eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-11
26
4
192
193
article
Aadenoidectomy efficacy on the extrusion of tympanostomy tube
Abolhassan Faramarzi
Faramarzi@sums.ac.ir
1
Department of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran.
http://mjiri.iums.ac.ir/article-1-1685-en.pdf
Aadenoidectomy
Extrusion
Tympanostomy tube
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-11
26
4
189
191
article
Axillary artery injury with proximal humerus epiphyseal separation: a rare case report
Alireza Jalili
alirezajalili.jalili@gmail.com
1
Farid Najd Mazhar
fnajdmazhar@yahoo.com
2
Mohamad H Ghahramani
mhqahremani@yahoo.com
3
Mehrdad Bahrabad
bahrabadimehr@yahoo.com
4
Hormozgan University of Medical Sciences, Bandarabbas, Iran.
Tehran University of Medical Sciences, Shafa Hospital, Tehran, Iran.
Tehran University of Medical Sciences, Shafa Hospital, Tehran, Iran
Hormozgan University of Medical Sciences, Bandarabbas, Iran.
Fracture of the proximal humerus associated with vascular injury has rarely been reported in children, and only two cases have been reported in the literature. In adults this combination has been reported more frequently. We present the case of a 14 year old boy with proximal humeral epiphyseal separation and axillary artery injury.
http://mjiri.iums.ac.ir/article-1-1684-en.pdf
Axillary artery injury
Epiphyseal separation.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-11
26
4
185
188
article
A rare ovarian tumor, leydig stromal cell tumor, presenting with virilization: a case report
Soheila Aminimoghaddam
dr.aminimoghaddam@yahoo.com
1
Atefeh-Sadat Ebrahimi
md.a_ebrahimi@yahoo.com.sg
2
Forough Hashemi
fhashemi54@yahoo.com
3
Department of gynecology, Firoozgar Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of gynecology, Firoozgar Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of pathology, Firoozgar Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Leydig stromal cell tumor is a rare ovarian tumor that belongs to the group of sex-cord stromal tumors. They produce testosterone leading to hyperandrogenism. We present a 41yr old woman with symptoms of virilization and a mass of right adenex via ultra Sonography, and a rise of total and free serum testosterone. An ovarian source of androgen was suspected and a surgery performed. A diagnosis of leydig-stromal cell tumor was confirmed. Our report is a reminder that although idiopathic hirsutism and other benign androgen excess disorder like Polycystic Ovarian Syndrome (PCOs) are common, ovarian mass should be considered in differential diagnosis.
http://mjiri.iums.ac.ir/article-1-1683-en.pdf
Leydig stromal cell tumor
Androgen secreting neoplasm
Virilizing ovarian tumors
Sex cordstromal cell tumor.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-11
26
4
179
184
article
Depression and general anxiety in the prisoner of war’s children: a cross sectional study
Seyed Hossein Razavi
razavy1354@yahoo.com
1
Seid Kazem Razavi Ratki
razavi822@gmail.com
2
Marzieh Molavi Nojomi
m.nojomi@yahoo.com
3
Nasim Namiranian
namiranian.nasim@gmail.com
4
Faculty of Dentistry Yazd University of Medical Sciences, Yazd, Iran.
Research Institute for Nuclear Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Department of Community Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Department of Community Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Background: The main aim of this study was to assess the prevalence of depression and general anxiety of the prisoners of war (POW) children. The study was also designed to compare the prevalence of depression and general anxiety amongst the POW’s children and normal adults, 20 years after the Iraq-Iran war.Method: An analytic cross-sectional study carried out in June 2009 in Yazd (the centre of Yazd province in Iran). The target and sampled population were the children of the Iranian POW who lived in Yazd .One hundred and twenty six POW’s children, who were born before 1990 (date of father's freedom) were assessed. The duration of father’s captivation was between 29-119 months. Ninety-five subjects accepted to participate. General anxiety and major depression were assessed by Persian version of Hamilton Scale for anxiety and Beck depression Inventory. This study was a combination of the psychological interview and questionnaire. Ninety five of normal adult group were also paired matched and assessed. Result: Among 126 POW’s children who fulfilled the inclusion criteria, the responsive rate was 75.3 % (95 participants).The mean age of participants was 28.3 (SD: 5.34).The father’s captivation duration were 29-119 months (mean: 79.2, SD: 21.6). The prevalence of depression and general anxiety amongst the POW’s children were 48.4% and 79%. The prevalence of depression and general anxiety among the paired group were 21.1% and 63.2%.The differences between two groups were significant (p =0.000). Conclusion: In this study we have demonstrated the prevalence of major depression and general anxiety in POW’s children and a normal adult sample. The differences of major depression and general anxiety among the two groups were significant.
