فهرست مطالب mahmood shariat

Wunderlich syndrome, also known as the spontaneous non-traumatic retroperitoneal hemorrhage, is anuncommon condition characterized by acute, spontaneous, non-traumatic renal hemorrhage into the subcapsularor perirenal spaces. The majority of the cases are caused by renal cell carcinoma or renal angiomyolipoma.Other causes are arteriovenous malformation, cystic renal disease, and anticoagulation medications. Theclassic presentation is “Lenk’s triad” of acute flank pain, palpable flank mass, and hypovolemia. The diagnosisis based on clinical suspicion and confirmed by a CT scan, which is the preferred imaging modality. Due tothe rarity of these cases and the wide range of clinical manifestations, the treatment is divergent ranging fromconservative management to nephrectomy. Herein, we present a case of massive right renal hemorrhage causedby warfarin toxicity that was initially misdiagnosed as acute renal colic due to the patient’s refusal to refer tothe clinic during Corona Virus Disease- 19 era and was later managed with a right nephrectomy.

Ecological capability evaluation is for identity to ability potential land for executable usage and expected.
Meydavood region is located in Baghmalek town in Khuzestan province and include various features such as: mountain, plains, low land, forest land and pastures. The most part of the study area is belong to pastures, and the researching has been trying to potential capability land for using of pasture with using of two models FAO and makhdoom with helping GIS application. Finally potential pastures unit has been recognized based on pastures ecological model in Iran and using searching language in geographical information.
Findings: Based on FAO model 5 unit has been recognized suitable for pasture from 8 unit land, and remainder is unsuitable. Based on Makhdoom model 238 unit has been located in third floor and 71 unit has been located in fourth floor of pasture.
Discussion and Counclusion: comparison between 2 models has been shown that environmental units are more in number and lower in area than FAO model; In the other hand FAO model with present using has been shown high proportion. With due attention to shortage of suitable pasture land in Iran, Makhdoom model is not suitable with performance and management plans of country in Meydavood and FAO model is preference.

Leishmaniasis is an endemic parasitic disease in Iran. This paper reports the case of a 5-yr-old boy who presented with multiple isolated cervical lymphadenopathy for several months with no history of fever and no signs or symptoms. In an excisional lymph node biopsy, Leishmania parasites were histologically detected. Thus, leishmaniasis should be included in the differential diagnosis of isolated lymphadenitis in immunocompetent patients, even if the K39 and IFA for kala-azar are reported as negative.

Municipal solid wastelandfill hasgreatpotentialto contaminatethe environment andhumanhealth effectsdue todecomposition, leachateand gases. Theeffectson theenvironmentifnotmanagedappropriately, will bringseveral damages on sensitive areas. Shadeganwetland is located in Khuzestan province in southwest of Iran. This wetlandis exposed to manyrisk factorsinternationally.Oneof the major factorsthreateningShadegan is disposalofurban solidwastein it. According to thedaily28.2tonsdisposalof solid wasteinwetland,ecological, fishing, economic values, settlementsandlivelihoods, it is important that evaluation ofselectioncriteriaof shadegan landfillbased onnationaland internationalenvironmental regulationsshould be done. This researchis based onfield studiesusingGISlayersaccording tonational and internationalregulations andstandardscarried outin 2013. Results showthat solid wastelandfill ofShadeganinconsistentwithnationalcriteria, butare morecompatiblewithinternationalcriteria. Overall, thelack ofconsistentnational and internationalstandardswas38.2percent. The mainparameterswhicharenotconsistent with Shadeganlandfill, include adjacent tothemain roads, water wells, residentialcentersandthe lagoon.