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Showing 1514 results for Type of Study: Original Research

Nasser Simforoosh, Ali Taghizadeh, Behzad Amiransari, Abdulkarim Danesh Dezfuli, Hadi Noormohammadi, Abbas Basiri, Safieeh Gol,
Volume 1, Issue 1 (11-1987)
Abstract

Between June, 1984 and January 20, 1987, 69 kidney transplantations were performed in our department. All kidneys were acquired from living donors. 63% of the cases were high-risk MLC-positive (poorly matched), and all but one were from related sources. There were only five rejected kidneys, all of which occurred in kidneys from parent donors. 28 recipients received donor-specific transfusions. Immunosuppression was with azathioprine and prednisone in 40 patients, and in 29 recipients, cyc1osporine and prednisone were the immunosuppressive agents. In four patients, ureteral fistulas occurred but in all of these cases, the grafts were saved by surgical intervention and no mortality resulted. Overall patient survival in 69 transplantations after two and a half years was 95.6% (Average follow up 9.7 months) Renal transplantion is considered a safe procedure that can improve the quality of life for patients with end-stage renal disease on hemodialysis.
Mohammadreza Kalantar Motamedi, Moham Mad Hassan Kalantar Motamedi, Seyyed Ahmamad Hassantash,
Volume 1, Issue 1 (11-1987)
Abstract

The objective of this report is to prove that even after development of ischemic necrosis of the muscles and nerves, we can still save the extremity or the knee and even several days after arterial injury, perform arterial repair and other mentioned procedures. Thus we can retain a functionally satisfactory leg or knee joint, which is far better than classic above-knee amputation and utilization of an artificial leg. 28 cases have been chosen in this series, and arterial repair was performed 24 to 72 hours after arterial injury. The arterial injuries were at or above knee level, all the muscles of the leg were found to be necrotic at the time of arrival, and the leg was senseless below the knee or mid-shin. 23 cases underwent leg salvage, and in five who had fractured tibia or necrosis of the skin of the sole or around the ankle, mid-shaft amputation with knee salvage was performed, rather than above-knee amputation. Only three unsuccessful results were encountered, which the authors feel were due to improper case selection, and one mortality was reported, due to pulmonary embolism. The comparative results were far better than above-knee amputation, both in below-knee amputation and leg salvage, and the patients did not consider themelves disabled either physically or mentally. With proper care, the patients were able to lead completely normal lives with no job opportunity limitations. The authors conclude that even several days after arterial injury and despite ischemic necrosis of muscles and nerves, lower limb or knee salvage is still possible, and classic "a-k"amputation is not the only alternative.
Seyyed Ziaeddin Tabei, Behnam Abdullahi,
Volume 1, Issue 1 (11-1987)
Abstract

Two hundred and ninety cases of non-Hodgkin's lymphoma from the Fars Province Cancer Registry and Mashad University Hospital were reviewed and classified according to the new International Working Formulation for clinical use. The cases fall into low-grade (35 male, 26 female), intermediate-grade (61 male, 26 female), and high-grade (84 male, 26 female) groups. Each group includes several morphologic subtypes which are discussed in detail. In general, lymphomas occurred more frequently in two age groups: 5-20 and 45-65 years. High-grade lymphomas were more common than either low or intermediate-grade types. Interestingly, a high incidence of Burkitt's lymphoma (non-African type) was observed (58 of 290 cases), which occurred most commonly in children under 14 years of age, with the abdomen as a preferred site. Follicular small cell cleaved lymphomas (nodular PDL) were rare in our cases, in contrast to that which is reported in other series. Several cases of lymphomas not included in the Working Formulation such as intermediate lymphocytic lymphoma and its follicular variant (Mantle Zone type) were also observed (15 male, 7 female).
Ali Akbar Velayati, Kiumars Ghazi Saldl, Mohammadreza Taravati,
Volume 1, Issue 1 (11-1987)
Abstract

In this study, it has been our purpose to isolate and serotype enteropathogenic E. coli, salmonella and shigella and determine their resistance to antibiotics. 502 swab specimens were collected during mid-July to midNovember. 1986. from two children's hospitals in Tenran. From 502 cultured specimens. 108 specimens were positive for salmonella. shigella and enteropathogenic E. coli. corresponding to 21.5% of the cases. The frequency of t he isolated species were salmone lao 56 cases (11.1%): enteropathogenic E. coli. -1-7 cases (9.4%). and shigella,.5 cases (1%).
H Sohrabpour,
Volume 1, Issue 1 (11-1987)
Abstract

More than five hundred chemically injured patients were admitted to the Labbafi-Nejad Medical Center in Spring of 1984. These patients were of two groups. The majority of patients had extensive skin burns, eye injuries as well as respiratory problems, and a second group of patients suffered mainly from neuromuscular and psychological problems. In this report, clinical manifestation and observations of the first group, as well as a summary of the therapeutic modalities adopted are presented. We conclude that chemical weapons have a devastaring effect both in short and long term on humans and a more influential stance should be taken by responsible organizations to stop their use.
F Azizi , Ha Rasouli,
Volume 1, Issue 1 (11-1987)
Abstract

