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https://www.readbyqxmd.com/read/28638430/treatment-of-esophageal-perforation-with-primary-closure-and-reinforcement-using-tachosil
#1
Abolghasem Daneshvar Kakhki, Seyed Reza Saghebi, Farahnaz Sadegh Bigee
Two patients with iatrogenic esophageal perforation following rigid esophagoscopy for foreign body removal were successfully treated with primary repair and reinforcement using a collagen patch coated with human fibrinogen and thrombin (TachoSil, Nycomed, Austria, Vienna). The clinical implication of this report is that TachoSil can be used to bolster the repair site of esophageal perforation.
2017: Tanaffos
https://www.readbyqxmd.com/read/28638429/adalimumab-responsive-refractory-sarcoidosis-following-multiple-eyebrow-tattoos-a-case-report
#2
Alireza Mirzaei, Mohamad Mehdi Joharimoghadam, Mozhdeh Zabihiyeganeh
Sarcoidosis is a granulomatous disease that can involve multiple organs including the lungs, eyes, nerves, and skin. Cosmetic tattooing can be a predisposing factor for sarcoidosis, and its incidence is likely to increase along with its popularity. A 47-year-old woman with symptoms of fever and polyarthritis along with erythema nodosum lesions on the legs, swollen eyebrows, and a history of multiple eyebrow tattooing was referred to our center. Since the signs and symptoms were positive for Löfgren's syndrome triad including erythema nodosum, bilateral hilar lymphadenopathy, and polyarthritis, a diagnosis of acute sarcoidosis was made, and treatment was started accordingly...
2017: Tanaffos
https://www.readbyqxmd.com/read/28638428/acute-respiratory-failure-as-the-first-manifestation-of-antisynthetase-syndrome
#3
Sonia Toujani, Amani Ben Mansour, Meriem Mjid, Abir Hedhli, Jouda Cherif, Yassine Ouahchy, Majed Beji
We report the case of a 40-year-old man with acute respiratory failure syndrome that later proved to be an initial manifestation of antisynthetase syndrome. The diagnosis of this rare combination of a connective tissue disease and an acute respiratory failure is difficult in a previously asymptomatic patient. Early diagnosis and immunosuppressive therapy started precociously prevented the disease progression and resulted in a good outcome.
2017: Tanaffos
https://www.readbyqxmd.com/read/28638427/colopharyngoplasty-in-patients-with-severe-pharyngoesophageal-corrosive-injury-a-complicated-but-worthwhile-procedure-to-restore-gi-tract-continuity-a-case-series
#4
Mahdi Zangi, Seyed Reza Saghebi, Ali Biharas Monfared, Seyedamirmohammad Lajevardi, Mohammad Behgam Shadmehr
BACKGROUND: Pharyngoesophageal strictures (PES) after corrosive injury impose a problematic condition for both physicians and patients in terms of their management and patients' quality of life. Colopharyngoplasty is a complex procedure, which is used to restore swallowing in these severely disabled patients. We describe our experience in treating nine patients with severe PES after corrosive injuries in a referral center. MATERIALS AND METHODS: A retrospective analysis of our database from 2009 to 2014 showed nine patients (seven men; age range: 18 to 47 years) with severe PES who underwent colopharyngoplasty ∼6 months (range: 4-10) after caustic material ingestion...
2017: Tanaffos
https://www.readbyqxmd.com/read/28638426/pulmonary-functions-and-health-related-quality-of-life-among-silica-exposed-workers
#5
Hamzeh Mohammadi, Somayeh Farhang Dehghan, Farideh Golbabaei, Saman Roshani, Reza Pakzad, Parvin Foroughi, Roohalah Hajizadeh
BACKGROUND: This study aimed to investigate the pulmonary functions of silica-exposed workers and their health-related quality of life in an insulator manufacturing industry. MATERIALS AND METHODS: In this cross-sectional study, participants selected from the manufacturing unit (n = 127) constituted the exposed group and those from the administrative department (n = 30) constituted the unexposed group. All subjects were evaluated using personal air sampling of crystalline silica, pulmonary function tests, and a quality of life questionnaire (36-item short form health survey [SF-36])...
