eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2010-08
24
2
109
114
article
Huge obstructive bladder diverticula and cystic dysplastic kidneys in a newborn: a challenging dilemma
Nakysa Hooman
hakiwa@iums.ac.ir.
1
Farideh Hallaji
2
Fariba Jahangiri
3
Seyed Hassan Mostafavi
4
Department of Pediatric Nephrology, Ali-asghar Children Hospital, Iran University of MedicaSciences. N193, Ali- Asghar Children Hospital, Vahid-Dasgerdi St., Modarres Expressway, Tehran, Iran.l
Department of Radiology, Ali-Asghar Children Hospital, Iran University of Medical Sciences.
Department of Pediatric Surgery, Ali-asghar Children Hospital, Iran University of Medical Sciences.
Department of Radiology, Ali-asghar Children Hospital, Iran University of Medical Sciences.
AbsractThis study investigated a 63-day boy with end stage renal disease and abdominalcysts. The antenatal sonography detected anhydraminos, posterior urethral valve,and cystic dysplastic kidneys. Voiding cystourethrogram revealed two obstructivegiant diverticula which at first looked like enlarged renal pelvis. The patient had persistenturinary tract infection and perforation of diverticula. The dialysis was ineffectivebecause of leakage, immeasurable inflow and dwell volume, peritonitis and tunnelinfection. As a result, the availability of automated peritoneal dialysis for infantsis recommended to reduce morbidity and increasing the survival rate. Nonethelessthe giant bladder diverticules might be better managed by diverticulectomy procedure.
http://mjiri.iums.ac.ir/article-1-167-en.pdf
congenital bladder diverticula
cystic renal dysplasia
end stage renal
disease anhydraminos
prenatal diagnosis
urinary tract infection
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2010-08
24
2
107
109
article
Gastritis cystica polyposa in an unoperated stomach, treated by endoscopic polypectomy
Mahsa Molaei
m_molaei@sbmu.ac.ir
1
Mahdi Yadollahzadeh
2
Reza Mashayekhi
3
Mojgan Foroutan
4
Mohammad Reza Zali
5
Shahid Beheshti University, M.C. Research Center for Gastroenterology and Liver Disease (RCGLD) in Shahid Beheshti University M.C.,7th floor, Taleghani Hospital, Evin, Tehran , Iran. P.O.Box 19835-187,
Shahid Beheshti University, M.C.
Shahid Beheshti University, M.C.
Shahid Beheshti University, M.C.
Shahid Beheshti University, M.C.
AbsractGastritis cystic polyposa is a rare and peculiar polypoid lesion arising at a gastroenterostomysite, and almost always on the gastric side. It is characterized by elongationof the gastric foveolae along with hyperplasia and cystic dilatation of the gastricglands extending into the submucosal layer. Esophagogastroduodenoscopy in a47-year-old woman without any history of gastric operation revealed a pedunculatedpolyp approximately 2 cm in diameter, in a background of erythematous gastric foldsalong the anterior wall of the fundus. Polypectomy was performed, with endoscopicimpression of hyperplastic or fundic gland polyp, without any complications.Histopathological findings were consistent within gastritis cystic polyposa(GCP). Amild Helicobacter pylori colonization in gastric pits was seen. GCP could occur in anunoperated stomach and treated by endoscopic polypectomy. However, removal andhistopathologic confirmation of these lesions are necessary.
http://mjiri.iums.ac.ir/article-1-165-en.pdf
Gastric polyp
gastritis cystica polyposa
endoscopic polypectomy
H.pylori
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2010-08
24
2
103
106
article
Abdominal tuberculosis presenting with peritonitis and enteroliths: report of a rare case and literature review
Jalaluddin Khoshnevis
1
Niki Tadayon
niki_td @yahoo.com
2
Arash Najaf Beygi
3
Department of Vascular And Trauma Surgery. Shohada-e-Tajrish Hospital. Tajrish sq.Tehran. Iran.
