Papers by Mahmoud Hajiahmadi
Jundishapur Journal of Microbiology, Feb 13, 2016
Background: Acute otitis externa, an inflammatory condition of the external auditory canal, is a ... more Background: Acute otitis externa, an inflammatory condition of the external auditory canal, is a common clinical problem in general medicine. Objectives: This study aimed to determine the etiology of otitis externa in patients from the Mazandaran province, north of Iran, which has a humid climate, as humidity can affect the prevalence of pathogenic microorganisms. Patients and Methods: This cross-sectional study involved 116 patients with otitis externa. Two sets of samples were collected from their ears; one set was used for slide preparations, and the other for microbial culturing. After culturing, the microorganisms were identified by conventional methods. Results: Patients between 35 and 44 years of age were most frequently affected (25.00%) by otitis externa (average age, 43.87 ± 18.08 years). Moreover, women (54.31%) were more frequently affected than men (45.69%). Upon direct investigation, Gram-positive bacilli were the most commonly identified microorganisms (22.41%). Furthermore, Bacillus spp. and coagulase-negative staphylococci (22.41% and 19.83%, respectively), were the organisms most frequently identified from cultures of otitis externa samples. Conclusions: Direct examination and culture showed that a mixed infection of fungi and bacteria is the most common cause of otitis externa. The present study revealed that Bacilli spp. were the most abundant bacteria isolated from patients with otitis externa. Thus, it is recommended that both organisms should be considered as etiologic agents in protocols for treatment of otitis externa.
Journal of Gorgan University of Medical Sciences, Mar 1, 2004
Shiraz E-Medical Journal
Background: One of the most common functional problems in children is functional abdominal pain (... more Background: One of the most common functional problems in children is functional abdominal pain (FAP), and dysmotility is one of the possible causes of FAP. Domperidone is a prokinetic drug that increases gastrointestinal motility. Objectives: The aim of this study was to evaluate the effect of domperidone on the treatment of FAP in children. Methods: In this double-blind clinical trial study, FAP was diagnosed in 80 children aged 5 - 14 years, who were referred to Amirkola Children's Hospital in Babol for one year based on the criteria of the Rome IV. Then, they were randomly divided into two groups of 40 patients. Group A received domperidone tablets (0.25 mg/kg, three-time/day) for two months, and group B received a placebo. The primary outcome was at least a 50% reduction in both frequency and severity of pain, and the secondary outcome was a significant reduction in the duration, frequency, and intensity of pain according to the Wong-Baker scale compared to baseline. Result...
International Journal of Women's Health and Reproduction Sciences, 2019
Objectives: Different drugs are prescribed for the induction of ovulation in patients with polycy... more Objectives: Different drugs are prescribed for the induction of ovulation in patients with polycystic ovary syndrome (PCOS). The aim of this study was to compare the effect of letrozole alone with letrozole plus N-acetyl cysteine (NAC) on the pregnancy rate in patients with PCOS. Materials and Methods: This clinical trial studyincluded317 patients with PCOS in the infertility clinic of Zahedan in 2018. Patients were randomly divided into letrozole and NAC plus letrozole groups. Then, several parameters were evaluated in both groups, including the pregnancy rate, number of follicles larger than 18 mm, endometrial thickness, and the endometrial pattern. Finally, data were analyzed using SPSS 25, and t-test and chi-square tests were used for statistical analysis. The mean age of study participants was 28.5 ± 4.9 years old. The mean duration of infertility in the intervention group was 4.5 ± 3.8 years. The mean anti-Müllerian hormone and the mean endometrial thickness of patients in the intervention group were 4.4± 3.6 ng/mL and 7.6 ± 2.5 mm, respectively. Eventually, the pregnancy rate was 14.6% (n = 23) and 7.5% (n = 12) in the intervention and control groups, respectively (P = 0.046). The results of this search revealed that the number of follicles with the size of 18 mm in the control group was higher compared to the intervention group, but the fertility rate in patients with PCOS receiving letrozole plus N-acetylcysteine was significantly higher.
