eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1990-08
4
3
215
218
article
ESTIMATING INFANT AND CHILD MORTALITY IN IRAN, 1989
KAZEM MOHAMMAD
1
MAHMOOD M.M. FARAHANI
2
From the Department of Epidemology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
This paper presents estimates of infant and child mortality in the rural
and urban areas of Iran for 1989. Data are from a one percent sample of the
urban and rural population. The study makes use of data on the number of
children born alive and children surviving, classified by age of the mother.
Based on these data estimates of infant and child mortality for the urban and
the rural areas have been calculated separately by using the Trussell version
of the Brass method. The results of this study show that the infant mortality
rates in the rural and urban areas of Iran are 70 and 35 per thousand,
respectively.
The estimates obtained from previous retrospective studies are compared
with the current rates. Datails of the method, limitations of the data
and discussion of the results are given in the paper.
http://mjiri.iums.ac.ir/article-1-1549-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1990-08
4
3
211
214
article
A COMPARATIVE STUDY OF URBAN AND RURAL TETANUS IN ADULTS
FEREYDOUN SOHRABI
1
ALI FARZAN
2
From the' Department of Infectious Diseases, and the Department of Statistics, Isfahan University of Medical Sciences, Isfahan, Islamic Republic of lran.
An analysis of 382 patients, aged 12 and over, admitted to the infectious
disease ward of Amin Hospital in Isfahan over a 20 year period with clinically
diagnosed tetanus is reported. The study comprised 297 patients, 77.7%
from rural areas and 85(22.3%) from the city of Isfahan. The male- female
ratio for both groups was approximately 2:1. Rural patients were younger
and showed a lower crude case fatality rate. Traditional practices such as
application of cow manure to the wounds, and unhygienic circumcision and
ear piercing were important contributing factors in developing tetanus,
demonstrating a need for health education in rural communities.
http://mjiri.iums.ac.ir/article-1-1548-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1990-08
4
3
207
210
article
IODINE DEFICIENCY DISORDERS IN NEISHABOUR
R RAJABIAN
1
H SHAHBAZI
2
J PARIZADEH
3
A ABDINEJAD
4
K SAYADPOUR
5
H ABDOSSALAMI
6
From rile Ghaem Medical Center, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.
Iodine deficiency has been considered in Iran since 20 years ago and has
been acknowledged recently. We studied iodine deficiency disorders in 1618
Neishabourian students. 60% of children had palpable and 2.5% had visible
goiters. Height and weight of these children were lower than International
and Tehranian children but higher than Isfahanian children.
Hormone studies showed increased T4, decreased T3RU, increased T3
and T31T4 ratio which are indicators of iodine deficiency.
http://mjiri.iums.ac.ir/article-1-1547-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1990-08
4
3
201
202
article
PROPOSAL FOR SURGICAL CLASSIFICATION OF CHRONIC SUPPURATIVE OTITIS MEDIA
DRAGOSLAVA R. DJERIC
1
DRAGOSLAV LJ. SAYIC
2
From the Clinic of Otorhinolaryngology, University Clinical Center, Pasterova, Belgerade, Yugoslavia.
The authors presented a proposal for surgical classification of chronic
suppurative otitis media which may be used' for evaluating the surgical
outcome of the disease.
http://mjiri.iums.ac.ir/article-1-1546-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1990-08
4
3
197
200
article
CHARACTERIZATION OF IMMUNE RESPONSE TO MUSTARD GAS USING A NEW FLUOROIMMUNOASSAY
ROBABEH REZAEIPOUR
1
GHOLAM ALI BUNGYPOUR
2
From the Dept. of Immunology. Medical School, Shahid Beheshti University of Medical Sciences, Tehran. Islamic Republic of Iran.
One way to confront chemical warfare in order to reduce their harmful
effects, is to use the body's defense mechanisms. In order to do so firstly
mustard gas (HD) was injected in an animal model in the form of an
immunogen and the induced humoral immune response was investigated by
two different immunological methods such as the Ouchterlony test and a new
liquid phase fluoroimmunoassay. 7lt was proved that the animal model had
produced specific antibodies against mustard gas which could specifically
interact with the chemical gas.
http://mjiri.iums.ac.ir/article-1-1545-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1990-08
4
3
191
195
article
TRANSIENT DECREASED SERUM TESTOSTERONE AFTER EXPOSURE TO MUSTARD GAS
F AZIZI
1
H ELYASI
2
N JALALI
3
M NAFARABAD
4
From the Endocrine Research Center And the Department of Internal Medicine, Taleghani Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
The effects of exposure to chemical weapons containing sulfur mustards
on the serum levels of total and free testosterone. gonadotropins and
prolactin was investigated in young Iranian men. In the first five weeks after
injury both serum total and free testosterone were significantly decreased as
compared to control values. Three of 13 men had total testosterone below
300 ng/dL and two of six had subnormal serum free testosterone concentra•
tions. By the fifth week after exposure serum free testosterone did not
change however there was further fall in mean serum total testosterone ancI
70% of men had subnormal values. Both serum total and free testosterone
concentrations returned to normal values by the 12th week after injury.