http://mjiri.iums.ac.ir/article-1-1682-en.pdf
Prisoner of war
Depression
General anxiety
Iraq-Iran war.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-11
26
4
172
178
article
Comparison of hematological parameters in untreated and treated subclinical hypothyroidism and primary hypothyroidism patients
Haamid Bashir
haamidb7@gmail.com
1
Mohmmad Hayat Bhat
hayatmb@rediffmail.com
2
Rabia Farooq
rabiajan4uuu@gmail.com
3
Sabhiya Majid
sabumajid@yahoo.com
4
Sheikh Shoib
sheikhshoib22@yahoo.com
5
Rabia Hamid
rabeyams@yahoo.co.in
6
Arshed Ahmad Mattoo
almhdars12345@gmail.com
7
Tabassum Rashid
tabassum.123@gmail.com
8
Arif Akbar Bhat
ariefbhat19@gmail.com
9
Hilal Ahmad Wani
hilalbiochm2007@gmail.com
10
Akbar Masood
akbarmasood@hotmail.com
11
Department of biochemistry, GMC, Srinagar, Kashmir, India.
Department of Medicine, SMHS Hospital, GMC Srinagar.
Department of biochemistry, GMC, Srinagar, Kashmir, India.
Department of Biochemistry, GMC, Srinagar, Kashmir, India.
Department of Psychiatry, GMC, Srinagar, Kashmir, India.
Dept of Biochemistry, University of Kashmir.
Department of biochemistry, GMC, Srinagar, Kashmir, India.
Department of biochemistry, GMC, Srinagar, Kashmir, India.
Department of biochemistry, GMC, Srinagar, Kashmir, India.
Department of biochemistry, GMC, Srinagar, Kashmir, India.
Dept of Biochemistry, University of Kashmir, Srinagar India.
Backgrounds: Thyroid hormones play an important physiological role in human metabolism. Erythrocyte abnormalities are frequently associated with thyroid disorder. However, they are rarely investigated and related to the subclinical and primary hypothyroidism in Kashmiri Patients. In this study an attempt was made to study hematological parameters in untreated and treated subclinical hypothyroidism and primary hypothyroidism patients. Methods: This retrospective study included 600 subjects, among which were untreated subclinical hypothyroid (n=110), treated subclinical hypothyroid (n=110), untreated primary hypothyroid (n=100), treated primary hypothyroid (n=100) and euthyroid (n=180). This study was carried out at Department of Biochemistry, Government Medical College Srinagar. The hematological parameters and thyroid profile of the subjects were assessed by the Sysmex (Italy) and ECLIA (Germany) 2010 automatic analyzer. Mean, standard deviation (SD), analysis of variance (Two-way ANOVA), and multiple comparisons were used to report our results, with p<0.05 or p<0.01 considered as statistically significant. Results: In this study group we compared the hematological parameters in these groups, untreated subclinical hypothyroid, treated subclinical hypothyroid, untreated primary hypothyroid, treated primary hypothyroid and euthyroid. We found that hematological parameters like Hb, RBC, MCV, HCT, RDW,RBC% were significantly increased in untreated subclinical hypothyroidism and untreated primary hypothyroidsm, with the p value being less than 0.05 whereas, in treated SCH & Pr. Hypothyroid, results were insignificant. The results reported in these groups as mean±SD, were statistically tested by ANOVA and multiple comparison tests. In untreated subclinical hypothyroid the values were: Hb (10.83±1.33 g/dl ), RBC (4.21±0.66 106/μl), MCV (84.56±6.84 fL), HCT (38.5±2.2 %), RDW (17.91±2.37 fL), RBC% (84.36±13.2 %) and in untreated primary hypothyroid, Hb (10.73±0.86 g/dl), RBC (4.63±0.51 106/μl), MCV (83.34±6.92 fL), HCT (38.6±2.6%), RDW (14.93±5.47 fL), RBC% (92.63±10.30%) suggesting that these patients were at risk of anemia and other erythrocyte abnormalities. MCV is an inexpensive approach to study the types of anemia and explore related information like production, destruction, loss and morphological changes of RBC'S. Conclusion: The thyroid dysfunction is frequently associated with anemia in subclinical hypothyroidism and primary hypothyroidism. Subclinical hypothyroidism (SCH) is associated with serious complications. Substantial numbers of patients with the risk of SCH could be getting converted into primary hypothyroidism. Such conditions should be identified and corrected. On the other hand, their presence could move to a thyroid dysfunction, allowing its early management.
