Journal of Arak University of Medical Sciences

Ultrasonographic Determination of Gestational Age According to Crown_Rump Length (Crl) In Iranian Embroys

Abbas Arjmand Shabestari

Gestational age determination is one of the main aims of total sonorgraphy and this is determined according to some criteria including Crown-Rump Length ( CRL). In a descriptive study T estimation of Gestational age was accomplished based on 1081 CRL determination in 977 Iranian pregnant women. Comparing this Iranian gestational age table with different American tables, Iranian embroys gestational age were about 3 days more than Americans with equal CRL. Significant of independent personal variables in these gestational age estimation is also evaluated.

Parasitic Infection in Malnourished 6-60-Month-Old Children

Nemat Billan

This study is about the relation of malnutrition and parasitic infection which was performed by comparison of 60 malnurished children aged 6-60 month and 55 healthy ones of the same age group.
The results showed:
1.A significantrelationbetweenmalnutritionandincreasedprevalenceofparasitic .(p<0003)
2.A significantrelationbetweenmalnutritionandincreasedprevalenceofparasiticinfection.(P<0003) andnonpathogenic (p<006) parasites.

Study of Perforation of Tympanic Memberane in Referred Patients to E.N.Clinic of Amir-Kabir Hospital of Arak

Saeid Tafreshi

Tympanic membrane perforation is a world wide common problem particularly in under developed & developing countries. In the current study 352 patients were studied in a period of 6 months period. The age of the patients were between 2.5 to 86 years old. It wasn’t possible to find any significant difference between men and women. The most common form of perforation was central, and the least form was total. The most common cause of perforation was infection with traumatic manipulations and compression injuries coming after. The average amount of hearing loss was found to be 31.9 db which shows presence of some degrees of ossicular and middle ear malfunction.

Eoidemiological Study of Diagnose Diabetes in ARAK-IRAN 1374-1375

Nowadays, diabetes mellitus (D.M) is one of the most common diseases in the world and the rate of afflicted persons is increasing each year. D.M causes metabolic disorders with high mortality rate. Although this health problem is important , but accomplished researches are relatively rare in Iran. Present study has been done to study of epidemiological factors of diagnosed D.M. in Arak. The study showed that the rate of prevalence of diagnosed D.M. is about 7% and it is lower than the other performed studies. Among 18637 people (9622 M.& 9015 F.) persons (61%) were Non-Insullin dependent diabetes mellitus (N.I.D.D.M) and 14 persons 8% (0.08) were insulin dependent D.M.(I.D.D.M). It means that the disease is unknown by the people, and more studies should be planned in field of screening of D.M. in Arak.

Statistical Investigation of The Gross Congenital Anomalies in Alive Newborns in Taleghani Hospital –Arak

Fereshteh Shahmohammadi

In this study 2510 neonates from 2465 pregnancies (2420 single fetus, 44 twins and Triplets) in Taleghani Hospital of Arak have investigated for 4 months. Any type of evident anomaly at time of the deliveries that diagnosed by reasercher has accepted as an anomaly only when it confirmed by podiatrist. Thus the overall congenital anomaly incidence was 1.04%. The congenital anomaly incidence in the male neonates (1.34%) was about two items more than female neonates(0.72%). But the differences between them is not significant ( P=0.0.26) The congenital anomaly incidence in neonates with gestational age aqual to or above the 38 weeks was 0/89% .The difference between them was significant(p=0.0042). The congenital anomaly incidence in neonates with body weight below 2500 gr was 2.59% and and in neonates with body weight equal to or above the 2500% gr was 0.91%.The difference between them is significant(P=0.0264). Between the congenital anomaly incidence in neonates by then maternal age and pariety aren’t significant difference. The difference between anomalies incidence in single fetus deliveries and multiple fetus in significant(p=0.0244). The congenital anomaly incidence in neonates with relative parents was 2.14% and in other newborns was 0.9% .The difference between them significant (P<0.005)

Mumps and Study A Number of Patients Under the Age of 15 in Amir Kabir Hospital, Arak

Farah Sabooni

Mumps of epidemic parotitis is a viral infection usually characterized by the develoement of parotitis. Several complications including meningoencephalitis, deafness, orchitis, oophoritis, mastitis, nephritis, and diabetes mellitus have been reported. CNS, ophthalmologic and hearing and cardiac complications are very important.The study is on 131 patients under the age of 15. More than 85percent of cases were under the age of 11 who were in school age. Male to female ratio was 3:1. The most common complaints and physical disorders were vomiting 73.75percent, fever 49.6 percent and swelling of parotid 41.22percent CSF Pleocytosis has been reported in 42.74 percent of cases and leukocyte counts were under 500cells IMM3 in more than 70 percent of patients that lymphocytes were predominant. Serum amylase increased in 70.8 percent. Vomiting, nausea, fever, headache parotid enlargement, convulsion, abdominal pain similar to appendicitis, adema of neck, face and upper ches, meningoencephalitis, encephalitis, hematemesis petechial, testicular enlargement, arthraigia and deathness also have been reported in this study.

Measurement of Anti_Sperm Antibodies in The Serum of Vasectomized Men in Marcazy Province

Ghasem Mosayebi

Seral of 121 vasectomized and 45 samples of normal individuals examined by tray agglutination test for Anti-Spem Antibodies(ASA). ASA were found in more than 83% of vasectomized and 6.5% of control subjects. The Presence of ASA in two groups has been significantly different. (P<0.0001). Enhancement of ASA titer showed a positive correlation with the post time after vasectomy.

A 10-Year Study of Hodgkins Disease in Mofid Childrens Hospital

Mozhgan Hashemieh

The pattern of Hodgkins disease was studied in 82 Iranian children in Mofid childrens Hospital over a 10- year period. There were 60 boys (73.2%) and 22 girls (2608%). The mean ages was 7years. According to Ann Arbor staging system, there have been 13 stagel (15.9% ) stagell ( 36.6%), 32 stagell (39%) and 7 stage IV patients (8.5%), 35 patients (42.7%) showed constitutional symptoms ( B group). The histologic subtypes among 82 children with Hodgkins disease has been mixed cellularity(45.1%), followed by nodular sclerosis (32.9%) and Lymphocyte predominant(18.3%). Lymphocyte depletion occurred only in three patients (3.7%). Most patients complaint about indolent peripheral lymphadenopathy as the initial sign of Hodgkins disese. Primary tumor sites were in the followed frequency: cervical (91.5%) of all patients), axillary (26.8%), inguinal (9.7%) and supraclavicular (8.5%) lymphonoders. 15 patients had received radiotherapy, 32 chemotherapy and 31 combined modality treatment. The disease free survival for 66 patients under follow up was 80% with mean time of 35 months.