Serum levels of glucose, bilirubin, calcium, phosphorus, protein and albumin were measured in a group of nine healthy men before, and on the first, 10th, 20th and 29th day of Ramadan, and four weeks after Islamic fasting was terminated. There was a significant reduction in body weight, a significant increase in serum bilirubin and a slight decrease in calcium during Ramadan. Serum glucose decreased on the first and 10th days of Ramadan, but increased thereafter and reached pre-Ramadan values on the 29th day. The lowest serum glucose recorded was 63 mg/dl. All changes returned to basal values four weeks after Ramadan. There was no significant change in the levels of serum phosphorus, protein or albumin. Physicians caring for Muslims during this month should be aware of these changes.
Mohammad Ashayeri, Fereydon Eslampour,
Volume 1, Issue 1 (11-1987)
Abstract

Management of long bone defects occurring in accidents or war injuries is a difficult problem, From 1978 to 1986, 11 patients were treated for long bone defects of the humerus ( 10 cases) and radius (one case), using free vascularized fibular transfer by microsurgical technique .The patients were followed for 4 months and in all of them, selective angiography and scanning revealed exellent graft :::union:::. We consider free vascularized fibular bone transfer a suitable alternative in management of long bone defects especially those complicated by other reconstructive methods.
Gh Edrissian, A Afshar, A Kanani, Mt Satvatand, M Ghorbani,
Volume 1, Issue 1 (11-1987)
Abstract

In vivo and in vitro assessments of the response of P. falciparum to chloroquine using WHO standard kits and techniques were carried out in I ran Shahr, Sistan and Baluchestan province of Iran in 1985. In the in vivo assessment, 24 malaria patients treated with chloroquine (25mg/kg over three days) were followed up for one to four weeks. The mean parasite clearance time was 4.3 days and in two cases, recrudescence occurred on the 20th and 22nd day. In the micro in vitro test, from among 87 samples, the growth of the parasites was satisfactory in 11 cases (12.6%) and the development of the parasites continued in the presence of higher doses of chloroquine (1.14 to 6.4 micromol/l blood). In the macro in vitro test, from 28 successful tests, the growth of the parasites continued in the presence of higher doses of chloroquine (1.25 to 3 micromol/l blood) in eight cases (28.5%). The present study showed resistance of P. falciparum to chloroquine in Iran Shahr area, southeastern Iran, and confirmed the results of the preliminary studies carried out in this area in 1983.
Sirus Vakili, Mohammadjafar Farahvash,
Volume 1, Issue 1 (11-1987)
Abstract

Hepatoportal sclerosis or idiopathic portal hypertension has a worldwide distribution with prevalence in developing and temperate countries. Of 64 patients with this disease seen during a twelve year period, 36 underwent splenectomy or a shunt procedure. The indications for surgical intervention were severe hypersplenism and persistent left upper abdominal pain andlorhistory of frequent episodes of esophageal bleeding. There were two operative deaths from uncontrollable bleeding. Of 34 patients, none developed esophageal bleeding or encephalopathy on follow-ups ranging from one to 12 years. Splenectomy in patients without bleeding was effective. Proximal splenorenal shunt was also satisfactory in all cases. However, in the last few cases, Warren's shunt has produced even more encouraging results. In addition to a general overview, features of this disease not previously discussed or emphasized in the literature, operative findings and surgical methods used, along with long-term results, are presented.
Mohammad Ghofrani,
Volume 1, Issue 1 (11-1987)
Abstract

To ascertain whether LP was justifiable in cases of first simple febrile seizure, the records of128 such patients were critically reviewed in this study. It was evident that in 90% of those who received cerebrospinal fluid examination as a routine work up, lumbar puncture could have been avoided if the definition of simple febrile seizure was adhered to and the history and clinical findings were given due consideration.
R Farid, Ga Naser,
Volume 1, Issue 1 (11-1987)
Abstract

Rheumatoid arthritis is not a rare condition in east Iran. We have compiled a study of 76 patients with classic and definite RA in the Rheumatology Department of Ghaem Medical School in east Iran. All patients were admitted for clinical and serological evaluation. In terms of sex ratio, pattern of joint involvement, severity and nodularity, RA in east Iran did not resemble that which has been reported from the U.S. or European countries. Articular deformities and disability are rare and there was a striking absence of systemic non-articular complications of rheumatoid arthritis. Only a few patients showed rheumatoid lung disease. The severity of the radiological findings were mild in comparison to the results of Thould and Simon's report. 13
Y Dowlati, A Dowlati , Bv Seyyedi,
Volume 1, Issue 1 (11-1987)
Abstract

A patient who had a migratory cutaneous nodule and tumor removed for the second time was diagnosed as having the liver fluke, Fasciola hepatica. In this article, we present a case report of this peculiar manifestation of fascioliasis, as well as a general overview of the disease.
R Rajabian, Ma Taghinia, A Tavakolizadeh, A Farzad, T Ghiasi,
Volume 1, Issue 1 (11-1987)
Abstract