AbsractWe are presenting a case of abdominal tuberculosis who had peritonitis and twolarge enteroliths were removed from the small intestine during laparotomy. Followinga full course of medical treatment, she developed small bowel obstruction andtreated by laparotomy & enterolysis but showed no evidence of stricture. We had adiagnostic and management challenge which will be discussed along with a reviewof the literature.
http://mjiri.iums.ac.ir/article-1-164-en.pdf
abdominal tuberculosis
stricture
enterolith.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2010-08
24
2
96
102
article
Immunophenotype of peripheral blood lymphocytes following thermal injury in patients
Kobra Z Entezami
entezami 189@ yahoo.com
1
Arezo khosravi
2
Tahereh Mousavi
3
Mohammad Ali Bahar
4
Iran University of Medical Sciences, Shahid Hemmat expressway,Tehran, Iran
Iran University of Medical Sciences, Shahid Hemmat expressway,Tehran, Iran.
Iran University of Medical Sciences, Shahid Hemmat expressway ,Tehran, Iran.
Iran University of Medical Sciences, Shahid Hemmat expressway,Tehran, Iran.
AbstractBackgroundcontributes substantially to patient morbidity and mortality.In this study we investigatedthe range and distribution of T-lymphocyte. Subsets CD3helper/inducer cell,.th ), CD8: Severe immunosuppression occurs after large thermal burn and probably+ (T cells) CD4+ (T+ (T suppressor /Cytotoxic cells ,TS/C), CD3+CD4thermal injury.+/CD3+CD8+ ratio, CD19+ (B cells) and CD16+ (NK cells ) in patiens followingMethodsstudied.The total body surface area of the burn injury, ranged from 30 to >70%. Wholeblood samples were collected at three and seven days postburn. Partec flowcytometrysystem and triple color flowcytometry reagents (Dako Co), were used to evaluate peripheralblood lymphocytes population of patients admitted at the Motahary Burn Centerin Tehran.: Forty male, aging 18-60 years with major thermal injury wereResultsreduction in relative number of CD3postburn.CD4range in seven days following injury. CD19burn patients at both three and seven days. The number of CD16declined in three days and moderately increased on day seven, following injury.Thus, the data showed that thermal burn injury suppressed T-lymphocyte subsets proliferationin various days .In addition, all compartments of showed phenotypic changesin the 3th and seventh days after burn, in different groups of age. Thermal burn injurysuppressed T cell subsets proliferation on day 3 and 7 postburn, when compared to normalcontrols. (P <0.05) at 3 and 7 days post burn.: Compare to healthy controls, patients with burns have shown a significant+, CD4+ and CD8+ T cells at three and seven adys+/CD8+ ratio were below normal range in three days and remained in normal+ B cell populations were elevated in+ NK cells were significantlyConclusionfactor in immunosuppression and development of sepsis in thermal burn patients.: Significant changes in lymphocytes population could be an important
http://mjiri.iums.ac.ir/article-1-163-en.pdf
Burn
T lymphocytes
B lymphocytes
NK cells
CD4+/CD8+ ratio
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2010-08
24
2
88
95
article
The LMACTrach, a new approach for endotracheal intubation: Apilot study in 100 patients undergoing elective surgery
Valiollah Hassani
1
Maryam Zafarghandi
leoanesthesia@yahoo.com
2
Mohammad Farhadi
3
Department of Anesthesiology, Hazrat Rasoul Hospital, Iran University of Medical Sciences, Tehran, Iran.
