فهرست مطالب

Men's health journal
Volume:7 Issue: 1, Winter 2023

  • تاریخ انتشار: 1402/06/13
  • تعداد عناوین: 6
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  • Ali Olfati, Parviz Soufivand, Abdollah Saadatfar Page 1

    Every year lung cancer is a cause of high morbidity and mortality in the human population. However, since31 December 2019, the coronavirus disease 2019 [COVID-19] had importantly affected various degrees of pul-monary regions. Therefore, patients with lung cancer must be the priority group for COVID-19 prevention,treatment, and vaccination during the COVID-19 pandemic. Until now, clinicians and patients know that mostindividuals with respiratory distress and/or those with a weakened immune system are more susceptible toCOVID-19, however, the associations with lung cancer remain unclear. Here, we present the combination ofcommon chemotherapeutic drugs with a historical antiviral activity that may be too immunosuppressive toeliminate COVID-19-infected cells in patients with lung cancer. This review will help understand the preferredchemoimmunotherapy drugs for severe forms of COVID-19 [SARS-CoV-2] in these patients.

    Keywords: COVID-19, Antiviral activity, Chemotherapeutic drugs, Lung cancer
  • Soraya Moamer, Ghazal Hajinasrollah, Freshet Aliakbari, Abbas Ali Nasehi, Keshvar Samadaee Gelehkolaee, Jalil Hosseini Page 2
    Introduction

    Suicide is one of the public health problems with a high rate worldwide. Sex is a risk factor forsuccessful suicide, making it the seventh leading cause of death in men in the United States. Based on theincreasing suicide rate in Iran, we aimed to investigate the common methods of suicide in Iranian men.

    Methods

    This study is a systematic review with subgroup analysis based on the prevalence of methods ofsuicide in Iranian men during 2009-2019. Specific keywords based on medical subject headings (MeSH) weresearched in Iranian and international databases including PubMed, Scopus, Google Scholar, SID, and MagIranby designing a search strategy. Selected studies were reviewed using the study evaluation tool. For data analysis,STATA software version 14 was used. Also, heterogeneity studies by Q and I2 statics were assessed.

    Results

    In the first phase, 529 studies were extracted, and finally, data were extracted from 19 studies. Becauseof the heterogeneity of the studies, meta-analysis was not possible and the final results were extracted based onsubgroup analysis. Drug abuse was the most common method of suicide and the use of firearms was the leastprevalent among Iranian men.

    Conclusions

    Currently, the most common method of suicide in Iranian men is drug abuse. Therefore, it isrecommended to design preventive interventions based on gender and take into account commonly availablemethods.

    Keywords: Suicide, Iranian men, Prevalence
  • Shadab Salehpour, Hedyeh Saneifard, Mohammadreza Alaei, Marjan Shakiba, Shirin Ghanefard Page 3
    Introduction

    Type 1 diabetes mellitus (T1DM), one of the most common endocrine disorders in children, is anautoimmune disease that manifests itself as an increase in blood sugar as a result of impaired insulin produc-tion due to the destruction of the islets of Langerhans in the pancreas. To treat this disease, along with the useof insulin and numerous drug protocols, the use of herbal medicinal supplements has always been considered.However, due to the lack of studies related to these supplements, there is not enough evidence for their thera-peutic use.

    Methods

    We investigated the therapeutic effectiveness of a cinnamon medicinal supplement with a dose of50 mg every 8 hours per day, on glucose hemostasis in patients with T1DM. Thirty patients with T1DM wereenrolled. They are subjected to sampling and examination of blood sugar indicators, including fasting bloodsugar and hemoglobin A1c, as well as indicators of insulin consumption (total daily dose of insulin) and insulinresistance, including the ratio of insulin to carbohydrates on days 0, 90 and 180 of the start of treatment withcinnamon.

    Results

    The level of hemoglobin A1c in this group had a significant decrease. Also, there was no significantincrease in the amount of insulin consumption in the drug supplement-consuming groups in contrast to thecontrol group during six months.

    Conclusions

    The use of cinnamon supplements along with treatment protocols has a significant effect in reduc-ing hemoglobin A1c during six months of treatment in these patients. These results can be useful in promotingthe use of therapeutic supplements in the treatment of patients with diabetes.

    Keywords: Diabetes Mellitus, Type 1, Hemoglobin A1c, HbA1C, Cinnamon
  • Amir Sabaghzadeh, Faramarz Mosaffa, Behnam Hosseini, AhmadReza Rezaeian Page 4
    Background

    Currently available pharmacological therapies for osteoarthritis mainly target palliation of pain and include analgesics, intra-articular therapy, and topical treatment. We aimed to evaluate the effect of the concomitant use of magnesium sulfate in addition to a combination of triamcinolone and lidocaine.

