eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
161
163
article
INTRATHORACIC KIDNEY: A CT-SCANNING VIEW
GHOLAMREZA KHAKPOUR
1
HAMID SOHRABPOUR
2
From the Department of Urology and Medicine, Shahid Labbafi.Nejad Medical Center. Shahid Beheshti University of Medical Sciences. Tehran. Islamic Republic of lran.
We report a patient who was admitted to the department of medicine
with palpitation, dyspnea and left flank pain, Chest X-ray revealed a mass in
the left lung. The lesion was evaluated as a pulmonary tumor, with a high
suspicion of malignancy. Intravenous urography, sonography, and CTscanning
revealed a thoracic kidney at the location previously thought to be a
lung mass.
This is the first report of a CT-scanning evaluation of thoracic kidney.
http://mjiri.iums.ac.ir/article-1-1274-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
159
160
article
SEIZURE DUE TO DIPHENYLHYDANTOIN -METHYLPHENIOATE INTERACTION
MOHAMMAD GHOFRANI
1
From the Pediatic Neurology Department. Mofid Children's Hospital. Shahid Beheshti University of Medical Sciences. Tehran. Islamic Republic of Iran.
Signs and symptoms of D PH toxicity were seen in an epileptic child who
had received DPH and MP concurrently. In the absence of liver and kidney
disease and any intercurrent infection, and with the patient's recovery
following the withdrawal of DPH, it appears that drug-drug interaction is the
most logical explanation for DPH intoxication.
http://mjiri.iums.ac.ir/article-1-1273-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
155
158
article
AMNION GRAFT TECHNIQUE IN A PATIENT WITH CONGENITAL ABSENCE OF VAGINA WITH REGULAR MENSES THROUGH A FISTULA
HORMOZ DABIRASHRAFI
1
SEYYEDEH SHAHRBANOU JANANI
2
HASSAN VAHAB AGHAI
3
NASRIN MOGHDAMI TABRIZI
4
From the Department of Obstetrics and Gynecology, Mirza Kouchek Khan (Zanan) Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
An interesting case of atresia of the vagina and cleft p alate is described,
with menstruation occurring through a fistula. Normal saline was used for
distension of the upper vagina, without any successful results. Therefore, the
McIndoe operative technique with amnion graft was utilized. Eight months
after the operation, the patient has a normal menstrual cycle, a good caliber
neovagina and normal coitus. She hopes for a future pregnancy.
http://mjiri.iums.ac.ir/article-1-1272-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
149
154
article
THE SYNDROME OF DIABETES INSIPIDUS, DIABETES MELLITUS, OPTIC ATROPHY, DEAFNESS, AND ATONIA OF THE URINARY TRACT (DIDMOAD SYNDROME). TWO AFFECTED SIBS AND A SHORT REVIEW OF THE LITERATURE
DAVOOD SHARIFI DOLOUI
1
ATAOLLAH BEHROUZ AGHDAM
2
University of Medical Sciences, Mashhad, Islamic Republic of Iran
Two brothers with DIDMOAD syndrome are reported. The older
brother has diabetes mellitus (type I), diabetes insipidus, optic atrophy,
deafness and atonia of the urinary tract with severe symptoms such as
diabetic ketoacidosis and frequent urinary tract infections. His younger
brother had the same manifestations but with less severity. We report the
findings of our two patients and compare them with the frequency of the
symptoms in 100 patients from the literature.
http://mjiri.iums.ac.ir/article-1-1271-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
143
147
article
USHER\'S SYNDROME REVISITED
MOHSEN DJALILIAN
1
M.S. GEORGE W.FACER
2
MH LASHKARL
3
From the Department of Ophthalmology and ENT of Iran Air and ENT Department of MayoClinic Rochester Minnosota, U.S.A.
Usher's syndrome is a genetically inherited autosomal recessive disorder
resulting in the double handicap of deafness and progressive blindness,
known as retinitis pigmentosa. The disease is also associated with psychoses,
mental retardation, and other major neurophysiological changes. It appears
to be more common among Jewish individuals and consanguinous marriages.
While it is rare in the general population (3 cases per 100,000
population), it is significantly prevalent among those who are deaf. Most
patients are forced to give up their profession around age 30 or 40 or earlier,
either because of advancing failure of sight leading to blindness at age 50 or
60, or due to the other disabilities of the condition.
