2024-03-29T17:46:23+03:30 http://sjh.umsha.ac.ir/browse.php?mag_id=60&slc_lang=fa&sid=1
60-834 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 Evaluation of Correlation Between QT Dispersion & Ventricular Fibrillation in Patients with Acute Myocardial Infarction in Ekbatan Hospital of Hamadan Behshad Naghsh Tabrizi Farzad Emami 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. Myocardial Infarction/ QT Dispersion/ Ventricular Fibrillation 2001 12 01 0 0
60-835 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 Screening of Anti HLA Class One Antibodies in the Sera of Pregnant Women and the Variation of Its Titer During Pregnancy Minoo Adib Mina Adib           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 HLA Antigens / Immune Sera / Pregnancy 2001 12 01 0 0
60-843 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 Study of the Effects of Mogadon in Treatment of Infantile Spasms Mohammad Mahdi Taghdiri           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.  Epilepsy – therapy / Infantile Spasm/ Nitrazepam 2001 12 01 0 0
60-844 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 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) Shahir Mazaheri           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. Cholesterol / Hyperlipidemia / Ischemic Stroke/ Triglyceride 2001 12 01 0 0
60-845 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 A Histopathological Study of Effects of Intraperitoneal Garlic Extract on Liver in Rats Mehri Ghaforian Borojerdnia 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.     Garlic / Liver – pathology / Rats 2001 12 01 0 0
60-846 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 The Study of Relationship between Activity of Lichen Planus and Civatte Body Alireza Monsef Mahdi Pilehvar Abbas Zamanian           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. Civatte Body / Lichen Planus–diagnosis / Lichen Planus–pathology 2001 12 01 0 0
60-848 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 Study of the Parasitic Infections of School Children in Rural Areas of Hamadan Masoud Saidi jam Seyyed Mahmoud Sadjjadi           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. Helminthiasis – epidemiology / Protozoan Infections – epidemiology / Students 2001 12 01 0 0
60-849 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 The Concentration of Fluoride in Drinking Water of Hamadan and Bahar Cities in 1998-99 Mohammad Reza Samarghandy Gholamhosein Sadri 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. Fluoride / Water 2001 12 01 0 0
60-851 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 Frequency of Smear Positive Pulmonary Tuberculosis in Prisoners of Central Prison of Hamadan in 1999 M. Ansari H. Shah Nazari 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. Prisoners Tuberculosis Pulmonary - diagnosis Tuberculosis Pulmonary - epidemiology 2001 12 01 0 0
60-856 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 Goiter Survey and Urinary Iodine Concentration in Schoolchildren Aged 8 to 10 Year of Hamadan Province in 1996 F. Azizi R. Shaikholeslam M. Hedayati P. Mirmiran F. Tolou H. Delshad 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. Goiter Iodine Deficiency Disorders Urinary Iodine 2001 12 01 0 0
60-858 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 Investigation about the Semnan Clinoptilolite Zeolites Application for Ammonia - Nitrogen Removal from Polluted Waters A.R. Rahmani A.H. Mahvi A.R. Mesdaghi S. naseri M. Shariat F. Vaezi           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  .        Ammonium/ Clinoptiloite / Ion Exchange / Wastewater Treatment / Zeolite 2001 12 01 0 0
60-859 2024-03-29 10.1002
Avicenna Journal of Clinical Medicine Avicenna J Clin Med 2588-722X 2588-7238 10.52547/ajcm 2001 8 3 The Study of the Incidence Rate of Accident in the Students of Primary Schools in Hamadan District 1998 – 99 Kh. Mani Kashani M.S. Saba M.H. Azimian           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. Accident / Disasters / Students 2001 12 01 0 0