    Methods

    To evaluate the changes in pain factor levels, sixty patients with ankle osteoarthritis were randomly divided into two control (Triamcinolone + Lidocaine) and intervention (Triamcinolone + Lidocaine + Magnesium sulfate) groups (n= 30, each group). In both groups, patients were injected with 80 mg triamcinolone and 0.5 cc of 2% lidocaine, while in the intervention group, 500 mg of magnesium sulfate was added to the injecting solution, and in the control group, an equivalent volume of 0.9% normal saline was added to the injecting solution. Patients were monitored after one week and one month and each completed the visual analog scale (VAS) and American Orthopedic Foot and Ankle Society (AOFAS) pain score questionnaires in addition to their demographic characteristics. The results were evaluated based on the design of the questionnaire and data were analyzed employing SPSS software, version 21, and using independent ttest.

    Results

    AOFAS and VAS scores were significantly different between the intervention and control groups within one week after treatment (p value= 0.018) but AOFAS and VAS scores after one month were not significantly different.

    Conclusion

    Using magnesium sulfate was effective in controlling the pain caused by ankle osteoarthritis at short intervals.

    Keywords: Lidocaine, Triamcinolone, Magnesium sulfate, Osteoarthritis
  • Ali Tayyebi Azar, Shadieh Mohammadi Aghjehghaleh, Tohid Karami Page 5
    Background

    Spinal anesthesia is the common method in outpatient surgeries, which has complications suchas back pain. We aimed to evaluate the relationship between low back pain (LBP) with spinal anesthesia and itsrelated factors in patients undergoing urological surgery.

    Materials and methods

    In this cross-sectional study, 1000 patients undergoing urological surgery were en-rolled. The severity of LBP was measured using the VAS (visual analog scale) pain on the 1st day, the 1st week,and the 1st month postoperatively. Patients’ age, sex, and the duration of surgery were collected. data analysiswas performed using SPSS software, version 17.

    Results

    Of the 1000 patients undergoing urological surgery, 636 (63.6%) patients and 364 (36.5%) patients un-derwent spinal and general anesthesia, respectively. In patients under general anesthesia, the LBP prevalencewas higher than in patients under spinal anesthesia on the 1st week and the 1st month after surgery (P<0.05).So, the LBP prevalence was as follows: on the 1st day (general anesthesia: 14.5% vs spinal anesthesia: 24.1%,p=0.09), at the 1st week (general anesthesia: 24.9% vs spinal anesthesia:13.5%, P=0.001) and the1th month (gen-eral anesthesia: 13.8% vs spinal anesthesia: 4%, P=0.001). On 1st day and 1st week after surgery, the rate of LBPwas significantly higher in the >45-year age group than in the age group less than 45 years (P<0.05). The painrate was higher in patients who had surgery duration of more than 2.5 hours in all three time periods (P=0.001).

    Conclusions

    Although the LBP prevalence on 1st day after surgery in patients undergoing urological surgeriesunder spinal anesthesia was higher than in patients who underwent general anesthesia, there was a significantdecrease in pain levels during the first week and month following the surgery in patients under spinal anesthesia.Older age and longer duration of surgery were related factors to pain

    Keywords: Urological surgery, Spinal anesthesia, Low Back pain, Backache, Risk factors
  • Niki Tadayon, Farzad Allameh Page 6

    This case report presents the clinical course of a 54-year-old male patient diagnosed with posterior NutcrackerSyndrome (NCS). The patient experienced recurrent episodes of macroscopic hematuria and severe left flankpain. He was diagnosed with retro-aortic left renal vein (RLRV ), an unusual congenital abnormality, which canresult in the compression of the left renal vein between the aorta and the vertebra. Initial attempts at con-servative management and endovascular interventions were unsuccessful. An open surgical intervention wasultimately performed. The surgery involved ligation of the left renal vein. Postoperatively, the patient experi-enced marked improvement in symptoms, with complete resolution of hematuria and pain. Furthermore, renalfunction remained stable, and no kidney-related complications were reported. This case suggests that, in certainsituations where endovascular intervention and transposition of LRV or re-implantation of the left gonadal veinare not feasible, ligation of the LRV may provide a safe and practical treatment option for patients with posteriorNCS. Future research is needed to validate these findings.

    Keywords: Posterior Nutcracker Syndrome, Hematuria, Abdominal pain, Retro-aortic renal vein, Left renal vein ligation, Surgical intervention