@article{ author = {Heshmati, Farhad and HassaniAfshar, Ali}, title = {Study of Metoclopramide Versus Metoclopramide Plus Dexamethasone for Reduction of Nausea & Vomiting after Maxillomandibular Fixation Surgery}, abstract ={          Maxillomandibular fixation (MMF) method is performed in maxillary or    mandibular fractures , plastic surgeries and congenitally anomaly of    mandibular. Post operative nausea and vomiting due to anesthesia and    opioids is one of the most important complications. This study performed for    determination of metoclopramide and metoclopramid plus dexamethasone    effects for reduction of nausea and vomiting after maxillomandibular    fixation surgery in the patients with mandibular fractures.           In this double-blind clinical trial , 60 patients candidated to    maxillomandibular fixation surgery were randomized into two treating    groups(A: Metoclopramide alone, B: Metoclopramide + Dexamethasone )    and evaluated in nausea and vomiting rates after operation. The patients    were followed in three stages in the operation room , in recovery room , and    in the ward upto 24 hours.           In first stage , 30% of patients in group A and 6% of patients in group B    encountered post operative nausea and vomiting. During second stage ,    these rates were 17% in group A and zero for group B. Non of the patients      in both groups , encountered post operative nausea and vomiting in third    stage of following.            The findings indicate that combination of metoclopramide and    dexamethasone can decrease post operative nausea and vomiting    incidence rates effectively. Suitable tolerance of patients to drug and less    complications of dexamethasone compared risk of post operative vomiting    are more factors that account for complication therapy with    dexamethasone and other antiemetic agents. However , expand use of this    method needs more studied.}, Keywords = {Dexamethasone / Maxillomandibular Fixation/ Metoclopramide Nausea / Vomiting}, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-789-en.html}, eprint = {http://sjh.umsha.ac.ir/article-1-789-en.pdf}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {DinMohammadpouri, Forougheh and Pezeshki, Mohamm}, title = {Isolation and Purification of Egg White Antigens}, abstract ={Egg white is one of the important nutrients that frequently induces    allergic reactions, particulary in atopic children .The proteins of egg white    are common causes of hyper - sensitivity  symptoms among atopic    individuals so in the way of studying the allergy to egg , it is essential to purify    egg white proteins .           In the present study , ion exchange chromatography , immuno    electrophoresis (IE) and  polyacrylamid gel electrophoresis  (SDS-PAGE )    were used  for separation  and  purification of egg white proteins .           Following ion exchange chromatography, three fractions including : F1,    F2,F3 were distinguished and isolated in concrete pHs . The isolated fractions    were analysed by SDS - PAGE and  IE . The results indicated several  protein    bands in F1 , a single protein  band in   F2  and  a  major  protein  band     with  minor  impurity  in  F3 .  Also  molecular weight  of  the isolated fractions     were determined by SDS-PAGE, so F2 and F3 identified as ovotransferrin    (conalbumin ) and ovalbumin respectively .           The study indicated that ovotransferrin was highly pure , whereas     ovalbumin included a little impurity .    }, Keywords = {Conalbumin / Egg White / Ovalbumin}, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-790-en.html}, eprint = {http://sjh.umsha.ac.ir/article-1-790-en.pdf}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {Homayounfar, Shahram and Azarbakht, Zahr}, title = {The Study of In Hospital Prognosis of 101 Patients who Admitted in Coronary Care Unit and Resuscitated after Cardiac Arrest}, abstract ={Establishment of coronary care units (CCU) cause decreasing in    hospital’s mortality after cardiac arrest, because life threatening arrhythmias    could be reversible by effective measures. The aim of this study was    ascertainment of  short term(in hospital) prognosis of patients who admitted    in Hamadan’s Ekbatan Hospital’s CCU and experienced cardio pulmonary    resuscitation (CPR) after cardiac arrest.           This study was descriptive, cross-sectional and prospective and included    101 patients who admitted in CCU since 1997 to 1998 and experienced at    least one CPR.           In present study the most common mechanism of cardiac arrest in    successful CPR was ventricular fibrillation and in unsuccessful CPR was    asystol and bradycardia. 20. 8% of patients who experienced cardiac arrest    had successful CPR and discharged from hospital.           20.8% of patients had successful CPR and hospital discharge which in    comparison to the same studies is acceptable and indicate good quality of    aforementioned CCU.}, Keywords = {Cardiac Arrest / Cardio Pulmonary Resuscitation }, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-791-en.html}, eprint = {http://sjh.umsha.ac.ir/article-1-791-en.pdf}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {Jamzad, Abbas and Ghafoori, Mahyar and Hassanizadeh, Parto and Azargashb, Ezn Allah}, title = {The Ability and Accuracy of Imaging in the Diagnosis of the Bone Tumor Comparing to the Results of Pathology}, abstract ={          The purpose of this study was to evaluate the ability and accuracy of    imaging in the diagnosis of the bone tumors comparing to the results of    pathology.           It was conducted by assessment of the records of 71 patients (between    6-65 years of age) with primary diagnosis of bone tumors referred to the    orthopedy department of Sina and Shariatti hospital in Tehran during two    years (1993-1994) who had completed chart, lab data and radiographic    studies as well as definite pathologic diagnosis. According to radiologic    finding of each patient, three differential diagnosis were made and divided    into the benign and malignant groups and then compared with the result    of pathoogy, using Mc Nemar statistical test. Furthermore the frequency of    bone tumors in these patients was assessed.           Our findings showed that the most frequent benign and malignant    tumors among these patients were giant cell tumor (18.3%) and    Osteosarcoma (5.6%) and Uwing sarcoma(5.6%), respectively. Moreover    the frequency of all the tumors including benign and malignant lesions in    6-25 year old patients was more than other groups. Comparing the radiologic    finding with the result of biopsy showed that if all the three radiological    diagnosis conformed a benign lesion, we can expect the tumor is    benign with the positive pedictive value of 100%. In our study these included    88% of beign tumors and 65% of all the tumors that were reviewed.           We can therefore conduct the diagnosis and therapulic processes in    only one session to avoid further cost and time.}, Keywords = {Bone Neoplasms - diagnosis / Bone Neoplasms – pathology / Bone Neoplasms - radiography }, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-792-en.html}, eprint = {http://sjh.umsha.ac.ir/article-1-792-en.pdf}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {Zamanian, Abbas and Pilehvar, Mahdi and Farshchian, Mahmou}, title = {The Study of Herpes Zoster in Patients who Referred to the Dermatology Ward of Sina Hospital of Hamadan between 1994-98}, abstract ={          Herpes Zoster is rather a common skin disorder . It is the consequance    of late reactivation of dormant varicella zoster virus in person who has    already suffered from chickenpox. From the clinical point of view it is limited    to one dermatome. the aim of this study was the survey of clinical and    demographic features of Herpes Zoster patients who referred to the    Department of Dermatology of Sina hospital of Hamadan between    1994-1998 .           