http://mjiri.iums.ac.ir/article-1-1681-en.pdf
Subclinical hypothyroidism
Primary hypothyroidism
Blood count
Hemoglobin
Red cell distribution
Mean corpuscular volume.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-11
26
4
167
171
article
Contaminated osteochondral plugs: effect of different sterilizing solutions: an experimental study in the rabbit
Hamidreza Yazdi
dr. yazdi88@yahoo.com
1
Mehdi Ramezan Shirazi
mehdi.shirazi@yahoo.co.uk
2
Gholamreza Shafiee
shafiee.gh@yahoo.com
3
Fereshteh Shahcheraghi
m_shahcheraghi@yahoo.com
4
Shafa Yahyaian Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Gonabad University of Medical Sciences, Gonabad, Iran.
Tehran University of Medical Sciences, Tehran, Iran.
Iran Pasteur institute of Microbiology, Tehran, Iran.
Background: To determine the efficacy of different antiseptic solutions (Control group (I), Antibiotic solution (II), Chlorhexidine 0.4% (III), and povidone – iodine 10% (IV)) in sterilizing contaminated osteochondral plugs. Methods: Under sterile conditions, the femoral head and condyles of 20 rabbits were removed and cut into equal osteochondral pieces. A total of 200 osteochondral specimens were obtained. All 200 specimens were dropped on the operating room floor for fifteen seconds and assigned to one of four experimental groups. Group I samples were cultured after washing with normal saline solution (Control group). In other three groups, prior to culturing process, samples were placed in an antibiotic solution after washing with normal saline (Neomycin & Polymyxin) (group II), Chlorhexidine 0.4% (group III), and povidone – iodine 10% (group IV), respectively. Results: In group I, 25 of 50 specimens had positive cultures. Of 50 specimens of group II, III and IV, no positive cultures were found after 10 days. Conclusion: all three agents including antibiotic solution, povidone-iodine 10% and chlorhexidine 0.4% seem effective in sterilizing the contaminated osteochondral samples. According to the literature, povidone-iodine has no negative effect on the cartilage metabolism and seems to be a proper choice of decontaminating solution for osteochondral plugs.To the best of the authors' knowledge, such a study on the contaminated osteochondral specimen has not been previously reported in the literature.
http://mjiri.iums.ac.ir/article-1-1680-en.pdf
Sterilizing
Contaminated
Osteochondral.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-11
26
4
164
166
article
Results of post-laparoscopic cholecystectomy duplex scan without deep vein thrombosis prophylaxis prior to surgery
Mohammad Ali Pakaneh
pakaneh@gmail.ir
1
Abdolreza Pazouki
research@lapsurg.ir
2
Zeinab Tamannaie
zeinabtamannaie@yahoo.com
3
Mohammad Hakimian
mhakimian@yahoo.com
4
Hamid Reza Zohrei
zohrei@yahoo.com
5
Shahla Chaichian
shahlachaichian@yahoo.com
6
Minimally Invasive Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Minimally Invasive Surgery Research Center,Tehran University of Medical Sciences, Tehran, Iran.
Minimally Invasive Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Minimally Invasive Surgery Research Center,Tehran University of Medical Sciences, Tehran, Iran, Islamic Azad University, Tehran Branch.
Backgrounds: There are controversies among surgeons about prophylaxis of deep vein thrombosis (DVT) in laparoscopic cholecystectomy. The aim of this study was the assessment of patients’ condition after laparoscopic cholecystectomy without any prophylactic measure. Methods: 100 cases of laparoscopic cholecystectomy without DVT prophylaxis were followed by duplex scanning in the first postoperative day and by physical examination and patient history at the first to second postoperative week however no clinical sign was found for DVT. Results: Only one case of partially thrombosis (1%) was found by duplex scanning which was managed conservatively. Conclusion: Laparoscopic cholecystectomy may consider as a low-risk procedure and routine prophylaxis may not be justified in the absence of other risk factor.
http://mjiri.iums.ac.ir/article-1-1679-en.pdf
Deep vein thrombosis
Laparoscopy
Cholecystectomy
Duplex scan.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-11
26
4
157
163
article
Relation between Voice Handicap Index (VHI) and disease severity in Iranian patients with Parkinson’s disease
Fatemeh Majdinasab
madjdinassab@yahoo.com
1
Siamak Karkheiran
karkheiran@gmail.com
2
Negin Moradi
neginmoradist@gmail.com
3
Gholm Ali Shahidi
gholamali.shahidi@gmail.com
4
Masoud Salehi
salehi74@yahoo.com
5
Department of Speech Therapy, JundishapurUniversity of Medical Sciences, Ahvaz, Iran.