2017: Tanaffos
https://www.readbyqxmd.com/read/28638425/the-effect-of-wood-aerosols-and-bioaerosols-on-the-respiratory-systems-of-wood-manufacturing-industry-workers-in-golestan-province
#6
Phateme Badirdast, Mansour Rezazadeh Azari, Soussan Salehpour, Ali Ghadjari, Soheila Khodakarim, Davod Panahi, Moslem Fadaei, Abolfazl Rahimi
BACKGROUND: Occupational exposure to dust leads to acute and chronic respiratory diseases, occupational asthma, and depressed lung function. In the light of a lack of comprehensive studies on the exposure of Iranian workers to wood dusts, the objective of this study was to monitor the occupational exposure to wood dust and bioaerosol, and their correlation with the lung function parameters in chipboard manufacturing industry workers. MATERIALS AND METHODS: A cross-sectional study was conducted on chipboard workers in Golestan Province; a total of 150 men (100 exposed cases and 50 controls) were assessed...
2017: Tanaffos
https://www.readbyqxmd.com/read/28638424/application-of-fuzzy-delphi-in-the-selection-of-copd-risk-factors-among-steel-industry-workers
#7
Rahmat Dapari, Halim Ismail, Rosnah Ismail, Noor Hassim Ismail
BACKGROUND: The Delphi method has been widely applied in many study areas to systematically gather experts' input on particular topic. Recently, it has become increasingly well known in health related research. This paper applied the Fuzzy Delphi method to enhance the validation of a questionnaire pertaining chronic obstructive pulmonary disease (COPD) risk factors among metal industry workers. MATERIALS AND METHODS: A detailed, predefined list of possible risk factors for COPD among metal industry workers was created through a comprehensive and exhaustive review of literature from 1995 to 2015...
2017: Tanaffos
https://www.readbyqxmd.com/read/28638423/relationship-between-plasma-levels-of-zinc-and-clinical-course-of-pneumonia
#8
Parviz Saleh, Alireza Sadeghpour, Mohammad Mirza-Aghazadeh-Attari, Mohammad Hatampour, Mohammad Naghavi-Behzad, Aidin Tabrizi
BACKGROUND: Pneumonia is a common disease and is more prevalent among children and the elderly. Zinc (Zn) is an essential substance for the human body and plays an important role in regulating the immune system. Studies have shown a possible relation between the Zn plasma levels and pneumonia. MATERIALS AND METHODS: In a cross-sectional study, 100 patients with pneumonia, who were referred to the Educational-Medical Centers of Tabriz University of Medical Sciences, were included in the study...
2017: Tanaffos
https://www.readbyqxmd.com/read/28638422/cognitive-impairment-among-patients-with-chronic-obstructive-pulmonary-disease-compared-to-normal-individuals
#9
Mitra Samareh Fekri, Seyed-Mehdi Hashemi-Bajgani, Ahmad Naghibzadeh-Tahami, Fateme Arabnejad
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is one of the most important causes of morbidity and mortality worldwide. The complications of COPD are numerous, and cognitive impairment is one of the most common complications that relates to mortality and morbidity directly. The present study was conducted with the aim of evaluating the prevalence of cognitive impairment in patients with COPD in comparison to normal individuals. MATERIALS AND METHODS: In this case-control study, 87 patients with COPD, whose diagnoses were confirmed by a pulmonologist based on the spirometry test findings, were included...
2017: Tanaffos
https://www.readbyqxmd.com/read/28638421/item-selection-and-content-validity-of-the-risk-factors-of-post-intubation-tracheal-stenosis-observation-questionnaire-for-icu-admitted-patients
#10
Roya Farzanegan, Behrooz Farzanegan, Maryam Alehashem, Mahdi Zangi, Sharareh R Niakan Kalhori, Kambiz Sheikhy, Habib Emami, Mohammad Behgam Shadmehr
BACKGROUND: Laryngotracheal stenosis as a late complication of prolonged endotracheal intubation is a life-threatening event. In order to determine the related risk factors for this complication, which may vary among different countries, designing a valid questionnaire is necessary. The aim of this study was to select the items and evaluate the face and content validities of a questionnaire developed for assessment of risk factors of post-intubation tracheal stenosis (PITS) in patients admitted in the intensive care unit...
