eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-08
26
3
147
149
article
Non-infectious approach to ventilator-associated pneumonia (VAP) in neonates: a new concept
Karim Poorsattar Bejeh Mir
k.poorsattar@gmail.com
1
Arash Poorsattar Bejeh Mir
arashpoorsattar@gmail.com
2
Division of Neonatology, Department of Pediatrics, Amir Mazandarani Hospital, Sari, Iran.
Dentistry School, Babol University of MedicalSciences, Babol, Mazandaran, Iran.
http://mjiri.iums.ac.ir/article-1-1307-en.pdf
Ventilator-associated pneumonia
Non-infectious
neonates.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-08
26
3
143
146
article
Osteoid osteoma of a scapula: a case report in a 34 years old woman
Hojjat Hossein Pourfeizi
hojjat.pourfeizi@gmail.com
1
Jafar Ganjpour Sales
j-ganjpour@yahoo.com
2
Asghar Elmi
elmimail@yahoo.com
3
Ali Tabrizi
ali.tab.ms@gmail.com
4
Orthopedics Department, Tabriz Medical University, Tabriz, Iran.
Orthopedics Department, Tabriz Medical University, Tabriz, Iran.
Orthopedics department, Tabriz Medical University, Tabriz, Iran.
Orthopedics Department, Tabriz Medical University, Tabriz, Iran.
Osteoid osteoma is a benign bone tumor and accounts for 10% of benign tumors. Almost any bones can be involved but half of cases involving femur or tibia. Osteoid osteoma is a rare tumor of the scapula with only 18 reported cases in the literature. We presented a case of osteoid osteoma of the scapula in right shoulder in angle of coracoid and geloneid in a 34- year old woman. She had right radicular shoulder pain increased at night for 4 years. An important point about this case is that, patient was treated in long-term with miss diagnosis of cervicospinal discopathy. The key of diagnosis in this patient was paying attention to the nature of night increasing pain and performing bone scan. After the operative curettage of the tumor, the pain dramatically stopped and a few weeks of physical therapy led to full range of motion in her shoulder.
http://mjiri.iums.ac.ir/article-1-1059-en.pdf
Osteoid osteoma
Scapula
Shoulder.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-08
26
3
140
142
article
A case report on bronchoalveolar carcinoma presenting as non-resolving consolidation
Sheikh Shoib
sheikhshoib22@yahoo.com
1
Javid A. Malik
javaidmalik2009@yahoo.com
2
Haamid Bashir
haamidb7@gmail.com
3
Tasleem Arif
dr_tasleemarif@yahoo.com
4
Department of Psychiatry, Govt Medical College Srinagar, Kashmir, India.
Head of Department, Chest Medicine, SKIMS, Srinagar, Kashmir, India.
Department of Biochemistry, Govt Medical college Srinagar, Kashmir, India.
Department of Dermatology, Govt Medical College Srinagar, Kashmir, India.
Abstract Bronchoalveolar carcinoma
presenting as non-resolving consolidation is an uncommon presentation. The typical
presentation of bronchoalveolar carcinoma is asymptomatic (solitary nodule) and
remains without symptoms even as disease disseminates. We report a case of
bronchoalveolar carcinoma presenting as non-resolving consolidation in a young
male with productive cough, exertional breathlessness and physical examination
revealing the features of right lower consolidation on x-ray chest, with
subsequent CT of the chest and bronchoscopic examination revealed
bronchoalveolar carcinoma. Patient had good score and was managed
conservatively.
http://mjiri.iums.ac.ir/article-1-1058-en.pdf
Bronchoalveolar carcinoma
Solitary nodule
Non-resolving consolidation.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-08
26
3
132
139
article
Radiographic indices in one hundred fifty normal Iranian wrists
Davood Jafari
djafari@tums.ac.ir
1
Hamid Taheri
taheri-ham@yahoo.com
2
Hooman Shariatzade
shariatzade-h@hotmail.com
3
Farid Najd Mazhar
fnajdmazhar@yahoo.com
4
Alireza Jalili
alirezajalili.jalili@gmail.com
5
Mohamad Ghahramani
mhqahremani@yahoo.com
6
Department of Hand Surgery, Shafa Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of Hand Surgery, Shafa Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of Hand Surgery, Shafa Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of Hand Surgery, Shafa Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Hormozgan University of Medical Sciences, Mohamadi Hospital, BandarAbbas, Iran.
