Shiraz E-Medical Journal Shiraz E-Medical Journal Shiraz E-Med J http://www.emedicalj.portal.tools 1735-1391 10.5812/semj. en jalali 2019 4 26 gregorian 2019 4 26 14 3
en Assessing the Association between Iron Deficiency Anemia and H. Pylori Infection among Pregnant Women referring to a Busy Antenatal Clinic in Tehran-Iran Assessing the Association between Iron Deficiency Anemia and H. Pylori Infection among Pregnant Women referring to a Busy Antenatal Clinic in Tehran-Iran research-article research-article Results

The mean hemoglobin level of participants was 12.03 ± 1.4 g/dl. Fifty two of the participants (31.0%) had a hemoglobin level less than 11 g/dl. Fifty one of the participants (30.4%) had a ferritin level less than 15 mg/dl. 91 participants (54.2%) were positive for H.pylori.There was a significant difference in nausea and vomiting and being serologically positive for H. Pylori (P = 0.003).

Conclusion

There was a significant and adverse correlation between being serologically H. Pylori positive and hemoglobin level (P = 0.005, r = -0.218), and ferritin level (P = 0.001, r = -0.263).

Objective

Anemia can have multiple adverse effects on pregnancy outcome. Recent studies suggested an association between H. Pylori infection and iron deficiency anemia. The present study aimed to investigate the association between iron deficiency anemia and H. pylori infections among pregnant women referring to antenatal care center of Shahid Akbarabadi hospital during the year 2010, Tehran, Iran.

Methods

This cross-sectional study was conducted among 180 pregnant women in their first trimester. Demographic data and clinical data were collected by a gynecologist assistant in the center, 5 ml blood was collected from women. The hemoglobin level and the ferritin level were measured. The serology test of H. pylori IgG was measured by ELIZA test.

Results

The mean hemoglobin level of participants was 12.03 ± 1.4 g/dl. Fifty two of the participants (31.0%) had a hemoglobin level less than 11 g/dl. Fifty one of the participants (30.4%) had a ferritin level less than 15 mg/dl. 91 participants (54.2%) were positive for H.pylori.There was a significant difference in nausea and vomiting and being serologically positive for H. Pylori (P = 0.003).

Conclusion

There was a significant and adverse correlation between being serologically H. Pylori positive and hemoglobin level (P = 0.005, r = -0.218), and ferritin level (P = 0.001, r = -0.263).

Objective

Anemia can have multiple adverse effects on pregnancy outcome. Recent studies suggested an association between H. Pylori infection and iron deficiency anemia. The present study aimed to investigate the association between iron deficiency anemia and H. pylori infections among pregnant women referring to antenatal care center of Shahid Akbarabadi hospital during the year 2010, Tehran, Iran.

Methods

This cross-sectional study was conducted among 180 pregnant women in their first trimester. Demographic data and clinical data were collected by a gynecologist assistant in the center, 5 ml blood was collected from women. The hemoglobin level and the ferritin level were measured. The serology test of H. pylori IgG was measured by ELIZA test.

Iron Deficiency Anemia Iron Deficiency Anemia 153 161 http://www.emedicalj.portal.tools/index.php?page=article&article_id=19811 Shayesteh Parashi Shayesteh Parashi Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, IR Iran Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, IR Iran Shohreh Bahasadri Shohreh Bahasadri Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, IR Iran; 24, Masjed alley, Aseff street, Zafaraniyeh- postcode: 1986713113, Tehran, IR Iran, Tel: +98-9123230491, Fax: +98- 22436758 Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, IR Iran; 24, Masjed alley, Aseff street, Zafaraniyeh- postcode: 1986713113, Tehran, IR Iran, Tel: +98-9123230491, Fax: +98- 22436758 Mansoureh Alirezaiei Mansoureh Alirezaiei Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, IR Iran Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Tehran, IR Iran
en Quality of Life in Patients with Type 2 Diabetes: Application of WHOQoL-BREF Scale Quality of Life in Patients with Type 2 Diabetes: Application of WHOQoL-BREF Scale research-article research-article Conclusions

The findings from this study appear that surveyed diabetic patients have WHOQoL-BREF scores that might be considered to indicate a moderate to low QoL, so it seems that providing international programs is necessary to improve QoL of them

