فهرست مطالب fatemeh mahmoudzadeh

The formation of the Axis of Resistance in West Asia is one of the important achievements of the Islamic revolution. Forming Shiite government in Iraq, the rise of Hezbollah in Lebanon and Ansarullah in Yemen, and the growing ability of Palestinian groups are the most important ideological impacts of the Islamic Revolution in the West Asian region. The main purpose of this research is to study the reasons of Iran's ideological support for the axis of Islamic resistance in West Asia. To achieve the main goal of the research, the important question is what are the reasons for the ideological support of the Islamic Republic of Iran from the axis of Islamic resistance? The theoretical framework of this research is constructivist and the research method is descriptive-explanatory.The research findings show that the Islamic Republic of Iran, due to its Islamic identity, observes and implements the principles and ideals of the Islamic Revolution based on religious support for Muslims, creating stability and security in West Asian region, common beliefs, ideas and attitudes with groups supported the axis of resistance within the ideology of the Islamic Revolution.

Relations between Iran and Pakistan before the Islamic Revolution Friendly and low tension. After the Islamic Revolution, for several reasons: The military buildup in Pakistan, the border disputes, the Shiite massacre, and ... divergences between the two countries. The issuing of the revolution, which was supposed to give priority to neighboring and Muslim countries of Iran, Has doubled the differences, and in spite of Iran's victories in Iraq and Syria ..., it was not shown in Pakistan. The research is descriptive and analytical in an attempt to answer this question: What are the most important variables affecting the divergence of Iran and Pakistan? The research hypothesis was based on this foundation that a set of regional and trans-regional factors caused a divergence in the relations between the two countries. The research findings show that by basing the theoretical framework on the basis of constructive theory and the effect of social norms and formations on the relations between governments, The most important factors of divergence of the two countries are: The Taliban's actions in Pakistan, the Iran-Pakistan rivalry over regional power, the extreme reactions against the Iranian revolution, the Pakistani relations with the United States and Saudi Arabia ... are among the most important causes of divergence in relations between the two countries.

Since its foundation in 1948, the Israeli regime has always sought to weaken
neighboring countries for attaining security by using a military option. In addition to
forced nature of this country, it is located in the strategic Middle East region, and its
neighbors, such as Syria, which are now in conflict and internal crisis, have been
threatened Israeli national security. This article is intended to examine the national
security of Israel and the effects that the Syrian crisis can have on the national security
of Israel. Also, with the assumption that Syria and Israel have a common border and
differences in the Golan Heights can affect each other's security, are seeking to answer
the question of how the domestic crisis in Syria can affect national security of the
Zionist regime.

Providing a self-care program appropriate for patient needs in a supportive educative nursing system format could reduce migraine-induced disability. This study was designed to determine the effectiveness of Orem's self-care program on headache related disability in migraine patients.
In this randomized clinical trial, episodic migraine patients with or without aura who signed the informed consent were randomly assigned to two groups (44 patients each). The data collection tools included a demographic questionnaire, the Migraine Disability Assessment (MIDAS) questionnaire, an Orem cognition form, and a self-care checklist. The programs were held as four 30 to 45 minutes training sessions for experimental group. The MIDAS were filled out before and three months after program in two groups. Data were analyzed with SPSS statistical software, version 16 and using chi-square, Mann-Whitney and Wilcoxon tests.
There was no statistically significant difference between the two groups in terms of demographic variables (P > 0.05). The mean total MIDAS score in the experimental group, before and after the intervention was 28.1 ± 17.5 and 6.03 ± 4.52, respectively (P = 0.001); and for the control group, it was 37.6 ± 16.4 and 55.6 ± 14.5, respectively (P Self-care program was suitable for needs assessment and provided basis for acquiring positive results in order to decrease disability and saved patient treatment costs.

Cervical cancer is the second most common malignancy in women worldwide. Vaginal bleeding and vaginal discharge are the most common symptoms. Although ascites has been reported in cases with cervical cancer, it is due to other causes such as ovarian metastasis. A 78-year-old diabetic woman who presented with ascites and abdominopelvic mass was misdiagnosed with ovarian cancer and treated with neoadjuvant chemotherapy followed by radical hysterectomy and adjuvant radiotherapy. However, pathology confirmed locally advanced cervical cancer stage IV in this patient. She was discharged from the hospital three weeks after surgery with no serious complications. Considering all signs and symptoms to reach a verdict would reduce such malpractices and consequently lead to select the best management and treatment.

