Journal of Kermanshah University of Medical Sciences
Volume:16 Issue: 7, 2013

Due to the importance and prevalence of dysmenorrhea and its effects on the lives of half of the world population, i.e. women, the study on treatment seems to be necessary. In this study the effects of pure and impure honey on Nausea, vomiting and headache of dysmenorrheal were evaluated. The current study was a clinical trial, which was carried out on 60 students with primary dysmenorrhea. After menstrual initiation, one group took pure honey five teaspoons every other day in the morning until the next menstrual period. Then headaches, nausea and vomiting were assessed using Visual Analogue Scale in menstrual initiation, 1, 2 and 3 hours after its. The similar procedure was performed with one teaspoon of impure honey every other day in the second group. Data were analyzed using variance and non parametric tests. A significant difference was observed in crossover design in the headache (p=0.002) (p=0.01), nausea & vomiting (p= 0.05) (p= 0.04) after using pure honey in two groups. While there was no significant difference in headache (p=0.65) (p=0.42), nausea & vomiting (p= 0.51) (p= 0.31) after using the impure honey among groups. Pure honey can be used for the prevention and treatment of menstrual symptoms inducing headache, nausea and vomiting.

The purpose of the present study was to investigate the effect of endurance training on amount of nicotinic acetylcholine receptors (nAChR) in fast and slow twitch muscles of male Wistar rats. A number of 15 male Wistar rats randomly divided into two groups of Control (n=7) and Endurance training (n=8). The endurance training treadmill running (for 12 consecutive week, 5 days a week, 60 min/day, 30 m/min speed) was performed by animals in endurance group. Forty-eight hours after last session of protocol, animals were anaesthetized and Anterior Tibialis (AT) and Soleus (SOL) muscles were removed. After removal, separated tissues were immersed quickly in liquid nitrogen and kept at -70 °C for later using. The amount of nAChR was measured using ELISA method. For data analysis, independent- sample t test was used. The results showed that there was a significant difference in amount of nAChR between control and endurance training groups at fast twitch muscle followed by endurance training (p=0.01). There was also a significant difference in amount of nAChR between control and endurance training groups at slow twitch muscle (P<0.001). However, data analysis showed that there was no significant difference in amount of nAChR between training and control groups at fast and slow twitch muscles followed by endurance training (P<0.001). Exercise training probably play an important role in increasing amount of nAChR in fast and slow twitch muscles of male Wistar rats.

Studies show that Vestibular rehabilitation is an important option in the treatment BPPV that is common in elderly. The purpose of this study was to analyze the effect of Epley maneuver on vertigo symptoms in elderly patients with benign paroxysmal positional vertigo. This cross-sectional-analytic study was performed from May 2007 to February 2010 on 67 patients (29 female, 38 male) aged 61-75 with BPPV who referred to Audiology Clinic of Shahid Beheshti University Rehabilitation Center. Epley maneuver with movement restriction was performed for treatment after diagnosis of BPPV and one week later, results evaluated with Dix-Hallpike test. The collected data were analyzed employing t-test and SPSS 15 software. The average age of the patients was 67.28 ± 4.5 years. Epley maneuver caused normal Hallpike findings in 47 patients (70.1 %) and noticeable reduction in nystagmus amplitudes in 15 patients (22.38%). There was a statistically significant correlation between nystagmus amplitudes and DHI scores (P-Valu=0.018) Epley maneuver plays an important role in reducing vertigo in at-risk elderly patients.