2017: Tanaffos
https://www.readbyqxmd.com/read/28638420/treatment-delay-and-total-delay-among-pulmonary-tuberculosis-patients-in-the-north-of-iran-application-survival-data-analysis
#11
Jamshid Yazdani-Charati, Mohammad Sadegh Rezai, Afsane Fendereski, Soraya Mohammadi, Nadia Alipour
BACKGROUND: Tuberculosis (TB) remains the leading cause of death among infectious diseases worldwide. Identifying the factors associated with the treatment delay and total delay would be helpful in the prevention of tuberculosis and in reducing the burden on the health care system. The objective of this study was to assess the treatment delay and total delay in TB patients and investigate the factors causing these delays. MATERIALS AND METHODS: This was a longitudinal study conducted in 2009-2015...
2017: Tanaffos
https://www.readbyqxmd.com/read/28638419/diagnostic-yield-of-a-direct-quantitative-smear-of-lower-respiratory-tract-secretions-in-patients-with-suspected-pneumonia-compared-to-a-semi-quantitative-culture
#12
Shervin Shokouhi, Ilad Alavi Darazam, Maryam Sadeghi, Latif Gachkar, Samaneh Dolatshahi
BACKGROUND: Microorganism isolation from respiratory tract specimens is the standard of care in patients with suspected nosocomial and ventilator associated pneumonia. However, these methods are time-consuming and are influenced by several factors. A direct quantitative smear (DQS) with proper staining may be an easy, cost-effective, rapid method. We evaluated the diagnostic yield of direct smears compared to semi-quantitative culture methods. MATERIALS AND METHODS: Hospitalized, intubated patients with clinically suspected pneumonia and patients who underwent diagnostic bronchoscopic alveolar lavage (BAL) and trans-endotracheal aspiration (TEA) were enrolled in a prospective study...
2017: Tanaffos
https://www.readbyqxmd.com/read/28638418/the-expression-of-stat3-and-stat5a-genes-in-severe-refractory-asthma
#13
Kayvan Saeedfar, Mehrdad Behmanesh, Esmaeil Mortaz, Mohammad Reza Masjedi
BACKGROUND: Despite being a high burden disorder, the pathogenesis of severe refractory asthma (SRA) is poorly understood. There are some evidences for the involvement of members of the signal transducer and activator of transcription (STAT) family, including STAT3 and STAT5a. Our study aimed to evaluate the gene expression of STAT3 and STAT5a in asthma and SRA to establish if there is an association. MATERIALS AND METHODS: Using quantitative real-time polymerase chain reactions (qRT-PCR), the transcript levels of STAT3 and STAT5a were evaluated in peripheral blood mononuclear lymphocytes (PBML) isolated from 13 patients with SRA, 14 with mild asthma, and 30 healthy volunteers...
2017: Tanaffos
https://www.readbyqxmd.com/read/28469683/a-14-year-old-patient-with-chest-pain
#14
Maryam Hassanzad, Seyed Amir Mohajerani, Nima Hassanzad, Ali Akbar Velayati
No abstract text is available yet for this article.
2016: Tanaffos
https://www.readbyqxmd.com/read/28469682/foreign-body-stocked-between-vocal-cords
#15
Kamran Mottaghi, Farhad Safari, Masoud Nashibi
Foreign body (FB) aspiration is a rare event in adults and can mimic other pathologies such as refractory asthma. Most of the objects can be removed using a bronchoscope. Herein, we present a unique case of aspiration of a FB stocked between vocal cords for one week and the anesthetic considerations.
