[Prevalence of hyperlipidemia in adolescents 10-19 years old, Ahvaz, 2009-2010]

Different studies showed fat intake in childhood and adolescence has long term effects on health, increasing the risk of non communicable disease in adulthood. In Iran the prevalence of cardiovascular risk factors is increasing, while the age of incidence has decreased. The aim of this study is evaluate the prevalence of dyslipidemia in adolescents, aged 10-19 years, in Ahvaz. This descriptive analytic cross sectional study was conducted in the Ahvaz health center, using multistage cluster sampling. After giving complete information to participants about the research, written informed consent was obtained from each participant or their parents and questionnaires were completed for all participants. Blood sampleing, and demographic information including waist, height and weight were measured by standard methods. In this study, 2239 adolecents, aged 10-19 years were enrolled; 1117[49.9%] boys and 1122[50.1%] girls. The prevalence of hyperlipidemia according to AAP was 29.9% [boys 32.8%, 27.1% girls]. Compared to boys, mean total cholesterol and LDL were higher in girls, aged between 10-14 years. Lipid factors were more prevalent in 14-15 year old girls and in 16-17 year old boys. Prevalence of hyperlipidemia increased with increase in BMI. Dyslipidemia has a significant prevalence among adolescents in Ahvaz, necessitating special attention be paid to educating people on diet and exercise to prevalence condition

[ comparative study on the personality traits of opioid- dependents with and without somatic chronic pain complaints]

Some people use opioid substances to relief their chronic somatic pains. There are differences in the personality traits of this individuals and others who abuse opioid substances. The purpose of the present study was to compare these two groups in regard to their personality traits and disorders. In a cross-sectional study between 2007 to 2011, all patients referred for drug quit to the outpatient addiction clinic of Imam Hospital affiliated to Jundishapur University were investigated demographically. In addition, all of them underwent physical examination, MMPI test and psychiatric interview. Then they were divided into two groups of "with pain complaint" and "without pain complaint". Their personality traits were compared using t-test and chi[2]. The total number of patients was 488, including 478 males and 10 females. Mean scores of Psychatenia [pt] and paranoia [Pa] indexes in the patients who suffered from chronic non- cancer pain was lower in comparison to the patients without pain complaint. Based on the results of psychological interview, the prevalence of personality disorder was higher in the "without pain" group. Patients with chronic pain had higher educational degrees and they were more likely under the influence of their friends at the onset of opioid abuse. In the present study those who used opioid for pain relief, had healthier psychiatric profiles and personalities. Their psychiatric interviews were more valid and reliable and their psychological problems were less than the other group and their addiction was a maladaptive behavior

Survey the effect of benson relaxation intervention on quality of life [QOL] in breast cancer patients undergoing chemotherapy

Breast cancer is the second most common malignancy disorder in the word. Chemotherapy as an effective measure decrease quality of life [QOL] in these patients. Side effects of chemotherapy can be effective on physical, emotional and social aspects. Complementary medicine can be effective on QOL. The purpose of this study was survey the effect of Benson relaxation intervention on QOL in breast cancer who was undergoing chemotherapy. This study was designed on quasi-experiment in which 25 subjects who have breast cancer without metastasis and receiving chemotherapy with TAC [Taxotere Adriamycin and Cyclophosphamide,] regimen. Subjects completed demographic data, C-30 and BR23 QOL questioners in first day of treatment and 3 week after it. Then the Benson relaxation to subjects were considered. The individuals received audiotape of relaxation to do the technique daily 15-20 min. for 3 weeks. At the end questioners were completed by subjects. Information analyzed by SPSS soft ware. There was statistically significant improvement in QOL [P=0.02] and Physical functioning [P=0.001], ole functioning [P=0.001], emotional functioning [P=0.001], cognitive functioning [P=0.001], social functioning [P=0.001], body image [P=0.001], sexual enjoyment [P=0.01], future perspective [P=0.001] and there was no statistically significant improvement in sexual functioning [P=0.7] after Benson relaxation intervention. Benson Relaxation intervention could be an effective approach for improving QOL in breast cancer patients undergoing chemotherapy

[Evaluating the effect of oral bromelain [pineapple] on episiotomy wound healing in primiparus women]

Episiotomy is the most common perineal incision in midwifery to facilitate the expulsion of the fetus. Perineal damages cause disability in many normal daily activities. The purpose of this study was to determine the effect of bromelain on episiotomy wound healing in primiparus women. In this double-blind clinical trial study, 82 primiparus women referred to Ahvaz Amiralmomenin hospital were randomly assigned to receive bromelain [100 mg] and placebo. The initial dose of bromelain was administered 2 hours after delivery. Tablets were given three times a day for six days. Wound healing was measured by REEDA scale on 3[th], 7[th] and 14[th] day after delivery. Data were analyzed using independent T-test, Chi-square and Mann-Whitney tests. The average scores of wound healing in bromelain group were significantly lower than placebo group on 3[th], 7[th] and 14[th] day after delivery [P=0.001]. There was a significant difference in total wound healing between the two groups on 14[th] day after delivery [P=0.001]. Bromelain has a significant effect on better and faster healing of episiotomy wound. Hence, it can be used to accelerate episiotomy wound healing

Prevalence of cryptosporidium infection in immunocompromised patients, in south-west of Iran, 2009-10