Caspian Journal of Pediatrics, Mar 10, 2021
Background and Objective: Elective cesarean section (ECS) increases neonatal respiratory complica... more Background and Objective: Elective cesarean section (ECS) increases neonatal respiratory complications like transient tachypnea of the newborn (TTN) and respiratory distress syndrome (RDS). This pilot study examined the effect of antenatal steroids on the prevention of respiratory problems in full-term neonates born via ECS. Methods: This experimental study was carried out on full-term neonates (39-42 weeks) born by ECS to the mothers admitted to Babol Clinic Hospital, northern, Iran in 2016. The intervention group received betamethasone (12 mg, intramuscular, once a day) for 2 days before ECS plus conventional care, but the control group received only conventional care. The rate of respiratory complication and the admission rate of the newborn ward and neonatal intensive care unit (NICU) were compared between two groups. Findings: Overall, 200 full-term neonates (100 neonates in the experimental group and 100 neonates in the control group) were enrolled. Nine neonates (9%) in the experimental group and 8 neonates (8%) in the control group had TTN (P=0. 64), and one (1%) neonate in the experimental group and one neonate (1%) in the control group had RDS (P=1). Conclusion: Antenatal corticosteroid administration to the mothers before ECS with gestational ages of 39-42 weeks does not reduce the incidence of respiratory complications. Thus, further studies are needed to determined its effects in gestational age group more than 39 weeks.
J Babol Univ Med Sci; 23; 2021; PP: 380-385 Received: Feb 23 2021, Revised: Jun 1 2021, Accepted:... more J Babol Univ Med Sci; 23; 2021; PP: 380-385 Received: Feb 23 2021, Revised: Jun 1 2021, Accepted: Jun 12 2021. ABSTRACT BACKGROUND AND OBJECTIVE: Diabetes is the most common endocrine disorder in the world. Understanding the cutaneous manifestations associated with diabetes can help in choosing the appropriate treatment approach in these patients. The aim of this study was to evaluate the frequency of cutaneous manifestations in diabetic patients referred to the endocrinology clinic of Babol University of Medical Sciences. METHODS: The present cross-sectional study was performed on 300 patients with diabetes referred to Rouhani Hospital in Babol in 2019. Age, gender, BMI, type and duration of diabetes, and patients’ diabetes control status (HbA1C) were recorded and patients were thoroughly examined by a dermatologist and divided into two groups of below and above 50 years. In terms of cutaneous manifestations, they were divided into two groups; with cutaneous manifestations and with...
Caspian journal of pediatrics, 2018
Background: Neonatal seizure is a common problem and associated with a great mortality rate, high... more Background: Neonatal seizure is a common problem and associated with a great mortality rate, high risk of chronic neurodevelopmental impairments, also difficult to diagnosis and treatment. The aim of this study was to determine the neurodevelopmental outcome, clinical presentation and etiology of seizures in neonates admitted to Amirkola Children's Hospital (ACH). Methods: In this cross-sectional study, 42 neonates with the initial diagnosis of seizure, aged less than 28 days, hospitalized in ACH, northern Iran, from April to September 2016 were selected using convenient sampling method. The patients' information was gathered during hospitalization period and 6 months after discharge. Data were analyzed using SPSS 22 through descriptive and chi-square tests. Results: Among preterm and term neonates with seizures, the main diagnosis in neonates with seizures was idiopathic (38.1%) and hypoxic-ischemic encephalopathy (HIE) (14.3%), hypoglycemia (9.5 %) hypomagnesaemia (7.1%) a...
