2024-03-29T04:47:19+03:30 http://cjns.gums.ac.ir/browse.php?mag_id=19&slc_lang=en&sid=1
19-275 2024-03-29 10.1002
Caspian Journal of Neurological Sciences Caspian J Neurol Sci 2383-4307 2423-4818 10.32596 2019 5 3 Comparison of Bladder Dysfunction and Urinary Symptoms Between Multiple Sclerosis and Neuromyelitis Optica Spectrum Disorder Farid Nasr Esfahani fafarda@gmail.com Navid Manouchehri dr.navid.manouchehri@gmail.com Nasim Nehzat n.nehzat96@gmail.com Omid Mirmosayyeb omid.mirmosayyeb@gmail.com Mahdi Barzegar barzegar_mahdi73@yahoo.com Vahid Shaygannejad v.shaygannejad@gmail.com Background: Neuromyelitis optica (NMO) and multiple sclerosis (MS) are auto immune demyelinating disorders. Both MS and NMO patients suffer from urinary dysfunction.  Objectives: Investigation of frequency and severity of urinary symptoms in two groups of MS and NMO patients. Materials & Methods: 56 MS patients and 20 NMO patients were enrolled in this cross sectional study conducted in Isfahan Kashani hospital from March 2018 to September 2018. Frequency and severity of urinary symptoms were assessed using the urogenital distress inventory (UDI-6) and international prostate symptom score (IPSS) questionnaire. Data were analyzed using independent t-test, Mann Whitney U test and Pearson correlation coefficient with the SPSS V. 18. Results: The Mean±SD of age was 40.2±11.45 and 34.1±9.09 in NMO and MS group respectively. There was a significant difference between MS and NMO patients regarding their overall IPSS score (9.8±7.9 and 14.6±11.3 respectively). The frequency of mild, moderate and severe urinary symptoms was 25%, 50 % and 25% among NMO patients and 48.2%, 35.7% and 16.1% among MS patients respectively. Based on UDI-6 questionnaire the most frequent symptoms in MS and NMO patients were frequency and urgency respectively and they are more frequent among NMO patients rather than MS patients. Conclusion: Our results showed a significant difference in frequency and severity of urinary symptoms between NMO and MS patients and NMO patients tend to experience more severe urinary symptoms. Multiple Sclerosis Neuromyelitis Optica Urinary Bladder Neurogenic 2019 7 01 105 110 http://cjns.gums.ac.ir/article-1-275-en.pdf 10.32598/CJNS.5.18.105
19-279 2024-03-29 10.1002
Caspian Journal of Neurological Sciences Caspian J Neurol Sci 2383-4307 2423-4818 10.32596 2019 5 3 Balance Disorders and Their Related Factors Among the Elderly in the Northern Rural Areas of Iran Shadman Nemati Houshang Gerami Zahra Karimi Rastin Hosseinzadeh Arsalan Dadashi Somayeh Ahmadi Gooraji Alia Saberi Zahra Mohtasham Amiri Background: Aging is a natural and physiological process. Moreover, balance disorders frequently occur in the elderly and cause many morbidities in this population.  Objectives: The present study aimed to evaluate balance disorders and their related factors in the healthy elderly population of the rural areas of Guilan province, in the north of Iran. Materials & Methods: In this cross-sectional descriptive study, 425 individuals over 65 years old were selected by random cluster sampling method from the villages of Rasht, the capital city of Guilan province. After obtaining written consent, the subjects were examined for balance disturbance through gait and balance adjusted scale (GABS) index. The obtained results were reported as frequency. We applied the Mann-Whitney U test and non-parametric regression analysis for non-normally distributed dependent variables. The obtained data were analyzed in software version 18. Results: The Mean±SD score of GABS was 10.07±8.00 [median (IQR):7(10.5)]. A total of 425 individuals were selected, but 413 completed the research (218 males and 195 females). In total, 73.1% of the subjects reported at least one disorder among the investigated parameters, and 45.2% mentioned a disorder in at least one of the studied parameters in medical history. By modified GABS; 42.2% of the subjects reported disorders in at least one of the investigated parameters.  Conclusion: Nearly half of the elderly population in the rural areas of the north of Iran suffer from balance disorder. This data was obtained by their medical history and physical examinations. Aging Rural population Postural balance 2019 7 01 111 117 http://cjns.gums.ac.ir/article-1-279-en.pdf 10.32598/CJNS.5.18.111
