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Samira Aouadi, Asma Sebai, Houda Gharsalli, Hazem Zribi, Henda Neji, Sonia MaĆ¢lej, Leila Douik El Gharbi
Rupture of thoracic aortic aneurysm is a life threatening condition. Rupture in the right pleural cavity is extremely rare. We report the case of an 80-year-old man with a spontaneous right hemothorax. Diagnosis was made by computed tomography (CT) scan. He was managed with chest tube and stabilization. The patient died before any surgical intervention. We report this case to emphasize that rupture of aortic aneurysm should be considered in the evaluation of spontaneous hemothorax even if it is right-sided particularly in the elderly...
2016: Tanaffos
Shervin Shokouhi, Shabnam Tehrani, Marjan Hemmatian
UNLABELLED: Penicillium notatum is a fungus that widely exists in the environment and is often non-pathogenic to humans. However, in immunocompromised hosts it may be recognized as a cause of systemic mycosis. A 44-year-old man with acute myeloid leukemia (AML) was admitted to our hospital with fever and neutropenia. Due to no improvement after initial treatment, he underwent bronchoscopy. The patient was found to have P. notatum and Pneumocystis jiroveci infection, and therefore was given voriconazole, primaquine and clindamycin...
2016: Tanaffos
Shadi Baniasadi, Shokoufeh Baradaran Shokouhi, Payam Tabarsi, Maryam Alehashem, Hossein Khalili, Fanak Fahimi, Seyed Alireza Nadji
BACKGROUND: Hypersensitivity reaction (HSR) is a major adverse effect of abacavir (ABC), which occurs in 5-8% of Caucasians. The relationship between Human Leukocyte Antigen (HLA) and ABC HSR has been reported in various populations. It has been proposed to administer ABC only to HLA-B*5701 negative patients to avoid this reaction. The purpose of this study was to assess the prevalence of HLA-B*5701 in Iranian HIV positive patients. We also sought to find the relationship between this allele with ABC HSR in patients who received the medication...
2016: Tanaffos
Mehdi Mirsaeidi, Esmaeil Mortaz, Hesham R Omar, Enrico M Camporesi, Nadera Sweiss
BACKGROUND: The neutrophil-to-lymphocyte ratio (NLR) has emerged as a new marker of inflammation associated with the severity of several respiratory and cardiac diseases. MATERIALS AND METHODS: We investigated whether the degree of systemic inflammation in sarcoidosis patients as measured by the NLR is associated with pulmonary hypertension (PH). RESULTS: A NLR > 3.5 occurred with a significantly higher frequency in sarcoidosis patients with PH (50% vs...
2016: Tanaffos
Mehdi Kazempour-Dizaji, Anoshirvan Kazemnejad, Payam Tabarsi, Farid Zayeri
BACKGROUND: Tuberculosis (TB) is a chronic bacterial disease, which despite the presence of effective drug strategies, still remains a serious health problem worldwide. Estimation of survival rate is an appropriate indicator for prognosis in patients with pulmonary TB. Therefore, this research was designed with the aim of accurate estimation of the survival of patients by taking both the death event and relapse into consideration. MATERIALS AND METHODS: Based on a retrospective cohort study, information of 2,299 patients with pulmonary TB that had been referred to and treated in Masih Daneshvari Hospital from 2005 to 2015 was reviewed...
2016: Tanaffos
Rojan Radpay, Mahtab Poor Zamany Nejat Kermany, Badiozaman Radpay
BACKGROUND: Malnutrition is very common among chronically hospitalized patients, especially those in the intensive care unit (ICU). Identifying the patients at risk and providing suitable nutritional support can prevent and/or overcome malnutrition in them. Total parenteral nutrition (TPN) and partial parenteral nutrition (PPN) are two common routes to deliver nutrition to hospitalized patients. We conducted a multicenter, prospective double blind randomized controlled trial to evaluate the benefits and compare their adverse effects of each method...
2016: Tanaffos
Shahla Afsharpaiman, Ehsan Shahverdi, Encieh Vahedi, Hossein Aqaee
BACKGROUND: Obstructive sleep apnea (OSA) is a common condition in adults. In most cases, first-line therapy includes treatment with positive airway pressure devices. However, because of discomfort, continuous positive airway pressure (CPAP) compliance is often poor. To determine the willingness of patients to use CPAP device, the relationship of demographic and polysomnographic variables with tolerance and the willingness to use CPAP, was evaluated. MATERIALS AND METHODS: In this cross-sectional study, 120 OSA patients who were treated with CPAP in Baqiyatallah Hospital, Tehran, Iran, were selected by convenience sampling...
