The Effect of Tramadol Addiction on Convulsion and Related Factors

Background: Tramadol is a drug used to control severe pain. Various side effects of this drug have been reported, one of the most important is seizures. The exact cause of tramadol-induced seizures is not known. The aim of this study was to investigate the effect of tramadol addiction on convulsion and related factors in 2018. Methods: This cross-sectional study was performed on 216 patients with convulsion referred to Imam Hossain Hospital of Shahroud in 2018. After reviewing and stabilizing vital signs, a questionnaire containing demographic information, medical history, medication use (especially tramadol), and drugs was completed by patients. The association between recurrent convulsion and predictors were assessed using multivariable logistic regression. Data were analyzed and compared using SPSS statistical software, version 16 and related statistical tests. The significant level was set at 0.05. Results: In this study from 216 participants, 154 (71.3%) of them were male and the rest were female. The mean age of the all patients was 44.8±18.2 years (17-72 years) that was no significant difference between the two groups. Recurrent convulsion was significantly associated with history of opium use (Pvalue<0.032) and tramadol using (Pvalue<0.001) and there was no significant relationship with other variables. Tramadol using cans double your chances of having a recurrent convulsion [OR=2 (95% CI: 1.752 – 2.689)]. Conclusions: The results of this study showed that taking tramadol in opium users can increase the incidence of recurrent convulsion, but more research is needed to fully confirm this. Key words: Tramadol, Convulsion, Side effect

Comparison of the Effect of Inhalational Isoflurane-Nitrous Oxide Anesthesia and Intravenous Propofol-Remifentanil Anesthesia on Postoperative Pain

Background: The severity of postoperative pain varies widely in the different types of anesthesia. The aim of the present study was to compare the effect of isoflurane-nitrous oxide anesthesia and propofol-remifentanil anesthesia on postoperative pain after foot and ankle surgery. Methods: In this double-blind clinical trial, 60 eligible patients were divided into two equal intervention and control groups; the first group inhaled anesthesia with isoflurane-nitrous oxide and the control group were given intravenous anesthesia with propofol-remifentanil using the quadruple random block model and postoperative pain intensity was measured and compared in the two groups. Data on pain severity were collected at different times and analyzed using SPSS statistical software and related tests. The significant level was set at 0.05.   Results: Of the 60 participants, 38 (52.4%) were male and 22 (47.6%) were female. The mean age of the participants was 33.9±15.1 years. The intensity of pain in the recovery room and up to 4 hours after surgery was significantly (Pvalue<0.001) lower in the intervention group but after 4 hours there was no significant difference between the two groups. So, it can be seen in the present study that there was a significant decrease (Pvalue<0.036) in the number of cases requiring analgesics prescribed in the recovery room and up to 4 hours after surgery in the intervention group. Conclusions: According to the results, evaporation anesthetic isoflurane-nitrous oxide can be used in the stage of induction of anesthesia in orthopedic surgeries, and has achieved good results in reducing pain, especially during the first 4 hours, postoperative. Key Words: Isoflurane, Propofol, Inhaler Anesthesia, IV Anesthesia, Postoperative Pai

The Relationship between Uric Acid and Blood Glucose in Diabetic Patients

Background: some studies have shown that there is a correlation between serum uric acid and blood glucose levels so that these changes are not exactly clear. This study was conducted to determine the relationship between uric acid and blood glucose in diabetic patients. Methods: This cross-sectional study was performed on 190 type 2 diabetic (DM) patients in Shahroud by convenience sampling method. FBS, uric acid, triglyceride, and total cholesterol under standard conditions were measured. Patients were divided into four groups in terms of uric acid level. Results: In this study, 53.7% of patients were male. The average age of cases was 58.3 ± 13.5 years. There was a significant difference in uric acid between age groups (Pvalue<0.023), educational levels (Pvalue<0.041), BMI (Pvalue<0.012) and cholesterol (Pvalue<0.002) groups. Also, there was a significant reverse relationship between mean FBS (Pvalue<0.001), blood glucose two hours after feeding (Pvalue<0.001), and HbA1c (Pvalue<0.02) with different levels of uric acid. Conclusions: The results showed that there was a significant and reversal relationship between the levels of uric acid and glucose levels. In order to control the level of uric acid, the level of glucose in these patients is also to be measured and controlled. Keywords: Diabetes mellitus, Blood glucose, Uric acid.   &nbsp

