Showing 1391 results for Type of Study: Original Atricle
Davood Hekmat Pou,
Volume 2, Issue 6 (3-1999)
Abstract
Today, hypertension is one of the most important health problems in the world. In this regard, the present study was designed. This study was accomplished in Arak with population about 600000 and sample size about 2000 cases. From all samples (1141 female and 859 male) 193 cases had hypertension. In otherwords, the prevalence of hypertension among samples was 9.6%. The study findings showed the significant relationship among diet, marriage status consumption of antihypertension drugs, smoking, history of sever hypertension attacks according to the client and occupation, with blood pressure status in different age groups. On the otherhands, the results showed that majority of samples (981 cases) and over weight or were obese and 162 cases had borderline hypertension that can raise the prevalence rate. So continuity on screening studies of hypertension, suitable training and treatment of clients must be palced on the first priorities of ministry of health, treatment and medical education in region and country.
Fatemeh Dorreh,
Volume 2, Issue 6 (3-1999)
Abstract
Infants that delivered before 37th week from late menstrual period are termed premature. Prematurity is associated with increased neonatal morbidity and mortality. This research was conducted as descriptive-analytic study among 3456 newborns in Taleghani and Ghods hospital in Arak from Jan 1998 until Oct 1998. Prevalence of prematurity in this study was 8.21%. Some of risk factors for prematurity were evaluated and resulted:
From maternal factors placenta abruption increases preterm birth by 2.9, and from diseases during pregnancy preeclampsia increases preterm birth by 5.2. From fetal factors multifetal pregnancy increases preterm birth by 9.2, polyhydramnios by 82.1 and gross congenital anomalies by 6.8.
Between factors such as congestive heart failure, hydropsfetalis and subchorionic hemorrhage and preterm birth significant ralations were observed. The most common risk factors for preterm birth is twin pregnancy (19.7%) and then are placenta abruption (10.56%). 26.06% of premature newborns were died during hospitalization. Their mean gestational age was 28.4 weeks and mean weight was 1318.1 grams.
Homeyra Azymi, Minoo Rafeei, Payam Kabyri, Ali Karami,
Volume 2, Issue 6 (3-1999)
Abstract
Today's considerable improvements in health scince and medical fields, preventing infectious diseases and the lack of missfeeding, inherited disease and abnormalities caused by it have appeared much more seriously, specially in advanced countries. Accoreding to our statistics 30.000 to 40.000 abnormal infants are born in Iran every year and a considerable number of them go on plant with living difficulties, however in order to considerable improvement in diagnosing-preventing and curing the inherited diseases, detecting these disease in embryonic satage has become possible and so we can do our best not to have abnormal infants any more. Since in Iran medical universities clinical genetics and genetic syndromes have received little importance, we are to report a rare syndrome case considered in central genetics-medical consulting in Behzysti organization of central province in Arak. It was finally diagnosed.
In this investigation s four- years boy affected by Cockayne syndrome is reported. He was the result of a family marriage (daughter of uncle- son of aunt) grade three and inherited austosomal recessive. Some symptoms are: dwarfism, mental and movement relationship, protruded ears, sunkened eyes, beak nose, carioused teeth, deafness, retini pigmentosa, retina degeneration, butterfly rush on the face, photosensitivity and progeria, defect in DNA transcriptions. The goal of this investigation is getting more acquaintance of this rare syndrome, enhancing the role of diagnosing this disese and putting more importance on consulting before marriage and after the abnormal infant is born, and making the students and doctors of clinical genetics acquainted with this case more, as well.