2016: Tanaffos
https://www.readbyqxmd.com/read/28469681/multiple-phantom-tumor-of-the-lung-a-complex-appearance-resolving-with-appropriate-intervention
#16
Haleh Mikaeili, Jafar Mehdizadeh Baghbani
The term phantom tumor may be used to describe a well-demarcated opacity resulted from pleural effusion. Phantom tumors are commonly associated with congestive heart failure causing transudative pleural effusion within pulmonary fissures. The figure may bring about inaccurate invasive diagnostic interventions. We report a heavy smoker patient with multiple phantom tumors in the right lung resolved with medical management. This case report provides records for a timely management of similar patients.
2016: Tanaffos
https://www.readbyqxmd.com/read/28469680/prevalence-and-geographic-distribution-pattern-of-asthma-in-tehran-by-ecrhs
#17
Hooman Sharifi, Mostafa Ghanei, Makan Sadr, Habib Emami, Atefeh Fakharian, Zahra Hessami, Mahshid Aryanpur, Hamidreza Jamaati, Mohammad Reza Masjedi
BACKGROUND: Asthma, involving 5-10% of global population, has a heterogeneous distribution in the community regardless of age and its prevalence and incidence tend to grow worldwide as reported by many recent epidemiologic surveys. MATERIALS AND METHODS: The present study aimed to survey the prevalence of asthma symptoms in Tehran as the first attempt in terms of situation analysis of the disease in the Iranian society by using relevant parts of the European Community Respiratory Health Survey (ECRHS) questionnaire...
2016: Tanaffos
https://www.readbyqxmd.com/read/28469679/effect-of-dietary-supplementation-on-body-composition-pulmonary-function-and-health-related-quality-of-life-in-patients-with-stable-copd
#18
Naushad Ahmad Khan, Naresh Kumar, Mradul K Daga
BACKGROUND: Malnutrition is very common in patients with chronic obstructive pulmonary disease (COPD). Nutritional supplementation improves the patient's nutritional status by increasing the energy intake and providing anti-inflammatory elements which can relieve the patient's symptoms and delay the disease progression. This study sought to determine if energy and protein supplementation improves physical function, pulmonary function and health-related quality of life (HRQL) in stable COPD patients...
2016: Tanaffos
https://www.readbyqxmd.com/read/28469678/association-of-homozygous-thrombophilia-polymorphisms-and-venous-thromboembolism-in-shahrekord-iran
#19
Hamid Rouhi-Broujeni, Batoul Pourgheysari, Ali-Mohammad Hasheminia
BACKGROUND: Venous thromboembolism (VTE) is a major cause of mortality. Factor V Leiden (FVL), methylenetetrahydrofolate reductase (MTHFR) C677T, and prothrombin (FII) G20210A polymorphisms are the main inherited risk factors for VTE. Since evidence is limited on homozygotes, the aim of this study was to investigate the association between homozygous variants of these polymorphisms and VTE in Shahrekord, southwest Iran. MATERIALS AND METHODS: In this case-control study, blood samples of 72 VTE patients admitted to Hajar Hospital, Shahrekord and 306 sex- and age-matched healthy volunteers as controls were taken in EDTA Vacutainers...
2016: Tanaffos
https://www.readbyqxmd.com/read/28469677/role-of-transcranial-doppler-sonography-in-diagnosis-of-brain-death-a-single-center-study
#20
Seyed Mohammadreza Hashemian, Hosein Delavarkasmaei, Katayoun Najafizadeh, Meysam Mojtabae, Seyed Hossein Ardehali, Mohammad Reza Kamranmanesh, Niloofar Basharzad, Fariba Ghorbani
BACKGROUND: Diagnosis of brain death relies on clinical and electroencephalographic (EEG) criteria. Waiting for 24 hours is mandatory to make definitive diagnosis of the condition in the Iranian protocol. Although it has been previously shown that oscillatory or spiked systolic or reversed diastolic flow patterns in transcranial Doppler sonography (TCD) are associated with faster brain death confirmation, it has not yet been approved in our protocol. Thus, the aim of this study was to assess the applicability of this method to our organ donation system...
2016: Tanaffos
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