2024-03-28T14:22:05+03:30 http://feyz.kaums.ac.ir/browse.php?mag_id=38&slc_lang=fa&sid=1
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Effect of oral Aluminum intake on sex hormones of rat Mohammad Reza Shahreki Saleh Zahedi Ali Reza Sarkaki History and Objectives: Aluminum absorbed through several means and its increased absorption is associated with some complications. Aluminum may alter and complicate the function of calcium and its biological effects leading to the sex hormone changes. Its absorption competes with Iron and may cause anemia. The present study is carried out to determine the effect of prescribed oral aluminum on the sex hormone changes of rat. Materials and Methods: An experimental study was performed on 52, 6 months old rat with average weight of 318 grams. Rats were divided into 4 groups of 13. One group was taken as control and 3 others were experimental groups. Experimental groups were given 0.625, 1.25 and 2.5 mg of aluminum in each meal for 60 days. The effect of aluminum intake was studied on the blood hemoglobin, hematocrit, LH, FSH and testosterone levels. T-test and analysis variance were performed. Results: Blood hemoglobin levels were 14.93±0.27, 13.24±0.27 and 11.84±0.35 for control and 1.25 and 2.5 mg experimental groups respectively (P<0.001). Hematocrit levels were 42±0.36% and 40±1 for control and 2.5mg experimental group respectively (P<0.001). FSH levels in 2.5mg experimental group and LH and testosterone levels in 2.5 and 1.5 mg experimental groups had less significant difference compared to the control group (P<0.05). No significant difference was observed with other groups. Conclusion: Increased aluminum intake in male rats induces anemia and decreases level of sex hormones. 1999 4 01 1 7 http://feyz.kaums.ac.ir/article-1-518-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Effect of Carbon Dioxide Laser on recurrent cutaneous Leishmaniasis Ali Asilian Hamid Reza Hedayati Sayed Fakhroddin Sadr History and Objectives: Due to the prevalence of the recurrent cutaneous Leishmaniasis and its resistance to major therapeutic measures and due to the success of carbon dioxide laser therapy among acute cutaneous Leishmaniasis, the present study was carried out on patients referred to the Al-Zahra hospital of Isfahan. Materials and Methods: A clinical, semi-experimental study was conducted. Diagnosis was made on the basis of clinical signs, previous history of the infection and previous therapies. Direct examination and biopsy was taken. Patients were not pregnant or no their lactating period. The effect of laser therapy was determined based on the tolerance of the patients, side effects, improvement of the disease on the basis of presence or absence of nodules after one year of the therapy. Lasesonic LS500 (Germany) was used for the therapy with 8-Watt power and 10.19 Watt per cm² concentration. Results: From 24 patients under study, 21 patients were monitored for one year and their mean age was 16.6±14.8 years. 13 patients were female. Mean duration of the illness was 4.1±3.9 years. The therapy was well-tolerated and major pain and feeling of burn, dryness of skin and brief arrhythmia were disappeared after the next treatment. 2 cases did not respond to the therapy and 90.5% were treated. Conclusion: Carbon dioxide laser therapy may be an effective means of treatment of recurrent Leishmaniasis. Further experimental research is suggested. 1999 4 01 8 14 http://feyz.kaums.ac.ir/article-1-519-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Effect of arcuate incision on Astigmatism Bahram Eynolahi Mohammad Zare Ali Sharifi History and Objectives: Astigmatism is one of eye diseases, which its correction specially in severe astigmatism may not be corrected with eyeglasses. The present study is designed to investigate the effect of arcuate incision on the correction of astigmatism among patients referred to the Labafi-Nejad hospital in 1996 to 1997. Materials and Methods: An experimental study was carried out to compare before and after the surgery on 24 patients. In order to correct the astigmatism, arcuate incisions were made for 30 to 90 degrees. The distance between the incisions from the center of retina was 7mm. Patients were followed seven months after the surgery, effect of operation on the patient’s corrected vision and uncorrected vision, extent of astigmatism were determined and McNemar and paired student t-test analytical methods were carried out. Results: The study was performed on 24 patients (38 eyes) with mean age of 30±8.5 years and extent of astigmatism of 3.76±1.06 diopter. Patients were followed for 15.5±3.5 months. Surgery resulted in vision acuteness of more than 20/40 in 80% of the patients (P<0.001). Rate of astigmatism was reduced by 47% (P<0.001). Conclusion: Surgery with arcuate incision was very effective in reducing astigmatism. It can improve patient’s vision without any need for eyeglasses. In patients with severe astigmatism where the use of eyeglasses is not useful in providing improvement of vision, arcuate incision can be very effective in improving vision. Further research is required to obtain complete results. 