Iranian Journal of Medical Microbiology, 2022
Background and Aim: Urinary tract infection (UTI) is one of the most common infections in childre... more Background and Aim: Urinary tract infection (UTI) is one of the most common infections in children. Arbitrary use of antibiotics has increased the resistant strains and transmits these resistant factors to other pathogens. Therefore, this study was designed to follow the resistance trend in 9-years in children with urinary tract infections referred to the Amirkola Children's hospital (Northern Iran). In this cross-sectional study, all children who had Urinary tract infections between 1994 to1998 and 2013 to 2018 with one month to 18 years old were included. Data (covering 9 years), such as age, sex, antibiotic resistance profile, urine culture results, and history of UTI, were collected retrospectively from patients' records. Cases were selected based on clinical and microbiological criteria. Antimicrobial susceptibility was determined by the Kirby-Bauer disk diffusion method. Results: Escherichia coli was the most predominant organism isolated from urine samples. The highest drug resistance was related to cefazolin (83.3%). Resistance to nitrofurantoin was higher in children older than 5 years (P≤0.001). Moreover, the resistance pattern to gentamicin, amikacin, ceftriaxone, cephalexin, and imipenem differed in females and males (P>0.05). A 9-year study showed that 91.4% of the strains are still sensitive against amikacin which is a suitable treatment option in the studied strains. The establishment of antimicrobial stewardship programs and regular monitoring of antimicrobial resistance could help to reduce inappropriate prescribing for UTIs.
assessment of very low birth weight infant at corrected two years old.
Iranian Journal of Medical Microbiology, 2016
IJMM 1394; 9(4): 79-86 Background and Aim: Nearly 350 million people worldwide are carriers of th... more IJMM 1394; 9(4): 79-86 Background and Aim: Nearly 350 million people worldwide are carriers of the Hepatitis B virus (HBV). A medical worker is one of the most important occupational groups at risk for the virus. Despite vaccination, in many of them, antibody reduced and if the exposure to infected materials, there is a possibility of infection to HBV. This study, examines some of hepatitis B serologic markers among students in Babol University of Medical Sciences. Materials and Methods: 236 students in Babol University of Medical Sciences were enrolled to our study. For all students participating in the study, a questionnaire including demographic information, history of the first and last dose vaccination for Hepatitis B, blood transfusion and blood products and surgical history were completed. 5 ml of venous blood was taken from each student and serum was separated and stored in -20 oC. For all samples, ELISA test operated for Anti-HBs and Anti-HBc and HBsAg.
Objective: Human papilloma virus (HPV) can be the aetiologic factor in the benign or malignant oe... more Objective: Human papilloma virus (HPV) can be the aetiologic factor in the benign or malignant oesophageal epithelium. Human papilloma virus is suspected of causing extragenital cancers, including: cancers of the oral cavity, larynx, oesophagus and the lungs. More than 40 genotypes of HPV that infect the anogenital area are associated with a large spectrum of diseases from benign proliferation to invasive cancers. The aims of our study were to evaluate the prevalence of HPV-infection in non-cancer oesophageal lesions in Mazandran, North of Iran, and identify the prevalence of HPV in benign lesions. Methods: A total of 104 non-cancer oesophageal samples were collected in paraffinated blocks of tissue archived in pathology. After deparaffinization and DNA extraction, nested polymerase chain reaction (nPCR) method was performed by HPV L1 primer pairs (MY09/MY11 and Gp5+/GP6+). Results: Of 104 cases, 35 (33.7%) were HPV DNA positive. By histopathology, 61.5%, 31.8%, 30.4% and 30% of dysplasia, oesophagitis, normal tissue and ulcerative lesions were positive for HPV DNA, respectively. Also, the lower-third (distal) of the oesophagus had less infection of HPV DNA (18.8%) than the upper and middle-third (about 46%). The highest prevalence of HPV DNA was found in cases > 75 years old. Conclusion: To our knowledge, considering the highest rate of HPV-infection in people more than 75 years, we recommend the diagnostic procedures at a lower age. Also, the proximal part of the oesophagus is more infected with HPV than the distal part.