19-268 2024-03-29 10.1002
Caspian Journal of Neurological Sciences Caspian J Neurol Sci 2383-4307 2423-4818 10.32596 2019 5 3 The Effects of Acceptance and Commitment Therapy and Biofeedback on Chronic Psychosomatic Low Back Pain Seyedeh Maryam Mousavi Reza Shabahang Naema Khodadadi-Hassankiadeh Background: Mental processes can make the pain and quality of life of women with chronic psychosomatic low back pain better or worse. acceptance and commitment therapy (ACT) and biofeedback have on some psychosomatic disorder. Objectives: The aim of this study was to investigate the effects of ACT and biofeedback on severity and duration of pain and quality of life among women with chronic psychosomatic low back pain. Materials & Methods: This three-group Pre-test and post-test controlled quasi-experimental study was conducted from September 2016 to June 2017. Thirty women with chronic psychosomatic low back pain were conveniently recruited from Rasht pain clinic, Rasht, Iran, and randomly allocated to three ten-person groups including ACT, biofeedback, and control groups. Data were collected before and after the study intervention using the McGill Pain Questionnaire and the short version of the World Health Organization quality of life (QOL) survey. Data analysis was performed using the one-way analysis of variance as well as the Chi-square, the paired-sample Test, and post-hoc Scheffe Tests. Results: Both ACT and biofeedback interventions significantly and similarly reduce severity and duration of pain and improve the quality of life. ACT had significant effects on the psychological, social, and environmental health domains of quality of life, while biofeedback had significant effects only on the physical health domain. Conclusion: ACT and biofeedback are effective on psychosomatic low back pain. Unlike the ACT, biofeedback has significant effect on the physical health aspect of QOL and it has no effects on the other aspects of QOL.  Acceptance and Commitment Therapy Biofeedback Pain Low Back Pain Women 2019 7 01 118 126 http://cjns.gums.ac.ir/article-1-268-en.pdf 10.32598/CJNS.5.18.118
19-280 2024-03-29 10.1002
Caspian Journal of Neurological Sciences Caspian J Neurol Sci 2383-4307 2423-4818 10.32596 2019 5 3 Anticonvulsant Drugs and Severe Adverse Cutaneous Drug Reactions: A Longitudinal Observational Study Abbas Darjani Narges Alizadeh narges.alizadeh7@gmail.com Hossein Abdi Maryam Hosseini Shirin Zaresharifi Background: Severe Adverse Cutaneous Reactions to Drugs (SACRDs) are skin eruptions due to drugs, which can cause morbidity and morbidity in patients. Objectives: The aim of this study was to determine the offending drug/agents and clinical phenotypes of SACRDs leading to admissions to the hospital. Materials & Methods: We conducted a retrospective cross-sectional study during one year (March 2012-2013) on patients admitted to the department of Dermatology at Razi Hospital of Rasht, Iran. First, the clinical and drug history of all patients were collected. Then, two dermatologists examined them and diagnosed drug eruptions according to the clinical types of adverse drug reactions included in the study. Collected data were analyzed in SPSS V. 18 software by using Chi-squared test, Fisher's Exact test, and one-way ANOVA. The significance level was set at p<0.05. Results: Forty-six patients were diagnosed with SACRDs. The most common SACRDs were toxic epidermal necrolysis/stevens Johnson syndrome (TEM/SJS) and Drug Reaction with eosinophilia and systemic symptom syndrome (DRESS) syndrome (30.5% and 2.1%, respectively). The most common culprit drugs were anticonvulsants (43.5%) and antibiotics (26.1%). Peripheral blood eosinophilia was observed in 30.4% of patients. Conclusion: Anticonvulsants were the most common cause of ACDRs, leading to the hospitalization of the patients. Drug eruptions Anticonvulsants Skin 2019 7 01 127 132 http://cjns.gums.ac.ir/article-1-280-en.pdf 10.32598/CJNS.5.18.127
19-260 2024-03-29 10.1002
