eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
275
280
article
THE DEVELOPMENT OF GYNECOLOGICAL LAPAROSCOPY
HORMOZ DABIRASHRAFI
1
SAMAN ZOMORRODIAN
2
From the Endoscopy and Fertility Resecuch Center, Mirza Kouchek Khan Hospital, Tehran University of Medical Sciences and Health Services, Tehran, Islamic Republic of Iran.
In this paper, we discuss the present situation of laparoscopy in gynecology.
There is no doubt that hospital stay, postoperative pain and convalescence are less
when it is possible to treat gynecologic disease via laparoscopy. However, for
reaching the final conclusion about the other effects of this kind of surgery, e.g.,
adhesion formation after operation, pregnancy rate, etc., a series of prospective
and randomized studies to compare laparoscopy with conventional surgery
(laparotomy) are needed.
http://mjiri.iums.ac.ir/article-1-1107-en.pdf
Operative laparoscopy
Gynecology endoscopy
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
267
273
article
MEDICAL USE OF CERAMIC MATERIALS
M SOLATI-HASIDIN
1
F MOZTARZADEH
2
From the Ceramics Department, Materials and Energy Research Center (MERC), p.o. Box 14155-4777, Tehran, lR. lran.
http://mjiri.iums.ac.ir/article-1-1106-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
263
266
article
IMM UNOPROLIFER ATI VE SMALL INTES TINAL DISEASE (ALPHA HEAVY CHAIN DISEASE) : UNUSU AL PRESENTATION WI TH ABDOMINAL MASS
ABDOL RASOOL TALEI
1
SEYED ALI MALEKHOSSEINI
2
SEYED YAHYA ATTARAN
3
SEYED MOHAMMAD OWJI
4
PERIKALA V. KUMAR
5
From the Departments of Surgery and Pathology, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran
During the period of 1984-1995, nine young patients were admitted to Shiraz
University Hospitals with a chief complaint of abdominal mass, weight loss and
chronic diarrhea. Clinically, these cases were diagnosed as intestinal tuberculosis
or lymphoma. Laparotomy revealed a huge mass involving the upper small
intestine. Histologic sections showed diffuse infiltration of the intestinal wall with
numerous mature and immature plasma cells. Serological tests showed increased
levels of IgA. These cases were diagnosed and treated as immunoproliferative
small intestinal disease (IPSID). Follow-up of these patients revealed that seven
patients died 6-8 months after the operation and the other two patients were lost
to follow-up.
http://mjiri.iums.ac.ir/article-1-1105-en.pdf
IPSID
Disease
Alpha heavy chain
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
259
261
article
PSEUDO TUMOR CEREBRI AS THE MAJOR MANIFESTATION OF SYSTEMIC LUPUS ER Y THEMATOSUS IN A CASE OF FEVER OF UNDE TERMINED ORIGIN
A A. FARHADI
1
M HAGHSHENAS
2
From the Department of Medicine, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.
Systemic lupus erythematosus (SLE) is less likely to present as fever of
undetermined origin today. This is due to the widespread use of immunologic tests
which permit early diagnosis. It is not surprising therefore that only atypical cases
of SLE present as FUa. Although uncommon, pseudotumor cerebri has been
recognized as either a presenting manifestation or a complication of SLE. This
case was a 15 year old girl who presented with pseudotumor cerebri and prolonged
fever as the major manifestations of SLE. Absence of musculoskeletal symptoms
and a low sedimentation rate were the major misleading points that deferred the
diagnosis. This case report not only describes a rare manifestation of SLE but also
emphasizes the previously known fact that "FUO is an uncommon presentation of
this common disease."