Ehsanollah Ghaznavi Rad, Seyed Ali Fazeli, Rahmarollah Yazdani, Ali Joorabchi, Enayatollah Kalantare Hormozi,
Volume 2, Issue 6 (3-1999)
Abstract
Neissaria gonorrhoeae is the causative agent of gonorrhoeae. Culture and antibiogram for this bacteria in clinical n laboratory in not usuall. In the present research 50 gonorrhoeae isolated from 287 exodate patients 14 isolate were sensitive a and 4 isolates were intermediate and 32 out of 50 isolate were resistant to penicillin and 25 of these 32 isolate were resistant due to b-lactamase activity and 4 of thses due to chromosomal resistance. 26% of isolates also were resistant to spectinomycin but all of the isolates were sensitive to ciprofloxacin. Only 2% of isolates were resistant to ceftriaxone. So nowdays penicillin is not indicated for therapy of gonorrhoeae. Spectinomycin is a drug must be administrated with precaution and follow up of patient is necessary. Ceftriaxone and ciprofloxacin are effective drugs that we can use them for resistant strains.
Seyed Gholamreza Nouri Boroujerdi,
Volume 2, Issue 6 (3-1999)
Abstract
Although the longest part of the gastriontedtinal (GL) trace is small intestine in contrast of colon, mass lesions are rare. Incidence of small intestine tumors is about 40/1 of the colorectal neoplasms. The clinical presentations of small intedtinal tumors include: Anemia, GL Bleeding, abdominal pain and intestinal obstruction. A case that is reported is a man who had two massive lower Gl Bleeding within 3 months and the esophagogastroduodenoscopy had been normal two times. The patient was free of symptoms for past 4 years after. After this the patient was referred to hospital with typical symptoms of small intestinal obstruction. After slued and electrolyte correction. The patient was operated. The origin of past GL bleeding and recent mechanical obstruction was discovered to be bengin leiomyoms.
Mozhgan Hashemieh ,
Volume 2, Issue 6 (3-1999)
Abstract
Major thalassemia is the most prevalent hemoglobinopathy in the world.one of the accidents of this disease is endocrinopathy due to hemosiderosis. This study was performed on 50 thalassemic patients in arak city in order to aeeesss the incidence of diabetes mellitus among these patients. Fasting blood sugar and oral glucose tolerance test were requested for all patients. The mean age was 11 and 48% of patients were in the range of 5-9 years old. 52% of patients were female and 48% of them were male. 10% of patients had positive family history. 8% of patients had overt diabetes mellitus and 4% of them had impaired oral glucose tolerance test. Among four diabetes patients three of them had received transfusion for more than 10 years. There was a significant relationship between the incidence of diabetes mellitus and duration of transfusion (p<0.001). In 56% of patients the level of ferritin was above 1000mg/lit. Among 4 diabetes patients, in 3 of them the level of ferritin was above 1000mg/lit. There is a significant relationship between diabetes mellitus and ferritin level(p=0.025). Insulin usage can control blood sugar level in diabetes thalassemic patients.
Saeid Changiz Ashtiani, Saeid Khameneh, Hamid Salimi Khaligh,
Volume 2, Issue 7 (6-1999)
Abstract
Arterial baroreflexes are the most important mechanism of cardiovascular control. These reflexes compared with other reflexes act so rapidly that can respond to rapid blood pressure changes during daily activities. In this study we have assessed the cardiac responses of cardiac baroreflexes dynamic exercise , and compared the results with acute response during rest exercise. It was 50% of calculated maximum force. Experiments were performed on 12 young male healthy sedentary volunteers isometric exercise(protocol B) and dynamic exercise (protocol C). In order to stimulate the carotid baroreceptors neck suction device Eckberg model was used , ECG were taken continuously during experiment. In protocol A (control group) after stimulation the cardiac cycle (R-R interval) from baseline reached to acute responses in the first beat induction baseline in the forth beat P<0.003 and in the protocol C reached acute response compared with baseline in the eighth beat after induction P<0.001. If the observed acute responses during test are compared and concluded that shorting R-R interval in response to isometric due to vagal withdrawal combined with an subtle sympathetic stimulation. This phenomenon is observed more strongly in dynamic exercise.
Farshideh Didgar,
Volume 2, Issue 7 (6-1999)
Abstract
In this report we present a care of cephalic tetanus in a 57-year old man whose onset was accompanied by right facial palsy following injuries to the face. Three days before the appearance of facial palsy, the patient have had a wound on his forhead on the same side and seven days after the injury the parient showed trismus lock jow dysonea dysphagia hoarsness and progressing generalized seizure without disturbance of consciousness as are typical in tetanus. There were no remarkable finding on brain CT or Laboratory data. He was managed as a case of tetanus in I.C.U. The patient was completely cured and he discharged on the 35th day after the onset of right facial palsy.
