Our study shows that Iranian patients with vitiligo who received a combined treatment course with 308-nm EL and tacrolimus 0.1% experienced significantly higher levels of repigmentation in comparison with laser therapy alone.
Objective: The aim of this study was to investigate changes of leptin concentration in plasma in patients with spinal cord injury to come to a single concept by using a Meta-analysis. Setting: Systematic Review. Methods: Searching relevant articles was performed in Ovid data base, Medline (PubMed) EMBASE, Google Scholar, Cochrane and Scopus up to February 2013. Five articles were selected using two independent reviewers. Analysis were performed using SPSS version 18 and Comparative Meta-analysis software version 2.0. Results: The combined analysis with confidence interval of 95% using comprehensive meta-analysis showed significant higher leptin levels in patients with spinal cord injury in comparison with able bodies (Po0.0001). The effect of spinal lesion level on plasma leptin concentration was also statistically significant (Po0.0001). Body mass index was positively related to plasma leptin concentration in both groups (Po0.0001).Conclusion: This Meta analysis approves increased level of leptin in spinal cord injured patients which can be due to fat distribution changes and sympathetic dysfunction in these patients. Our results also showed that patients with higher spinal lesion level have higher plasma leptin concentration.
IL-10 has a strong effect in the induction of neuroprotection and neurorecovery after SCI by multiple pathways. Tetramethylpyrazine has an acceptable influence in reducing inflammation through the up-regulation of IL-10. Outcomes of sulforaphane and tanshinone IIA administration are acceptable but still weaker than IL-10.
This study shows that the type of bladder management method affects HRQoL significantly in patients with SCI. Intermittent catheterization are recommended to be administered instead of indwelling catheterization to improve HRQoL.
Background: Spinal cord injury (SCI) imposes a tremendous burden on physical, mental and psychosocial aspects of life among affected individuals. Objectives: Until now, there was no statistics about the quality of life (QoL) in Iranian males with SCI. Here, we assessed the QoL among Iranian men with SCI and compared it with general population. Patients and Methods: Referred male patients with SCI to Brain and Spinal Injury Research Center (BASIR) were invited to participate in this investigation. The QoL was measured by the Short-Form 36-Item Health Survey (SF-36). One sample T-test was used to compare outcomes with normal distribution. Values in general population in Iran were extracted from previous literatures. Results: Total of 153 patients with mean age of 35.10 ± 16.20 years old participated in this study. The most common reason of trauma was road accidents (49.7%). Cervical level injury was seen in 47% of patients, thoracic level in 28.1% and lumbosacral level in 24.9%. QoL was assessed in eight domains. Mean scores in domain of physical functioning was significantly higher in general population (28.2 ± 25.3 and 87.8 ± 19.0 in SCI group and general population, respectively, P < 0.0001). Similarly, scores in domain of physical and emotional role functioning were higher in general population (P < 0.0001 and P = 0.002, respectively). No significant difference was seen between males with SCI and general population in domain of mental health (70.5 ± 19.6 and 69.2 ± 17.1 in SCI group and general population, respectively; P = 0.37). Conclusions: This study shows that men with SCI have significant reduced QoL in comparison with general population. However, it seems that the scores in domain of mental health are not affected by SCI and this aspect of QoL is spared to some extents after injury.
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