فهرست مطالب

  • Volume:4 Issue: 4, 2004
  • تاریخ انتشار: 1382/10/11
  • تعداد عناوین: 10
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  • A. Ansari Asl, M. Soveid, M.D.M. Azadbakht, Gh. Omrani, Sm. Solimani, M. Samani Page 1

    In traditional medicine Teucrium Polium (T.P.) has been known as anti diabetic plant and has a folk reputation as a hypoglycemic agent and it is widely used by diabetic patients in Iran and other middle Eastern countries. Evaluation of hypoglycemic effect of teucrium polium from Shiraz area used traditionally to reduce blood glucose level in humans with measurement of insulin and blood sugar. Study was done on 32 patients (patients and control). Patients received 0.4 gram of dried alcoholic extract of T.P. equivalent to 1.6 gm dry plant per oral two times daily and controls received placebo for two weeks. Results of insulin and blood sugar obtained before and after T.P. consumption, fasting and 2hr after standard diet, were compared with Paired T-Test. There was no significant change in fasting blood sugar (0.05<P<0.1), postprandial blood sugar (0.1<P<0.2), fasting insulin level, (P>0.5) and, postprandial insulin (P>0.2). Regarding the result of this study and occasional serious hepatic complication of T.P. its use by diabetic patients should be discouraged.

  • B. Larijan, F. Zahedi, Sh. Aghakhani Page 2

    Diabetes mellitus is a common disease worldwide. The prevalence and incidence of diabetes is increasing in most populations, being more prominent in developing countries. The number of diabetic patients in Iran is estimated around 1.5 million now.Epidemiologic studies indicate diverse distribution of diabetes in Iran; studies in Isfahan among adults 35 years of age or older reveal a valence of about 7-8 %. This figure is much higher, in Yazd (central part of Iran, 16.3%) and Booshehr (southern part of Iran) 13.6%. It seems that the prevalence of diabetes in rural areas is lower; around 3-5%.Screening programs conducted in different parts of Iran revealed that nearly half of type 2 diabetics are unaware of their problem. This may be the reason why complications of diabetes are so common in this country. In recent years, a national program has been designed for primary, secondary, and tertiary prevention of diabetes. The major strategies of this program are training specialized health care providers for diabetics, general population education, identification of high-risk groups, and screening for unrecognized cases.

  • F. Karimi Moghari, Mph Page 3
    Iranian aged group in Sweden is a heterogeneous group and belongs to Iran''s middle class. This quantitative study, performed in October-December 1997 among 76 aged Iranians (ages between 60 to 79) and natives in Linkoping, Sweden with mail-distributed structured questions (In addition to age and sex, the socio-demographic questions including information about present civil status, economic conditions and social networks were asked) was performed to investigate quality of life and well being of the aged ethnic Iranians in Sweden, compared to native Swedes and to describe what the aged Iranians expect from Swedish health services. All tests were computed using SPSS software. A population-based study among Latin Americans who live in Sweden has proved that ethnicity was a risk factor for the mentally ill. Same results were observed in this study. Additionally, lack of language skill and knowledge of Swedish health system and social services create some extra problems for them. Tables of this article summarize the results.
  • M. Alavi , A. Mowla , A. Nabavizadeh Page 4
    In order to compare the myocardial perfusion scan using Tc-99m-MIBI (SPECT method, with dypridamole as a pharmacologic stress) and coronary artery angiography, this descriptive study was performed on 64 patients. Sensitivity and specificity of the myocardial perfusion scan with respect to angiography were calculated in each of the coronary vessels and also in whole vessels. The sensitivity of perfusion scan of myocardium in the case of LAD is 96% and the specificity is 75%. For RCA these figures are 72.2 % and 75% and for LCX, 54-8% and 74.3% respectively. The overall sensitivity and specificity of myocardial perfusion scan is 91.2% and 86.6% respectively. Our findings are consistent with other published studies.
  • M. Shahbazi , Mph, Ches, Z. Sarraf Page 5
    This report introduces the Alzheimer?s Disease and addresses its symptoms and effects, diagnosis, magnitudes, research/treatment and costs in the United States. The report in particular emphasizes the environmental support for Alzheimer?s patient and available assistance. It relates some personal stories to depict human dimensions of this health issue. Some suggestions and a concluding statement bring the report to and end. It is imperative to note that up to year 2000 primarily aged population in the developed nations suffered from this disease. However, given that people in the developing countries live longer and that life expectancy has been increasing in them, it is essential that caregivers and communities in the developing nations understand about Alzheimer and ways to manage it. According to Alzheimer''s Disease International (ADI) the number of people with dementia is rising quickly. By the year 2025, there will be four times the number of people with dementia in the developing world as there were in 1980. Seventy-one percent of all people with dementia will be in developing countries by 2025. There are now approximately 18 million people with dementia in the world. Of these, it is thought that about 12 million are suffering from Alzheimer''s Disease. Literature on the issue suggests that the prevalence rate (3%) is the same for population over the age 69 for both the developed and developing nations. (See ADI and 10/66 Research Group websites for detail.)
  • N. Ashjahzadeh , Y. Jonobi Page 6
    Cerebrovascular accident (CVA) is the third most common cause of death and has two main types: Ischemic (subdivided to thrombotic and embolic) and hemorrhagic(including intracranial hemorrhage and subarachnoid hemorrhage). Administration of thrombolytic, anticoagulant and antiplatelet agents are the main treatments of ischemic stroke; while surgical procedures, brain structure decompression, and closure of aneurysm are essential in the management of hemorrhagic ones.
  • Clinical Quiz of The Month
    K. B. Lankarani Page 7
  • ECG Quiz of The Month
    M. H. Nikoo Page 8
  • Answer of Previous Clinical Quiz
    K. B. Lankarani Page 9
  • Answer to Previous ECG Quiz
    M. H. Nikoo Page 10