1999 4 01 15 20 http://feyz.kaums.ac.ir/article-1-520-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Diabetes mellitus and its control at Shahid Beheshti Hospital in 1997 Mohamamd Matini matini_m@kaums.ac.ir Rezvan Moniri Gholam Reza Vali History and Objectives: Due to the prevalence of diabetes mellitus and the importance of controlling its well known side effects and in order to determine the state of patients with diabetes, the present study was conducted at the Shaheed Beheshti hospital in Kashan in 1997. Materials and Methods: A descriptive study was carried out on 100 patients who were receiving insulin. The control of the illness was determined on the basis of HbA1c measurements. Values under 8% were considered as good control, values between 8-11 were considered as fair and values over 11% were considered as poor control. HbA1c was determined by gel electrophoresis. Patients records, age, sex educational levels, type of diabetes, type of insulin prescribed, number of insulin injections, duration of insulin therapy and BMI were recorded for each patient. The rate of poor control and confidence interval for the population and the effect of influencing factors were assessed. Results: From 100 patients, 41 patients were male and mean age was 58 years and range was 16 to 80 years. 70% of patients were illiterate and 40% of the patients were type I diabetes mellitus. All patients were receiving insulin at the time of study. 3% of patients had blood control, 22% fair and 75% had poor diabetic control. Patients having been under insulin therapy for more than 5 years, NPH alone, one injection per day and type I diabetes mellitus were under increased the chance of poor control. Conclusion: Due to high prevalence of poor diabetic patients, further analytical study is needed in order to elucidate the underlying factor for poor diabetic control and subsequently, experimental studies are required in order to reduce the rate of poor control. 1999 4 01 21 26 http://feyz.kaums.ac.ir/article-1-521-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Tympanometry in diagnosis of Otitis Media with fluid Mohamamd Reza Fathoul Olomi Abdollah Madani History and Objectives: Due to the prevalence of otitis media among children and Due to the importance of diagnosis with tympanometry among these patients and since various reports imply different results obtained from the instrument and in order to assess the diagnostic power of the instrument among patients with otitis media with fluid, the present investigation was carried out on patients referred to the Taleghani hospital in Tehran in 1996. Materials and Methods: A diagnostic clinical trial was carried out on patients suspected of the disease and diagnosed with tympanometry model AZ-7 (Intra-acustic, Denmark). Projects importance was explained to the patients and written consent was obtained. Tympanometry was again performed before surgery without N2O administration. During the anesthesia mirenectomy was performed. Final diagnosis was based on the observation of fluid and it’s the positive predictive value. Results: The study was carried out on 18 individuals (9 females and 9 males) with mean age of 8.2±3.1 years and overall 33 ears were examined. During operation in 7 cases (21.2%) no fluid was observed and in 26 ears fluid was observed and in 3 cases (11.5%) serous fluid was detected and in 23 of cases (88.5%) glue was observed. The positive predictive value of tympanometer was 79%. Conclusion: Due to the presence of the false positive cases and well-known side effects of myringodectomy, the use of tympanometry in diagnosis of OME is not suggested. Further research is suggested. 1999 4 01 27 31 http://feyz.kaums.ac.ir/article-1-522-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Effect of oral Ampicillin and Metronidazole on bacterial vaginitis Maryam Sadat Hosseini Maryam Nedai History and Objectives: Bacterial vaginitis is one of the most prevalent vaginal infections diseases among females, which is related to various infections and diseases of lower urinary system. Since the prescription of metronidazole is prohibited during pregnancy while the use of ampicillin is allowed in this period, the present study would compare the effectiveness of ampicillin and metronidazole as therapeutic agent to treat infection among female patients referred to the Healthy and Hygiene Clinic of East Tehran (Shaheed Beheshti Medical University) in 1996. Materials and Methods: A double blind clinical trial was performed on 51 non-pregnant sexually active females with bacterial vaginitis. Having 3 main features out of 4 for the bacterial vaginitis would confirm the diagnosis and if they did not have compounding effects on the diseases, they were included in the study. Patients were randomly divided into 2 groups. Ampicillin (500 mg/6hrs) was given to one of the groups while the other received metronidazole (500 mg/6hrs). Both groups received medication for 7 days. Clinical features of the treatment were assessed 2 weeks after the start of the therapy. Positive outcome of treatment was obtained if the patients possessed 2 of the criteria. Results: Ampicillin and metronidazole had 80.8% and 84% rate of treatment respectively. None of the side effects of the drugs were so strong as to terminate the treatment. Conclusion: Since equal effectiveness of the ampicillin and metronidazole in treatment of bacterial vaginitis is achieved, it is suggested that those who have poor tolerance to metronidazole treatment may receive ampicillin as an alternative. 