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Showing 8 results for Weight Loss

Abbas Yazdanbod , Manoochehr Iranparvar, Solmaz Seifi ,
Volume 4, Issue 3 (9-2004)

  Background &Objectives: According to a recent report published by the Ministry of Health in Iran gastric cancer is the most common cause of death due to cancer in this country and cardiac cancer is the most common kind of upper GI cancer. This study is an attempt to determine the epidemiology of cardiac cancers in Ardabil.

  Methods: This descriptive cross-sectional study was conducted for four years (2000-2003) at the only private clinic in Ardabil. The results of endoscopy of these patients including the exact determination of the topography of cancer in cardia and other general information were recorded. The data were analyzed using SPSS software (version-10)

  Results: During this study 4356 endoscopy were done and 533 histologically proven upper GI cancer were detected. Out of 533, 242 cases were located at E-G junction area, 82(33.9%), 130 (53.7%) in cardia region and 30(12/4%) cases were located at the proximal bady of stomach. 130(53.7%) cases of tumors were, in the right side of cardia. Bormann classification showed that most of cancers (43.8%) were ulceroinfiltrative.

  Conclusion: Statistical analysis indicated that there is a significant relationship between type and topography of cancer with dysphasia, weight loss and epigasteric pain(p<0.05). The results showed significiant relationship between type and topography of cacers with Bormann classification(p=0.001). Further epidemiologic studies are required to evaluate etiology of cardia cancers in Ardabil.

Javad Mikaeli , Mortaza Khatibian , Zohre Movahhedi, Hosein Gorbani Behrooz , Reza Malekzadeh,
Volume 5, Issue 1 (4-2005)

 Background & Objectives: Cholangiocarcinoma is a malignant tumor of the biliary tract epithelium. Although it is not a common tumor, it has a high mortality rate so that the five-year survival of the patients is only 5%. Most patients are found to have irresectable tumor on initial presentation. These have led to an emphasis on the role of palliative treatment.

 Methods: 43 patients with Cholangiocarcinoma (from 1996-2003) based on ERCP were included in this study. Demographic aspects, clinical and Para clinical manifestations as well as the risk factors were investigated and survival rates of the patients were compared with or without stenting of the biliary tract.

 Results: 27 patients (62.8%) were male and 16(37.2%) were female with mean age of 65. Ulcerative colitis accompanied with PSC was diagnosed in just one case. Jaundice, weight loss and pruritus were the main complaints of the patients. Twenty-seven cases received stent in biliary tract through ERCP while no treatment was performed in other patients due to technical failure or patients’ disagreement. Mean survival time for all patients was 125 days. There were no statistically significant difference between survival rate of the patients with stent and without it.

 Conclusion: In this study cholangiocarcinoma in our patients was less frequently seen to accompany UC and PSC. Curative surgical resection is not possible in the majority of cases, and palliative treatment only decreases the severity of the symptoms but has no significant effect on survival.

Behnam Mohammadi Ghalehbin, Esmaeil Falah , Mohammad Asghar Zadeg, Abdol Hasan Kazemi, Ahmad Daryani, Firooz Amani, Saeide Amani, Mina Agazade, Rasool Abdollahi, Rouhollah Arab,
Volume 6, Issue 2 (6-2006)

 Background & Objectives: Cryptosporidium is an intracellular – extracytoplasmic parasite that has taken much attention in last 20 years as a clinically important human pathogen. Cryptosporidial infection can be transmitted from fecally contaminated food or water and from animal-human or human-human contact. In immunocompromised persons, the illness is much more severe such as debilitation, fatigue, cholera-like diarrhea, severe abdominal cramps, low-grade fever, severe weight loss and Anorexia. Because there was no regional study about cryptosporidiosis in Ardabil, we carried out this survey to determine the prevalence of cryptosporidiosis among the children hospitalized in Ardabil.

 Methods: This descriptive and analytical study was carried out on 371 patients in Sabalab and Aliasghar hospitals of Ardabil between 2004 and 2005. A questionnaire was filled for each patient. Stool samples were examined by concentrated formal - ether method and stained with modified Ziehl-Neelson method. The data were analyzed with SPSS (ver 11) using Chi-square test.