http://mjiri.iums.ac.ir/article-1-1104-en.pdf
FUO
SLE
Pseudotumor Cerebri
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
255
258
article
INSULIN REQUIRING DIABETES MELLITUS AS A FEATURE Of PHEOCHROMOCYTOMA: REPORT OF A CASE
AHMAD MOORAKl
1
REZA ROFOUGARAN
2
BAHAR BASTANI
3
From the Department of Internal Medicine, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
St. Louis University Health Sciences Center, St. Louis, Missouri, USA
St. Louis University Health Sciences Center, St. Louis, Missouri, USA
We report the case of a 65 year old man with recent onset of insulin requiring
diabetes mellitus, frequent attacks of anginal chest pain, paroxysmal hypertension
poorly controlled with three medications, hyperlipidemia, and mild renal
insufficiency. The patient was found to have pheochromocytoma of the left
adrenal gland, resection of which resulted in total resolution of diabetes,
hypertension, chest pain, hyperlipidemia and renal failure, with no requirement for
any further medical management.
http://mjiri.iums.ac.ir/article-1-1103-en.pdf
Pheochromocytoma
Diabetes mellitus
Hypertension
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
251
254
article
THYROGLOSSAL DUCT CYST PRESENTING AS ENDOLARYNGEAL MASS
N MOKHTARI
1
A TABATABAI
2
R ABDI
3
From the Department of Otolaryngology, Head and Neck Surgery, Mashhad University of Medical Sciences, Mashhad
the Department of Pathology, Ghaem Hospital, Mashhad
the Department of Radiology, Mazandaran University of Medical Sciences, Sari, Islamic Republic of Iran.
Thyroglossal duct cyst is a well-known congenital entity, and its embryonic
development and clinical presentation are well understood. Very little can be added
to the classic material found in the world literature. Rare cases of unusual clinical
presentation have also been reported. Our case of endolaryngeal thyroglossal duct
cyst is reported because of its unique endolaryngeal presentation, having no
characteristic external cystic mass. This case is reported along with its cr and FVL
studies and pathological slides.
http://mjiri.iums.ac.ir/article-1-1102-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
249
250
article
AN UNUS UAL PRESENTATION OF LEECH LEADING TO SEVERE HEMAT EMESIS IN AN INFANT
M HAGHIGHAT
1
From the Department of Pediatric Gastroenterology, Shiraz University of Medical Sciences, Nemazi Hospital, Shiraz, Islamic Republic of Iran.
A nine month old infant was taken to a rural medical center due to hematemesis
and melena. The bleeding persisted in spite of active management with gastric
lavage, intravenous cimetidine, antiacid therapy and blood transfusion for four
days' duration. The patient was referred to our center for further evaluation and
management. On arrival he was pale and ill looking with active bleeding from the
mouth. Physical examination was negative except for the presence of a leech
attached to the posterior pharyngeal wall The bleeding stopped soon after the
removal of the leech and the patient was discharged from the hospital in good
condition shortly thereafter.
http://mjiri.iums.ac.ir/article-1-1101-en.pdf
hematemesis
infant
infestation
leech.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
245
248
article
MENKES\' SYNDROME: REPORT OF A CASE
SEYYED MOHAMMAD RAFIEI
1
SIROOS ZODJAJI
2
From the Departments of Pediatrics , Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.
From the Departments Radiology Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.
An 8 month old boy is presented with clinical and laboratory features of
Menkes' kinky hair syndrome. A brief discussion ensues.
http://mjiri.iums.ac.ir/article-1-1100-en.pdf
Menkes\' syndrome
copper (Cu)
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
241
244
article
A CASE OF GIANT INTRACRANIAL ANEURYSM AND SYST EMIC LUPUS ERYTHEMATOSUS: AN INCIDENTAL OR AN ACCIDENTAL FINDING?
SA TABATABAI
1
ZAHID HUSSAIN KHAN
2
From the Department of Neurosurgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, I.R. Iran.
A twelve year old girl, an established case of systemic lupus erythematosus, was
referred to us suffering from diplopia and nasal speech for a period of 3 months.