Results

The mean age of the study population was 59.65 ± 12.3 yr (Range: 30-97 yr). The majority of participants were female (69.8%). The overall observed Cronbach’s alpha coefficient for WHOQoL-BREF was 0.93 and for each domain of it ranged from 0.69 to 0.86. The total mean score of WHOQoL-BREF was 12.18. The lowest and the highest mean scores were observed in Psychological health domain (11.73) and Social relationship domain (12.66), respectively. Backward multiple linear regression model revealed that Education levels, Marital Status and Household Income were significantly associated with all domains of WHOQoL-BREF (P < 0.05).

Methods and Materials

In this cross-sectional study, a total of 1847 patients with type 2 diabetes were studied in Neyshabur from April to July 2012. The Iranian version of the WHOQoL-BREF questionnaire was used to measure QoL. Linear Regression Model was conducted to determine the relation between QoL of study population and various variables. The level of significance was set at p < 0.05 for all analyses. Data were analyzed using SPSS software ver16.

Background

Diabetes is one of the most important chronic diseases which may have a negative effect on the quality of life (QoL) of diabetic patients. The objective of this study was to evaluate QoL in patients with type 2 diabetes living in rural regions of Neyshabur (a city in the northeast of Iran) as well as determine some factors associated with it, by using the WHOQoL-BREFE scale.

Conclusions

The findings from this study appear that surveyed diabetic patients have WHOQoL-BREF scores that might be considered to indicate a moderate to low QoL, so it seems that providing international programs is necessary to improve QoL of them

Results

The mean age of the study population was 59.65 ± 12.3 yr (Range: 30-97 yr). The majority of participants were female (69.8%). The overall observed Cronbach’s alpha coefficient for WHOQoL-BREF was 0.93 and for each domain of it ranged from 0.69 to 0.86. The total mean score of WHOQoL-BREF was 12.18. The lowest and the highest mean scores were observed in Psychological health domain (11.73) and Social relationship domain (12.66), respectively. Backward multiple linear regression model revealed that Education levels, Marital Status and Household Income were significantly associated with all domains of WHOQoL-BREF (P < 0.05).

Methods and Materials

In this cross-sectional study, a total of 1847 patients with type 2 diabetes were studied in Neyshabur from April to July 2012. The Iranian version of the WHOQoL-BREF questionnaire was used to measure QoL. Linear Regression Model was conducted to determine the relation between QoL of study population and various variables. The level of significance was set at p < 0.05 for all analyses. Data were analyzed using SPSS software ver16.

Background

Diabetes is one of the most important chronic diseases which may have a negative effect on the quality of life (QoL) of diabetic patients. The objective of this study was to evaluate QoL in patients with type 2 diabetes living in rural regions of Neyshabur (a city in the northeast of Iran) as well as determine some factors associated with it, by using the WHOQoL-BREFE scale.

Type 2 Diabetes;Quality of Life;WHOQoL-BREF;Neyshabur Type 2 Diabetes;Quality of Life;WHOQoL-BREF;Neyshabur 162 171 http://www.emedicalj.portal.tools/index.php?page=article&article_id=22356 Ali Gholami Ali Gholami Nursing Department, Neyshabur University of Medical Sciences, Neyshabur, IR Iran; Students’ Research Committee, Neyshabur University of Medical Sciences, Neyshabur, IR Iran; Neyshabur University of Medical Sciences, Razi Avenue, Istgah Street, Neyshabur, IR Iran, Tel: +98-5513336610, Fax: +98-5513333964 Nursing Department, Neyshabur University of Medical Sciences, Neyshabur, IR Iran; Students’ Research Committee, Neyshabur University of Medical Sciences, Neyshabur, IR Iran; Neyshabur University of Medical Sciences, Razi Avenue, Istgah Street, Neyshabur, IR Iran, Tel: +98-5513336610, Fax: +98-5513333964 Mohammad Azini Mohammad Azini Disease Prevention Group, Neyshabur University of Medical Sciences, Neyshabur, IR Iran Disease Prevention Group, Neyshabur University of Medical Sciences, Neyshabur, IR Iran Abasalt Borji Abasalt Borji Nursing Department, Neyshabur University of Medical Sciences, Neyshabur, IR Iran Nursing Department, Neyshabur University of Medical Sciences, Neyshabur, IR Iran Faramarz Shirazi Faramarz Shirazi Disease Prevention Group, Neyshabur University of Medical Sciences, Neyshabur, IR Iran Disease Prevention Group, Neyshabur University of Medical Sciences, Neyshabur, IR Iran Zahra Sharafi Zahra Sharafi Disease Prevention Group, Neyshabur University of Medical Sciences, Neyshabur, IR Iran Disease Prevention Group, Neyshabur University of Medical Sciences, Neyshabur, IR Iran Esmail Zarei Esmail Zarei Occupational Health Department, Neyshabur University of Medical Sciences, Neyshabur, IR Iran Occupational Health Department, Neyshabur University of Medical Sciences, Neyshabur, IR Iran
en Women’s health in Iran; A review Women’s health in Iran; A review review-article review-article

