per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2001-09
8
2
0
0
article
The Study of the Complications of VVI Mode Permanent Pace Maker in 83 Patients with Sick Sinus Syndrome
Shahram Homayounfar
1
Hosein Azarnik
2
Patients with sick sinus syndrome (SSS) and implantation of permanent
pace maker (PPM) have complications that prevalence of them are
depended to type of PPM. Evaluation of these complications is the goal of
this study .
File of 83 patients with SSS who experinced implantation of VVI mode
PPM during 17 years in Tehran’s Shahid Rejaei heart hospital have been
considered for these complications.
Cardiomegaly 37.75% , congestive heart failure 10.84% , chronic atrial
fibrilation 30.12% , atrial flutter 3.61% , systemic emboli 4.81% and
atrioventricular block (31.32%) have been observed.
The results showed more complications in VVI mode PPM.
http://sjh.umsha.ac.ir/article-1-869-en.html
Permanent Pace Maker/ Sick Sinus Syndrome
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2001-09
8
2
0
0
article
A Study on Prevalence of Social Phobia and Some Related Factors among High School Students in Kerman in 1998
Alireza Ghafari Nezhad
1
Social phobia is one of phobias which is the least studied. Clinical
characteristics of the disorder include, phobic avoidance of social situations
somatic and cognitive symptoms of anxiety and impairment in functioning.
No comprehensive research in Iran is available. The aim was study
on prevalence of social phobia and some related factors among high
school students in Kerman in 1998.
In this cross – sectional study 2944 students were evaluated by DSM IV
criteria for social phobia via semi structured interview.
14.6% fulfilled criteria for social phobia, female to male ratio was 1.8.
There was meaningful statistical relationship between history of shyness
during childhood and physical abuse with social phobia.
Prevalence of this disorder was higher than same western researches.
Complementary researches is recommended.
http://sjh.umsha.ac.ir/article-1-871-en.html
Phobia Disorders – epidemiology / Students
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2001-09
8
2
0
0
article
Detection of Resistant Gene to Methicillin ( mec-A)in Purulent Infections Related to Staphylococcus Using PCR
Siavash Sadeghian
1
The emergence of Staphylococcus strains resistant to methicillin
occurred shortly after the introduction of methicillin into clinical use .
Resistance to methicillin in clinical isolates of Staphylococci has been
explained by the production of a characteristic penicillin-binding protein
(PBP) , designated PBP2a, that has a decreased binding affinity for b-lactam
antibiotics, the gene mec-A encoding PBP2a was cloned and is distributed
among methicillin- resistant but not methicillin-susceptible populations of S.
aureus. Recently, high prevalence of methicillin resistance has been noticed
in the clinical isolates of coagulase-negative Staphylococci (CNS) which,
besides MRSA( Methicillin- Resistant -Staphylococcus aureus), also have
been recognized as important nosocomial pathogens .
Detection of the mec-A using PCR may provide a sensitive method for
identifying methicillin resistant Staphylococci .
In this study, overall 268 wound swabs in which 107 cases (40%) were
Staphylococcus aureus and 10 cases (3.7%) were coagulase negative
Staphylococcus and the rest of them were other microorganisms were
examined .
After the extraction of DNA , PCR was carried out using specific primers.
The results indicated that the mec-A was present in 24 cases ( 9% ) . In 8
cases (34%) Staphylococcus aureus ,3 cases (12%) coagulase negative
Staphylococci , the others were related to another microorgamisms that
probably were contaminated by Staphylococcus species.
http://sjh.umsha.ac.ir/article-1-872-en.html
Gene
mec-A / Methicillin / Polymerase Chain Reaction / Staphylococcal Infections
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2001-09
8
2
0
0
article
Epidemiological Study of the Nose and Paranasal Sinuses Tumors During 7 Years in Hamadan (1991-98)
Farhad Farahani
1
Nose and paranasal sinuses tumors are rare but their clinical signs and
symptom,s are nonspecific and their diagnosis usually established with
delay. The purpose of this study was determination of epidemiological
status of these tumors in Hamadan.
