Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Pregnancy age on the basis of bone formation among patients referred to the Shahid Beheshti University Medical Center
1
6
FA
Ali Akbar
Ameri
Y
Shirin
Birang
N
Naser
Valai
N
History and Objectives: Due to the importance of determination of the developmental stages of embryo pregnancy age differences on the basis of determination of embryonic age in various races and different countries, the present investigation was carried out on the distal femoral epiphysis size among individuals referred to Shaheed Beheshti University Clinic Center in 1995-1997. Materials and Methods: A descriptive study on 1300 females with LMP characteristics at their 28-40 week of pregnancy was carried. Patient’s consent was obtained before the study was initiated. For any given week, 100 patients were selected and 13 weeks interval was chosen. Patients were devoid of other underlying illnesses. In DFE sonography, on its largest diameter, 1.5 magnification and 5-7.5 MHZ transduction, was determined. Results: From 28th to 40th week of pregnancy, 1300 patients were examined. DFE was not detected at the 28th week of pregnancy. DFE was 0.08±0.37 at the 29th week of pregnancy. A table of DFE and age of pregnancy is presented. Conclusion: Pregnancy age on the basis of DFE was determined. It is suggested that figures obtained in this study should be evaluated for the prediction of embryonic age. The present procedure can be used in clinical settings with sufficient validity.
http://feyz.kaums.ac.ir/article-1-562-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Effect of antimicrobial agents and determination of their MIC of E.coli separated from urinary tract infections
7
14
FA
Akbar
Tavakoli
Y
Mahmoud
Saffari
N
History and Objectives: Due to prevalence of urinary tract infections and due to the importance of therapy and misuse of antibiotics which leads to augmented antibiotics resistance and since E.coli is the causative agent in 80 to 90% of cases, the present study is undertaken in order to determine the resistance of antibiotics by 50 different E.coli species separated from urine samples from city of Isfahan in 1998. Materials and Methods: A descriptive study on patients referred to clinical diagnostic laboratories and hospitals of Isfahan was carried out. After confirmation of infection, the infectious agents were transferred to the department of microbiology of Isfahan Medical University. Classic microbiological techniques were used to identify the cells. Their resistance to the 13 different antibiotics (From 0.25 µg/ml to 128 µg/ml concentrations) and their MIC’s were determined. Results: From 50 different E.coli species 72%, 64%, 58%, 56%, 52%, 52%, 38%, 34%, 32%, 24%, 22%, 20% and 18% were resistant to ampicillin, carbinicyllin, tetracycline, chloramphenicol, cefoxitin, cephalothin, nitrofurantoin, ciprofloxacin, amikacin, gentamicin, co-trimoxazole, kanamycin, cefoxitin and nalidixic acid respectively. MIC for the above-mentioned cell were higher than the standard sensitive E.coli (E.coli ATCC 25922). All the isolated species were multiresistant. Conclusion: In light of higher rate of E.coli resistance compared to other countries, due to availability of antibiotics as over the counter drugs, educational programs ought to be conducted and prescription of antibiotics should be restricted to the findings of laboratory findings.
http://feyz.kaums.ac.ir/article-1-563-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Application of Partogragh on duration of labor and outcome of pregnancy among first time pregnant women
15
22
FA
Shirin
Niromanesh
Y
Elham
Shakibazadeh
N
History and Objectives: The effect of partogragh on the duration of labor and its outcome on controversial. Due to lack of comprehensive study on the usefulness of partogragh and its benefits in Iran, the present study was conducted to determine the effect of the partograghy on the duration of labor and outcome of pregnancy among first time pregnant females referred to the Tehran’s Mirza-Kockak-Khan hospital in 1997. Materials and Methods: A clinical trial on 200 pregnant women was carried out. Half of the individuals were under direct supervision and partograghy was used. The other half was taken as control group. The effect of partograghy on the duration of labor, number vaginal examination, prolonged labor, obstructed labor, apgar score, fetal death, type of labor, uterine, oxytocin infusion, duration of oxytocin infusion and amniotic stage was determined. Statistical significance of the data was presented. Results: In control and experimental group, mean age was 21.8±3 and duration of labor was 510.2±298 and 436±228 minutes respectively. Number of vaginal examination was 7 and 4.5 in control and experimental groups. Prolong labor was 26% and 10% and obstructed labor was 4% and 1% in control and experimental groups. Apgar score in the first minute in 99% of fetuses of the control mothers and 98% of fetuses on experimental mothers were 8 to 10. Fetal death and uterine was not observed in two groups. Four percent of labors in control and experimental (1% vacuum and 3% cesarean section) were abnormal. Oxytocin infusion was given to 545 of control and 15% of experimental group. Duration of oxytocin infusion was 268±142 and 233.6±110 minutes in control and experimental group respectively. Amniotomy was carried out in 38.9% of control and 5.8% of experimental group at first phase of labor. Conclusion: Application of partograghy as a inexpensive and useful instrument and its utility in early decision making and referral of pregnant women is helpful. In addition, partogragh increases quality and management of labor.