Caspian Journal of Neurological Sciences Caspian J Neurol Sci 2383-4307 2423-4818 10.32596 2019 5 3 Effects of Foot Reflexology and Tactile Stimulation on Consciousness and Physiological Indicators of Traumatic Patients Baghiatallah Salehi icusalehi@gmail.com Jalil Azimian Leili Yekefallah Maryam Mafi Background: Brain injuries are a major cause of mortality and disability. Sensory stimulation can reduce the complications of brain injuries in the patients.  Objectives: To compare the effect of foot reflexology with tactile stimulation of the hand on level of consciousness and physiological indicators in traumatic brain injury (TBI) patients  Materials & Methods: 60 TBI patients hospitalized in the ICU of selected hospitals in Qazvin, Iran assigned to three intervention groups and one control group using block randomization. The patients were matched using the glasgow coma scale (GCS) (score of 8) and the Richmond agitation and sedation scale (RASS) (scores -2 to +2). The first intervention group received tactile stimulation of the hand from the wrist downwards, the second intervention group received foot reflexology, and the third both tactile stimulation and foot reflexology, while the controls received routine care. The Data collected were analyzed in SPSS V. 21. P<0.05 was set as the level of statistical significance. Results: The Mean±SD level of consciousness was the highest in the foot reflexology group(9.38±3.3) compared to that in the group of tactile stimulation of the hand (9.03±2.18), the group receiving both treatments (7.96±1.8) and the control group (6.92±3.3) (P<0.001). The findings also revealed reductions in the heart rate, respiratory rate and systolic blood pressure and increases in peripheral capillary oxygen saturation (O2 sat) and level of consciousness in the TBI of the foot reflexology group. Conclusion: Foot reflexology can decrease the heart rate, respiratory rate and systolic blood pressure, and increase O2 sat in TBI patients and increase the level of consciousness. Consciousness Intensive care units Brain injuries 2019 7 01 133 139 http://cjns.gums.ac.ir/article-1-260-en.pdf 10.32598/CJNS.5.18.133
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Caspian Journal of Neurological Sciences Caspian J Neurol Sci 2383-4307 2423-4818 10.32596 2019 5 3 Contrast Induced Nephropathy After Brain and Cervical CT Angiography in Stroke Patients: A Prospective Study Maryam Poursadeghfard poursadra@gmail.com Amir Torkaman amirtkn2015@gmail.com Mahshad Moazzam mahshad.mzzm@gmail.com Aida Aramesh aidaaramesh@gmail.com Mojtaba Neydavoodi Background: Contrast-induced nephropathy (CIN) is a major side effect of intravenous iodinated contrast and causes both short- and long-term adverse effects. While diagnostic and interventional procedures of brain ischemia are recently advanced, it is necessary to be cautious about its major side effect. Objectives: To evaluate CIN and its risk factors in neurology patients after brain and cervical CT angiography.  Materials & Methods: This prospective cross-sectional study was conducted on all patients who were admitted in stroke department of Nemazee hospital, affiliated to Shiraz University of Medical Sciences, Fars, Iran, and had undergone brain and cervical CT angiography from September 2014 to September 2016. Blood urea nitrogen (BUN) and creatinine (Cr) before contrast (BUN1, Cr1), 3 days after contrast (BUN2, Cr2), and 30 days after contrast (BUN3, Cr3) were recorded. t-test, paired t-test, Chi-squared test, repeated measurement-test and also SPSS V. 21 are used for statistical analysis. Results: 5(2.7%) patients developed CIN after receiving contrast. However, repeated measurement of glomerular filtration rate (GFR) and Cr at the end of one month showed no significant changes between Cr3 and GFR3 in 2 groups of non-CIN and CIN patients, and all patients showed normal renal function at that time. Multiivariate logistic regression analysis demonstrated that hemoglobin (Hb) level is related to CIN (OR:0.5, CI: 0.28-0.90).  Conclusion: Our data showed that the rate of CIN in neurovascular evaluation was insignificant, but it is related to Hb level. Computed Tomography Angiography Stroke Kidney 2019 7 01 140 146 http://cjns.gums.ac.ir/article-1-271-en.pdf 10.32598/CJNS.5.18.140
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Caspian Journal of Neurological Sciences Caspian J Neurol Sci 2383-4307 2423-4818 10.32596 2019 5 3 Is Hemorrhagic Demyelinating Lesions of Central Nervous System a Spectrum? Abdorreza Naser Moghadasi abdorrezamoghadasi@gmail.com Hamidreza Hatamian HDLC CNS Spectrum 2019 7 01 147 149 http://cjns.gums.ac.ir/article-1-267-en.pdf 10.32598/CJNS.5.18.147