per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
Assessment the Effect of Maternal Oxygen Administration on Umbilical Cord Blood Gas Values During the Second Stage
Mahnaz Yavangi
1
Tayebeh Artimani
2
This study was conducted to assess the role of maternal oxygen
administration during the second stage of labor on umbilical cord blood gas
values. This study was done in Fatemieh hospital on 160 pregnant women
who were admitted for vaginal delivery and had the inclusion criteria.
A group of 80 women with term pregnancy were administrered oxygen
during the second stage of labor and another group of 80 women with
term pregnancy acted as control (Randomized clinical trial). Umbilical cord
blood gas values were measured immediately after birth. Apgar score and
duration of oxygen administration of two groups were documented. Blood
gas values , apgar score , duration of oxygen therapy , duration of second
stage of labor also were recorded.
In the case group: The umbilical artery pH value was 7.25 (7.06-7.38) and
umbilical vein pH was > 7.31 (7.13-7.45). Umbilical artery pH in the control
group was 7.28 (7.08-7.96) and umbilical vein pH was 7.31 (7.02-7.44). There
was no statistically difference between means of umbilical cord blood gas
values of the groups (case and control , P>0.05). There was perfect negative
correlation between umbilical cord blood gas values and duration of
oxygen administration (P<0.001 , r =-0.5).
In fact oxygen administration in second stage of labor has not any
effect on cord blood gas analysis , provided that no clinical evidence of
danger for mother or fetus present. Besides prolonged oxygen
administration can cause decrease in arterial pH.
http://sjh.umsha.ac.ir/article-1-764-en.pdf
Blood Gas Analysis / Fetal Blood / Labor Stage
Second
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
A Comparison of Anesthetic Effects between Intrathecal Meperidine and Lidocaine 5% for TURP Operation
Mahmoud Reza Aleboyeh
1
Mahmoud Rezaei
2
The aim of this study was a comparison between intrathecal meperidine
and lidocaine 5% for onset of sensory blockade, level of sensory block,
degree of motor blockade , duration of postoperative analgesia,
hemodynamic changes, degree of nausea and Vomiting, pruritus and
shivering for T.U.R Operation.
60 patients with ASA I-III were divided randomly into intrathecal
meperidine goup (n=30) and 5% lidocaine group (n=30). The first group
received 1 mg/kg (2ml) meperidine and the second group received
100 mg of 5% lidocaine (2ml). Thirty minutes before subarachnoid puncture
all of the patients received 500ml ringer solution. Subarachnoid puncture
was performed with the patient in the sitting position using a 23 gauge
spinal needle at the lumbar level of L3-L4 and the patient immediately in the
supine position.
The onset time for sensory blockade was 3.99 minutes in the lidocaine
group and 5 minutes in the meperidine group. The segmental level of
analgesia was present in 28 patients in the lidicaine group .Duration of
post operative analgesia was 354 minutes in the lidicanie group and 662
minute in the meperidine group. Systolic arterial blood pressure and heart
rate did not change significantly , and there was no difference between
meperidine and lidocaine groups. Complication such as nausea and
vomiting were similar in the two groups, but pruritus was seen only in patients
receiving meperidine , and intraoperative sedation occurred in patients
receiving meperidine more than the other group. No patients who
received meperidine had postoperative shivering.
So according to this study, Intrathecal meperidine used alone has
advantages over lidocaine 5% for T.U.R. operation.
http://sjh.umsha.ac.ir/article-1-765-en.pdf
Anesthesia
Spinal / Lidocaine / Meperidine / Prostatectomy
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
Association of Cardiovascular Complications with Acute Phase Response in Kawasaki Patients
Abdollah A. Karimi
1
Alireza Nateghian
2
Mehran Karimi
3
Behzad Shirvani
4
Investigation of risk factors leading to cardiac complications in
Kawasaki disease is extremely important because coronary vasculitis may
lead to aneurysmal formation , stenosis and myocardial infarction. Various
laboratory and clinical parameters have been investigated in order to
find the predictive parameters and risk factors for such complications.
In present study we addressed the relationship between intensity of
acute phase response indicators(ESR, CRP, WBC and Platelet counts) and
frequency of cardiovascular complications. 52 admitted children with
Kawasaki disease were included in this retrospective study. Data regarding
the intensity of acute phase reactants were recorded and relationships
between these markers and frequency of cardiovascular problems were
analyzed using statistical methods.