Hazrat Rasoul Hospital, Iran University of Medical Sciences, Tehran, Iran,
Department and Research Center of ENT and Head & Neck Surgery, Hazrat Rasoul Hospital, Iran University
AbstractBackgroundand endotracheal intubation under direct vision in both anticipated and unexpecteddifficult intubation situations.: The LMA CTrach system is a new device for airway managementMethodsdifferent types of elective surgeries. After randomly selecting the patients for intubationwith this new device, the airway characteristics, height, weight, dental overbiteand thyromental distance were all evaluated before induction. Our goal was to exploreprimarily the success rate of intubation with LMACTrach.: We used this system in 100 patients undergoing general anesthesia forResultsall 100 patients. Nonetheless, successful tracheal intubation was performed in 95 patients.Among our patients, 2 had Mallampati grade IV airways with short necks,body mass index (BMI) > 30, and without the capability to bite their upper lips.Amazingly both patients were intubated with this method, proving a device as an assuringapproach in cases of difficulty with ventilation and intubation. Of all patients,44 were females and 56 males. The mean age was 34 ± 2 years. BMI measured for allpatients was 20-25 except for two cases who had BMI > 30.: We were able to insert LMA CTrach and provide optimal ventilation inConclusionand vocal cords during intubation even in difficult cases, it can be assumed that thisdevice is a precious aid as equal as fiberoptic bronchoscopy for the anesthesiologists.: Since the LMA CTrach provided us with direct view of the larynx
http://mjiri.iums.ac.ir/article-1-161-en.pdf
LMACTrach
intubation
airway characteristics
Mallampati grade
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2010-08
24
2
83
87
article
Street children in Tehran and risk factors for substance abuse
Hamid Reza Ahmadkhaniha
1
Mitra Hakim shooshtari
mitra_hakim2000@yahoo.com
2
Mehrdad Mohammadian
3
Morteza Naserbakht
4
Farzad Ghazaiepour
5
Mental Health Research Center of Tehran Psychiatric Institute, Iran University of Medical Sciences,Tehran, Iran.
Iran University of Medical Sciences, Shahid Mansouri Alley, Niayesh Alley, Satarkhan Avenue, Tehran Psychiatric Institute
Iran University of Medical Sciences, Mental Health Research Center of Tehran
Mental Health Research Center of Tehran Psychiatric Institute.
Mental Health Research Center of Tehran Psychiatric Institute.
Abstract Background: Economy, lack of welfare and social services, AIDS and civil war, and also substance abuse are predominant factors that attributes with street children. Method: 576 street children of 10-19 years were evaluated. Data were gathered by demographic and substance use check list. Theses check lists were designed by the researchers and included some simple question about type and duration of substance use. Several psychiatrists confirmed the content of check list. Results: 36.7% of the children had lifetime smoking of cigarette. The frequency of smoking in boys was significantly higher than girls (P<0.05). The mean age of the girls with smoking habit was significantly lower than the boys (P<0.05). Conclusion: It should be noted that street children are at high risk group for using tobacco. Theses children are also exposed to the dangerous behaviors and sexually transmitted diseases.
http://mjiri.iums.ac.ir/article-1-159-en.pdf
street children
substance use and Iran
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2010-08
24
2
79
82
article
Evaluation of ventriculoperitoneal shunt malfunction regarding ventricular catheter placement
Reza Mollahoseini
1
Ashkan Khajoo
khajoo@gmail.com
2
Peiman Habibollahi
3
Faculty of Neurosurgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran
Firoozgar Hospital, Iran University of Medical Sciences
Tehran University of Medical Sciences, Tehran, Iran
AbstractBackgroundline of treatment for management of hydrocephalus despite available new techniques andsystems of shunting. Associated complications should be recognized and managed properly,but the most recognized complications are shunt obstruction which its prevalencethrough surgical approach is discussed here. Two approaches (frontal and parietal) are usedto insert ventriculoperitoneal shunt. In this study we retrospectively examined patterns ofshunt failure in patients with symptoms of shunt malfunction. Factors analyzed includedsite of failure, time from shunt placement or last revision of failure, age of patient at time offailure, infection and primary etiology of hydrocephalus. Two approaches were comparedto determine which one is more associated with shunt failure.: Shunting procedures specifically ventriculoperitoneal shunts are the mainMethodsretrospectively examined, in 126 cases who were shunted through frontal approach, 48 casesand in 124 patients whose shunts were inserted through parietal approach 64 cases ofmalfunction observed. All data was analyzed with SPSS software and with T-test,and thenthe failure rate for frontal versus parietal approach was compared.: 250 patients with symptoms of shunt malfunction over 4 years period wereResultsof underlying cause of ventriculoperitoneal shunt failure was observed, with theless failure rates through frontal approach.: Significant difference in malfunction rate between these two approaches regardlessConclusionshunt failure and frontal approach demonstrated less failure rate, but as it isknown placing the catheter tip away from the choroids plexus is the most important factoravoiding obstruction.: Although proximal obstruction is the most common cause of ventriculoperitoneal
http://mjiri.iums.ac.ir/article-1-158-en.pdf
Hydrocephalus
ventriculoperitoneal shunt complication
CSF shunt devices
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2010-08
24
2
72
78
article
Hearing impairment due to cigarette smoking and simultaneous exposure to occupational noise
Yasser Labbafinejad
1
Saber Mohammadi
2
MirSaeed Attarchi
drmsattarchi@gmail.com
3
Mashallah Aghilinejad
4
Occupational Medicine Department and Occupational Medicine Research center of Iran University of Medical Sciences, Tehran, Iran.