Abdolrahim Sadeghi , Hosein Mozdarani ,
Volume 2, Issue 7 (6-1999)
Abstract
This research is performed to assess clastogenic capacity of cimetidine(CT) against clastogenic effect induced by benzene in terms of micronuclei. For this purpose micronuclei assay method was used. In each experimental group m 5 Balb /C mices was used. 24 hours after i. p .injections slides was prepared from bone marrow and frequency of micronuclei in polychromatic erythrocytes (PCEs) and normochromatic erythrocytes (NCEs) was obtained. Results indicated that CT at therapeutic dose (20mg/kg. b. w) can be reduce genetical damages (micronuclei) due to benzene (1010mg/Kb. B. w) with a dose- related manner (p<0.01, = -0.82). Therefore , our results indicated that CT has anticlastogenic capacity. According to above results and relatively long term use of CT, we suggest using it in the cases in which someone exposed to clastogenic agents such as benzene, especially when someone also suffer from diseases such as peptic ulcer.
Zahed Safi Khani, Mohammad Safikhani ,
Volume 2, Issue 7 (6-1999)
Abstract
The human vertebral in anatomical position have two curves thoracic and sacral with posterior curvature and two lumbar and cervical with anterior curvature. The vertebral column no lateral curves. Any curves in the both sides are called scoliosis. Presence of scoliosis is accompany with medical problems such as cardiopulmonary failure, lumbar pain asimetry and deformity. Present project is considered all of the pre-schools boys have done in ages between 11-15 years in every four educational districts of Ahwaz by school screening, 1033 cases was randomly put under. Consideration to determine the rate of scoliosis percentage measuring the length of hight, hands, feet and arm span, the relationship between theses figures and coliosis was determined, the rate of scoliosis in considering population was 1.36% in of all persons the difference who were studied between the length of hands was 5 to 12 mm. The difference between the hight and ram span with those who has scoliosis compare to normal people was considered to be more, the statistic examination was showed that the difference between the length of both hands and feet with the patients meaningful.
Vahid Goharian, Mohammad Sadegh Rajaei, Saeid Sadrnia,
Volume 2, Issue 7 (6-1999)
Abstract
The aim of this study is to determining the prevalence of cigarette smoking and the causes of initiation in boy students of medical science in Arak university. Declining of smoking depends to recognizing risk factors specially in young age group and the results of this study use to evaluate the plans. This descriptive study was done with convenience sampling and studied all boy medical students in Arak university with self-administered questionaires in 77-78 curiculum. This survey instrument contained age, course of study, passed semesters, smoking bahaviour family history, praying and living site .The smoker also answered to question about time of initiation, mean of cost family information and the number who giving up the habit of smikong. 98.7% (n=475) of students with mean of age 23.06 years answered to question 34.3% had smoking bahaviour. The prevalence of smoking was the lowest among those who were married and negative family history. The prevalence of smoking in students who prayed was 1.4 of others. The most common cause of initiation were being resident with friends, stress life and initiation. Lowering we must improve the "NAMAZ" task and marriage accompaniment with lowering stress life and teaching for friend selecting and determining a suitable pattern for students in Arak university.