Neurological examination was conducted which revealed a right-sided sixth nerve
palsy and a pulsatile nasopharyngeal mass. Neurodiagnostic imaging studies confirmed
a giant intracavernous internal carotid aneurysm. The malady of the aneurysm and
its attendant neurological symptoms responded to the surgical procedure
http://mjiri.iums.ac.ir/article-1-1099-en.pdf
Giant Anemysm
Systemic Lupus Erythematosus.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
237
239
article
THE FIRST ENDEMIC CASE OF LYME BORRELIOSIS IN IRAN
C CHAMS-DAVATCHI
1
From the Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
This case report shows the existence of Lyme borreliosis disease in Iran and
proves the existence of the spirochete Borrelia burgdorferi in Iran which had not
been found before in the ticks of this region. It is important for our physicians to
consider Lyme borreliosis in their differential diagnosis. Apart from skin
manifestations, neurological, cardiac, articular and ocular lesions are not diseasespecific
and the diagnosis can be mistaken. An important feature of this case is the
existence of atypical cutaneous lesions alongside the typical lesions.
http://mjiri.iums.ac.ir/article-1-1098-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
229
236
article
EXTRACELLULAR LIPA SE ACTIVITY CHARACTERIZATION OF SOME PSEUDOMONAS AERUGINOSA STRA INS ISOLATED FROM HUMAN INFECTIONS
MOHAMMAD HAJJARTABAR
1
NASSER GHAEMI
2
NASRIN MOAZZAMI
3
MAHSHID FAGHlHI-SHIRAZI
4
From the Department of Microbiology, School of Medical Sciences, Tarbiat Modarres University
, the Faculty of Sciences, Tehran University, Tehran, Islamic Republic of Iran
From the Department of Microbiology, School of Medical Sciences, Tarbiat Modarres University
the Food Research Institute, Vic 3030, Australia.
Pseudomonas aeruginosa EF2, ATCC 9027 and ATCC 19660 were grown
in a continuous culture under Tween 80 (polyoxyethylene sorbitan monooleate)
limitation and optimum conditions (pH 6.5, 37°C at dilution rate of 0.05/h).
Culture supernatants were carefully removed and stored at -20°C. To purify the
lipases, the culture supernatant was reduced in volume to approximately 10 mL by
an ultrafiltration unit. Excess salts were removed and extracellular lipase was
purified. Biochemical characterization and SDS polyacrylamide gel electrophoresis
suggested that lipase particles consisted of protein and carbohydrate-including
lipopolysaccharide-with the major enzyme activity being lipase. Lipase activity
was measured as the rate of standard olive oil (predominantly triolein) hydrolysis.
Characterization of the purified extracellular lipases was then investigated by
hydrolysis activity, interesterification reactions and effect on the chemotaxis and
chemiluminescence reactions on human peripheral blood neutrophils and
monocytes. It was shown that lipase from the EF2 strain was the most effective
enzyme used and monocytes were much more sensitive to lipases than neutrophils.
Since monocytes are one of the most important cells of the host defence system,
lipase activity of Pseudomonas aeruginosa may contribute to the pathogenesis of
infections caused by this Gram-negative bacterium.
http://mjiri.iums.ac.ir/article-1-1096-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
223
228
article
EFFECT OF FIVE ALPHA DIHYDROTESTOSTERONE (5α-DHT) ON CYTOKINE PRODUCTION BY PERITONEAL MACROPHAGES OF NZB/BALBc MICE
KAZEM AHMADI-RENANI
1
ALAN B. McCRUDEN
2
From the Department of Immunology, Faculty of Medicine Baghiatollah University of Medical Sciences, Tehran, Islamic Republic of Iran
the Department of Immunology, University of Strathclyde, Glasgow, G4 ONR, U.K.
One of the mechanisms involved in the regulation of the immune system by
steroid hormones could be the monocytic-macrophage system. In this study the
effect of the male hormone 5a-DHT on cytokine release by peritoneal macrophages
(mΦ) of male and female NZB/BALBc mice was investigated. Macrophages from
male mice activated with LPS produced a greater amount of IL-1β (21.8%)
(p<0.05) and IL-6 (19.3% ) (p<0.0 1) than age-matched females. However, the total
amount of TNF-α released by LPS-activated macrophages was greater (24.8%)
(p<0.05) in female than male mice. 5α -DHT enhanced IL-1β and reduced IL-6
release by activated macrophages in a dose-dependent fashion. The effect of 5aD
HT on TNF-α release was not exactly dose-dependent Therefore, it is likely that
the modulation of the immune system by steroid hormone may partly be due to the
effect of 5α -DHT on the secretion of cytokines by the monocytic-macrophage
system.
