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Dr Mitra Samareh Fekri, Dr Ahmad Shafahee, Dr Rostam Yazdani, Dr Mehdi Hashemi Bajgani, Dr Mohammad Naghavi, Dr Mahnaz Sheykhshoaee Ekhtiarabadi,
Volume 28, Issue 126 (January & February 2020)
Abstract

 Background & Objective:  Anthracosis is a bronchoscopic finding characterized by the presence of black pigments in the bronchial mucosa. In this study we examined the relationship between anthracosis and pulmonary tuberculosis in a sample size much larger than previous studies in order to alleviate the ambiguities and controversy surrounding this issue.
 Materials & Methods:  This cross-sectional study was conducted from April 2010 to October 2016 on patients referred to the hospital for bronchoscopy due to any respiratory problem. Bronchoalveolar lavage (BAL) was sampled during bronchoscopy and the smears and cultures of tuberculosis mycobacterium acquired from the samples were examined.
Results:  In this study, 2377 patients were studied. The patients aged between 30 and 96 years, and of all patients, 1397 individuals were male. The prevalence of pulmonary tuberculosis among patients with and without anthracosis was 9.24% and 3.07%, respectively (P<0.001). The frequency ratio of females with anthracosis in comparison with males with anthracosis showed that the prevalence of this disease among females is higher than in males (P<0.001).
Conclusion:  Pulmonary tuberculosis and anthracosis are related to each other and there is a direct relationship between the prevalence of pulmonary anthracosis and age and the female sex.

Fatemeh Ebrahimi-Nejad, Saeed Oraee-Yazdani, Mohsen Vahedi, Marzieh Peyravi Dehsorkhi, Samaneh Hosseinzadeh,
Volume 31, Issue 147 (July & August 2023)
Abstract

Background and Objective: Blood markers and CT-scan results can be useful to the prognosis outcome of traumatic brain injury (TBI). This study aims to evaluate and compare markers and CT-scans during hospitalization regarding death and recovery as the outcomes.
Materials and Methods: This longitudinal-observational retrospective study was performed on 133 patients with comatose caused by head trauma from admission to death/discharge in Shohada-E- Tajrish Hospital in Tehran during 2018-2020. The follow-up period lasted 15 days. The patients’ demographic and CT-scans were measured on admission. Blood markers were measured daily. Vital signs and GCS were collected every six hours. These variables were compared in survivor and non-survivor groups.
Results: Death occurred for 78 patients (58.64%). Tachycardia (OR=60.1, P=0.003), SDH (OR=39.3, P<0.001), ICH (OR=9.91, P<0.001), SAH (OR=13.6, P<0.001) had a significant relationship to death on multivariate logistic regression. The mean TT, PT, INR, GCS, PR, and systolic and diastolic blood pressure at the beginning of hospitalization were significantly different in the surviving and non-surviving groups. GCS, Cr, BUN, PTT, PT, INR, FBS, and PH had separate lines with spacing without overlap in the two groups in the graphs during hospitalization.
Conclusion: Based on the results, the factors such as age, tachycardia, and some CT-scan findings (SAH, ICH, and SDH), as well as high coagulation profile (INR, PTT) and low GCS on admission, were important variables to the prognosis of TBI patients. During hospitalization, high values of BUN, PR, Cr, FBS, PT, and INR and low values of GCS, RR, and PH were associated with a worthwhile outcome. In addition, high changes in BUN, GCS, RR, PR, and BP during hospitalization should be considered a worthwhile prognosis.


Dr Fatemeh Rangani, Dr Seyed Kaveh Hojjat, Dr Mahnaz Amini, Dr Lahya Afshari Saleh, Dr Masoud Mohammadzade, Dr Faezeh Yazdani,
Volume 32, Issue 153 (July & August 2024)
Abstract

Background & Objective: One of the most common breathing disorders during sleep is Obstructive sleep apnea (OSA).The aim of this study was  to evaluate the effect of obstructive sleep apnea (OSA) training complications on the follow-up of the polysomnography test response, the purchase of the CPAP, and its use in patients with OSA.
 Materials & Methods: We investigated 60 patients with OSA who were referred to Ibn Sina Hospital in Mashhad (Iran) for a polysomnography test in 2023. Eligible patients were divided into two groups; the intervention group underwent a 2-hour training session individually about OSA, its consequences, and complications by an expert psychologist. One month after intervention and the prescription of the CPAP by the doctor, the patients were compared in terms of the purchase rate of the CPAP machine, using a CPAP, and the follow-up rate of polysomnography response. However, no special training class was held for the control group; only CPAP was prescribed.
Results:  The mean (±SD) age was 45.83 (±12.03) vs. 45.50 (±13.52) years in the two groups, respectively. The number (%) of men was 18 (60) vs. 13 (43.3), respectively. After the intervention, the follow-up rate of polysomnography response (66.7 vs. 36.7), purchase of CPAP machine (33.3 vs. 6.7%), and its use (26.7 vs. 6.7) were significantly higher in the intervention group compared to the control group (P<0.05).
Conclusion: Educational intervention can increase the follow-up rate of polysomnography response, purchase of the CPAP, and its use in OSA patients.

 

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