فهرست مطالب

Iranian Red Crescent Medical Journal
Volume:14 Issue: 6, Jun 2012

  • تاریخ انتشار: 1391/02/19
  • تعداد عناوین: 13
|
  • H. Hatami, M. Hatami, N. Hatami Page 331
    Background
    Avicenna is a genius and unique person that his introduction needs a thick book. This study was conducted to more familiarity with Avicenna’s methods and findings to improve human health..
    Methods
    This was a library study. In order to improve exactness of findings, we computerized the Arabic, English and Persian versions of Avicenna’s Canon of Medicine and have made a fast and accurate data bank and uploaded on the internet site of Ministry of Health and Medical Education of Iran, Deputy of Research as available from: http://www.elib.hbi.ir/persian/LIBRARY.htm and also theorizing Avicenna's Canon of Medicine as three roots (Root model) for current medicine, decayed, disabled and active roots and finally, after searching, gathering and encoding the findings, analyzed them as a qualitative research and thematic content..
    Results
    Health orientation, research centeredness and freeing from nihilism and also achieving to dynamic points and taking appropriate action in relation to treatment of some diseases such as rabies, leprosy, tuberculosis and similar cases at this valuable book can be regarded as a hypothesis to be approved or rejected using the new technology. So appropriate methods require testing many Avicenna hypotheses and if approved, utilize them as supportive methods and complementary of common treatment methods either or even as modern solutions..
    Conclusion
    It is necessary that our students within course of Iranian and Islamic culture and civilization to be more familiar with activities of scientists like Avicenna to substitute the empty place of him.
    Keywords: Traditional medicine, Avicenna Canon of medicine, History of medicine, Health orientation, Research centeredness, Realism, Theorizing
  • M. Zakerinia, M. Namdari, S. Amirghofran Page 337
    Background
    The etiology of malignant lymphoma is still largely unknown. This study determines the relationship between exposure to pesticides and the occurrence of lymphoid neoplasms in Shiraz, Southern Iran..
    Methods
    Between 2007 and 2008, in a case control study conducted in Nemazee Hospital in Shiraz, Southern Iran, 200 subjects diagnosed with lymphoma according to the World Health Organization (WHO) classification were enrolled. Controls (n=200) were frequency matched to the cases by sex, age, and center. Subjects who were a farmer were compared with all other occupations..
    Results
    Out of the 200 cases that were diagnosed as lymphoid neoplasms, 100 were non-Hodgkin's lymphoma, 54 Hodgkin's lymphoma and 46 multiple myeloma. Seventy two percent of the NHL's were of the B-cell type, 15% of the T-cell type and the rest were not classified. Furthermore, subjects exposed to pesticides were at an increased risk of non-Hodgkin lymphoma and MM, but not Hodgkin lymphoma..
    Conclusion
    Risk of non-Hodgkin lymphoma and MM was highest for exposure to pesticides, among them, insecticide's risk was confirmed.
    Keywords: Exposure, Pesticide, Non, Hodgkin lymphoma, Hodgkin lymphoma, Multiple myeloma
  • Sh Hosseini, M. Zarghami, S. Moudi, Ar Mohammadpour Page 345
    Background
    This study determined the prevalence and severity of obsessive-compulsive symptoms/disorder (OCS/OCD), aggression and suicidal in schizophrenic patients. Also we compared the prevalence and severity of aggression and suicidal in schizophrenic patients with and without OCS/OCD considering anxiety, depression and substance abuse as confounding factors..
    Methods
    During 2007 and 2008, 100 schizophrenic patients were evaluated with Yale - Brown Obsessive Compulsive Scale, Positive and Negative Syndrome Scale, Beck Depression Inventory, Spilberger State/Trait Anxiety Inventory, Beck Scale for suicide Ideation, and Overt Aggression Scale..
    Results
    OCS/OCD and suicidal attempts were seen in 33%, 10% and 12% of patients respectively. The most common form of aggression was against others (55%), and aggressive obsessions were seen in 10% of the patients. Comparing patients with and without OCS/OCD, there were no significant differences in the severity of schizophrenia, suicidal and overt aggression. The severity of overt aggression was related to the patient's age and education reversely. Also, there was a relationship between their suicidal thoughts and residence in the cities..