http://mjiri.iums.ac.ir/article-1-1095-en.pdf
Macrophage
Sex hormone
5α-DHT
Cytokine.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
219
222
article
THE ROLE OF THE NORADRENERGIC SYSTEM IN ELECTRICAL STIMULATION-INDUCED ANALGESIA
S SEMNANIAN
1
F MOTAMEDI
2
From the Department of Physiology, Tarbiat Modarres University, Tehran
the Department of Physiology, Shaheed Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Transcutaneous electrical nerve stimulation (TENS) is an analgesia inducing
method with increasing applications in clinical procedures. In this study we tried
to evaluate the role of the adrenergic system and its different adrenoceptor
subtypes in TENS-induced analgesia. Two types of low and high frequency
electrical stimuli were used in rats through needle electrodes, inserted at the base
of their tails, and different alpha and beta adrenergic agonist and antagonists were
introduced to these animals. The tail immersion test was used as the analgesiometric
test. Our results suggest that the noradrenergic system, through its u2 -receptor, has
a significant role in electrical-induced analgesia.
http://mjiri.iums.ac.ir/article-1-1094-en.pdf
TENS
analgesia
adrenoceptors
rat tail immersion.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
209
217
article
RESPONSES OF OXYGEN CONSUMPTION, HEART RATE AND PERCEIVED EXERTION TO CRUTCH WALKING: A COMPARISON BE TWEEN PAR APLEGIC AND ABLE-BODIED SUBJECTS
F OKHOVATIAN
1
RH BAXENDALE
2
NC SPURWAY
3
From the Faculty of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
the Institute of Biomedical and Life Sciences, Glasgow University, Glasgow, U.K.
the Institute of Biomedical and Life Sciences, Glasgow University, Glasgow, U.K.
In this study, 10 normal volunteers and 5 sports-trained paraplegics with
lesions between T6 and L2 were studied whilst walking with axillary crutches and
knee-anlde-foot orthoses. All subjects walked at their preferred speed on a figureof-
eight track. Normal subjects also walked at slower and faster speeds. Oxygen
consumption, heart rate and rating of perceived exertion were measured.
In normal subjects, stable heart rates (±2 beats/min) were rapidly reached
within two minutes at all three speeds. In paraplegics, the heart rate responses were
more variable. The heart rate response in lumbar level paraplegics resembled
normal subjects. Thoracic level paraplegics rarely showed stable heart rates during
walking and in some instances, the rate rose progressively up to values of about 180
beats/min.
In normal subjects walking in knee-ankle-foot orthoses, there was no
significant difference of energy cost and physiological cost index between
preferred and fast speeds. The preferred and fast speeds were also more efficient
for crutch walling. There was a significant correlation (p<0.01) between energy
cost and physiological cost index (r=0.65). Both energy cost and physiological
cost index are standardized by dividing by speed this has not been done for
perceived exertion.
The results show a greater load on the cardio-respiratory system in
paraplegics. This may be partly explained by decreased venous return due to
impaired muscle function in the lower limb and relatively low frequency of
stepping.
http://mjiri.iums.ac.ir/article-1-1093-en.pdf
Arm Crank Ergometry
Crutch Walking
Energy Cost
Energy Expenditure
Oxygen Consumption
Paraplegic
Perceived Exertion
Physiological Cost Index
Upper Body Exercise.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
203
208
article
PASSIVE SMOKING AND THE RISK OF CORONARY HEART DISEASE AMONG MARRIED NON-SMOKING WOMEN
MOHSEN JANGHORBANI
1
NARJES SADEGHIGOLMAKANI
2
From the Department of Epidemiology, Medical School, Kerman University of Medical Sciences and Health Services, Kerman, Islamic Republic of Iran.
Several epidemiological studies have reported that passive smoking (PS) is
a public health hazard and perhaps increases the risk of heart disease. This study
evaluated the relationship between female coronary heart disease and PS among
married women who described themselves as non-smokers in an area of south-east
Iran.