2016: Tanaffos
Mahshid Aryanpur, Mohammad Reza Masjedi, Esmaeil Mortaz, Mostafa Hosseini, Hmidreza Jamaati, Payam Tabarsi, Hamid Soori, Gholam Reza Heydari, Mehdi Kazempour-Dizaji, Habib Emami, Alireza Mozafarian
BACKGROUND: Several studies have shown that smoking, as a modifiable risk factor, can affect tuberculosis (TB) in different aspects such as enhancing development of TB infection, activation of latent TB and its related mortality. Since willingness to quit smoking is a critical stage, which may lead to quit attempts, being aware of smokers' intention to quit and the related predictors can provide considerable advantages. MATERIALS AND METHODS: In this cross-sectional study, subjects were recruited via a multi-stage cluster sampling method...
2016: Tanaffos
Mohammad Esmayil Hejazi, Afsaneh Shafiifar, Siminozar Mashayekhi, Mohammadreza Sattari
BACKGROUND: The frequent use of corticosteroid inhalers (CSIs), especially at higher doses, has been accompanied by concern about both systemic and local adverse reactions. The local adverse reactions of inhaled corticosteroids (ICSs) are considered to constitute infrequent and minor problems. However, while not usually serious, these local adverse reactions are of clinical importance. This study assessed the prevalence of local adverse reactions, their clinical features, role of inhaler devices and current measures that have been suggested to prevent the problem...
2016: Tanaffos
Moslem Mohammadi, Behzad Parsi, Naghi Shahabi Majd
BACKGROUND: Despite widely available data about childhood asthma, there are limited data about the prevalence of asthma among young adults in Iran. The aim of this study was to determine the prevalence of asthma and respiratory symptoms among medical students in the city of Sari in Northern Iran. MATERIALS AND METHODS: The prevalence of asthma and respiratory symptoms was studied using a standard questionnaire. Based on the information obtained from the questionnaires, the study participants were divided into two groups of asthmatics and non-asthmatics...
2016: Tanaffos
Sara Abolghasemi, Payam Tabarsi, Parvaneh Adimi, Arda Kiani, Samaneh Dolatshahi, Davood Mansouri
Paecilomyces species are among the most frequent saprophytes. Two species namely Paecilomyces lilacinus and Paecilomyces variotii are the most frequently isolated species from humans. Fungemia, endocarditis peritonitis, osteomyelitis and rarely pneumonia have been reported. We report a 74-year old diabetic woman with Paecilomyces variotii pneumonia. Paecilomyces variotii is a rare cause of pneumonia and in our knowledge, our case is the first case of pleural effusion due to this fungus.
2015: Tanaffos
Afshin Moniri, Majid Marjani, Payam Tabarsi, Davood Yadegarynia, Seyed Alireza Nadji
Middle East respiratory syndrome coronavirus (MERS-CoV) Infection, has caused recurrent outbreaks worldwide. It is associated with severe morbidity and mortality, and is not treatable with the currently available antiviral therapies. We present a case of a 43 year-old male healthcare provider, who admitted with productive cough, dyspnea, myalgia, pleuritic chest pain and fever. Computed tomography (CT) showed bilateral ground glass opacities and consolidation. Sputum polymerase chain reaction (PCR) for MERS-coronavirus was positive...
2015: Tanaffos
Ali Ghajari, Ensieh Lotfali, Mansour Azari, Roohollah Fateh, Saba Kalantary
BACKGROUND: Fungi existing in hospital departments may grow and produce micro-colonies. The spores arising from these micro-colonies circulate easily and could be inhaled by patients and cause infections in immune-compromised subjects. Due to the lack of an acceptable method of sampling and evaluation of microbiological quality of air in the isolation units, the purpose of this study was to determine the concentrations of airborne fungi through active and passive sampling and also identify fungi genera in the air of the isolation unit...
2015: Tanaffos
Ziae Totonchi, Fatemeh Jalili, Seyed Mohammadreza Hashemian, Hamid Reza Jabardarjani
BACKGROUND: Tracheal stenosis, which has received more emphasis recently, is a common post intubation complication and may develop due to different reasons. One important reason is the endotracheal tube cuff pressure. Therefore, this study sought to examine the accuracy of diagnostic test for palpation and minimal occlusive volume techniques to measure the endotracheal tube cuff pressure. MATERIALS AND METHODS: In this cross sectional study, the accuracy of diagnostic tests for palpation and minimal occlusive volume techniques to measure the endotracheal tube cuff pressure was assessed in 101 patients aged over 18 years who had undergone open heart surgery and post-surgical mechanical ventilation in the ICU...