Mehdi Mosabebi, Ahmad Shahmoradi,
Volume 2, Issue 7 (6-1999)
Abstract
This study was carried out in 1994-95 and all of the under weight children in 21 villages (447 in number as case and 447 children as control with natural weight) were studied. The results showed that 49.9% of under weight children and 39.2% children with appropriate weight were infected by intestinal parasitic infection. This difference was significant (p<0.01) The amount of infection was roughly the same in boys (45.24%) and girls (44.3%) and the highest percent pf infection was seen among the 3-4 age group. The variation of parasites is more among under weight - children and more types are found among 4-5 years old children as a whole children 44/5% were infected by one or some types of parasites: Giardia lambia 25.5%, E. coli, 13.2% H. nana, 2.3% B.hominis3/55
Mehrangiz Naderi Nabi,
Volume 2, Issue 7 (6-1999)
Abstract
One of the most common psychiatric disorders is depression, that sometimes may be misdiayne because of various presentations, one of these presentations is somatic complaints and patients are referred the different physicans and specialists and received symptomatic therapies. The aim of this study is the determination of prevalence of depression in patients who referred to internal clinic of Hazrat-e-Rasool-e-Akram Hospital. This study was performed between September and march of 1997. All of these patients had various somatic problems for more than two years without any organic findings them the number of patients were one hundered and the assessment was performed by SCL-90-R test. Between these patients , the score of 37 them were about of mean score. Depression was more common low admission groups and also in female. This research shows that depression is one of the best diagnoses in patients with chronic and rewirten somatic complaints which physicans did not find any organic finding in them.
Mozhgan Hashemieh , Fataneh Kobar Fard ,
Volume 2, Issue 7 (6-1999)
Abstract
This study was performed on 50 thalassemic patients in Arak city in order to assess the incidence of hearing loss among these patients. Evaluation of hearing loss in these patients were done with audiometry tests. The mean age was 10 and 40% of patients were in the range of 5-9 years old, 54% of patients were female and 46% of them were male. M/F ratio was 0.85%. 86% of patients have used Desferal (DFO) , and 14% of them have not used DFO. 14% of patients that have hearing loss, were in DFO user group. Also there is a significant relationship between hearing loss and DFO usage and between duration of DFO usage and hearing loss too. There is no significant relationship between hearing loss and ferritin level Thalassemic patients that use DFO must be assess with serial audiometry tests in order to prevent the effect of ototoxicity of Desferal.
Zahra Eslami Rad, Mehdi Mosayyebi, Mahmoud Reza Khazaei ,
Volume 2, Issue 8 (9-1999)
Abstract
In this paper, the situation of intestinal parasites infection among primary school students was investigated. This study was carried out with sample size of 394 student from 30 selected primary school in Arak city. Selection of chasses and students made by stratified method and stool examination done with direct and indirect method. The research methodology was based on analysis of data obtained from, 3 times stool examination of all students in the sample group. The results of the research from that : 63.5% of students were infected by parasites (pathogene and nonpathogene), In among pathogenic parasites , giardia with 27.7% and h.nana with 6.35 had the highest prevalence. Prevalence of the other intestinal parasites were: Ascaris 1.5%, Oxyuris 1.5% ( nonepecific method ), Entamoeba histolytica 2.5%, Entamoeba coli 29.4%, Entamoeba Hartman 2.2%, Endolimax 12.4%, Iodamoeba 3.5%, Blastocystis 2.2% , Chlomastix 2%. The results also showed that there is no significant relation between infection date and demographic factors such as: age, sex, parents job and , geographic area.
Nemat Billan ,
Volume 2, Issue 8 (9-1999)
Abstract
This research has done for assessment of attitude, practice and knowledge of the internists in medicine faculty in relation to prevalent and nonprevalent diseases of pediatrics involving 10 prevalent and nonprevalent diseases. Results of prevalent emergency diseases:
Index of study =93% good management and trearment ability with supervision of manager = 40%
Follow up = 43%, Reporting=10%
In nonprevalent emergency diseases:
Index of study = 88%, management and treatment ability= 27% good, management and treatment ability with supervision of manager = 47%, Fpllpw up = 26%, Reporting = 3% and in regard to above subjects, scores of education in this department were: prevalent emergency = 36% optimum, 59% acceptable, 5% nonacceptable and nonprevalent emergency=18% optimum, 67% acceptable and 15% nonacceptable.