Using household exposure to tobacco smoke as an estimate of PS, a hospitalbased
case-control study of CHD was conducted in Kerman, Iran. We interviewed
200 married female CHD cases, aged 42-84 years (mean [standard error, SE] 60.0
[0.5]) and 400 hospital-based controls aged 42-85 (mean [SE] 60.3 [0.4]). The
controls were non-CHD patients, selected from the same hospital as the cases, and
matched for marital status and age (±5 years). All of the cases and controls had
never smoked. Information on PS was collected for each person.
The prevalence of PS at home was 39% for cases and 32.3% for controls. The
corresponding prevalence rates for PS at work were 1.5% and 0.8%. Household PS
increases the risk of female CHD, but this increase was not statistic all y significant.
Compared to non-smokers, exposure to husband's smoking increases the risk by
about 40% (odds ratio (OR) 1.40, 95% confidence interval (CI): 0.96-2.05),
although no trends were observed with the number of years of exposure. The OR
increases with an increase in PS (p<0.05). The odds ratio for PS at work did not
suggest an increased risk.
The results suggest that passive exposure to cigarette smoke may have a
deleterious effect on the health of non-smokers and that married non-smoking
women may be at an increased risk of developing CHD through passive exposure
to their husband's cigarette smoke.
http://mjiri.iums.ac.ir/article-1-1092-en.pdf
Passive smoking
environmental tobacco smoke
coronary heart disease
myocardial infarction
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
197
201
article
A COMPARISON OF CORONARY ANGIO GRAPHY RE SULTS IN PATIENTS WI TH STABLE AND UNSTABLE ANGIN A PECTORIS
SH AREFI
1
F EMAMI
2
From the Department of Cardiology, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
To study the newly mentioned significance of the obstructive lesion
morphology in coronary artery disease (CAD), a study has been designed to
compare this feature between patients having stable angina (SA) or unstable
angina (UA) who underwent coronary angiography in Tehran Heart Institute.
Study objectives were detection of the angina producing artery (AP A) and its
morphologic lesion type, detection of the number of diseased vessels, determining
the left ventricular ejection fraction (L VEF) and end-diastolic pressure (L VEDP),
and comparing these findings between the two patient groups.
The study population consisted of 205 patients, 141 with SA and 64 with U A,
who underwent standard coronary angiography. Lesion types were divided to type
I, concentric lesions type IIA, eccentric broad neck lesions type IIB, eccentric
narrow base lesions and type Ill, multiple lesions.
There was no difference in L VEF or L VEDP in the two angina group patients.
In the SA group the APA lesion was type I in 25%, type IIA in 39%, type lIB in
9%, and type III in 27% of patients, while these figures were 9.3%, 5.6%, 31.5%
and 53.7% respectively in the VA group. The APA in the SA group was the left
main stem in 5.7%, the left anterior descending in 41.8% the left circumflex in
14.2%, the right coronary artery in 14.2%, and neither of these vessels in 29.1 %.
For the VA group, these figures wereO.54%, 21.9%.14.1 %, and 9.9%, respectively.
Review of these results reveals that although there was no quantitative
difference between the two groups, the qualitative lesion type differences were
significant, a finding in accordance with some theories that focus on atherosclerotic
plaque rupture as the etiology of VA.
http://mjiri.iums.ac.ir/article-1-1091-en.pdf
Angina
stable
unstable; angiography
coronary.
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
191
195
article
BALLOON ANGIOPLASTY IN NATIVE AORTIC COARCTATION: RESULT S IN SHIRAZ AND REVIEW OF ARTICLES
M BORZOEI
1
GH AJAMI
2
MR SABRI
3
M RASTEGARI
4
AR GHASEMI
5
From the Pediatrics Department, Pediatric Cardiology Division, Shiraz Medical Sciences University, Shiraz, Islamic Republic of Iran
Balloon angioplasty for aortic coarctation was introduced in 1979 for the fust
time.1 This procedure soon became the choice treatment for restenosis of operated
coarctation,2-5 but remains controversial for native (unoperated) coarctation.