No studies inquired specific female health problems during childhood. Out of 57 articles included, 6 were about adolescent’s health, 24 studies in reproductive ages, 4 investigating menopause issues and 12 articles on elder hood topics.

Women have a significant part in a society’s development, therefore health services must be in agreement with their needs. Half of Iran’s population is made up of women and their health needs should be prioritized.

To review previous researches, articles were found in PUBMED, IRANMEDEX and MAGIRAN. Studies investigating a female health problem in any age period based on abstract were chosen and after critical appraisal 57 were included in this review.

There exist many areas in female’s health that are not considered properly based on this review. It is suggested to provide budget, regulations and specialists in order to discover women’s health problems in each age period separately.

No studies inquired specific female health problems during childhood. Out of 57 articles included, 6 were about adolescent’s health, 24 studies in reproductive ages, 4 investigating menopause issues and 12 articles on elder hood topics.

Women have a significant part in a society’s development, therefore health services must be in agreement with their needs. Half of Iran’s population is made up of women and their health needs should be prioritized.

To review previous researches, articles were found in PUBMED, IRANMEDEX and MAGIRAN. Studies investigating a female health problem in any age period based on abstract were chosen and after critical appraisal 57 were included in this review.

There exist many areas in female’s health that are not considered properly based on this review. It is suggested to provide budget, regulations and specialists in order to discover women’s health problems in each age period separately.

Women’s health Women’s health 172 190 http://www.emedicalj.portal.tools/index.php?page=article&article_id=19820 Negin Hadi Negin Hadi Community Medicine Department, Shiraz University of Medical Sciences, Shiraz, IR Iran; Community Medicine Department, Shiraz University of Medical Sciences, Shiraz, IR Iran, Tel: +98-711 2354431, Fax: +98-711 2354431 Community Medicine Department, Shiraz University of Medical Sciences, Shiraz, IR Iran; Community Medicine Department, Shiraz University of Medical Sciences, Shiraz, IR Iran, Tel: +98-711 2354431, Fax: +98-711 2354431 Zahra Hajjari Zahra Hajjari Shiraz University of Medical Sciences, Shiraz, IR Iran Shiraz University of Medical Sciences, Shiraz, IR Iran
en Long Time Exercise Break off Can Affect Body Mass Index and Waist to Height Ratio of Female Athlete Students Participating in the Athletic Race of Health Ministry of Iran Long Time Exercise Break off Can Affect Body Mass Index and Waist to Height Ratio of Female Athlete Students Participating in the Athletic Race of Health Ministry of Iran research-article research-article Aims

Therefore, the purpose of this study was to determine the anthropometric characteristics of women's in colleges, in order to use this for training, detection and identification of talented players and find the reasons that affects their athletic performance.

Methods

this study has done on 251 female students who are take part in athletic games. Height, weight, waist circumference and hip circumference and also students’ athletes background mentioned in questionnaire.

Statistical analysis used:

The data were expressed as the mean values and their standard errors (S.E.). The variables were analyzed by one-way analysis of variance (ANOVA). Pearson correlations performed between exercise break off and other anthropometric characteristics.

