Journal of Arak University of Medical Sciences

To Validate the Estimation of Severity of Hyperbilirubinemia Through Observatiobn Of Neonates Skin with Icter in Tabriz Children Hospital In 1375-76

Nemat Billan

The study has been done on 56 jaundice neonates in Tabriz children hospital to determine validity (sensitivity, Specificity, Predictability) and the estimation of the severity of hyperbilirubinemia through the neonates skin with icter. The results showed: Sensitivity of the method is 85% and its specificity is between 60-100%. It means that whenever icter reaches to plantar area in 85% cases; its level is more than 20mgldl; otherwise there is no hazard emerged from the bilirubin of more than 20mgldl in 60-100% cases.

The Measurement of Serum Concentration of Lipoprotein(A) in Dialysis Patients Dialysis Center-Sina Hospital Ahwaz

Mahmoud Pedram

Serum concentration of lipoprotein(a) is a genetically determined. Independent risk factor for coronary artery disease. Different studies suggest a possible role for a antioxidant and free radicals in the rate of lipoprotein (a) synthesis. Patients suffering from chronic renal failure (CRF) are known to be less guarded against oxidative products in comparison with normal population. In order to investigate the pattern of lipoprotein (a) serum concentration in CRF group, 87 number of patients undergoing supportive hemodialysis was selected and their Lp(a) serum concentration were compared with a control group (n=100). The result shows a significant elevation of LP(a) serum concentration in the patients in comparison with the control group (p,0.05).

An Investigation on Hydatid Cysts Which Have Surgically Treated in Markazi Province (Arak)

Mohammad Hassan Davami

Hydatidosis is one of the most important infectious diseases which is mainly in the animal husbandby area such as Iran. The disease is caused by a worm called Echinococcus granlosus. Surgery seems to be the only treatment From medicine, psychology and economy points of view, study about the spreading and intensity of this disease in each area is necessary. In this study, 250 patients with hydatidosis under surgical treatment were studied. All these patients were residing in surgical sections of various hospitals in Markazi Province during 1991 to 1997. Only 143 patients had full hospital data. Different demographic factors such as sex, age, location, occupation, affected organ and course of treatment were considered. Among them 83% were female and 39.16% were male. The minimum and maximum age of patients were 7 and 79 years old, respectively. The most affected age groups were between 49-10 years old. The majority of patients were living in Arak. Among the patients, 62.26% were living in cities and 87.76% were living in villages and 51.04% of cases were housewives. Liver with 49.18% of cases was considered as second affected organ (M:26.44% , F:42.5% ). Lung with 16.26% was considered as the most affected organ (M:57.6% , F:42.5%). The mean duration for treatment was 12.83%.

Pierre-Robin Sequence Case Report

Sedighe Rafiee Tabatabaee

A case of Pierre-Robin sequence in a 3-month infant with pulmonary infection in Amir kabir hospital. The patient had micrognathia, glossoptosis and cleft palate which is exactly adopted with pierre -Robin triad. This syndrome is relatively rare 1 in 3000.

The Study of Effect of Training on Knowledge of Regarding to Supplementary N Utrition in the First Year of Birth in Shahrak Valiasr of Arak

Manizheh Kahbazi

Nowadays the securing of children health and then the maintenance of community health is training programs about health, but before every health programs. Knowing the believes and tendency of people is necessary. The knowledge and attitude of mother regarding to supplementary food before and after the training were measured based on KAP study .( knowledge, Attitude , Practice ). The result of this study is as follows:
1-3.58% of studied mothers had good knowledge, 41.2% moderate knowledge, 55.38% weak knowledge before training and raised to 80.51% good knowledge, 19.48% moderate knowledge following training.
2- 95.56% of studied mothers had positive attitude and 4.46% negative attitude before training that raised to 100% positive attitude to supplementary food following training.
3- Statistically, there is no meaningful relationship between the knowledge of mothers regarding to supplementary food and number of child, job, but there is a relationship with the level of education.(0.025)

Unstable Coronold Fracture of Elbow and Its Management with Buttress Plate (Case Report)

Hamid Gerami

Cornold process of the elbow is one of the main keystone for the stability of this joint, which is fracture endangered the elbow stability. Fracture of the base of cornold, by (type lll Regan and Morrey classification) usually is followed by instability of elbow and D.J.D and limitation of motion are complications which may affect the outcome of the treatment. Interfragmentary screw, suturing the fragment, distraction and external fixator are well known attempts for reducing these complications. Buttress plate technique with one third semitubular plate maybe an alternative way for management of this type of fracture, good fixation and early motion is achieved by this technique but respect for adjacent soft tissue anatomy is time consuming and must be considered.

Cesarean Section Rate and Indication in Markazi Province

Vahid Goharian

Introduction: Cesarean section is the most common surgery in obstetric department and the most common causes are subsequently dystocia, repeated cesarean section, breech presentation and fetal distress .Cesarean section surgery has many complications and decrease in the rate of cesarean section can direct to safe delivery. In this study we researched to determine cesarean rate and its causes in Markazi Province for planning to give safe delivery.
Method: In this descriptive study, all mothers that delivered during the time of research (20 days) in all centers of delivery in Markazi Province were evaluated We investigated the mothers age, delivery, type of delivery location of delivery and etiology of cesarean.
Results: The study has investigated 721 mothers with the mean age of 25.5 cesarean section rate was 29.3% .The most common causes of cesarean section were subsequency distotia (33%), repeated cesarean section (24.17%) and fetal distress (10.9%) .The rate of cesarean section in private centers (74%) was more than university centers.(26%)
Discussion: The rate of cesarean section in Markazi province is more than other countries(29.3% to 22.7%) . Distocia and repeated cesarean are the most causes but fetal distress is the third etiology to fourth etiology in other studies. This study also shows the effect of socioeconomic status in increasing the cesarean section rate.

Relative Frequency of Causes in Non-Exclusive Breast Feeding in First 4-6 Months of Age in Arak City

Mozhgan Hashemieh

Exclusive breast feeding for the first six months of the life and then breast feeding with supplemental nutrition of the two year of age are the best way of feeding. Although almost all mothers are able to have successful breast feeding, many infants are still being fed by fomula or receiving supplemental nutrition from the first month of life. In this study, information about 400 infants between 4-6 months of life fed by non-exclusive breast feeding method chosen with simple randomization has been gathered. The most common cause of non-exclusive breast feeding was infantile restlessness (36.2%). The other causes include: incorrect mothers belief about milk insufficiency, family advices, fewer weight gaining of infants (7.7%), business of mother (6.5%), maternal and infantial diseases (2.2%) and advice of some physicians (2%).Although 75% of the mothers has been educated during pregnancy of perinatal period, but they did not feed exclusively their infants with breast milk.