1999 4 01 32 40 http://feyz.kaums.ac.ir/article-1-523-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Rate of antibiotic resistance of bacterial urinary infection in Kashan, 1995-97 Ali Reza Sharif sharif_a@kaums.ac.ir Mohsen Adib Haj Bagheri Sayed Gholam Abbas Mossavi Mohammad Reza Sharif Ghasem Chavoshi History and Objectives: Due to the prevalence of antibiotic resistance in bacterial infection and lack of information on such patients residing in Kashan, the present report will address the factors involved in urinary infection and prevalence of the antibiotic resistance among patients referred to the Shaheed Beheshti hospital of Kashan in 1995-1997. Materials and Methods: The study was carried out on the available data. Patient’s records with positive urine culture test and antibiotic sensitivity test were considered. The prevalence of urinary tract infection were studied and antibiotic sensitivity was determined for the years of the study. A descriptive analysis of data was presented. Results: E.coli clebcia and enterobacter were the most prevalence type of infection respectively. The pattern of infection was similar for the 3 years of study. Resistance to ampicillin was augmented from 76% to 81% and to 90%. The resistance to co-trimoxazole was from 56% to 60% to 66% respectively. Resistance for cephalothin was increased from 48% to 51% to 59% respectively. The annual rate of the 3 antibiotic resistance was 3-9%. Conclusion: It seems that the prevalence of the antibiotic resistance is fairly high and a trend of increasing resistance was observed for 3 antibiotics. The present situation requires annual assessment of antibiotic resistance among the patients. This will provide ample information for physicians treating urinary tract infection. 1999 4 01 41 45 http://feyz.kaums.ac.ir/article-1-525-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Effect of Dropyridol and Metoclopramide in prevention of vomiting after surgery Samad Nouri Zadeh sa.noorizad@kaums.ac.ir Mohsen Adib Hajbagheri Ali Reza Yazdani Ahmad Ershadi History and Objectives: Due to dangers of vomiting after surgical operation and due to different reports on the therapeutic treatment, the present study will determine the effect of veinal injection of 2 therapies, Dropyridol and Metoclopramide on prevention of vomiting after surgery. Materials and Methods: A double blind experimental study was performed on 430 individuals undergoing abdominal surgery. The effect of these 2 therapies compared to their perspective control group in prevention of vomiting was determined. Their relative risk and the effect of Dropyridol and Metoclopramide was determined and Chi-square test was performed. Results: 50.5% of cases were female and the rest were male. Dropyridol was received by 165 patients and 120 patients received Metoclopramide and 145 patients did not received any therapy. The rate vomiting in the 3 groups were 3, 10 and 29 percent respectively (P<0.0005). The rate of nausea and vomiting without Dropyridol 6.7 times the risk was 17% and the rate of vomiting without Metoclopramide was 3.3 times and risk was 7%. Conclusion: The usefulness of anti-vomiting drugs especially Dropyridol and can have significant effect on the prevention of nausea and vomiting after surgical operation. It is suggested that intramuscular injection of such therapies should be studied. 1999 4 01 46 51 http://feyz.kaums.ac.ir/article-1-526-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Self-confidence among male high school students in Kashan, 1996-97 Ali Baghbanian baghbaniyan_a@kaums.ac.ir Khadije Sharifi Sayed Gholam Abbas Mossavi History and Objectives: Due to the importance of self-confidence on the carrier, social, family and psychological well being of adolescents, due to the lack of information on the self-confidence among adolescents, the present study was undertaken in order to determine the rate of self-confidence among male high school students in 1996-1997 school year. Materials and Methods: A descriptive study on 400 cases was performed. Self-confidence was assessed on the basis of Eyseneck method and divided into 3 high (Score higher than 21), fair (Score between 14-21) and low self esteem (Lower than 14). In addition, personal records including birth ranks in the family, family size and age were recorded. The prevalence of low self-esteem in the samples with 95% confidence of interval was obtained. Results: Low self-confidence was observed among 21.5% whereas 71.3% individuals had fair self-confidence and 7.3% had high self-confidence. High self-confidence was observed with family size of 5 or higher and among older children in a given family. Conclusion: Since low self-confidence is prevalent among adolescents in Kashan, further analytical research is required to find the underlying causes of low self-confidence. 