Results

The mean of athletes’ age were 22 years old and the average of their height and weight was 161.64 cm and 55.56 kg, respectively. The average of their body mass index was 21.27 kg/m2, which is normal. The average of waist circumference and hip circumference were 71.22 cm and 94.83 cm, respectively. The average of waist circumference to height ratio and waist to hip circumference ratio were 44.11 and 0.75, respectively which are normal. This study showed that students had more than 1 year exercise break off, will confront by BMI and waist circumference to height ratio increasing.

Conclusion

Most of students in various sport fields were in normal zone of BMI and waist to hip circumference ratio. By using this information, athlete clothing manufactures can use these averages. These findings also suggest to completion and exercise responsible to design special programs for these specific athletes. Moreover, this study showed that long exercise break off might affect female athletes' ability.

Introduction

The quantification of morphological characteristics of athletes can be a key point in relating body structure to sports performance. There is little data on the physical characteristics of young female athletes.

Aims

Therefore, the purpose of this study was to determine the anthropometric characteristics of women's in colleges, in order to use this for training, detection and identification of talented players and find the reasons that affects their athletic performance.

Methods

this study has done on 251 female students who are take part in athletic games. Height, weight, waist circumference and hip circumference and also students’ athletes background mentioned in questionnaire.

Statistical analysis used:

The data were expressed as the mean values and their standard errors (S.E.). The variables were analyzed by one-way analysis of variance (ANOVA). Pearson correlations performed between exercise break off and other anthropometric characteristics.

Results

The mean of athletes’ age were 22 years old and the average of their height and weight was 161.64 cm and 55.56 kg, respectively. The average of their body mass index was 21.27 kg/m2, which is normal. The average of waist circumference and hip circumference were 71.22 cm and 94.83 cm, respectively. The average of waist circumference to height ratio and waist to hip circumference ratio were 44.11 and 0.75, respectively which are normal. This study showed that students had more than 1 year exercise break off, will confront by BMI and waist circumference to height ratio increasing.

Conclusion

Most of students in various sport fields were in normal zone of BMI and waist to hip circumference ratio. By using this information, athlete clothing manufactures can use these averages. These findings also suggest to completion and exercise responsible to design special programs for these specific athletes. Moreover, this study showed that long exercise break off might affect female athletes' ability.

Introduction

The quantification of morphological characteristics of athletes can be a key point in relating body structure to sports performance. There is little data on the physical characteristics of young female athletes.

BMI;WHR;exercise;female athletes BMI;WHR;exercise;female athletes 191 201 http://www.emedicalj.portal.tools/index.php?page=article&article_id=19823 Mohammad Hassan Karimfar Mohammad Hassan Karimfar Department of Anatomical Sciences, School of Medicine, Zahedan University of Medical Sciences, Zahedan, IR Iran Department of Anatomical Sciences, School of Medicine, Zahedan University of Medical Sciences, Zahedan, IR Iran Saeed Shokri Saeed Shokri Department of Anatomical Sciences, School of Medicine, Zahedan University of Medical Sciences, Zahedan, IR Iran; Department of Anatomical Sciences, School of Medicine, Zanjan University of Medical Sciences, Zanjan, IR Iran. Postal zip code: 1417613151, Tel: +98-2414240300-3, internal (279) Fax: +98-2414249553 Department of Anatomical Sciences, School of Medicine, Zahedan University of Medical Sciences, Zahedan, IR Iran; Department of Anatomical Sciences, School of Medicine, Zanjan University of Medical Sciences, Zanjan, IR Iran. Postal zip code: 1417613151, Tel: +98-2414240300-3, internal (279) Fax: +98-2414249553 Azam Bayat Azam Bayat Health and Safety Center, Zanjan University of Medical Sciences, Zanjan, IR Iran Health and Safety Center, Zanjan University of Medical Sciences, Zanjan, IR Iran Mahnaz Afzali Mahnaz Afzali Environmental Health, Health Faculty, Tarbiat Modares University, Tehran, IR Iran Environmental Health, Health Faculty, Tarbiat Modares University, Tehran, IR Iran
en Relationship between Energy, Macronutrient and Micronutrient Consumption with Obesity among School Aged Students in Shiraz, Fars Relationship between Energy, Macronutrient and Micronutrient Consumption with Obesity among School Aged Students in Shiraz, Fars research-article research-article Materials and Methods

This is a cross-sectional descriptive study conducted on Iranian school aged boys and girls aged 14-19 years old from all the populated regions of Shiraz, Fars. Information was obtained through a questionnaire for the entire sample on the frequency of food items. We used a Nutritionist IV to analyze dietary intakes. All data entered in SPSS version 16 for statistical analysis.

