Caspian Journal of Internal Medicine最新文献

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Psychometric properties of the Iranian version of the thirst distress scale and dietary sodium restriction questionnaire for the elderly with heart failure. 伊朗版心力衰竭老年人口渴痛苦量表和饮食钠限制问卷的心理计量特性。
IF 0.8
Caspian Journal of Internal Medicine Pub Date : 2024-01-01 DOI: 10.22088/cjim.15.3.484
Khatereh Mohammad Amini, Fatemeh Ghaffari, Ali Pourhabib, Zahra Fotokian, Mohammad Hassan Nadimi Defrazi
{"title":"Psychometric properties of the Iranian version of the thirst distress scale and dietary sodium restriction questionnaire for the elderly with heart failure.","authors":"Khatereh Mohammad Amini, Fatemeh Ghaffari, Ali Pourhabib, Zahra Fotokian, Mohammad Hassan Nadimi Defrazi","doi":"10.22088/cjim.15.3.484","DOIUrl":"10.22088/cjim.15.3.484","url":null,"abstract":"<p><strong>Background: </strong>Recognizing thirst distress and sodium intake restriction using valid and reliable tools enable evidence-based care, and improve treatment outcomes for the elderly with heart failure (HF). The present study investigated the psychometric properties of the thirst distress scale (TDS-HF) and dietary sodium restriction questionnaire for Iranian's elderly with HF (DSRQ-HF).</p><p><strong>Methods: </strong>This crossectional study was conducted during 2021-2022. Two hundred and forty elderly people referring to the cardiology clinics and offices in the western region of Mazandaran, Iran were selected by the convenient sampling method. First, the two questionnaires were translated. Then, face, content, and construct validity were assessed. Several indices were used to evaluate, including the chi-square/degree-of-freedom ratio (CMIN/DF), parsimonious normed fit index (PNFI), comparative fit index (CFI), parsimonious comparative fit index (PCFI).</p><p><strong>Results: </strong>The value of content validity index of all items of the two questionnaires was higher than 0.62. The fit indices, including PCFI=0.594, PNFI=0.582, CMIN/DF=1.987, and CFI=0.979, confirmed the one-factor construct of TDS. PCFI=0.724, PNFI=0.661, CMIN/DF=1.935, ad CFI=0.905, indicated the confirmation of the three-factor construct of DSRQ. The value of Cronbach's alpha of the two questionnaires were 0.86. The value of Ω of the TDS-HF and DSRQ-HF were 0.858, and 0.860, respectively. The value of θ of the TDS-HF and DSRQ-HF were 0.858, and 0.861, representing the suitability of both constructs.</p><p><strong>Conclusion: </strong>The TDS-HF and DSRQ-HF can be used to measure the psychometric effects of diet therapy and behaviors of the elderly with HF in relation to adherence to diet therapy.</p>","PeriodicalId":9646,"journal":{"name":"Caspian Journal of Internal Medicine","volume":"15 3","pages":"484-493"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Small cell carcinoma of uterine cervix: A case report. 子宫颈小细胞癌:病例报告
IF 0.8
Caspian Journal of Internal Medicine Pub Date : 2024-01-01 DOI: 10.22088/cjim.15.3.546
Danial Fazilat-Panah, Mohammad Hassan Emranpour, Babak PeyroShabany, Sara Rasta, Maedeh Alsadat Fatemi, Zeinab Nazari, Yavar Rajabzadeh
{"title":"Small cell carcinoma of uterine cervix: A case report.","authors":"Danial Fazilat-Panah, Mohammad Hassan Emranpour, Babak PeyroShabany, Sara Rasta, Maedeh Alsadat Fatemi, Zeinab Nazari, Yavar Rajabzadeh","doi":"10.22088/cjim.15.3.546","DOIUrl":"10.22088/cjim.15.3.546","url":null,"abstract":"<p><strong>Background: </strong>Small cell carcinoma of cervix (SCCC) is a rare disease. SCCC is highly invasive and prone to distant metastatic spread and lymph node involvement. Here we aim to present a patient and her treatment.</p><p><strong>Case presentation: </strong>We report 47-year-old patient with history of breast cancer manifesting with abnormal vaginal bleeding diagnosed with SCCC. Patient underwent radical hysterectomy and bilateral salpingo-oophorectomy. Then, she received adjuvant chemoradiation postoperatively.</p><p><strong>Conclusion: </strong>Small cell carcinoma of cervix is an aggressive form of cervical cancer with poor prognosis. Optimal treatment remains unsettled.</p>","PeriodicalId":9646,"journal":{"name":"Caspian Journal of Internal Medicine","volume":"15 3","pages":"546-552"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prunus mume extract and choline treatment in patients with non-alcoholic fatty liver disease estimated by b-mode ultrasonography and hepatorenal index. 通过 b 型超声波检查和肝肾指数估算的非酒精性脂肪肝患者的梅提取物和胆碱治疗。