1999 4 01 52 56 http://feyz.kaums.ac.ir/article-1-527-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 The effect of human blood groups on growth of the agent of Leishmaniasis Gholam Reza Vali Safar Ali Talari History and Objectives: Due to the prevalence and importance of diagnosis and treatment of Leishmaniasis in Iran and considering the difficulties and the economical burden of providing culture media from rabbit’s blood, this study was carried out to investigate the effects of human’s blood on growth of Leishmania and compare these with the rabbit’s blood culture media in Kashan in 1374. Materials and Methods: An experimental study was performed on promastigote of L.major, L.tropica and L.infantum, approved by World Health Organization, on rabbit’s blood culture media and the 8 human’s blood culture media that 4 of these were repeated. The adaptability time to the medium, the maximal and minimal growth were calculated and statistically analyzed on the basis of the decrease in the number of active parasites from the time of culturing. Results: The adaptability time was one to two days and was equal in both types of culture media, parasites on the human’s blood media achieved maximal growth in a shorter time than their counterparts on rabbit’s blood media and the minimum number of growth was higher on rabbit’s blood culture media. Number of parasites grow on rabbit’s blood were higher than human’s blood in all three types of parasites (P<0.05) and were higher in Rh negative than Rh positive and in blood group type B than the other ones. Conclusion: Due to the importance of growth velocity of the parasite, rabbit’s blood can be replaced by human blood groups. Performing research on human specimens is recommended. 1999 4 01 57 63 http://feyz.kaums.ac.ir/article-1-528-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Skin effects among 1000 females using pregnancy control pills at health clinics of Esfahan, 1993-94 Fariba Iraji Shahla Enshaeihe History and Objectives: Since piles are used with high degree of assurance in the prevention of pregnancies, concern on the side effects of such uses especially skin effects may be warranted. To address the issues the present study was carried out on 1000 women using piles who were referred to the Health Clinics of Isfahan in 1993 to 1994. Materials and Methods: A descriptive study on women who have used piles for at least 2 months. The individuals were not taking other medications. Skin side effects along with age, type of medication and type of skin diseases were recorded. Results: The mean age of individuals was 27±5 years and duration of medication was 3.3±1.7 years. 70% of cases were taking LD, 18% HD and 9.6% were on microgynon and 2% were on minipill. 138 individuals (13.8%) had skin related complications which cloasma (5.3%) and vaginal candida (5.1%) were the most prevalent type. Side effects were related to HD (27%) and LD (19%) treatment. Conclusion: Serious skin side effects were not observed and most complications were treated properly. It is suggested that individuals using HD and LD medication ought to have regular dermatological examination. 1999 4 01 64 68 http://feyz.kaums.ac.ir/article-1-529-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Food intake, body composition and aerobic capacity of Iranian National Basketball Team, 1997 Nahid Salarkia Sayed Masoud Kimiagar Ali Ghazanfari Azade Aminpour History and Objectives: In order to evaluate the nutritional status of athletes during preparation of important matches and one of the major games in Iran is basketball, the present study will determine the of nutritional intake, body fat and aerobic capacity of basketball athletes of national team in 1997. Materials and Methods: A cross sectional descriptive study on 14 male basketball players was carried out. The mean age, height, weight and BMI was 25.6±3.1 years, 191±6 centimeters, 87.3±8.1 kilograms and 23.9±1.7 respectively. Weight, BMI, body fat and aerobic capacity on the basis of Oxygen consumption were determined in 3 stages of before the start of training, during the train and after training. In addition nutritional status and food intakes were assessed at the start and end of trainings by determining the food intake in 7 non-interval days. Foods were transferred into the laboratory for determination of proteins, lipids and carbohydrate content. Results: Weight and BMI variation during training was insignificant. Intradermal fat thickness was reduced from 42.9±13.7 to 34.6±9.9 mm (P<0.02). Maximum Oxygen intake was increased from 42.3±3.3 to 44.5±2.2 mm/kg-min (P<0.05). At the first stage the caloric intake was 3900kcal, which consisted of carbohydrates (50%), protein (15%) and fat (35%). At the second stage the caloric intake was 3600kcal, which consisted of carbohydrates (55%), protein (15%) and fat (30%), which were in normal range. Intake of Iron, calcium and vitamin C was higher than recommended allowance, B1, B2 and Niacin was within the recommended range and vitamin A and B6 was lower than recommended allowance. Conclusion: The food intake of athletes was within the recommended allowance range. Further research on the assessment of nutritional values taken by athletes, nutrition educational programs for athletes and their coaches and interventional nutritional study of a given nutritional program is suggested. 