Although a wide variety of treatments have been tried including
surgery, endocrine therapy, vitamins, and transplants, at present the disease
cannot be cured nor its course significantly altered. A program for prevention
through high risk diagnostic screening, coupled with genetic counseling,
is both feasible and practical.
In this report, we present two siblings with this syndrome, as well as a
general review of the history and literature concerning this disorder.
http://mjiri.iums.ac.ir/article-1-1270-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
139
141
article
CORONARY ARTERIOSYSTEMIC FISTULA
M POURMOGHADDAS
1
MA SADR-AMELI
2
From the Shahid Rajai Heart Hospital, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Coronary arteriosystemic fistula which drains into the left ventricular
cavity is a rare congenital anomaly. A case of double fistulae between the left
anterior descending and left circumflex coronary arteries and left ventricular
cavity is presented. The patient's chief complaint, chest pain, was attributable
to the "steal phenomenon."
http://mjiri.iums.ac.ir/article-1-1269-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
137
138
article
SMALLPOX AND MEASLES AS DESCRIBED BYRAZI (LE LIVER SUR LA V ARIOLE ET LA ROUGEOLE)
MAHMOOD NAJMABADI
1
http://mjiri.iums.ac.ir/article-1-1268-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
131
136
article
AN INTRODUCTION TO THE HISTORY OF MEDICINE IN ISLAM AND IRAN
ALIAKBAR VELAYATI
1
Tehran, University of Medical Sciences, Islamic Republic of Iran
http://mjiri.iums.ac.ir/article-1-1267-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
127
129
article
CHEST PAIN IN CHILDREN A PROSPECTIVE STUDY
REZA GHARIB
1
From The Department of Pediatrics, Shiraz University of Medical Sciences, Shiraz, I.R. Iran
Thirty five children with a primary complaint of chest pain were
prospectively studied. The average age was 9.7 years for boys and 8. 9 years
for girls 60% were male.
The most frequently diagnosed cause was psychogenic (54.2%). Forty
percent of the patients were classified as having idiopathic chest pain.
Precordial pain was encountered in 2. 9%), along with costochondritis and
mitral valve prolapse.
It is concluded that chest pain in children is a relatively benign symptom
which is infrequently associated with a serious underlying organic condition
extensive laboratory investigations are not required.
Psychogenic chest pain is a prevalent problem that commonly causes
considerable anxiety in children and their families.
http://mjiri.iums.ac.ir/article-1-1266-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
123
126
article
THE ROLE OF BEHAVIOR PATTERN AND EMOTIONAL RISK FACTORS IN CORONARY HEART DISEASE
FREIDOON NOUHI
1
AHMAD MOHEBBI
2
From the Department of Medicine, Kerman University of Medical Sciences, Kerman, I.R. Iran. And the Department of Cardiology, Shahid Rajai Heart Hospital, Iran University of Medical Sciences, Tehran, I.R. Iran.
For evaluating the role of behavior pattern and emotional factors in
coronary heart disease (CHD), 86 patients were followed for one to three
years (average 20 months). The behavior pattern itself was not considered as
a main risk factor, rather it was found to be an aggravating and predisposing
factor, especially in morbidity rate.
Both behavior patterns were more common in males than in females.
73% of male type A patients and 60% of male type B patients smoked,
whereas smoking rate was equal among the female patients, amounting to
20% for both types. Thus smoking was considered as a major and prevalent
risk factor in males especially those with type A behavior. 62% of patients
included in the type A group had acute MI, while 56% of type B patients had
the same condition. Thus, MI and its complications occured more commonly
in type A than type B patients. However, the mortality rate, which was
mainly clue to anterior MI (90%), was the same in both groups.
http://mjiri.iums.ac.ir/article-1-1265-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
119
122
article
MEDICAL TREATMENT OF TOXIC GOITER IN AN AREA OF IODINE DEFICIENCY
FEREYDOON AZIZI
1
From the Department of Medicine, Taleghani Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
The response to methimazole [1-methyl-2-mercapto-imidazole (MMI)]
therapy, 10 mg twice daily in 15 patients and propylthiouracil (P TU) therapy,
100mg twice daily in 10 patients with diffuse toxic goiter was evaluated in an
area of iodine deficiency (Tehran).