IF 1.4
Caspian Journal of Internal Medicine Pub Date : 2024-01-01 DOI: 10.22088/cjim.15.1.19
Petar Avramovski, Miroslav Lazarevski, Maja Avramovska, Stefan Talev, Julijana Petrovska, Vesna Siklovska, Kosta Sotiroski
{"title":"Prunus mume extract and choline treatment in patients with non-alcoholic fatty liver disease estimated by b-mode ultrasonography and hepatorenal index.","authors":"Petar Avramovski, Miroslav Lazarevski, Maja Avramovska, Stefan Talev, Julijana Petrovska, Vesna Siklovska, Kosta Sotiroski","doi":"10.22088/cjim.15.1.19","DOIUrl":"10.22088/cjim.15.1.19","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to find the difference between the liver function test (LFT) and hepatorenal index (HRI), before and after the administration of <i>Prunus mume</i> (PM) and choline i.e., to find the predictors of the non-alcoholic fatty liver disease (NAFLD) severity according its HRI, during the three-month follow-up period.</p><p><strong>Methods: </strong>LFT, glucose, and lipid tests were determined in 168 NAFLD patients, at baseline and after three-month drug treatment. HRI was calculated by Image J software analyzing the ultrasound images, and according its value, 3 groups of NAFLD were formed.</p><p><strong>Results: </strong>The HRI at baseline (1.3598±0.1744) and after 3 months therapy (1.3061±0.1923) differs significantly (p<0.0001). Plasma glucose (FPG) (p<0.0001), glycated hemoglobin (HbA1c) (P=0.002), alanine aminotransferase (ALT) (p<0.0001), aspartate aminotransferase (AST) (P=0.0006), gamma-glutamil transferase (γ-GT) (P=0.0053), high density lipoprotein cholesterol (HDL-Ch) (p<0.0001) and triglycerides (P=0.041) differ significantly, too. HRI is positively correlated with: HbA1c (P=0.035), ALT (P=0.002), AST (P=0.003), γ-GT (P=0.043), and triglycerides (P=0.002) and inversely correlated with HDL-Ch (P=0.011). In multiple regression results (standard coefficient and p-value), the independent predictors for HRI in NAFLD patients were: HbA1c (0.1443, 0.0004), ALT (0.001142, 0.0081), triglycerides (0.0431, 0.0235) and γ-GT (0.001376, 0.0329).</p><p><strong>Conclusion: </strong>Three-month administration of PM and choline have beneficial effects on the regulation of glucose and lipid metabolism (HDL-Ch), and on LFT. This plant extract significantly reduces the levels of FPG, HbA1c, ALT, AST, γ-GT, triglycerides and increases HDL-Ch. The triglycerides, ALT, γ-GT and HbA1c are positive independent predictors for the severity of NAFLD.</p>","PeriodicalId":9646,"journal":{"name":"Caspian Journal of Internal Medicine","volume":"15 1","pages":"161-171"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10921105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical complications of bariatric surgery among patients with rheumatic diseases. 风湿病患者减肥手术的并发症。
IF 0.8
Caspian Journal of Internal Medicine Pub Date : 2024-01-01 DOI: 10.22088/cjim.15.1.5
Mohsen Soori, Seyed Hadi Mirhashemi, Fariborz Rashnoo, Gholamhosein Faghih, Fatemeh Ebrahimi, Amir Zamani, Azadeh Hakakzadeh
{"title":"Surgical complications of bariatric surgery among patients with rheumatic diseases.","authors":"Mohsen Soori, Seyed Hadi Mirhashemi, Fariborz Rashnoo, Gholamhosein Faghih, Fatemeh Ebrahimi, Amir Zamani, Azadeh Hakakzadeh","doi":"10.22088/cjim.15.1.5","DOIUrl":"10.22088/cjim.15.1.5","url":null,"abstract":"<p><strong>Background: </strong>Obesity is one the most prevalent diseases all around the world. Some studies have shown a relationship between obesity and the worsening of rheumatic disorders. Higher rates of surgical complications might also be seen among these patients.