[Comparing the efficacy of local injection of methylprednisolone and lidocaine with and without splint, and with splinting alone in treating patients with De Quervain's tenosynovitis]

Background: Developing De Quervain's tenosynovitis due to repetitive and routine activities causes re-admission to orthopedic clinics, increasing health care costs, and waste of patients' time

Objective: The present study aimed at comparing the efficacy of local injection of methyl prednisolone and lidocaine with and without splint, splinting alone [with no drug injection] in treating patients suffered from De Quervain's tenosynovitis

Methods: This was a clinical trial carried out on 108 patients with De Quervain's tenosynovitis who attended the orthopedic clinic at Shahrekord University of Medical Sciences in Shahrekord [Iran] in 2010. Patients were randomly divided into three groups as follows: a] Those injected with 1ml of %1 lidocaine and 40 mg of prednisone plus splint, b] those injected with 1ml of %1 lidocaine and 40 mg of prednisone with no splint, and c] those treated with splinting alone. All three groups were given a 3-week follow up. Data were collected by visual analogue scale questionnaire and further analyzed by statistical tests including ANOVAs, chi square test, and independent t test

Findings: The findings of this study revealed that the mean pain intensity was significantly lower in the group treated by injecting drugs and splinting compared to other two groups [P<0.01]

Conclusion: Local injection of methylprednisone and lidocaine with splint seems to have a higher efficacy in treating De Quervain's tenosynovitis compared to other two procedures

[ comparison of life style with body mass index [BMI] of loss and more then 25 in individuals between 20-65 years in Shahrekord city]

The present study aimed to compare the habits and features of obese [BMI>25] and normal [BM<25] individuals and express a method to ameliorate the life styles using a cross-sectional experiment. Two groups of case [n=110] and control [n=100] subjects were randomly selected. The samples were then divided into two groups [obese and normal], respectively. For each group, BMI was calculated. It the obtained BMI was >25 kg/m[2] then it was designated in the case group [obese]. Samples with BMI between 2-25 kg/m[2] were assigned into the control [normal] group. The miller-Smith life style questionnaires were used for both groups. Data were analyzed using Chi-square and t-tests. No significant differences were found between the two groups tested in terms of the mean age, gender, level of education, marital status insurance, the length of sleep during 24h, cigarette smoking and losing job or spouse. However, a significant relation was found in using vegetables, sausage, fried potatoes, enriched breads, low fat milk, low salt, candies and chocolates [P<0.05]. The present study suggests that on way to control obesity and prevent diseases is to ameliorate the life styles with education to people

[ effect of local infiltration of morphine in reducing the post operative pain in soft tissue injury]

Soft tissue injuries, such as tendons or ligaments, are common problems causing pain and functional disorders. The aim of this study was to investigate the effect of local infiltration of morphine in reducing the post operative pain in soft tissue injuries. In a double blind clinical trial study, 80 patients with soft tissue injury who were admitted in Kashani hospital, Shahrekord, Iran, were divided into 2 groups: control group received local placebo [normal saline] and case group received local morphine. Severity of pain was measured using a scale questionnaire 3, 10 and 24 hours after the surgery. Data were analyzed using dependent t-test, Chi square and Fisher tests. The results of this study showed that mean age was 32.5 +/- 6.34 years for control group and 30.6 +/- 7.7 years for case group. Mean incision length was found 5.5 cm for control group and 5.57 cm for case group [P<0.05]. A significant decrease in severity of pain was found 2, 10 and 24 hours after the operation in patients who received local morphine compared with control group [P<0.05]. Infiltration of morphine has good advantages in reducing pain in patients with soft tissue injury after the operation

Comparison of cardiac arrhythmia prevalence in smoking and non smoking myocardial infarction patients admitted in Hajar University hospital, Shahrekord, 2006

Smoking is one of the main reversible risk factors for coronary artery disease. Incidence of arrhythmia induced by myocardial infarction is the most important reason for death in these patients. Mortality rate in smoking myocardial infarction patients is grater than non smoking patients, but the aim of this study was to compare the incidence of arrhythmias between smoking and non smoking myocardial infarction patients. In this case and control descriptive analytic study, 200 myocardial infarction patients [100 smoking and 100 non-smoking patients] who were referred to cardiac care unite in Hajar university hospital were selected. Data were collected using questionnaires, filing the form of physiological variables, laboratory findings and finally types of arrhythmias and myocardial infarctions. Data were analyzed by the independent-t test and the Fisher's exact test. The average age in smoking patients was 54.23 +/- 8.12 and it was 55.23 +/- 8.11 in non-smoking patients. Type of myocardial infarctions in 70.5% of the cases was anterior myocardial infarction and the rest was inferior myocardial infarction. Our study showed that the type of arrhythmia in smoking group was different than non-smoking group. Sinus tachycardia, Atrial Flutter, preventricular heart beat, ventricular tachycardia and ventricular fibrillation were higher in smoking group compared to the non-smoking group [P < 0.05].According to this study, the incidence of arrhythmia in smoking patients with myocardial infarction is greater than non-smoking patients. Therefore, more attention should be focused on smoking patients with myocardial infarction for arrhythmia