مجله دانشکده پزشکی اصفهان
پیاپی 666 (هفته دوم خرداد 1401)

Tennis elbow is a condition in which pain is felt in the lateral part of the elbow due to the excessive extension of the wrist. This study aimed to compare the local injection effect of the corticosteroid alone vs corticosteroid alongside dry needling, in easing pain intensity.

In this randomized clinical trial, 90 patients (45 cases group and 45 controls group) with tennis elbow were investigated. In the case and control groups, local corticosteroid injection was done alongside dry needling (continuous movement of the needle to injure the bony cortex at the origin of the extensor carpal radialis brevis muscle) and without needling, respectively. Finally, changes in pain severity before, three, and six months after treatment were compared between the two groups using a visual analog scale.

The mean age of patients in the case and control groups was 45.17 ± 7.93 and 46.62 ± 6.23, respectively while the observed difference was not statistically significant. Comparison of pain intensity between two groups showed that the pain intensity score in the case group was significantly lower than the control group even after adjusting for age and gender. In the study groups, pain intensity score changes were not statistically significant during different time intervals.

Based on the results, injection of corticosteroids alongside dry needling can be more effective compared to the injection of corticosteroids without dry needling in reducing pain intensity.

Considering the negative consequences of adenotonsillar hypertrophy on behavioral function and psychological characteristics of children, the aim of this study was to compare the psycho-behavioral characteristics of children with adenotonsillar hypertrophy before and after adenotonsillectomy.

The present research was a time-series study with before and after comparison. Statistical populations of this study were all children with adenotonsillar hypertrophy admitted to Dr. Fatemi Hospital of Ardabil city in 2019 year that among them 60 kids were selected by convenience sampling method. These participants were examined before and after adeno-tonsillectomy using the Rutter Children's Psycho-Behavioral Characteristics Questionnaire (Parent Form), in three stages: the initial stage (one week before surgery), the second stage (three months after surgery) and the third stage (6 months after surgery). Descriptive and inferential statistics (repeated measures analysis of variance and Bonferroni test) were used to analyze the data.

After adeno-tonsillectomy, the scores of aggression and hyperactivity components in children in the second stage (3 months after surgery) and the third stage (6 months after surgery) were decreased significantly compared to the first stage (before surgery). The scores related to the components of anxiety, depression and antisocial behaviors did not decrease significantly during the three months after surgery, but six months after surgery, the scores of these components showed a significant decrease. However, the scores related to the social incompatibility component did not show a significant difference in any stages of the study.

Based on the results of this study, there was a significant difference in some psychological and behavioral characteristics of children after adeno-tonsillectomy in comparison with before that.

Mortality of pregnant women is one of the main concerns in the society. Knowing the causes and trying to reduce its prevalence has always been a health priority. The definite cause of death is often determined by autopsy in legal medicine. The aim of present study is an epidemiologic survey on the causes of death of pregnant women based on the autopsy findings in Isfahan province in 2012-2020.

In this cross-sectional survey, 37 cases of death of pregnant women, referred to Isfahan legal Medicine Center during 2012-2020 were studied. Data about the causes of death and their demographic and clinical characteristics were collected. The gathered data were analyzed using Chi-square and Fishers exact tests.

The frequency of death directly from pregnancy and childbirth was 17(46%), indirect causes of death was 18(49%) and accidental death was 2(5%). The mean age of deceased mothers was 32 ± 6.2 years. Among direct causes of deaths from pregnancy and childbirth, bleeding was the most common 9(24%) and among the indirect causes of deaths at pregnancy and childbirth, Coagulopathy was in the first place with 6(16%). Most recorded number of death of pregnant mothers in 2020 was 15.16 deaths per 100,000 births, the most common cause of which was due to indirect causes. Most mothers had an underlying disease and had also undergone caesarean delivery.

The most frequent indirect cause of deaths in pregnant women was due to coagulopathy. Also, the most common direct cause of pregnant women death was due to vaginal bleeding.