مجله پزشکی دانشگاه علوم پزشکی تبریز
سال سی و هشتم شماره 5 (پیاپی 125، آذر و دی 1395)

Right ventricle failure and massive pulmonary artery occlusion are the main causes of mortality in patients with acute pulmonary embolism. Although pulmonary CT angiography could be helpful in these patients there are some controversies. In current study we want to investigate correlation between pulmonary artery obstruction score and right ventricular dysfunction with mortality rate in patients with acute pulmonary embolism.

Pulmonary CT angiography of 76 patients with acute pulmonary embolism and no previous comorbidity were reviewed at this prospective study. Maximum short axis dimensions of the right ventricle (RVD) and the left ventricle (LVD) and their ratio were measured. The pulmonary artery obstruction score (PAOS) was determined according to Qanadli. At the end the correlation between these findings and mortality at first 60 days were evaluated.

The 60-days mortality rate was 19.7%. The expired and survived groups were comparable for PAOS, whereas both the median age and RVD/LVD ratio were significantly higher in the first group. In multivariate analysis, however, age was the only significant, independent predictor of 60-day mortality (p=0.02).

Without pre-existing morbidities, neither the RVD/LVD ratio nor PAOS is not an independent predictor of mortality in hemodynamically stable patients with acute PE.

The meniscus has an important role in weight bearing, energy absorption and joint stability and congruency. Treatment in cases with meniscus damage or meniscus tear including is open or arthroscopic repair and menisectomy. One of the most important factors that influence on the patients outcome is restoration techniques. The purpose of this study was to compare strength of vertical and vertical cruciate double mattress suturing techniques in meniscus repair.
Methods & Materials: In an experimental study 12 internal meniscus of bulls has been divided into 2 equal groups. Vertical and vertical cruciate double mattress suturing techniques was done and compared with each other according to the resistance to tensile forces and restoring the gap stability.

In this study, the vertical knots average strength were 234.3 ± 12.5 N and in vertical cruciate double mattress knots were 245.7 ± 16.4 N. There was no significant difference between the two groups. Gap sustainability in the first group was 142.6 ± 11.7 N and in a vertical cruciate double mattress was 182.4 ± 8.7 N that the difference between two groups was significant (P =0.02).

The results of our study indicate vertical knot and vertical cruciate double mattress has similarly resistance. Sustainability gap repair of vertical cruciate double mattress is more than vertical knot techniques. Vertical cruciate double mattress is makes for greater stability against tensile force.

Tarragon is a plant of Asteraceae Family that has any medical and edible uses. This study aimed to investigate effects of Tarragon hydro-alcoholic extract on serum cations and sexual ratio of mice infants is performed.

In this experimental study 100 adult male mice and 100 adult female mice divided in 4 groups of males and females for mating to determine infants’ sex and to measure males and females cations were used. Each of them were divided into 5 categories of 10 including control, sham, experiment 1, 2 and 3 receiving Tarragon hydro-alcoholic extract at 500,1000 and 1500 mg/kg for 35 days. After phlebotomizing mice’ hearts, serum rates of Mg2, Ca2, K and Na was measured and other females groups with his teammates of male mice as intergroup mated, after the end of period, sex ratio of males and females were measured. The results obtained by using ANOVA and Duncan tests and SPSS 18 software was analyzed.

The results showed that tarragon extract in experimental groups caused the significant increase of serum concentrations Mg2, Ca2 ions in male and female mice and increase females infants’ percentage compared to male infants than in control group. Limitations including lack of adequate studies on Tarragon effect on the infants’ sex ratio and the pituitary-gonad axis function can be mentioned.

The results showed that tarragon extract by having Ca2, Mg2 and increasing serum ions mentioned and possibly by changing vagina environment pH caused to increase the gynogenesis percentage, so recommended that by supplementary research on tarragon effect on infants’ sex in human samples also be considered.

Leptin plays an important role in the regulation of energy homeostasis and the beginning of the maturation process. The effects of exercise trainings on leptin levels are unknown. The purpose of this study was to compare leptin levels, body composition and aerobic power in girl athletes and non-athletes in the early and late puberty.

Eighteen girls in the early puberty with a mean age of 10.25± 0.39 years and 18 girls in the late puberty with a mean age of 14.72± 0.42 years (in each group, n=9 Taekwondo athletes and 9 non-athletes) voluntarily participated in this study. Evaluation of puberty stage was based on the 5-stage Tanner model. Blood leptin was measured by ELISA. After determining body composition using a caliper, maximum oxygen consumption was measured using the Queen College step test.

In the late pubertal, girl athletes had higher leptin levels than non-athletes (p

We encountered decrease in serum leptin following a regular exercise in girl athletes at the late puberty, at the early puberty; this decrease was not significant. However, the benefits of regular physical activity in girl athletes to increase aerobic power were evident at the early and late puberty.

Hemiarthroplasty (HA) is generally considered to be the treatment of choice in the most elderly patients with a displaced fracture of the femoral neck. Hip fractures especially in the elderly imposed many problems to health care system. In these patients with proper treatment and rapid ambulation complications is reduced. The purpose of this study was to evaluate the results of bipolar hemiarthroplasty treatment in the traumatic femoral neck fractures.

In this descriptive analytical study, 50 patients candidate to hip arthroplasty were studied. Short-term complications and functional abilities were assessed with the Harris Hip Score questionnaire.

