ABSTRACT
Multiple sclerosis [MS] is an inflammatory disease of central nervous system [CNS] and sexual dysfunction [SD] is one of the most common disabilities of MS women. The aim of this study was to determine sexual function of women with MS [multiple sclerosis]. One hundred definite MS patients MS patients and fifty age-matched healthy controls were enrolled. Demographic data [sex, age], duration of the disease and disease pattern extracted from patient's files and Kurtzke Expanded Disability Status Scale [EDSS] recorded for each patient by an expert neurologist. Participants were asked to answer the valid and reliable Persian version of Beck depression inventory [BDI] and Female Sexual Function Index [FSFI] questionnaires. The total FSFI score and subscale scores differed significantly between the MS patients and the controls. There was a significant negative correlation between EDSS and FSFI scores [rho=-0.44, P<0.001] and significant positive correlation between EDSS and BDI [rho=0.36,P<0.001] in patients. Mean BDI and all subscales of FSFI differed significantly between patients with total FSFI score higher and lower than 26.55. Sexual dysfunction should be considered in women with multiple sclerosis
ABSTRACT
We did this systematic review to determine diagnostic accuracy of sono-elastography in evaluating cervical lymph nodes [LNs]. A highly sensitive search for sono-elastography and LNs was performed in MEDLINE, Cochrane Library, ACP Journal Club, EMBASE, Health Technology assessment, and ISI web of knowledge for studies published prior to December 2012. SPSS version 18 [SPSS Inc., Chicago, IL, USA] used for descriptive analysis and meta-disk version 1.4 applied for meta-analysis. Forest plots for pooled estimates and summery of receiver operating characteristic plots for different cut-offs were produced. The literature and manual search yielded 69 articles, of which 10 were eligible to include. A total of 578 individuals with a total number of 936 cervical LNs was evaluated [502 malignant and 434 benign]. The summary sensitivity of the scoring and strain ratio [SR] measurements for the differentiation of benign and malignant LNs were 0.76 [95% CI: 0.71-0.8] and 0.83 [95% CI: 0.78-0.87]. The summary specificities were 0.8 [95% confidence interval [CI]: 0.75-0.84] and 0.84 [95% CI: 0.79-0.88], respectively. Area under the curve for scoring system was 0.86 [standard error [SE] = 0.03] and 0.95 [SE = 0.02] for SR measurement. Sono-elastograohy has high accuracy in differentiating benign and malignant cervical LNs
Subject(s)
Humans , Lymph Nodes/pathology , Neck , Meta-Analysis as TopicABSTRACT
Nowadays, educators pay attention to emotional intelligence which is defined as the ability to monitor and explain one's own and other's emotional experience and feelings to differentiate between them as well as applying necessary information for determining thoughts and actions. The goal of this study was to determine emotional intelligence of medical residents of Tehran University of Medical Sciences. By means of two stage cluster sampling, 98 medical residents of Tehran University of Medical Sciences were selected. Participants were asked to fill valid and reliable Persian version of Emotional Quotient inventory [EQ-i] questionnaire which had been developed due to Bar-On model. Seventy two filled-up questionnaires were returned [RR=73%]. Mean EI score of all participants was 319.94. 32.4. Mean EI score was not significantly different between male and female also, single and married participants. EI did not differ significantly in residents in respect to their discipline. Mean responsibility subscale differ significantly between male and female participants [P=0.008]. Multiple regression analysis showed that happiness subscale is a predictive factor for total EI score [B=-0.32, P=0.009]. Responsibility subscale differed significantly between men and women participants and happiness subscale was a good predictor for emotional intelligence score. These factors should be considered in education of medical residents
ABSTRACT
Hydatid disease is a parasitic infection which occurs in specific geographical areas such as the Mediterranean region. We report a case of hydatid cyst of the knee in a 34-year-old man who was admitted with inability to walk and a painful knee. He had a past history of liver infection nine years ago. Laboratory findings were negative. According to the high prevalence of hydatid disease in Iran, it should be considered as a differential diagnosis of Baker's cyst, synovial cyst and lipoma