Sepideh Babaniamansour; Nooshin Najari; Ehsan Aliniagerdroudbari; Amirmohammad Babaniamansour; Saeed Pezeshki
Abstract
Introduction:One of the most common diabetes complications is diabetic foot ulcer (DFU). Besides conventional treatments, hyperbaric oxygen therapy (HBOT) is known as an adjunctive therapy for DFU. This study aimed to investigate the efficacy of HBOT and possible risk factors. Methods:This study was ...
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Introduction:One of the most common diabetes complications is diabetic foot ulcer (DFU). Besides conventional treatments, hyperbaric oxygen therapy (HBOT) is known as an adjunctive therapy for DFU. This study aimed to investigate the efficacy of HBOT and possible risk factors. Methods:This study was conducted in two hyperbaric clinics of Bahar and Khatam, respectively in Isfahan and Tehran, Iran, between September 2016 and September 2017. Eligible participants underwent 100% oxygen at 2 to 2.5 atmosphere absolute for 90 to 120 minutes daily (five days per week). Data were analyzed with SPSS version 24.0. Results: The recovery rate was 69% in 58 enrolled patients and had a significant direct association with good glycemic control status, before (p <0.01) and during HBOT (P < 0.01), and low-grade ulcers (P= 0.04). The mean number of HBOT sessions of the cured patients (21.5±17.1) was significantly higher than that of the not cured patients (11.3 ± 7.9) (P= 0.02). However, the recovery rate had no significant association with the type of ulcer (P= 0.1). Conclusion: HBOT had good efficacy and a high recovery rate in DFU treatment. Given the fact that good glycemic control status reduces the incidence of ulcers, this study showed that it increased the DFU recovery rate under HBOT.
Fargol Nabavi; Javad Akhondian; Sepideh Karkon Shayan; Sepideh Babaniamansour; Raheleh ِDerafshi
Abstract
Introduction: A febrile seizure (FS) occurs in 2-4% of children aged 6 months to 5 years. A simple febrile seizure is the most common seizure in children. According to the evidence, both genetic and environmental factors affect the occurrence of this condition. The purpose of this study was to determine ...
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Introduction: A febrile seizure (FS) occurs in 2-4% of children aged 6 months to 5 years. A simple febrile seizure is the most common seizure in children. According to the evidence, both genetic and environmental factors affect the occurrence of this condition. The purpose of this study was to determine the association between zinc deficiency and sociological factors, and febrile seizures. Methods: This case-control study evaluated 136 children at 22 Bahman Hospital of Gonabad, Iran, from July 2015 to March 2018. We selected 36 children aged 6 months to 5 years with febrile seizures as the case group and 100 febrile children without a seizure, in the same age range, as the control group. The demographic characteristics, place of residence, family history of seizures, and zinc serum level were recorded, and data were analyzed by frequency, average, and standard deviation, and Chi-square statistical tests. The odds ratios were calculated by logistic regression with a 95% confidence level. SPSS version 22.0 was used for statistical analysis. Results: Totally, 38.8% of the cases with FS and 5.0% of the febrile children without seizure had a zinc deficiency. The serum zinc level in the case group was 75.44 ± 16.98 µgr/dL and in the control group was 100.27 ± 24.23 µgr/dL (P < 0.001). The odds ratio of zinc deficiency in the patients with FS compared to the febrile children without convulsion was 1.069 (1.045-1.151). Conclusion: Children with FS are more susceptible to have zinc deficiency than those febrile but without a seizure. Therefore, zinc deficiency could be a preventable and treatable risk factor for FS.
Sepideh Babaniamansour; Nazanin Ershadinia; Ehsan Aliniagerdroudbari; Amirmohammad Babaniamansour; Atieh Masali; Alireza Entezari
Abstract
Introduction:Hyperthyrotropinemia (HT) can be transient or permanent. There is no specific protocol in confirmatory tests to discriminate between transient and permanent forms. The aim of this study was to investigate the prevalence of transient HT and the factors that help to discriminate transient ...
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Introduction:Hyperthyrotropinemia (HT) can be transient or permanent. There is no specific protocol in confirmatory tests to discriminate between transient and permanent forms. The aim of this study was to investigate the prevalence of transient HT and the factors that help to discriminate transient from permanent HT. Methods:This was an observational prospective study in all neonates diagnosed with HT referred to the pediatric clinic of Boali Hospital, affiliated to Islamic Azad University Tehran Faculty of Medicine, Tehran, Iran during September 2017 and January 2019. The recovery rate was investigated during a three-month follow-up while withholding medical treatment. Data were analyzed with SPSS Version 22.0.Results: Totally, 80 neonates (65% girls) were enrolled in this study. Among them, 62 participants (77.5%) recovered without any treatment during the three months of follow-up. The recovery rate was significantly higher in term newborns (p < 0.01). The mean weight of recovered neonates (2767.7 ± 440.2 gr) was significantly higher than that of the neonates who did not recover (2141.7 ± 755.2) (p < 0.01). The mean level of thyroid-stimulating hormone (TSH) of the recovered neonates (9.4 ± 3.0 mIU/L) was significantly lower than in the neonates who did not recover (22 ± 6.5 mIU/L) (p < 0.01). Conclusion: The outcome of HT became mostly permanent in patients with a higher level of TSH. The prematurity and low birth weight were the influential factors on TSH level, which could indirectly increase the risk of HT permanence.