maryam aghaee

Among diseases causing acute lower abdominal pain in women, isolated fallopian tube torsion is a rare cause that occurs mainly in women of reproductive ages and if left untreated can lead to fertility problems. Immediate diagnosis and timely surgery are urgent and necessary to preserve the fertility of females. Successful pregnancy with simultaneous involvement of isolated fallopian tube torsion is one of the rare operations in the world.

The reported case is a 37-year-old pregnant woman (Gravid 2, with 33-week gestational age) with nausea, vomiting and abdominal pain in August 2020 who presented to the Maryam Hospital in Karaj in August 2020. The patient was examined in the operating room under anesthesia, and pain in the right and lower abdomen was observed. There was no anorexia, and on examination, there was severe tenderness in the right lower quadrant (RLQ) area. There was no pain in other parts of the abdomen. Ultrasonography in the patient's tenderness showed an image of a tubular and cystic structure measuring 30×10 mm. In CBC test, leukocytosis with high PMN (Polymorphonuclear), (WBC: 11700 mm3 and Neutrophil: 78%) was observed. During laparotomy, isolated torsion of the right fallopian tube observed, half of which was cyanotic. Due to the confirmation of fimbriae necrosis during surgery, preservation of uterine tube integrity, fallopian tube detorsion, excision of cyanotic fimbriae and hemorrhagic cyst of fimbriae, intra-abdominal fluid suction and fimbriae repair performed. The patient discharged in good condition after two days and gave birth to a healthy baby at 38 weeks of gestation by cesarean section.

Isolated fallopian tube torsion should be considered as a potential differential diagnosis in patients that have acute lower abdominal pain in women of reproductive ages and even adolescents. Early diagnosis and early surgical intervention are critical to maintaining the fallopian tube and fertility in the future. Laparoscopy is one of the main diagnostic tools for assessing, management and maintenance isolated torsion of the fallopian tube.

Today, in the approaches and necessities of current social life, maintaining regional public order is an undeniable approach and priority that the government has imposed on the police on behalf of the people. We must also be bound by this conclusion, this enforcement power to the police must be framework and in line with the maintenance and improvement of security in all its dimensions.With a descriptive analytical approach and documentary and library method, we are looking for this question. It seems that by maintaining the law and citizen's rights and in some way social security in the society, public security is also improved in a very noticeable way. These relationships are well visible in descriptive and analytical approaches. that the police can raise their work efficiency to the highest level with the lowest cost in promoting social security with such propositions.ciety, public security is also improved in a very noticeable way. These relationships are well visible in descriptive and analytical approaches. that the police can raise t

In this article, with a descriptive and analytical approach of documentary method, we are looking for the question of whether it is possible to have two-way interaction with people in the form of crime prevention approaches and missions. It seems that the answer to this question is positive because the presence of the police is one of the necessary things in today's societies, which is directly related to public order. Most of the police actions are also prioritized and formed based on a series of necessities. In the new approaches of Faraja's missions, the emphasis on its popularity has been emphasized by its commanders. It seems that if this interactivity is prevalent in Faraja's preventive mission areas, while Faraja's work efficiency has been achieved at a much lower cost, it has resulted in public satisfaction. and public and social security will be improved. research findings; It shows that there is a significant relationship between social capital, public culture, police interaction, non-governmental organizations, community-oriented police, public education, etc.

Abnormal uterine bleeding (AUB) is a major health problem for many women. Homeopathy is one of the treatments for this disease. This study was performed to evaluate the efficacy of homeopathic Ipecacuanha (Ipecac) in the treatment of bleeding, pain, and in the quality of life in patients with AUB compared to the control group. This double blind randomized clinical trial study was performed on women aged 35-55 years with AUB in Tehran, Iran during the years 2017-2018. In this study, patients were assigned to first group: 25 patients with routine treatment (mefenamic acid capsule) + homeopathic “Ipecac” and second group: 25 patients with mefenamic acid + placebo. Pictorial Blood Loss Assessment Chart (PBAC) score, Visual Analogue Scale (VAS) questionnaire, and General Health Questionnaire (GHQ) were utilized to assess bleeding, pain, and quality of life, respectively. This study was performed on 50 women with AUB. In this study, the two groups were similar in demographic characteristics. The results showed that despite the relative improvement in PBAC score, duration of bleeding, and depression score in the homeopathic treatment group, this decrease was not statistically significant. The homeopathic treatment group compared to the control group showed more improvement in pain score, physical symptoms, anxiety and insomnia, social dysfunction, and mental health. Considering the efficacy of homeopathic “Ipecac” in reducing pain and increasing the quality of life of women with AUB in this study, it can be suggested in AUB without the complication of this treatment.

"Psychological warfare" is always a way to influence the psyche of the enemy and he is used to overcome. psychological ploy against the Prophet and of where it is important that the Prophet can provide us with the wise positions well to learn from history and to know how to deal with the enemy This article introduces the various psychological methods and approach the Prophet's actions has been

From mid 1980s, hysteroscopy has replaced blind dilatation & curettage as a standard procedure for definite diagnosis as well as treatment of intrauterine pathologies such as abnormal uterine bleeding, and infertility. We aimed to evaluate the indications and complications of using hysteroscopy in the management of patients referred to a teaching hospital in Tehran during a 10-year period. Methods and Material:This is an observational analytic retrospective study that was done on the archived files of the patients referred to gynecologic department of Rasool Akram Hospital affiliated to Iran University of Medical Sciences during 1996-2006. A check list containing questions regarding the demographic variables, patient's complaints, findings of physical examinations and sonographic evaluations, previous treatments, and any complications was completed. The data were analyzed using SPSS software version 11.5and Chi-Square and ANOVA tests.Totally 910 files were reviewed. Of them, 26 were excluded because of incomplete records. The mean age of the remaining 884 patients was 34.8 years. Of the 656 multiparous women, 290 (44.2%) had at least one abortion. Also 427 women had abnormal uterine bleeding. After hysteroscopy only seven women (0.8%) had early complications and four women (0.5%) had late complications. In patients for whom myomectomy and septum resection were done, three and two cases of early complications were observed respectively. No complication was seen in patients with uterine ablation.Hysteroscopy is an effective method for management of intrauterine pathologies and is accompanied by low complications.

Laurence-Moon-Biedl syndrome is one of the rare disorders. Herein we report a case of Laurence-Moon-Biedl syndrome with urogenital sinus anomaly.Case Report: The patient was a 17 years old girl with colicky and periodic abdominal pain since 4 months ago who was referred to the gynecology ward of Rasoul Akram hospital affiliated to Iran University of Medical Sciences. In the physical examination we found an abdomino-pelvic mass at the umbilical region. In examination of the genitalia, the vestibule was not seen and no orifice was found between the urethra and the anus.During the laparotomy we found the mass was a huge vagina full of old blood and pyometra, which were drained. The uterus was enlarged but the fallopian tubes and the ovaries were normal. An incision was performed in the perineum, between the urethra and the anus. Then a petzer drain was inserted from the inside of the uterus to the incision.After operation, the patient was treated with conjugated estrogen 0.625 mg/day for 25 days and medroxy progesterone acetate 10 mg/day for 10 days. After discontinuing the both drugs she menstruated. After the first menstruation the petzer drain was dislodged.