Patients’ records in Hamadan hospitals’ file were reviewed from 1991 to
1998 retrospectively.
Over all, 44 patients with these tumors were evaluated. In 81.4% nasal
cavity and in 15.9% maxillary sinus were original site of tumor. Chief
complaints in decreasing order of frequency were epistaxis , unilateral
nasal obstruction , pain in the region of face and nose and rhinorrhea . The
most common malignant and benign tumors were S.C.C and hemangioma
respectively.
The results indicated that physicians must be more careful regarding the
clinical sign and symptoms of these tumors and in the case of clinical
suspicion refer them for complete evaluation.
http://sjh.umsha.ac.ir/article-1-873-en.html
Epistaxis / Nasal Obstruction / Nose Neoplasms / Paranasal Sinus Neoplasms
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2001-09
8
2
0
0
article
Evaluation of Characteristics of Pemphigus Patients Hospitalized in the Dermatology Ward of Sina Hospital Hamadan – Iran During 1992-1995
Mahmoud Farshchian
1
Mahdi Pilehvar
2
Pemphigus describe a group of autoimmune disease characterized by
blisters and erosions of the skin and mucous membrane , acantholysis and
autoantibodies against epidermal cell surface components. The aim of this
study was assessment of pemphigus patients hospitalized in the
dermatology ward of Sina hospital Hamadan.
The research was descriptive ‘retrospective study and was done on the
base of information that obtained from 37 pemphigus patients’ file
hospitalized in Sina hospital during 1992-1995.
In this study 23(62.2%) patients were female and 14(37.8%) patients were
male and most of the patients were in the age of 41-50 years. Oral lesion
was seen in the 83% patients that in one third of the patients (32.4%) was the
initial presentation. Relapse in this study was (29.7%). Death occurred in four
patients (3 women and 1 man) and septicemia was the most common
cause of death. The most common from of pathology was pemphigus
vulgaris. The average time between beginning of the disease and
admission time was 103 days.
This study showed that pemphigus was more common in women than
men, also relapse of pemphigus in this study was more than the other studies
which was done in other countries.
http://sjh.umsha.ac.ir/article-1-875-en.html
Pemphigus – classification / Pemphigus – complications / Pemphigus - therapy
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2001-09
8
2
0
0
article
The Comparison of Cost and Morbidity of Vaginal Birth after Cesarean with Repeat Cesarean Section
Maliheh Arab
1
Most common cause of cesarean in U.S.A and Fatemieh hospital in
Hamadan is repeat cesarean section. The most effective way to reduce
cesarean rate is vaginal delivery after previous cesarean section. The aim of
this survey was to confirm the safety and less cost and morbidity in vaginal
delivery after previous cesarean section.
Full term pregnant women with history of once previous section with a
singleton , cephalic , less than 3.5 kg fetus who selected vaginal delivery,
were studied.
From the 201 selected cases , 109 patients had vaginal delivery and 81
patients of the delivered successfully (74.3%). No maternal morbidity
happened. Morbidity reduced to 3.7% in comparison to 7% in cesarean
after cesarean. Vaginal delivery after cesarean reduced cost to half. 81
vaginal delivery after previous c/s saved 20 million rials. Mean hospital stay
in vaginal delivery group was 1.1 day and in cesarean group was 2.8 day.
Cause of cesarean – selection in 36.9% of patients was pain and fear of
pain. This survey reduced c/s rate from 25.1% to 21.2% and changed the
most common cause of cesarean from repeat to meconium.
Vaginal delivery after cesarean was safe and reduced the cost and
morbidity. Main cause of cesarean selection was pain and fear.
http://sjh.umsha.ac.ir/article-1-876-en.html
Cesarean Section
Repeat / Cost - Benefit Analysis / Vaginal Birth after Cesarean
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2001-09
8
2
0
0
article
Measurement of Frequency of Headache in 300 Patients, Visited in Special Clinic of Neurology in Sina Hospital and Outpatients Clinic of Hamadan City in 1998
Mojtaba Azimian
1
Saeed Hatami
2
Headache is one of the causes of calling many patients to clinics. This
disease sometime becomes so persecutor that one is not able to perform
the daily activities. Hence, if the kinds of headache and their causes are
identified, these people can probably be helped in order to have a
comfortable life. The aim if this study was determination of headache
causes in the patients that had referred to Sina hospital in 1998 , with regard
to headache specifications and by means of complement tests to confirm
or refuse the diagnosis.
