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Seyed-Ali Mostafavi, Pouria Yazdian-Anari, Maryam Mahmoudi, Fahimeh Mirzaei, Reza Bidaki, Mohammad Hossein Mahmoodi Meymand,
Volume 6, Issue 4 (volume 6, number4 2014)

Objective: Fragile X syndrome is the second etiology for inherited mental retardation. It may concomitant with other psychiatric disorders. Intellectual disability (ID) is a state of functioning that typically begins in childhood and is characterized by limitations in intelligence and adaptive skills. We intend to introduce a male young patient with Fragile X syndrome and Obsessive-Compulsive disorder. Case Presentation: A single, obese male patient with aggressive behaviors, intellectual disabilities, hyperphagia and Obsessive–Compulsive disorder was admitted for treatment. Behavioral problems and impaired interpersonal relationship was caused many of next problems. Also metabolic syndrome is suggested for him. Conclusion: In a mental retard patient, obsession may not be a chief complaint, but we saw compulsive behavior dominantly in this patient. Some cultural factors like stigma, low social support and unsuitable community approach towards him may be effective in this case. So, further evaluations and treatment of psychiatric and medical co morbidities is highly needed in an adolescent with mental retardation.
Reza Bidaki, Fatemeh Alavi,
Volume 7, Issue 2 (volume 7, number2 2015)

Objective: Hypoglycemia with multiple etiologies is a common in diabetic patients. The current study describes the probability of interaction between Maprotiline, Selective Serotonine Reuptake Inhibitors like Citalopram for induction of hypoglycemia.

Case Presentation: A 47 year-old diabetic woman used Tablet Citalopram 20mg daily because of Generalized anxiety disorder from two years ago, but 1 week after prescription of Tablet Maprotiline 25mg at night, she had recurrent and symptomatic hypoglycemia episodes. After decline of dosage of Maprotiline, hypoglycemia was improved and follow discontinuation of it, was completely resolved.

Conclusion: The use of Maprotiline with Citalopram simultaneously may alter glycaemic control and induce a recurrent hypoglycemia and it is mentioned in the “warnings and precautions for implication”. Of course the clinically relevant adverse drug responses may not recognized in clinical practice.

Reza Bidaki, Fahime Keshavarzian, Fateme Alavi, Pouria Yazdian,
Volume 7, Issue 3 (volume 7, number3 2015)

Objective: Isolated visual hallucinations is considered as the Charles Bonnet syndrome. Ophtalmic or brain organic disease is a necessary or exclusionary criterion for diagnosis. In previous reports, it reported only solitary hallucination. In this report, we found multiple hallucinations.

Case Presentation: In this article we report a 64 year-old blind man with renal failure under hemodialysis who suffered from the Charles bonnet syndrome. His left eye was blind about 6 months ago, He fell some flies attack him and lying on his face. He believed that insects crawling on his face (Tactile hallucination). It was ruled out delirium, psychotic and mood disorders.

Conclusion: Not only visual hallucination, but also the tactile and gustatory hallucination can find about Charles Bonnet syndrome.

Fatemeh Alizadeh, Mohammad Amin Lotfi, Fariba Sepehri, Mostafa Saberi, Reza Bidaki, Parisa Balaei, Mohammad Hossein Ahmadie,
Volume 8, Issue 2 (volume 8, number 2 2016)

Objective: Suicide is seen in major depression, also in chronic diseases patients. HbA1C is a marker of long-term control of diabetes. The aim of this study was evaluation of the suicidal ideations in diabetic patients and its association with the status of blood sugar control based on Hemoglobin A1c (Hb A1c).

Materials and Methods: This study is a cross-sectional study. The patients were selected randomly. In this study, 180 diabetic patients were studied who were referred to the Ali Ibn Abitaleb Hospital Diabetes Center in Rafsanjan. This study data contain three categories, including demographic, Beck Depression Inventory, Beck suicidal ideations Inventory. HbA1c was extracted from the patients file. The software SPSS-17 was used. The t-test, ANOVA, Chi square and correlation coefficient tests were used.

Results About %36.7 of the patients were male and 114 (%63.3) were female. The mean (± SD) age of patients was 14.28(± 56.98) years (range: 14 - 88 years). Of these patients, 66 (%36.7) reported a history of depression and 114 (%63.3) no depression history. The mean of diabetes duration was 9.25±6.15 years. The mean (± SD) of HbA1c level was 2.08 ± 8.4 (range: 4.8-19.6).

Conclusion: Generally our findings showed that the prevalence of suicidal ideation in the diabetic population in Rafsanjan is less than the general population and other studies. There is no significant relationship between suicidal ideation and the age, sex, duration of diabetes, HbA1c levels, and history of depression.

Mahboube Ahmad Nazari, Hamid Oliaee, Reza Bidaki, Hossein Sorbi,
Volume 11, Issue 3 (volume 11, number 3 2019)

Objective: Diabetes is one of the chronic diseases which can be accompanied with suicide. The study was conducted to assess and compare the prevalence of suicidal ideation in diabetic patients receiving insulin and oralmedication treatment.
Materials and Methods: In this cross-sectional study, 2000 patients with diabetes supported by diabetes institute of Rafsanjan in 2017. After giving conscious permission, the patients filled in a demographic checklist and Beck suicidal ideation questionnaire. The data were analyzed using SPSS-16.
Results: Prevalence of suicidal ideation in patients with diabetes receiving insulin was 3.2% (n=32) and in people receivingoral medication treatment was 3.1% (n=31). There were no association between suicidal ideation and the method of diabetes treatment. Suicidal ideation was more prevalent in illiterate people; however, no significant relationship was seen between suicidal ideation and education level. Also, there was no significant relationship between marital status and suicidal ideation. There was no relationship between suicidal thoughts and the method of treatment (P-value: 0.05).
Conclusion: Suicidal ideation is more prevalent in diabetic patients, but there were not differences between two group under insulin therapy and oral anti-diabetic agents.

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