</p><p><strong>Methods: </strong>This retrospective-descriptive study was performed on 25 patients with rheumatic disease referred to Loghman Hakim Hospital (Tehran- Iran) and candidates for bariatric surgery (laparoscopic Roux-en-Y gastric and laparoscopic sleeve gastrectomy) from 2018 to 2020. Duration of hospitalization after surgery and history of post-operation surgical and rheumatic complications were assessed. Patients were followed through 6 months after surgery.</p><p><strong>Results: </strong>The age (Mean±SD) of recruited patients was (38.4 ±10.0) years. The mean body mass index was 45.54 kg/m2 with the minimum and maximum values of 37.5 kg/m2 and 56.5 kg/m2. Among them, the prevalence of rheumatic disorders was rheumatoid arthritis 32%, psoriasis 28%, gout 16%, lupus erythematosus 8%, and other rheumatologic disorders 16%, respectively. One patient had a surgical complication that was a port site infection. One patient had a relapse of gout and other patients had remission and also, their therapeutic drugs were discontinued or reduced.</p><p><strong>Conclusion: </strong>Patients with rheumatic disorders revealed no higher surgical complication rate after bariatric surgery, and bariatric surgery helped disease remission among these patients.</p>","PeriodicalId":9646,"journal":{"name":"Caspian Journal of Internal Medicine","volume":"15 1","pages":"53-57"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10921106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of ginseng on fatigue related to neuromyelitis optica spectrum disorder: A double-blinded randomized controlled clinical trial. 人参对神经脊髓炎视网膜谱系障碍相关疲劳的影响:双盲随机对照临床试验。
IF 1.4
Caspian Journal of Internal Medicine Pub Date : 2024-01-01 DOI: 10.22088/cjim.15.1.17
Sara Aslzadeh, Shaghayegh Shahmirzaei, Mohammad Ali Sahraian, Razieh Sadat Kazemi Mozdabadi, Hossein Rezaei Aliabadi, Mohammad Reza Gheini, Nasim Rezaeimanesh, Sharareh Eskandarieh, Fazeleh Majidi, Abdorreza Naser Moghadasi
{"title":"Effect of ginseng on fatigue related to neuromyelitis optica spectrum disorder: A double-blinded randomized controlled clinical trial.","authors":"Sara Aslzadeh, Shaghayegh Shahmirzaei, Mohammad Ali Sahraian, Razieh Sadat Kazemi Mozdabadi, Hossein Rezaei Aliabadi, Mohammad Reza Gheini, Nasim Rezaeimanesh, Sharareh Eskandarieh, Fazeleh Majidi, Abdorreza Naser Moghadasi","doi":"10.22088/cjim.15.1.17","DOIUrl":"10.22088/cjim.15.1.17","url":null,"abstract":"<p><strong>Background: </strong>The effects of ginseng on fatigue have been proven in patients with multiple sclerosis (MS), which have several similar manifestations to neuromyelitis optica spectrum disorder (NMOSD) patients. This study was designed to evaluate the effects of ginseng on fatigue in NMOSD patients.</p><p><strong>Methods: </strong>In this double-blinded randomized controlled clinical trial, 64 patients were recruited and were allocated into two study groups (ginseng or placebo) via block randomization. The participants received either 250-mg ginseng or placebo twice daily for a 3-month period. Also, the measurement of outcome was performed using the valid and reliable Persian version of fatigue severity scale (FSS) questionnaire, which was filled by patients once after enrollment in the study and once at the end of the study post-intervention.</p><p><strong>Results: </strong>In total, 58 patients finished the study with no major side effects. There were no significant differences in demographic, clinical, as well as FSS between two study groups (p>0.05). Ginseng supplementation significantly reduced fatigue (40.21±13.51 vs. 28.97±14.18; p˂0.01), while patients in the placebo group showed significantly higher fatigue score after 3 months post-intervention (35.03±13.51 vs. 38.79±12.27; P: 0.02). The extent of changes in the fatigue score in the ginseng group was significantly greater than in the placebo group (p ˂0.01).</p><p><strong>Conclusion: </strong>This study revealed positive effects of ginseng on reducing fatigue in NMOSD patients with no major side effects. In this regard, further studies are warranted to evaluate and clarify the effects of ginseng on fatigue in NMOSD.</p>","PeriodicalId":9646,"journal":{"name":"Caspian Journal of Internal Medicine","volume":"15 1","pages":"147-153"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10921107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of prevalence and risk factors of isolated coronary artery ectasia: A 5-year double-center retrospective study in Yazd, Iran. 评估孤立性冠状动脉异位症的患病率和风险因素:伊朗亚兹德一项为期 5 年的双中心回顾性研究。