  Results: We analyzed 371 stool samples from children with diarrhea. Cryptosporidium oocysts were detected microscopically in 15 samples. Its prevalence was 4.04% in infected patients. 66.7% of the infected ones were at the age of 6 to 24 months, 20% 25-48 months, and 13.3% 49-72 months.

 Condusion: Because cryptosporidiosis was more prevalent at the age of 6-24 months, health education is more necessary for their mothers.

Afshar Tamook , Fereidoon Ashenaie, Joobin Yeganeh Moghadam , Mahdi Chiniforush , Nayereh Amini Sani, Shahram Habibzadeh ,
Volume 7, Issue 1 (4-2007)

 Background & Objective: Visceral leishmaniasis is a reticulo endothelia system and it is known as 'black fever' by Indians. According to WHO every year there are 500 thousand new cases of it in the world. The province of Ardabil, with 25-40% from all the country's leishmaniasis has a major part in the country and is considered as one of the main focuses in Iran. Due to its importance, this study was done to identify clinical signs and demographic characteristics of the patients.

 Methods: This was a descriptive cross-sectional study which was done retrospectively 110 children who were hospitalized in three different active hospitals between 1375-1382 entered in this study. Disease definition include parasite detection in bone marrow aspivation or special clinical signs (fever, spleenomegal, pansytopenia and weight loss) in addition direct agglutination test was positive. The samples were investigated in terms of demographic information. Place of living, clinical signs and the length of time between the symptoms of the disease and its diagnosis. To get to the results, simple descriptive statistics was used. 37.8% of the patients were diagnosed from the beginning of symptoms with in a month.

 Results: There were 56.4% boys and 43.6% girls of all the 110 children. DAT test was done in 97 patients which was positive in 91 cases (minimum positive titer 1/400). In 42 patients biopsy and bone marrow aspiration was done which was positive in 26 cases (lishman body detection). The age of the patients was 4 months -14 years. The most common findings were fever 97.3% and anorexia 97.1%. There was anemia in 90% thrombocytopenia in 60.8% and leukopenia in 24.8%. There was death in 6 patients (5.5%) and unresponsiveness to the treatment in 3 cases (2.7%).

 Conclusion: The results of the present study nearly corresponds to those of other studies. The main vulnerable community of visceral lieshmaniasis are mainly children. In order to decrease the mortality and morbidity its early diagnosis is essential. It is necessary that the physicians working in endemic regions be familiar enough with the disease.

Hasan Boskabadi, Maryam Kalateh Molaee ,
Volume 15, Issue 4 (1-2016)

Background & objectives: Weight loss and hypernatremic dehydration is a common problem in infants with inadequate nutrition. Determination of risk factors and clinical characteristics of these neonates may help to prevent or early detection of hypernatremia. This study designed to determine the prevalence of clinical signs and risk factors for hypernatremic dehydration.

Methods: This study is a sectional descriptive study that conducted on 418 newborns during 1385 to 1393 AHS that referred to Ghaem hospital in Mashhad. The hypernatremic group consisted of 197 neonates with serum sodium level higher than 150 mg/dl and 221 isonatremic newborns with sodium level less than 150 mmol/L were included as controls. Both groups were compared in terms of clinical symptoms of dehydration and maternal risk factors. All data were recorded and coded. Data analysis performed using paired T test and chi square tests by SPSS 16 software.

Results: In the present study, 2.8% of infants were hypernatremic. The most common symptoms were neonatal jaundice (62.2%), hyperthermia (25.8%), lethargy (23.6%), agitation (20.8 %) and mucous membranes dryness (17.2%). Problems in pregnancy (p=0.002), inappropriate feeding techniques (p=0.000), the first lactation duration (p=0.022) and frequency per day (p=0.000) had statistically significant difference between case and control groups.

Conclusion: Prevalence of hypernatremic dehydrationis considerable in our study and identifying the risk factors may help to reduce its incidence or exacerbation. Weight loss, especially in newborns having jaundice, hyperthermia and irritability, may be helpful in the early diagnosis of hypernatremic dehydration

Fatemeh Ghannadiasl , Reza Mahdavi,
Volume 16, Issue 2 (7-2016)

Background & Objectives: Obesity is associated with metabolic abnormalities such as insulin resistance. Weight loss is always recommended for meaningful reduction in these abnormalities. Therefore, we examined the effects of balanced low calorie diet on weight loss, fasting insulin and insulin resistance in obese women attending the nutrition clinic.

