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Mohsen Shafiepour, Arda Kiani, Kimia Taghavi, Sharareh Seifi, Mitra Sadat Rezaie, Seyed Mohammad Reza Hashemian, Atefeh Abedini
Basal cell carcinoma is a common non-melanotic skin cancer with a prevalence of 74.5%-82.6% in the Iranian population. BCC rarely metastasizes. However, metastasis can cause significant morbidity. The prevalence of metastatic basal cell carcinoma varies between 0.0028% and 0.55% of all cases. We describe a case of lung metastasis of basal cell carcinoma of the scalp.
January 2018: Tanaffos
Fatemeh Roodneshin, Mahtab Poor Zamany Nejat Kermany, Pooya Rostami, Hamed Tanghatari
Sturge-Weber syndrome (SWS) is a neurocutaneous disorder, characterized by leptomeningeal angiomas involving the oral cavity, trachea, larynx, and face. Herein, we present a case of vitrectomy in a seven-year-old boy with SWS. The patient showed hemangioma on the left side of his face, as well as mental retardation and epilepsy. Preoperative examination revealed no apparent hemangioma in the oral cavity, pharynx, larynx, or trachea. However, he was predicted to have difficult airway intubation, as the oral cavity was smaller than the normal size...
January 2018: Tanaffos
Hassan Ghobadi, Zahra Amirajam, Afshin Habibzadeh
Massive pulmonary thromboembolism (PTE) has an increased risk of mortality. Thrombolytic therapy is the accepted treatment. Reteplase, a variant of tissue plasminogen activator, has been used in acute myocardial infarction with acceptable safety and efficacy, but studies in massive PTE are rare. In this study we report five cases of successful treatment of massive PTE with reteplase.
January 2018: Tanaffos
Zahra Kashaninia, Zahra Payrovee, Reza Soltani, Seyed Alireza Mahdaviani
Background: Recent surveys have showed that asthma control still remains suboptimal. Family members have an extensive impact on the level of asthma control in school-age children. Family empowerment has a positive impact on the quality of life of school-age children with asthma. This study aimed to determine the efficacy of family empowerment on asthma control in school-age children. Materials and Methods: Forty-five children with asthma (6-12 years) and their parents were enrolled in a pediatric asthma clinic during their follow-up visits...
January 2018: Tanaffos
Mohammad Hassan Nassiri-Kashani, Mashallah Aghilinejad, Amir Bahrami-Ahmadi, Omid Moslemi, Elahe Kabir-Mokamelkhah
Background: Workers in dairy products companies are exposed to different respiratory hazards. The current study aimed at investigating and comparing the prevalence of pulmonary function parameters, signs, and symptoms in the exposed workers and office staff. Materials and Methods: The current cross sectional study was conducted in 2015 on 864 employees working in a dairy products company in Tehran, Iran. The subjects included 646 employees exposed to respiratory hazards at the production line and the other group consisted of 218 staff not exposed to respiratory hazards in the production line as the unexposed group...
January 2018: Tanaffos
Maryam Hassanzad, Shabnam Eslampanah, Mohammadreza Modaresi, Sabereh Tashayoie-Nejad, Ali Akbar Velayati
Background: Smoking is a known predisposing factor to exacerbations in CF patients. But the effects of second-hand tobacco smoking are not yet clear. Hence, this study determined the clinical and spirometric presentations and urinary cotinine levels among cystic fibrosis patients over seven years of age in relation to their parent's smoking history. Materials and Methods: In this cross-sectional comparative study, 58 consecutive cystic fibrosis patients older than seven years of age were enrolled...
January 2018: Tanaffos
Nooredin Mohammadi, Ali Pooria, Sajad Yarahmadi, Mohammad Javad Tarrahi, Hassan Najafizadeh, Payam Abbasi, Behzad Moradi
Background: Chest tube removal is considered a painful technique, which may not respond well to palliative therapies. There are no standard procedures or guidelines to manage the pain associated with chest tube removal. This study aimed to examine the effects of cold application on pain reduction during and after chest tube removal. Materials and Methods: This randomized controlled trial was conducted on 90 hospitalized patients, undergoing heart bypass surgery at the intensive care units where at least a pleural chest tube was inserted...
