per
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
1
9
article
The effect of supplemental Zinc on weight and height percentiles of children
Mohamamd Hakimi
1
Forough Sadat Hashemi
2
Masoud Kimiagar
3
Ali Akbar Velayati
4
Mohammad Reza Bloorsaz
5
History and Objectives: Due to the prevalence of children with height and weight levels lower than 50 percentile in Iran and considering the importance of Zinc in the health of children and the prevalence of Zinc deficiency and nutritional Zinc deficiency syndrome and in order to define the effect of supplemental Zinc on weight and height percentiles of children, this research was conducted on the referrers to Masih Daneshvari hospital during the years 1376 to 1378. Materials and Methods: This study was performed by clinical trial method with comparison before and after the performance of the study. Age, sex, weight and height percentiles of children were evaluated before and after administration of supplemental Zinc. Supplemental Zinc (Merck Company Germany) was administered as a 0.5% Zinc sulfate solution at a dose of 3 mg/kg and serum Zinc level was measured at atomic energy organization by atomic absorption spectrophotometry method. Changes in the percentiles were calculated with MC Nemar’s test and the role of age, sex, the initial Zinc level on the percentile changes and also their relative risk were calculated. Results: This study was performed on 42 individuals including 21 girls and 21 boys aged 4.9±4.1 years old and weighed 16.5±8.1 kilograms with a height of 101.8±23 centimeters the initial Zinc level was 85.1±31.6 microgram per deciliter. The duration of Zinc administration was 3.2±2.6 months and the patients were followed from one to 10 months. Children whose weight was below 50 percentile decreased from 69% to 54% (P<0.05) and those with a height less than 50 percentile decreased from 50% to 33% (P<0.01) and the percentile change were more significant in those children whose initial serum Zinc level was lower. This condition was more commonly observed in boys. Conclusion: The supplemental Zinc was more effective when administered to children less than five years old. If supplemental Zinc be administered at an earlier age for girls. There is a better chance for increase in height and weight.
http://feyz.kaums.ac.ir/article-1-489-en.html
per
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
10
16
article
Comparison between the therapeutic effect of Nifedipine and Hydralazine in patients with severe preeclampsia
Atousa Etemadifar
1
Shohre Khakbazan
2
Tahere Mazoji
3
Gholam Abbas Mosavi
4
History and Objectives: Due to the high mortality rate and the high incidence of complications of severe preeclampsia throughout the world particularly in the developing countries and regarding the controversies on the therapeutic effects and complications of Nifedipine and Hydralazine and in order to compare the therapeutic effect of this 2 medications, the present study was performed on patients with severe preeclampsia hospitalized at Shabihkhani maternity hospital during the years 1367 and 1377. Materials and Methods: A clinical trial study was performed on patients with ?+2 proteinuria, blood pressure of 160/110 that was measured at least on 2 occasions at an interval of 3 hours or clinical manifestations of severe preeclampsia. Patients were randomly classified into 2 groups. In one group sublingual Nifedipine was administered at a dose of 5 milligrams (Equal to 5 drops) and in the other group, which was considered as the control group, Hydralazine was administered as injection at a dose of 5 milligrams. The effect of the medication on systolic and diastolic blood pressure, fetal heat rate and urinary volume was evaluated at 30 and 60 minutes after the administration of the medication. Also the effect of the medication on Apgar score and hospital length of stay of the neonates were studied. Results: 2 group were similar, percent reduction of systolic blood pressure 30 minutes after the administration of the medication was 11.4% and 8.03% in the Nifedipine and Hydralazine group respectively (P<0.01) and the percent reduction of diastolic blood pressure 30 minutes after the administration of the medication was 18.7% and 10.9% in the Nifedipine and Hydralazine group respectively (P<0.01). Average urine volume 30 and 60 minutes after the administration of the medication were 68 and 128.8 milliliters in the Nifedipine group and 29.3 and 53.8 milliliters in the Hydralazine group (P<0.01). Average fetal heat rate changes thirty and 60 minutes after the administration of the medication were 1.36 and 0.92 in the Nifedipine group and -2.4 and -1.77 in the Hydralazine group. Conclusion: Nifedipine administration results in a more fall in systolic and diastolic blood pressure and a more urine volume production than Hydralazine. Hydralazine produces a significant decrease in fetal heart rate. Apgar score at five minutes and hospital length of stay of the neonates does not differ significantly in the Nifedipine group in comparison with the Hydralazine one.