IF 1.4
Caspian Journal of Internal Medicine Pub Date : 2024-01-01 DOI: 10.22088/cjim.15.2.244
Hossein Nough, Fatemeh Moradi, Hamid Reza Varasteravan, Leila Afkhami, Marzieh Azimizadeh, Hamidreza Mohammadi, Mohammad Shafiee, Mahmood Emami, Naser Hossein Sartipzade, Farzan Safi Dahaj, Arman Nough
{"title":"Assessment of prevalence and risk factors of isolated coronary artery ectasia: A 5-year double-center retrospective study in Yazd, Iran.","authors":"Hossein Nough, Fatemeh Moradi, Hamid Reza Varasteravan, Leila Afkhami, Marzieh Azimizadeh, Hamidreza Mohammadi, Mohammad Shafiee, Mahmood Emami, Naser Hossein Sartipzade, Farzan Safi Dahaj, Arman Nough","doi":"10.22088/cjim.15.2.244","DOIUrl":"10.22088/cjim.15.2.244","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of Coronary artery ectasia (CAE) varies from 0.‌3 to 5% in different countries. The prevalence of CAE has varied in different parts of the world and the study of risk factors can be effective in the process of diagnosis and treatment of patients, we reviewed patients who underwent coronary angiography for 5 years to determine the prevalence of isolated CAE and its associated risk factors.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 16600 patients who underwent coronary angiography at Shahid Sadoughi and Afshar hospitals between March 2015 to April 2020. Diagnosis and confirmation of CAE was defined as a vessel diameter greater than 1.5 times the normal diameter of the vessel, which must be confirmed by at least two cardiologists. Demographic variables, angiography and echocardiography reports were included in our final analysis.</p><p><strong>Results: </strong>Isolated CAE was diagnosed in 287 (1.7%) patients. After triple-vessel disease (53%), the left anterior descending artery (LAD) was the commonest affected vessel by ectasia 16% (46 cases). Diffuse isolated CAE was diagnosed in 52% of LAD, 76.6% of Right coronary artery (RCA), and 74.1% of left circumflex artery. A significant association was seen between the vessel involved and the nature of ectasia (p<0.001).</p><p><strong>Conclusion: </strong>In our study, the occurrence of isolated CAE was similar to other studies. This condition often affects all three major vessels of the coronary arteries, and is commonly categorized as type 1, which involves diffuse involvement of the arteries based on the Markis and Harikrishnan Classification.</p>","PeriodicalId":9646,"journal":{"name":"Caspian Journal of Internal Medicine","volume":"15 2","pages":"244-250"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vitamin D levels in non-pregnant women with a history of recurrent pregnancy loss with and without autoantibodies. 有和无自身抗体的非妊娠妇女的维生素 D 水平。
IF 1.4
Caspian Journal of Internal Medicine Pub Date : 2024-01-01 DOI: 10.22088/cjim.15.2.266
Tooba Farazmand, Raheleh Rahbarian, Mitra Jalali, Amirali Ghahremani, Abdollah Razi, Hasan Namdar Ahmadabad
{"title":"Vitamin D levels in non-pregnant women with a history of recurrent pregnancy loss with and without autoantibodies.","authors":"Tooba Farazmand, Raheleh Rahbarian, Mitra Jalali, Amirali Ghahremani, Abdollah Razi, Hasan Namdar Ahmadabad","doi":"10.22088/cjim.15.2.266","DOIUrl":"10.22088/cjim.15.2.266","url":null,"abstract":"<p><strong>Background: </strong>The objective of this study was to compare the levels of vitamin D in non-pregnant women with a history of recurrent pregnancy loss (RPL) who were seropositive or seronegative for autoantibodies (autoAbs).</p><p><strong>Methods: </strong>The study examined 58 RPL patients with autoAbs (ANA, anti-TPO, or APAs), 34 RPL patients without autoAbs, and 58 healthy women with prior successful pregnancies and without autoantibodies. The levels of 25 (OH) D were measured using the sandwich ELISA technique.