exercise and music had a significant effect on PQ interval, QT interval, QTc, and P wave (P ≥ 0.05). Furthermore, aerobic exercise with music had no interactive effects on PQ interval, QT interval, QTc, and P wave (P ≥ 0.05).

    Conclusions

    According to the results of the study, aerobic exercise with music can help improve some cardiac parameters of non-athletic men.

    Keywords: Aerobic Exercise, Music, Cardiac Function
  • Mohammad Reza Ghasemian Moghaddam, Nahid Azdaki *, Mohammad Sadegh Ghasemi Page 4
    Background

    Pulmonary thromboembolism (PTE) is a major health problem worldwide. The present study was conducted to investigate epidemiology of acute PTE and its outcomes in Birjand city, locating in South Khorasan, Iran.

    Methods

    In this descriptive epidemiological study, 79 patients with PTE referred to Vali-Asr Hospital, Birjand, Iran were studied during 2011 - 2016. In this study, demographic data, medical history, risk factors, symptoms, and information on diagnostic methods including echocardiography findings, electrocardiographic findings, treatment procedure, duration of hospitalization, and therapeutic outcomes were collected in information form for each patient. One year later, the patients were re-visited, and echocardiography was performed for all the subjects. Finally, data were analyzed by Chi-Square and Fisher's exact tests at a significant level of 0.05 using SPSS software.

    Results

    Results showed that annual incidence of PTE was 5.7 per 100,000 people in Birjand in 2016. History of recent surgery (18.8%) followed by hospitalization, and complete bed rest for more than 3 days (15.7%) were the most common risk factors. More than 78% of patients with PTE had abnormal echocardiography, and pulmonary arterial hypertension was the most common finding. Results of statistical analysis showed that complications were not statistically significant according to age and gender of patients (P < 0.05), but complications were higher in patients with massive PTE compared to others (P = 0.01). Comparison of in-hospital complications showed a significant difference between different treatment modalities (P < 0.01).

    Conclusions

    History of recent surgery and hospitalization were the most common predisposing factors for PTE. Therefore, necessary programs should be more vigorously pursued for prevention of PTE.

    Keywords: Pulmonary Thromboembolism, Prevalence, Birjand
  • Morteza Yousef Sanati*, Amirabbas Asadi Page 5

    A clinical practice guideline consists of the best practices required for managing a particular disease. Designing a consistent guideline is difficult and error-prone; hence, checking the consistency of guidelines is crucial. Due to the complexity of guidelines, a formal language is an appropriate choice for modeling and analyzing a guideline. IMPNL has been introduced as a metric interval-based temporal logic to model such guidelines. Moreover, a sound and complete tableau-based algorithm has been designed for checking the satisfiability of an IMPNL formula. In this paper, we introduced a clinical practice guideline analyzer suitable for modeling and checking the consistency of a guideline. The analyzer can also determine points, in which inconsistencies occur, and help designers to quickly and easily fix a guideline. Moreover, physicians can use the output of the analyzer (the calendar model) to check whether a patient is coherently treated with a specific guideline.

    Keywords: IMPNL, Clinical Practise Guidelines, Metric Interval-Based Temporal Logic