http://feyz.kaums.ac.ir/article-1-490-en.html
per
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
17
23
article
The effect of the yeast Saccharomyces Boulardii associated with antibiotic therapy in patients with acute Amebiasis
Fariborz Mansour Ghanai
1
Najaf Dehbashi
2
Kamyar Yazdaparast
3
History and Objectives: Due to the prevalence of acute amebiasis and its known complications and considering various reports on the positive effect of Saccharomyces or prevention and treatment of infectious enteritis and in order to compare the antibiotic regimen alone and besides Saccharomyces in the treatment of acute amebiasis, this research was performed on referrers to Shaheed Beheshti hospital of Shiraz during the year 1371. Materials and Methods: A clinical trial study was performed on 57 patients with acute intestinal amebiasis. The diagnosis of the disease was based on clinical manifestations and the presence of trophozoite of the Entamoeba in the stool specimen. Patients were classified in 2 therapeutic groups by random. In the control group, the routine antibiotic and in the experimental group oral leophilized capsules of Saccharomyces were added at a dose of 250 milligrams 3 times a day. The time of improvement of diarrhea, fever abdominal pain, headache and disappearance of trophozoite from the stool specimen wee considered as the effectiveness of the therapeutic regimen. Results: From both groups, 3 patients refused to cooperate and fever eliminated from the study. The remaining 54 patients were divided into 2 groups each including 27 individuals. The 2 groups were similar in age/sex and the clinical manifestations .In the control group, diarrhea persisted for 48±18 hours and in the experimental group (Antibiotic plus Saccharomyces) 12±3.7 hours (P<0.0001). Fever and abdominal pain persisted for 24±8.8 and 24±7.3 hours in the control group and 12±5.3 and 12±3.2 hours in the experimental group respectively (P<0.001) but the duration of headache was similar in both groups. In the fourth week, Entamoeba cysts were detected in 5 patients (18.5%) in the control group but in none of the individuals in the experimental group (P<0.02). Conclusion: Administrating Saccharomyces yeast besides antibiotic in acute amebiasis decreases the duration of illness and eliminates cysts excretion after treatment.
http://feyz.kaums.ac.ir/article-1-491-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
24
31
article
Anemia and Iron deficiency anemia in Lorestan province
Mohammad Esmaeil Motlagh
1
Mahnaz Mardani
2
History and Objectives: Iron deficiency anemia is the most important nutritional disorder with known complications. Since the prevalence of anemia and Iron-deficiency anemia are different in various regions and their status are not evaluated in Lorestan province, this study was performed in order to define the prevalence of anemia and Iron-deficiency anemia in children less than 5 years old in this province in 1376. Materials and Methods: A descriptive study was performed on 1225 patients by multistage random sampling method. A hemoglobin level lower than 11 gram per deciliter and a serum ferritin level less than 12 microgram per liter were considered anemia and Iron-deficiency anemia respectively. The role of 6 and history of parasitic diseases in the anemia of these patients were determined and 95% confidence interval was estimated in the less than 5 years old children of Lorestan province. Results: 97 of patients refused to participate in the study. In the 1128 studied patients, hemoglobin level was 12.2±1.4 gram per deciliter, prevalence of anemia and Iron-deficiency anemia were 31.6% and 26.5% respectively. 84% of anemia patients had Iron deficiency. Iron deficiency anemia was most commonly observed in the 6 to 18 months old infants. 75.3% of children had history of parasitic infestations and Iron deficiency anemia was more common in these group of children compared with those without this history. Conclusion: Anemia and Iron deficiency anemia are of the serious problems in the Lorestan province and one third of children are affected by anemia. Further research for recognition of the major contributive factor of factors and experimental studies to define the best method for elimination of this problem are recommended.