January 2018: Tanaffos
Hooshang Akbari, Ebrahim Nasiri, Attieh Nikkhah, Seyed Hossein Ardehali
Background: Propofol is one of the most frequently used medications for inducing and maintaining anesthesia. However, propofol injection causes pain and discomfort in more than 70% of patients. This study was performed to determine the comparative effects of ketamine, sodium-thiopental, and magnesium sulfate on reducing pain at the onset of anesthesia induced by propofol injection. Materials and Methods: This single-blind randomized clinical trial was conducted on a population of patients, requiring nonemergency surgeries...
January 2018: Tanaffos
Jingxi Zhang, Chong Bai
Backgrounds: Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is closely related to disease mortality. Systemic inflammation is considered to be involved in the pathogenesis of AECOPD. The current study aimed to investigate the clinical significance of the classic chemokine interleukin (IL)-8 in serum during AECOPD. Materials and Methods: In this current cross sectional, observational study, 50 patients with AECOPD, 25 patients with stable COPD and 25 healthy nonsmokers as the control group were selected...
January 2018: Tanaffos
Samane Hoseini-Shahrestanak, Nasrin Bazargan, Leila Rahimian, Maryam Nemati, Saeed Solaymani, Abdollah Jafarzadeh
Background: The imbalance between Th2 and Treg cells plays fundamental role in the pathogenesis of allergic asthma. The current study aimed at assessing the expression of some Th2 and Treg cell-related parameters in patients with allergic asthma. Material and Methods: The serum and peripheral blood mononuclear cell (PBMC) samples were collected from 30 patients with asthma and 36 healthy subjects. The serum levels of transforming growth factor (TGF)-β, interleukin (IL)-4, as well as the expression levels of GATA3 and FOXP3 genes in PBMCs were determined by the enzyme-linked immunosorbent assay (ELISA) and real-time polymerase chain reaction (PCR), respectively...
January 2018: Tanaffos
Ramin Sami, Sara Aeini, Raheleh Sadegh
Herpetic pneumonia in immune deficient patients could be fatal if not treated. Considering the low prevalence of this disease, computed tomography (CT) scan findings of this condition are not well elucidated. This report describes the CT scan findings of a patient with immune system deficiency due to mycosis fungoides, and pneumonia caused by herpes simplex virus 1 (HSV-1). Bilateral alveolar infiltration with crazy-paving pattern was observed on CT scan of the lungs. The scattered crazy-paving pattern noted in the CT scan of the lungs could be suggestive of herpetic pneumonia in immunocompromised patients presenting with lung infections...
June 2017: Tanaffos
Arda Kiani, Kimia Taghavi, Hadi Rokni-Yazdi, Atefeh Abedini
Pulmonary metastases occasionally do not respond to chemotherapy and surgery. Moreover, some early stage cancer patients, who are candidates for surgery, are unable to tolerate surgery. In such cases, microwave ablation is a convenient alternative for tumor eradication. Microwave ablation has low morbidity and mortality rates compared to traditional cancer treatments. Moreover, the lower procedural cost, potential to perform treatment in an outpatient setting, and repeatability are beneficial aspects of this technique...
June 2017: Tanaffos
Elahe Tavakol, Mansour Azari, Rezvan Zendehdel, Sousan Salehpour, Soheila Khodakrim, Saeed Nikoo, Behzad Saranjam
Background: Aerosols generated during construction activities are an integral part of building operations. Considering the nature of materials used in construction activities, respirable dust contains crystalline silica and particulates not otherwise specified (PNOS). Due to lack of data regarding the occupational health status of Iranian construction workers, the objective of this study was to evaluate occupational exposure to silica and to examine their respiratory health status. Materials and Methods: In this cross sectional study, 85 construction workers and 40 controls (without active exposure to construction dust) were studied...
June 2017: Tanaffos
Alireza Mahdavi, Seyed Sajad Razavi, Bita Malekianzadeh, Afsaneh Sadeghi
Background: The present study was performed with the aim of comparing the peak inspiratory pressure and lung dynamic compliance between a classic laryngeal mask airway (LMA) and an endotracheal tube in children under mechanical ventilation. Materials and Methods: In this study, 30 children aged 1 to 7 years with a physical condition of ASA I-II who were admitted for operations to repair inguinal hernias, hydroceles, or hypospadias were randomly enrolled. After induction of anesthesia, the appropriate laryngeal mask was used for each patient and they were placed under pressure-controlled mechanical ventilation...
