فهرست مطالب رحمت الله ایری

Necrotizing pneumonia is an uncommon disorder with a high mortality rate. Different factors are involved in the incidence of this disease.

A 73 years old man was admitted to the hospital with a chief complaint of dyspnea and productive cough. Chest x-ray showed a consolidation in the lower lobe of the left lung and a CT-scan revealed a cavity in the lingula. Bronchoscopy was performed and examination of bronchoalveolar lavage (BAL) fluid was positive for acid-fast bacilli. Anti-tuberculosis drugs were started for the patient.

Our case demonstrates a rare manifestation of tuberculosis associated with lung necrosis and cavitation, which emphasizes the necessity of examination and work-ups for mycobacterium TB in patients with drug resistant chronic pulmonary disease.

Neonatal jaundice is a common problem in the neonates which is caused by increased unconjugated bilirubin and can result in serious neurological side effects such as kerinictrus. Several drugs have been used to treat unconjugated hyperbilirubinemia. The present study was conducted to determine the preventive effect of glycerin suppository on neonatal jaundice. This single blind randomized clinical trial included 165 healthy term neonate without jaundice in Besat Hospital in Sanandaj. Neonates were divided into two groups. Case group treated with glycerin suppository at birth and 12 hours after birth. Control group didn’t receive glycerin suppository. Serum bilirubin levels were measured by Bili Check device (spectrophotometry) 12, 24 and 48 hours and also 5 days after birth. After 48 hours the mean serum bilirubin levels were 8.667 and 11.4412 in the case and control groups respectively, which showed no significant difference (p: 0.57) between the two groups. After 5 day the respective mean serum bilirubin levels in the case and control groups were 10.0450 and 11.05 which revealed a significant difference between the two groups (P value:0.03). Use of glycerin suppository showed significant effect on reducing billirubin level in the neonates and can be considered as an adjuvant therapy for neonatal jaundice.

Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal diseases and its prevalence rate in various countries, including Iran has been on the rise. The aim of this study was to investigate the risk factors and prevalence rate of this disease in Sanandaj.
In this descriptive, analytical study, 430 people were selected via random cluster sampling. Data were collected by carrying out interviews with the participants from May 2014 to June 2015. Using a questionnaire, we recorded data about the demographic characteristics, symptoms of gastroesophageal reflux disease and risk factors for the disease. Then, we measured and recorded the participants’ blood pressure, height, weight, and BMI. People who had experienced episodes of mild symptoms of heartburn for two days or more in a week or experienced moderate to severe symptoms for more than once in a week were regarded as cases of reflux. Data analysis was performed by using STATA-11 software.
From 410 patients, 41% were male and 59% (241 persons) were female with the mean age of 37.75 years. The prevalence rate of gastroesophageal reflux in the study population was 30%. We found no statistically significant difference between the patients and healthy individuals in relation to the risk factors for gastroesophageal reflux.
Considering the high prevalence of GERD in Sanandaj, it is of great importance to provide necessary training about the risk factors, prevention, and appropriate treatment of the disease for the public.

Irritable bowel syndrome is a common gastrointestinal disease which is characterized by abdominal pain and altered bowel habits. This study aimed to investigate the prevalence of irritable bowel syndrome and its related factors in the general population in Sanandaj in 2013-2014.
This cross-sectional study was conducted in Sanandaj for a period of 12 months, from the summer of 2013 to the summer of 2014. Considering the design effect, a population sample of 430 were selected via random cluster sampling method. ROME III criteria were used for diagnosis of IBS. Logistic regression was used to accomplish the qualitative objectives and multivariate analysis for categorical variables. We used STATA11 software for statistical analysis.
We found a prevalence rate of 10.63% for irritable bowel syndrome in the general population in Sanandaj. Concerning gender distribution, the prevalence rates were 11.5% and 9.96% for males and females respectively, which had no statistically significant difference (OR=1.184, 95% CI=0.574 – 2.439). Although the disease was more prevalent in the patients between 30-40 years of age compared to other age groups, this difference was not statistically significant (OR=0.679, 0.95 CI=0.189, 2.441).
The results of this study showed that the prevalence rate of IBS was higher in Sanandaj city in comparison to other parts of Iran, which can be related to several factors such as diet and lifestyle. Because of the high prevalence of IBS in Sanandaj, we recommend further studies for identification of the causes of this disorder and its exacerbating factors in this city.