Cryptosporidium is a protozoan parasite with worldwide distribution. The aim of this study was to estimate the prevalence of Cryptosporidium infection by antigen detection in faeces among immunocompromised patients referred to educational hospitals of Ahvaz City, South-West of Iran, 2009-1010. Fecal samples from 176 immunocompromised patients were collected and Cryptosporidium coproantigen test was performed using ELISA method [DRG kit, Germany]. A questionnaire was completed for each case and the results were analyzed using descriptive and Chi-square test, SPSS statistical software [15[th] version]. Our study indicated 5.1% Cryptosporidium infection prevalence in the immunocompromised participated population. Furthermore, 4.2%, 4%, 4.5% and 9.1% infection rates were identified in children suffered from hematopoietic malignancy, adult cancer patients, renal transplant recipients, and HIV[+] cases, respectively. There was not significant correlation between the infection and age and gender [P>0.05]. Infection was most frequent among HIV[+] patients. The present study confirmed the high prevalence of Crytosporidium antigen in fecal samples of immunocompromised patients in the region. As no chemotherapeutic agents have yet proven, especially in immunosuppressed patients, therefore our results highlight the importance of preventive intervention in these groups

[ effect of progressive muscular relaxation on quality of life in adolescents with epilepsy]

Epilepsy can causes some problems for epileptic child and adolescences that are negative effect on quality of life in these patients. relaxation was effective in reducing seizure frequency. Purpose of this study was to investigate the effects of progressive muscular relaxation on quality of life in adolescents with epilepsy. This investigation is a quasi-experimental study. Twenty epileptic people were selected by goal-based sampling. Data were collected in start of research, 4 weeks late and past of intervention by interview, demographic questionnaire and Iranian version of the QOLIE-AD-48 questionnaire. Participants were asked to practice the technique 20 minutes daily at home for 4 weeks. findings had showed school performance had the highest score in quality of life [89.52] and attitude toward epilepsy had the least score in quality of life mean scores [22.5] of patients. Quality of life mean scores improved from 62.27 to 71.95 after intervention period [P<0.001]. All five domains of quality of life scores [epilepsy impact, memory- concentration, health perception, school performance and physical function] [P<0.001] enhanced after relaxation practice period but it was not significant for the mean scores of social support, stigma and attitude toward epilepsy. Findings showed effects of progressive muscular relaxation on improving quality of life of epileptic adolescents

Effect of apple cider vinegar on postprandial lipaemia in healthy adults

Postprandial lipaemia refers to the acute period of dietary lipid absorption, transport and distiribution, which has been associated with the process of atherosclerosis. There is some evidence that apple cider vinegar and acetic acid could reduce serum lipids in rat and mice, but the effect of vinegar on blood lipids in humans has not been investigated. This study, using a randomized crossover design, was carried out to investigate the effect of apple cider vinegar on postprandial plasma lipids in sixteen healthy adults. On two separate occasions, subjects randomly consumed the fat-rich meal containing 0. 5 g fat/Kg body weight, with 15cc diluted apple cider vinegar or water [as control], each time 3 venous blood samples, fasting, 4 and 8 hours after test meal ingestion were taken. Samples were analyzed for plasma triglyceride, cholesterol and HDL-C concentrations and LDL-C was calculated. Area under the curve [AUC] of TG was calculated using the trapezoid rule. Statistical analysis was carried out using repeated measures ANOVA and paired t-test [SPSS version 11]. The concentrations of TG was significantly [p<0. 05] increased after both meals but there was no difference between meals for postprandial responses and TG AUC after both meals were similar [820. 75 +/- 326. 66 mg/dl. 8h versus 850. 88 +/- 385. 66 mg/dl. 8h]. Also, vinegar had no effect on the postprandial responses of TC, LDL-C and HDL-C. The present study showed that consumption of a single dose of apple cider vinegar with a fatty meal had no effect on the postprandial lipid response in healthy adults. However, to investigate the chronic effects of vinegar on blood lipids of human subjects, further work is recommended

[ frequency of diabetes in pregnant women with pyelonephritis in Imam Khomeini hospital of Ahwaz [1370-1382]]

Concidering complications of pyelonephritis in the mother and fetus such as septic shock, anemia, low birth weight, etc., recognition of these risk factors may be helpful in early and effective treatment.The purpose of this study is to determine frequency of diabetes in pregnant women with pyelonephritis and compare it with diabetes prevalence in pregnant women without pyelonephritis. This survey was conducted as a cross-sectional study on 250 pregnant women whose final diagnosis based on ICD 10-CM codes was pyelonephritis and 250 pregnant women whose diagnosis was not pyelonephritis, in the Emam Khomeini hospital of Ahwaz and these findings was analyzed statistically. In 250 pregnant women with pyelonephritis, 27 cases and in 250 pregnant women without pyelonephritis, 18 cases had diabetes. Of these 27 cases [10.8%], 13 cases [5.6%] had Gestational Diabetes Mellitus [GDM] and 13 cases [5.2%] had overt diabetes. In the control group, 13 cases [5.2%] had GDM and 5 cases [2%] had overt diabetes [p=0.86], [p=0.04]. The prevalence of Gestational diabetes in pregnant women with pyelonephritis compared to the frequency of Gestational diabetes in pregnant women without pyelonephritis had no significant difference [p=0.86] but, the prevalence of overt diabetes in case and control groups showed significant difference [p=0.04]