فهرست مطالب mostafa allami

Craniosynostosis is a congenital deformity of the skull that occurs at birth. This study aimed to investigate the frequency of different types of craniosynostosis in Isfahan, Iran. In this retrospective study, the records of all patients referred to the pediatric neurosurgery clinic of Imam Hossein children’s hospital in Isfahan, Iran from 2013 to 2018 were diagnosed with craniosynostosis. Incomplete files were excluded. Demographic information of patients and type of delivery, underlying diseases of their parents, diseases of maternal pregnancy, type of craniosynostosis, syndromic or non-syndromic craniosynostosis were collected. Data were analyzed using SPSS software version 22. The diagnosis of craniosynostosis in 63% of cases (n=121) was a single suture and in 37% of cases (n=72) was a complex suture. There was no significant difference in the frequency distribution of craniosynostosis in males and females (P>0.05). Due to the prevalence of 16 cases per 100,000, we can reduce the complications of this disease by educating doctors and parents.

Craniosynostosis mostly occurs as a single abnormality; however, it may rarely occur concomitantly with other congenital abnormalities known as syndromic craniosynostosis. Cardiac anomalies are among the most common ones occurring coincidentally with craniosynostosis. Nevertheless, the information about the exact prevalence of cardiac anomalies in craniosynostosis has not been well-understood yet. We aimed to assess the prevalence of different cardiac anomalies that coincidence with craniosynostosis.

This cross-sectional study was done on 145 patients with craniosynostosis from January 2015 to December 2019. 103 patients with a single-suture involvement were placed in the non-syndromic group, and the remaining 42 with pansynostosis or the clinical manifestations of Apert, Pfeiffer, Crouzon, and Carpenter syndromes in the syndromic group. The prevalence of cardiac anomalies was evaluated and compared between the groups.

The prevalence of congenital cardiac anomalies was 22.3% and 50% in non-syndromic and syndromic cases, respectively (P = 0.001). Syndromic boys predominantly presented cardiac anomalies (P = 0.85), whereas non-syndromic girls were mostly affected by cardiac anomalies (P = 0.75). Age was not associated with congenital cardiac anomalies, neither in non-syndromic (P = 0.31) nor in syndromic (P = 0.26) patients. The number of affected sutures was not associated with cardiac anomalies (P > 0.05). Tricuspid regurgitation (TR) (16.7%), patent ductus arteriosus (PDA) (14.3%), and ventricular septal defect (VSD) (11.9%) were the most prominent anomalies found among the syndromic patients, while TR (8.7%), atrial septal defect (ASD) (3.9%), and PDA (3.9%) were common among the non-syndromic ones.

Congenital heart disease is a prevalent abnormality among children with craniosynostosis. Therefore, cardiac assessment in craniosynostosis is strongly recommended.

The aim of present study was to evaluate psychometric properties of the Amputee the Body Image Scale (ABIS)

A sample of 200 amputee patients were selected from amputee veteran and amputee people under the protection of Red Cerscent by using convenience sampling and asked to respond to the Persian version of The Amputee Body Image Scale (ABIS), Bell Adjustment Inventory (BAI) and Body Areas Satisfaction Scale (BASS). The reliability of the inventory was assessed by internal consistency and item-rest correlations. Also; in order to investigate the validity of the inventory, confirmatory factor analysis, criterion validity and convergent validity were used

The Cronbach’s alpha (0.89) and item-rest correlations indicated satisfactory reliability of the inventory. The results of confirmatory factor analysis confirmed one factor structure for scale. Also, criterion validity of the scale with the Bell Adjustment Inventory (BAI) and convergent validity of the scale with the Body Areas Satisfaction Scale (BASS) was satisfactory

The findings showed that the Persian version of the Amputee Body Image Scale is a suitable tool in assessing of body image in amputee patients and can be used in research and intervention fields in Iranian patients.