</p><p><strong>Results: </strong>Our results showed insufficient serum 25(OH) D levels in study groups, with significantly lower levels observed in RPL patients with or without autoAbs compared to healthy women (P=0.0006). In addition, RPL patients with autoAbs had significantly lower 25(OH) D levels compared to RPL patients without autoAbs. We also found that serum levels of 25(OH) D in RPL patients with autoAbs were significantly lower than in RPL patients without autoAbs (20.51 ± 1.15 ng/ml Vs. 23.69 ± 0.74 ng/ml, <i>P</i>=0.0356). Further analysis indicated that RPL patients who were positive for ANA, and APAs, except anti-TPO, had significantly lower than 25(OH)D serum levels than RPL patients without autoAbs.</p><p><strong>Conclusion: </strong>These findings suggest that RPL patients, especially those with APAs or ANA, have lower vitamin D levels compared to healthy women. This may indicate a link between maternal immune dysregulation due to vitamin D deficiency and the presence of autoantibodies in RPL.</p>","PeriodicalId":9646,"journal":{"name":"Caspian Journal of Internal Medicine","volume":"15 2","pages":"266-272"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlation between coronary artery calcification and COVID-19. 冠状动脉钙化与 COVID-19 之间的相关性。
IF 0.8
Caspian Journal of Internal Medicine Pub Date : 2024-01-01 DOI: 10.22088/cjim.15.3.466
Saeed Abrotan, Seyed Farzad Jalali, Mohammadtaghi Hedayati-Godarzi, Iraj Jafaripour, Mehrdad Saravi, Naghmeh Ziaie, Roghayeh Pourkia, Kamyar Amin, Ali Bijani, Masomeh Bayani, Sorayya Khafri, Milad Bakhshi, Saeed Kargar-Soleimanabad, Erfan Ghadirzadeh
{"title":"Correlation between coronary artery calcification and COVID-19.","authors":"Saeed Abrotan, Seyed Farzad Jalali, Mohammadtaghi Hedayati-Godarzi, Iraj Jafaripour, Mehrdad Saravi, Naghmeh Ziaie, Roghayeh Pourkia, Kamyar Amin, Ali Bijani, Masomeh Bayani, Sorayya Khafri, Milad Bakhshi, Saeed Kargar-Soleimanabad, Erfan Ghadirzadeh","doi":"10.22088/cjim.15.3.466","DOIUrl":"10.22088/cjim.15.3.466","url":null,"abstract":"<p><strong>Background: </strong>Coronary heart disease (CHD) is an underlying cardiac condition contributing to increased COVID-19 mortality and morbidity which can be assessed by several diagnosis methods including coronary artery calcification (CAC). The goal of this study was to find out if there were potential links between CAC, clinical findings, severity of COVID-19, and in-hospital outcomes.</p><p><strong>Methods: </strong>This retrospective study evaluated 551 suspected patients admitted to teaching hospitals of the Babol University of Medical Sciences, Babol, Iran, from March to October 2021. Data included previous diseases, comorbidities, clinical examinations, routine laboratory tests, demographic characteristics, duration of hospitalization, and number of days under ventilation were recorded in a checklist.</p><p><strong>Results: </strong>Findings of current study provide evidence of a significant relationship between coronary artery calcification (CAC) and in-hospital mortality. Additionally, we observed significant correlations between CAC and several clinical parameters including age, duration of hospitalization, pulse rate, maximum blood pressure, erythrocyte sedimentation rate (ESR), blood urea nitrogen (BUN), neutrophil count, white blood cell (WBC) count, and oxygen saturation. However, we did not observe a significant association between CAC and the severity index of COVID-19. In addition, logistic regression tests did not find a significant value of CAC to predict in-hospital mortality.</p><p><strong>Conclusion: </strong>Our findings showed a significant relationship between CAC and in-hospital mortality.</p>","PeriodicalId":9646,"journal":{"name":"Caspian Journal of Internal Medicine","volume":"15 3","pages":"466-471"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electrocardiographic parameters and mortality in patients with SARS-CoV-2 infection: A single center study. SARS-CoV-2 感染者的心电图参数和死亡率:单中心研究
IF 0.8
Caspian Journal of Internal Medicine Pub Date : 2024-01-01 DOI: 10.22088/cjim.15.3.444
Samaneh Karbalaie Esmaeilzad, Mohammad Taghi Hedayati, Naghmeh Ziaie, Hoda Shirafkan, Farzad Jalali, Iraj Jafaripoor, Kamyar Amin, Rogheyeh Pourkia, Zahra Jabbary, Saeid Abroutan, Mehrdad Saravi