Results

The age of the students ranged from 14 to 19 years. Mean ages of the girls and boys were 16.0 ± 0.97 and 16.0 ± 0.93, respectively. There were no significant difference regarding any macro and micro nutrient among these two groups (boys and girls) (P-value > 0.05). Calorie intake was not different among these two groups. Folate, iron, calcium and fiber intake were lower than the Recommended Dietary Allowance. Overall, the mean energy intake of students ranged between 312 and 3’896 of the Recommended Dietary Allowance for different age groups and also two genders. The percentage of mean energy intake when compared to the Recommended Dietary Allowance decreased with increasing age of boys and girls.

Conclusion

Low intake of fruits and vegetables and dietary fiber, high sugar intake and high energy % of saturated fat and dietary cholesterol by Iranian children is likely to increase their risk of obesity and cardiovascular diseases later in life. So, nutritional education programs in schools should emphasize the importance of healthy balanced diets and the risks of consuming empty calories.

Background

Obesity is increasing in Iranian school aged and there is lack of information on the energy and macronutrient intake of children. The objective of this research was to study the energy and macronutrient intake in Iranian school children.

Materials and Methods

This is a cross-sectional descriptive study conducted on Iranian school aged boys and girls aged 14-19 years old from all the populated regions of Shiraz, Fars. Information was obtained through a questionnaire for the entire sample on the frequency of food items. We used a Nutritionist IV to analyze dietary intakes. All data entered in SPSS version 16 for statistical analysis.

Results

The age of the students ranged from 14 to 19 years. Mean ages of the girls and boys were 16.0 ± 0.97 and 16.0 ± 0.93, respectively. There were no significant difference regarding any macro and micro nutrient among these two groups (boys and girls) (P-value > 0.05). Calorie intake was not different among these two groups. Folate, iron, calcium and fiber intake were lower than the Recommended Dietary Allowance. Overall, the mean energy intake of students ranged between 312 and 3’896 of the Recommended Dietary Allowance for different age groups and also two genders. The percentage of mean energy intake when compared to the Recommended Dietary Allowance decreased with increasing age of boys and girls.

Conclusion

Low intake of fruits and vegetables and dietary fiber, high sugar intake and high energy % of saturated fat and dietary cholesterol by Iranian children is likely to increase their risk of obesity and cardiovascular diseases later in life. So, nutritional education programs in schools should emphasize the importance of healthy balanced diets and the risks of consuming empty calories.

Background

Obesity is increasing in Iranian school aged and there is lack of information on the energy and macronutrient intake of children. The objective of this research was to study the energy and macronutrient intake in Iranian school children.

Energy Intake;Micronutrients;Macronutrients;Anthropometry;Children;Iran Energy Intake;Micronutrients;Macronutrients;Anthropometry;Children;Iran 202 210 http://www.emedicalj.portal.tools/index.php?page=article&article_id=19825 Seyed Taghi Heydari Seyed Taghi Heydari Department of Biostatistics, Jahrom University of Medical Sciences, Jahrom, IR Iran Department of Biostatistics, Jahrom University of Medical Sciences, Jahrom, IR Iran Seyed Mehdi Ahmadi Seyed Mehdi Ahmadi Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran Kamran Bagheri Lankarani Kamran Bagheri Lankarani Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran; Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran, Tel: +98-7112309615, Fax: +98-7112309615 Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran; Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran, Tel: +98-7112309615, Fax: +98-7112309615 Hassan Joulaei Hassan Joulaei Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran Amin Hoseinzadeh Amin Hoseinzadeh Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran
en Typical and atypical features in Posterior Reversible Encephalopathy Syndrome (PRES) Typical and atypical features in Posterior Reversible Encephalopathy Syndrome (PRES) case-report case-report

In this report, we introduce a young man who developed PRES after substance abuse with both typical and atypical features in the supra- and infra- tentorium areas and deep zones of the brain in magnetic resonance imaging. Involvement of all these areas of the brain together (supra- and infra- tentorium and deep parts) is uncommon in reports.

