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Prevalence of oral soft tissue lesions in the victims of chemical bombardments in Kerman city (2007)
Shahla Kakoei,Maryam Rad,Nasibeh Zia
Journal of Isfahan Dental School , 2009,
Abstract: Introduction: During Iran-Iraq war, Iraqi troops used chemical weapons especially sulfur mustard (SM) gas against the Iranian soldiers several times. Results of previous studies and observations have all emphasized that chemical weapons pose hazardous effects on different human organs such as lungs, skin, hematopoietic tissues and sexual organs. Since no previous surveys were done on oral mucosa lesions in the victims of mustard gas, the aim of this study was to determine the prevalence of such lesions among veterans exposed to mustard gas who were living in Kerman at the time of this study.Materials and Methods: In this descriptive cross sectional study, 70 chemically injured veterans were included. All victims were examined and a questionnaire was filled by each. Chi-square and t-test were applied for data analysis on a computer using SPSS 13.5.Results: 72.5 percent of individuals in this study proved to have oral lesions. Among all victims, the most common lesions were pigmentation (45.7%) and oral ulcer (28.6%). No significant relations could be found between frequency of poisonings, severity of chemical effects and oral lesions, except for oral ulcers (P value < 0.005).Conclusion: The results of this study suggest that the prevalence of oral soft tissue lesions in chemical veterans is possibly equal to normal population
A Comparative In Vivo Study of Tissue Reactions to Four Suturing Materials
Shahla Kakoei,Fahimeh Baghaei,Shahriar Dabiri,Masoud Parirokh
Iranian Endodontic Journal , 2010,
Abstract: INTRODUCTION: The purpose of this study was to compare the histopathologic reaction of four suturing materials: silk, polyvinylidene fluoride (PVDF), polyglycolic acid, and catgut in the oral mucosa of albino rabbits. MATERIALS AND METHODS: The twenty-one male mature albino rabbits which were used in this study were randomly divided into three groups of seven each. Silk, PVDF, polyglycolic acid and catgut suture materials were tested in the oral mucosa of these animals. The animals were sacrificed 2, 4, and 7 days after suturing. Two pathologists evaluated the samples by determining the presence and level of inflammation, granulation tissue, and fibrosis formation. Data were statistically analyzed by Kruskal Wallis and Mann-Whitney U tests. RESULTS: Histological features of the samples showed that PVDF and plain catgut suture materials produced more fibrous tissue (favorable response) on the fourth day in comparison with silk suture (P=0.02). Also, in the 7-day samples PVDF sutures produced the mildest inflammation when compared with the silk sutures (P=0.015). CONCLUSION: According to the results of this study, it can be convey that PVDF suture materials created mild tissue reactions and can be a reasonable candidate for suturing oral tissues.
Oral impact on daily performance in Iranian adults
Shahla Kakoei DDS,Mostafa Shokoohi MSc,Hamideh Barghi DDS
Journal of Oral Health and Oral Epidemiology , 2013,
Abstract: BACKGROUND AND AIM:The aim of this study was to evaluate the prevalence and severity of oral impact on dailyperformance (OIDP) in adults attending dental clinics in the city of Kerman, Iran.METHODS:In 2010, a cross-sectional survey was conducted ona sample of 400 patients (age 20-50 years) referring todental centers in Kerman. Validated OIDP inventorywas used to collect data. Clinical examination wasalso carried outby a trained interviewer. Analysis of variance (ANOVA) and Student’s t-test were used for statisticalanalysis.RESULTS:Oral and dental diseases affected at least one daily activity of all participants (100%) during the six monthsprior to the study. The mean OIDP score of the subjects was 19% ± 12%. The most common affected activity waseating (92.6%). The most prevalently reported oralproblem was dental caries (65.3%). Subjects who hadbetter dentalhygiene (tooth brushing and flossing habits) were more likely to have lower OIDP score (P = 0.001 forbrushing;P = 0.002 for flossing).CONCLUSIONS:The results of the study showed that people who attended dental clinics had at least one oral/dentalproblem that affected their daily performance. Since the prevalence of OIDP was very high, providing more dental careand services is required.
