Journal of Arak University of Medical Sciences

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Determination of Frequency, Etiology and Prognisis of b Menengitis in Patients of FIROOZABADI HOSPITAL From 1996 to 1998

Shahin Ghasemi, Ali Chehreii, Ali Moghimi, Ali Ehsanabadi, Alireza Biganeh,
Volume 3, Issue 3 (Autumn 2000)

Abstract

Introduction: Meningitis is the inflamination of leptomeninges caused by the infectious and non infectious agents. The most common kinds of infectious meningitis include bacterial. Viral, fungal and mycobacterial meningitis. The three types of infectious meningitis are acute bacterial meningitis, aseptic meningitis and subacute to chronic meningitis which can be differentiated on the basis of CSF findings. Three fourth of the acute bacterial meningitis involve the persons below 15 years old. The etiologist cause of acute bacterial meningitis differs in various age groups. The most reliable criteria in diagnosis are laboratory and clinical findings. The permanent neurologic damages are the main complications that remain forever. Prognosis and mortality rate of meningitis depends on various factors , among which the main factors is the early diagnosis.
Methods and Cases: This is a cross-sectional study performed on 240 patients with meningitis in FIROOZABADi HOSPITAL from 1996 to 1998. Demographic information, about clinical and laboratorial findings have been collected.
Results: The male to female preponderance was 1:3. 81.3% patients had a previous history of headache, 94.4% had fever and 27.1% have defferent states of reduced alertness. 56.2% persons were diagnosed as having viral meningitis, 37% as bacterial meningitis and 6.8% as T.B. meningitis. The cases diagnosed with bacterial meningitis were influenced by the following bacteria in order: Pneumococus (44.9%), Meningococcus(26.5%), Staphylococcus aureus (12.2%), gram negative bacilli (10.3%) and Haemophilus influenza (6.1%). In 2.4% of cases CSF smear and culture were negative. The mortality rate among the patients was 8% and 8% of them developed consequences. The means of ESR duration had significant difference among various groups with different etiologies.
Discussion: In attention rate of similar studies in England and French were 24.2% and 56%. In attention to high prevalence of meningitis in our country, further greater complementary studies see to be necessary.

The Results of Treatment of Urinary Incontinence Using the Intravaginal Sling Method

Narges Bigane, Mohammad Gholami Fesharaki, Zeynab Hasani Nasab, Mehdi Habibi,
Volume 16, Issue 2 (5-2013)

Abstract

Background: Urinary incontinence is a very common problem affecting the quality of life of many people, especially women. Hence, this study was done to investigate the results obtained from intravaginal slingplasty (IVS) method in treating stress urinary incontinence (SUI) in patients.

Materials and Methods: This retrospective study was carried out as census on female patients suffering from SUI who had been treated using IVS method in Najmieh Subespeciality Hospital, Tehran, during 2004-2009 years. Data were extracted through interviews and from patients’ medical records. Descriptive statistics (mean and percent) and inferential statistics (independent t-test and its exact version, Bootstrap, Chi-square test, and Fisher’s exat test) were utilized and data were analyzed using SPSS software.

Results: A total of 357 women with mean age of 45.18±8.78 years participated in this study. Recovery rate of emergency and stress-related SUI by IVS method were 80.1% and 98%, respectively. In addition, urgency SUI had statistically significant correlations with diabetes, blood pressure, age, total number of deliveries, and normal vaginal delivery (NVD). Also, stress-related SUI had significant correlations with post-void residue (PVR), total number of delivery, NVD, and cesarean section.

Conclusion: Generally, it can be concluded that treatment response of IVS in this study is comparable and even better than other existing and customary modes of treatment

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