مجله علمی پزشکی جندی شاپور
سال هجدهم شماره 4 (پیاپی 121، مهر و آبان 1398)

Due to the association of adenoid hypertrophy with various diseases, timely diagnosis with a simple, inexpensive and low-risk method rather than nasal endoscopy seems to be necessary. In the present study, the dimensions of nasopharyngeal, oropharyngeal and hypopharynx spaces were compared in two groups with hypertrophic adenoid and normal with lateral cephalometric digital radiography. In this descriptive-analytic study, lateral cephalometric digital radiographs were selected from the Radiology Department of Jundishapur School of Dentistry. All eligible stereotypes were examined for the presence or absence of hypertrophic adenoids and were divided into two groups: hypertrophic adenoids (n = 127:, 66 boys ,61 girls) and normal (n = 102). The dimensions of the spaces were calculated in both groups. In the group with hypertrophic adenoid, the size of adenoid and then the ratio of adenoid to nasopharynx(A/N) were calculated. There was a significant difference between the studied spaces in both groups. In patients with hypertrophic adenoids, hypopharynx and nasopharyngeal spaces had a statistically significant positive correlation with age.but there was no significant relationship with sex. There was a significant correlation between adenoid size and age but boys and girls did not have significant differences. There was no significant relationship between A/N ratio in different age and sex groups. The present study indicates that lateral cephalometric radiography alone is not capable of detecting hypertrophic adenoid individuals But it can help diagnose the disease along with the patient's history and clinical symptoms.

Despite of prevalence of ankle sprain, there is not have been enough study about sensory mechanism and change in force pattern of external support, that acting on sensory- motor system (process) and postural control in functional ankle instability (FAI). The aim of this study was to evaluate the immediate effect of lateral heel wedge and soft brace on postural control in FAI and uninjured controls. Subject and

30 individuals with FAI in 2 groups examined with lateral heel wedge and soft brace, and 15 healthy controls participated in this study. Dynamic postural stability with and without external support, was assessed by biodex balance system in level 5.

In FAI individuals, after using lateral heel wedge, significant increase in overall limit of stability (LOS) (p=0.03), and wright LOS (p=0.04) was observed. however there was no significant increase in left LOS after using lateral heel wedge and in LOS indexes after using soft brace.

The results showed that changing in force pattern and decrease of stress on injured tissue after using lateral heel wedge can improve dynamic postural control in subjects with FAI.

According to the importance of early detection of pulmonary arterial hypertension (PAH) in scleroderma patients and identification of noninvasive and available methods, the present study aimed to investigate the relationship between serum uric acid and pro-BNP levels with PAH in scleroderma patients. This case-control study was performed on 112 patients with scleroderma referred to rheumatology department of Ahvaz Golestan Hospital in 2018. Patients were divided and enrolled to the study into two groups including with pulmonary hypertension (pulmonary artery systolic pressure greater than 40 mmHg) (n=38) and without pulmonary hypertension (no PAH symptoms) (n=74). To evaluate serum levels of pro-BNP and uric acid, 5 cc venous blood samples were taken from all patients. Mean serum uric acid level was significantly higher in the PH group (P <0.05). Although the serum level of BNP pro was higher in the PH group, there was no statistically significant difference between two groups (P >0.05). The cut-off point of uric acid and BNP pro were 6 (mg/dl) and 80 (pg/ml), respectively. The sensitivity, specificity, positive predictive value and negative predictive value of uric acid for detection of P.HTN in scleroderma patients were 65.79%, 85.13%, 71.59% and 45.83%, respectively. The sensitivity, specificity, positive predictive value and negative predictive value of Pro BNP for detection of P.HTN in scleroderma patients were 73.68%, 74.32%, 59.57% and 84.62%, respectively. The results of this study demonstrated the applicability of Pro BNP and uric acid in screening and diagnosis of pulmonary hypertension in patients with scleroderma.

Infertility is one of the most important crises in a lifetime and is defined as lack of pregnancy after one year of sexual intercourse without using contraceptives. Geographical and population differences in various areas have led to various reports regarding the assessment of prevalence of infertility.