This is a kind of descriptive retrospective cross-sectional study which the    essential information was gathered by referring to the patients file and then    the obtained information was analyzed.           From 10486 patients that referred to the hospital , 173 (16%) cases had    Herpes Zoster. 54.9% of them were male and the rest were female. The most    prevalence group were 60-69 year-old patients (20.2%). The distribution of    lesions were more common in thorasic dermatome (41%) and then cervical    dermatome (24.3%) , lumbosacral (23.7%) and trigeminal (11.6%). 47.4% of    the lesions were on the right and 48% were on the left and 4.6% in both side    of the body. The highest frequency of the Herpes Zoster was in summer and    the lowest one in spring.           This study shows that the frequency of Herpes Zoster is higher among    men than women. Also the number of patients in the young age group was    considerable compared to the other study which carried out in the    developed countries.}, Keywords = {Herpes Zoster - diagnosis / Herpes Zoster – epidemiology / Herpes Zoster - etiology }, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-793-en.html}, eprint = {http://sjh.umsha.ac.ir/article-1-793-en.pdf}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {Safari, Mohammadreza and Ani, Mohsen and Naderi, Gholamali and Asgari, Seddighe}, title = {The Effect of Volatile Oils and Vitamin C on the Affinity of LDL to Its Receptor: A Model for Prevention of Atherosclerosis}, abstract ={          For several years , scientists tried to find antioxidant compounds that    inhibit the low density lipoprotein(LDL) oxidation reaction but have no    destructive effects. Vitamin C and vitamin E can inhibit LDL oxidation.    Volatile oils posses herbal sources and because of lipophilic properties can    enter LDL  and their antioxidant effects have not been known. The aim of    this study is possible use of herbal products such as volatile oils in preventing    or treating atherosclerosis. Because the probable effects of volatile oils on    the affinity of LDL to its receptor , this affinity can be influenced and the     modification of LDL and atherogenesis be prevented.           In this study , antioxidant properties of various concentrations of three    volatile oils include:P-cymol, Limonene and Thymol , and vitamin C  on the    affinity of  natural-LDL and oxidized-LDL(with Cu+2) to its receptor in bovine    adrenal tissue cells have been investigated in the presence of labeled-LDL    with fluoresein isothiocyanate (FITC). First, after purification of LDL-solvent of    normal serum and incubation it with these compounds, oxidation reaction    performed and LDL-solvent was labeled with FITC, and then all solvents were    added to the medium that contains adrenal tissue cells(with LDL-receptor).    Finally, fluorescence intensity of supernatant of each sample was    determined in spectrofluorometer. Also, the effects of the best    concentration of vitamin C (obtained in this study) with each one of these    compounds was studied.           Results showed that vitamin C in 100 micromolar concentration has the    greatest effect on the increasing affinity of LDL to its receptor (for natural-    LDL 18.5% and for oxidized-LDL 62%). Among the volatile oils used, “Thymol”    had the best effect (for natural-LDL 27% and for oxidized-LDL 50%). In    studying the effects of these three volatile oils with the best concentration of    vitamin C(100 micromolar) , “Thymol” had the highest effect on this affinity.           These finding showed that some compounds probably can change the    affinity of LDL to its receptor  and thus may prevent formation of    atherosclerosis .}, Keywords = {Ascorbic Acid / Atherosclerosis / Lipoproteins , LDL / Volatile Oil}, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-795-en.html}, eprint = {http://sjh.umsha.ac.ir/article-1-795-en.pdf}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {Shamsadini, Sadollah and Saberi, Sadegh}, title = {Prevalence of Diabetes and Glucose Abnormalities in Patients with Vitiligo in Kerman in 1999}, abstract ={          Vitiligo is a melanocytic disorder that diagnosed by depigmented skin    patches and hairs that may appear with neuro-ophthalmo-labyrintic    involvement . Association with some other autoimmune disorders such as    diabetes,thyroiditis and gastric parietal  cells antibody has been observed.    Past researches mentioned that association of vitiligo with diabetes were    between 1% and 7.1%.The purpose of this study was to determine the    prevalence  of diabetes and glucose abnormalities in patients with vitiligo in    Kerman in 1999.           This is a cross sectional case with control study on 125 vitiliginised    patients that has been consecutively referred to dermatology clinic.           Prevalence of diabetes and glucose abnormalities in case group with    vitiligo has been evaluated with some variables of age, sex, and duration of    disease but only family history of the disease was significantly positive.           Diabetes and glucose tolerance abnormality in cases with vitiligo was    obtained as 8.2%  whish are more than normal cases.}, Keywords = {Diabetes Melitus /Glucose Tolerance Test / Vitiligo }, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-796-en.html}, eprint = {http://sjh.umsha.ac.ir/article-1-796-en.pdf}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {Yavarikia, Alirez}, title = {Comparison of Efficacy of Two Nonsurgical Methods , “Primary Immobilization” and ”Early Active Functional Treatment” in Management of Patients with Mild (Grade I&II) Ankle Sprin}, abstract ={The aim of this study was the comparison of efficacy of two nonsurgical    methods in management of patients with acute ligamentous injury (Sprain)    of ankle which are “Primary immobilization” and “Early active functional    treatment”.           This study consist  of 200 patients with acute ankle sprain who referred to    emergency ward and clinic of orthopedics of Mobasher Kashani Hospital of    Hamadan. This was a clinical trial study. 100 patients were managed with    primary immobilization and the other 100 patients were treated with active    functional treatment. Information were gathered with a questionaire that    complete during a primary and later serial physical examinations. Datum    were  analyzed manually and then for quantitative   variables, t-test and for    gualitative  variables, fisher exact test were performed.           Results of this study revealed that the mean time for return to normal     daily activities in patients with grade I of ankle sprain that managed with    “primary immobilization” was14.5 days Vs 14.1 days in patients that managed    with “early   active functional treatment”.  In  addition   , the mean time for    return to professional or athletic activities, in  patients with grade I and  II of    ankle sprain in two groups had not a significant  difference. But the mean    time for return to normal daily activities in patients with grade II of ankle    sprain with “primary immobilizatin” and “early active functional treatment”    were 27.4 and 21.38 days respectively. In two groups there was no    difference in level of fuctional activity on 90 days after treatment.           Finally we could say that there was no difference between these two    methods in approaching the patients to their pre-injury level of activity.     }, Keywords = {Ankle Injuries / Early Ambulation/ Immobilization / Sprains }, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-797-en.html}, eprint = {http://sjh.umsha.ac.ir/article-1-797-en.pdf}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {Salem, Zinat and ShahabiNezhad, Maryam}, title = {}, abstract ={}, Keywords = {}, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-798-en.html}, eprint = {http://sjh.umsha.ac.ir/article-1-798-en.pdf}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {Mirhendi, Seyyed Hossein and Ghiasian, Seyyed Amir}, title = {Preparation of Metabolic Antigen from Aspergillus fumigatus for Serodiagnosis of Aspergillosis}, abstract ={          Aspergillosis is an important systemic fungal infection with various clinical    forms and its clinical and mycological diagnosis is difficult and    compelicated but its serodiagnosis is simple and useful for some clinical    forms (aspergillomma and allergic aspergillosis). This study was performed for    preparing metabolic antigen and related antiserum of the most important    agent of aspergillosis, “Aspergillus fumigatus", for using in serodiagnosing the    disease.           The fungus was isolated from the patients, and cultured in glucose    peptone broth for 5 weeks. After removing the fungal mass, the secretary    (metabolic) antigens was isolated and processed and injected to rabbit.    Antisera were evaluated by double- diffusion (DD).           Prepared antigen was able to immunize rabbits and reacted with rabbit    and patient’s sera in immunodiffusion. Number and pattern of the bands    was comparable with standard antigen and antiserum.           After standardization, this antigen, it can be a useful reagent to    serodiagnosis of aspergillosis by lower cost and more accesibility.     }, Keywords = {: Aspergillosis / Aspergillus fumigatus / Metabolic Antigen }, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-799-en.html}, eprint = {http://sjh.umsha.ac.ir/article-1-799-en.pdf}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {Pilehvar, Mahdi and Zamanian, Abbas and Monsef, Alireza and ManiKashani, Khosro}, title = {Demodex Folliculorum and Rosacea Demodex Folliculorum and Rosacea}, abstract ={Demodex folliculorum is an obligate parasite of human pilosebaceous    follicle. Though attempts to elucidate the role of demodex in rosacea have    produced conflicting results but several studies have suggested that this    mite play a role in rosacea.           This is a comparative, descriptive cross – sectional study that carried out    on 39 rosacea and 41 non rosacea patients. These patients have biopsied in    Department of Dermatology of Hamadan Sina Hospital in 5 years during    1993-1998.           The mean of demodex F. in the skin face of rosacea was 1.103 and for    non-rosacea patients was 0.171. This difference from statistical aspect was    meaningful (P< 0.05). There was no difference in mean of demodex in both    sexes of rosacea patients ( P > 0.05). The mean of demodex in patients over    40 year in comparison of below 40 years was meaningful (P < 0.05).           In this study the mean of demodex in rosacea was higher than that of    control group. But a prospective study with normal skin as control group is    needed to clarify the exact role of demodex in rosacea.}, Keywords = {Acne Rosacea / Demodex Folliculorum }, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-805-en.html}, eprint = {http://sjh.umsha.ac.ir/article-1-805-en.pdf}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {Jafarian, Mohammad and Taheri, Darioush and Fallah, Mohamm}, title = {Evaluation of Prevalence of Soft Tissue Lesions Arising from Removable Prosthesis in Hamadan Patients 1997}, abstract ={There was no documented information about the subject of this survey    in the country. Regarding the importance of these lesions and their    pathologic changes and considering this epidemiologic survey as  a base    for future analytical researches , the survey seemed to be justified.           A cross - sectional descriptive study was designed and with a cluster –    random sampling the 350 patients selected in five zone of Hamadan, who    were interviewed, and clinically examined at their homes in 1997.              78.8% of the surveyed patients had at least one denture induced soft    tissue lesion. The most common lesion was inflammatory fibrous hyperplsia    (26.8%)and Angular chellitis had the least prevalence(2.5%). Other soft tissue    changes lied between these two rates.           The denture induced soft tissue lesions had considerably more    prevalence than any reports up to the time of survey which need more    investigation.}, Keywords = {Denture Complete - adverse effects / Stomatitis , Denture – epidemiology / Mouth Mucosa - pathology }, volume = {8}, Number = {4}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-841-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2002} } @article{ author = {NaghshTabrizi, Behshad and Emami, Farz}, title = {Evaluation of Correlation Between QT Dispersion & Ventricular Fibrillation in Patients with Acute Myocardial Infarction in Ekbatan Hospital of Hamadan}, abstract ={According to recent researches about the importance of prognostic    value of QT dispersion (QTD) in patients with acute myocardial infarction ,    the present study was performed to assess the relationship between QT    dispersion increment and incidence of ventricular fibrillation in patients    with acute myocardial infarction.           QT dispersion was calculated by caliper in the first 24 hour’s ECG after    acute myocardial infarction in 30 cases of AMI that complicated by    ventricular fibrillation and was compared with 200 cases without    ventricular fibrillation . Also some information about primary or secondary VF    ,EF (according to echocardiography) were recorded in check list. The study    was a descriptive , cross - sectional study.           Direct relationship between QT increment and mechanical dysfunction    of left ventricle (EF < 40%) was showed . In patients with primary VF the    mean of QTD was 20 msec more than the patients with secondary VF. In    patients with  acute myocardial infarction (AMI) that complicated with VF    the QTD was greater than the patients without VF.           According to above results we can use QTD as a cheap ,easy and    available method for diagnosis of increased incidence of VF in patients with    AMI.}, Keywords = {Myocardial Infarction/ QT Dispersion/ Ventricular Fibrillation }, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-834-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Adib, Minoo and Adib, Mi}, title = {Screening of Anti HLA Class One Antibodies in the Sera of Pregnant Women and the Variation of Its Titer During Pregnancy}, abstract ={          Determination of HLA antigens has an extensive application in paternity,    Histocompatibility testing, and disease suseptibility identification. A vast    arrey of different HLA antisera are required for HLA typing. Such antisera can    be obtained from pregnant women, transfused patients, immunized animals    or  hybridoma cells, but still the sera of pregnant women is one of the best    sources for producing of HLA antisera. The pregnant women usually form    antibodies to the foreign HLA antigens of the fetus inherited from the father.     Due to the genetic variations among different races and the very high price    of these antibodies it is preferable to obtain these antisera from locally    pregnant women.           In this study, sera of 40 primiparous and 65 multiparous pregnant Iranian    women were screened monthly (for 3 times) againest their husband’s pure    lymphocytes, using the microlymphocytotoxicity method of NIH.           Among the primiparous 2 cases (5%) and among the multiparous    women 9 cases (13.8%) had HLA antibodies in their sera. The titer and score    of antibody were determined monthly in positive samples. The antibodies    had the highest level in the 6th month of pregnancy.           