Brucella Antibody Levels in Preschool Children in the North East of Iran

Background: Brucellosis is a zoonotic disease of humans and animals that has affected worldwide. Iran is one of the endemic areas infected with brucellosis. Early diagnosis of this disease may protect the affected children from disabilities and mortalities. This study aimed to evaluate the Brucella antibody levels in preschool children of the Shahroud city in Iran.Methods: This cross-sectional study evaluated 850 participants, in particular, school children from the Shahroud city. General information was collected by interviewing the children’s parents. Moreover, a 5 ml of blood sample was collected from all the children. The samples were studies using standard tube agglutination test (Wright) and 2-Mercaptoethanol. Thereafter, IgG and IgM levels were determined by the ELISA method.Results: A total of 850 children were enrolled, of which 51.2% were boys and 48.8% were girls, with a mean age of 5.17±1.55 years. Of the all children evaluated, 839 (97.5%) children had a titer <1/80 and 21 children (2.5%) had a titer ≥1/80. A significant difference was observed between the antibody titers in terms of gender (P=0.012), whereas no significant association was found among antibody titers with other variables such as age, history of nonpasteurized foods, exposure to animals, history of brucellosis disease, and parental occupation.Conclusions: The antibody titer for suspected brucellosis in preschool children of Shahroud was very low. According to the results of our study, in particular, in the endemic areas, a Wright’s titer of 1/80 in suspected cases for brucellosis can be considered as a diagnostic titer

Brucella Antibody Levels in Preschool Children in the North East of Iran

Background: Brucellosis is a zoonotic disease of humans and animals that has affected worldwide. Iran is one of the endemic areas infected with brucellosis. Early diagnosis of this disease may protect the affected children from disabilities and mortalities. This study aimed to evaluate the Brucella antibody levels in preschool children of the Shahroud city in Iran.Methods: This cross-sectional study evaluated 850 participants, in particular, school children from the Shahroud city. General information was collected by interviewing the children’s parents. Moreover, a 5 ml of blood sample was collected from all the children. The samples were studies using standard tube agglutination test (Wright) and 2-Mercaptoethanol. Thereafter, IgG and IgM levels were determined by the ELISA method.Results: A total of 850 children were enrolled, of which 51.2% were boys and 48.8% were girls, with a mean age of 5.17±1.55 years. Of the all children evaluated, 839 (97.5%) children had a titer <1/80 and 21 children (2.5%) had a titer ≥1/80. A significant difference was observed between the antibody titers in terms of gender (P=0.012), whereas no significant association was found among antibody titers with other variables such as age, history of nonpasteurized foods, exposure to animals, history of brucellosis disease, and parental occupation.Conclusions: The antibody titer for suspected brucellosis in preschool children of Shahroud was very low. According to the results of our study, in particular, in the endemic areas, a Wright’s titer of 1/80 in suspected cases for brucellosis can be considered as a diagnostic titer