However, it seems to be rapidly becoming the intervention of choice for relief of
unoperated coarctation as well. In this study, we evaluate the outcome of this
procedure in 16 patients with native aortic coarctation, between September 1992
and May 1995. In all patients, dilation was performed successfully and provided
significant reduction of pressure gradients (p<0.001). The peak systolic pressure
gradient across the coarcted site decreased significantly from 46.2±4.8 mmHg
(mean±SD) to 12.2±2.5 mmHg (mean±SD). Two patients were complicated by
development of a small aneurysm, and one with reopening of the ductus arteriosus
(one had both), but no instances of rupture of aorta and/or death. This suggests the
possibility of acceptance of this new therapeutic strategy for native coarctation of
the aorta . However, further evaluation of its benefits and safety is recommended
http://mjiri.iums.ac.ir/article-1-1090-en.pdf
Native aortic coarctation
Balloon angioplasty
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
187
190
article
USE OF CHOLESTEROL IN THE DIFFERENTIATION OF EXUDATIVE AND TRANSUDATIVE PLEURAL EFFUSION
MEHDI KESHMIRI
1
MOJTABA HASHEMZADEH
2
From the Department of Internal Medicine, Mashhad University of Medical Sciences, Ghaem Hospital, Mashhad, Islamic Republic of Iran
Light's criteria (protein and LDH) have been used to the present to differentiate
exudative pleural effusion from transudative. This is both time consuming and
relatively more expensive as compared to measuring cholesterol.
During 1992-1993, a prospective study on 70 patients with effusion was
carried out measuring fasting LDH, protein, cholesterol, alkaline phosphatase and
glucose. All patients had their underlying disease diagnosed then Light's criteria
was compared to cholesterol using Wilcoxon's test and Student's t-test.
Our findings showed taking a value of pleural cholesterol>55 mg/dL and
pleural/serum cholesterol > 0.3 to define exudative effusion resulted in less
erroneous classification with a sensitivity of 93%, a specificity of 100%, a positive
predictive value (PPV) of 100% and an accuracy of 95.2%. Using Light's criteria
gave a sensitivity of 95%, a specificity of 95%, a PPV of 97.6% and an accuracy
of 95.2%. Using cholesterol in differentiating exudate from transudate was
especially useful in patients with CH.F. who received diuretics. Therefore, using
cholesterol to differentiate exudative from transudative pleural effusion is more
cost-effective and just as useful as Light's criteria
http://mjiri.iums.ac.ir/article-1-1089-en.pdf
Effusion. pleural
exudative
transudative
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1997-11
11
3
181
185
article
INTRACYTOPLASMIC SPERM INJECTION FOR THE TRE ATMENT OF MALE FA CTOR INFERTILITY-THE FIRST PRELIMINA RY REPORT FROM IRAN
MOHAMMAD A. KHALILI
1
SERAJEDDIN VAHIDI
2
ABBAS AFLATOUNIAN
3
MOHAMMAD A. KARIMZADEH
4
HUSSAIN AMIR-ARJMAND
5
From the Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences, Bou-Ali Avenue, Yazd,l.R. Iran.
The latest micromanipulative technique, intracytoplasmic sperm injection
(ICSI), has been very successful in cases of severe male factor infertility. The main
objective of this study is to report the results of our fIrst experience with ICSI in
cases of male factor infertility, as well as patients who had failed their previous
cycles with conventional in vitro fertilization (IVF). Normal fertilization occurred
in 30.9% of oocytes retrieved from 99 patients. Embryo transfer was done for
67.7% of the patients, and a total of 12 (12.12%) clinical pregnancies were
achieved. The success rate was noticeably lower in patients greater than 35 years
old, and in patients with severely abnormal sperm parameters (e.g.,
oligoasthenoteratozoospermia). This study suggests that ICSI is a method of
choice to treat couples with severe male factor infertility. Patients' age, as well as
sperm parameters, can affect the success rate of infertility treatment with ICSI.
http://mjiri.iums.ac.ir/article-1-1088-en.pdf
Infertility
IVF