Various cardiovascular abnormalities were demonstrated in 13 cases
(25%) in whom, there were 11 cases with elevated ESR, 6 cases with positive
CRP, 2 cases with leukocytosis and 4 cases with thrombocytosis but in
comparison with non affected group , we didn’t find any significant
correlation between cardiovascular and intensity of acute phase responses.
The intensity of acute phase response indicators such as ESR, CRP, WBC
and Platelet counts can not be regarded as useful predictors for
cardiovascular complications of Kawasaki disease.
http://sjh.umsha.ac.ir/article-1-766-en.pdf
Acute – Phase Reaction / Heart Diseases / Mucocutaneous
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
Effect of Garlic Extract on Mycobacterium tuberculosis
Abbasali Imanifouladi
1
Morteza Sattari
2
Kioomars Ghazisaiedi
3
This study assesses the antimicrobial effect of chloroformic extract of
garlic (Allicin) on strains of mycobacterium tuberculosis.
A standard H37RV isolate and isolates from patients with drug resistant
pulmonary tuberculosis were used. A strain sensitive to 4 drugs (rifampin,
isoniazid, ethambutol, and streptomycin), resistant to the four drugs, resistant
to two drugs, and a strain resistant to one drug, were used. The antimicrobial
effect was tested invitro with minimum inhibitory concentrations of the
chloroformic extract of garlic on the mycobacteria.
Middel Broke 7H10 agar medium with 1:128 dilution or 1mg/ml
concentrations of chloroformic extract of garlic were used.
Our study showed that garlic extract is effective in inhibiting growth of
not only drug sensitive, but also drug resistant isolates of mycobacterium
tuberculosis .
http://sjh.umsha.ac.ir/article-1-767-en.pdf
Drug Resistance
Microbial / Garlic / Mycobacterium tuberculosis / Plant Extracts
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
Comparison of Fasting Blood Sugar and Glucose Tolerance Test According to WHO and ADA for Diagnosis of Diabetes in Islamshahr.
Lida Navai
1
Masoud Kimiagar
2
Ramin Lesan Khoshnik
3
Fereidoon Azizi
4
A universal, agreeable criterion for the diagnosis of diabetes has always
been of interest to the specialists. The suitability of fasting blood sugar (FBS),
instead of oral glucose tolerance test, due to its simplicity and low cost, has
always been considered. The purpose of this study was to compare the
results of fasting blood sugar (FBS) for diagnosing diabetes with those of 2 hr
postprandial (PP) glucose test advocated by WHO.
This retrospective study was carried out on 2033 subjects 30 years of age
and older in Islamshahr who had been selected by step-wise random
sampling. The subjects comprising 835 males (41%) and 1198 females (59%)
were studied. FBS and 2 hr PP glucose (75 g glucose administered orally)
levels were examined and diabetic patients were determined based on the
WHO criteria. The American Diabetes Association (ADA) criteria were then
employed and the results of these two systems were compared.
150 cases (7.4%) out of 2033 subjects, were dubbed diabetic based on
2hr PP glucose levels of 200 mg/dl and over. On the other hand 119 subjects
(5.9%) were classified as diabetic taking FBS of 126 mg/dl and higher. Out of
119 subjects with impaired fasting glucose (IFG) comprising subjects with FBS
ranging 110-125 mg/dl, 39.5% had normal glucose tolerance test results,
40.3% were IGT and 20.2% were diabetic. Out of 1795 subjects who were
classified normal based on the ADA criteria, 24 persons were diabetic and
198 subjects were IGT.
Therefore the results show , that the new ADA criterion is unable to
diagnose a number of diabetic patients and more so with the IGT subjects.
Based on these findings, FBS measurement is insufficient and GTT is
necessary.
http://sjh.umsha.ac.ir/article-1-768-en.pdf
Diabetes Mellitus / Fasting Blood Sugar / Glucose Tolerance Test
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
Evaluation the Rate of Correct Use of a Metered Dose Inhaler in Patients with Obstructive Lung Diseases in Ekbatan Hospital of Hamadan
Ebrahim Nadi
1
Fatemeh Zeraati
2
Ali Beigmoradi
3
The aim of this study was to determine the rate of correct use of
Metered Dose Inhalers (MDIs) in patients with obstructive lung disease
receiving hospital visits by internist, who checked their inhaler technique .
MDIs are a convenient and popular way to administer medication (as first
line drug) for life threatening asthmatic attack. Multiple studies in
industrialized countries have shown that more than 50% of patients using
inhalers don’t use proper technique.
This is a descriptive cross-sectional research. A detailed acceptable/ un
acceptable check-off list was used with 246 patients to evaluate their
inhaler technique. Patients with poor technique were given instructions.
