فهرست مطالب

Journal of Analytical Research in Clinical Medicine
Volume:5 Issue: 1, Winter 2017

  • تاریخ انتشار: 1396/09/15
  • تعداد عناوین: 6
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  • Ozgur Tatli* Pages 1-3
    Honey and honey production have been an important source of revenue among the peoples of Anatolia throughout the course of history. Beekeeping is possible everywhere in Turkey thanks to its ecological and geographical features. The best known of these is the type popularly known as ‘mad honey’, the name of which appears in ancient texts, because of its effects on human beings. Its toxic effects are caused by the substance known as grayanotoxin in the flowers of "Rhododendron ponticum", known among the local inhabitants as the forest rose, which grows in high-altitude forested areas in the Black sea region of Turkey. Like other cholinergic toxidromes, treatment with intravenous atropine and normal saline infusion, can be life-saving in this poisoning.
    Keywords: Mad Honey, Black Sea, Poisoning
  • Farzad Rahmani*, Haniyeh Ebrahimi Bakhtavar, Atefeh Zamani, Fariba Abdollahi, Farnaz Rahmani Pages 4-8
    Introduction
    The aim of this study was to evaluate the demographic status of children with burn injuries who were referred to the emergency department of the Sina hospital in Tabriz, Iran, in 2014.
    Methods
    Total of 220 pediatric patients with burn injuries, who referred to the emergency department of Sina hospital, were enrolled in this prospective descriptive study. Data such as age, gender, type of injury, location of injury, and severity of burns was collected, and analyzed using SPSS statistical software.
    Results
    Most patients were the first children of their families (61.8%). Two-year-old children had a higher incidence of burn injuries (33.2%). Most of the burns (94.5%) occurred at home. The most common cause of injury was hot liquids (74.5%). The position of the burn injuries in most patients was the upper extremities (47.3%) and second-degree burn severity was more frequent (70.5%). There were no significant statistical differences between the two genders regarding cause, severity, percentage, and anatomical area of the burn.
    Conclusion
    It is necessary to design effective strategies to reduce the incidence of burn injuries in pediatric patients, so that steps can be taken to reduce burn injuries and their complications.
    Keywords: Pediatrics, Emergency Departments, Burns, Epidemiology
  • Ali Reza Shafiee-Kandjani, Seyed Gholamreza Noorazar*, Saeed Aslanabadi, Javad Abdollahi-Rashid, Mehrnaz Dadkhah Pages 9-14
    Introduction
    Attention deficit hyperactivity disorder (ADHD) is a chronic neurodevelopmental disorder with high heritability. It is the most common childhood mental disorder. The key aspects of ADHD may put the affected children at risk for different traumatic experiences. Therefore, this study was conducted to investigate the relationship between the severity of trauma and ADHD symptoms in children.
    Methods
    In this descriptive-correlational study, the target population included 90 children aged 6-12 years old, visiting Imam Reza, Children, Sina, and Shohada Hospitals in Tabriz, Iran. The severity of trauma was assessed, using placebo transdermal system (PTS), and the ADHD symptoms were evaluated, using Conner's Parent Rating Scale. To rule out other psychiatric disorders, the Child Symptoms Inventory-4 (CSI-4) was employed.
    Results
    Results showed a significant positive correlation between the severity of trauma and ADHD, hyperactivity, oppositional/impulsivity, and attention-deficit scores (P
    Conclusion
    There was a significant relationship between the symptoms of ADHD and the severity of trauma in children, in a way that the scores of the aforementioned variables improved with increasing the severity of trauma. Regarding the profound effects of trauma on human and financial resources, required measures should be taken for making house and school settings safe for such children.
    Keywords: Attention Deficit Hyperactivity Disorder, Severity of Trauma, Impulsivity, Inattention, Disobedience
  • Amir Monfaredan, Shahrokh Amiri, Seyed Mahmoud Tabatabaei* Pages 15-19
    Introduction
    Prenatal diagnosis is testing for detection of diseases or conditions in a fetus or embryo before it is born. Most of prenatal diagnostic (PD) techniques are invasive and done in late stages of pregnancy. Using fetal DNA in maternal blood for fetal sex determination in early pregnancy might help in management of X-linked genetic diseases. This study aimed to investigate the accuracy of sex determination using fetal DNA in maternal blood at 8-12 weeks of gestation.
