مجله علمی پزشکی جندی شاپور
سال یازدهم شماره 2 (پیاپی 77، خرداد و تیر 1391)

Gestational Diabetes Mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy and is associated with increased feto-maternal morbidity as well as long-term complications in mothers and offspring. The aim of this study was to determine the prevalence of gestational diabetes mellitus in pregnant women in Ahvaz city. In this study, universal screening for gestational diabetes mellitus was performed for 678 pregnant women who had referred to two gynecologic and obstetrics clinics. Screening was performed with 50 gram oral glucose challenge test (GCT) with 140mg/dl cut-off point, and then a diagnostic 100g oral glucose tolerance test (OGTT) was done according to Carpenter and Coustan criteria. The prevalence of GDM and impaired glucose tolerance (IGT) were 7.4% and 4.3%, respectively. The mean age of patients with GDM (30.32±5.27 years) was obviously higher than that for healthy women (26.25±4.94 years) (p

Little objective data exist regarding the effect of sensory and motion restriction properties of external ankle supports on ankle sensory motor processes of ankle sprained patients. In present study the effects of elastic bandage and rigid brace which had no sensory influence were evaluated for 28 patients. Ankle complex motor performance was measured using the Biodex Balance System. Results showed that rigid brace had no effects on stability indices but the use of elastic bandage improved motor performance of ankle complex as evidenced by decrease in overall (P= 0.004) and AP(P=0.010) stability indices. In patients with functional ankle instability external supports used improved ankle sensorymotor functions possibly because of elevated sensory inputs.

Falls in the elderly are common and are associated with appreciable morbidity and mortality. Hyperkyphosis is a risk factor for balance impairment and postural instability. Increased forward curvature of the spine displaces the center of mass anteriorly towards the limits of stability, and thus increases the likelihood of loss of balance and predisposes persons to fall. The orthoses are an option for decreasing the risk of falling in elderly population; however, the quantitative evidence to support their application is not convincing. The purpose of this study is to analysis the effects of posture training support orthosis on risk of falling of elderly people with spinal hyperkyphosis. 18 elderly people with mean age 65.96 ± 4.4 who had thoracic kyphosis of ≥ 50 (cobb angle) were enrolled in the study. Subjects were randomly allocated into either PTS orthosis or control group. Patients were randomly subjected to computerized dynamic posturography, which contained sensory organization tests and limits of stability. The tests for each person was conducted in two conditions: while wearing and not wearing the orthosis, and the order of testing within a patient was randomized. Wearing PTS orthosis significantly increased balance score (p < 0.0001), directional control (p < 0.023) and reaction time(p < 0.045). Also, significant difference in balance score (p < 0.0001) and directional control (p < 0.041) was observed between two groups (PTS orthosis and control group) Discussion & The PTS orthosis improves balance in elderly people with spinal hyperkyphosis. Improved balance could reduce the risk of falls and direct and indirect costs of falls and related fractures.

Growth hormone not only effects the stimulation, division and growth of cells throughout the body during growth period but also leads to a decrease in the use of the carbohydrates and transfer of Lipids as sources of energy. The aim of this study was to examine the effect of a one-session average -intensity resistance training the secretion of the growth hormone in two groups of active and inactive women. Subject and twenty young women were divided in two active and inactive groups after they had filled out demographic questionnaires. First, one repetition maximum participants in one-session resistance training were determined and then all participants engaged in protocol training with intensities of 50,60 and 70 percent. Blood samples were taken immediately before and after the training. Statistical measures of Dependent -T and Independent-T and Co-variance Analysis were used for data analysis(P< 0/05). resistance training decreases the secretion of growth hormone in active women while it increased it in inactive women. However, this difference in the amounts of growth hormone between the two groups was not meaningful(P< 0/05). one-session average- intensity resistance training had no meaningful effect on either increasing or decreasing growth hormone. Therefore, if active and inactive people want to gain desirable amount of growth hormone then they need to engage in resistance training with high-intensity to use the benefits of growth hormone.

The glomerular diseases that cause nephrotic syndrome generally can be divided into primary and secondary etiologies. Primary nephrotic syndrome (PNS), is associated with glomerular diseases intrinsic to kidney and not related to systemic causes. The subcategories of PNS are based on histological descriptions and aim of this study is to determine the prevalence of its subcategories. In a prospective study, we evaluated all patients with primary nephrotic syndrome who referred to Imam Khomeini hospital of Ahwaz city, Iran, during January 2005 to August 2009. We also performed kidney biopsy for them and the specimens investigated by light microscope. Ninety two patients (53 male and 39 female, mean age. 52±32 years) were included. Mean serum creatinine and a median rate of urinary protein excretion were 1.47mg/dl and 5250mg/day respectively. The most common histological finding was focal and segmental glomerular sclerosis (FSGS) (28 patients, 30.43%),followed by membranous glomerulonephritis (MGN) (24 patients, 26.08%), minimal change disease (MCD) (12 patients, 13.54%), membranoproliferative glomerulonephritis (MPGN) (10 patients, 10.86%), IgA nephropathy (8 patients, 8.69%), focal and segmental glomerulonephritis (FSGN) (4patients, 4.43%), mesangial proliferative glomerulonephritis (3patients, 3.26%) and diffuse proliferative glomerulonephritis (3 patients 3.26%). FSGS is the most common and MGN is the second cause of primarynephrotic syndrome in adult patients in Khuzestan province.