Only 2.8% of patients using MDIs were rated acceptable with the
detailed check list. Technique was markedly better with spacers. All patients
(100%) had proper technique with spacers.
According to the results, improper inhaler technique in the study group
was more common than several study groups in industrialized countries.
http://sjh.umsha.ac.ir/article-1-769-en.pdf
Aerosols / Lung Disease
Obstructive / Nebulizers and Vaporizers - utilization
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
The Comparison of Atropine & Atropine + Oxime in Organophosphate Poisoning with Muscarinic Signs
Saeed Afzali
1
Organophosphate insecticides are the choice group of all insecticides,
now, and are the most common cause of poisoning. Organophosphates
inhibit acetyl –choline esteras enzyme,specialy in parasympatic synapsies in
man,and cause muscarinic effects,they also act on somatic nerves and
autonomic gangelia to present nicotinic effects, and C.N.S manifestation
may also be demonstrated. Drug treatment in these patients include
atropine & oximes specially if nicotinic effects are apparant,oximes will be
necessary. This investigation compares two different sorts of treatment as
Atropine & Atropine + Oxime in poisoned patient with organophosphates
showing muscarinic signs and symptoms.
This study is an experimental clinical trial and 140 patients being
poisoned by organophosphates were reffered to special ward of poisoning
of Sina-Hospital-hamadan, then they were divided into two randomized
groups and were treated with one of the two kinds of treatment.
The results of the treatment using one and two drugs were divided into 3
categories , i.e. complete recovery , recovery with complication (respiratory
infection) , and mortality. Complete recovery was 95.5 & 87.9% in cases who
received one and two drug therapy respectively. Recovery with
complication was seen in 4.1% and 7.6% of patients using one and two drug
therapy respectively. Mortality was and 4.5% in cases who received one
and two drug respectively.
Statistical calculations and examinations distinguished no expressive
diversity between these two kinds of treatment.( p- value > 0.05)
http://sjh.umsha.ac.ir/article-1-770-en.pdf
Atropine / Muscarinic Signs / Organophosphate - toxicity / Oxime
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
The Determination of Lower Limb Lengthening Operation Results in Patients with Lower Limb-Length Discrepancy in Hamadan (1987-1999)
Khashayar Davood pour
1
Ramin Rahimian
2
Discrepancy in limb lengths (anisomelia) is a common orthopedic
problem, arising from either shortening or overgrowth of one or more bones
in the limbs. The object of this study was determination of lower limb
lengthening operation results in 21 patient with lower limbs - length
discrepancy that were admitted in Hamadan Hospitals in 1987- 1999.
In this Cross - Sectional Descriptive Study , all lower limb lengthening
operated in Hamadan Hospitals in 1987 - 1999 were studied. Primary data
were recorded on the basis of patients files in hospital, then the necessary data
were completed using the patients files in the private centers and later
examination. Finally collected data were analyzed by EPI Info 6 software.
The mean of age in the studied patients was 16.6± 4.9years. The most
frequency of patients age (38%), was in age group of 13-15 years. 90.5% of
patients were operated by leg lengthening and 9.5% of them by thigh
lengthening. 71.5% of patients were obtained increasing of length amounting
to 30-55 mm in involved limb after operation. “ Wagner” external fixator was
used in treatment of 14.3% of patients. 14.3% of patients needed corrected
surgery before main surgery. 85.7% of patients needed complementary surgery
after main surgery. The most common minor complication after lower limb
lengthening operation created in 90% of patients was pain. The most common
major complication after lower limb langthening operation was severe
equanus deformity of foot that was created in 57.1% of patients.
Evaluation of 21 lower limb lengthening operation showed that more
attention should be paid to lower limb lengthenig operation because of
poliomyelitis handicaps and war handicaps and accessibility of instruments
for operation which not only can solve cosmetic problems but also
functioning of handicaps
http://sjh.umsha.ac.ir/article-1-771-en.pdf
Lip Diseases / Mouth Diseases / Pathology
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
Study of Auditory Training on Lingual and Verbal Development in Children Under 7 years in Hamadan in 1999
Faranak Emami
1
Hearing loss in critical ages or before it often leads to serious damage to
the lingual and verbal ability in children. It causes limitation , sensational
problems and disability in communication and consequently creates
isolation , depression sociopsycological and emotional problems. Therefore
it is necessary to help a child to experience hearing , systemically and be
able to hear sounds easier and also to distinguish between them. We are
able to achieve this goal by auditory training program , consequently one
will be able to use his remains of hearing ability for sound perception in the
best way.
