[ effect of core stability training program on balance in blind female athletes]

Background and Aims: Balance is one of the most essential elements of physical activities and an important factor in sport skills. Vision plays a paramount role in the processing and integrating other sensory inputs for controlling balance and selecting equilibrium strategy. The purpose of this research was to examine the effect of an eight-week core stability training program on balance in blind female athletes

Methods: In this semi-experimental study, 30 female blind athletes [age: 22.40 +/- 5.35 years, weight: 52.17 +/- 10.92 kg, height: 1.55 +/- 0.06 m] as samples were selected and randomly were divided into experimental and control groups. The Y-Balance test and Flamingo test was used for evaluation of dynamic and static balance, respectively; and to assess the strength and stability of the central body area, the core stability tests were used. Independent-t test was used to analyze the data

Results: Before and after training, static and dynamic balance and also body stability were evaluated. There was significant increases in static and dynamic balance in anterior direction, internal posterior, external posterior and total balance in the experimental group compared with the control group [P < 0.05 for all]

Conclusion: According to the central district of improving the strength and endurance of the body, the central body resistance training can improve static and dynamic balance in blind female athletes

[Poland syndrome and association with atrial septal defect and pulmonary stenosis; a two case report]

Congenital unilateral absence of pectoralis muscles in combination with ipsilateral brachysyndactyly is the most acceptable definition of Poland syndrome. This very rare syndrome has been reported in association with various malignancies and deformities including cardiovascular anomalies. To our knowledge, pulmonary stenosis associated with Poland's syndrome has not been described previously in literature, and there are a few articles about atrial septal defect [ASD] in combination with this syndrome either. We present the first report of Poland syndrome associated with pulmonary valve stenosis and another case of Poland syndrome with ASD. We discuss common etiologic factors of this rare syndrome. Case one: The first patient is a 23 month old boy with Poland syndrome presentation such as absence of pectoralis major of right hemi-thorax, nipple and subcutaneous hypoplasia and ipsilateral brachysyndactyly. On physical examination, we found a systolic ejection sound in auscultation so that a complete cardiac evaluation was performed. Pulmonary stenosis with 7[mm] diameter was detected by Color-Doppler echocardiography. The second patient is a 5 year old girl presenting typical Poland syndrome clinical manifestation. She has congenital right pectoralis major agenesis, Right upper position of nipple and areola was compared to left hemi-thorax, and an ipsilateral hypoplastic hand with syndactyly and short fingers. The 2-dimentional echocardiogram revealed that she is suffering from an Ostium Secundum ASD. Although Poland syndrome is a rare congenital one, it is associated with numerous anomalies and malignancies in the reported articles. The two mentioned cases are the samples of cardiac anomalies associated with this very unique syndrome. According to critical situation of cardiovascular problems, performing a complete cardiovascular evaluation in addition to common medical-surgical treatments seems to be essential for patients with Poland syndrome

[CPCR education workshop effect on nurses' knowledge based on AHA [2010] guideline]

Cardio-Pulmonary Cerebral Resuscitation [CPCR] is a systematic and purposeful series of action has been using by nurses for restoring the vital function of central body organs such as heart, lung and brain. Apply of teaching is a numerous recommended method for improving nurses knowledge and skill related to PCPR in majority of published papers. Therefore, the aim of this study was to assessment of CPCR educational workshops effect on nurses knowledge based on American Heart Association [AHA] guideline that has been done in 2010. Using a quasi-experimental study, the knowledge level of 130 nurses of Tehran university medical sciences was assessed in three steps including before, after, and 2 months later of holding the teaching workshop. Using a 20-item questionnaire on basic, advanced cardiac life support and CPCR according to AHA 2010 guideline, data were gathered. The method of teaching workshop was two integrated sections including lecturing and practical demonstration on basic and advanced CPCR concept during two days [16 hr]. Using SPSS, the data were analyzed by applying descriptive and analytical statistical tests. The discrepancy of average knowledge scores related to basic and advanced before teaching workshop [8.6], after [14.9], and 2 month later to the workshop [13.2] indicated the effect of teaching workshop. Comparing the means of the pre-test, post-test and test after 2 months was statistically significant. Nevertheless, in some parts such as on time applying of defibrillation and do the first step in patient with cardio respiratory arrest had the minimal effect from teaching workshop. Since the results indicated that the teaching workshop on basic and advanced CPCR can improve nursing related knowledge; therefore, holding the similar means as theoretical and practical courses in a regular base is recommended