http://feyz.kaums.ac.ir/article-1-564-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Lower gasterointestinal bleeding among children referred to the Children Medical Center
23
33
FA
Ali Akbar
Sayari
Y
History and Objectives: Gastrointestinal bleeding is life threatening at any given age. It is essential to determine the cause and location of such bleeding. The present study was undertaking in order to determine the referral justification and location of bleeding on patients referred to the Children Medical Center in 1995-1996, since the discrepancies on the reasons of referral has reported lately. Materials and Methods: A descriptive study on children with gastrointestinal bleeding was carried. Endoscopy without anesthesia with direct vision was performed. Children’s personal information, reason for referral, location(s) and cause of bleeding was recorded. Results: From 166 children under study (Mean age 6.7±3.6, 49% female), hematemesis (71%), melena (16%), hematemesis and melena (11%), hematochezia (2%) were the most prevalent reason of referral. The cause of bleeding in 90% of cases was determined and the 10% of patients had normal lower intestinal endoscopic pattern. Gastritis (70%), duodenitis (27%) and esophagus varicosis (22%) were the major cause of bleeding. In 48% of cases two or more of causes of bleeding was found where in one third of the cases, gastritis occurred along with duodenitis. In 65% of patients suffering from gastric and duodenal ulcerations, hematemesis was the major reason for referral. Conclusion: The most prevalent cause of bleeding among children was gastritis and secondary peptic ulcers. Analytical investigations as to the underlying cause of such lesions and needed. Experimental clinical trials for therapy and prevention of such conditions are recommended.
http://feyz.kaums.ac.ir/article-1-565-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Relationship between compliance and occurance of diabetes mellitus among Thalassemic patients
35
41
FA
Mehrnoush
Kosarian
Y
History and Objectives: Long term treatment of Thalassemic major is by regular blood transfusion and infusion of an Iron chelator. The treatment is cumbersome and expensive and compliance may be low. Diabetic mellitus is well known side of chronic or acute Iron toxicity. Relationship between compliance and emergence diabetes mellitus is investigated among patients referred to the Bou-Ali Sina hospital in 1997. Materials and Methods: A case control study was carried out. Control group consisted of Thalassemic patients with normal glucose tolerance test and case group was Thalassemic patients with diabetes mellitus. 2 groups were matched for age, sex, severity of Thalassemia (Age of diagnosis, age of transfusion and degree of dependence to the transfusion), social-economic class and infection to chronic hepatitis C. Results were obtained from patient’s record. Body mass index was calculated from height and weight. All patients were from Mazandaran province and have no record of diabetes mellitus in their first-degree relatives. Compliance was assessed by a suggested system and classified. On the basis of this system, compliance was classified as good, fair and poor and compared in the control and case group. Results were analyzed by Chi-square method and odds ratio for estimation relative risk was determined. Results: Two control and case groups were similar on the basis of the above-mentioned criteria. Classification of compliance for the last year was similar but results for the last five years indicated that 79% of non-diabetic patients had good or fair compliance (Score of 4 or better) whereas on 29% of diabetic patients had similar score. The differences were significant statistically (P<0.01) and the odds ratio shows that poor compliance to treatment increase risk of diabetic mellitus 3 fold. Conclusion: Lack of compliance or in availability of treatment, especially to the Iron chelation, increases the risk of diabetes mellitus among Thalassemic major patients. Therefore, patients should be encouraged to follow their treatment closely.
