Journal of Arak University of Medical Sciences

How to Select and Interpret Laboratory Tests in Patients With Uveitis

Abdollah Rashidi

Diagnosis of uvelitis firms on symptoms,clinical examinations and history,but sometimes laboratory investigations are necessary. As usual, CBC and biochemical tests of blood and urine are on uvelitis patients to find systemic disease,or beginning a suitable drug therapy. Since HLAB27 has both prognostic and diagnostic values, the evaluation of uvelitis is important. Chest x-ray is necessary both for all uvelitis patients with unknown causes , and those who are suspected b to T.B and sarcoidosis. ESR can be advised in the case of infectious disease and temporal arthritis. The test such as P.P.D, ANA,Anticardiolipid protein , toxo plasmosis Ab test , Lyme serological work up and radiography of sacro-lliac are advised due to suspected cases.

Complications of Trans-Lumbar Aortography by CT.Scan

Nasrollah Rahbar

Trans Lumber Aortography is one of the main methods in Aortic Angiographic investigation .A research was performed 24 patients by C.T detecting the complications . Majority of patients handn,t any detectable complications in C.T. The most common positive findings in C.T were hemorrhags in the left retocrural space hematoma in left prirenal space and subcapsular hemorrhage of left kidney. There was no clear relationship between the numbers of puncture into the retroperitoneal space and the prevalence of detectable effects by C.T.

Comparison of Rheumatoid Factor in Serum and Joint Fluid of Patients with Rheumatoid Arthritis

Ghasem Mosabebi

The total of IgM and IgA in serum and synivial fluids of 45 patients with Rheumatiod Arthritis (RA) are measured by critical method of ELISA. %93 of the patients had RF in their serum. The results show that there is no difference between the rate of IgMRF and IgARF in serum and synovial fluid.It was found that percentage Rf the ratio in serum is higher than that of synovial fluid by the calculation of Re titre to total immunogloboline. The fifference is significant from statistical point of view. The main places of RF production probably is in the joins of patient who are contracted.

A Case Report of Complete Neutrophil Myeloperoxidase Defect Using A Hematology Device

Akbar Mohseni Movahed

Herediatry myeloperoxidase deficiency present in the homozygous form in about 1.9000 individuals.Heterozygotes showing a quantitative decrease in neutrpphil MPO concentration are common.Although there is some debate , MPO deficiency does appear , by itself , to predispose to increased infection. However MPO deficient subjects with an underlying chronic disease such as diabetes , have a significant increase in the incidence of candida infections. Acquired myeloperoxidase deficiency which must be distinguished from the hereditary form is associated with leukemias and thrombotic disease We found this case in 9 years old boy by using H1 Hematology system

Malaria (An Unusual Case Report)

Jamshid Najafian

Malaria is a protozoan disease transmitted by the bite of Anopheles mosquitoes. It is the most important of the parasitic disease of human. Most endemic areas are in the tropics. The infection characterized by paroxysms of chills, fever, sweating, anemia, spienimegaly and a chronic relapsing course. In this report there was an afebrile malaria in nin endemic area. A 60 years old man complaints from abdominal pain, is presented. In exam, the only finding was huge splenomegaly. Evaluations appear malarian parasites in peripheral blood smear. After drug therapy, splenectomy was performed. He followed for 6 months , didn’t have any problems.

Kidney and Pregnancy

Mahmoud Pedram

The retention of 500-900 meq sodium and 6-8 litre water, which is b diffused between extracellular fluid space of mother and fetues is performed in pregnancy slowly. When plasma volume increase by 30-50%, mean blood pressure decreases by 15% approximately. In the second half of the pregnancy, blood pressure increases slowly and it returns to its previous status, in the period of term. GFR is increases by 30-50% in the twelfth week of pregnancy, and it remains steady until the term period .Glucosuria and Aminoaciduria may be observed during the pregnancy. In this time ureters are dilated and it continues until the twelve weeks after delivery. The cardiac output goes up in the primary trimester and then it remains fixed until the term. Hypertension is still one of the main reason of morality both in mother and infetus. The best division of blood pressure in the pregnancy has advocated by American college of Gynecologist, which has got 4 parts:
A: hypertension which exactly relates to pregnancy ( Eclampsy , Pre-eclampsy)
B:chronic Hypertension with other causes
C:Chronic Hypertension which has been added by pre _Eclampsy
D: Pregnancy induced Hypertension
The other crucial problems in pregnancy is acute renal failure , which may be causes by renal isschmia by the effect of nephrotoxic agent. The cellular lesion might be revercible. It might be accomparied with complete renal function and might be irreversible, therefore it may lead to renal cortical necrosis. In addition to usual reasons of acute failure , some of them relates specifically to pregnancy. Only infectious, criminal abortions and malignant vomiting are reasons of failure in the beginning of pregnancy, which severe pre-eclampsy, placenta and placenta abruption are the main reasons of renal failure in the final phase of pregnancy.

Appropriate Time and Technique for Repairing Scars on The Skin and The Role of The Plastic Surgeon in The Reconstruction of These Lesions

Reza Kanani

The scares produced by trauma, surgeries and burning constitate one of the most important problems of patients and physicians. Observing the scares consideration of surgical incisions can relatively help recovery of final scares.
There are different techniques to make the complications better.
Z plasty
W plasty
And to firm scare in RSTL lines, etc.

Contraception in Women Over 40 Years

Fereshteh Shahmohammadi

Women over 40 have unwanted pregnancy and abortion in a high rate. They have a little chance to choice Contraception Method.O.C.P. and IUD must be available for those who are subjected to OCP and IUD. Mechanical methods are useful while sexual intercourse is rare and with careful palnning. Today, there are different kinds of methods of contraception, so it is unreasonable why unwanted pregnancies and selective abortions in women are 40 do not show remarkable reduction.

Breast Cancer Predisposing Factors

Masoume Abedzadeh

Breast cancer is the most common type of cancer in women and the most common cause of death in women between the age of 40-50. The etiology of breast cancer has not well known yet, but many factors such as age, weight, age of menarch and menopause, hormonal factors, age at the first delivery, family history of breast cancer, diet, alchole , smoking, and etc are known as predisposing factors of breast cancer.

Evaluation of The Use of Antiseptic Drug in Umbilical Cord Care

Akram Bayati

It is probable that umbelicous cord is the most important place of the bacterial colonization, especially S .Aureus, so it has a major effect on neonates morality. Present article suggests how to use a local antibiotics applied to the umbelicous until it has been separated. Hexachlorophane powder can be applied to the axillary and prinea in order to prevent or reduce the colonization of meticilin resistant staphylococus.