Department of Hand Surgery, Shafa Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Abstract Background: Radiography is
the most widely available imaging modality. Precise evaluations of wrist x-ray can
help diagnosis and evaluate the prognosis of many wrist disorders. Methods: We measured
length, angles and indices in 150 posteroanterior and lateral wrist x-rays to
determine normal dimensions and variations according to age and sex. All x-rays
were made with standard exposure, with the wrist and forearm in a neutral
position. Results: The average
carpal height ratio was 0.52±0.03 with the Youm method and 1.5±0.09 with the
Nattrass method. Mean ulnar variance was +0.99±1.6 mm and mean radial
inclination was 25±4 degrees. The average radial tilt was 10±5.1 degrees. Mean
scapholunate angle was 50±8.4 degrees (normal range 40 -60). Conclusion: Carpal height,
third metacarpal and capitate length were smaller in women than in men. There was
a significant positive relationship between all dimensions. Our data base may
be used to follow-up in conditions such as carpal instability, osteoarthritis
and osteonecrosis, as well as for clinical research.
http://mjiri.iums.ac.ir/article-1-1057-en.pdf
Wrist measurements
Wrist radiography
Wrist indices.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-08
26
3
125
131
article
Changes in the muscle strength and functional performance of healthy women with aging
Mohammad Akbari
akbari_mo@tums.ac.ir
1
Roghayeh Mousavikhatir
rmosavi_pt@yahoo.com
2
Department of Physical Therapy, School of Rehabilitation, TehranUniversity of Medical Sciences, Tehran, Iran.
Department of Physical Therapy, Tehran University of Medical Sciences, Tehran, Iran.
Background: Lower limbs antigravity muscles weakness and decreased functional ability have significant role in falling. The aim of this study was to find the effects of aging on muscle strength and functional ability, determining the range of decreasing strength and functional ability and relationship between them in healthy women. Methods: Across-section study was performed on 101 healthy women aged 21-80 years. The participants were divided into six age groups. The maximum isometric strength of four muscle groups was measured using a hand-held dynamometer bilaterally. The functional ability was measured with functional reach (FR), timed get up and go (TGUG), single leg stance (SLS), and stairs walking (SW) tests. Results: Muscle strength changes were not significant between 21-40 years of age, but decreased significantly thereafter. Also, there was a significant relationship between muscle strength and functional ability in age groups. Conclusion: Both muscle strength and functional ability is reduced as a result of aging, but the decrease in functional ability can be detected earlier.
http://mjiri.iums.ac.ir/article-1-1056-en.pdf
Aging
Dynamometer
Functional performance
Muscle strength.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-08
26
3
118
124
article
Health related quality of life and pain characteristics among Iranian patients suffering non-malignant chronic pain
Seyed Behnamedin Jameie
behnamjameie@tums.ac.ir
1
Narges Sadat Shams-Hosseini
shams1361@yahoo.com
2
Atousa Janzadeh
atusa_j@yahoo.com
3
Mohammad Sharifi
iranpain.ips@gmail.com
4
Mahdie Kerdari
mhd136355@gmail.com
5
Department of Medical Basic Sciences,Faculty of Allied Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Bahrloo Hospital, Faculty of Medicine, Tehran,University of Medical Sciences, Tehran, Iran.
Faculty of Allied Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Iranian Pain Association.
Rasoul Hospital, Faculty of Allied Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Background: Chronic pain is a frequent disability that negatively affects patient’s quality of life. Understanding of the possible relation between sociodemographic and medical variables with Health Related Quality of Life (HRQL) may help identifying the multidimensionality of pain and risk factors that limit physical and psychological adjustment of the patients. The present study was done to find these possible relationships, based on using Medical Outcomes Survey-Short Form (SF-36). Methods: Among the patients who were referred to pain clinic of Iranian Pain Society, 101 consecutive outpatients were select based on the defined inclusion and exclusion criteria. All the participants in this study orally satisfied and were fully informed by a check list and SF-36 questionnaire. The possible impact of demographic variables, characteristics, diagnosis, analgesic use, smoking and opium addiction were collected as the first part of a routine pretreatment evaluation. Results: Our findings showed significant relation between HRQL and gender (P<0.05), the rate of chronic pain in female was higher than male, and same results found for elderly patients compared to younger ones. Our findings also showed significant relation between employment and intensity of pain (p=0.001) as, employed patients showed less physical and psychotic problems than unemployed ones. The mean average of intensity of pain in these patients was 7.5±2.2 few patients used alcohol (4%), opium (1%) and cigarette (10%). Large number of participants used analgesic (%78.2). No significant difference between sociodemographic features with pain duration and quality of life was found. In contrast our data showed significant difference between pain intensity and quality of life (p<0.001). Conclusion: Based on our findings it could be concluded that chronic pain in Iranian patients certainly leads to poor HRQL, the state is more serious in the elderly and female patients. Thus, in order to re-socialize the patients suffering chronic pain and decrease the impact of their pain on their life, these findings should be considered in any kind of pain relief therapy.