http://feyz.kaums.ac.ir/article-1-566-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Seroepidemiologic prevalence of Hydatid cyst in Hamadan 1991
43
50
FA
Mohsen
Arbabi
arbabi@kaums.ac.ir
Y
Jafar
Masoud
N
Abdolhossein
Dalimi Asl
N
Mahmoud
Sajadi
N
History and Objectives: Due to side effect and varied prevalence and lack of information on the spread infection of the hydatid cyst in the region, the present study was conducted in urban and rural region of Hamadan in 1991. Materials and Methods: On 1530 inhabitants covered by urban and rural health and hygiene system, a descriptive study was conducted. Information related to age, sex, location of inhabitant and occupation were recorded. Blood samples (5ml) were obtained and Casoni skin test was performed on all individuals. Antibodies against parasite were measured by IFA method. Titration of 1/10 was taken as positive and for positive blood test higher titration were tested. IHA test was done on positive samples to confirm the results. Titration of 1/64 or higher was taken as positive in IHA test. Prevalence and confidence interval was determined. Results: From 1530 samples, 64 samples (4%) were positive by IHA test (CI=2.2-3.8). Rate of infection in males and females were 2.9 and 3.1 percent respectively. Rate of infection for urban and rural regions were 3.4% (CI=2-4.8) and 2.7% (CI=1.6-3.8). Tests performed by IFA and IHA indicates that infection among females are more prevalent that in males. Conclusion: The present study indicates that the rate of hydatid cyst infection is rather high in the region. Therefore, attention should be paid especially to the female inhabitants. Preventive measures and control through institutions that are responsible and basic hygienic educational programs and control of runaway dogs are needed in order to reduce the rate of infection.
http://feyz.kaums.ac.ir/article-1-567-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Involuntary urination in pregnancy among patients referred to the Shabi-Khani Hospital
51
56
FA
Mitra
Behrashi
behrashy_m@kaums.ac.ir
Y
History and Objectives: Due to high rate of involuntary urination in pregnancy and hygienic and social stigma associated with it and due to various reports on its prevalence, the present study was carried out in order to determine the rate of involuntary urination in Shabihkhani hospital in the last 3 months of 1997. Materials and Methods: A descriptive study with probable 50% rate of prevalence was carried on 400 women with first and second pregnancy. Personal records and situation of involuntary urination, start time, severity of the urination and treatment was recorded. Prevalence and confidence of interval was determined. Results: Mean age was 23±4.3 years and 40% of the patients were first time pregnant and 60% were second time pregnant. Prevalence of involuntary urination was 33.5% and most patients were involved in the 3rd trimester of their pregnancy. Conclusion: Due to the high rate of involuntary urination and social and economic side effects, it is suggested that analytical study ought to be conducted in order to determine the causes of the disease and find the way to reduce the rate. Educational programs for pregnant mothers ought to be carried out.
http://feyz.kaums.ac.ir/article-1-568-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Prevalence of the blood groups and its relation to the gasterointestinal malignancies among patients referred to Kashan Blood Bank during 1993-97
57
64
FA
Tahere
Khamechian
khamehchian_t@kaums.ac.ir
Y
Tahere
Mazouchi
N
Reyhane
Aboulghasemi
N
Sayed Gholam Abbas
Mousavi
N
History and Objectives: Due to importance of blood groups and various reports on the prevalence of each blood group in various regions and discrepancies on the role of some blood groups on the gastrointestinal malignancies and in order to determine the prevalence of various blood groups the present study was conducted on individuals referred to the Kashan Blood Bank in 1993-1997. Materials and Methods: The present investigation was performed in 2 steps. The first step was a descriptive study on 17287 individuals referred to the Blood bank center. Personal information, as to year to referral, sex and blood group were recorded and statistical data were presented. In the second stage is an analytical study on patients suffering from gastrointestinal malignancies hospitalized at the Shaheed Beheshti hospital in Kashan (170 patients). Final confirmation was based on the pathological findings. Patient’s records (age, sex, location of lesion, pathologic type and blood group) were listed in appropriate forms. Role of blood group on gastrointestinal malignancies were determined and relative risk was estimated. Results: From 17287 (90.8% male, 9.2% female), O blood group was the most prevalent on blood group (35.5%). Rate of other blood groups were 28.6%, 27.7% and 8.2% for A, B and AB blood group respectively. Rh-positive carriers were 87.8% of the population. In gastrointestinal malignant patients, (170, 66.5% male, 33.5% female) and age interval of 70-79 was the most prevalent age group (55 individuals 32.4%). Gastric lesions (49.4%) were the most prevalent and esophagus, large intestine and small intestine were in lower rates. Adenocarcinoma (77%) was the most prevalent underlying cause. Blood group of 113 of patients were determined and O blood group was the most prevalent blood group among patients (39%) and B and A and AB blood groups with 31%, 28.3 and 1.7% were lower ranks respectively. 94.7% of patients had positive Rh group. B blood group (23 individuals, 38.3%) was the prevalent among gastric malignancies and the chance of occurrence is 60% compared to other blood groups. Conclusion: Due to high prevalence of one blood group in gastric malignancy, a descriptive and analytical study with larger sample size is suggested in Kashan and other provinces.