Oropharyngeal candidiasis and resistance to antifungal drugs in patients receiving radiation for head and neck cancer
Maryam Rad DMD, MSc,Seyyed Amin Ayatollahi Mousavi PhD,Shahla Kakoei DDS, MSc,Maryam Bahador MD
Journal of Oral Health and Oral Epidemiology , 2012,
Abstract: BACKGROUND: Oropharyngeal candidiasis is a common infection in patient receiving radiotherapy for head and neckcancer. Accurate and rapid identification of candida species is very important in clinical laboratory, because theincidence of candidiasis continues to rise after radiotherapy. The genus Candida has about 154 species that showdifferent level of resistance to antifungal drugs and have high degree of phenotypic similarity. The aim of this study wasto investigate oral yeast colonization and infection and resistance to antifungal drugs in these patients.METHODS: Thirty patients receiving a 6-week course of radiation therapy for treatment of head and neck cancer at theOncology Unit in Shafa Hospital, in 2008, were enrolled in the study. Specimens from patients were cultured weeklyfor Candida. All isolates were plated on CHROM agar and RPMI-based medium. They were subcultured and submittedfor antifungal susceptibility testing (nystatin, fluconazole, clotrimazole and ketoconazole) and molecular typing.RESULTS: Infection (clinical and microbiological evidence) occurred in 50% of the patients and Candida colonization(only microbiological evidence) occurred in 70% of subjects in the first week. Candida albicans alone was isolated in94.9% of patient visits with positive cultures. Candida tropicalis was isolated from 5.1% of patient visits with positivecultures. All isolates were susceptible to nystatin, but did not respond to the other antifungal drugsCONCLUSIONS: The irradiation-induced changes of the intraoral environment such as xerostomia lead to increasedintraoral colonization by Candida species. All yeast isolates were susceptible to nystatin. Thus prophylactic therapywith nystatin should be considered for these patients.
Influence of menstrual cycle and salivary -estradiol on volatile sulfur compound
Shahla Kakoei DDS, MSc,Fahimeh Barkhori DDS,Ali Mirzazadeh MD, MPH, PhD,Mohammad Mohammadi DDS, MSc
Journal of Oral Health and Oral Epidemiology , 2012,
Abstract: BACKGROUND: -estradiol is a steroid sex hormone that plays important role in oral physiology. The aim of this studywas to determin the association of the menstrual cycle and salivary -estradiol with the production of volatile sulfurcompounds (VSC).METHODS: In this cross-sectional study, twenty female dental students in good oral and general health were recruited forevaluation of VSC, salivary flow, -estradiol concentration, oral dryness feeling and dysmenorrhea. Data were analyzedby marginal homogeneity test and xtgee model.RESULTS: The only covariates that significantly related to VSC were being at the follicular phase (B = -0.21, P = 0.02),being at the pre-menstrual phase (B = -0.25, P = 0.01), stressfulness (B = 0.02, P = 0.01) and oral dryness feeling(B = 0.34, P = 0.02). Salivary -estradiol was at the level of 59.7 31.2 in those having halitosis (VSC ≥ 75) while inthe others (VSC < 75) it was about 40.8 18.0 (P < 0.009). This difference was not statistically significant in multivariateanalysis.CONCLUSIONS: The menstrual cycle, stress and oral dryness were the most important determinants of halitosis. Thesalivary -estradiol level could not explain such relationship as its effect was eliminated considering the other factors.