[ relationship of fatigue and hostility with health in patients with coronary artery disease]

Fatigue and hostility can be influence quality of life in patients with coronary artery disease. Investigation the relationship of fatigue and hostility with quality of life in patients with coronary artery disease. The samples consisted of 60 coronary heart disease patients which were selected among all coronary artery disease persons who had referred to Heshmat Hospital in Rasht. For gathering data were used. Choreic Fatigue Scale, Hostility Scale and Health survey. Data was analysed by using Pearson correlation coefficient and multiple regression analyses. The results of Pearson correlation coefficient showed that fatigue [r=-.64] and hostility [r= -.25] are related to quality of life [P<0.05]. The results of multiple regression showed that physical fatigue, is the best significant contribute in prediction of quality of life in patients with coronary artery disease. These results are in keeping with findings from other studies and indicated that the role of fatigue and hostility in quality of life in patients with coronary artery disease

Adult intussuception due to a colonic lipoma

Colonic lipoma is a benign neoplasm that can lead to colonic obstruction but concomitant intussusception is rare in adults. In this case, colocolic intussusception due to a lipoma in descending colon occured. This was diagnosed using laparatomy, and any intervention to reduce it failed. So resection of the colon with mass and anastomosis were performed. After the surgery and 3 years of follow up, no complications were observed. We present this case, and briefly review the literature of colonic intussusception in adults

frequency distribution of parainfluenza, adeno and respiratory syncytial virus infections in children below 2 years old with bronchiolititis, by multiplex polymerase chain reaction method, afzalipoor hospital, kerman, 2006

Acute respiratory infections are common cause of mortality during childhood. This study was designed to determine the incidence of adenovirus, parainfluenza virus and respiratory syncytial virus in respiratory infections by Multiplex PCR method. This study included 168 children under 2 years of age with clinical diagnosis of bronchiolitis. Nasopharyngeal specimens were taken and transferred to the virology laboratory in VTM transport medium. Following extraction of viral DNA and RNA, Multiplex RT-PCR was performed. From 168 specimens, 33 cases [19.6%] were infected with parainfluenza viruses, 18 cases [10.7%] with adenovirus and 63 cases [37.5%] with RSV. The rest of the specimens were negative for these viruses, which indicated that these specimens had been probably infected with other viral agents not investigated in this study, or with mycoplasma. No significant correlation was found between WBC count, ESR values, degree of air trapping, coryza, fever, cough, retraction rale, wheezing and the type of viral infection. Also no significant correlation was found based on age, sex or general condition of patients. Major causes of viral infections in this study were respectively respiratory syncytial virus [RSV], parainfluenza and adenovirus

[Diagnostic value of sonography in discriminating benign from malignant liver space occupying lesions]