After designation a questionnaire, the necessary information was
collected by interview and recorded in the question. All of the patients, are
visited in neurologic ward of Sina hospital. For all of the patients a brain
CT-Scan and EEG were perform. This study was a descriptive study.
The results showed that the most common headache was tension
headache (33%) and then migraine type. The proportion of female was 37%
and male was 27%. The mean age of population was 36 years and standard
deviation was 16 years. Approximately 14% were due to organic causes.
The most common was hypertension (21%) and then is cervical
osteoarthrosis (15%).
In this study , we begun to change headache algorithm by means of
complement tests to refuse other diagnosis. To consider headache
specifications in group of ETC and comparison with the diagnosis type, it is
possible to help physicians to change and improve the post headache
approach.
http://sjh.umsha.ac.ir/article-1-877-en.html
Headache – etiology / Headache – epidemiology
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2001-09
8
2
0
0
article
The Study of the Arterial Blood Pressure Changes in Adult Patients Under Operated Through General Anesthesia
Asghar Haydari
1
Vali Allah Hassani
2
The aim of this study was to determine the arterial blood pressure
changes in adult patients under operated through general anesthesia one
of the training hospitals in Iran University of Medical Sciences.
This study was a comparative analytic descriptive study , and was
performed in one of the related hospitals in Iran University of Medical
Sciences in 1991. In this research , arterial blood pressure of forty patients
was recorded using the mercurial sphygmomanometer , stethoscope and
direct observation. The mentioned data were analyzed through paired
t.test.
The results indicated that the means of the differences in the mentioned
patient systolic blood pressure prior to induction of anesthesia,
during anesthesia, and immediately after extubation were 10, 18.62 and
11 mmHg respectively. Also the means of the differences in the same
patients diastolic B.P in these stage in comparison with their B.P in the ward
were 3.25 , 5.67 , 8.87 and 6.62, respectively and the paired t.test showed
the meaningful differences.
The results obtained from the statistical analysis showed the patients
blood pressure change in all stages ; prior to and after induction of
anesthesia , during operation and immediately after the extubation.
http://sjh.umsha.ac.ir/article-1-878-en.html
Anesthesia
General / Blood Pressure / Surgery
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2001-09
8
2
0
0
article
A Report of Two Cases of Mylopathy Due to Brucellosis
Ali Akbar Rezaei
1
Brucellosis is relatively prevalent in undeveloped countries. Meningitis is one of the most common complications of neurobrucelloss but mylopathy is very rare. We report here two cases of brucellosis mylopathy that they referred to department of neurology in Hamadan Sina hospital in 1999 with weakness of lower extremity , difficulty in gait and urine incontinancy.
Although various differential diagnosis were suspected for them but the diagnosis of brucellosis mylopathy for both was established by accompanying signs and symptoms and paraclinic examination.
http://sjh.umsha.ac.ir/article-1-881-en.html
Brucellosis
Mylophaty
Neurobrucellosis
per
Hamadan University of Medical Sciences
Avicenna Journal of Clinical Medicine
2588-722X
2588-7238
2001-09
8
2
0
0
article
A Report on A Primary Nasopharyngeal Tuberculosis
Farnaz Hashemian
1
Upper respiratory tract is an unusual site for tuberculous (T.B.) infection Primary nasopharyngeal tuberculosis without pulmonary involvement is rare . Review of the articles has shown only 39 cases of secondary and primary
nasopharyngeal T.B. from 1968 .
This report described a 26 years old woman with nasopharyngeal T.B. who referred with hearing loss and bilateral serous otitis media who was treated with anti tuberculous drug for 6 months with good results .
http://sjh.umsha.ac.ir/article-1-882-en.html
Nasopharynx
Tuberculosis