http://mjiri.iums.ac.ir/article-1-1055-en.pdf
Chronic pain
Health-related Quality of Life
SF-36 questionnaire.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-08
26
3
114
117
article
Effect of three different sanitizing solutions on the contaminated bone: an experimental study in the rabbit
Hamidreza Yazdi
dr.yazdi88@yahoo.com
1
Mehdi Ramezan Shirazi
mehdi.shirazi@yahoo.co.uk.
2
Omid Momen Shouli
momenshouli@yahoo.com
3
Farzad Yazdi
farzad.yazdi@yahoo.com
4
Alireza Moslem
alirezamoslem@gmail.com
5
Tehran University of Medical Sciences, Tehran, Iran.
15th Khordad Hospital, Gonabad University of Medical Sciences, Gonabad, Khorasan, Iran.
Gilan University of Medical Sciences, Gilan, Iran.
Shahrekord Azad University, Iran.
Gonabad University of Medical Sciences, Khorasan, Iran.
Background: To determine the efficacy of three different antiseptic solutions (Control group (I), Antibiotic solution – Neomycin and polymyxin (II), Chlorhexidine 0.4% (III), and povidone – iodine 10% (IV)) in disinfecting contaminated bone fragments. Methods: Under sterile conditions, the femora of 12 rabbits were removed and cut into six millimeter pieces. A total of 200 bone 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 immersion in normal saline solution (Control group). In other three groups, prior to culture the samples, they were washed with normal saline for ninety seconds and placed in an antibiotic solution (Neomycin & Polymyxin) (group II), Chlorhexidine 0.4% (group III), and povidone-iodine 10% (group IV) respectively. Results: In group I, 22 of 50 specimens had positive cultures. Of 50 specimens of group II and IV, positive cultures were found in 3 and 2 grafts respectively after 10 days whereas no positive cultures were detected in any samples of group III. Conclusion: Chlorhexidine 0.4% seems to be the best antiseptic solution for discontaminating the contaminated bone samples although it did not have any significant difference with povidone-iodine and other antibiotic solution.
http://mjiri.iums.ac.ir/article-1-1054-en.pdf
Sanitizing solutions
Contaminated bone.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-08
26
3
110
113
article
Comparison of long terms follow up results in patients with cervical disk disease treated with anterior PEEK cage implantation and without it in Rasoul Akram Hospital
Reza Mollahoseini
r_mollahoseini@yahoo.com
1
Ashkan Khajoo
a.khajoo@gmail.com
2
Zeynab Sharifian
z.sharifian@gmail.com
3
Mir Abolfazl Motiei
heart_iums@yahoo.com
4
Rasoul Akram Hospital, Tehran University of Medical sciences, Tehran, Iran.
Islamic Azad University, Tehran Medical Branch, Tehran, Iran.
Islamic Azad University, Tehran Medical Branch, Tehran, Iran.
Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Background: Anterior interbody fusion of the cervical spine have become the gold standard for treating spinal diseases, hence the aim of this study was to compare long term follow up results in patients with cervical disk disease treated with anterior PEEK cage implantation and without it in anterior approach. Methods: Retrospectively 63 patients with known cervical discogenic disorders who went under surgery with and without cage implantation were enrolled. The neurological examination and neurologic function were assessed by using the Japanese Orthopedic Association (JOA) scoring system and neurological cervical spine scale (NCSS) before and 8 years after surgery in each patient and at the end all complications were recorded. Results: In the first group, there were 15 males and 14 females (mean age: 49±10 years) and in the second group there were 27 male and 7 female (mean age: 47±9 years). The NCSS score was significantly different between two groups after surgery (p=0.035) but there was no significant difference before surgery (p=0.163). No statistical significance difference was also observed in JOA score and complications before and after procedure, but JOA post surgery score between two groups had significant difference (p=0.047) . Conclusion: In conclusion, present study showed that PEEK cage implantation is a highly useful alternative to the conventional treatment methods.