previous studies have shown that preeclampsia is associated with elevated maternal serum homocysteine levels, but few studies have evaluated homocysteine levels in amniotic fluid in these patients. The purpose of this study was to compare amniotic fluid homocysteine levels in preeclamptic women, with those of normal pregnant women. A cross sectional study was done on 46 pregnant women with severe preeclampsia and 46 normal pregnant women. Homocysteine levels in amniotic fluid and maternal serum were compared in two groups. Data were analyzed using t test and leven's test. The mean serum homocysteine levels in the third trimester of pregnancy in the preeclamptic women was 3.965 +/- 1.8 and in normal group was 3.05 +/- 1.87 which was statistically significant (P.v=0.019). The mean amniotic fluid homocysteine levels in the third trimester of pregnancy in mothers with severe preeclampsia was 11.11 +/- 7.41 and in the control group was 8.15 +/- 5.71, in which the difference was statistically significant (P.v=0.035). The average of differences between serum and amniotic fluid homocysteine levels in preeclamptic group was 7.14 +/- 6.01 and the average of differences in normal group was 5.1 +/- 4.34, there were no statistically significant differences between two groups (P.v=0.065) In the patients with severe preeclampsia, homocysteine levels in serum and amniotic fluid were higher than those of normal pregnant women. Higher homocysteine levels in amniotic fluid of preeclamptic women could indicate the role of the fetus in producing of the preeclampsia.

The rate of unnecessary medical interference and cesarean section is increasing in our country. Because of its importance, the present study was performed to recognize the effective factors on selecting the delivery method among physicians. This study was a qualitative one in which semi- organized interview and interview guidance were used for gathering data from the physician experiences in Kashan City. Data gathering continued to saturation of information. Finally 11 specialists participated in our study. 2 first participants were selected through accessible sampling but others were selected purposefully. Data were analyzed employing Cheevakumjon method. After reviewing the content of data, categorization was performed. The majority of participants believed that the rate of cesarean section higher than expected in our country. Based on their views, there are several factors affecting the selection of delivery method. These factors are categorized in 5 series including: factors related to: 1.Physican 2.Culture of community 3.Delivery or cesarean outcomes 4. Delivery conditions 5. Health and treatment system Controlling early hospitalization and excessive diagnosis by physicians is very effective in decreasing the cesarean section rate. Besides, designing a long-term program for creating cultural changes among all classes of societies, especially physicians regarding the acceptance of employing vaginal delivery seems to be necessary.

Universities as science production centers, have grate roles in the development of the societies. So, the scientific activities of their researchers should be evaluated. The current study aimed to evaluate science production in Kermanshah University of Medical Sciences (KUMS), from 1995 to 2011, based on ISI Web of Science (ISI-WoS) service. This study was performed based on the data retrieved from WoS. The obtained data was analyzed using descriptive statistical analyses. The WoS-derived results showed that KUMS researchers have published 354 scientific papers while total number of citations to these published articles was 1375. Moreover, the highest number of published papers was in 2010. KUMS has experienced triggering growth in scientific productivity (74 papers in 2010) but with slow onset (2 in 1995). Among the factors contributing to this growth are; establishment of efficient motivating policies, development of scientific relationships, accessibility of essential scientific databases and the growth of internet and its various services can be overall considered as possible causes of KUMS improved productivity.

Congenital hypothyroidism (CH) is one of the most important causes of mental retardation in children and only if diagnosed early, its complications can be prevented. The worldwide incidence of congenital hypothyroidism is one in 3000-4000 live births but 2.2/1000 in Iran. The aim of this study was to determine the incidence of congenital hypothyroidism in Kermanshah during 2006-2010. This was a descriptive–analytical study. All infants that were born in Kermanshah city from 2006 to 2010 were studied. On days 3-5 after birth blood sampled were obtained from their heel and the samples were referred to the Health Center. The concentration of TSH was determined by filter paper, using ELISA method. Data were collected via recorded information in Kermanshah City Health Center and focal hypothyroid physician. 68587 infants were screened with 97% screening rate. The recall rate was 6/3percent.116 children were treated of which 65(56%) of them were males and 51(44%) were female. 28.4 percent of them had positive consanguineous marriage. There was statistically significant correlation between the TSH level and consanguineous marriage. The incidence of CH was 169 per 100000 live birth. Because the incidence of CH is higher than that of the global rates, continuation and strengthening of newborn screening programs should be considered as a health priority.