http://feyz.kaums.ac.ir/article-1-569-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Bilateral sublingual nerve transplantation
65
70
FA
Sohrab
Shahrzadi
Y
History and Objectives: Damage and rupture of both sublingual nerves is rare phenomenon and its transplantation is occasionally reported. This report presents such a procedure during Force War of Iraq on Iran. Materials and Methods: A 21-year-old male afflicted with shrapnel wound on its lower jaw. The angle of wound was in such a way that both sublingual nerves were severed however, major neck vessels were intact and the patient survived the injuries and transplantation procedure was performed. Results: In the long-term follow up, although the diameter and strength of tongue was good, however, its basic function, acuteness in speech, swallowing and assistance to chewing was not complete and proper. Conclusion: Searching through literature, the reason for present poor performance, is mainly due to damage to nucleic cells, return of nerves to the muscle was not coordinated and therefore their activities were not proper and percise.
http://feyz.kaums.ac.ir/article-1-570-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Effect of fasting on Glucose, Lipids, body weight and blood pressure among non-Insulin dependent diabetes mellitus
71
76
FA
Sayed Fakhroddin
Sadr
sadr_f@kaums.ac.ir
Y
Mohamamd
Afshar
N
Shokouh
Sarboluki
N
History and Objectives: Considering the high prevalence of diabetes mellitus and the importance of controlling the biochemical indices and its side effects, the present investigation was carried out in order to assess the effect of fasting on diabetic mellitus type II on patients referred to the Diabetic Center of Kashan. Materials and Methods: A quasi experiment on type II diabetic mellitus patients was performed. Blood glucose, cholesterol, triglyceride, weight and blood pressure was measured before and 20 days after beginning for Ramadan Holly month. Paired T-test was used to assess the results. ]Results: 30 diabetic patients (21 female, 9 male mean age 52.83±9.5) participated in this study. Triglyceride and systolic blood pressure show significant difference during fasting whereas blood glucose, cholesterol and diastolic blood pressure did not display significant differences. Body weight did show detectable difference. Conclusion: Fasting is not harmful for diabetic patients and it has positive effect on the control of the disease.
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Epidemiology of trauma patients referred to the Hazrat Ali-Ebn-Abitaleb Hospital in Rafsanjan in 1997
77
82
FA
Sohrab
Sadeghi
Y
History and Objectives: Accidents are major medical problems and predication of such events is important preventive measures. It is the most important factor for mortality and morbidity among individuals under the age of 45. The aim of the present study is to understand epidemiology basis of such events in order to prevent them. Materials and Methods: Existing data at the Ali-Ebn Abitable Emergency Center of Rafsanjan was taken and 200 such records taken randomly were the basis of the present study. Results: 73.8% of accidents victims were male and 72% were under 30 years of age. Fall in from high altitude (40.5%), motor vehicle related accidents (25.8%) and injuries due to foreign objects (17.2%) were the most prevalent type of accidents. Youngest age group (16±4) were involved with sports related accidents and the oldest age group (28±31) were injured by animals. Head injuries (53%), other body injuries (36%) and multiple bodily harms (6.1%) were the most prevalent type of body injuries. 72.3% of patients were treated at out patient clinic, 27.3% were hospitalized and 0.4% died from injuries. Head injuries were the most probable cause mortality and morbidity. Conclusion: High rate injuries at younger age especially, motor vehicle related accidents, falling from high altitude and head injuries demand offering education of motor vehicle laws and regulation and taking into consideration of safety points in order to prevent falling from altitude. Analytical studies are recommended in order to understand the underlying cause of accidents.