The mean free T4 index (FT4I) decreased from 22.7± 6.8 (± SD) to
10.8± 2.8 In MMI-treated, and from 25.1± 6.8 to 13.2± 2.1 in PTU-treated
patients, two weeks after treatment. The FT4I further decreased to 6.8± 4.3
and 8.5± 2.1 after four weeks of MMI and PTU administration, respectively.
The mean free T3 index (FT3I) was 415± 90, 162± 44 and 117± 46 in MMI
treated and 430± 80, 210± 45 and 140± 53 in PTU treated patients before
and two and four weeks after treatment, respectively. The mean FT4I and
FT 31 had decreased more in the MMI treated groups as compared to the PTU
treated patients, two weeks after treatment. In patients treated with MMI or
PTU, 11 of 25 (44 %) had subnormal FT 41 after four weeks of treatment, of
whom one had increased serum TSH.
These results indicate that treatment with less than the recommended
doses of thionamide compounds causes a rapid decline of thyroid hormone
indices in patients residing iI). Tehran. The dosage of thionamide compounds
as well as the duration of therapy with the initial doses necessary to induce
euthyroidism, should be evaluated in various parts of the world.
http://mjiri.iums.ac.ir/article-1-1264-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
115
118
article
A REVIEW OF 427 CASES OF VARICOCELE
ALI SHAMSA
1
From the Department of Urology. Ghaem Hospital, Mashad University of Medical Sciences, Mashad,
427 patients with varicocele ranging in age from 14 to more than 35 years
underwent surgical operation during a 10 year period (1977-1986). 190
(44.5%) were referred for infertility and 365 had left-sided varicoceles
(85.5%). No relationship was found between infertility and the grade of
varicocele. Clinical features of prostatitis were often present. Semen
analyses were performed in 37% of patients and showed abnormalities in
motility, morphology, and density. Hormone analyses (in 26 cases) showed
elevated FSH, normal LH, and decreased testosterone levels. Complications
of high ligation occurred as recurrence of varicocele in 10% , and edema
of the scrotum in 12 %. In the 32 patients presenting with infertility who were
followed-up, there was an improvement in sperm density in 81 %, and a
fertility rate of 37.8 %
http://mjiri.iums.ac.ir/article-1-1263-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
113
114
article
CONTROL OF ZOONOTIC CUTANEOUS LEISHMANIASIS BY MASS LEISHMANIZATION IN HYPERENDEMIC AREA OF ISFAHAN
A NADIM
1
E JAVADIAN
2
G TAHVILDAR-BIDRUNI
3
H AMINI
4
Y PEZECHKI
5
From the School of Public Health and Research Institute for Public Health, Tehran University of Medical Sciences, Tehran, I.R. Iran.
Zoonotic cutaneous leishmaniasis is hyperendemic in the rural areas,
north and east of the city of Isfahan in the central region of Iran. Attempts to
control the disease by different methods have all failed. A field trial showed
that the effectiveness of leishmanization was successful in a limited part of
this area. In February 1982 and 1983, more than 80,000 persons were
inoculated. Our evaluation demonstrated that this vaccination program
reduced the number of cases to almost one-seventh the expected number. In
general, although this type of immunization may not be recommendable in
most endemic areas, it may he used in persons and populations moving into
high risk areas.
http://mjiri.iums.ac.ir/article-1-1262-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
105
111
article
PERCUTANEOUS NEPHROSTOMY: A WELL ESTABLISHED AND EFFICACIOUS PROCEDURE
FARHOOD SEREMI
1
From the Department of Radiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of lran.
56 percutaneous nephrostomies were evaluated in 50 patients, with a
malignant underlying factor in 32 and benign conditions in 24. The clinical
indication was decompression for supravesical obstruction with or without
azotemia in the majority of cases. Less common indications were management
of ureteral fistula, ureteral stricture dilatation, and pelvic stone
extraction. Serious complications were encountered in 5.4 % with one fatal
hemorrhage. Successful results were achieved in about 98% of cases with one
placement failure. The procedure offers an excellent and efficacious alternative
to surgical nephrostomy.