We concluded that the best source and the time to obtain HLA antisera    are multiparous women in the 6th month of pregnancy}, Keywords = {HLA Antigens / Immune Sera / Pregnancy}, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-835-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Taghdiri, Mohammad Mahdi}, title = {Study of the Effects of Mogadon in Treatment of Infantile Spasms}, abstract ={          Among epileptic syndromes the infantile spasms ( west syndrome ) is the    most  malignant one and leads to  irreparable brain damage, which is    related directly to duration of spasms. The effectiveness of Mogadon    (Nitrazepam) on treatment of infantile spasms was studied for two-years    (1998-2000) at neurologic ward of Mofid children hospital , Tehran , Iran.           This was prospective uncontrolled clinical trial on 30 childs age 2-24    months with infantile spasms. Patients  received Mogadon (NZP) 0.5-1    mg/kg/hr in three divided dose with meal, the patients evaluated regard to    complete and relative control of seizure and drug side effects at the end of    2,4 and 6 weeks of therapy.           At the end of six weeks of therapy 63% were seizure free , 26% had    reduced frequency of siezure , and 47% had complete normalization of    tracing EEG.           Because of high-effectiveness , few side effects and low cost the    Mogadon (NZP) could be a drug of choice in treatment of infantile spasms. }, Keywords = {Epilepsy – therapy / Infantile Spasm/ Nitrazepam}, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-843-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Mazaheri, Shahir}, title = {The Study of Triglyceride and Cholesterol Levels (HDL & LDL) in Patients with Ischemic Stroke Admitted in Sina Hospital of Hamadan City During One Year (1999-2000)}, abstract ={          The aim of this study was evaluation of triglyceride and cholesterol levels in    patients  with  ischemic  stroke admitted in neurology ward during one year    (99-2000).Hyperlipidemia  is  one of the risk factor for  atherosclerosis and     ischemic stroke . Several studies have done for evaluation of changes in      triglyceride and cholesterol  level (HDL , LDL) in ischemic stroke patients. In the    present investigation , these changes were studied in relation to age, sex and    other risk factors. This study was supposed to answered to this question :  Is there    any difference between Iranian patients and patients of other nationalities with    regard to diet , race and  cultural backgrounds?           In this descriptive, cross-sectional study, 115 ischemic stroke  patients ,     admitted in neurology ward of Sina hospital,  during one year, were    selected. After confirming the diagnosis of ischemic stroke , blood samples    were sent to laboratory. Data obtained,  was analyzed by EPI6 package.           Fifty four percent of patients were male and 46%  were female . The    majority of them were urban resident and half of them came with    hemiplegia. Cholesterol and LDL levels were increased  in  58% and 49%,    respectively, and HDL levels were decreased in 60% of patients.  Most    increases in cholesterol and LDL levels were  seen in patients between   61-70    years  age groups. These changes were more frequent  in female patients    than  in males and  more in patients with Hypertension.           This study showed that there are  significant changes  in the levels of    cholesterol , LDL and HDL, in patients   with ischemic stroke. In the studied     population , hypertension and hyperlipidemia (Increased levels of cholesterol    and LDL , decreased of HDL)  were  the major risk factors for ischemic stroke.    Triglyceride was not shown  to have any significant role. we hope that to    perform  other studies   in   larger skills, to evaluate some ambiguous findings.}, Keywords = {Cholesterol / Hyperlipidemia / Ischemic Stroke/ Triglyceride }, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-844-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {GhaforianBorojerdnia, Mehri}, title = {A Histopathological Study of Effects of Intraperitoneal Garlic Extract on Liver in Rats}, abstract ={In recent years, many investigations have reported the  pharmaceutical    effects of garlic such as antibacterial, antihypertension, antithrombotic,    anticarcinogenic and many others. Studies suggest that garlic may has    toxic effects on body tissues. In this study,  histopathological effects of garlic    extract on liver tissue in rats were investigated.           The animals were divided into five groups including control group     (received saline) and four experimental groups (received garlic extract, 50,    100, 200 and 400mg/kg intraperitonally for a month). The sections of liver    tissue were stained by H&E method for histopathological examination.           The histopathological examination indicated that administration of low    dose of garlic (50mg/Kg) has little effects on liver tissue in comparison with    the control animals. However, administration of high dose of garlic    (400mg/kg) induce considerable damage on this tissue in comparison to    other groups.           Although the use of garlic is useful for body, the consumption of high    levels of garlic may induce toxic effects on body tissues. Therefore, further    studies are needed before garlic preparations can be used as medicine.    }, Keywords = {Garlic / Liver – pathology / Rats }, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-845-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Monsef, Alireza and Pilehvar, Mahdi and Zamanian, Abbas}, title = {The Study of Relationship between Activity of Lichen Planus and Civatte Body}, abstract ={          Lichen Planus is an inflammatory disorder of skin  and mucous    membrane, with approximately unknown etiology and pathogenesis. From    the clinical aspect, the disease is characterized by polygonal, purple, itchy    and plan papules. Pathological changes are various in dermis and    epidermis. One of those, is necrotic Keratinocyte or Civatte Body that seen    in lower layer of epidermis and specially in upper layer of dermis.           This investigation was a three years study of clinical and histopathological    characteristics of Lichen Planus and relationship between response of    Civatte body (Civ-b) and activity of the disease, in Sina hospital of    Hamadan city (1995-98). This study was an analytic cross sectional study,    and was performed by 106 files and microscopic slides of the patients    affected by Lichen Planus.           In this study, results showed that 75.8% of all dermis Civatte Body are in    active phase of disease and this number is 88.2% for epidermis. The    correlation between number of Civatte body and disease activity was    statistically established by Fisher’s exact test (P value < 0.001). On the other    hand, disease activity was also related to intensity of band from infiltration.    Also results confirm that the more Civatte Body in dermis, the more    epidermis Civatte Body.           In this research, it was established that the more Civatte body, the more    activity of Linchen planus and the decrease of Civatte Body shows    decrease activity and relieve of disease.}, Keywords = {Civatte Body / Lichen Planus–diagnosis / Lichen Planus–pathology }, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-846-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Saidijam, Masoud and Sadjjadi, Seyyed Mahmou}, title = {Study of the Parasitic Infections of School Children in Rural Areas of Hamadan}, abstract ={          A cross sectional study was carried out in order to assess the parasitic    infections of school children in rural areas of Hamadan.           A total of 906 school children , 6 to 15 years old , from 9 villages in    Hamadan were selected randomly for parasite examination. Parasitological    examination of stool and eggs count were carried out by formalin – ether    concentration and modified stoll’s technique , respectively.             