Occupational Medicine Department and Occupational Medicine Research center of Iran University of MedicalSciences, Tehran, Iran.
Occupational Medicine Department and Occupational Medicine Research center of Iran University of Medical Sciences, Tehran, Iran.
Occupational Medicine Department and Occupational Medicine Research Center of Iran University of Medical Sciences, Tehran, Iran.
Abstract Background : Noise is the most common hazard in the workplace and noise induced hearing loss considered to be the most common occupational disease as well. Cigarette smoking, in some studies, has been known to induce hearing loss. The purpose of this study was to evaluate the effect of contemporary exposure to occupational noise and cigarette smoking on hearing. Methods : 478 assembly workers of an automobile plant which were exposed to the noise more than TLV (threshold limit value) level included in this study. After considering the exclusion criteria, all participants according to the smoking status were divided in smoker and nonsmoker groups and compared for hearing impairment. Hearing impairment in this study was assessed with the offered method of American Academy of Otolaryngology (AAO). Results : Of 478 assembly workers, 225 persons were smokers and others non smokers. Prevalence of hearing impairment in smokers was significantly higher (p<0.001). Hearing impairment had a significant relation with smoking status even after adjusting for cofounders like age and duration of work (OR=8.23, 95% CI=3.63-18.66). Conclusion : The results of this study suggested that cigarette smokers had more hearing impairment than non smokers. According to these results we concluded that in working environments, especially in noisy ones, workers must be encouraged to quit smoking and regular audiometric tests, especially for smokers, must be applied. We must consider not only the noise, but indeed all effective elements of hearing impairment in working environment that could compromise the hearing.
http://mjiri.iums.ac.ir/article-1-157-en.pdf
Hearing impairment
cigarette smoking
noise
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2010-08
24
2
67
71
article
Randomized clinical trial of sedation with oral midazolam for voiding cystourethrography in Children
Hadi Sorkhi
1
Mohammad Kazem Bakhshandeh Bali
mkbakhshandeh@yahoo.com
2
Haji Ghorbann Nooreddini
3
Non-Communicable Pediatric Disease Research Center, Babol University of Medical Sciences,Babol, Iran.
Amirkola Children Hospital, Babol University of Medical Sciences, Babol, Iran
Babol Medical University, Iran.
