ABSTRACT
Plantar Fasciitis is a common musculoskeletal disorder, which can reduce physical activity of the affected person. The usual treatments have short-term effects or they can cause adverse effects. In this study the injection of corticosteroid and shock wave therapy have been compared. This was a prospective, randomized and single blind clinical trial. In the physical medicine and rehabilitation clinic of two clinic in Tehran, through the year 2011, 37 feet were randomized to each treatment group. The first group received 40mg methylprednisolone and 2 cc lidocaine 2% and the second group was treated with 3 sessions of rESWT [2000 pulses, 10 Hz, 2.5 bar] weekly apart. The data was gathered by a questionnaire, 1 week, 1 month and 3 months after the intervention. Chi-square, T-test and mann-witney U test was used for data analyzing. In both groups 3 months after the intervention the severity of the symptoms were greatly improved. In short-term [1 month] corticosteroid effect was superior to shock wave's one [p<0.05]. This superiority declined through the time. In other words, the effects of the two treatments measured in the functional scale, didn't differ significantly 3 months after the initiation of the treatment [p>0.05]. Shock wave therapy can be an alternative treatment for plantar fasciitis
Subject(s)
Humans , High-Energy Shock Waves , Adrenal Cortex Hormones , Prospective Studies , Single-Blind MethodABSTRACT
The aim of this study was identification of the epidemiology of Prototbeca zopfu species from the milk samples of dairy cattle in Isfahan, central Iran. Milk samples were obtained from 230 daily cattle, 130 with and 100 without mastitis, in Isfahan. The samples were cultured in Prototbeca Isolation Medium [PIM] and Sabouraud's dextrose agar. All P. zopfu isolates were identified by morphological and biochemical methods. Then, as a confirmatory test they wrere examined by genotype-specific PCR. Four P. zopfu strains [3.07° o] were isolated from the 130 samples of dairy cattle with clinical mastitis and there was no isolation from totally 100 samples of healthy bovines without mastitis. Specific PCR product [about 946 bp] was detected in four isolates. It seems that P. zopfu genotype II plays a key role in affecting bovine mastitis that confirmed other previous studies. Our study was the first, which identified the Prototheca species by traditional and molecular methods in Iran and Middle East as well
ABSTRACT
During the last decade, the incidence of fungal infection has been increased in many countries. Because of the advent of resistant to antifungal agents, determination of an efficient strategic plan for treatment of fungal disease is an important issue in clinical mycology. Many methods have been introduced and developed for determination of invitro susceptibility tests. During the recent years, flow cytometry has developed to solving the problem and many papers have documented the usefulness of this technique. As the first step, the invitro susceptibility of standard PTCC [Persian Type of Culture Collection] strain and some clinical isolates of Candida consisting of Candida albicans, C. dubliniensis, C. glabrata, C. kefyer and C. parapsilosis were evaluated by macrodilution broth method according to NCCLS [National Committee for Clinical Laboratory Standards] guidelines and flow cytometry susceptibility test. The data indicated that macro dilution broth methods and flow cytometry have the same results in determination of MIC [Minimum Inhibitory Concentration] for amphotericin B, clotrimazole, fluconazole, ketoconazole and miconazole in C. albicans PTCC 5027 as well as clinical Candida isolates, such as C. albicans, C. dubliniensis, C. glabrata C. kefyr, and C. parapsilosis. Comparing the results obtained by macrodilution broth and flow cytometry methods revealed that flow cytometry was faster. It is suggested that flow cytometry susceptibility test can be used as a powerful tool for determination of MIC and administration of the best antifungal drug in treatment of patients with Candida infections