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Introduction: Regarding the extensive use of IUD, as contraception. The present study was conduced to evaluate the complications resulting from muliload 375 and T Cu 380A IUD inserted in women referred to the health and treatment settings of Kermanshah medical sciences university in the year 2002.
Materials and Methods: The study was descriptive-analytic, on 122 women using M.L 375 IUD and 245 others using T 380A IUD were fully assessed. The tools used to collect data were questionnaires evaluating the following variables: Pregnancy, bleeding, ectopic pregnancy, uterine perforation, and expulsion, pelvic inflammation disease (PID). To analyze the data, descriptive statistic and X², student-T and Fisher tests were used.
Results: Severe bleeding during menstrual cycle was the most common complication in the two study groups, especially in the multiload 375 IUD group (75% vs. 41.6%; P<0.001). The multiload 375 IUD had a significantly higher dysmenorrhea rate compared to the T cu 380A (%70.8 vs. %40.8; P<0.001). The rate of intera-uterine pregnancy was low for the two device %1.7 vs. %2, and occurrence of ectopic pregnancy in multiload 375 IUD was 0.8% and in T Cu 380A group was not reported. There was no uterine perforation observed for either device.
Conclusion: According to the results gained, the common complications in each group were not dangerous and their severe and threatening complications were uncommon. The most frequent complications were severe bleeding during menstrual period, dysmenorrhea and spotting which were not life threating and could be controlled by supporting and training their users, although these complications were seen more among those using M.L 375 IUD. These two device were effective enough to prevent pregnancy. It seems that using T Cu 380A IUD is more suitable for those who want to have a long-term contraception.

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Background: Heart failure with normal ejection fraction (HFNEF) is commonly seen in adults. It is possible that old patients with HFNEF have severe clinical status. The aim of current study is to evaluate clinical and echocardiographic findings in old patients compared to young patients with HFNEF.

Materials and Methods: In this cross-sectional analytical study, 126 patients with HFNEF were evaluated in two groups of patients &ge60 years old (n=52) and <60 years old (n=74) for demographic, clinical and echocardiographic findings.

Results: Patients &ge60 years old had significantly more hyperlipidemia, less hypertension and more FC II. Patients &ge60 years old also had significantly larger septal wall thickness, lower end diastolic and systolic volume, end systolic diameter, E/A ratio and septal E’, lower diastolic dysfunction grade, higher left ventricle ejection fraction, left atrial volume index, E/E’ ratio and deceleration time compared to patients <60 years old.

Conclusion: Old patients with HFNEF have different clinical and echocardiographic findings compared to younger patients which are indicative of the disease severity in some cases. So, exact evaluation of the patients could be helpful in early diagnosis of these patients and providing an adequate treatment.

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Background: Glucose-6- phosphate Dehydrogenase enzyme (G6PD) is an enzyme deficiency that is transported inheritably. The lack of this enzyme decreases the energy revival of red blood cells and leads to Hemolysis which is the cause of severe neonatal jaundice. This study aims to investigating glucose-6-phosphate dehydrogenase deficiency, hyperbilirubinemia, and blood incompatibility in newborn babies in larestan city, located in south of Fars province, following the newborn screening national plan.

Materials and Methods: This study is a cross-sectional and descriptive study on 12079 newborns in larestan city that referred to the screeing center from the start of 2010 to the end of 2012. The blood samples were taken from the newborns' heels and were evaluated through G6PD tluorescent spot test. They were examined regarding their blood group, hematocrit, hemoglobin, Coombs test, reticulocyte count and bilirubin levels as well as demographic information.

Results: In this research, among the 12079 screened newborns, 2345 ones showed G6PD deficiency with a prevalence of 19.41 which is a high percentage in comparison to those of other cities in Iran. The prevalence of O+ blood group among sick babies and their mothers was significantly higher than of other blood groups. (60% and 56%, respectively). The Hyperbilirubinemia and the indirect coombs tests were positive in 52% and 12% of the sick babies, respectively.

Conclusion: The prevalence percentage of lack of this enzyme in girls of Larestan city is a little higher than in boys, even though since this disease depends on X, it should be more prevalent in boys.