فهرست مطالب

Internal Medicine Today
Volume:11 Issue: 3, 2005

72 صفحه، بهای روی جلد: 10,000ريال
تاریخ انتشار: 1384/09/21
تعداد عناوین: 10

فارسی
English

انتخاب همه

The evalutaion of diagnostic value of sternomental distance as predictor of difficult laryngoscopy in Iranian population

D. A. Mahfouzi *, Dr. A. Yousefi Page 10

Background And Aim
Predicting difficult laryngoscopic view and intubation is an essential problem in anesthesiology. In this study diagnostic value of stemomental distance measurement is assessed.
Materials And Methods
In this cross sectional study, in 500 patients 15 to 65 years old who were planned for general anesthesia, stemomental distance, difficult larangoscopic view, difficult intubation and Association of stemomental distance with variables were determined.
Results
Mean (±SD) stemomental distance was 16.7±2.3 cm. Stemomental distance was significantly correlated with sex (p< 0.001), age(p< 0.001), difficult laryngoscopic view (III or IV grade) (p<0.001) and difficult intubation (p< 0.001). 15.5 was the selected cut point for stemomental distance. The diagnostic value of stemomental distance in predicting difficult laryngoscopic view and intubation were: sensitivity: 79.2, 77.4 specificity: 68.1, 68.7 positive predictive value: 11.1, 14negative predictive value: 98.5, 97.9, respectively.
Conclusion
measuring the stemomental distance as a predictor in difficult laryngoscopic view and intubation is helpful but not sufficient

Abstract View Paper Original: Persian
The distribution of Vibrio spp in Caspian sea

A. Halako *, N. Amirmozffari, H. Forohesh T. Page 16

Background And Aim
Vibrio spp are halophilic bacteria that predominantly reside in lakes and marines. Some species are responsible intestinal diseases and extra – intestinal complications. In this study, the occurance of Vibrio spp in the sea waters of Golestan province was investigated.
Materials And Methods
For primary isolation, sea water samples were transfered into APW and TCBS agar media. Following primary isolation, species identification was performed by biochemical tests.
Results
A total of 7 different vibrio species were isolated from sea water which included V.vulnificus, V.Parahaemolyticus, V.alginolyticus, V.fischeri. V.natriegens, V.harveyi and V.damsela.
Conclusion
The reason of different isolated vibrio to isolated selective samples was more than one and sometimes more colony on TCBS environment. Actually one sea water sample from each culture, several vibrio species were selected by biochemical tests.

Abstract View Paper Original: Persian
The relationship between iron body stores and atherosclerosis

Dr. A. Khosravi *, Dr. N. Hassanzadeh, Dr. F. Habibi M. Page 27

Background And Aim
CAD is one of the most common cause of adult mortality and atherosclerosis is the most common cause of CAD. Some well known factors accelerate the atherosclerosis process such as: Diabetes mellitus, Hyperlipidemia, Hypertension and Smoking.Recently, some investigators interested on relationship between iron body stores and atherosclerosis.
Materials And Methods
80 patients (22 women, 58 men) with known IHD (Myocardial Infarction) were selected and body iron stores was estimated by titration of serum iron and ferritin and TIBC.
Results
According to This research. Patients with atherosclerosis had no higher iron stores and there was not a meaning full relationship between Iron body stores and atherosclerosis.
Conclusion
In base of our study, iron body stores hasn’t clear interrelationship with atherosclerosis (ATS) process.

Abstract View Paper Original: Persian
Evaluation of radiologic outcome of dorsolumbar unstable burst fractures treated by C.D system

Dr. A. Gh. Hasankhani *, Dr. M. Faraji, Dr. M. Jamshidi, Dr. Sh. Aryamaneash Page 32

Background
Burst fractures account nearly 15% of spine injuries most frequently seen in dorsolumbar region. Instability is one major factor that cause spinal cord injury or deformity and worsen prognosis, thus it is important in burst fractures to determine instability because this can leads us in proper selection of treatment and forecasting prognosis. Proper treatment in unstable burst fractures is surgery (Open redaction and instrumentation) to change it to stable spine. The aim of this study was evaluation of the radiographic outcome in the surgery of unstable burst fractures.
Material And Methods
From 2002 –2005, 500 patients with unstable burst fractures in Shahid kamiab hospital were studied.14 patients were female (28%) and 36 patients were male(72 %). mean age was 34.76 years (14 to 63 years). mean follow up was 2.56 years (1.2 - 4 years).
Results
most common site of fracture was L1 (25 cases 50 %) mean time from admission to surgery was 12.31(2 to 33 days).mean anterior height of vertebra before surgery was 2 0. 53 + 4.5 mm and after surgery 32.65 + 4.3 mm (mean correction 34 %). mean posterior height of vertebra before surgery was 31.5 + 3.75 mm and after surgery 33.25 + 4.6 mm (mean correction15 %).Mean angulation of vertebra before surgery was 20. 52 + 4.5 mm and after surgery 32.65 + 4.3 mm (mean correction 48 %). D.V.T in 5 cases (16 %), rod or screw breakage in 2 cases (4%) Infection in l case (2 %) was seen. in 48 cases CD system was used for instrumentation and in 2 cases distraction Harrington system was used. All cases had fusion after 1 year.
Conclusion
In unstable burst fracture of vertebra in dorsolumbar region, surgical treatment using indirect reduction and instrumentation plus bone grafting results in stability of spine and fusion.

