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Robati R.M.,Shahid Beheshti University of Medical Sciences | Abdollahimajd F.,Shahid Beheshti University of Medical Sciences | Robati A.M.,Bam University of Medical science
Dermatology Research and Practice | Year: 2015

Background. A prominent nasolabial fold (NLF) is a cosmetic problem. Currently, numerous therapeutic modalities are available for pronounced NLFs with variable efficacy. Objective. To determine the efficacy and safety of subcision using a hypodermic needle for the correction of the prominent NLFs and its effect on skin elasticity. Methods. Sixteen patients with prominent NLFs underwent subcision. The investigators' assessment of improvement and the patients' satisfaction were both recorded 1 and 6 months after the procedure. Also, we evaluate the skin elasticity of NLFs before and after the treatment using a sensitive biometrologic device with the measurement of cutaneous resonance running time (CRRT). Results. Thirteen (81.25%) patients showed a moderate improvement at 1st month and 13 (81.25%) patients had at least a mild improvement at 6th month. There was no persistent side effect lasting more than a few days. Mean CRRT at 1 and 6 months after the treatment was significantly higher compared to the baseline. Conclusion. Subcision may be considered effective for the correction of pronounced NLFs. However, further controlled studies with larger sample size are necessary to assess the efficacy of this technique in particular with use of more objective assessment of skin biometric characteristics. This trial is registered with IRCT201108097270N1 (registered on January 27, 2012). © 2015 R. M. Robati et al.

Khajehpour M.,Bam University of Medical science | Simbar M.,Shahid Beheshti University of Medical Sciences | Jannesari S.,Shahid Beheshti University of Medical Sciences | Ramezani-Tehrani F.,Shahid Beheshti University of Medical Sciences | Majd H.A.,Shahid Beheshti University of Medical Sciences
Public Health | Year: 2013

Objectives: Unintended pregnancy may have negative impacts on maternal health. However, no comprehensive studies have been undertaken on the health of women with intended and unintended pregnancies. This study aimed to compare the health status of women with intended and unintended pregnancies in Iran. Study design: Comparative study. Methods: Two hundred women were included in this study: of these, 100 had intended pregnancies and 100 had unintended pregnancies. The participants were recruited using a multi-stage sampling method from the health centres of Kerman, Iran in 2010. The tools for data collection included: a questionnaire to assess demographic characteristics and fertility history; the Short Form-36 (SF-36) questionnaire to assess general physical and mental health status; and a questionnaire to assess pregnancy-related health status. Validity and reliability of the questionnaires were assessed before use. Results: In comparison with women with intended pregnancies, women with unintended pregnancies had lower scores for physical and mental health status; less prenatal care; lower scores for self-care behaviours such as use of supplements, vaccination and nutrition; lower scores for personal health; and higher rates of risky behaviours such as smoking, drinking alcohol and drug abuse during pregnancy (P < 0.05). Conclusion: Unintended pregnancy is a threat to the physical and mental health of women. As unintended pregnancy is associated with lower self-care behaviours and higher rates of risky behaviours during pregnancy, special care and counselling are recommended. © 2012 The Royal Society for Public Health.

Baniasadi N.,Bam University of Medical science | Moghtader E.,Kerman Medical University | Khajehkazemi R.,Kerman Medical University | Mohebbi E.,Kerman Medical University
Asian Pacific Journal of Cancer Prevention | Year: 2015

Rates based on age-adjusted incidence of colorectal cancers over a 10-year period in Kerman, the biggest province of Iran, were estimated from 2003 to 2013. Data were obtained from the population-based cancer registry unit of Kerman University of Medical Sciences (CR-KMU). Information included age, sex, city, ICD-O and year of registry. Our trend analyses cover 3.91% of the Iranian population. The data set comprised cases diagnosed from 2003 to 2013.The population of over 20 years was interpolated using 2003 and 2010 censuses. Then, truncated age-adjusted incidence rates were calculated. Increase was noted from 2003-2009 to 2010-2013 for 731 cancer cases considered in the analysis. The increases was most prominent in 2009. Totally, the frequency of the cancer was greater in males. Moreover, calculating truncated age-adjusted incidence rate indicated that the most prevalent age of colorectal incidence was in the 50-59 year age group except in 2007-2008 and 2012- 2013, when greatest incidences occurred in people aged 60-69 years. Our data revealed that the incidence rates of colorectal cancer have increased over the past decade in our region of Iran.