The results showed that total prevalence of intestinal parasites were    86%. The highest prevalence of helminthic infections and pathogenic    protozoa were Ascaris Lumbricoides (39.6%) and Giardia Lamblia     (20.5%). Distribution of parasites according to sex was not significantly    different. Mean ± S.D of intensity of Ascaris Lumbricoides was 17235±22008    with maximum 163000 eggs per gram faeces. Mean±S.D of intensity of    Trichuris Trichiura was 1227±3173 with the maximum 25000 eggs per gram    faeces. Mean ± S.D of intensity of Hymenolepis Nana was 4320±7160. The    mean intensity was higher in male than female.}, Keywords = {Helminthiasis – epidemiology / Protozoan Infections – epidemiology / Students}, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-848-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Samarghandy, Mohammad Reza and Sadri, Gholamhosei}, title = {The Concentration of Fluoride in Drinking Water of Hamadan and Bahar Cities in 1998-99}, abstract ={The purpose of this study   was  measuring concentration of fluoride  in    drinking water in  Hamadan and Bahar cities, in west of Iran.           By a pilot study sample size for  Hamadan and Bahar were estimated    120 and 30,  respectively. The results were compared with Iranian Standard.           The results showed that concentration of fluoride in drinking water of     Hamadan and Bahar were  0.198 and 0.6  mg/lit, respectively, which were    less than the standard limit. The Shefe statistical test showed that  the    concentrations of fluoride  in summer is less than others season  and the    difference was statistically significant (P < 0.001 ) .           Finally, it can be concluded that the concentrations of fluoride  in    drinking water of  Hamadan and Bahar cities are  less than the standard    limit, especially in summer. To  solve  the problem, it is recommended  to    inject  sodium fluoride in drinking water of Hamadan and Bahar,     particularity  in summer.}, Keywords = {Fluoride / Water }, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-849-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Ansari, M. and ShahNazari, H.}, title = {Frequency of Smear Positive Pulmonary Tuberculosis in Prisoners of Central Prison of Hamadan in 1999}, abstract ={All factors that produce active tuberculosis are present in prisoners.    The over crowded condition of most prisons coupled with HIV infection,    malnutrition and IV drug abusing among prisoners may lead to a substantial    tuberculosis epidemic in the prison system . Between January and March    1999 we carried out an active case finding survey in Hamadan central prison,    Iran, through the WHO tuberculosis control program.          We interviewed prisoners and those with cough of at least 3 weeks’    duration were screened by sputum-smear microscopy. If sputum smear was    negative after 10 days antibiotic administration and after three consecutive     negative smear , prisoner underwent chest radiography.          106 of 1115 prisoners were screened; (all men , mean age 33.2years). 79    prisoners (74.5%) had addiction to opium. The most common route of opium    were inhalation (70 cases), oral (20 cases), inhalation-oral (15 cases) and    parentral (4 cases). Two screened prisoners (1.88%) had pulmonary    tuberculosis with positive smear and were not taking anti tuberculosis drugs    and had addiction to heroin. 67 (53.7%) of 106 screened prisoners    underwent chest  radiography. In 2 prisoners the chest radiograph    suggested active tuberculosis, in 2 prisoners hilar lymph node calcification    was seen due to old tuberculosis and in 2 prisoners suggested calcification    and scar of old tuberculosis in pulmonary apices.          As a result, the frequency of smear positive pulmonary tuberculosis in    central prison of Hamadan was significant and must pay attention to it.}, Keywords = {Prisoners , Tuberculosis Pulmonary - diagnosis , Tuberculosis Pulmonary - epidemiology }, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-851-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Azizi, F. and Shaikholeslam, R. and Hedayati, M. and Mirmiran, P. and Tolou, F. and Delshad, H.}, title = {Goiter Survey and Urinary Iodine Concentration in Schoolchildren Aged 8 to 10 Year of Hamadan Province in 1996}, abstract ={Iodine deficiency disorders (IDD) is a worldwide health problem. Many    parts of the Islamic Republic of Iran had been known as areas of endemic    goiter. IDD was accepted a priority health problem in the country , and a    national IDD council was formed in 1989, under the supervision of the    ministry of health and medical education. One of the main strategies of    national council for IDD control was to provide at least 150 mg of iodine per    day to the entire population through making available iodized salt. This    study was performed to evaluate the national IDD council program in 1996,    in rural and urban areas of Hamadan province.            1300 schoolchildren , aged 8 to 10 year, including 50% girls and 50%    boy, were selected through random sampling. Grading of goiter was    performed according to WHO’s classification. Serum T3, T4 and TSH were    measured by RIA and urinary iodine by digestion method.           The mean of serum T3, T4 and TSH were: 9.6±2.0 mg/dl , 165±3 ng/dl and    1.7±0.7 mIu/ml respectively. There were no differences between males and    females and schoolchildren of rural or urban areas. Six person had serum T4    more than 12.5  mg/dl. The mean of urinary iodine was 36 mg/dl in entire    population, 89% had urinary iodine more than 10 mg/dl. Only 4% had urinary    iodine less than 5 mg/dl. Total prevalence of goiter was 86% (91% in girls and    78% in boys).           Based on the available data , seven years after generalized use of    iodized salt and 2 years after that more than 50% of population used iodized    salt , urinary iodine excretion is in acceptable limit. However goiter is still    hyperendemic in Hamadan province.}, Keywords = {Goiter , Iodine Deficiency Disorders , Urinary Iodine }, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-856-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Rahmani, A.R. and Mahvi, A.H. and Mesdaghi, A.R. and naseri, S. and Shariat, M. and Vaezi, F.}, title = {Investigation about the Semnan Clinoptilolite Zeolites Application for Ammonia - Nitrogen Removal from Polluted Waters}, abstract ={          Nitrogen compounds are one of the several materials in the    wastewaters and effluents that have harmful effects in water resources. In    different  experiences  , Ion  Exchange (IE)  with  Zeolites  were   used  for    removal of Ammonia-nitrogen. The aim of this research was studying the     application of Semnan’s Zeolite for removal of Ammonium in both Batch     and  Continous  systems .            The Zeolite  Clinoptilolite  was  supplied  by  Semnan  area  mines . The     Zeolite  was  ground  and  sieves  based  on  U.S. standard  mesh  number     20 , 30 , 40  and  then conditioned by Ammonium Sulfate  and  Sodium     Chloride  solutions  respectively .           The test results on conditioned  samples  in  Batch  system   was showed    that average Ion  Exchange   capacity  for  particles  with  20  ,  30  and 40    mesh were between  6.65 - 16 mg NH4+ / g  Zeolite  weight .            Forthermore  its  selectivity for other  cations obtained the ranking of K , NH4 ,    Na , Ca , Mg  respectivly . In  Continous  system  , total  cation  exchange     and  till  breakthrough  point  capacity  obtain  16.31 - 19.5  and  7.61 - 11.23    mg NH4+ / g Zeolite  weight .  The  resultes  indicated  that  high  level  of     regeneration  (95 - 98%) may  be  achieved  with  solution  of  NaCl .           At present time, the  most  wastewater  treatment  plant  in  our  country     designed  for  removal  of  organic  matter  and  Ammonium  remain  in     effluent , and the  use  of  Ion  Exchange  with  Clinoptilolite  can  be  led  to     economical  remove  of  NH4 + from  effluent  .       }, Keywords = {Ammonium/ Clinoptiloite / Ion Exchange / Wastewater Treatment / Zeolite }, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-858-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {ManiKashani, Kh. and Saba, M.S. and Azimian, M.H.}, title = {The Study of the Incidence Rate of Accident in the Students of Primary Schools in Hamadan District 1998 – 99}, abstract ={          Accidents as the second  cause of disabilities, are the health problems    in society that can cause the social, mental and physical disorders and    sometimes lead to death. Students of primary schools at the age of under    12 have been known as the high risk population in accidents. In this study, it    has been attempted an expressive and clear description of incidence rate    of accident is presented in the students studying in Hamadan primary    schools.           This study performed on 35000 students including 17500 female and    17500 male students in  primary schools in the region 1 and 2 depended on    Hamadan district. Accident incidence was reported daily through    questionnaire and collected at the end of each month.           According to the results obtained, the incidence of Accident were 1.6%    in the students of primary schools. The most further incidence was in fifth    grade (1.94 %). Accident incidence in urban schools was reported 1.63%    and in rural schools was 1.37%. In fall season the accident incidence was at    the highest rate (0.716%), and the place of accidents were in the schools    (56.1%). Accident incidence was 2.31% in male students and 0.88% in    female ones. Statistical tests showed the significant difference between    accident incidence with sex, educational grades and the season of    accident incidence (P < 0.05). The average of absence in the injured    students was 2.6 days.           This study demonstrated that incidence of accident in students of    primary schools have been low. The boys was in higher risk than  the girls    and the most of the accidents was in fifth grade.}, Keywords = {Accident / Disasters / Students }, volume = {8}, Number = {3}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-859-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Homayounfar, Shahram and Azarnik, Hosei}, title = {The Study of the Complications of VVI Mode Permanent Pace Maker in 83 Patients with Sick Sinus Syndrome}, abstract ={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.}, Keywords = {Permanent Pace Maker/ Sick Sinus Syndrome}, volume = {8}, Number = {2}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-869-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {GhafariNezhad, Alirez}, title = {A Study on Prevalence of Social Phobia and Some Related Factors among High School Students in Kerman in 1998}, abstract ={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.}, Keywords = {Phobia Disorders – epidemiology / Students }, volume = {8}, Number = {2}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-871-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Sadeghian, Siavash}, title = {Detection of Resistant Gene to Methicillin ( mec-A)in Purulent Infections Related to Staphylococcus Using PCR}, abstract ={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.}, Keywords = {Gene , mec-A / Methicillin / Polymerase Chain Reaction / Staphylococcal Infections }, volume = {8}, Number = {2}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-872-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Farahani, Farh}, title = {Epidemiological Study of the Nose and Paranasal Sinuses Tumors During 7 Years in Hamadan (1991-98)}, abstract ={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.}, Keywords = {Epistaxis / Nasal Obstruction / Nose Neoplasms / Paranasal Sinus Neoplasms }, volume = {8}, Number = {2}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-873-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Farshchian, Mahmoud and Pilehvar, Mahdi}, title = {Evaluation of Characteristics of Pemphigus Patients Hospitalized in the Dermatology Ward of Sina Hospital Hamadan – Iran During 1992-1995}, abstract ={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.}, Keywords = {Pemphigus – classification / Pemphigus – complications / Pemphigus - therapy }, volume = {8}, Number = {2}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-875-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Arab, Maliheh}, title = {The Comparison of Cost and Morbidity of Vaginal Birth after Cesarean with Repeat Cesarean Section}, abstract ={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.    }, Keywords = {Cesarean Section , Repeat / Cost - Benefit Analysis / Vaginal Birth after Cesarean }, volume = {8}, Number = {2}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-876-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Azimian, Mojtaba and Hatami, Saee}, title = {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}, abstract ={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.}, Keywords = {Headache – etiology / Headache – epidemiology}, volume = {8}, Number = {2}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-877-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Haydari, Asghar and Hassani, Vali Allah}, title = {The Study of the Arterial Blood Pressure Changes in Adult Patients Under Operated Through General Anesthesia}, abstract ={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.}, Keywords = { Anesthesia , General / Blood Pressure / Surgery }, volume = {8}, Number = {2}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-878-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Rezaei, Ali Akbar}, title = {A Report of Two Cases of Mylopathy Due to Brucellosis}, abstract ={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.}, Keywords = {Brucellosis , Mylophaty , Neurobrucellosis }, volume = {8}, Number = {2}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-881-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Hashemian, Farnaz}, title = {A Report on A Primary Nasopharyngeal Tuberculosis}, abstract ={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 . }, Keywords = {Nasopharynx , Tuberculosis }, volume = {8}, Number = {2}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-882-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Ghofrani, Mohammad and Talebian, Ahmad and Mostaghimi, Parvi}, title = {Comparison of Therapeutic Effect of Intravenous Gammaglobuline with Ketogenic Diet in Children with Refractory Epilepsy}, abstract ={          Since  of  seizures  in  epileptic  is  in childhood  in  80%  of  cases   and      10 to  20% of  these  seizures   are   refractory  to  treatment , this  study  was     performed  to  compare  the  efficacy  of  intravenous   gammaglobuline     with  ketogenic  diet  in  the  treatment  of  refractory  epilepsy  in  children.           A  clinical  trial  research  was conducted  on  40 children  with     recalcitrant  epilepsy  referred  to  Mophid  Children  Hospital  in  1994. The     children  were  devided  to two  "Case" and  "Control" groups  at  random     after  partial  matching. Children  in  the  case  group  were  treated  by  IV     gammaglobuline  at  a  dose  of 4oo mg/kg/dose   each  three  to  four      weeks  for  four  to  six  times  and  those  in  the  control  group  by  mixed     Ketogenic  diet. The  frequency  and  duration  of  seizure,    electroencephalografic  and  behavioral  changes  before  and  after     therapy  were  recorded  and  the  result   were  evaluated .           There  was  a  52%  and  64%  decrease  in  the  average  frequency  of     seizures  per  24-hour  in  the  case  and  control  groups,  respectively  . The     difference  was  not  statistically  significant. The  duration  of  seizures  was     decreased  in  45%  and  60%   of  the  case  and  control  groups     respectively.           