Morphogenetic and Bioecological Characters of the Shirvan Plain Soils in the Azerbaijan Republic  [PDF]
Shahla Z. Jafarova
Open Journal of Soil Science (OJSS) , 2013, DOI: 10.4236/ojss.2013.34023
Abstract: The economic, political and social stability of the society, and an efficiency of the agroindustrial complexes depend on state of the soil resources. Using of the soil resources rationally is an important term for provision of the food safety. In this regard what results are presented in this article by us is carried out for studying of morphogenetic and bioecological features of soils of the Shirvan steppe of the Azerbaijan Republic.
Prevalence and characteristics of polycystic ovarian syndrome in a sample of infertile Kurdish women attending IVF infertility center in maternity teaching hospital of Erbil City  [PDF]
Bayan Hussein, Shahla Alalaf
Open Journal of Obstetrics and Gynecology (OJOG) , 2013, DOI: 10.4236/ojog.2013.37104

Objective: To estimate the prevalence of polycystic ovarian syndrome (PCOS), and to compare the clinical, hormonal and ultrasonography features between infertile women with or without PCOS. Design: A descriptive, comparative study. Materials and Methods: This study was conducted from May 1, 2007 to August 1, 2008, in the Infertility Care and IVF center in Maternity Teaching Hospital, Erbil city, Kurdistan region, North ofIraq. A total of 320 infertile women aged 18 - 45 years, were evaluated for clinical features (oligo-/amenorrhea, hirsutism), body mass index, waist-hip ratio (WHR) and hormonal measures. Transvaginal ultrasonography was used to assess the ovarian morphology. The Rotterdam 2003 criteria adopted by the European Society for Human reproduction and Embryology and the American Society for Reproductive Medicine were used to diagnose cases of PCOS. Data analysis was performed using the SPSS version 15. Results: The prevalence of PCOS was 33%. There were a significant differences between the two groups in terms of oligo-/amenorrhea, hirsutism, WHR, and ovarian ultrasound features. There were no significant differences between the two groups in correlations between the level of obesity with the incidences of anovulation, hyperandrogenemia and hirsutism or with hormonal features. Conclusions: A high prevalence rate of PCOS was observed among infertile women attending IVF center using the Rotterdam 2003 criteria for diagnosis.

Assessment of the enamel defects in primary teeth of premature infants
Sh Kakoei,B Bahman Bijari
Journal of Isfahan Dental School , 2009,
Abstract: Introduction: The aim of this study was to determine the prevalence of enamel defects in primary dentition of the term and preterm infants.Method and materials: In this historical cohort study, enamel defects (enamel hypoplasia and opacities) were evaluated and determined in 137 children (90 term, 47 preterm). Indeed, some data about weight, systemic diseases and medicine consumption in mothers and children and problems during delivery were achieved. Data were analyzed by chi-square test using SPSS software.Results: The prevalence of enamel defects of any type among these children was 27.7 percent, only hypoplasia 14.9 percent, and only opacities 14.9 percent. Enamel hypoplasia was more frequent in upper central incisors (14.9%) and lower first molars (10.6%). The prevalence of hypoplasia and opacities were more frequent in preterm children but results of χ2 test did not show any significant difference. Breech presentation, infantile respiratory distress syndrome and hypoxia during delivery were more frequent in preterm children (P = 0.0001).Conclusion: This study showed that there is no significant difference in prevalence of enamel defects in preterm infants in comparison to terms.Key words: Enamel defect, primary dentition, prevalence, preterm children
A. Shahla
Acta Medica Iranica , 2008,
Abstract: Congenital anterior tibiofemoral subluxation is an extremely rare disorder. All reported cases accompanied by other abnormalities and syndromes. A 16-year-old high school girl referred to us with bilateral anterior tibiofemoral subluxation as the knees were extended and reduced at more than 30 degrees flexion. Deformities were due to tightness of the iliotibial band and biceps femuris muscles and corrected by surgical release. Associated disorders included bilateral anterior shoulders dislocation, short metacarpals and metatarsals, and right calcaneuvalgus deformity.
The Current Status of Breast CancerAmong Resource-Limited Countries
Shahla Masood
Middle East Journal of Cancer , 2010,
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