    Conclusions
    High rate of aggressive obsessions and lack of relationship between severity of aggression and presence of OCD indicated that these patients did not act on these thoughts. The risk of suicide was more serious in patients living in the cities, and risk of violence was more serious in younger and less educated patients.
    Keywords: Compulsion, Obsession, Schizophrenia, Suicide, Violence
  • N. Kariman, M. Hedayati, Sh Alavi Majd Page 352
    Background
    Premature rupture of membranes (PROM) is one of the most common complications of pregnancy that has a major impact on pregnancy outcomes. A diagnostic tool that is non-invasive, specific and quick is needed to predict PROM. The purpose of this study was to evaluate the diagnostic power of the vaginal washing fluid prolactin for the diagnosis of premature rupture of membranes and to determine cut-off values..
    Methods
    A total of 114 pregnant women were recruited in this diagnostic trial. The PROM group consisted of 54 pregnant women between 20 and 41 weeks of gestation with diagnosis of confirmed PROM [amniotic fluid pooling (+) and Nitrazine paper test (+) and fernt test (+)]. The control group consisted of 60 pregnant women between 20 and 41 weeks of gestation without any complaint or complication. All patients underwent speculum examination for amniotic fluid pooling, nitrazine paper test, fern test, vaginal washing fluid prolactin sampling...
    Results
    Vaginal fluid concentrations of prolactin was significantly different between the two groups (P < 0.001). The sensitivity, specificity, positive and negative predictive values and accuracy were 87.03%, 75.0%, 75.80%, 86.53% and 83.33% in detecting PROM by evaluation of vaginal fluid prolactin concentration with a cut-off value of 9.50 µIU/ml, respectively..
    Conclusion
    The prolactin levels in the washing fluid of the posterior vaginal fornix in our experience is reliable and non-invasive diagnostic tests of PROM.
    Keywords: Premature rupture of membranes, Prolactin, Vaginal washing fluid
  • S. Ghorbian, K. Saliminejad, Mr Sadeghi, Ghr Javadi, K. Kamali, N. Amirjannati, F. Bahreini, H. Edalatkhah, Hr Khorram Khorshid Page 358
    Background
    To date, the role of male factor contributing in evaluation of spontaneous recurrent pregnancy loss (RPL) has been less investigated and there is discrepancy in the role of Y chromosome microdeltions in RPL. Therefore, the current study was designed to examine whether Y chromosome microdeletions were associated with RPL in an Iranian population..
    Methods
    One hundred men from couples, experiencing three or more RPLs, and one hundred normal men from couples with at least one child and no history of miscarriages as control group were included. Genomic DNA was extracted from peripheral blood and tested for Y chromosome microdeletions in AZFa, AZFb and AZFc regions using two multiplex PCR..
    Results
    None of the men in the case and control groups had any microdeletions in the AZFa, AZFb and AZFc regions..
    Conclusion
    It seems that Y chromosome microdeletion is not associated with recurrent pregnancy loss, therefore performing this test in Iranian couples with RPL is not recommended.
    Keywords: Infertility, Recurrent pregnancy loss, Miscarriages, Y chromosome microdeletion, AZF regions
  • A. Baheiraei, Z. Hamzehgardeshi, Mr Mohammadi, S. Nedjat, E. Mohammadi Page 363
    Background
    Adolescents may get involved in high-risk behaviors. Surveys are the primary, and sometimes the sole source of data collection for many high-risk health behaviours. We examined the reliability and validity of the psychometric properties of the self-administered Persian version of the 2009 Youth Risk Behavior Surveillance System (YRBSS) questionnaire..
    Methods
    In a methodological study in summer 2010, 100 Iranian adolescents aged 15-18 years were recruited through convenience sampling. The face and content validity were used for the questionnaire validity. In order to evaluate the questionnaire’s reliability, the Intraclass Correlation Coefficient (ICC) and Cronbach’s α were calculated for domains and 89 items..