There was a significant rise in serum FSH and prolactin by the fifth week
ancI in serum LH by the fourth week after exposure. These data suggest that
injury by the chemical warfare containing sulfur mustard may cause acute
inhibition of testosterone secretion from the testis leading to a significant
decline in serum total and free testosterone and some increase in gonadotropin
concentrations. The inhibition seems to be transient ancI hormone levels
return to normal by 12th week after injury.
http://mjiri.iums.ac.ir/article-1-1544-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1990-08
4
3
185
190
article
HEMATOLOGICAL FINDINGS OF SULPHUR MUSTARD POISONING IN IRANIAN COMBATANTS
M TABARESTANI
1
M BALAU- MOOD
2
M FARHOODI
3
From the Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.
Sulphur mustard (SM) is an alkylating agent that was first used as a
chemical warfare agent during the First World War in 1917. SM is readily
absorbed from the skin, respiratory and gastrointestinal tract and is distributed
to several organs. SM may act rapidly and persistently upon DNA
replicating mechanism of the individual cells during mitosis particularly in
the hematopoietic system. Of 233 patients with SM poisoning, hematological
investigations were performed in 213 of them. Mild changes were observed in
red blood cells and its indices. Initial leukocytosis (> llxl09/L) was
observed in 7.2% and leucopenia (‹4x 109/L) in 3.8% of the patients.
Marked lymphopenia, neutrocytosis and eosinopenia (‹2%) were found in
36%,38%, and 25% of the patients, respectively. Bone marrow biopsy in 3 fatal cases revealed marked hypocellularity and dyserythropoietic changes.
Apart from the respiratory complications, mortality from SM poisoning is
mainly due to bone marrow failure.
http://mjiri.iums.ac.ir/article-1-1543-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1990-08
4
3
177
184
article
PERCUTANEOUS DRAINAGE OF ABDOMINAL ABSCESSES AND FLUID COLLECTIONS
FARHOOD SAREMI
1
From the Department of Radiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
This report summarizes the results of 64 percutaneous catheter drainage of
abdominal abscesses and fluid collections in 56 patients. Aspiration and
drainage was guided with computed tomography in 34 patients and with
ultrasound in 30 patients. Success rate was 90%. Infected collections were
successfully drained in 94% and noninfected collections in 72% . Partial
success was achieved in two patients. Three patients failed to respond to
percutaneous drainage. Recurrence occurred in one. Complications occurred
in nine patients, two of which were major (3%) and seven were minor
( 1 1 %). Image- guided percutaneous drainage appears to be the treatment of
choice for most of the intraabdominal collections.
http://mjiri.iums.ac.ir/article-1-1542-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1990-08
4
3
173
176
article
THYROID FOLLICULAR ADENOMA: BENIGN OR MALIGNANT?
HOSSEIN GHARIB
1
From the Division of Endocrinology and Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.
Four patients are described in whom a follicular carcinoma developed
following thyroidectomy for a benign follicular neoplasm. It is possible that
the initial thyroid neoplasm was a well- differentiated follicular carcinoma
which was microscopically indistinguishable from a benign adenoma.
Realizing this pathologic pitfall in thyroid diagnosis, the need for meticulous
examination of the pathologic specimen is emphasized. Long- term postoperative
reassessment is recommended.
http://mjiri.iums.ac.ir/article-1-1541-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1990-08
4
3
165
172
article
MASSIVE GASTROINTESTINAL HEMORRHAGE IN COMBAT CASUALTIES AND TRAUMA VICTIMS SECONDARY TO ARTERIO-VISCERAL FISTULAS
lRADJ FAZEL
1
From the Department of Surgery, Taleghani Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.
Massive upper gastrointestinal bleeding is a known complication of
advanced sepsis in trauma patients and carries a grave prognosis. However,
to our knowledge, an important cause of massive gastrointestinal bleeding,
arterio-visceral fistula, has not been discussed in the literature. The most
common cause of this unique clinical entity is penetrating high velocity
abdominal injuries, although blunt trauma may also be responsible. Due to
partial injury of the major intraabdominal vessels, a false aneurysm is
formed. The intraabdominal false aneurysm, causing pressure necrosis in the
intestinal wall, perforates into the gut with massive hemorrhage. Characteristics
of this hemorrhage include its massive and bright red nature, recurrence,
and curability with correct diagnosis and appropriate treatment. Our
experience with sixteen cases, clinical presentation, diagnostic features and
surgical treatment is discussed in this paper.
http://mjiri.iums.ac.ir/article-1-1540-en.pdf
eng
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
1990-08
4
3
161
163
article
HEARING IMPAIRMENT CAUSED BY WAR
NEMATOLLAH MOKHTARI AMIRMAJDI
1
MASSOUD SHARIFI
2
From the Ghaem Medical Center, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran.
120 cases of Iranian soldiers complaining of hearing loss, were studied
over a period of three years at the Ghaem Medical Center in Mashad,Iran.
There was adequate information in III cases that their engagement in
different types of explosions had caused their hearing impairment. The
following aspects were evaluated:
1- Categorization of their hearing impairment.
2- The otoscopic findings.
3- The severity of the hearing impairment, the side of involvement and
their relation to the type of explosion.
This study while implying that war seems to be a major factor in causing
hearing impairment, intends to clarify some of the cause and effect relations
also. The hearing impairment caused by war can be of different types and
severity and will be a real handicap.
The abrupt loud impact noise and blast wave exposure are considered to
be causes of hearing impairment. In ourseriesof III cases the different types
of sensorineural hearing loss are more common than simple ruptured
ear-drums.
http://mjiri.iums.ac.ir/article-1-1539-en.pdf