Zarganj Fard, Pouran Hashemi , Masoume Falahian,
Volume 2, Issue 8 (9-1999)
Abstract
One of the most critical problems in the world is control of population. Usage of DMPA (Depo Medroxy Progestrone Acetate) is one effective method for contraception. This study was done on 55 patients in Imam Hossein Hospital of Tehran. The interval of injections of DMPA were 3 months and the dosage of this hormone was 150 grams; In this research the side effect of DMPA on the compliance of patients the cause of discontinuation of DMPA were assessed. 18 number of patients has received 4 and 17 number of them had received only 1 injection. The age of majority of them were over 30 years and 34 of them had one or two children. 88% of these women had menstrural abnormalities and the most problem was amenorrhea. The majority of women in this study had weight gain ( mean 6.9Kg). Hypertension was not side effect of DMPA. The most common complaints of our patients were menstrural abnormalities, headache and nervousness. The most common cause of discontinuation of DMPA was menstrural problems especially amenorrhea. One case of pregnancy has occurred between 55 patients in this study.
Mohmoud Soorati, Abbas Bazargani , Elahe Hejazi ,
Volume 2, Issue 8 (9-1999)
Abstract
Present research principal aims was situations determine and effective factors in achievement of Arak medical sciences university students in pre interning test modification, family environment, academic self- concept and learning, s spent time. Statistical social were number 75 from, medical students that only one time had participated in pre interny test. This social was considered by correlation descriptive method, that were data, s collecting instruments one questionaier which constitutes of 29 questions, statistical methods were multiple regression. Results had shown in five of only cognitive entry behaviour predicate present 15 of students academic achievement variance in general test. This sufficient to set in p<0.01 level. But it is nor qualified neither obvious other variable effects. Compound or common effects of principal variables that are part of researches result precent 20 of academic achievement variance of statistical social to account. This sufficient sit on significant p<0.05 level. Results entirely marked enough unability of supposed variables in explaining and predict were studied students academic achievement. So it is doubt variables validity about account and explaining of academic achievement in all of the academid sections and conditions.
Masoume Soufian, Farshideh Didgar,
Volume 2, Issue 8 (9-1999)
Abstract
Cholera is potentially dangerous bacterial infection of the small intestine which may be serious enough to cause death, cholera epidemics cause economical and hygienic problems. In retrospective study, 54 cases were consider during 4 months admitted in Valie -asr hospital. Results were as follow:
There was no significant changes due to sex. Sixty percent of cases were above 50 years. 78% showed vomiting, 11% fever and bloody diarrhea which in half of above cases ameobic dyscentery was observed. In stool examination we observed 32% WBC, 14% RBC and 19% WBC along with RBC. Cell was not seen in 35% of the cases in 5.5% ameobic trophozoite observed. Hypokalemia were observed in 80% acidosis 21% and ATN in 50% which 82% of that resolved after treatment. In all cases with leukocytosis above 20000, ATN have been observed. Rate of ATN and mortality in patients above 50 years significantly increased (4.9) and mortality and time of admission and observing initial symptoms. Due to above results may suggested that, leukolytosis above 20000 may be consider as a prognostic factor in incidence of ATN in above cases, also existence of WBC or RBC in stool smear can not denial eltor.
Ali Fani,
Volume 2, Issue 8 (9-1999)
Abstract
In this survey CRF case from Arak , Shazand and Ashtiyan (769000 population), who have referred to Vali-e Asr general hospital and each case has been observed individually. During two years ( From 22 may 1997 until 21 may 1999), it showed that, 127 CRF patients there were 59 females (44.1%) and 71 males (55.9%). The annual rate was 82.3 per million, 21.25% were rural and 78.75% were urban while the rate of rural population to urban population is 44% to 66%. It seems as is the lower rate of rural patients is due to socioeconomic problems and lack of study, recognition and poor control of diseases, especially in higher ages and it doesn’t necessarily meaning lower rate of this illness in villages. In this survey, the highest rate is seen in glumerolonephritis and then in hypertension and diabetes mellitus which this trend is quite opposite in western societies. The reason probably is the socioeconomic problems as well as lack of patients familiarity with this diseases and the significance of its regular follow up and treatment and using the special treatment exclusively in villages. Also this survey showed that congenital renal disease and obstructive uropathy diseases are calssified in fourth grade of significance from a CRF etiology. This study showed that although the CRF is more popular in men than women. There is no meaningful difference between them.