Sadeghian H.,Harvard University | Motiei-Langroudi R.,Bam University of Medical science
Emergency Radiology | Year: 2016

Traumatic brain injury (TBI) is a significant health concern classified as mild, moderate, and severe. Although the indications to perform brain computed tomography (CT) are clear in moderate and severe cases, there still exists controversy in mild TBI (mTBI). We designed the study to evaluate the significance of distracting pain in patients with mTBI. The study population included patients with mild traumatic brain injury (GCS ≥13). Moderate and high risk factors including age <18 months or ≥60 years, moderate to severe or progressive headache, ≥2 episodes of vomiting, loss of consciousness (LOC), post-traumatic amnesia, seizure or prior antiepileptic use, alcohol intoxication, previous neurosurgical procedures, uncontrolled hypertension, anticoagulant use, presence of focal neurologic deficits, deformities in craniofacial region, and penetrating injuries were excluded. The patients were then grouped based on presence (DP+) or absence (DP−) of another organ fracture with severe pain (based on VAS). The primary outcome was any abnormal findings on brain CT scans; 330 patients were enrolled (184 DP+ and 146 DP−). Overall, two DP+ and one DP− patients had mild cerebral edema in brain CT (p > 0.99). No patients had any neurologic symptoms or signs in follow-up. Our results show that in the absence of any other risk factors, distracting pain from other organs (limbs, pelvis, and non-cervical spine) cannot be regarded as a brain CT indication in patients with mild TBI, as it is never associated with significant intracranial lesions. © 2016, American Society of Emergency Radiology.

Ahmadi B.,Kerman Medical University | Zaherara M.,Bam University of Medical science
Journal of Kerman University of Medical Sciences | Year: 2015

Background & Aims: Celiac disease or gluten-sensitive enteropathy is a relatively uncommon digestive disease. Moreover, irritable bowel syndrome (IBS) is a common functional bowel disorder. Some IBS patients have celiac disease, with similar IBS symptoms in addition to some serious complications. The only possible treatment for this condition is changing the patients diet (gluten free diet). Given the importance of celiac disease and the similarity of its symptoms with IBS, this study aimed to determine the prevalence of celiac disease in patients with irritable bowel syndrome in Kerman, Iran. Methods: This was a cross-sectional study performed during 8 months on patients of 15-84 years of age diagnosed with IBS in Kerman in 2013. Serological test of immunoglobulin A anti-tissue transglutaminase (IgA anti tTG) was request in all IBS patients for the diagnosis of celiac disease and bulb and duodenal (second part) biopsy and pathologic findings were used for definite diagnosis in seropositive patients. Results: The study included 143 patients with irritable bowel syndrome [57 males (39.86%) and 86 females (60.14%)] with a mean age of 34.57 ± 1.24. Serological tests showed that 8 (5.59%) patients were seropositive for celiac disease and duodenal biopsy showed 4 (2.79%) patients were seropositive and (2 males (Marsh2) and 2 females (Marsh1)) were positive for serologic and pathologic celiac disease. Among these patients, 1 patient (male) had constipation–predominant IBS, and 3 patients (1 male and 2 females) had diarrhea-predominant IBS. Conclusion: This study indicated a 5.59% prevalence of positive serologic and 2.79% prevalence of positive serologic-pathologic celiac disease in patients with IBS in Kerman. This was lower in comparison with similar studies in other regions of the country. This difference may be due to the effects of demographic, genetic, and environmental factors of each region. © 2015, Kerman University of Medical Sciences. All rights reserved.

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