Posterior reversible encephalopathy syndrome (PRES) is a reversible clinico-radiological condition with different etiologies. The typical findings are symmetric involvement of the parieto-occipital and posterior frontal cortex with sub-cortical white matter. But brain stem, basal ganglia and cerebellum can be involved as well. It sometimes progresses to atypical appearances including hemorrhage, contrast enhancement or diffusion weighted restriction.

In this report, we introduce a young man who developed PRES after substance abuse with both typical and atypical features in the supra- and infra- tentorium areas and deep zones of the brain in magnetic resonance imaging. Involvement of all these areas of the brain together (supra- and infra- tentorium and deep parts) is uncommon in reports.

Posterior reversible encephalopathy syndrome (PRES) is a reversible clinico-radiological condition with different etiologies. The typical findings are symmetric involvement of the parieto-occipital and posterior frontal cortex with sub-cortical white matter. But brain stem, basal ganglia and cerebellum can be involved as well. It sometimes progresses to atypical appearances including hemorrhage, contrast enhancement or diffusion weighted restriction.

Posterior reversible encephalopathy syndrome (PRES); substance abuse; typical and atypical features Posterior reversible encephalopathy syndrome (PRES); substance abuse; typical and atypical features 212 216 http://www.emedicalj.portal.tools/index.php?page=article&article_id=19827 Maryam Poursadeghfard Maryam Poursadeghfard Department of Neurology, School of Medicine, Shiraz University of Medical Sci-ence, Shiraz, IR Iran; Department of Neurology. Motahhari Clinic, Nemazee Square, Shiraz, IR Iran, Shiraz University of Medical Science Tel: +98-711 6121065, Fax: +98-711 6121065 Department of Neurology, School of Medicine, Shiraz University of Medical Sci-ence, Shiraz, IR Iran; Department of Neurology. Motahhari Clinic, Nemazee Square, Shiraz, IR Iran, Shiraz University of Medical Science Tel: +98-711 6121065, Fax: +98-711 6121065 Mohammedreza Raeyat Mohammedreza Raeyat Department of Neurology, School of Medicine, Shiraz University of Medical Sci-ence, Shiraz, IR Iran Department of Neurology, School of Medicine, Shiraz University of Medical Sci-ence, Shiraz, IR Iran Sina Karamimagham Sina Karamimagham Department of Pediatrics, School of Medicine, Shiraz University of Medical Science Shiraz, IR Iran Department of Pediatrics, School of Medicine, Shiraz University of Medical Science Shiraz, IR Iran
en Adolescent extra vaginal testicular torsion Report of two cases Adolescent extra vaginal testicular torsion Report of two cases case-report case-report

Extra vaginal Torsion of the testicles is typically seen in neonates. This condition is extremely rare in adolescents. We report two cases of delayed extra vaginal torsion in two adolescent brothers, without any obvious predispose field as gubernacular or bell clapper abnormalities. Following the diagnosis of acute scrotal condition, surgical ex-ploration was performed. The left testis of both patients were affected and after a tor-sion length ranged from 4 and 5 days, presented with blue color gangrened testis that twitched with vaginal tunica. Left orchidectomy, along with a fixation of right tunica vaginalis to Dartos tunica were carried out in both cases.

Extra vaginal Torsion of the testicles is typically seen in neonates. This condition is extremely rare in adolescents. We report two cases of delayed extra vaginal torsion in two adolescent brothers, without any obvious predispose field as gubernacular or bell clapper abnormalities. Following the diagnosis of acute scrotal condition, surgical ex-ploration was performed. The left testis of both patients were affected and after a tor-sion length ranged from 4 and 5 days, presented with blue color gangrened testis that twitched with vaginal tunica. Left orchidectomy, along with a fixation of right tunica vaginalis to Dartos tunica were carried out in both cases.

