فهرست مطالب

  • Volume:8 Issue: 1, 2020
  • تاریخ انتشار: 1398/12/26
  • تعداد عناوین: 6
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  • Hassan Soleimanpour* Page 1
  • Samad Shams Vahdati* Page 2
  • Amir Ghaffarzad, Mahboub Pouraghaei, Zahra Parsian, Neda Ghilani, Mustafa cicek, Farzad Salman nezhad Khorami* Page 3
    Introduction

    Head trauma is the third leading cause of death and one of the most common causes of referral to the emergency department. Prognosis in these patients identifies individuals at higher risk and provides them with faster and more complete treatment, so it is of particular importance. The aim of this study is to evaluate the diagnostic and predictive value of white blood cell (WBC) count, erythrocyte sedimentation rate (ESR), and coagulation tests in the outcome of patients with blunt head trauma.

    Methods

    In this retrospective study, 91 patients referred to the emergency department of Imam Reza hospital of Tabriz, with a complaint of DAI type of blunt head trauma, were enrolled in a complete and sequential study during the first six months of the year 2017. The patients were divided into two groups according to good or poor prognosis and their association with leukocytosis status and other paraclinical factors at the baseline.

    Results

    The final outcome in high consciousness group was 13.3% need for intubation, 26.7% need for surgery, 50% improvement without complications, and 10% mortality. In the low consciousness group, 16.7% required intubation, 20.0% required surgery, 10% had no complications, and 53.3% experienced mortality. The significance level of the chi-square test was 0.001. Independent t test results showed that the WBC and ESR values in the low consciousness group were significantly higher than the high consciousness group. But the international normalized ratio (INR) in the high consciousness group was significantly higher than the low consciousness group (P<0.05).

    Conclusion

    There is a significant relationship between severity of injury and leukocytosis, ESR elevation, and related coagulopathy after major trauma.

    Keywords: Coagulopathy, Erythrocyte sedimentationrate, Leukocytosis, Trauma
  • Amir Eftekhari Milani, Mohamad Reza Niyousha, Ali Kiavar*, Hanieh Sakha, Ali Mahdavi Fard, Zahra Abdollahi Page 4
    Introduction

    Because of increasing the population of premature infants due to improvingneonatal care we try to find other independent criteria in addition to birth weight,gestationalage to reduce the number of infants who need a retinopathy of prematurity (ROP) screeningexamination.

    Methods

    This is a retrospective cross-sectional study,included 150 preterm infants withgestational age of ≤ 32 weeks or birth weight ≤ 1500 g or receives oxygen therapy for more than2 days,who were examined from the fourth week of life for ROP in Tabriz Al-Zahra hospital’sneonatal intensive care unit (NICU),from March 2017 to January 2018. All infants with otherrisk factors such as multi gestational pregnancy,blood transfusion or exchange,phototherapy,underlying disease,cerebral hemorrhage,chronic lung disease,sepsis were excludedfrom the study. Infants divided to two group ROP (n,47),non-ROP (n,133),their5-minute Apgar score was Apgar score was compared as an independent risk factor. Exploratorydata analysis was performed using descriptive measures with independent samples t tests.Kolmogorov-Smirnov tests were used to test the normality of data distribution.

    Results

    The mean 5-minute Apgar scores were statistically lower in ROP group (5.4±2.3) thannon-ROP group 6.2±2.1 (P value,0.041).

    Conclusion

    Apgar score was statistically significant,but in light of the very close resultsobtained,it seems prudent to consider an independent risk factor.

    Keywords: Apgar score, Prematurity, Retinopathy
  • Aysa Rezabakhsh*, Alireza Ala, Sepideh Hassanpour Khodaie Page 5

    Coronavirus disease 2019 (COVID-19), with high-transmission power, is spreading rapidly, and researchers are endeavoring to discover eligible medications for its efficacious prevention and treatment globally. According to the World Health Organization (WHO) reports, several multicenter clinical trials are launched to determine effective treatment protocols against COVID19-associated pneumonia. In this article, we aimed to discuss some critical issues concerning novel coronavirus.

    Keywords: 2019-nCoV, COVID-19, Novel CoronavirusPneumonia, SARS-CoV-2
  • Vahideh Toopchizadeh, Dawood Aghamohammadi, Neda Dolatkhah*, Saeede Asef, Mohammad Rahbar, Maryam Hashemian Page 6
    Introduction

    Knee osteoarthritis (KOA) is the most common degenerative joint disease resulting in bone pain and disability. The aim of current study is to determine diet quality by healthy eating index (HEI)-2015 in association with pain and functional status among a sample of participants with primary knee OA.

    Methods

    In this cross-sectional study, 220 patients with knee OA were recruited via convenience sampling in the outpatient clinics of Tabriz University of Medical Sciences between April and September 2018. The HEI-2015 score was calculated from dietary data collected using a Food Frequency Questionnaire (FFQ). Visual analogue scale, Western Ontario and McMaster Universities Osteoarthritis Index and the SF36 quality of life (QoL) questionnaire were applied to measure the pain intensity, functional status and QoL in the participants, respectively. Participants were categorized based on the quintile cutoff points of HEI score including 42-62, 63-69, 70-75, 76-78 and 79-100.

    Results

    The mean score of HEI was 70.62±10.18 (range: 42–89). Participants with greater HEI2015 scores had higher total energy intake (P=0.008) and greater dietary intake of carbohydrates (P=0.01), protein (P=0.009), monounsaturated fatty acids (P=0.01), polyunsaturated fatty acids (P=0.007) and fiber (P=0.009) and lower intake of saturated fatty acids (P=0.005). Participants in higher quintiles of HEI had significantly lower pain intensity (P=0.001) and higher scores of physical function (P=0.001), pain (P=0.001) and role limitation due to physical problems (P=0.005) subscales of SF-36 QoL questionnaire in comparison with participants in lower quintiles of HEI-2015.

    Conclusion

    The HEI-2015 score is associated with pain intensity and two domain of QoL in patients with knee OA.

    Keywords: Diet quality, Healthy eating index, Knee osteoarthritis, Quality of life• Visual analogue scale (VAS), Western Ontario andMcMaster UniversitiesOsteoarthritis Index(WOMAC)