    Methods
    In this cross-sectional study, 30 pregnant women at 8-12 weeks of gestation were enrolled. The sex-determining region Y (SRY) gene expression with the internal control (IC) glyceraldehyde 3-phosphate dehydrogenase (GAPDH) was investigated with quantitative real-time polymerase chain reaction (PCR) using specific primers and probes.
    Results
    Accuracy of sex determination with SRY gene expression in 8-12 weeks of pregnancy were 85%, 85%, 90% and 100% respectively.
    Conclusion
    It seems that fetal sex determining using fetal DNA in maternal blood is a reliable method for early stage of pregnancy.
    Keywords: Prenatal Diagnosis, Free cell DNA, GAPDH, Real time PCR, SRY
  • Hamid Reza Morteza Bagi, Moloud Balafar, Seyed Kazem Shakouri*, Hamideh Nouriasl, Nahideh Khoshmaram, Fariba Abdollahi, Atefeh Mohammadzadeh, Reza Sheykhalizadeh Pages 20-25
    Introduction
    The purpose of evaluating educational curriculums is to improve training programs. The application of the results obtained from these evaluations is the proof of success or failure of the program. This study was carried out to report codification of operational plan of the clinical competence examination for medical students.
    Methods
    In this descriptive-analytical study, the operating process of evaluation program is explained by details step by step. This survey was based on a questionnaire collected from 200 participants of the first clinical competence examination of medical students. Finally, data were analyzed using SPSS.
    Results
    Of all the participants, 55.8% of were female and 44.2% were male. There was no statistically significant difference in score averages between male and female students (14.55 ± 1.72 vs.14.55 ± 1.3; P = 0.970). Mean pre-internship exam score among male students was 126.73 ± 21.04 and 128.18 ± 20.96 among female students, and the difference was not statistically significant (P = 0.630). There was a statistically significant but weak correlation between examination and pre-internship scores (r = 0.27, P
    Conclusion
    Codification of the administrative process and consequently obtaining results has been effective in success of evaluation program and application of the results in future programs. Also it informs authorities how much the goals of training program is satisfied and reminds the necessity of execution of corrective programs.
    Keywords: Skill Lab, Clinical Competency Examination, Medical Internships, Medicine
  • Ali Reza Shafiee-Kandjani, Asghar Arfaie*, Amir Bozorg-Esfangareh, Salman Safikhanlou, Aydin Arfaie, Mohsen Jafarzadeh- Ghareziaaddin Pages 26-32
    Introduction
    Patients with borderline personality disorder (BPD) suffer from a higher degree of impulsive and hostile behavior, compared with other psychiatric disorders. On the other hand, the impulsive behavior in these patients is different from the patients with type II bipolar disorder (BMD II). This study aimed to investigate the differences between patients with BPD and patients with bipolar disorder in the aggressiveness and impulsivity scales.
    Methods
    A descriptive-analytical study through a convenience sampling method was conducted on 117 patients with BPD (30 patients) and BMD II (87 patients) who completed the Buss and Perry’s Aggression Questionnaire as well as the Barratt Impulsiveness Scale. The obtained data was analyzed in SPSS using Student’s t-test, and its results were considered significant at P
    Results
    The two groups were significantly different in terms of attention and cognitive complexity of Barratt Impulsiveness Scales, hostility, physical aggression, as well as in the total score of Buss and Perry’s aggression and hostility questionnaire, in which the scores in patients with BMD in the above-mentioned scales were higher, compared with the BPD and finally, the marital status variable was significantly correlated with age, physical aggression, anger, anxiety, cognitive complexity, and perseverance.
    Conclusion
    The patients with BMD II experienced a higher degree of excitement in terms of hostility, violence and impulsivity measures; it is also different from the patients with borderline disorder in terms of type of aggressiveness.
    Keywords: Hostility, Aggression, Impulsivity, Bipolar Disorder, Borderline Personality