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
19-271
2024-03-29
10.1002
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
19-267
2024-03-29
10.1002
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