ABSTRACT
We examined the role of Helicobacter pylori infection as a cause of recurrent abdominal pain [RAP] among Iranian children in a population-based case-control study to determine the association between H. pylori infection and RAP among schoolchildren. A total of 1558 children aged 6-13 years were examined. Children with RAP confirmed by the Apley and Naish criteria were selected; 145 cases were selected for inclusion and were compared with 145 healthy children recruited from the same area. Both groups underwent stool antigen testing. The prevalence of RAP in the children tested was 9.3%. Children with RAP had a higher H. pylori infection rate than the control group [58.6% vs 44.8%] [OR = 1.744; 95% CI: 1.095-2.776]. There was no significant difference between the RAP symptoms in children with positive stool test, i.e. infected with H. pylori, and those whose tests were negative. We identified H. pylori infection in more than 55% of the case group. Therefore, H. pylori infection can be considered an important factor for RAP in children
Subject(s)
Humans , Female , Male , Child , Adolescent , Helicobacter pylori/pathogenicity , Abdominal Pain/etiology , Child , Feces/cytology , Case-Control StudiesABSTRACT
Irritable bowel syndrome [IBS] is the most prevalent gastrointestinal disorder and is one the common conditions seen by gastroenterologists in their daily practice. This study was done to determine the prevalence of celiac disease in patients with irritable bowel syndrome in Ardabil-Iran. This descriptive study was conducted on 105 patients with IBS whome referred to the gastroenterology unit in Ardabil-Iran during 2009-10. Serum IgA anti tTG were measured all patients with positive for antibodies against tTG were candidated for upper endoscopy and biopsy. Data were analyzed using SPSS-16, t-test, Chi-Square and Fisher's exact tests. The average age of IBS subjects were 31.4 +/- 10.14 years [range 16-63 years]. Celiac disease was diagnosed in 14 subjects [13.5%]. The celiac patient age were 22-55 years with mean of 34.93_9.47. Among celiac afflicted patients IBS type D and M observed among 10 and 4 patients, respectivley. Celiac affected female constituted 12 [85.7%] of all patients [P<0.05]. 10 of these patients were IBS-D and 4 with IBS-M. From 14 celiac patient 4 [28.57%] were family related, but this rate among IBS patient was 3.3%, this difference was significant [P<0.05]. This study showed that the prevalence of celiac in patients with IBS is found to be 13.5% which seem is more than ther studies in other parts of Iran
ABSTRACT
Triage is the most important and the first stage of patient's management at the time of arrival to hospital emergency department. Emergency severity index [ESI] is a common triage system worldwide. This study was aimed to evaluate the accuracy of ESI in emergency department of Imam Hossein hospital in Tehran, Iran. In this descriptive study the result of patients' triage based on ESI were gathered for all patients referred to emergency department of Imam Hossein Hospital from January to April 2011. A questioner was filled for each patient by the nurse and a emergency specialist independently. The lamda index was applied to compare the nurse observation with the specialist clinician. The STATA-11.0 statistical software and roctab table were used to determine the validity, specificity and sensivity of triage. Data were analyzed using Chi-Square and Fisher tests. The calculated lamda for the degree of agreement of triage between nurse and clinician was 81% [95% CI: 0.79-0.83]. The sensivity of triage for step I, II, III, IV and V were 100%, 53.2%, 90.7%, 67.1% and 98% respectively. The specificity of triage for step I, II, III, IV and V were 99.8%, 97.5%, 93.7%, 98.3% and 94% respectively. There was a significant overlapping between the triage step and the patient clinical outcome. This study showed that five steps triage contain a high accuracy and estimation of patient outcomes
ABSTRACT
Otoacoustic emissions are low density sounds produced from intact cochlea measurable in the presence of an intact conduction structure. The goal of this study was to assess the surgical success rate after tympanostomy tube insertion by Distortion Product Otoacoustic Emission [DPOAE] and Transient Evoked Otoacoustic Emission [TEOAE] as methods of evaluation of postoperative hearing. A descriptive-analytic study was conducted on 130 patients with OME. Audiometrical tests included TEOAE, DPOAE that were performed before, one month and three months after surgery on patients and results were compared. Prior to surgery, TEOAE and DPOAE responses were not recordable in any of the patients, whereas after surgery, the responses were significant. OAE tests can be used as objective, simple tests in children, especially in toddlers who are not able to cooperate in performing PTA before surgery. These tests can be also be used for follow up of patients for hearing loss improvement and resolvement of middle ear effusion