1999 4 01 69 78 http://feyz.kaums.ac.ir/article-1-530-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Sand fly funa in Kashan, 1990-97 Abbas Dourodgar adoroudgar@kaums.ac.ir Mohamamd Ali Seyedi Rashti Yavar Rasi History and Objectives: Since Leishmaniasis and Papataci fever are of major health concern in our country and sand fly is the sole known means of transmission of the diseases, the present study will determine the funa of sand fly in rural and urban regions of Kashan between 1990 to 1997. Materials and Methods: A descriptive study was carried out on some region of rural and urban areas of Kashan out which had fairly wide ecologic and temperate variation. 11057 sand fly samples were collected from Kashan, Aran, Bidgol, Ghamsar and 9 rural areas. Sand flies were collected by sticky paper, hand capture aspiration from inside and outside of homes and nests. The identification of the sand fly was determined by existing diagnostic clues after they were cleared. Results: Overall, 17 types of sand fly belonging to 2 types of phlebotomus (11 types) and sergentomia (6 types) were identified. Highest rate of captured was for phlebotomus papataci (62%), phlebotomus sergentani (17%) and sergentomia sintini (14%). Phlebotomus papataci was the major type at captured from homes and nests. Most sand flies were collected from mountainous regions. Conclusion: Identification of funa of sand flies in the region is important. It is suggested that further research on the life habits of insects, which is directly related to the epidemiology of the disease and determination of preventive measures is suggested. 1999 4 01 79 85 http://feyz.kaums.ac.ir/article-1-531-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Prevalence of Pediculus Capitis among male primary school students in Kashan, 1997 Rohollah Dehghani dehghani_r@kaums.ac.ir Abbas Doroudgar Hasan Almasi Mohamamd Ali Asadi Mansour Sayah History and Objectives: Due to different rate of infection with Pediculus Capitis in the country and side effects of such infection and in order to determine the prevalence of such infection the present study was carried out among primary school male students in 1997. Materials and Methods: A descriptive study was carried out on 1986 students from 8 schools with average age of 6-12 years from first of 50th grade. Students were selected by random cluster sampling. A questionnaire was filled out which contained information on nationality, school grade, presents’ educational levels, family size, common use of items at home, having shower at home and number of shower in a week. The proof of infection was the presence of Pediculus Capitis on neck or head. The prevalence and confidence interval were determined. Results: Pediculus Capitis was observed on 17 individuals (0.9%). The infection had a significant correlation with nationality, patents’ education level, common use of items and number of showers per week. The rate of infection among Afghan and Iranian students was 4.2% and 0.4% respectively. The rate of infection among students whose fathers had no education-primary school education and high school education was 3.9% and 0.4% respectively. Similar data on the students’ mother was 3.6% and 0.3% respectively. The rate of infection for students having showers once a week and twice a week were 1.3% and 0.2% respectively. Students who shared items at home and those who did not share items had 10% and 0.2% rate of infection. Conclusion: Pediculus Capitis infection among primary school students is not considered as a primary health concern. However education programs for reducing the usage of common items at home and other factor for reduction of infection is suggested. 1999 4 01 86 91 http://feyz.kaums.ac.ir/article-1-532-en.PDF
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Feyz Medical Sciences Journal Feyz 1029-7855 2008-9821 1999 3 1 Prevalence of cutaneous Mycoses among sanitary workers of city municipality of Kashan, 1998 Mohamamd Ali Asadi asadi_m@kaums.ac.ir Abbas Doroodgar Hossein Houshyar History and Objectives: Due to the prevalence of cutaneous Mycoses in the community and with the hypothesis that the prevalence is high among individuals working in an environment that is inductive for such a condition such as working outdoors, collection of garbage and in a dusty environment, the present study was carried out on sanitary workers of Kashan in 1998. Materials and Methods: A descriptive study was carried on all city municipality sanitary workers. All individuals were examined and from suspected cases samples were taken. Scaly material, dandruff, broken and deformed hair from face and head, patches without hair from face and head, colored nodules from the stem of hair from under arm and from brown and red patches bodies with etching and nails were taken as sample for further cultured and direct examination. The prevalence, type of infection and etiologic cause were determined. Results: From 394 individuals, 125 (31.7%) displayed suspected mycoses anomalies from which 113 individuals (29%) were positive. Individuals with one disease were 1.5 (92.9%) and the rest had 2 or 3 type of mycoses. Trichomycosis eczylaris with 23.1% (91 individuals) psoriasis vulgaris with 3.1% (12 individuals), petirosprisis with 2.8 (11 individuals), erythrasma with 2.1% (8 individuals) and otomycosis (1 individual) were the most prevalent type of infection. Conclusion: Due to the relatively high prevalence of the disease analytical study is suggested in order to understand the underlying causes of infection. 1999 4 01 92 99 http://feyz.kaums.ac.ir/article-1-533-en.PDF