Since  there  was  no  significant  difference  in  the  efficacy  of  these     two  therapeutic  modalities  and  considering  the  easier  and  the     modalities ,  and  considering  the  easier  and  the  more  tolerable  nature     of  IV  gammaglobuline, this  method  can  be  used  as  a therapeutic     modality  in  recalcitrant  epilepsy.     }, Keywords = {Epilepsy – diet therapy/ Gammaglobuline/ Ketogenic Diet}, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-883-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {MohammadAlizadeh, Amir Hooshang and ManiKashani, Khosro and Sharafi, Naser and Najafian, Mahmou}, title = {Comparative Study of Evaluation of Therapeutic Effects of the Thyme C.W , Savory C.W. Drops and Thyme Mixture C.W. with Ranitidine – Metoclopramide Compound in Functional Dyspepsia}, abstract ={Functional dyspepsia found in 25% of the general population and a    large number of patients referred to the health centers. Treatment of this    disease with promotility drugs is not effective, and is so expensive too.    Evaluation of therapeutic effects of the thyme C.W, savory C.W. drops and    thyme mixture in comparison with ranitidine – metoclopramide compound is    the aim of this study.           This is a randomized clinical trial study in 180 patients with dyspepsia    selected in sequential sampling with similar diet , age group and the same    smoking habit. They were randomly divided into four therapeutic groups;    the whole groups except to the fourth group used thyme C.W , savory C.W.    drops and thyme mixture C.W. with ten drops  in three times a day during a    month in a double blind method. The fourth group used ranitidine     metoclopramide compound during a month with the following orders: 1- One    tablet ranitidine every 12 hours 2- One tablet metoclopramide every 8 hours.    It is necessary to be mentioned that biopsy urease test (BUT) and histology for    evaluation of helicobacter pylori were performed in each group and each    group was divided in two subgroups that include : HP. Positive and HP.    Negative.           This study indicated that C.W. drop , savory C.W. drop , thyme mixture drop    and ranitidine – metoclopramide compound  caused disappearance of 75%    ( or more )of symptoms of disease (the complete healing) in 55.6% , 53.3% ,    42.2% and 42.2% of patients respectively.           Thyme C.W, and savory C.W. drops had the similar therapeutic effects with    that of ranitidine metoclopramide compound in the patients with functional    dyspepsia. Thyme mixture C.W. had a similar therapeutic effect with    ranitidine – metoclopramide compound. Urease positive patients gave    more response especially with the thyme C.W. drop group.}, Keywords = {Functional Dyspepsia – drug therapy / Metoclopramide / Plant Therapy / Ranitidine }, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-884-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Samadi, Mohammad Taghi and Bahrami, Abdolrahm}, title = {Evaluation the Distribution of Lead Particulate in Ambient Air of Hamadan from December 1997 to June 1998}, abstract ={          To determine the distribution of lead in ambient air of Hamadan, 100    samples were taken in different places from December 1997 until June 1998.           The places of samples collection , were divided to three locations in    street (high traffic, medium traffic and low traffic), gas pump stations and    parking of cars. Portable sampling pump and filter cellulose were used to    obtain samples. The samples transferred to laboratory and analyzed with    atomic absorption spectrophtometry. The results showed the concentration    of lead was 1mg/m3  in low traffic and 18 mg/m3    in high traffic places.           The average concentration of lead in high traffic, medium traffic and    low traffic were 7.99 , 4.63, 3.80 mg/m3 respectively and have significant    difference among concentration of lead in low traffic places with gas    stations and parking of cars.           The average concentrations of lead in ambient air of Hamadan  was    more than the standard limit (1.5 mg/m3 ) in ambient air recommended by     World Health Organization (WHO), and United States Environment Protection    Agency (USEPA).}, Keywords = {Air Pollutants / Lead }, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-885-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Bakhshaii, Mohammad Hosein and Hashemian, Farnaz}, title = {Evaluation of Analgesia after Tonsillectomy with Local Infiltration of 2% Xylocaine}, abstract ={              Pain is one of the most irritant complication of the post tonsillectomy . In    this study the effect of injection of  2% lidocaine at the end of operation  for    reduction of pain is evaluated .           This is a clinical trial study . 60 children who were candidate for    tonsillectomy were selected and randomly divided in to two groups .    At the end of tonsillectomy 2% lidocaine  was injected in to the tonsillar pillar    in 30 patients (study group) . Normal saline solution was injected in to the    other 30 patients (control group) .           According to the results pain has been decreased significantly in 80% of    the study group. This study revealed the effectiveness of this procedure for    decreasing of the post tonsillectomy pain and cause the patients to awake    smoothly without irritability .}, Keywords = {Lidocaine / Pain / Tonsillectomy }, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-886-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Zamanparvar, Alirez}, title = {Comparison of the Used Chi- Square Tests with Chi-Square Tests for Trend in Some Medical Papers}, abstract ={One of the most common statistical tests in  the medical journals is chi-    square test. The present study compares the used chi-square tests in the    medical journals with chi-square for trend.           The statistical package of EPI6 was used to compare the methods.    For some selected papers chi-square test and chi-square test for trend    were used.           The results showed in some tests although the chi-square test was    statistically significant but the chi-square for trend was not significant and    vice versus.           It can be concluded when analyzing contingency tables, care should    be taken for the appropriate test.}, Keywords = {Chi - Square/ Chi – Square for Trend / Statistical Test }, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-887-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Siavoshi, Mohammadreza and SaidiJam, Masou}, title = {Study of Infection to Pathogenic Intestinal Parasites in Residents of Hamadan Military Base and Effect of Associated Socioeconomic Factors in 1997}, abstract ={The aim of this study was determination of relative frequency of    intestinal parasites in Hamadan military  base in 1998.           406 persons of residents were selected randomly and their  stool    samples were collected and related check lists were completed by referring    to the doors. The samples were examined by formol-ether method.           The detected results showed parasitic infection in 43.8% of  residents    with the maximum percentage associated with Ascaris (42.7%) and Giardia    (21.9%) . Age group of 31-40 , primary school students and housewives had    more infection rates . Also small families (<3) showed the lowest rate of    infection.           According to this fact  that  the source of providing  vegetables for the    military  base and Hamadan city is the  same  , it seems that the sanitary    standards are at higher levels in the base .    }, Keywords = {Helminthiasis – epidemiology / Helminthiasis - etiology / Protozoan Infection – epidemiology/Protozoan Infection- etiology}, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-889-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Golmohamadi, Rostam and Zamanparvar, Alireza and Khalili, Seyyed Asghar}, title = {The Relationship Between Noise and Noise Induced Hearing Loss in the Isfahan Forging Industries Workers}, abstract ={One of the most impairment aspect in occupational health is the study    of noise induced hearing loss (NIHL) in noise exposed workers. The study    was carried out to find out relation and a model between noise exposed    workers and NIHL in 1997.           