2024-03-29T05:30:19+03:30
http://sjh.umsha.ac.ir/browse.php?mag_id=59&slc_lang=fa&sid=1
59-789
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
Study of Metoclopramide Versus Metoclopramide Plus Dexamethasone for Reduction of Nausea & Vomiting after Maxillomandibular Fixation Surgery
Farhad
Heshmati
Ali
Hassani Afshar
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.
Dexamethasone / Maxillomandibular Fixation/ Metoclopramide Nausea / Vomiting
2002
3
01
0
0
http://sjh.umsha.ac.ir/article-1-789-en.pdf
59-790
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
Isolation and Purification of Egg White Antigens
Forougheh
Din Mohammadpouri
Mohammad
Pezeshki
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 .
Conalbumin / Egg White / Ovalbumin
2002
3
01
0
0
http://sjh.umsha.ac.ir/article-1-790-en.pdf
59-791
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
The Study of In Hospital Prognosis of 101 Patients who Admitted in Coronary Care Unit and Resuscitated after Cardiac Arrest
Shahram
Homayounfar
Zahra
Azarbakht
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.
Cardiac Arrest / Cardio Pulmonary Resuscitation
2002
3
01
0
0
http://sjh.umsha.ac.ir/article-1-791-en.pdf
59-792
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
The Ability and Accuracy of Imaging in the Diagnosis of the Bone Tumor Comparing to the Results of Pathology
Abbas
Jamzad
Mahyar
Ghafoori
Parto
Hassanizadeh
Ezn Allah
Azargashb
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.
Bone Neoplasms - diagnosis / Bone Neoplasms – pathology / Bone Neoplasms - radiography
2002
3
01
0
0
http://sjh.umsha.ac.ir/article-1-792-en.pdf
59-793
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
The Study of Herpes Zoster in Patients who Referred to the Dermatology Ward of Sina Hospital of Hamadan between 1994-98
Abbas
Zamanian
Mahdi
Pilehvar
Mahmoud
Farshchian
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.
Herpes Zoster - diagnosis / Herpes Zoster – epidemiology / Herpes Zoster - etiology
2002
3
01
0
0
http://sjh.umsha.ac.ir/article-1-793-en.pdf
59-795
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
The Effect of Volatile Oils and Vitamin C on the Affinity of LDL to Its Receptor: A Model for Prevention of Atherosclerosis
Mohammadreza
Safari
Mohsen
Ani
Gholamali
Naderi
Seddighe
Asgari
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 .
Ascorbic Acid / Atherosclerosis / Lipoproteins
LDL / Volatile Oil
2002
3
01
0
0
http://sjh.umsha.ac.ir/article-1-795-en.pdf
59-796
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
Prevalence of Diabetes and Glucose Abnormalities in Patients with Vitiligo in Kerman in 1999
Sadollah
Shamsadini
Sadegh
Saberi
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.
Diabetes Melitus /Glucose Tolerance Test / Vitiligo
2002
3
01
0
0
http://sjh.umsha.ac.ir/article-1-796-en.pdf
59-797
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
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
Alireza
Yavarikia
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.
Ankle Injuries / Early Ambulation/ Immobilization / Sprains
2002
3
01
0
0
http://sjh.umsha.ac.ir/article-1-797-en.pdf
59-798
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
Zinat
Salem
Maryam
Shahabi Nezhad
2002
3
01
0
0
http://sjh.umsha.ac.ir/article-1-798-en.pdf
59-799
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
Preparation of Metabolic Antigen from Aspergillus fumigatus for Serodiagnosis of Aspergillosis
Seyyed Hossein
Mirhendi
Seyyed Amir
Ghiasian
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.
: Aspergillosis / Aspergillus fumigatus / Metabolic Antigen
2002
3
01
0
0
http://sjh.umsha.ac.ir/article-1-799-en.pdf
59-805
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
Demodex Folliculorum and Rosacea Demodex Folliculorum and Rosacea
Mahdi
Pilehvar
Abbas
Zamanian
Alireza
Monsef
Khosro
Mani Kashani
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.
Acne Rosacea / Demodex Folliculorum
2002
3
01
0
0
http://sjh.umsha.ac.ir/article-1-805-en.pdf
59-841
2024-03-29
10.1002
Avicenna Journal of Clinical Medicine
Avicenna J Clin Med
2588-722X
2588-7238
10.52547/ajcm
2002
8
4
Evaluation of Prevalence of Soft Tissue Lesions Arising from Removable Prosthesis in Hamadan Patients 1997
Mohammad
Jafarian
Darioush
Taheri
Mohammad
Fallah
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.
Denture Complete - adverse effects / Stomatitis
Denture – epidemiology / Mouth Mucosa - pathology
2002
3
01
0
0