Abstract View Paper Original: Persian
A comparative Study on Growth State of Children Less Than Two-Years Old in Jahrom, Southeastern Iran with NCHS Measurements

S.T. Heydari *, Dr. F. Emamghoreishi, Dr. M. Amini Page 42

Background And Aim
Nowadays, to evaluate the physical and health growth of children, the measurements such as height and weight are used all around the world, due to the simplicity of these measurements. This study was performed to provide the curves of weight and height of 0-2 year’s old children in Jahrom, Southeastern Iran.
Materials And Methods
In a prospective study, 597 children born in Jahrom entered our study from April 2001 to December 2002. The height and weight of these children were recorded 18 times from one month to two years of age. In order to fit appropriate models for infant growth, HRY method was used to estimate age related smoothed centiles. This method was implemented for the World Health Organisation as GROSTAT computer package.
Results
The mean weights of male newborns, except one month age, were more than female ones. Before two months of age and among two years olds, there was no significant difference between the weight of male and female newborns. The mean height of male newborns, except in one month of age, was more than females. No more than cubic polynomials were needed to fit height-for-age and weight-for-age smoothly for infants. The height of male and female newborns showed an increase by age up to two years. The weight of male and female newborns also increased by age but the speed of increase to six months was more than that of six months to two years of age.
Conclusion
The results showed that all heights and weights of less than two years old children in Jahrom were lower than NCHS, providing and establishment of a standard curve for this region seems necessary. If NCHS measurements are used, some children may be considered thinner or shorter for no reason.

Abstract View Paper Original: Persian
The survey of knowledge rate and attitude of people in Gonabad city about obsessive-compulsive disorder

Dr. H. Salari *, K. Basirimoghadam Page 49

Background And Aim
Obsessive compulsive disorder (OCD) is one of the most common of the mental disorder that influences all aspects of life.The aim of this study is to Measure The knowledge rate and attitude level of people in Gonabad.
Materials And Methods
The samples of this descriptive – analytical study were people who received services from health services centers of Gonabad on 1384 that was selected randomly. This descriptive – analytic study was performed on 252 randomly selected people in Gonabad.
Results
The result showed that %50/4 people had weak knowledge toward obsessive compulsive disorder and it showed %75.4 had good attitude toward this disorder.%77 Of the samples had weak knowledge to sign and symptoms of OCD, %84/9 to etiology, %94.8 to treatment had weak knowledge.
Conclusion
The x2 was showed that there is not a meaningful relationship between knowledge and attitude with demographic data. But knowledge rate showed a meaningful differences between education degree.

Abstract View Paper Original: Persian
Prevalence Of HCV Infection And Related Viremia In Hemophilic Patients Registered In Khorasan Hemophilia Society.

Dr. M. Ziaee *, Dr. Mh. Namaee, S.M. Hosseini, S.Gh, Dr. S.Gh Azarkar Page 54

Background And Aim
Hemophilic patients are at risk of several blood born diseases such as viral hepatitis (A, B, C), HIV infection due to several transfusion events during their life. This study was performed to evaluate the prevalence of HCV infection and related viremia in hemophilic patients in our region.
Materials And Methods
80 out of 400 hemophilic patients, registered in Khorasan hemophilia Society were evaluated. The case studies were selected randomly. The second generation of ELISA kit was used for evaluating anti HCV in serum. The positive ELISA results were confirmed using Western Blot method. Viremia was evaluated using RT-PCR method in anti HCV positive patients.
Results
Our results showed that 44 (55%) out of 80 were anti HCV positive, 25(56%) of whom, had viremia. Our results showed a significant relation between HCV infection with kind of hemophilia (P=0.044) and it's severity (P=0.033).
Conclusion
As the prevalence of HCV infection in our study group was high, screening of all hemophilic patients for HCV infection is recommended. Based on the results, the evaluation of viremia in HCV infected patients is advised too.

Abstract View Paper Original: Persian

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Internal Medicine Today

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فهرست مطالب

Internal Medicine Today Volume:11 Issue: 3, 2005

Internal Medicine Today

نشریه طب داخلی روز

Internal Medicine Today
Volume:11 Issue: 3, 2005