http://feyz.kaums.ac.ir/article-1-492-en.html
per
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
32
37
article
Evaluation for 3000 specimens of Pap smears in the married women inhabitant of south of Tehran during the years 1376 and 1377
Abolfazl Mehdizadeh
1
Abdoresoul Akbarian
2
Tarane Maghazei
3
History and Objectives: Due to the various incidence of malignancy of uterine cervix and lack of information about its status in this region and in order to define the cytopathology of uterine cervix, this research was performed on more than 3000 specimens of Pap smears in married women inhabitant of south of Tehran during the years 1376 and 1377. Materials and Methods: The present study was performed by a cross sectional descriptive method and the sample volume was estimated on the basis of a 95% confidence interval, prevalence of 2% and error of 0.5%. Married women of Reye town were selected by systematic random sampling from the list. Pap smear were obtained by educated residents and gram stained type of lesion. Especially the frequency of dysplasia was evaluated in the samples and role of various factors in the production of lesions were determined. Results: In 3070 specimens, which were evaluated, there was no case of cervical cancer. Dysplasia was found in 5%, inflammation in 92% and bleeding in 13% of the patients. Six percent of the specimens were normal. Increasing age and low economic status had role in the development of dysplasia (P<0.01). Other factors had no significant role in the development of lesions. Conclusion: The frequency of dysplasia is low in the studied population but the frequency of inflammation is worrisome. Therefore further studies to recognize its etiologic cause or causes and also to define the ability of Pap smear to detect cervical cancer are recommended.
http://feyz.kaums.ac.ir/article-1-493-en.html
per
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
38
45
article
Age and stages of puberty in female students of Kashan in curriculum year 1377-78
Shahla Pooladkhan
1
Naser Valai
2
History and Objectives: Due to the importance of puberty phenomenon and considering the role of various factors in its onset and progression and in order to define the average age of puberty in female students of Kashan, this study was performed in the curriculum year 1377-1378. Materials and Methods: A descriptive study was performed on 2300 students at preliminary, intermediary and high school levels by random sampling. The stages of telarch, pubarche and menarche were recognized by physical examination by a resident of gynecology and obstetrics. Characteristics such as weight, height, education, parent’s job and the age of puberty of the mother were evaluated. All the data were recorded. The age of the first menstruation was regarded as the age of puberty onset and its progressive stages were defined according to standards. Results: Of the 2300 evaluated students in the age of puberty in girls was 12.36±1.24 years and the mode of their age group was 12-17 years. Weight and height were higher in the girls with puberty than those without onset of puberty. The maternal age of puberty in the girls with puberty was 12.5 years. In 74% of the girls, the age of puberty was the same as their mothers. There was no correlation between their age of puberty and the educational level of their father but the age of puberty was related to the educational level of the mother and the parent’s job. Conclusion: Age of puberty in Kashanian girls is low and shows a decrease relative to the age of puberty in their mothers. Analytical research of recognition of the effective factors in the age of puberty and its stages is recommended.
http://feyz.kaums.ac.ir/article-1-494-en.html
per
Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
46
52
article
Age of onset of menopause and effective factors on it in the women of Reye town during the year 1371
Abdoresoul Akbarian
1
Abolfazl Mehdizadeh
2
Ensiye Bibiamin
3
Hossein Malekafzali
4
History and Objectives: Due to the increase in life expectancy in the society and the enhancing numbers of the menopausal individuals and also the broad range of changes in the body metabolism after menopause and in order to define the age of menopause and the effective factors on it, this research was performed in women of Reye town during the year 1371. Materials and Methods: A descriptive study was performed on 400 women aged 49-60 years and they were asked whether they are menopausal or not? And also the role of hereditary factors menstruation status individual and environmental characteristics on menopausal phenomenon were evaluated and presented with descriptive statistics and using the calculation method of life table the probability of menopause for different ages were calculated and in a multi regression the role of the main factor and or factors in the development of menopause was determined. Results: In the individuals under study 88% were menopausal and the average age at menopause was 47.3% years. The probability of menopause is zero at the age of 28 years and one at the age of 60 years. Half of the total population of the evaluated women aged 48-49 years. The most important effective factors on menopausal age were hereditary factors in this study (P<0.0001) and other factors such as family and the menopausal age of the sisters had significant roles (P<0.01). There was no correlation between the appearance of body mass number of childbirths and pregnancies number of abortions method of birth control, cigarette, ethnicity, socioeconomic, status, … and age at menopause. Conclusion: Age at menopause is low and considering the sample volume and lack of diversity of socioeconomic status in this population, further studies are recommended.