2015: Tanaffos
Lida Fadaizadeh, Mahsa Sadat Hoseyni, Elham Shajareh, Gholamreza Heydari, Seyed Hossein Ardehali
BACKGROUND: Interventional bronchoscopic procedures are novel diagnostic and therapeutic methods in pulmonology, which may be unpleasant and dangerous to the patients; therefore, sedation and in some cases general anaesthesia are recommended. But adjusting the level of sedation is a challenge. In this study we intended to define a range of bispectral index (BIS) score suitable for these procedures. MATERIALS AND METHODS: All patients referred to our interventional bronchoscopy unit were enrolled in the study...
2015: Tanaffos
Gholamreza Heydari, Mostafa Hosseini, Mahmoud Yousefifard, Hadi Asady, Masoud Baikpour, Atena Barat
BACKGROUND: Smoking and physical inactivity are two major risk factors for non-communicable diseases (NCDs). Not only these factors have a causal effect on NCDs, but they can also affect each other. This study aimed to assess the relationship between these factors as well as their effect on NCDs. MATERIALS AND METHODS: A total of 2,602 healthy adults aged 30-60 years participated in this survey in 2010. Data on demographic characteristics, medical history, smoking status, physical activity and anthropometric measures including weight and height were collected and analyzed...
2015: Tanaffos
Zeinab Hemati, Fatemeh Sadat Mosaviasl, Samira Abasi, Zohre Ghazavi, Davood Kiani
INTRODUCTION: Acquisition of chronic diseases such as asthma leads to psychological, mental and physical complications in adolescents, and hence their self-esteem may be compromised. Therefore, the present study was conducted to assess the effect of Orem's self-care model on self-esteem of adolescents with asthma. MATERIALS AND METHODS: This semi-experimental study enrolled 64 asthmatic adolescents referred to Shariati Hospital, Isfahan. Subjects were assigned to two groups of control and intervention consecutively...
2015: Tanaffos
Arda Kiani, Atefeh Abedini, Mahmoud Karimi, Katayoun Samadi, Kambiz Sheikhy, Behrooz Farzanegan, Mihan Pour Abdollah, Hamidreza Jamaati, Hamid Reza Jabardarjani, Mohammad Reza Masjedi
BACKGROUND: One of the most common indications for pleuroscopy is undiagnosed pleural effusion, which comprises about 25% of all cases of pleural effusions, which remain undiagnosed despite primary tests. Pleuroscopy was performed for the first time in Iran in Masih Daneshvari hospital located in Tehran. The aim of this study was to assess the diagnostic yield of pleuroscopy performed in this center in Iran. MATERIALS AND METHODS: Three-hundred patients with undiagnosed pleural effusions were enrolled in this study...
2015: Tanaffos
Ali Alavi Foumani, Azin Amin, Azita Tangestani Nejad, Ehsan Kazemnejad, Fatemeh Salamat, Sara Massahnia, Amir Hassankhani, Lida Khoshgozaran, Akram Mirfallah Nasiri, Mahsa Mohammadi
BACKGROUND: Obstructive Lung Diseases (OLDs), could lead to progressive hyperinflation of the lungs that cause increased work of breathing, impaired gas exchanges and functional limitations in patients. In this study, thoracic circumference of patients in upper and lower third were measured directly and the association of the upper to lower third width of chest with spirometric parameters was evaluated. MATERIALS AND METHODS: In this cross-sectional study, five hundred twenty nine consecutive patients, with obstructive pattern in spirometry (FEV1/FEVC<70% and FEV1<80%), and 143 controls with normal spirometry were entered...
2015: Tanaffos
Kambiz Sheikhy, Mehregan Abbasidezfouli, Abolghasem Daneshvar Kakhaki, Seyed Reza Saghebi, Alireza Malekzadegan
Most authors believe that the best treatment for pulmonary hydatid disease is surgical evacuation. Although albendazole has been used prophylactically before surgery, there are many reports about increased incidence of the rupture of cyst after albendazole therapy, which can cause some complications. In this case report we present a patient with bilateral pulmonary hydatid cyst that was ruptured after using albendazole and different strategies were used for management of each cyst.
2015: Tanaffos
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