Showing papers in "Zahedan Journal of Research in Medical Sciences in 2002"

Common allergens in patients with allergic disorders in zahedan

Abstract: Allergens cause different sign and symptoms in patients with allergic disorders. In order to determine the common allergens among patients with allergic disorders in Zahedan City, center of Sistan-Blouchestan province, this study was performed. Eight hundred and ninety-four patients who referred to Immunology and Allergy Medical Center of Khatam Hospital during 36 months period (2000-2003) was studied. Skin-prick tests (SPTs) to common allergens were performed in all of the patients. Eight hundred and ninety-four patients (382 male and 512 female), aged 2-70 years, had allergic disorders. The most frequent allergic disease was rhinitis, seen in 481 patients (53.8%). The other common disorders were asthma in 215 patients (24.1%), and urticaria in 137 cases (15.3%). Among the SPT-positive patients, a positive prick test reaction to the house dust mites (86.4%), Feathers (75.5%), and Aspergillus (51.1%) was most common, followed by Cladosporium (39.8%), Alternaria (37.9%), Trees (37.7%), Penicillium (36.6%), Weeds (34.9%), and Fruits (31.2%). Also, 23.8% of the subjects were sensitized to Grasses in the prick test, Hen's egg (21.8%), Walnut (16.7), Cow's milk (14.4%), Beef meat (11.6%), and Hazel nut (8.6%) accounting for other positive reactions. The prevalence of common allergens especially mite allergen is high among patients with allergic disorders in Zahedan.

Evaluation of immune response of hepatitis b vaccination in zahedan infants

Abstract: Hepatitis B vaccination is the best way of prevention of Hepatitis B infection and chronic liver disease as well as hepatocellular carcinoma. Mass vaccination of Hepatitis B in neonate has started in Iran since 1993. So evaluation of vaccination is essential. In this study, seroconvertion of antiHBs evaluated after complete vaccination of Hepatitis in 15-23 month old infants. 324 infants selected randomly from general population of Zahedan. The positivity rate of antiHBs in male, female and total samples was 77%, 80% and 78.4, respectively. This ratio was less than expected, so we suggest further study about this subject.

A study on hypertension in zabol population over 18 years old

Abstract: Hypertension is an important health problem in developing countries. This research is a descriptive study that determine prevalence rate of hypertension in Zabol age is 18-over year. A number of 1530 cases, including 841 (55%) females and 689 (45%) males were selected by random stratified cluster sampling. Based on definition of JNC-VI &WHO systole BP>140 mm Hg and diastole BP>90 mm Hg in more there two intermittent time with 3 days interval or who, s taken anti hypertensive medication is considered as hypertension. BP recorded in two positions (Dorsal and sitting position) from both left and right arms and High BP considered as constant BP. At first time in addition to BP, height and weight were also measured. Them 3 days interval BP second and third stages measured. Data collecting invalided to risk factors and physical Examination completed by questionnaire. Based on this study, prevalence of hypertension was 15% in females, 12.5% in males and 13.9% in the studied whole population. Prevalence age adjusted 13.4% in females, 11.09% in males and total case population was 12.24%. The results showed that 36% of females, 52% of males and 44% of total case population were un aware of their illness. Chi- square test with 99% coefficient of certainty showed significant difference between hypertension, obesity and age. However, significant differences was seen between hypertension and sex. The results showed that the hypertension risk is consider in society, there fore population screening with concern to hypertension, teaching people and modifying their life style is recommended.

The evaluation of physicochemical and microbial status of traditional ice creams in Zahedan

Abstract: In our country production of unpasturized ice cream is customary that produced by manual method in respect to traditional ice cream, the consumption of which is high in warm seasons. Contamination of this product with pathogenic microorganisms can lead to food poisoning and food borne infection and can endanger the sanitation of human. Being which can cause countless economic lessees. The aim of this research was to assess physiochemical and microbial status traditional ice creams in Zahedan. Due to production and maximization centers of this type of ice cream we divided the Zahedan city in to 10 regions and then 25 samples from each region were selected by cluster sampling during spring and summer. They were moved to a laboratory under sterile condition and examined consequently. The collected dates were analyzed statistically using ANOVA and Mean procedure. The results showed that: The average percentage for total solid, acidity, pH, fat and sucrose were respectively 30± 2, 0.25 ± 0.001, 6.3±0.2, 2.7±0.2 and 14±1 (The calculation of fat has been according to grams in proportion to the final weight product. Microbial contaminations of the products included aerobic mesophilic, Coliform, E.Coli and staphylococcus aurous in (56%, 53%), (72%, 64%), (2%, 5.3%) and (8%, 5.3%)of samples in spring and summer respectively. None of the samples was contaminated with Salmonella. To prevent outbreak of poisoning and microbial infectious due to consumption of ice cream, pasteurization of milk and traditional ice cream as well as supervision and control during the production are essential.