Methods: In this clinical trial, forty five volunteer apparently healthy obese women (body mass index: 33.28 ± 2.90 kg/m2 and age: 28.40 ± 7.98 years) were recruited from the nutrition clinic in their first visit. The participants were received a balanced low calorie diet over 6 months after anthropometry measurement and blood sampling for determination of fasting insulin and insulin resistance level. Balanced low calorie diet was an individualized diet with an energy deficit of 500 calories of daily energy intake that was calculated from 3-day food records for every person. At 6 months after intervention, continuous and dichotomous variables were assessed using paired t-test and McNemar test, respectively.

Results: The mean recommended energy intake was 2241.78 ± 219.02(kcal). After 6 months, there were significant reductions in body weight (p=0.003), body mass index (p=0.005), waist and hip circumferences (p<0.001 and p<0.001, respectively). There was also significant improvement in fasting insulin level (13.47 ± 6.55 vs. 11.95 ± 4.17 µU/ml, p=0.01). Whereas, insulin resistance had not significant reduction (p=0.1).

Conclusion: In obese women attending the nutrition clinic, the balanced low calorie diet resulted in weight loss and improvement in fasting insulin. These positive changes can help to decrease the risk factor profile in obese individuals.

Nooshin Yazdani , Seyeh Ebrahim Hosseini,
Volume 17, Issue 3 (10-2017)

Background & objective: Aloe-vera is an herb   that has long been used in traditional medicine. Using high-fat diet and fatty liver disorder cause obesity and hyperlipidemia. So, this study aimed to investigate the effects of Aloe - vera gel extract on the body weight and lipid profile in adult male rats treated with high-fat diet.
Methods: In this experimental study, 40 adult male rats were included in the control group (no treatment), sham group (treated with high-fat diet 10 ml/kg) and three experimental groups receiving high-fat diet (10ml/kg) along with 150, 300 and 600 mg/kg Aloe- vera gel extracts. Prescriptions were conducted by gavage, for 60 days. At the end, after anesthetizing the rats and phlebotomizing their heart, the serum levels of cholesterol, triglycerides, LDL and HDL were measured.   The obtained results were analyzed by ANOVA and Duncan tests.
Results: The results showed that high-fat diet significantly increased the serum levels of cholesterol, triglycerides, LDL (p<0.001) and weight gain (p<0.01) but had no significant effect on the serum level of HDL. However, in the groups receiving Aloe -vera gel and   high-fat diet, there was a significant decrease in the weight and serum levels of cholesterol, triglyceride (p<0.05) and LDL (p<0.01).
Conclusion: High-fat diets increase the weight and serums levels of triglycerides, LDL and cholesterol.  Also, the Aloe- vera gel extract causes weight loss and improves lipid profiles in the rats treated with Aloe -vera gel extract.
Fatemeh Ghannadiasl,
Volume 18, Issue 3 (10-2018)

Background & objectives: The aim of the present study was to evaluate 8 weeks individualized balanced low calorie diet on anthropometric measurements in apparently healthy obese women.
Methods: Forty apparently healthy obese women (age: 18-40 years and 27.5≤BMI≤40 kg/m2) were recruited from the nutrition clinic in Ardabil city. The participants received a balanced low calorie diet after anthropometric measurements. Paired T-test was used to compare the changes during 8 - week intervention.
Results: Individualized balanced low calorie diet resulted in a significant decrease in body weight (-3.99±0.34 kg, p<0.001), body mass index (-1.61±0.14 kg/m2, p<0.001), waist circumference (-2.91±0.32 cm, p<0.001), hip circumference (-1.89±0.37 cm, p<0.001), waist to hip ratio (-0.01±0.004, p=0.001), waist to stature ratio (-0.02±0.002, p<0.001), body adiposity index (-0.97±0.15%, p<0.001), abdominal volume index (-1.07±0.11, p<0.001) and conicity index (-0.007±0.002, p=0.001) during 8 weeks.
Conclusion: Based on the results, an individualized balanced low calorie diet induced weight loss and decreased other anthropometric measurements during 8 weeks. Balanced low calorie diet-induced moderate weight loss alone can be a good way to reduce metabolic risk factors in obese women. .

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مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
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