http://feyz.kaums.ac.ir/article-1-495-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
53
60
article
Comparison of intranasal Midazolam and oral Atropine as premedication in pediatric anesthesia
Shahnaz Shayeghi
1
Sajjad Razavi
2
Mohamamd Reza Shabakhti
3
History and Objectives: Due to the importance of calmness and not having anxiety on entry to operation room in children and its known effect and the present problems with the administration of premedications and in order to define the effect of Midazolam administration in Iran, this study was carried out to compare intranasal Midazolam with oral atropine as premedication in pediatric anesthesia in referrers to Mofid children hospital during 1375 and 1376. Materials and Methods: A double blind experimental clinical trial was performed on 100 children whom were classified by random sampling into 2 groups. Intranasal Midazolam and oral atropine were administrated to 50 patients and another 50 patients were premedicated by intramuscular morphine half an hour before separation from their parents. The calmness and/or the anxiety of the child were evaluated in three stages: First, on separation from parents second, at the time of induction of anesthesia and third, at the time of recovery. Results: Age, sex, weight and blood pressure of the two groups were similar in these 100 patients. In the Midazolam group, there was a better toleration of separation from their parents, easier anesthesia induction and a shorter recovery time. The prevalence of lack of even slight degrees of anxiety was 28% and 76% in the control and case groups respectively (P<0.001). Nausea, vomiting and airway secretions were more common in the morphine group than the Midazolam one. Flushing was slightly more common in the Midazolam group than the morphine one. Conclusion: Intranasal Midazolam and oral Atropine are recommended as appropriate premedication in pediatric anesthesia.
http://feyz.kaums.ac.ir/article-1-496-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
61
67
article
Report on 21 cases of Kawasaki disease from Shahid Beheshti Hospital of Kashan in the years 1375-77
Mohamamd Reza Tashakkor
1
Zahra Chavoshzadeh
2
Abbas Doroodgar
3
History and Objectives: Kawasaki disease is the most common vasculitis in childhood and its most serious manifestation is cardiac. Considering the progressive number of patients with Kawasaki disease and in order to define the characteristics of 21 patients with Kawasaki, this study was performed on the referrers to the pediatric ward of Shaheed Beheshti hospital of Kashan during the years 1375 to 1377. Material and Methods: This study was performed by descriptive method on the hospitalized patients and the diagnosis was established in the presence of 5 criteria from the 6 clinical criteria. Age, sex, clinical and paraclinical changes of the patients and the seasonal prevalence of the disease were evaluated and recorded. Results: From the 21 patients, 7 cases were female and 14 were male, aged 38.9±24 months and male to female ratio was 2 to 1. Clinical manifestations such as fever and oral mucosal changes were present in 100%, conjunctivitis in 95%, rashes in 91%, changes in hands and feet in 71%, lymphadenopathy in 67% and diarrhea in 43% of cases. Laboratory findings such as abnormal ESR in 91%, leukocytosis in 81%, thrombocytosis in 71%, pyuria in 43% and increased SGPT in 14% of the studied patients. One third of patients were affected in the winter. Conclusion: The disease is present in our country and diagnostic work up is especially suggested in cases with prolonged fever unresponsive to antibiotics or children with sterile pyuria or unexplained increase in liver enzymes, since the findings of Kawasaki disease particularly its clinical manifestations are in common with many other diseases.