http://mjiri.iums.ac.ir/article-1-1261-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
99
104
article
EVALUATION OF 17 PATIENTS SEVERELY INJURED WITH SULFUR MUSTARD
MOHAMMAD HOSSEIN MOTAKALLEM
1
From the Shahid Rajai Heart Hospital. Iran University of Medical Sciences. Tehran. Islamic Republic of Iran
In this article, we evaluated 17 Iranian soldiers who were exposed to
mustard gas utilized by the Iraqi forces in the war fronts. Their clinical
symptoms and signs, laboratory tests, and other parameters were carefully
assessed, an attempt was made to identify a finding of prognostic significance,
and patients who recovered from the acute phase were followed to
determine possible long-term effects. Our results, as well as a general review,
are presented.
http://mjiri.iums.ac.ir/article-1-1260-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
91
98
article
DIFFERENTIATION OF MONOCYTE DERIVED DENDRITIC CELLS IN SERUM FREE CONDITIONS
ANNE CHRISTINE BRU-CAPDEVILLE
1
HOSSAIN MOTTEIAN NAJAR
2
JOHANN HINRICH PETERS
3
From the Department of Immunology, University of Gouingen, West Germany
Human peripheral blood monocytes (HPBM) were cultured in the
absence of human serum and were converted into a state exhibiting a high
accessory function expressed by their ability of supporting lymphocyte
proliferation. After a prolonged culture in serum free media the monocyte
derived cells were highly viable, increased in size and developed veils and
dendritiform elongatio'l1s. Paralleling the increase in accessory function, the
cells decreased in the expression of markers typical of monocytes and
macrophages (M 0), approaching the phenotype of lymphoid dendritic cells.
We here define conditions for reproducibly generating these monocyte
derived dendritic cells (m-DC) in various serum free media. This study also
shows that acidic conditions prevent M0 development and facilitate m-DC
differentiation even under serum conditions.
http://mjiri.iums.ac.ir/article-1-1259-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
87
90
article
THE BENEFITS OF OUTPATIENT SURGERY OVER SURGERY IN THE HOSPITAL: REPORT OF 4177 UROLOGIC OUTPATIENT OPERA TIONS
NASSER SIMFOROOSH
1
ABDOL KARIM DANESH DEZFULI
2
MOHAMAD REZA RAZZAGHI
3
From the Department of Urology, Shahid Labbafi Nejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
From 1983 until 1987, 4177 outpatient urologic procedures were
performed at Shahid Labbafi Nejad Medical Center. 34% of the cases were
open surgical, while 66% were endourologic procedures. There was no
surgical complication related to the outpatient aspect of the procedure. Rate
of infection in open surgical cases was almost zero. The number of
procedures was increased each succeeding year. Also more difficult cases
(like penile prosthesis, epididymovasostomy, priapism, sphincterotomy, ... )
were included in the program. We recommend outpatient surgery as one of
the best approaches to make surgery much more economic and if properly
done, still offer better quality care to the patient.
http://mjiri.iums.ac.ir/article-1-1258-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1988-08
2
2
81
86
article
THE EFFECT OF PHENYTOIN ON HEALING OF WAR AND NON-WAR INTRACTABLE WOUNDS
S MODAGHEGH
1
MA GHORAIAN
2
M MOSHKGOU
3
A REZAIZADEH
4
From the Department of Medicine. Shahid Rahnamun Hospital; Iran University of Medical Science'S. and Sina Hospital. Tehran University of Medical Sciences. Tehran. Islamic Republic of Iran.
Phenytoin (PHT), a drug in clinical use for over fifty years as an
anticonvulsant, has heen reported to promote the healing of skin and soft
tissue wounds, ulcers and second degree burns.
We treated 19 patients with war-related missile wounds and 6 with
chronic, non-healing (previously treated at least for.') months with antibiotics
and betadine or acetic acid dressing) civilian ulcers with topical phenytoin
sodium powder daily without antibiotic therapy for up to 4 weeks. Missile
wounds had a mean healing time of2 weeks and civilian intractable ulcers, a
maximum healing time of4 weeks, compared to historical controls requiring
6-8 weeks for missile wounds and at least 5 months of non-effective previous
treatment for intractable wounds.
Twenty two patients showed complete healing within four weeks. Three
required skin grafts for final closure. PHT provided rapid pain relief.
Although seventeen wounds had positive bacterial cultures prior to treatment,
none were positive after one week of PHT treatment. No antibiotics
were required. We believe wider use of this safe, inexpensive, readily
available, and easy-to-use wound healing agent is indicated.
http://mjiri.iums.ac.ir/article-1-1257-en.pdf