Movement Disorders Clinic, Rasool Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Speech & language pathology department, Jundishapur Universityof Medical Sciences, Ahvaz, Iran.
Tehran University of Medical Sciences, Tehran, Iran.
Faculty of Management and Medical Informatics, Tehran University of Medical Sciences, Tehran, Iran.
Background: One third of patients with Parkinson’s disease (PD) have mentioned “dysphonia” as their most debilitating communication deficit. Patient-based measurements, such as Voice Handicap Index (VHI) add necessary supplementary information to clinical and physiological assessment. There are a few studies about relation between VHI and disease severity in PD, although none of them showed any significant correlation. The goal of this study was to find correlation between these variables in Iranian PD patients. Method: This cross-sectional, analytical and non-interventional study was done on 23 PD patients who reported a voice disorder related to their disease. They were selected from attendants of movement disorders clinic of Hazrat Rasool Akram Hospital. The relationship between disease severity (according to Hoehn and Yahr/H;Y and Unified Parkinson’s Disease Rating Scale-part3 /UPDRS-III) and VHI questionnaire (and its 3 domains) was investigated based on patients’ sex, UPDRS-III score H;Y and VHI. Results: Total VHI and its 3 domains had no relationship with disease severity (H;Y) in all patients and by sex separation. However, there was a positive correlation between VHI and disease severity (UPDRS-III) (r=0.485). There was also a relation between physical and functional domains of VHI and UPDRS (rP=0.530, rF=0.479) while no relationship observed regarding sex differences. 9 out of 18 UPDRS-III items had strong relationship with VHI (total and 3subscales). Conclusion: Iranian PD patients feel handicap according to voice disorder caused by PD. Patient satisfaction of voice decreases with the disease severity and progression. A larger sample size is necessary to find relationship in genders. VHI is an important issue could be offered to be used in PD beside other assessments.
http://mjiri.iums.ac.ir/article-1-1678-en.pdf
Parkinson’s disease
Disease severity
Voice
VHI
Quality of life.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-11
26
4
150
156
article
Association between spasticity and the level of motor function with quality of life in community dwelling Iranian young adults with spastic cerebral palsy
Nasrin Salehi Dehno
nsalehi358@gmail.com
1
Shohreh Noorizadeh Dehkordi
noorizadeh@razi.tums.ac.ir
2
Mehdi Dadgoo
mehdidadgoo@yahoo.com
3
Masoud Salehi
salehi74@yahoo.com
4
Department of Physical Therapy, Rehabilitation Faculty, Tehran University of Medical sciences, Tehran, Iran.
Department of Physical Therapy, Rehabilitation faculty, Tehran University of Medical Sciences, Tehran, Iran.
Department of Physical Therapy, Rehabilitation Faculty, Tehran University of Medical sciences, Tehran, Iran.
Department of biostatistics, Faculty of management and Medical informatics, Tehran University ofMedical Sciences, Tehran, Iran.
Background: Consequences of cerebral palsy in adulthood can affect physical, psychological capabilities and quality of life. The purpose of this study was to investigate the relationship between quality of life with spasticity and level of motor function in Iranian young adults with spastic cerebral palsy who were community dweller. Methods: In an analytical cross sectional study, 77 participants with spastic cerebral palsy (44 women، 33 men) with age range of 20 to 40 years (mean age 26.19±5 yr) took part in this study. They were enrolled from three Raad Rehabilitation Goodwill complexes in Tehran and Karaj cities. All subjects were recruited through convenient sampling. Severity of Spasticity for knee flexors was measured with Modified Tardieu Scale. In addition, the level of motor function, and quality of life were assessed respectively through Gross Motor Function Classification System and World Health Organization Quality of life questionnaire (WHOQOL- BREF). To analyze data, Pearson and spearman correlation coefficient was used. Results: No correlation found between quality of life with knee flexor muscles spasticity and level of motor function (p> 0.05). Conclusion: Quality of life as a multi dimensional concept has been impacted by many factors such as physical status, environmental issues and culture. Possibly, severity of spasticity and level of function have a less pronounced effect on quality of life in community dwelling adults with cerebral palsy.
http://mjiri.iums.ac.ir/article-1-1677-en.pdf
Adult
Cerebral palsy
Quality of life
Spasticity