skeletal anomalies rate are increasing, especially among young people. The aim of this study was to investigate skeletal anomalies among male and female students in the middle school of the Bayangan region Kermanshah Iran. 260 students from Guidance schools in Bayangan region (120 girls and 140 boys) participated in this study. Using Posture Screen and New York Test the skeletal statue of students was analyzed from lateral, posterior and anterior views. The results showed that 75/71% of boys and 87 /5 % of girls and 63 / 463 % in total have skeletal anomalies in their bodies. The difference in frequency between girls and boys was significant (P<0.001). 67/69% of the samples had skeletal anomalies in the lower limb, while only 13/46 % from all samples showed the skeletal anomalies in the upper limb. In addition, the results showed that the genus varum with 43/07% and the haluxe valgus with 19/23% were the most common deformities in the lower limb of the body and uneven shoulders with 6/53% and lambar lordosis with 3/46% were the most common deformities among students in upper limb of their body status. The prevalence of flat backs in boys and girls of was low, but rate of genu varum in both sexes were considerable. The results indicated the high prevalence of these deformities among the students. Lack of attention to teaching and reforming these deformities would increase their occurrence with aging.

Acne as the most common disease of pilosebaceous unit is a chronic inflammatory disease, which usually subsides spontaneously around the age of 25. However, premenstrual acne recurs in women before menstruation even until the menopause. There are different prevalence rate of pre menstrual acne in literature, and there are few studies in this field in Iran. This study aimed to evaluate the prevalence of the pre menstrual acne among women in Kermanshah City in 2007. In this descriptive study, 400 women with acne were assessed using checklist, which was completed by dermatologists. The collected data were statistically analyzed using descriptive statistics and SPSS software. The prevalence of the new acne lesions during a menstrual cycle was 79.5%. New acne lesions occurred in pre-menstrual period in 75% of patients, mostly 7 days (in 28%) and 2-3 days (in 18.3%) before menstruation. Regarding the high prevalence of premenstrual acne, further evaluations of predisposing and exacerbation factors and its controlling methods is recommended.

Percutaneous nephrolithotomy (PCNL) for renal calculi is less invasive treatment than open surgery. Vascular complications of this procedure include hematoma, pseudoaneurysm and arteriovenous fistula of which pseudoaneurysm is usually symptomatic 24h after procedure.Case Report: We report a case of pseudoaneurysm, which was symptomatic within less than 24h following procedure and because of drop in hemoglobin and changes in hemodynamic status and resistance to conservative therapy, was a candidate for renal artery angiography. When definitive diagnosis of pseudoaneurysm was confirmed via angiography, treatment was done successfully by superselective embolization with microcoils and the patient was discharged with good general condition one day later. Pseudoaneurysm as a rare vascular complication following PCNL, diagnosed by renal angiography within less than 24h and superselective embolization of it was done successfully

This study was done on 30 intravenous drug abusers who had underwent femoral artery ligation within 2 years (2007-2009) in Imam Reza Hospital of Kermanshah have been enrolled. Variables such as age, gender, HIV test, Claudication, wound infection, skin ulcer, recurrence of the pseudo aneurysm and the rate of amputation were evaluated. Among 27 studied cases, 18.51% developed surgical site infection, 14.8% developed claudication of the affected limb 7.4%, developed skin ulceration at the surgical site and in 7.4% of them, the affected limb had been amputated. No recurrence was seen in aneurysm and prosthesis insertion. Ligation of the femoral artery is a safe method in these cases.

This study was done to evaluate the effect of telephone counseling on mother’s Health information regarding the growth and development of less than five years old children in Isfahan. In this randomized clinical trial, using a questionnaire, the health information of 1755 women having less than five years old children received telephone counseling for 6 month, compared with 1755 women without any counseling. For statistical analysis, SAS software was used. There were no meaningful differences between age, education, number and sex of children and source of health information in two groups. Leven and T test showed a meaningful differences between mother’s health information after intervention in case and control group (P<0.05). Telephone counseling can be useful to achieve WHO goals.