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We report a case of a single kidney patient with an isolated renal hilum mass which is accompanied by severe vascular involvement. A 56-year-old woman with right flank pain was referred to our center. Ultrasound and CT scan showed a hypoechoic and solid mass in the right kidney pedicle. The renal mass biopsy showed a clear cell carcinoma. The patient was scheduled for surgery and the isolated mass was removed. To the best of our knowledge, this is the first case of renal hilum mass of Renal Cell Carcinoma (RCC) origin that had no connection to kidney parenchyma.
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OBJECTIVE: Quality of life measures can provide an important source of medical information for promoting the health status of chronically ill patients. The purpose of the present study was to evaluate health related quality of life in psychiatric veterans of the Iraq- Iran war of the 1980s. METHODS: They were out patients diagnosed with various psychiatric symptoms. The present study used a cross sectional design, in which 971 psychiatric veterans were selected by Systematic-randomized sampling and evaluated using the SF36 questionnaire. RESULTS: Findings revealed that veterans who suffered from one or more chronic conditions/illnesses reported significantly more bodily pain and significantly less vitality, mental and general health compared to those veterans without chronic conditions. Moreover, specific aspects of poor quality of life were more salient in specific chronic conditions/illnesses than others. CONCLUSION: Based on these findings, chronic conditions, especially respiratory problems, can have a detrimental effect on the quality of life in psychiatric war veterans.
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BACKGROUND: War is a known cause of tremendous physical injuries to different body organs, and eyes are not exceptions. War-related no visual acuity (NVA) affects both the victim and the family. Activity of daily living (ADL) can display personal life independency and is considered as a morbidity index. This study was designed to investigate the ADL profile of war survivors with NVA. METHODS: This cross-sectional study was conducted in 2007 in Iran. In this study, 500 Iranian people with war related NVA were invited to take part in a camp in Mashhad city. ADL was evaluated using Barthel Index and demographic data were collected using a data sheet. Stepwise linear regression was used to determine the associates of ADL. RESULTS: The overall response rate to the invitation was 50%. From the total 250 participants 96.5% were male with a mean age of 43 ± 8 years. Only 8.3% had no dependency in ADL and other 91.7% had some ranges of dependency in at least one of the daily living activities. ADL score was higher in highly educated participants, those younger than 50 years old, those with less co-morbid physical problems (hearing loss) and those with regular physical exercises. According to regression analysis, age and duration of war related NVA were significant predictors of ADL. CONCLUSIONS: According to the results, both age and the time passed from war related NVA increase the dependency of people with war related NVA.
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BACKGROUND: Health-related quality of life measurements are necessary tools for current situation assessment of all populations. They are absolutely beneficial for evaluation of rehabilitation services which are known as major clinical sources for improving quality of life in physically impaired patients.The design and implementation of this study involved determination of the relationship between war-related physical impairments and quality of life in blind war survivors. METHODS: This was a cross-sectional study of a representative population of war victims blind in both eyes who attended a day conference. SF 36 was used for quality of life assessment and demographic data was gathered by a validated questionnaire. An expert internist visited and evaluated subjects' physical health. RESULTS: Participants had a mean age of 43.20±8.34 years. There were 96.5% males and 3.5% females with a mean SF-36 score of 59.20±22.80. The most prevalent physical injury was shrapnel hit in the face (43.6%) and the mean time since onset of injury was 21.84±4.23 years. Quality of life had a significant relation to physical impairments (P=0.006) and the number of injuries had a significant effect on quality of life (P=0.003, f=3.788). CONCLUSION: Physical impairments related to war injuries significantly influenced quality of life in the study group. Participants with more impairments reported lower quality of life. Considering the physical problems that accumulate with increasing age, therefore the process of ageing would cause enhanced burden to the future of blind war survivors even though, according to the physical component scale, they have a better quality of life than lower limb amputee war survivors. Assistive devices with proper instruction on their use can help this population improve their abilities and improve their quality of life.