http://feyz.kaums.ac.ir/article-1-497-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
68
73
article
Retinal tears and associated diseases in the referrers to Fayz Hospital of Isfahan during the year 1372
Ahmad Ali Ferdosi
1
History and Objectives: Due to the importance of recognition of the site of retinal tear in the treatment of retinal detachment, this study was performed on patients who had undergone surgical repair for retinal detachment in Fayz hospital of Isfahan during the year 1372. Materials and Methods: The present research was performed by evaluation of the existing data and sex, age, the disease associated with retinal detachment, type and site of the tear, the status of the lens, history of previous cataract surgery and the associated systemic diseases in this group were evaluated from the patients’ records and statistically analyzed. Results: In this study 126 eyes belonging to 123 patients, aged 47.7±21 years, were evaluated. The most common age for retinal detachment was 40-70 years. The most important diseases associated with retinal detachment were aphakia: 37 eyes (29%), eye trauma: 24 eyes (19%) and diabetes: 18 eyes (14%). The most common site of tear was supratemporal quadrant i.e. 38 eyes (30%) and horseshoe type retinal tear was the most common type of tear in this group of patients (82 eyes, 65%). Conclusion: The frequency of site and type of tear was relatively similar with the previous studies, however, aphakia particularly following cataract surgery by the intracapsular and/or complicated extracapsular method is the most common cause of retinal detachment in our country.
http://feyz.kaums.ac.ir/article-1-498-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
74
80
article
Prevalence of superficial and cutaneous fungal diseases in recreational center of addicts in Tehran during the year 1376
Ali Asadi
asadi_m@kaums.ac.ir
1
Abdolhossein Davoodabadi
2
Azam Samei
3
History and Objectives: Due to prevalence of superficial and cutaneous fungal diseases in the society and also with the hypothesis that it is more common among addicts and since there is few research in this regard, this study has been performed to define the rate of superficial and cutaneous fungal infections among addicts at recreational center of addicts in Tehran during the year 1376. Materials and Methods: In this study total addicts at the center that were 1320 individuals were physically examined and sampling was performed from the suspicious cases. Direct examination and culture of the specimens were performed in the laboratory. Results: There were 114 (8.6%) positive specimens among the 1320 evaluated addicts. The various superficial and cutaneous fungal infections were in order of frequency: Tinea versicolor (6.9%), trichomycosis axillaris (1.4%), erythrasma (0.15%) and tinea apris (0.23%). There were three cases with tinea due to trichophyton mentagrophytes. Conclusion: It seems that some factors contributes to the relatively high prevalence of superficial and cutaneous fungal diseases in this group. Further investigation and treatment of the affected patients are recommended.
http://feyz.kaums.ac.ir/article-1-499-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
81
87
article
Prevalence of infection, type of microorganism and drug resistance in burn wounds in injuries and burn hospital of Kerman in 1376
Hamid Zeinalinejad
1
Mohamamd Javad Fatemi
2
Ali Reza Sotoodehnejad
3
History and Objectives: Infection is the most common complication and the main cause of mortality in burns and in different burn centers, there are various types of microbacteria producing infection with different drug resistance levels. In order to define the prevalence type of microorganism and drug resistance in burn wounds, this research was carried out in Injuries and Burn hospital of Kerman in 1376. Materials and Methods: A descriptive study was performed on 110 burned patients by wound biopsy, microbial culture and antibiogram. Results: The most common isolated microbacteria as the etiologic agent of wound infection were Pseudomonas (35.5%), Klebsiella (14.5%) and Staphylococcus aureus (8.2%). On evaluation for drug sensitivity of the microbacteria, Ciprofloxacin was found to be the most effective drug against Pseudomonas and Klebsiella and Vancomycin the most effective one for Staphylococcus aureus. Conclusion: Pseudomonas, Klebsiella and Staphylococcus aureus are the most important microorganisms in the burn wounds. Accurate treatment of the burned wound should be performed by biopsy, cultured and antibiogram
http://feyz.kaums.ac.ir/article-1-500-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
88
93
article