Sonography is a non-invasive, well stablished and low complication technique, which renders the determination of benign and malignant focal liver masses. In this study, diagnostic value of sonography in discriminating liver space occupying lesions and its related factors was evaluated and compared with clinical and pathological results. In this descriptive and diagnostic study, 102 patients with hepatic tumor admitted in Shaheed Sadoughi hospital in Yazd between March 2001 and April 2004 were studied. Patients' age, sex, clinical diagnosis, and pathologic and sonographic results were entered in a questionnaire. Data were analyzed by SPSS software with chi-square and Fisher exact tests. 102 patients with mean age of 52 +/- 18.7 years [range: 4 months- 87 years] were studied. 54 [53%] were male and 48 [47%] female. Of 102 liver mass, Sonography detected 36 benign and 66 malignant tumors, while clinical diagnosis reported 42 benign and 6n malignant tumors. Of 64 malignant tumors diagnosed by pathologic studies, sonography reported 51 malignant and 13 benign tumors. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of sonography in discriminating benign and malignant liver masses were 79.69%, 60.53%, 77.27%, 63.89 and 75.56%, respectively. Regarding the high sensitivity and accuracy of sonography in discriminating benign from malignant liver masses, it can be helpful for evaluation of hepatic tumors. However, sonographic results should confirm by pathologic studies

Evaluation and treatment of colorectal cancer in shahid rahnemoon and afshar hospitals, Yazd-Iran

Colorectal cancer is the most common cancer of the alimentary system. In women, it is the second leading cause of mortality after breast cancer while in men it is the third leading cause of death after lung and prostate carcinoma. Prevalence is more in population older than 50 years and increases in older people. Therefore, best treatment and prognosis is early diagnosis of disease. This study was a retrospective, cross-sectional study that included files of 191 patients of Shahid Rahnemoon and Afshar hospitals [two main hospitals] in Yazd, Iran from 1992 till 1999. The aim was to evaluate the abundance and distribution of colorectal cancer with respect to staging, age, occupation, residence, clinical signs and method of treatment. All of the patients had a cancer pathology report. f Results: Of the total of 191 patients with colorectal cancer, 186 cases were adenocarcinoma and 5 cases were lymphoma. Prevalence rate in men was more than women and their age range was between 28 and 94 years. 127 patients [67%] were in the 60 - 69 years age group, while 7.3% were in the 20 -39 years age group. 106 patients [55.5%] were men and 85 patients [44.5%] were women. 64.9% were urban dwellers and 35.1% were rural. Surgical treatment included; abdominoperinneal resection [A.P.R] in 55 patients [28.8%], anterior resection [A.R] and anastomosis in 40 patients [20.9%], right and left hemicolectomy, each in 25 patients and rectosigmoiedectomy and anastomosis in 18 patients [19.4%]. Results of treatment were as follows: 177 patients [92.76%] had relative recovery post operation, 5 cases [2.6%] were discharged from the hospital against medical advice, 3 cases [1.6%] died and 6 cases [3.1%] were discharged with poor condition after laparotomy. Most of the patients with colorectal cancer referred with rectorrhagia, main type of cancer was adenocarcinoma [97.4%] and the most frequent surgical procedure performed was A.P.R. Further research projects in the field of diagnosis, treatment and prognosis of these patients can be helpful in the treatment of these patients

[Comparison of the rate of nerve injury after posterior and anterior approaches in fractures of proximal half of radius in adults]

This clinical study was carried out to compare the rate of nerve complications after anterior and posterior approaches in forearm both bone fractures in adults. For this purpose, 310 patients with forearm both bone fractures operated during 1997-2002 in Kerman Shahid Bahonar Hospital were studied From these patients, 121 cases were female and 189 cases were male and they were aged]om 12 to 67 years old with the average of 43.2 years. In 170 patients [54.8%] fractures were in the proximal fourth and in 140 patients in the middle fourth. In 283 cases nerves were intact, while 27 cases [18.7%] had nerve palsy of whom 24 cases had radial nerve palsy and 3 cases had median nerve palsy. Among patients with nerve injury, 5 cases had been operated with anterior approach and 20 cases with posterior approach. In 9 cases regeneration of the damaged nerves occurred in the first month, in 12 cases in the second month and in 3 cases in the third month and three cases had no evidence of regeneration at the end of sixth month. Based on the results, radial nerve palsy is more frequent in the posterior approach comparing to the anterior approach and this difference is statistically significant. Therefore, the anterior approach for decreasing nerve damage is recommended