http://mjiri.iums.ac.ir/article-1-1053-en.pdf
Anterior cervical fusion
PEEK cage
Cervical disk diseases
Long term follow up.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-08
26
3
103
109
article
Parathyroid adenoma Localization
Shirzad Nasiri
nasiri@razi.tums.ac.ir
1
Ahmadreza Soroush
soroush1344@gmail.com
2
Amir Pejman Hashemi
pejman.hashemi@yahoo.com
3
Anushiravan Hedayat
hedayat@tums.ac.ir
4
Kianoush Donboli
kia37@yahoo.com
5
Farhad Mehrkhani
mehrkhani@yahoo.com
6
Tehran University of Medical Sciences, Tehran, Iran.
Tehran University of Medical Sciences, Tehran, Iran.
Tehran University of Medical Sciences, Tehran, Iran.
Tehran University of Medical Sciences, Tehran, Iran.
Tehran University of Medical Sciences, Tehran, Iran.
Tehran University of Medical Sciences, Tehran, Iran.
Background: Bilateral neck exploration is the gold standard for parathyroid adenoma localization in primary hyperparathyroidism. But surgeons do not have adequate experience for accurate surgical exploration and new methods are developed for surgery like unilateral exploration and minimally invasive surgery, thus, preoperative localization could reduces time and stress in surgical performance. Method: 80 patients with documented primary hyperparathyroidism and with raised serum calcium and parathyroid hormone (PTH) were selected. The results of ultrasonographic localization for each patient were compared with findings of surgery and 99m technetium sestamibi scintigraphy. Also variables such as preoperative serum calcium, PTH level and adenoma weight were compared between patients who had localized and nonlocalized adenoma with ultrasonography or Sestamibi scan. The data was compared with student’s t-test. Results: In a prospective diagnostic tests’ accuracy, 80 patients with primary hyperparathyroidism were enrolled. Ultrasonography images detected enlarged parathyroid glands in 61 of 80 patients (76.3%) with sensitivity of 83.5% and positive predictive value (PPV) of 89.7%. Sestamibi scintigraphy detected adenoma in 63 patients (78.8%) with sensitivity of 85% and PPV of 91.3%. There was no significant deference between ultrasonography and scintigraphy in localization of adenomas. Both ultrasonography and scintigraphy used for determining localization, and they located 73 adenomas (91.3%) with sensitivity of 97.3% and PPV of 93.5%. Conclusion: Ultrasonography as an accurate method for localization of enlarged parathyroid glands in primary hyperparathyroidism, is comparable in overall utility with sestamibi scintigraphy. This study suggests a strategy for initial testing with one method, followed by the alternate imaging test if the first test happen to be negative.
http://mjiri.iums.ac.ir/article-1-1052-en.pdf
Primary hyperparathyroidism
Scintigraphy
Ultrasonography
Localization.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2012-08
26
3
97
102
article
A comparative study on scapular static position between femaleswith and without generalized joint hyper mobility
Afsun Nodehi Moghadam
nodehi@uswr.ac.ir
1
Maryam Moghadam Salimee
maryampt9@yahoo.com
2
Department of Physical Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Background: Generalized joint hyper mobility predisposes some individuals to a wide variety of musculoskeletal complaints. Given the critical role of scapular position in function of shoulder, the aim of this study was to compare scapular position between persons with and without general joint hyper mobility. Methods: By nonprobability sampling 30 hyper mobile persons at average of 22.86 ±2.77 years of age and 30 non hyper mobile persons (age 23.6 ± 2.73years) through a case-control design participated in the study. Scapular position was assessed according to the lateral scapular slide test. Independent t test and repeated measures ANOVA were used to statistically analyze scapular position differences between groups. Results: Compared to non hyper mobile persons, those with General joint hyper mobility demonstrated a significantly higher superior scapula slide in dependent arm position (p=0.03). However, no significant difference was found between another scores between two groups (p>0.05). Conclusion: The results suggest that altered scapular position may be an important aspect of General joint hyper mobility.
http://mjiri.iums.ac.ir/article-1-527-en.pdf
General joint hyper mobility
Static scapular position
Scapular kinematic.