In this study, 40 patients with a mean age of 76.3 ± 8.2 years, including 12 men (30%) and 28 women (70%) were studied. The mean functional hip score was 78/02 ± 20.8. Between men and women were significant statistical difference according to hip function scores which men had earned a better score than women. The main complications were a dislocation and infection. In three cases there was a need for further surgery. At follow-up 35 patients (87.5%) had no pain, and 30 (75%) walked with a cane.

According to our results bipolar hip arthroplasty for hip fractures has good functional outcome. As regards to possible suitable placement for each patient is more stable and is not associated with significant complications.

Renal calcification (nephrocalcinosis and nephrolithiasis) are common in both term and preterm infants who have had difficult neonatal courses. Multiple factors including some medications may cause hypercalciuria and nephrocalcinosis in premature neonates. The aim of this research was to determine the rate of renal calcification and its relation with neonatal clinical course and medications in preterm neonates under 1500 grams birth body weight

In a cross sectional and descriptive–analytical study, 250 premature neonates with birth weight less than 1,500 grams who hospitalized in the neonatal intensive care unit of Alzahra Hospital of Tabriz/Iran from 2012-2013 were studied. Data including gender, gestational age, birth weight, first and fifth minute APGAR score, delivery type and receiving mechanical ventilation, CPAP and drugs were recorded. Renal ultrasound examination was done in all neonates at one month of age and was repeated at 40 weeks corrected gestational age.

The mean weight and gestational age of neonates were 1233.45±634.45 gram and 29.34±3.7 weeks respectively. One hundred and four neonates (41.6%) were male and 146 cases were female. Renal calcification was reported in the first ultrasound scan in 11 neonates (4.4%) and in the second one in 74 cases (29.6%). There was not significant association between renal calcification and sex, gestational age, receiving surfactant, aminoglycosides and calcium (P>0.05). There was a significant relationship between renal calcification and low birth weight, mechanical ventilation, CPAP, receiving diuretics, methyl xanthines, vancomaycin and corticosteroids (p

We found renal calcification in less than one third of studied neonates. Renal calcification was more common in infants with less birth body weight and those receiving mechanical ventilation, CPAP, diuretics, methyl xanthines, vancomycin, and corticosteroids.

Arsenic in drinking water is a well-known hazardous material that its pathogenesis has been reported by different researches. Present study was conducted as an epidemiological study for skin effects of exposure to low concentration of arsenic from drinking water.

Present study was conducted as a cross sectional study in two exposed and unexposed villages to arsenic through drinking water (Sarab county: Razliq and Farkoosh villages, in 2012) and skin effects were studied among 279 persons over 10 years. Drinking water sources of both villages were analyzed chemically with an emphasis on arsenic. For statistical analysis of data, independent sample T-test was used and p value less than 0.05 was considered significant.

Arsenic concentration in drinking water of the exposed and unexposed villages was 96µg/l and zero, respectively. 9.7% of studied population had pigmentation (13.8% of exposed population, 6% of unexposed population). Odds ratio of pigmentation in the exposed village was calculated 2.5 fold higher than unexposed village (CI 95% = 1.082- 5.778). In the exposed village, keratosis just was observed in three persons (equal to 2.3% of village population) however, in unexposed village there was no keratosis.

Although there were more pigmentation cases in exposed village compared to unexposed one, however, in comparison with other studies, rate of skin lesions (keratosis and pigmentation) were lower indicating that incidence of skin lesions will be minimal if exposure dose of arsenic through drinking water be less than 100 µg/l.

Despite the high mortality and morbidity resulted from intracerebral hemorrhage (ICH), there is no definite cure for this type of stroke. This obvious disability rate necessitates some clinical and laboratory criteria to anticipate the short-term outcome. This study aimed to compare some blood and hemostatic indices between two groups with live and death outcomes.

The subjects for this cohort study were selected via a consecutive based hospitalization. They were 90 patients with confirmed acute primary ICH (by CT scan). These patients divided into two groups, as live or dead at the end of the first week following ICH. All of the laboratory and clinical data were analyzed using independent T-test and the variance comparison test.

We studied 90 patients that consisted of 47 men and 43 women. Global comparison showed without considering gender, there were significant differences between two live and dead groups in the platelet count, iron, ferritin and ICH score. In the male group there was a significant difference in ferritin, Hb and ICH score between dead and live groups. Also in the female sub group, iron, ferritin and ICH score evinced meaningful difference among the two outcomes.

Higher levels of iron and ferritin are related to short-term mortality in ICH patients.

Helicobacter pylori prevalence is high in developing countries. This microorganism is accepted as the most important agent of gastritis and as a risk factor for peptic ulcer disease and gastric adenocarcinoma. Currently many diagnostic methods exist for detecting H. pylori, however they all have limitations. The aim of this descriptive study was to evaluate diagnostic methods, such as rapid urease test, culture and polymerase chain reaction (PCR).

For identification of Helicobacter pylori 100 patients (46 women and 54 men) who were suffering from digestive complaints and referred to the endoscopy department of Hajar Hospital in Sharkord were participated in the study. Gastric biopsy samples were collected from each patient, then polymerase chain reaction, culture and rapid urease test were performed. DNA extraction was followed by PCR was used for diagnosis of ureC gene.

Biopsy samples from100 patients were evaluated. H. pylori was positively identified by PCR in 78/100 (78%) of the patients, while positive samples were found in 52 (52%) and 48 (48%) of the patients by RUT and culture methods, respectively. In results of the culture, there was an agreement of 100% with PCR.

Three different methods for the detection of Helicobacter pylori were evaluated. Given that the PCR test has higher sensitivity and specificity to detect H.pylori comparing rapid urea as test, therefore this method could be used to detect H.pylori.