Rashidi, M., Rameshat M.H., Gharib H., Rouzbehani, R., Ghyas, M.
Journal of Research in Medical Sciences (17357136)(4)
Background: Malignancies are primarily environmental diseases mostly attributed to environmental factors. By plotting the prevalence and spatial distribution maps, important differences can be observed in detail. This study aimed to determine the association between map distribution of malignancies and the geological phenomena of lead (Pb) accumulation in soil in the province of Isfahan, Iran. Methods: Spatial distribution maps of malignant diseases were plotted by using data recorded during 2007 to 2009 in the Isfahan Cancer Registry Program. Data on Pb accumulation in soil was obtained from the National Geological Survey and Mineral Exploration. Pb concentrations were documented in three parts of agricultural, non-agricultural, urban, and industrial land. The geographical mapping of cancers and soil Pb were then incorporated into a geographic information system (GIS) to create a spatial distribution model. Results: The spatial distributions of ten common malignant diseases in the province, i.e. skin cancers, hematological malignancies, and breast cancers, followed by other malignancies were scattered based on Pb distribution. In fact, common cancers were more prevalent in the parts of the province where soil Pb was more abundant. Conclusion: The findings of this study underscore the importance of preventing Pb exposure and controlling industrial production of Pb. The data is also important to establish further effects modeling for cancers. Moreover, physicians and health professionals should consider the impact of environmental factors on their patients' health.
Journal of Isfahan Medical School (10277595)30(177)pp. 106-114
Background: The purpose of this study was to survey the effects an exercise therapy program on joint range of motion (ROM), aerobic fitness, and anxiety of patients with hemophilia A. Methods: This study included 20 male hemophilia A patients (age: 22.55 ± 8.07 years; height: 172.17 ± 12.42 cm, weight: 60.88 ± 12.88 kg). After filling consent forms by subjects, pretests were performed during 1 week. The subjects were then randomly allocated into two groups. The experimental group participated in a selected exercise therapy program 3 times a week for 8 weeks. Finally, all tests were repeated as posttests. Descriptive statistics (mean and standard deviation) and inferential statistics including paired sample t-test and analysis of covariance were used to analyze data. The significance level was considered as P < 0.05. Findings: There were significant improvements in joints (ankle, knee, hip, shoulder, and elbow) ROM, aerobic fitness, and anxiety of the experimental group after participating in the exercise therapy program (P < 0.05). Moreover, comparisons between groups showed significant differences in joints ROM, aerobic fitness, and anxiety between the experimental and control groups after the intervention (P < 0.05). Conclusion: Correctly designed and performed physical activities can improve levels of physical and psychological factors in hemophilia patients. They should thus be considered seriously as a part of treatment for these patients.
Background: Iron deficiency without anemia is highly prevalent among female university students. Objective: Considering the intense competition for future educational opportunities and the possible impacts of iron deficiency on brain activities, we tried to investigate the effects of supplemental iron on educational achievements of students with iron deficiency without anemia entering universities. Methods: The iron status was evaluated in 209 female students at Faculty of Science, University of Isfahan. Iron deficiency without anemia was detected in 40.46% of the cases of which 72 individuals entered the clinical trial. The subjects were divided into two groups of 36 and treated with iron supplements or placebo. Afterwards, their educational progress was assessed. Results: Students who received supplemental iron showed more improved educational rankings (p = 0.05) and average scores (p = 0.009) compared to the control group. Conclusion: The findings of this study indicated the positive effects of iron supplementation on the educational achievements of female students suffering iron deficiency without anemia.
Journal of Isfahan Medical School (10277595)29(125)
Background: Cardiovascular disease is one of the most prevalent diseases in the world and it is expected to be the main cause of death by 2020. The aim of this study was providing geographical distribution map of the rate of death caused by cardiovascular diseases in the cities of Isfahan province, Iran, during 2005 to 2009. Methods: The rate of all the deaths in Isfahan province within 2005 to 2009 was provided. The collected data was used to find out the rate of deaths due to cardiovascular diseases and preparing geographical distribution maps. Then, by putting down the death rates for different sexes (men and women), the geographical distribution map for deaths with regards to cardiovascular diseases was drawn. Finding: Death rates due to cardiovascular problems were higher in main and central cities of the province. Death rate was higher in men than women. Conclusion: The observed model main and central cities is probably due to unsuitable diet, lack of motion, using new technologies and environmental pollutions including existence of some elements due to environmental pollutants such as industries, transportations of vehicles and air pollution, which are more prevalent in the main cities of the province. Also, due to existence of medical university centers and more health facilities in the main cities of the province, such as Isfahan, Najafabad, Borkhar and Maymeh, the registration system for deaths and diagnosing the causes of deaths are more accurate than other cities and towns of the province. The difference between two sexes could be due to in heritage, male hormones, some social factors, increasing fat around abdomen in men, exciting or even offensive behaviors in men, ignoring weight increase in men as compared to women and smoking.
Ghyas, M., Seidaiy, E.S., Taghdicy, A., Rouzbehani, R., Poorsafa, P., Barghi, H., Ghanbari, U.
Journal of Isfahan Medical School (10277595)28(122)
Background: In any society, children and adolescents are the most important part; so the study of psychological diseases can prevent some of side effects that even can exposure individuals, family and society in difficulties in future. In this level, the weather changes in different regions can make a huge impact on psychological heath level of individuals specially children. Although, geographical and weather changes not only the cause of disease, its side effects can perform different kinds of disease in children. It is obvious that the impact of geography put on individual and society, which directly and indirectly depends on huge growth and society development, get rid of geography power, is possible. Some of these psychological disorders are nail biting, dyslexia, nacturia, depression, and aggressiveness. Methods: This numeric and quantitative study assesed children lived in cold climate regions consist of rurals of Semirom and Freidon shahr and warm climate regions consist of rurals of Naeen and Ardestan in Isfahan province, Iran in 2009. Finding: In all groups of children, 12.85% had psychological and behavioral disorders; 0.02% had nail biting, 2.3% had dyslexia, 1.78% had nacturia, 2.7% had depression, and 7.2% had aggressive behaviors. Nail biting was more in girls than boys. The presence of nacturia in boys was higher P < 0.05). Conclusion: The most prevalent psychological disorder in cold climate was nacturia and in warm climate anxiety and nail biting were the most prevalent disordes.