The The Effect of Tramadol Addiction on Convulsion and Related Factors

Background: Tramadol is a drug used to control severe pain. Various side effects of this drug have been reported, one of the most important is seizures. The exact cause of tramadol-induced seizures is not known. The aim of this study was to investigate the effect of tramadol addiction on convulsion and related factors in 2018. Methods: This cross-sectional study was performed on 216 patients with convulsion referred to Imam Hossain Hospital of Shahroud in 2018. After reviewing and stabilizing vital signs, a questionnaire containing demographic information, medical history, medication use (especially tramadol), and drugs was completed by patients. The association between recurrent convulsion and predictors were assessed using multivariable logistic regression. Data were analyzed and compared using SPSS statistical software, version 16 and related statistical tests. The significant level was set at 0.05. Results: In this study from 216 participants, 154 (71.3%) of them were male and the rest were female. The mean age of the all patients was 44.8±18.2 years (17-72 years) that was no significant difference between the two groups. Recurrent convulsion was significantly associated with history of opium use (Pvalue<0.032) and tramadol using (Pvalue<0.001) and there was no significant relationship with other variables. Tramadol using cans double your chances of having a recurrent convulsion [OR=2 (95% CI: 1.752 – 2.689)]. Conclusions: The results of this study showed that taking tramadol in opium users can increase the incidence of recurrent convulsion, but more research is needed to fully confirm this. Key words: Tramadol, Convulsion, Side effect

The Comparison of the Effect of Inhalational Isoflurane-Nitrous Oxide Anesthesia and Intravenous Propofol-Remifentanil Anesthesia on Postoperative Pain

Background: The severity of postoperative pain varies widely in the different types of anesthesia. The aim of the present study was to compare the effect of isoflurane-nitrous oxide anesthesia and propofol-remifentanil anesthesia on postoperative pain after foot and ankle surgery. Methods: In this double-blind clinical trial, 60 eligible patients were divided into two equal intervention and control groups; the first group inhaled anesthesia with isoflurane-nitrous oxide and the control group were given intravenous anesthesia with propofol-remifentanil using the quadruple random block model and postoperative pain intensity was measured and compared in the two groups. Data on pain severity were collected at different times and analyzed using SPSS statistical software and related tests. The significant level was set at 0.05.   Results: Of the 60 participants, 38 (52.4%) were male and 22 (47.6%) were female. The mean age of the participants was 33.9±15.1 years. The intensity of pain in the recovery room and up to 4 hours after surgery was significantly (Pvalue<0.001) lower in the intervention group but after 4 hours there was no significant difference between the two groups. So, it can be seen in the present study that there was a significant decrease (Pvalue<0.036) in the number of cases requiring analgesics prescribed in the recovery room and up to 4 hours after surgery in the intervention group. Conclusions: According to the results, evaporation anesthetic isoflurane-nitrous oxide can be used in the stage of induction of anesthesia in orthopedic surgeries, and has achieved good results in reducing pain, especially during the first 4 hours, postoperative. Key Words: Isoflurane, Propofol, Inhaler Anesthesia, IV Anesthesia, Postoperative Pai

The The Relationship between Uric Acid and Blood Glucose in Diabetic Patients

Background: some studies have shown that there is a correlation between serum uric acid and blood glucose levels so that these changes are not exactly clear. This study was conducted to determine the relationship between uric acid and blood glucose in diabetic patients. Methods: This cross-sectional study was performed on 190 type 2 diabetic (DM) patients in Shahroud by convenience sampling method. FBS, uric acid, triglyceride, and total cholesterol under standard conditions were measured. Patients were divided into four groups in terms of uric acid level. Results: In this study, 53.7% of patients were male. The average age of cases was 58.3 ± 13.5 years. There was a significant difference in uric acid between age groups (Pvalue<0.023), educational levels (Pvalue<0.041), BMI (Pvalue<0.012) and cholesterol (Pvalue<0.002) groups. Also, there was a significant reverse relationship between mean FBS (Pvalue<0.001), blood glucose two hours after feeding (Pvalue<0.001), and HbA1c (Pvalue<0.02) with different levels of uric acid. Conclusions: The results showed that there was a significant and reversal relationship between the levels of uric acid and glucose levels. In order to control the level of uric acid, the level of glucose in these patients is also to be measured and controlled. Keywords: Diabetes mellitus, Blood glucose, Uric acid.   &nbsp