Cutaneous response to Tuberculin test four months after BCG vaccination at birth in rural areas of Kashan
Hossein Sharifi
sharifi_h@kaums.ac.ir
1
Mahmoud Khanbanpour
2
Mohsen Arbabi
3
History and Objectives: Due to the various cutaneous response to tuberculin test in different ages and in order to define the quality of responses in infants 4 months after BCG vaccination at birth, this study was carried out in the rural areas of Kashan in 1372. Materials and Methods: A descriptive study was performed on 219 infants selected by random sampling who were completely healthy physically. After obtaining the parents consent, data corresponding to the samples including sex and birth weight were recorded in the information sheets and tuberculin test was performed. Response was measured as the diameter of the local firmness after 48-72 hours and recorded in the information sheets. The results of response to cutaneous test in the sample were defined and the confidence interval in the society was estimated. Results: Of the 219 evaluated infants, 111 were male (50.7%) and 108 (49.3%) were female. The response to tuberculin test was positive in 110 (50.2%) infants including 57 (51.8%) boys and 53 (48.2%) girls. Positive cutaneous responses were most commonly observed 77%, among infants with birth weights of 4000 grams. Negative cutaneous responses were most commonly observed 75% in infants with a less than 2500 grams birth weight. Adenitis was observed in 29 (13.2%) infants after injection including 14 girls and 15 boys. Conclusion: Regarding the high rates of negative tuberculin responses among infants with the birth weight of less than 2500 grams, it is recommended to revaccinate those with negative tuberculin tests or initially vaccinate them after gaining an appropriate weight.
http://feyz.kaums.ac.ir/article-1-501-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
94
97
article
Prevalence of Goiter in six to twelve year old children in the mountainous areas of Kashan in 1376
Ali Honarpisheh
honarpisheh_a@kaums.ac.ir
1
Rezvan Razavizadeh
2
History and Objectives: Iodine deficiency and disorders resulting from it, are of important health problems of the country. Due to the various reports of the status of Iodine deficiency in the country and no data about its status in Kashan and the importance of the vulnerable group of children and in order to define the prevalence of goiter in six to twelve year-old children in the mountainous areas of Kashan this research was performed in 1376. Materials and Methods: A descriptive study was performed on 1400 children whom were randomly selected. The incidence of goiter was determined by physical examination based on the criteria of World Health Organizations. Sex-related prevalence of goiter was estimated with 95% confidence. Results: Of the patients studied, 707 (50.5%) were male and 693 (49.5%) were female and 353 (25.2%) had goiter. The confidence interval was estimated to be 23 to 27.5% in the mountainous regions. The prevalence of goiter was 22.5 and 28% among boys and girls respectively. Varkan village with 45% goiter and Qamsar with 8% had the highest and the lowest prevalence of goiter respectively. Conclusion: The goiter was endemic in the mountainous areas and considering the distribution of Iodine-supplemented salt among people, research for recognition of the cause or causes is strongly recommended.
http://feyz.kaums.ac.ir/article-1-502-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
1999-10
3
3
98
103
article
Report on a case of conjoined twins in Kashan
Ziba Mosayyebi
mosaieby_z@kaums.ac.ir
1
Zohre Tabasi
2
Shahla Yoosephzadeh
3
History and Objectives: Due to the rarity of birth of conjoined twins and the few reports of their birth in the world and also the high mortality of these twins, this article reports on a case of conjoined twins that were born in the Tir of 1378 in Kashan. Case report and Findings: A 28-year-old woman delivered at her third pregnancy a pair of conjoined twins with the gestational age of 36 weeks and 5 days by cesarean section. These twins had two heads, two necks, a laterally conjoined thorax and common abdomen, pelvis and male genitalia. The anus was imperforated and a fistula was present in the perineal area. These twins died twenty hours after birth because of cardio respiratory failure and the existing anomalies (Lung hypoplasia). Conclusion: Not only the birth of conjoined twins with partially divided bodies is very rare but also the male sex of the reported case is another rare phenomenon. Death of these twins in the first 24 hours of life can be due to congenital anomalies.
http://feyz.kaums.ac.ir/article-1-503-en.html