Iranian Journal of War and Public Health

Abstract: Objective: the main objective is to determine the influence of treatment by Milwaukee and Thoracolumbosacral orthoses on self-image and satisfaction with management of adolescents idiopathic scoliosis.

 Materials and methods: this cross-sectional study investigated the self-image and satisfaction with management of adolescents with idiopathic scoliosis that treated with Milwaukee and Thoracolumbosacral orthoses by the use of the Scoliosis Research Society-22 questionnaire that specifically designed for the assessment of quality of life in spinal deformity patients. In this study 63 subjects divided in two groups, a Milwaukee group of 31 patients and compares the results with an Thoracolumbosacral group of 32 patients matched by age and curve magnitude.

 Result: in this study, there were no statistically significant differences in self-image score between two groups (p=0.7), but Milwaukee brace wearing did higher negative effect the self image. Moreover, the Milwaukee group patients had score of satisfaction better than TLSO patients group, but there was no statistically significant difference in two groups (p=0.8).

 Conclusion: overall, brace wearing did decrease the quality of life of adolescent idiopathic scoliosis in two groups of our study population and this effects are higher in males. More attention will need to be given to those with severe curves, to help improve patients’ understanding of their treatment and hence their compliance and satisfaction. Our study shown that after the initial shock of brace wearing , the patients were able to adjust well about their condition.

Background and aims: Nowadays many countries use exercise as one of the treatment procedure in improving of physical and psychological health of veterans, so it has been effective results yet. The aim of this study was to examine the effect of aerobic exercise on general health and depression of veterans.

Material and method: Based on a semi experimental design 40 veterans, grade range 25 to 70 percent and with age average 40/3±1/4, were selected and randomly divided into two experimental and control groups. Subjects in the experimental group participated in a period of 12 weeks aerobic exercise training program, which done five times a week at50-65 percent of Vo2max. Control group did not participate in any exercise program during study period. General health of the subjects and its subscales was measured by the General Health Questionnaire (GHQ). Also for determine of depression range Serotonin levels were assayed before and after training for both groups. T student t test was used for comparison between two groups and data were analyzed by using of SPSS software version 18 at P<0.05.

Results: Data analysis showed a significant difference between‌ the two groups in general health. The difference in psychosomatic subscales, anxiety and in somnia, social dysfunction and depression were observed between the two groups (p<0.05).

Conclusion: Aerobic exercise for inactive veterans may be effective in reducing depression and increasing general health and placed in line health promotion programs.

Aims: Due to the widespread prevalence of COVID-19, clinicians should be aware of even the rare symptoms of the disease to help the patients with the proper clinical procedure. In this study, a new case related to COVID-19 induced tinnitus was reported.
Patient & Methods: The patient was 27 years old with a chief complaint of a sudden transient change in her chronic vascular tinnitus (loud pulsatile tinnitus) repeated several times a day during the illness period. Because the other symptoms were similar to those of COVID-19, she was referred for a PCR test.
Findings: The PCR test for Covid19 was positive. Audiology examinations revealed intact tympanic membrane and normal hearing levels. Impedance audiometry and acoustic reflexes were standard. Tinnitus evaluations confirmed a change of tinnitus quality to higher pitch tinnitus with a louder loudness. HRCT scan did not show lung involvement. 
Conclusion: In our case, tinnitus change is possibly due to a change in the blood flow caused by vasculitis, a confirmed manifestation of viral infectious including Coronavirus. Patients with sudden audio-vestibular symptoms should be further evaluated for the COVID-19 rule out. More detailed investigations are required to determine the involved mechanisms.