Evaluation of the mentzer index in the screening of minor thalassemia

Abstract: About 7.5% of the population carrier s -thalassemia geve in Sistan &Baluchestan province, indicating a high prevalence in this region. Several babies are born with severe thalassemia every year in this area, Requiring a considerable financial maintenance cost. To evaluate and set a simple valid index for mass screening of thalassemia, this cross- sectional analytical study was performed. Atotal of 2964 male students studying in final years of their secondary school located all over the province, were subjected to the CBC test in 1376 (1997), using culture counter. Those with MCV selected for the study and they were subsequently examined for the presence of HbA2 in their blood. The persons with HbA2 ≥ 3.5 were considered as having minor thalassemia and those with HbA considered to have iron deficiency. The results showed 397 persons with MCV cases of iron deficiency. The mentzer index (MCV/RBC) was tested in all individuals with MCV and HbA2 were compared in this group. Thirty-seven low MCV cases disrupted their co-operation and the study, therefore, was continued with 360 subjects. The data analysis revealed true positive minor thalassemia in 164, false positive in 99, true negative in 79, and false negative in 36 cases. The sensitivity and specificity of the test were 80% and 44%, respectively. The findings showed that the measurment of the mentzer index can be used as a cost beneficial simple test for a primary screening of minor thalassemia broadly in Sistan &Baluchestan province.

The survery of physical health status of school age in saravan city

Abstract: This is a descriptive- analytic study has been conducted in order to assessing physical health status of male students ranging 6-12 years old studying in academic year 1998- 1999 in city of Saravan . In this study 400 boys aged between 6- 12 years , of 1th to 5th grades were selected randomly from boy’s primary school in Saravan city based on polyphasic sampling , and then were evaluated from these variables: physical growth ( height, weight) , health conditions of vision , hearing , mouth and tooth. The data collected by questionnaire and observation record sheets . several instruments have been utilized for examination ( eg measuring tape , weighting scale , Snellen chart , tuning fork, flashlight and spachula ). The median values for heights and weights of children subjects in all of age groups positioned below the 25 the percentile of national center of health statistics (N.C.H.S) the height of 28.5% and the weight of 28% of chidren subjected were under the 5 the percentile of N.C.H.S. 22.7% of under research individuals had reduced visual acuity in varying degrees ( 0.9- 0.4) in one or both eyes 5.5% of individuals were subjected to whisper test and were found to have hearing loss in one or both ears. 84% of students in the present research were having decay in primary or permanent teeth .Comparing average value of height and weight related to students under the research in age groups of 6-8 and 9 years with demographic specifications , it wase found that there is a positive correlation between the average of weight and height and the parent’s educations and occupation ( specially mothers) (p=0.03,p=0.01) . In general , results revealed that physical health status of target population is undesired,therfore , considering the importance of early diagnosis and cure , such screening shoud be performed in children at school

Opioid misuse and its predisposing factors in patients with pain

Abstract: To determine prevalence of opioid misuse and its predisposing factors in-patients with pain in the 10 clinics of Zahedan. Four hundred and eighty consecutive patients with complain of pain were included in a descriptive analytical cross-sectional study and asked by uniform questionnaire about opioid misuse and its 18 suspicious associated factors between January 1999 and May 1999. The data were analyzed by standard procedures including Chi square, T test, confidence interval, odds ratio, and multivariate and logistic regression analysis. Prevalence of opioid misuse was 28.5% inpatients presenting with pain. There was no significant relation between opioid misuse and chronic pain, but there were significant relationship between opioid misuse and the following five factors by logistic regression analysis, respectively: 1. Previous opioid misuse by friends 2. Type of ccupation 3. Cigarette smoking 4. Neuro-psychiatric consultation 5. Death of spouse. There is high prevalence of opioid misuse in-patients who complain of pain in Zahedan. It is recommended to educate associated factors of opioid misuse to the society and to who are responsible to promote health, and support high-risk groups.