In this experimental study 52 deaf children (under the age of 7 years)
were studied in Hamadan . They were divided in two groups , each consist
of 26 children on the basis of their IQ and the degree of loss of hearing. In
test group the children were familiarized with sign communication method
and also with verbal communication method, while children in control
group only used sign language for communication and they had no
information about verbal communication method.
The research findings showed implication of auditory training program
caused lingual and verbal development in children under 7 year in
Hamadan. Children with more hearing remains had better verbal lingual
growth than those with less hearing remains. Also there was no relation
between sex and age and verbal lingual growth in this group. In other word
familiarity with verbal communication method is the main factor for verbal
lingual growth in this group.
Finding revealed that after administering auditory training program ,
distinguishing and identifying verbal and nonverbal method developed
better than control group.
http://sjh.umsha.ac.ir/article-1-772-en.pdf
Auditory Training / Deafness / Sign Language Communication Verbal Communication
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
The Study of Effluent Health Quality of Serkan City Wastewater Treatment Plant in 1999
Reza Shokouhi
1
In attention to healthy risks of effluent discharge of wastewater from
treatment plants to water sources and use in agriculture , this study was
carried out for quality assessment of effluent discharge from Serkan
wastewater treatment plant in Serkan , Hamadan, Iran in summer 1999.
For this investigation, according to Iranian EPA standard’ s procedure ,
the mixing sampling method was carried out from effluent over 24 hour ,
and some of physical ,chemical and biological characteristics of sample
measured by standard methods.
According to the results of this research the mean of BOD, COD, TSS,
NO3, P were 49,84,237,57,11 mg/l respectively and amounts of egg and
cyst of parasites were 331 N/L.
However, the results showed that amounts of some of the characteristics
including: TDS, Turbidity, Nitrite and heavy metals were in acceptable range
of national and international standards. But the amounts of other
characteristic including: BOD, COD, TSS, NO3 , P, and choliforms index,
Ascaris eggs, trichocephal, Giardia cyst, Amibiacoli were more than
standards.
http://sjh.umsha.ac.ir/article-1-773-en.pdf
Effluent / Wastewater Treatment
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
A Case Report of POEMS Syndrome with Rare Manifestations of Pulmonary Hypertension and Scleroderma Like Cutaneous Lesions
Seyyed Davoud Mansoori
1
Nooshin Samadi
2
Siamak Arami
3
POEMS syndrome is a plasmocytic dyscrasia that consists a constellation
of polyneuropathy(p), organomegaly(o), endocrinopathy(e), monoclonal
gammapathy(m) and skin disorders(s).
Herein, we report a case of POEMS syndrome that was referred to
internal medicine department of Masih Daneshvari hospital in Tehran with
rare manifestations of pulmonary hypertension and scleroderma like
cutaneous lesions and giving an overview of this syndrome.
http://sjh.umsha.ac.ir/article-1-774-en.pdf
POEMS Syndrome / Hypertension
Pulmonary / Scleroderma
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2002-12
9
3
0
0
article
Four Cases of Food-Borne Botulism in a Family
Fariba Keramat
1
Botulism is caused by a neurotoxin produced from the anaerobic,
Spore-forming bacterium clostridium botulinum. Botulism have four
clinical forms:1)Food –borne botulism 2)Wound botulism 3)Infant botulism
4)undetermined botulism, that the most common is food-borne botulism.
Botulism in humans is usually caused by toxin types A, B, and E, that is a rare
but serious disease. Botulism is characterized by symmetric , descending ,
flaccid paralysis of motor and autonomic nerves. Petosis , blurred vision ,
diplopia,dysphagia and dysarthria are common initial complaints. The
diagnosis of food-borne botulism is based on clinical findings with the
detection of toxin in patient,s stool, serum or detection of clostridium
botulinum bacteria in the stool .
In this study four patients with food-borne botulism are discussed.
The most common presentations of patients were weakness in exterimities,
petosis, blurred vision, diplopia, and dysphagia. The patients had no fever
and no sensory dysfunction. In three stool specimens of patients reported
positive for toxin of botulinum.
All of the patients treated with trivalent equine antitoxin(ABE). The
patients improved completely after 1.5 months of discharge. Conclusion:
In any acute symmetric, descending , flaccid paralysis patient , we should
think about botulism.
http://sjh.umsha.ac.ir/article-1-775-en.pdf
Botulism / Botulinum Antitoxin / Clostridium Botulinum / Neurotoxins