{"title":"Electrocardiographic parameters and mortality in patients with SARS-CoV-2 infection: A single center study.","authors":"Samaneh Karbalaie Esmaeilzad, Mohammad Taghi Hedayati, Naghmeh Ziaie, Hoda Shirafkan, Farzad Jalali, Iraj Jafaripoor, Kamyar Amin, Rogheyeh Pourkia, Zahra Jabbary, Saeid Abroutan, Mehrdad Saravi","doi":"10.22088/cjim.15.3.444","DOIUrl":"10.22088/cjim.15.3.444","url":null,"abstract":"<p><strong>Background: </strong>Coronavirus disease 2019 (COVID-19) is a pandemic outbreak of RNA coronaviruses (SARS-CoV-2), associated with acute respiratory distress syndrome, multiple organ failure, and death. The surface electrocardiogram is the first line assessment of cardiac electrical system. We aimed to interpret classically the electrocardiographic parameters at admission and during hospital course and association of them with prognosis in patients admitted with diagnosis of infection with SARS-CoV-2.</p><p><strong>Methods: </strong>Surface electrocardiograms (ECG) were obtained from 180 patients with SARS-CoV-2 infection at a large tertiary referral university hospital at north of Iran in Babol. The electrocardiographic waves, intervals and segments in addition to supraventricular and ventricular arrhythmias were depicted. Our cohort included two groups: discharged alive and dead during the hospital course. We compared the ECG characteristics of patients who died vs. survived ones.</p><p><strong>Results: </strong>Some ECG parameters of 180 hospitalized patients were significantly associated with mortality, like heart rate (p< 0.001), bundle branch block (P= 0.035), fragmented QRS (P= 0.015), ST elevation (P= 0.004), T p-e duration (P= 0.006), premature atrial and ventricular complexes (P= 0.030, P= 0.004) and atrial fibrillation (P= 0.003).</p><p><strong>Conclusion: </strong>The SARS-CoV-2 infection had several impacts on cardiac electrical system which may monitored with a simple and easily accessible tool like ECG. This tool also helpful in the risk stratification of patients.</p>","PeriodicalId":9646,"journal":{"name":"Caspian Journal of Internal Medicine","volume":"15 3","pages":"444-450"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of the auditory brainstem response test in patients with type 2 diabetes mellitus. 评估 2 型糖尿病患者的听觉脑干反应测试。
IF 0.8
Caspian Journal of Internal Medicine Pub Date : 2024-01-01 DOI: 10.22088/cjim.15.3.527
Mahbubeh Sheikhzadeh, Fereshteh Bagheri, Mohammad Ali Bayani, Milad Kami, Mohsen Monadi
{"title":"Evaluation of the auditory brainstem response test in patients with type 2 diabetes mellitus.","authors":"Mahbubeh Sheikhzadeh, Fereshteh Bagheri, Mohammad Ali Bayani, Milad Kami, Mohsen Monadi","doi":"10.22088/cjim.15.3.527","DOIUrl":"10.22088/cjim.15.3.527","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss is an unknown complication of diabetes mellitus (DM). The aim of this study was to evaluate hearing function using auditory brainstem response (ABR) in diabetic patients.</p><p><strong>Methods: </strong>The present case-control study was performed on thirty diabetic patients as a case group and thirty healthy individuals as a control group. Baseline demographic information, HbA1c level, and duration of diabetes were obtained from all diabetic patients. In all subjects, the ABR and pure-tone audiometry (PTA) tests were performed and the results were analyzed using the t-test and logistic regression.</p><p><strong>Results: </strong>The absolute latency of I was significantly lower in diabetes patients. The absolute latency of III and the interpeak latencies (IPL) I-III were significantly higher in diabetic patients. No significant relationship was noticed in the absolute latency of V and the IPL I-V among diabetic patients in the right and left ears (P>0.05).</p><p><strong>Conclusion: </strong>The results of this study suggested that diabetes may cause central auditory dysfunction manifested on the absolute latency of III, the IPL I-III and III-V.</p>","PeriodicalId":9646,"journal":{"name":"Caspian Journal of Internal Medicine","volume":"15 3","pages":"527-534"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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