Metabolic syndrome (MetS) is one of the most important risk factors of Type 2 Diabetes Mellitus (T2DM) and Ischemic heart disease. Aim of this study was surveying of prevalence of MetS in T2DM and comparison of the value of Its predicting factors according to ATP III and IDF criteria. Subjects and This was a coss-sectional study on 350 adult T2DM patients selected with simple random sampling from Ahvaz Diabetic Research Center Clinic in 2010. Data were collected by a questionnaire and analyzed by independent t-test, chi-score, and multivariate logistic regression with SPSS 18. Prevalence of MetS according to ATP III and IDF criteria was 73.1% and 64.9% respectively (κ=0.675). With both criteria the peak prevalence of MetS was in age group 50-59 year. HDL cholesterol had higher prevalence and odds ratio than other factors. Female gender, physical activity, microalbuminuria, triglyceride and HDL cholesterol had higher value of prediction for MetS than others. Prevalence of MetS in T2DM is high and female gender, physical activity, microalbuminuria, triglyceride and HDL were the predicting factors of MetS

Children with hearing loss have too many problems in society. Nowadays cochlear implant surgery and rehabilitation are used for deaf children and they can develop their language and social skills by this way. So the purpose of this study is to make a quantitative comparison of parameters of social development between children with cochlear implants and normal hearing children. Data were obtained from 30 children with cochlear implant and 30 normal children. In order to gather the data we used the winelend test after that we did statistical analyzing on them. we saw no significant difference in social development of normal and cochlear implanted children. Also the child's age was an important factor for surgery and rehabilitation. Nowadays too many children use cochlear implantation. Cochlear implant is usefull for speech and language development. Also it is important in social development and decline of anxiety in children and their parents.

sickle cell anemia is a chronic disease. This illness has many complication.This complication affected on the quality of life’s patients,so they will need to caring for maintaining of their life. Goal:This study is investigating the effect of self care plan on the quality of life’s sickle cell anemia who were reffered to Shafa thalasemia unit in Ahvaz(2009). Methods and Material:This study was a clinical trial research that carried out on 70 sickle cell anemia(35 persons in experimental and 35 persons in control groups).The subjects were selected and allocated in two groups randomly. The instruments of data collection were include: demographic,assessment educational needs and SF-36 quality of life questionnaire. One educational sessions of self care (60 minute) were implemented for experimental group. The quality of life’s patients was measured in two times (before intervention and three months past intervention) and finally,two measured data was compared between two groups. T-test was shown that the total scores of quality of life’s two groups have not significant difference in before intervention) p=0/58),but this difference was significant between two groups in after intervention. PAIR T-TEST was shown that the total scores of quality of life’s patients in before and after intervention have significant difference in control group and quality of life has decreased in this group (p=0/019(,but this difference was not significant in experimental group and quality of life has remained in this group) p=0/91(. Due to reduced quality of life of control group and stable quality of life of experimental group so the self care program improve the quality of life of these patien.design program based on patient educational needs,capabilities and cooperation of patient make to achieve results positive.

Femoral neck fracturesis uncommon in adult, can be associated with high rate of complications. The aim of this study was to evaluate the results of treatment by Austin Moore prosthesis. Between2004-2010, 126 patients (F=73,M=53)with mean age 78 years with femoral neck fracture were treated by Moore prosthesis in two university hospitals in Ahwaz city In IRAN. Out come with regards of complications and mortality were recorded at 6 years follow up. In 6years follow up, this findings was detected: mortality 35PT(27.7%),painful prosthesis45 (37.5%),infection13(10.3%) preprosthetic fracture2(1.5%),loosening6(4.7%), revision surgury6(4.7%)dislocation4(3%). Any patient had not protrusion. femoral neck fracture in elderly patients was associated with high rate of complications, which may be due to underlying diseaes and surgical insults. Using bipolar or total hip replacement when available can have better results than Moore prosthesis in these patients

Breast cancer is the most common cancer in women and is the second reason of women death due to cancer. Surgical treatment often is mastectomy and it can affect on life quality and patient’s mood, and can due to a depression. Based on researches, social support is one of an important factors affecting on life quality in this patients.The aim of this study is to evaluate the relationship between depression and social support in patients with breast cancer. Methods & Materials: In this study, the sample was 50 patients with breast cancer that were referred to educational hospitals in Ahwaz. The relationship between variables were analyzed for these patients. We used Beck questionnaire for measuring depression and Philips questionnaire for measuring social support. Data were analyzed with SPSS17 statistic software. This study was done on 50 women with breast cancer with mean age of 45.04 years. 14% of patients were single and 86% were married. Mean score for depression was 19.58 and mean score for social support was 14.92. There was a reverse relationship between age and educational state. Also results showed that in patients with a higher educational state, the social support score was significantly higher. In this study, a significant reverse relationship was seen between depression and social support. The results of this study emphasize the importance of social support in prevention and reduction the depression in patients with breast cancer. Also it shows education as an affecting factor on reduction the depression in this patient