M Radpour, B Khadivi, F Mahdavian,
Volume 1, Issue 1 (11-1987)
Abstract

Congenital defects of the pericardium are considered rare. Until 1979 , the reported cases were only about 200.1 Total absence of the left pericardium is the most common defect2 and less common is a partial defect of the left pericardium. Other types, i.e. isolated right-sided defects, total pericardial absence and diaphragmatic pericardial defects are very rare.3 Before the last decade, the diagnosis of partial defects of the left pericardium was very difficult and sometimes made only during surgical intervention or post-mortem examination. More recently however, the use of angiocardiography and induced left pneumothorax have made diagnosis of this kind of pericardial defect relatively easy. In the present case, the only finding was the prominence of the left hilum on radiography and the correct diagnosis was made through angiocardiography and left pneumothorax.
Nasser Simforoosh,
Volume 1, Issue 1 (11-1987)
Abstract

Urachal anomalies are exceptionally rare. They can present in different ways in childhood as well as in adults. We present an interesting case of vesico-urachal diverticulum with alternating sinus. The interesting finding in this patient was the inversion and disappearance of the umbilicus at the termination of voiding
Mt Memarzadeh, E Tabarroki,
Volume 1, Issue 1 (11-1987)
Abstract

In this case report, it is our purpose to relate our findings concerning bloody discharge as an ominous sign in the conservative management of premature rupture of membranes, (PROM) as well as to present relevant findings of the amniotic band syndrome such as amputation of one leg, constriction rings in two fingers, and pseudosyndactyly in the toes of the remaining foot in a 28 week old newborn. The bloody discharge was caused by the gradual amputation of these organs
Mr Kalantar Motamedi, S Elyasian,
Volume 2, Issue 1 (5-1988)
Abstract

Severe intraabdominal infection associated with abdominal wall, intraperitoneal and remote organ complications, still carries an unacceptably high morality rate. In addition to the fundamental principle of eradication of the source of infection, various treatment modalities have been suggested to improve the commonly grave outcome. Amongst these, open management (OM) of the septic abdomen, even though based at least theoretically on sound physiologic principles, has not been generally accepted as an uncontroversial method of treatment due to the many and varied complications associated with it. Frustrating efforts in the treatment of severe intraabdominal infection (IAI) led us to investigate a method of open management while avoiding the complications which others have encountered. What you will read in this report are new, innovative techniques in the open management of JAJ which will obviate the complictions of leaving the peritoneal cavity open, such as disruption of anastomoses, evisceration, the need for assisted respiration after paralyzing the patient to prevent evisceration, recurrent abscess formation and need for reexploration to drain such abscesses, complications associated with late closure of the abdominal wall due to severe adhesions, and the negative nitrogen balance existing in such patients. 40 patients have been treated with this method after conventional treatment failure and continued deteriorating condition. Almost all patients had one organ failure (kidney, liver, brain, etc.), and some had multiple organ failure associated with hepatorenal syndrome requiring hemodialysis. Nearly all patients were referred to us in grave condition and were put on this study. The case selection, assessment of patients, preoperative evaluation and preparation, detailed operative technique and post-operative care, along •with the final results are discussed. We are recommending this technique as a sound and safe method of management of severe intraabdominal sepsis, and a modality of treatment with an acceptable mortality rate.
Sh Sajjadi, Ma Javadi, H Ahmadieh,
Volume 2, Issue 1 (5-1988)
Abstract

Anterior megalophthalmos is a developmental anomaly of the anterior ocular segment. This is an X-linked recessive disease and manifests as bilateral enlarged corneas, open iridocorneal angle, hypoplastic iris and dislocation and opacification of an apparently small lens. We have also observed obvious vitreoretinal degeneration in our patients. What may threaten visual acuity later is an open angle glaucoma and retinal detachment. It should be distinguished from simple megalocornea and congenital glaucomatous buphthalmos. Two cases of anterior megalophthalmos in one family are presented and discussed here.
Zhang Jilun, Na Yanqun, Peng Bo,
Volume 2, Issue 1 (5-1988)
Abstract

30 cases of obstructing proximal ureteral stones at the level of L3-L5 which could not be pushed back into the pelvis and passed by a guide wire under epidural anesthesia, were removed percutaneously with the rigid ureteroscope. Multiple stones in one ureter, bilateral ureteral stones and a ureteral stone of a solitary kidney were removed successfully in one session showing the reliability and efficacy of this procedure.
M Sedehi, R Asgharieh, Y Hoseini, R Khorasanizadeh,
Volume 2, Issue 1 (5-1988)
Abstract

From 20 patients with bladder injury due to war trauma, three patients were in critical condition because of extensive bladder injury associated with rectosigmoid injury and septicemia. In these three patients, early supravesical diversion was undertaken using ileal conduit. After stabilization of the patients' condition, undiversion was performed successfully, bringing the patients back to their normal voiding condition

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