June 2017: Tanaffos
Seyyed Reza Seyyedi, Majid Malekmohammad, Mandana Chitsazan, Neda Behzadnia, Makan Sadr, Seyed Mohammadreza Hashemian, Babak Sharif-Kashani
Background: Right heart catheterization is the gold standard test for diagnosis and clinical assessment of the patients with pulmonary hypertension (PH). In recent years, the usefulness of cheaper and non-invasive tests in the follow-up of PH patients is being studied. The aim of the present study was to evaluate the relationship between serum uric acid level and severity of pulmonary hypertension in PH patients. Materials and Methods: In a cross-sectional study, serum uric acid was measured in 110 patients with PH (63 women; mean age [±SD] was 52...
June 2017: Tanaffos
Bita Najafian, Mohammad Torkaman, Ehsan Shahverdi, Reza Noroozian
Background: Ventilator-associated pneumonia (VAP) is the second most common nosocomial infection in neonates, admitted to neonatal intensive care units (NICUs). The aim of this study was to identify the main causes of bacterial colonization in endotracheal tubes and tracheal secretions of neonates hospitalized in the NICUs of our university hospitals. Materials and Methods: This cross sectional study was conducted during 2015-2016. Thirty-nine neonates, who were under mechanical ventilation in the NICUs of Baqiyatallah and Najmiyeh hospitals of Tehran, Iran, were assessed...
June 2017: Tanaffos
Jamshid Yazdani-Charati, Behzad Mahaki, Elham Ahmadi-Basiri
Background: Nowadays, tuberculosis (TB)-an infectious disease caused by Mycobacterium tuberculosis-presents with different location patterns. Spatial analysis is one of the most important tools to detect and monitor public health disease patterns. This study aimed to identify the low and high-risk areas in Lorestan Province (west of Iran) to help the health programmer for the best intervention. Materials and Methods: Lorestan has 9 counties, 22 cities, 25 zones, 81 villages, and 2842 residential villages...
June 2017: Tanaffos
Jingxi Zhang, Chong Bai
Background: To explore the clinical significance of serum interleukin-8 (IL-8) level as a biomarker for uncontrolled asthma in order to improve our understanding of asthma phenotypes and facilitate the development of new therapeutic agents in the future. Materials and Methods: A total of 246 uncontrolled asthma patients and 50 healthy controls were selected from an outpatient clinic during October 2015 and April 2016. The clinical data were collected, and the levels of IL-8, IL-6, tumor necrosis factor-α (TNF-α), and immunoglobulin (IgE) were measured in peripheral blood via ELISA assay...
June 2017: Tanaffos
Kamran Bagheri Lankarani, Behnam Honarvar, Seyyed Shamsadin Athari
Helicobacter pylori , a gram negative pathogen, infects the stomach and gastrointestinal tract and causes pathological damage to these organs. H. pylori infection is more prevalent among people living in developing countries. Allergic asthma is a chronic inflammatory disease of the airways. Hyperinflation, hyperresponsiveness, and abnormal immunological and inflammatory processes in respiratory airways typically occur during an asthma attack. The results of recent studies have suggested an association between H...
June 2017: Tanaffos
Alireza Khosravi, Elham Andalib, Arsalan Khaledifar, Majid Hajizadeh, Majid Nejati, Mohaddeseh Behjati
Recurrent short episodes of bradycardia and hypotension are rarely reported as clinical manifestations of pulmonary thromboembolism (PTE). We report a case of acute massive PTE presenting with dyspnea, burning chest pain with physical activity, and recurrent transient bradycardia and hypotension at rest. Echocardiography showed a left ventricular ejection fraction of 45% with global hypokinesia. Computed tomography angiography showed a large pulmonary thromboembolism. Lytic therapy improved the right ventricular function, and the pulmonary artery pressure decreased to 38 mmHg...
2017: Tanaffos
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