Nursing and midwifery studies, 2020
Background: Older adults who receive hemodialysis face different physiological and psychosocial s... more Background: Older adults who receive hemodialysis face different physiological and psychosocial stressors. Management of physiological and psychosocial stressors is among their basic needs for a desirable life. Objectives: This study aimed to evaluate the effects of telephone-based telenursing on perceived stressors among older adults receiving hemodialysis. Methods: This quasi-experimental study was conducted in 2018 on sixty older adults who were receiving hemodialysis. Participants were conveniently recruited from the hemodialysis centers of Shahid Beheshti and Imam Khomeini hospitals, Babol and Behshahr, Iran, and were randomly allocated to a control and an intervention group. A 3-month telephone-based telenursing program was implemented for participants in the intervention group. Physiological and psychosocial stressors were assessed before and after the study intervention. Data were analyzed using the Chi-square, paired-samples t, and independent-samples t-tests. Results: The ...
Journal of Babol University of Medical Sciences, 2017
1.Amirkola Children's Non-Communicable Disease Research Center, Health Research Center, Babol... more 1.Amirkola Children's Non-Communicable Disease Research Center, Health Research Center, Babol University of Medical Sciences, Babol, I.R.Iran 2.Infectious Disease Research Center, Health Research Center, Babol University of Medical Sciences, Babol, I.R.Iran 3.Department of Statistics and Epidemiology, Faculty of Medicine, Babol University of Medical Sciences, Babol, I.R.Iran 4.Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Sari, I.R.Iran 5.Cancer Research Center, Health Research Center, Babol University of Medical Sciences, Babol, I.R.Iran
Journal of Babol University of Medical Sciences, 2020
J Babol Univ Med Sci; 22; 2020; PP: 119-125 Received: Jul 15 2019, Revised: Sep 21 2019, Accepted... more J Babol Univ Med Sci; 22; 2020; PP: 119-125 Received: Jul 15 2019, Revised: Sep 21 2019, Accepted: Nov 13 2019. ABSTRACT BACKGROUND AND OBJECTIVE: Prematurity and low birth weight are one of the major health problems and the most common causes of infant mortality. Infant massage is potentially beneficial for physiological and psychological health. The present study was conducted to compare the effect of massage with coconut oil and sunflower oil on the growth of premature infants. METHODS: This clinical trial was performed on 100 premature infants admitted to the neonatal intensive care unit of Amirkola Children's Hospital in 2018 in four groups of 25 infants. Infants of the intervention groups with one cc of sunflower oil and coconut oil and the oil-free massage group were massaged for 15 minutes three times a day for seven days with the help of a research assistant, and the control group received only routine care. The weight, height, and head circumference of infants were col...
International Journal of Pediatrics, 2019
Background Considering the increasing prevalence of type 1 diabetes mellitus (T1DM) as an autoimm... more Background Considering the increasing prevalence of type 1 diabetes mellitus (T1DM) as an autoimmune disease in recent years and the positive effects of vitamin D (VD) on this disease, especially the preventive effect of VD on progressive reduction of pancreatic β-cells, we aimed to investigate the effect of VD on pancreatic β-cell function in T1DM patients. Materials and Methods From Sep 2016 to Nov 2017, this single-blind clinical trial study was performed on patients who have affected with T1DM in the last five years, referred to Endocrinology Clinic of Amirkola Children's Hospital in Babol city of Iran. The patients with VD level less than 30 ng/mL were treated with 50, 000IU Pearl VD for 9 months. The patients' C-peptide, 25 (OH) D, HbA1C and total daily dose(TDD) insulin were compared at the beginning and end of the study. Data were analyzed using SPSS software version 22.0. Results By examining all 30 randomly selected children meeting the inclusion criteria, it was f...
future of medical education journal, 2017
Background: The quality of an educational program is an important issue in medical educational sy... more Background: The quality of an educational program is an important issue in medical educational system. Among the affecting factors, the time of education is the less notified one. In this research, we evaluated the role of time of education on the success rate of theoretical health course. Methods: This cross-sectional study was conducted on medical students at Babol University of Medical Sciences, classified in two different groups: morning class and afternoon class. Three different examination tools, including a) pre and post-test, b) midterm and c) final exam were used to compare the success rate between the two groups. Descriptive parameter and independent T-test were used for data analysis using SPSS-16. Results: Findings of the three examinations of the total 118 students showed that the mean score of pre and post-test in students educated in the afternoon classes were significantly higher than their counterparts, but the mean score of the final exam was not significantly dif...