Abstract Background: Voiding Cystourethrography (VCUG) is a distressing procedure for children. Conscious sedation with any drug that its dose would not influences the procedure is preferred. The aim of this study was to assess the effectiveness of conscious sedation using oral midazolam in children undergoing VCUG. Methods: From November 2008 to October 2009 period, 93 Patients (68 girls and 25 boys), age ranging from 24 months to 11 years old (mean, 5.8 years) were double blindly randomized to receive a placebo (water) or oral midazolam before the examination. The primary outcome measures were patients' cooperation, facility of the procedure, 48 hours post procedure memory of children, bladder urine residue and detection of Vesocoureteral reflex. The data were analysed by SPSS and categorical variables compared using t-test and continuous variables compared using Chi. Square and Fisher’s exact tests. Results: 93 children were randomizly divided in two groups. In midazolam group, 44(93.6%) patients had good cooperation but in the control group 26(56.5%) had bad cooperation and 19 patients (41.3%) very bad cooperation (P=0.000). In midazolam group, 36 children (76.6%) had easy separation from their parents but in control group 20 children (43.5%) had moderate resistant and 21(45.7%) severe resistant. (P=0.000). Eighteen (38 %) patients of the study group and twenty patients (43 %) of control group had VUR respectively (P=0.65). Conclusion: According to this study, midazolam is a useful sedation in children undergoing VCUG.
http://mjiri.iums.ac.ir/article-1-156-en.pdf
conscious sedation
midazolam
pediatric radiology
urinary tract infection
voiding cystourethrography (VCUG).
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2010-08
24
2
57
66
article
Polymorphism analysis of malaria susceptibility biomarkers in G6PD deficiency patients
Mohammad Reza Noori-daloii
nooridaloii@sina.tums.ac.ir
1
Mohammad Reza Alivand
2
Parisa Atef-Vahid
3
Feyzollah Hashemi-Gorji
4
Mehrdad Hashemi
5
Department of Medical Genetic, Faculty of Medicine, Tehran University of Medical Sciences, Pour Sina
Departments of Medical Genetic, National Institute of Genetic Engineering and Biotechnology (NIGEB), Tehran, Iran
Departments of Medical Genetic, National Institute of Genetic Engineering and Biotechnology (NIGEB), Tehran, Iran.
Department of Genetics, Science and Research Branch, Islamic Azad University, Tehran, Iran
Departments of Molecular Genetics, Islamic Azad University, Tehran Medical Branch, Tehran, Iran.
Abstract Background: Several studies suggested that some traits and polymorphisms in human genome such as G6PD deficiency and other genes have protective effects on susceptibility to malaria infection . Methods: In present study we investigated the prevalence of TNF [1] -244GgA, TNF [1] - 308 GgA,TNF [1] -238GgA, NOS2-954GgC, MBL54GgA, MBL 57GgA, MBL IVSI - 5 GgA polymorphisms and G6PD variants (Mediterranean, Chatham, Cosenza, A - (202,376) in 315 subjects with G6PD deficiency and 10 malaria patient. All the 315 subjects were selected from five provinces (Fars, Khuzestan, Esfahan, Yazd and Kerman and screened by PCR-RFLP method . Results: The NOS2-954GgA consisted GG(40.31%), GC(53.01%), and CC(6.66% ) where as TNF [1] -308 consisted GG(68.8%), AG(31.11% ) contents. The TNF [1] -244 showed GG(94.60%), AG(5.39%) genotypes and the TNF [1] -238 had GG(92.69% ), AG(6.66%), AA(0.63%) genotypes. The MBL54 polymorphism had GG(75.55%), AG (24.44%), AA(0.63%) genotypes. In MBL 57, had GG(95.23%), AG(4.76%), AA (0.63%) genotypes. The G6PD variants was indicated that Mediterranean mutation in Fars, Khuzestan, Esfahan, Yazd and Kerman provinces was 79.4%, 58%, 83/8%, 64% and 63% respectively and also, the Chatham mutation was 8.8%, 8% 4.5%,3.6% and 0% respectively. Analysis of other four mutations (Cosenza, Arures and A-202 and A-367 ) showed that none of them had those mutations . Conclusion: Our results suggested that genotypes which causes protection against malaria or reduction of risk for celebral malaria and death has the maximum prevalence in samples taken from the five provinces, but in the kolmogorov-smiranov test results, only NOS2-954GgC supported the theory of relation between these polymorphisms and protection against malaria .
http://mjiri.iums.ac.ir/article-1-155-en.pdf
G6PD
Polymorphism
PCR-RFLP
TNF
MBL2
NOS2
Mediterranean