Primitive neuroectodermal tumors are fairly rare in uterus. A case of uterine body primitive neuroectodermal tumor in a 32-year-old Iranian woman is presented. The patient was admitted with abdominal pain and fever and underwent emergency exploratory surgery with total abdominal hysterectomy, bilateral salpingo-oophorectomy, and pelvic lymph node dissection. Posterior wall of the uterus was necrotic and ruptured and a huge tumor disrupted the uterine body. The tumor was strongly positive for CD99, NSE, and chromogranin; No reaction was seen for CD10, CD45 and myogenin. To the best of our knowledge, this is the first report of an uterine body primitive neuroectodermal tumor and the second report of uterine primitive neuroectodermal tumor from Iran.

Endometrial carcinoma is considered the most common gynecological cancer in the world. Pelvic and para-aortic lymphadenectomy is widely advised based on FIGO staging system. Intra-operative frozen sections analysis is used to identify pa-tients at high risk for pelvic and para-aortic nodal metastasis evading lymphadenec-tomy in low-risk patients. However there is still some controversy concerning the effi-ciency of IFS. The aim of this study was to determine the validity and precision of fro-zen section diagnosis and gross examination of uterine specimen compared to the final histological results in patients with endometrial cancer. Patients diagnosed as endometrial cancer based on office biopsy using a Pipelle or D&C who underwent surgical staging were compared for frozen section anal-ysis and permanent diagnosis. Patients with the history of radiotherapy or other types of cancer or co existence malignancies were excluded. There was no relation between the tumor size and lymph node involvement and the results were not significant (P= 0. 1). Frozen section analysis was significantly accurate and correct in predicting final histopathological results (P< 0. 0001). It has been shown that in more than 90% of patients the diagnosis made by frozen section analysis was in accordance with final pathology with considerable sensitivity and spec-ificity. Gross examination was also precise in determining myometrial microscopic in-vasions (P< 0. 0001). Although the sample size of the studied population was small but our study results support the previous data and suggest that in early stages and low grade tumors، gross examination and frozen section diagnosis are conveniently predictive of lymph node metastasis. These data might be useful for prediction of tumor invasion using frozen section and gross examination in low grade tumors and early stages and for doing complete surgical staging and lymph node sampling. However the im-portance of surgical staging always must be considered in patients who need systemat-ic lymphadenectomy. In overall these data might help to come up with new guidelines for surgical risk assessment in endometrial cancer.

Condyloma acuminatum, is a rare sexually transmitted disease. The virus responsible for condyloma is human papillomavirus. HPV-6 and HPV-11 are the most commonly detected HPV genotypes, but at least 20 other HPV genotypes have occasionally been found in genital wart tissue specimens. In fact genital HPV infection is common among sexually active populations. This disease may occur at any age after puberty and always seen in the mucosal area. It is characterized by slow growth. We reported here a case of a 42-year-old female patient with a 12 year history of a condyloma acuminatum lesion in her genitalia area without any medical treatment.

Gestational trophoblastic neoplasia (GTN) disease is excessive and inappropriate proliferation of trophoblast after termination of the pregnancy. Many attempts have been made to improve follow-up procedures, but no studies have evaluated Human Chorionic Gonadotrophin (HCG) as a post treatment indicator. Thus we aimed to know β-HCG variability in post treatment pregnancies. 40 Molar affected pregnancies were followed post-surgical treatment by serum β-HCG level in a tertiary level hospital. All subjects were treated by evacuation and followed by β-HCG every week for three weeks, then every month for six months. 30 women were normal (group I) and 10 (group II) diagnosed as GTN cases. Serum β-HCG which obtained serially shown significant differences between two groups (p=0.001). The quantity of β-HCG/week had significantly higher level than normal females (p<0.001) Our results suggested that β-HCG serum level could be used as a strong indicator for identifying affected patients at early stage.