[Prevalence of fungi in patients with allergic rhinitis in Shahrekord, Iran (2009)]

The identification of fungi agents causes allergic rhinitis is crucial for the appropriate diagnosis prophylaxis and treatment of patients suffering from the disease. This study was done to evaluate the prevalence of fungi in patients with allergic rhinitis in Shahrekord, Iran. This case-control study was done on 124 patients whom referred to Kashani hospital in Shahrekord, Iran during 2009. 62 patients with allergic rhinitis were selected as case group and 62 patients without allergic rhinitis were considered as controls. Direct smear and culture of nasal secretion were performed to identify the fungi. Also IgE level's were measured for all participants. Data were analyzed using SPSS-16, Chi-Square and independent t-tests. The fungi from culture medium of nose exeretion were isolated from 15 [24%] cases and 5 persons [8%] in control group. The most common isolated fungi were Aspergillus [8%] and Penicillinum [6.5%]. In direct smear the fungi agent were found in 23% and 8% in case and control groups respectively. The IgE titre in 31% of cases with allergic rhinitis was higher than 100 IU/mL, but this titre of IgE only was seen in 4.8% of control group [P<0.05]. This study showed that the fungi can be considered as induce of allergic rhinitis

[Study of serum IgE and nasal secretion eosinophils count in patients with allergic rhinitis]

Allergic rhinitis is a chronic disease of upper respiratory tract which can be presented as asthma. Some investigators have reported a significant relationship between the disease and the number of eosinophils in nasal secretion of the patients. This study aims to evaluate the serum IgE and it's relation with nasal secretion eosinophils count in patients with allergic rhinitis. In this study, serum IgE of 92 patients with non anatomical nasal complication were investigated using ELISA method [IEMA WELL Q-D]. Nasal secretion smears of the patients were also evaluated for eosinophils count. Age, sex, profession and past history of allergic reactions in patients and their families were also investigated. 48. 9% of the patients had high titers of serum IgE [>100 IU/ml]. Also, eosinophils over 5/HPF were seen in 15. 6% of patients, nasal secretion smears. There was no significant relationship between eosinophils count and presence of allergic rhinitis in the patients. Otherwise, there was a significant correlation between rhinitis and patients, profession and their locality of living [P<0. 05]. Detection of serum IgE is mandatory for diagnosis of allergic rhinitis. Besides, it seems that nasal secretion eosinophils count alone is not a reliable finding for diagnosis of the disease

Comparsion of atracurium and succinylcholine on post adenotonsillectomy pain in children of 3-12 years old

Adenotonsillectomy is a common operation in children, which may have numerous complications after ansethesia. Postoperative pain is a serious complication that cause instability, rebleeding and other problems. Since the anesthesia method may affect the postoperative complications, the aim of this study was to compare the effects of atracurium and succinylcholine on post adenotonsillectomy pain in children. This clinical trial study was performed on eighty children of 3-12 years old who were candidate for adenotonsillectoy surgery. These children were subjected to two methods of general anesthesia. For muscle relaxation, atracurium was given to one group and succinylcholine to the other group. Using Oucher's test the severity of post operative pain was measured. Means of post operative pain [p<0.05] and heart rate [p<0.01] in succinyl group were more than those of atracurium group. However, rebleeding, hemmorage and vomiting after anesthesia were not significantly different between the two groups. Our results showed that the patients who were given atracurium had deeper anesthesia, less pain and were more comfortable than the other group

[Relationship between serous otitis media and its risk factors in primary school students in Shahrekord]

Serous otitis media is one of the main causes of hearing disorder in human and its serious complication is permanent hearing loss. The aim of this study was to find the prevalence of serous otitis media in primary school students of Shahre-kord and to determine its relationship with allergy, family infancy feeding, birth weight, sinusitis, adenoid hypertrophy, gender, sex, age and the family size in these children. In this descriptive-analytical study, 1017 students [416 females and 518 males] were selected randomly and a questionnaire was filled for each one by the parents. Ear, nose and trout of each one were examined and suspected cases were referred to ENT specialist for further examinations. The prevalence of this disease was 1.5%. There was a significant relationship between the frequency of serous otitis media and allergy [p<0.05]. A significant relationship was also found between this disease and largeness of adenoid, family history of allergy as well as recent ear infection. Regarding the fact that, the history of allergy, as the most important predisposing factor for serous otitis media, has been found in 80% of the cases in this study, we suggest that tympanometry should be performed as a screening test, at least in patients with a history of allergy