Background: Due to difficulty of obtaining a 24h urine (especially in children), a random urine c... more Background: Due to difficulty of obtaining a 24h urine (especially in children), a random urine calcium sample is recommended to detect of hypercalciuria. However, recent studies have shown that the urinary calcium/creatinine ratio varies with age and geographic areas. So, the aim of this study was determining the normal value of urinary calcium to creatinine ratio in healthy adolescent’s children. Methods: Four hundred eight children of 12 to 14-year-old were randomly selected from middle school in Babol (north of Iran) and early morning urinary samples of them were studied for determining normal urine Ca/Cr, Na/Cr and K/Cr ratios. Children who had the family with the history of renal disease were excluded from this study. Results: In this study the 50% and 95% of urinary Ca/Cr ratio were 0.08±0.02 and 0.13 mg/mg for the whole group. The mean of urinary Ca/Cr ratio in boys and girls were 0.08±0.03 and 0.08±0.02, respectively. The mean of urinary Na/Cr ratio in boys was 1.4±0.48 and...
Introduction: Stainless steel alloy used in orthodontics has elements such as iron - magnesium an... more Introduction: Stainless steel alloy used in orthodontics has elements such as iron - magnesium and chromium, which may be released due to corrosion in the mouth. The aim of this study was to evaluate the changes of these elements in the saliva of patients undergoing fixed orthodontic treatment. Methods: In a clinical study with simple non-random sampling, 1ml saliva of 11 patients (7 females and 4 males) who needed fixed orthodontic treatment and had no restorations or crowns were collected. During the fixed orthodontic treatment at successive times (a day, a week, a month, two months and six months), 1 ml of saliva was collected and evaluated for the amount of iron (spectrophotometry), chromium (atomic absorption), and magnesium (spectrophotometry). Bracket, band and wire used in all patients were stainless steel alloy and were manufactured by Dentaurum Company. After sample collection, the data analysis was performed with "Azeri-5" and "10 SPSS" software and re...
International Journal of Pediatrics, 2017
Background This study aimed to determine effects of synbiotics on treatment of functional constip... more Background This study aimed to determine effects of synbiotics on treatment of functional constipation in children aged 2-10 years old. Materials and Methods This randomized single blind clinical trial study carried out on children who had functional constipation based on the Rome III criteria. The polyethylene glycol + synbiotic group (P+S group, n=38)received the synbiotic with polyethylene glycol 0.6 gr/kg daily for 4 weeksfollowed bytonly polyethylene glycol for the following four weeks. The polyethylene glycol group (P group n=41) received polyethylene glycol for eight weeks. Then 8 after treatment, frequency of defecation, stool consistency, pain during defecation, fecal constipation and the percentage of patients who needed to continue their drug after 12 weeks treatment were compared between two groups. Results The differences in the mean frequencies of defecation (P=0.36), stool consistency (P>0.05), pain during defecation (P>0.05), incontinence (P>0.05) between t...
Journal of Babol University of Medical Sciences, 2016
BACKGROUND AND OBJECTIVE: Hyperbilirubinemia is a common problem in the neonatal period. Photothe... more BACKGROUND AND OBJECTIVE: Hyperbilirubinemia is a common problem in the neonatal period. Phototherapy is regarded as the most important treatment for this condition. Several factors affect the duration of phototherapy in newborns with jaundice. Considering the scarcity of research on the impact of kangaroo mother care (KMC) on phototherapy duration, in this study, we aimed to determine whether KMC can influence the duration of phototherapy
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Papers by Mahmoud Hajiahmadi