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