Extra Vaginal Testicular Torsion; Adolescents; Testis Fixation; Orchidec-tomy Extra Vaginal Testicular Torsion; Adolescents; Testis Fixation; Orchidec-tomy 217 219 http://www.emedicalj.portal.tools/index.php?page=article&article_id=16226 Ali Asghar Ketabchi Ali Asghar Ketabchi Urology Department, Bahonar Hospital, Physiology Research Center, Kerman Med-ical Sciences University, Kerman, IR Iran; Urology Department, Bahonar Hospi-tal, Physiology Research Center, Kerman Medical Sciences University, Kerman, IR Iran, Tel: +98-3412456665, Fax: +98-3412115803 Urology Department, Bahonar Hospital, Physiology Research Center, Kerman Med-ical Sciences University, Kerman, IR Iran; Urology Department, Bahonar Hospi-tal, Physiology Research Center, Kerman Medical Sciences University, Kerman, IR Iran, Tel: +98-3412456665, Fax: +98-3412115803
en Is Elevated Mean Corpuscular Hemoglobin Concentration Valuable for Neonatal Hereditary Spherocytosis Screening? Is Elevated Mean Corpuscular Hemoglobin Concentration Valuable for Neonatal Hereditary Spherocytosis Screening? research-article research-article Conclusions

Elevated MCHC is not a reliable screening test for the diagnosis of hereditary spherocytosis in neonates with severe hyperbilirubinemia or anemia.

Statistical analysis used

Statistical analyses were performed using Statistical Package for Social Sciences, version 15.0 (SPSS, Inc., Chicago, IL, USA). Chi-square test and T-correlation analysis were used for statistical analysis

Results

Out of a total 1301neonates with severe hyperbilirubinemia, 59 of them had MCHC ≥ 36 g%. Fifty two of 59 selected neonates were finally studied. All of them had MCHC ≤ 35.7g% and a normal osmotic fragility test.

Methods and Material

We revised records of 1301 neonates with diagnosis of severe hyperbilirubinemia from September 23, 2009 to September 22, 2011. The cases with MCHC ≥ 36g% were selected. Osmotic fragility test and cell blood counts were performed for cases that were enrolled in the study.

Aims

The aim of this study was to assess the reliability of elevated MCHC as a screening test for the diagnosis of hereditary spherocytosis in newborns.

Introduction

The elevated Mean Corpuscular Hemoglobin Concentration (MCHC) were reported in neonates with hereditary spherocytosis.

Conclusions

Elevated MCHC is not a reliable screening test for the diagnosis of hereditary spherocytosis in neonates with severe hyperbilirubinemia or anemia.

Statistical analysis used

Statistical analyses were performed using Statistical Package for Social Sciences, version 15.0 (SPSS, Inc., Chicago, IL, USA). Chi-square test and T-correlation analysis were used for statistical analysis

Results

Out of a total 1301neonates with severe hyperbilirubinemia, 59 of them had MCHC ≥ 36 g%. Fifty two of 59 selected neonates were finally studied. All of them had MCHC ≤ 35.7g% and a normal osmotic fragility test.

Methods and Material

We revised records of 1301 neonates with diagnosis of severe hyperbilirubinemia from September 23, 2009 to September 22, 2011. The cases with MCHC ≥ 36g% were selected. Osmotic fragility test and cell blood counts were performed for cases that were enrolled in the study.

Aims

The aim of this study was to assess the reliability of elevated MCHC as a screening test for the diagnosis of hereditary spherocytosis in newborns.

Introduction

The elevated Mean Corpuscular Hemoglobin Concentration (MCHC) were reported in neonates with hereditary spherocytosis.

Jaundice; Hereditary spherocytosis; Erythrocyte indices; Newborn; screening Jaundice; Hereditary spherocytosis; Erythrocyte indices; Newborn; screening 220 225 http://www.emedicalj.portal.tools/index.php?page=article&article_id=19944 Masoud Dehdashtian Masoud Dehdashtian Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran; Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran, Tel: +98-9166117204, Fax: +98-6112216504 Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran; Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran, Tel: +98-9166117204, Fax: +98-6112216504 Mohammadreza Aramesh Mohammadreza Aramesh Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran Arash Malakian Arash Malakian Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran Mohammadhassan Aletayeb Mohammadhassan Aletayeb Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran Mohammadhassan Aletayeb 1 Mohammadhassan Aletayeb 1 Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran Section of Neonatology, Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IR Iran