To determine NIHL in the worker in loom-650, 45 workers having no    confounding factors were choosen. All the study population were examined    using audiometer.           Result showed the SPL range was 70-105 dBA. The average of work    experience were 10.3±3.5 and age 37.4±6.7 years. Correlation coefficient    between job history and NIHL in the left ear was 0.7099 and  in the right ear    was 0.7127. The Pearson’s correlation coefficient between left and right ear    was positive and  equal to 0.69. The mean of NIHL between right and left    ear was 14 dB which the  regression model predicts the limit of hearing loss    in left ear is 4.5 years and in right ear is 3.8 years. Although the results    showed loss of hearing begins in right ear, but left ear had more hearing loss    with increasing of experience years. The danger limit for hearing of these    workers (based on 25 dB loss), for left ear and right ear  were after 17 and    20.7 years of work experience respectively.           To prevent serious impairment in the workers hearing, it is suggested to    consider the limit of 17 year's occupancy in forging as a base for changing    the occupancy.}, Keywords = {Forging Worker / Hearing Loss / Noise}, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-890-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Hashemian, Farzin and YousefiMashouf, Rasoul and ManiKashani, Khosro}, title = {The Study of the Bacterial Contamination Abundance in Operation Rooms and the Related Factors in Hamadan Medical Sciences University Treatment - Educational Hospitals in 1996}, abstract ={          Post operative Infection is the most common  complication  , that it is    demonstrated by studies and morning reports in education sections. The    most important composition way is preventive, that this isn’t possible unless    with recognition of the infection incidence method and transmission ways,    therefore the study of operation room space, surgical device and patient    body is important.           This study is descriptive cross-sectional that 1085 cases prepared from    operation room space, surgical device and patient body than it cultured in    EMB and coccolate.           240 case was contaminated and the infection incidence rate was 22% ,     and the most abundance of contamination place was operation room    (186 case equal to 77.5%). The most abundance of microbial was    micrococcus and E.coli (150 case equal to 62.5%), bactries were sensitive to    gentamicin and ciprofloxacin (72.8%) and were resistance to ampicillin and    amoxicillin (75%).           This study demonstrated the prevalence rate of infection in operation    room in comparison to world standards  (5%) were high.  }, Keywords = {Bacterial Contamination/ Infection Prevalence/ Operation Room }, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-891-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Kheirollah, Alirez}, title = {The Comparison of Serum Trypsin Inhibitory Capacity( TIC )in Serum Hyperthyroid Patients with Control Group(Euthyroid)}, abstract ={    Alpha-1-AntiTrypsin (&alpha;1–AT) is an inhibitory &alpha;1–Protease, and belongs to    complex protein of glycoprotein  type. From the activity point of view, it     belongs to Seiren protease inhibitors ( serpin ).There are many reports in    litreture concerning a decrease in the amount of &alpha;1-AT in patients with    emphysema, skin  disorders, adult liver disease, hypothyroidism,and so on .    In hypothyroidic patients along with a decrease in the amount of T3 , there    is a significant decrease in the amount of &alpha;1– AT and  consequently in the    amount of TIC.Therefore , it can be expected that , in hyperthyroidic an    increase in the amount of T3 results in an increase in the amounts of &alpha;1– AT    and TIC.           In this study , changes in TIC in hyperthyroidic  patients  in comparison    with a control group was  investigated. Measurements were performed on    72  samples , and by  using T- test and determination of correlation    coeffiecint,the above mentioned changes were analyzed .           The results showed that TIC in hyperthyroidic patients ( n= 42 ) had    increased in comparison  with the control group ( n = 30 ),    ( n = 42 , TIC = 2.54 ± 0.414 mg/ml    Vs    n= 30 ,TIC= 1.87 ± 0.29 mg/ml). It was    observed that in hyperthyroidic  patients, there is a positive correlation    between the amounts of T3 and TIC ( r = 0.71 , p < 0.0001).           Therefore, it can be concluded that trypsin inhibitory capacity and    &alpha;1- AT concentration had increased in hyperthyroidic patients.}, Keywords = {Alpha 1 – Antitrypsin / Hyperthyroid / Trypsin Inhibitors }, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-892-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Vaziri, Mohammad and Khalaj, Alireza and Hosseini, Firouzeh}, title = {A Case Report of Vater Association and Its Successful Management}, abstract ={Vater association is a congenital syndrome consisting of vetebral    anomalies, imperforate anus, tracheo esophageal fistula and renal/radial    abnormalities. In recent two decades, association of various other    anomalies with this syndrome has been reported and extensive studies    regarding its early diagnosis, management and prognosis have been under    taken. In this paper in addition to the review of the preceding ten-year    litrature, a female infant born in 1999 with this syndrome at the Fatemieh    hospital and her successful surgical management has been reported.    }, Keywords = {: Vater Syndrome - surgery / Vater Syndrome - therapy }, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-893-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Farshchain, Mahmoud and Zamanian, Abbas and Monsef, Alirez}, title = {The Report of a Very Rare Case of Peseudoxanthomatous Mastocytosis}, abstract ={          Diffuse cutaneous mastocytosis is very rare variety mast-cell disorder    which is called peseudoxanthomatous mastocytosis. Our case was a man    who was eighteen years old. He suffered from yellow papules on the neck,    extremities , axillary and groins. The appearance of large blisters following    mild trauma or occuring spontaneously. Our patients Pruritus was not very    server.          The examination of his skin revealed yellow boggy and thickened skin    with a doughy consistency without systemic involvement. Considering    the clinical signs and using the skin biopsy reports of the patient, the    illness was diagnosed as peseudoxanthomatous mastocytosis.}, Keywords = {Urticaria Pigmentosa–diagnosis /Urticaria Pigmentosa–pathology }, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-894-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} } @article{ author = {Fallah, Saeed and Ansari, Mostafa and Sattari, Mahmoud and Mahmoudi, Mostaf}, title = {A Case Report of Intermittent Hydrarthrosis (Periodic Arthrosis)}, abstract ={Hydrarthrosis refers to recurrent pattern of Joint effusions , usually of the    knees , of long term , even life long duration. These recurrent attacks usually    maintain a predictable preiodicity. In this rare case report we describe a    patients with charactristic clinical manifestation that can be differentiated    with initial symptoms of very common rheumatologic disorders such as R.A    and sero negative spondyloarthropathy.}, Keywords = {Arthritis , Adjuvant - diagnosis }, volume = {8}, Number = {1}, pages = {0-0}, publisher = {Hamadan University of Medical Sciences}, url = {http://sjh.umsha.ac.ir/article-1-895-en.html}, eprint = {}, journal = {Avicenna Journal of Clinical Medicine}, issn = {2588-722X}, eissn = {2588-7238}, year = {2001} }