    Results
    Among 89 items, the ICC values were below 0.4 (weak reliability) for 2 items (2.25%), 0.4-0.6 (moderate reliability) for 10 items (11.24%), 0.6-0.8 (good reliability) for 32 items (35.96%) and 0.8-1 (excellent reliability) for 45 items (50.56%). The prevalence of most high-risk behaviors was constant in the first and second survey. The value of Cronbach’s α was 0.73 for intentional and unintentional injuries, 0.77 for tobacco use, 0.86 for alcohol and other drug use, and 0.79 for unsafe sexual behaviors. No domain had a mean ICC of below 0.6. Furthermore, 97.75% of the items had moderate to excellent reliability. Thus, the Persian YRBSS questionnaire had an acceptable reliability..
    Conclusion
    Over the 2-week period, sexual behaviors were reported with less consistency compared to other behaviors. In any case, researchers must be aware of the limitation of the data collected through this questionnaire, particularly in comparison to the domain of sexual behaviors. Overall, 97.75% of the items had moderate to excellent reliability. Thus, the Persian YRBSS questionnaire had an acceptable reliability.
    Keywords: Risk behaviour, Youth, Persian version, Psychometric properties, Survey questionnaire
  • S. Arman, M. Keypour, Mr Maracy, A. Attari Page 371
    Background
    Prevention and treatment of youths` mental disorders are important, not just for to diminish their present problems but to improve their functions in adulthood. This study was performed to evaluate the mental health status of 6-18 years old youths in a community-based sample using the strength and difficulties questionnaire (SDQ)..
    Methods
    Parent of 2000 youths (6-18 years old) were selected from 250 clusters from different municipality areas of Isfahan, Iran and they responded to extended version of SDQ parent`s form. The mean score in each subscale and prevalence of symptom and relation with some demographic features were determined..
    Results
    The total score of SDQ was 26%, means that 26% of youth had psychiatric problems. By determining the subscale score, it reveals that conduct disorder (34.7%) was the most common problem in youth followed by peer relationship problems (25.4%), emotional problems (24.5%), hyperactivity (23%) and impairment of prosocial behavior (5.7%)..
    Conclusion
    Our findings showed that mental health of youth population in Isfahan especially the conduct problem needs more attention.
    Keywords: Youth, Strength, difficulties Questionnaire, SDQ, Mental health, Relational problem, Conduct problem
  • B. Ajami, K. Ghazvini, T. Movahhed, N. Ariaee, Mt Shakeri, S. Makarem Page 376
    Background
    Dental unit waterline system is considered potential source for contamination with Legionella species. The aim of this study was to determine if contamination of a dental unit water line system by Legionella pneumophila serogroup1 in the Mashhad School of Dentistry occurred in 2009..
    Methods
    A total of 52 dental units were selected from all clinical departments of the Mashhad School of Dentistry. Samples of water were collected from outlets of water/air spray, high-speed dental hand pieces and water cup fillers. Samples were tested via the ELISA method..
    Results
    At the beginning of the work day, a total of 36.1 percent of dental units were contaminated by Legionella pneumophila serogroup 1..
    Conclusion
    Infection control of the dental unit water line system regarding legionella in the Mashhad School of Dentistry is a challenge and engineering controls should be used in contaminated clinics.
    Keywords: Legionella, Dental unit water line system, Contamination, Iran
  • F. Motamed, K. Eftekhari, Ma Kiani, A. Rabbani Page 379
    A 14 year old female complained of abdominal pain and distention with vomiting. The physical exam showed thyroid enlargement and ascites. The imaging evaluation demonstrated a large ovarian cyst. Laboratory tests depicted hypothyroidism and marked elevation of Carbohydrate antigen 125 (CA-125) levels. As the bone age was 10 years, more retarded than the chronological age, Van Wyk and Grumbach syndrome was suspected. Treatment with thyroid hormone was initiated and the condition improved dramatically with disappearance of symptoms and signs 5 weeks later.
    Keywords: Ovarian cyst, Hypothyroidism, CA, 125, Van Wyk, Grumbach syndrome
  • B. Morshed, Behbahani, L. Mossalanejad, S. Shahsavari, M. Dastpak Page 382
  • M. Hasanzadeh Mofrad, R. Shafiei, S. Bolandi, M. Najjari, Gr Hatam Page 384
  • Mh Kalantar Motamedi, F. Navi, E. Shams Koushki, R. Rouhipour, Sm Jafari Page 386