http://feyz.kaums.ac.ir/article-1-572-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Effect of education on the care of Insulin dependent diabetes mellitus
83
87
FA
Mohammad
Afshar
afshar_m@kaums.ac.ir
Y
Sayed Fakhroddin
Sadr
N
Mahmoud
Athari Zadeh
N
History and Objectives: Due to higher incidence of diabetes mellitus in Kashan and reported difficulties regarding insulin injections, the present study was carried out. Materials and Methods: A quasi experiment was carried out in order to assess the effect of education on reduction of problems associated with insulin injection on 30 diabetic patients referred to the Diabetic Center of Kashan. Questionnaire sheets were used to select patients trial sheets were used to gather population data and a checklist was used to gather information on the side effect of insulin injection and fasting blood glucose. Then patients participated in a two-week educational program. A 2-month trial period was selected in order to patients to apply what they have learned in the program. Fasting blood glucose and other information is then recorded. Results: There is a significant difference on lesions due insulin injection (P<0.001), atrophy (P<0.001), hypoglycemic signs (P<0.05) and fasting blood glucose (P<0.05) was recorded before offering of educational program and 2 month after behavioral changes. Conclusion: Since educational program are very effective on reduction of problems associated with self care among diabetic patients, it is suggested that such programs given due attention in all diabetic center in order to reduce insulin injection related problems.
http://feyz.kaums.ac.ir/article-1-573-en.html
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
Sensitivity of American cockroach in Kashan hospitals to insecticides
89
94
FA
Abbas
Doroudgar
adoroudgar@kaums.ac.ir
Y
Hossein
Ladoni
N
Rouhollah
Dehghani
N
Mansour
Sayah
N
History and Objectives: First step in chemical control of arthropod is assessment of their sensitivity to insecticides the present study is designed to determine the extent of sensitivity of cockroaches obtained from Shaheed Beheshti, Naghavi and Shabihkhani hospitals in Kashan to phosphorous, pyrothroid and carbamate insecticides in 1995-96. Materials and Methods: Cockroaches were obtained by hand and trap. After 48 hours of in the laboratory, they were tested on the basis of WHO directives and by contact method and knock down experiments. Regression lines were calculated for KT50 and KT90 and level sensitivity was compared. Results: The effect of Actlic insecticide (0.12 g/m²) on American cockroaches gathered from Naghavi and Shabihkhani compared to Shaheed Beheshti showed resistance ratio of 1.06 and 1.07 respectively. The effect of Sulfac insecticide (0.2 g/m²) on cockroaches obtained from Naghavi and Shabihkhani compared to the Shaheed Beheshti hospital showed resistance ratio of 2.3 and 2.1 respectively. Similar comparison of Coopex insecticide (0.125 g/m²) showed ratio of resistance of 3.04 and 1.64 respectively. This comparison for Ficom insecticide (0.24 g/m²) gave 1.25 and 1.18 ratio resistance for Naghavi and Shabihkhani hospitals compared to Shaheed Beheshti hospital. One hundred percent mortality and morbidity of species under examination was obtained for all insecticide after 24 hours of contact. Conclusion: It seems the repeated use of insecticides in Naghavi and Shabihkhani hospitals, which compared to the Shaheed Beheshti hospital are older has increased the level of tolerance of cockroaches considerably. Insects at Naghavi and Shabihkhani have been under stress and overuse of insecticides and have developed tolerance of some insecticides.
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Kashan University of Medical Sciences
Feyz Medical Sciences Journal
1029-7855
2008-9821
2
2
1998
7
1
A case of Kikuchi disease through skin
95
100
FA
Hossein
Sharifi
sharifi_h@kaums.ac.ir
Y
History and Objectives: Since several reports of this rare disease has been published and it has limited and benign characteristics and after one or two months it reverts into normality and frequently is mistaken on the basis of pathologic and clinical findings with malignant lymphoma and infectious mononucleosis, the present case is reported from department of internal medicine of Shaheed Beheshti hospital in Kashan in 1995. First report of this disease was given by Kikuchi 26 year ago and since then 23 other papers had been published and 74 cases for 1980 to 1998 has been recorded in Medline and etiological basis of the disease and diagnosis have been offered. Five years ago a similar report was publish in Journal of Babol Medical University. An 11-year-old girl from Aran with complains and sign of malignant lymphoma was admitted. Infectious mononucleosis, toxoplasmosis and SLE was considered in the differential diagnosis of the disease. However final diagnosis of Kikuchi was offered on the basis of excisional biopsy of lymphatic nodes of neck and its pathological characteristics. Results: Although kikuchi disease is benign and is due to rare incidence of FLO, however, early diagnosis will reduce unnecessary examination and false treatments.
http://feyz.kaums.ac.ir/article-1-575-en.html
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