This descriptive research was performed on 886 eligible couples 2014-2016. Demographic information and diagnostic and treatment methods existing in medical files of the patients were recorded in a questionnaire, and data analysis was performed in SPSS version 16.

In this research, the frequency of the primary and secondary infertility was reported to be 84.5% and 15.5%, respectively. In addition, female (30.4), male (31.4) both female and male (24.8) and other (18.1) factors were the causes of infertility. According to the results, most disorders were related to oligospermia (64.4%), whereas the lowest disorders were related to teratospermia (1.8%). In terms of female factors, the most and least causes of infertility were ovarian (64%) and uterine-related (1.4%), respectively. Moreover, tubular causes were involved in 2.3% of infertility cases.

According to the results of the study, the rate of female and male causes involved in infertility at the center was similar to the worldwide statistics.

Considering relationship between chronic ankle instability and postural instability, and the importance of the understanding of athletes with chronic instability for rehabilitation clinics, this study was conducted to evaluate functional tests as a distinctive tools in individuals with and without chronic ankle instability.

This case-control study was conduct on 40 athletes (20 athletes with chronic ankle injury and 20 healthy athletes). In order to distinguish between athletes with chronic ankle instability and healthy athletes, they are participated in five functional tests including; Latin-Latin test, side-to-face tests, Lilli square test, Zigzag jump test for distance, single jump test for distance. For statistical analysis, test-retest, correlation coefficient and independent t-test were used at the significant level of P <0.05.

Athletes with chronic ankle instability compared to healthy athletes showed weaker function. There was a significant difference between participants with chronic ankle instability and healthy participants in performing functional tests (P<0.05). Significant correlation was found between ankle instability and eight Latin (ICC = 0.67, p <0.001), bilateral mutations (ICC = 0.75, P<0.001), square jump (ICC=0.51, P <0.001), zigzag jump (ICC = 0.82, P <0.001).

It seems that functional tests (Latin eight test, side leak test, Lilli square test, Zigzag jump test for distance, single jump test for distance) can be good tools to identify people with chronic ankle instability from healthy individuals.

Embryo echocardiography is a technique for the detection of embryonic anomalies. The aim of this study was to Evaluation of referral indications for fetal echocardiography in pregnant women referred to Echocardiography unit of Masoumeh Hospital in the winter of 2018.

This is a cross-sectional study. In this study, 230 pregnant women entered the checklist. Data was then analyzed using SPSS software version 22.

The most common indication of referral for embryonic echocardiography, suspicion of CHD in ultrasound (heart failure) (21.7%) was the dominance of focal ecchymosis and the lowest incidence of maternal diseases (2.2%). 91.7% of the diagnosis was reported after normal echocardiography and 8.3% abnormal. There was a significant correlation between fetal heart rhythm and normal or abnormal diagnosis after echocardiography (p = 0.02). Among maternal age variables (p= 0.22), pregnancy time (p = 0.97), fetal age (week) =0.76), fetal sex (p= 0.30), fetal heart rate (p = 0.08), NT size (p = 0.24), maternal diabetes mellitus (p = 0.98), condition status (p = 0.93), history of congenital the family (p= 0.13) and specific disease in the mother (p= 0.98) were not associated with the diagnosis after echocardiography.

Embryonic echocardiography is a non-invasive method suitable for early diagnosis of congenital heart disease, which is suitable not only for high-risk pregnancies, but also for low-risk pregnancies.

 The aim of this study was to investigate the effectiveness of the acceptance therapy integrative approach on marital discord and forgiveness in couples diagnosed with Obsessive – compulsive personality disorder (OCPD).

 The statistical population of this study were couples in which one or both partners were diagnosed with OCPD. For the purpose of this study, 20 couples (N=40) with the inclusion criteria were selected through convenience sampling and were equally and randomly assigned intro two groups of experimental and control group (N=20). Participants in both groups were administered two questionnaires as pre-test including, (1) Dyadic Adjustment Scale and (2) Marital Satisfaction Inventory, Revised: screening for marital discord. While the participants in control group received no treatment in waiting list, the couples in the experimental group participated in a twelve session- two hours each – ACT-based integrative psychoeducational course delivered once a week. After the final session both groups were administered the questionnaires as post-test.