The long term presence of various ankle-foot injuries reduces the individuals’ ability to perform daily activities, increases the dependence on others and will eventually lead to a reduction of life satisfaction. This study aimed to evaluate the life satisfaction of war veterans with ankle-foot neuromusculoskeletal disorders.
The veterans with ankle-foot injuries from 6 provinces, participated in this descriptive study. Medical examinations were conducted by specialists .Trained interviewers gathered demographic and life satisfaction data. Life satisfaction was assessed using the SWLS (Satisfaction with Life Scale) form. Scores ranged from 5 to 35 and the classification was as follow: very dissatisfied (5-9), dissatisfied (10-14), slightly dissatisfied (15-19), moderately satisfied (20-24), satisfied (25-29) and very satisfied (30-35). Statistical analysis was performed using SPSS 23 software.
The mean age of 577 veterans at the time of study was 52.4±8.2 years. The nervous lesion at lower limbs included sciatic 24.5% (N=141), femoral 5.3% (N=31), peroneal 28.2% (N=162), tibial 21.8% (N=126). There was 50.2% (N=290) ankle dorsiflexion. Life satisfaction’s mean score was 17.6 ± 7.1. Data showed that 17.3% (N=100) were satisfied or very satisfied and 60.0% (N=346) were dissatisfied. Moderately satisfaction level was reported in 22.7% (N=131). Significant relationships were observed between life satisfaction and disability rate (P0.05).
The majority of veterans with ankle-foot neuromusculoskeletal disorders were dissatisfied with life. The disability rate, education level and employment status were associated with life satisfaction.

During the past five decades, the landmines have been identified as the major cause of traumatic amputations in war-torn countries. The aim of this study was to investigation the use of orthotics and prosthesis in children survivors of landmines and unexploded ordnances(UXOs)in border provinces of Iran In this study our population was all the less than 18 years old adolescents that injured by landmines and UXOs in 5 border provinces of Iran, namely West Azerbaijan, Kermanshah, Khuzestan, Ilam, and Kurdistan(n=78). The identified victims participated in a social- health camp for collecting their health status. Demographic data were collected by a designed-researcher questionnaire. For checking the status of limbs, diagnosis the requirement for using orthotics and prosthesis, replacement or repair these devices if required and satisfaction of the prosthesis. The mean age of these cases at the time of study was (16.11 ±1.99). The mean height and weight of survivors were 165±10.47 and 54.25±12.74 respectively. The rate of amputation among the victims was 41(52.56%). Require to the prosthesis, orthotics and other assistive mobility devices were, 38 (48.71%), 18 (23.1%) and 8 (10.25%),respectively. At the time of study 21(26.92%) of the cases were using assistive mobility devices. Most of the victims that using prothesis had lower than the average of satisfaction 15(71.42%). The low level of satisfaction indicated the more attention to the education, health programs and rehabilitation for raising victims awareness and knowledge in the using of assistive mobility devices.

Background and Amputation is one of the most deleterious events that one may experience throughout his/her life. Gait patterns adopted by Amputees with prosthesis can cause such various types of pain as back pain, hip joint pain and contralateral pain. Knowledge about existing problems associated with amputated limb can be useful in making decisions about appropriate treatment plans and rehabilitation programs for these patients. The aim of this study was to evaluate long-term outcomes and prosthesis satisfaction in persons with war-related above-knee amputations. Sixty-one Iranian subjects with above knee amputation were requested to fill out the Persian version of Prosthesis Evaluation Questionnaire (PEQ) and to judge whether they were satisfied with their current prosthesis. Phantom sensation, phantom pain, residual limb pain, lateral limb pain and back pain was respectively reported in 88.5%, 77%, 36.1%, 33% and 72.1% of the subjects. Moreover, it became evident that 19.67% of the subjects were truly satisfied with their current prosthesis. According to study results, phantom sensation, phantom pain, back pain, residual limb pain and pain in the lateral limb are the most prevalent outcomes of war related amputations. Satisfaction rates were higher than moderate in more than half of the patients studied.