The Data was analyzed using Covariance analysis the result of which shows that experimental treatment was effective on improving Marital Discord (F=6.393) and Marital adjustment (F=7.302) in the participants (P<0.01). Conclusion. The finding of this study has some insights for researchers and reactionaries in the field of clinical psychology and family counseling.

Dental bleaching is known as an esthetic treatment for discolored teeth. However, it may damage periodontal tissues. The purpose of this study was to compare the effect of dental bleaching between carbamide peroxide 15% and 20% on periodontal health.

This clinical trial was conducted on 45 healthy volunteers aged 20-40 years that required dental bleaching. The subjects were assigned into three groups (n=15) according to treatment agents: carbamide peroxide 15% (CP15), carbamide peroxide 20% (CP20), and placebo (P). After eight hours administration of the agents for six nights, plaque index (PI), gingival index (GI) and bleeding on probing (BOP) were evaluated at four time points (basal and 7th, 9th, and 21th dyas following bleaching). Data were analyzed by SPSS 18 using ANOVA, paired t-test, chi-square and Friedman tests (P<0.05).

There were no significant differences in PI, GI or BOP among three groups at any time points (P>0.05). PI, GI or BOP presented slight and generally not significant variation during study period.

According to the findings, bleaching with carbamide peroxide 15% and 20% has no adverse effects on periodontal health. Keywords: dental bleaching, carbamide peroxide, plaque index, gingival index, bleeding on probing

Candida albicans and Candida tropicalis are the most etiologic factors in the diseases caused by yeast species.Considering the increased resistance of fungi to some antifungal drugs and many of these drugs are toxic and expensive, the study of natural products on these fungi is necessary.Therefore, the aim of this study was to investigate the effect of white alum (Alum) on the prevention of Candida albicans and Candida tropicalis in vitro conditions. In this laboratory study,using modified E. test method, white alum solutions were prepared at concentrations of(8, 4 , 2, 1, 0.5, 0.25 and 0.125 mg/100ml) then10 μLof each dilution Poured in blank disks that placed linearly on the culture medium inoculated with the fungus, then for 24 hours due to the low growth rate of these fungi, the petri was incubated at 37 ° C, and the minimum growth inhibitory concentration (MIC) was obtained. It should be noted that the test was repeated three times and averaged. The findings of this study showed that white alum has a positive effect on inhibiting the growth of Candida albicans and Candida tropicalis colonies. MIC for Candida albicans and Candida capillaries was 0.13 and 0.06 mg / ml, respectively. the use of white alum can be a good cure in the treatment of Candida albicans and Candida tropicalis infection in dental treatment.

Popliteal vein repair and ligation are the two main approaches to the treatment of the venous component of trauma cases with vascular involvement. We have studied the incidence of pulmonary embolism and Deep vein Thrombosis following these two methods in trauma cases and report the outcome.

From December 2017 to December 2018, 60 patients with popliteal vein injury in 2 groups ere operated on in our vascular unit using ligation Popliteal vein(n=30) and saphenous vein interposition graft (n=30). All the patients underwent a colour Doppler sonography of the lower limbs to study DVT and pulmonary artery CT angiography using to establish the incidence of pulmonary embolism. finally collective data were compared between 2 groups and

Deep venous thrombosis occurred in 5(16.7%) patients of vein ligation group and 3(10%) patients of vein repair group. This difference wasn,t significant(p =o.61). pulmonary embolism was seen in 2(6.7%) patients of vein ligation group and 8(26.7%) patients of vein repair group. This difference was significant(p =o.001). incidence of injured limb amputation was 10% in vein ligation group vs 6.7% in vein repair group. This difference wasn,t significant(p=0.22). There was no significant difference in incidence of wound infection between patients who underwent vein ligation and those who received vein repair(10% vs 6.7%, p=0.38).