Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
PHEOCHROMOCYTOMA OF THE URINARY BLADDER
75
77
EN
G
POURMAND
From the Department of Urology, Sina Hospital, Tehran University of Medical Sciences, Tehran, I.R. Iran.
Y
MR
NIKOBAKHT
N
One of the rarest tumors involving the urinary bladder is the pheochromocytoma.
A case of pheochromocytoma of the urinary bladder in a young
female suffering from headache and cystitis for many years is reported.
Twenty-four hour urine VMA was normal. The patient was never hypertensive
except during surgical manipulation of the tumor. Biopsy of the bladder
resulted in massive hemorrhage.
http://mjiri.iums.ac.ir/article-1-1289-en.html
http://mjiri.iums.ac.ir/article-1-1289-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
VESTIBULAR BULB HYPERTROPHY
71
73
EN
H
DABIRASHRAFI
From the Department of Obstetrics and Gynecology, Mirza Kouchek Khan (Zanan) Hospital. Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
Y
MH
KARIMINEJAD
N
Y
BEHJATNIA
N
N
MOGHDAMI TABRIZI
N
In this case report, a 36 year old female at 40 weeks' gestation is
presented in whom large bilateral vestibular bulb masses were found on
pelvic examination. The size of the masses was such as to cause concern that
they may pose an impediment to normal parturition. Our pathological
findings, management and results are presented.
http://mjiri.iums.ac.ir/article-1-1288-en.html
http://mjiri.iums.ac.ir/article-1-1288-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
PRIMARY LEIOMYOSARCOMA OF THE URETER
67
69
EN
D
MEHRABAN
From the Urology Section, Department of Surgery, Shariati Hospital. Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran
Y
Since 1943, fourteen cases of primary leiomyosarcoma of the ureter have been reported in English literature. The fifteenth case is presented here with a brief review of the significant aspects of the previous reports.
http://mjiri.iums.ac.ir/article-1-1287-en.html
http://mjiri.iums.ac.ir/article-1-1287-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
MIFTAH AL-TIBB WA-MINHAJ AL-TULLAB THE KEY TO THE SCIENCE OF MEDICINE AND THE STUDENTS GUIDE TO STUDY
57
65
EN
ABU AL-FARAJ
IBN-I HINDU
N
M
MOHAGHEGH
Y
http://mjiri.iums.ac.ir/article-1-1286-en.html
http://mjiri.iums.ac.ir/article-1-1286-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
ANTISPASMODIC EFFECTS OF SOME IRANIAN MEDICINAL PLANTS
51
55
EN
MR
KHALIGHI
From the Department of Pharmacology, faculty of Medicine, Mashad University of Medical Sciences, Mashad, I.R. Iran.
Y
K
ZIYAII FIROZIAN
N
MA
HAQUE
N
Alcoholic and water extracts of many medicinal plants are commonly
used in German folk medicine and other countries as antispasmodics.
However, so far no data on dose relationships or comparisons of the
antispasmodic effects with reference substances have been available for most
of these plant extracts. Using acetylcholine as the stimulating agent, the
antispasmodic effect of preparations of Mentha piperita (leaves), Citrus
aurantium (peels), Foeniculum vulgare (fruits) and Carum carvi (fruits),
consisting of one part of the plant and three and one half parts ethanol (31 %
w/w) was investigated on isolated guinea pig ileum and the results were
compared with that of atropine. All the extracts shifted the dose-response
curves of acetylcholine to the right in a dose-dependent manner and also
showed a significant increase of the ED ", and the dose ratios of acetylcholineinduced
contractions, and a significant decrease of the maximal possible
contractilty. When the antispasmodic activities of M. piperita and C.
aurantium were compared with the activity of atropine, it was evident that
their effects were less than that of the usual therapeutic dose of atropine in
man. But when the antispasmodic activities of F. vulgare and C. carvi were
compared with the activity of atropine, it was found that their effects were
slightly greater than that of the usual dose of atropine.
http://mjiri.iums.ac.ir/article-1-1285-en.html
http://mjiri.iums.ac.ir/article-1-1285-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
LONG-ACTING CONTRACEPTIVE AGENTS: TESTOSTERONE ESTERS OF CYCLOALKYLCARBOXYLIC ACIDS
47
49
EN
A
SHAFIEE
From the Department of Chemistry. College of Pharmacy, Tehran University of Medical Sciences. Tehran, Islamic Republic of Iran
Y
M
VOSOOGHI
From the Department of Chemistry. College of Pharmacy, Tehran University of Medical Sciences. Tehran, Islamic Republic of Iran
N
M
TABATABAII
From the Department of Chemistry. College of Pharmacy, Tehran University of Medical Sciences. Tehran, Islamic Republic of Iran
N
F
SAVABI
From the Department of Chemistry. College of Pharmacy, Tehran University of Medical Sciences. Tehran, Islamic Republic of Iran
N
R
Vlahov
From the Institute of Organic Chemistry with Center of Phytochemistry, Bulgarian Academy of Sciences, Sofia, Bulgaria
N
V
Tarpanov.
From the Institute of Organic Chemistry with Center of Phytochemistry, Bulgarian Academy of Sciences, Sofia, Bulgaria
N
B
Milkenkov,
From the Institute of Organic Chemistry with Center of Phytochemistry, Bulgarian Academy of Sciences, Sofia, Bulgaria
N
M
Boshkova-Ljapova
From the Institute of Organic Chemistry with Center of Phytochemistry, Bulgarian Academy of Sciences, Sofia, Bulgaria
N
J
Vlahov
From the Institute of Organic Chemistry with Center of Phytochemistry, Bulgarian Academy of Sciences, Sofia, Bulgaria
N
G
Snatzke
From the Institute of Organic Chemistry with Center of Phytochemistry, Bulgarian Academy of Sciences, Sofia, Bulgaria
N
The synthesis of twenty five esters of testosterone (17β -hydroxyandrost-
4-en-3-one) is described. All esters are derivatives of cycloalkycarboxylic
acids. Some of the esters possess α- , β -and/or & - substitution in the
ester side-chain. The work was undertaken in order to evaluate long-acting
male antifertility effect of such esters. Most of the compounds, especially
compound No.1, were found to be active. Compound No.1 is presently
under clinical studies.
http://mjiri.iums.ac.ir/article-1-1284-en.html
http://mjiri.iums.ac.ir/article-1-1284-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
MICROSURGICA.L TREATMENT OF UPPER ESOPHAGEAL CARCINOMA (FREE JEJUNAL LOOP TRANSFER)
43
46
EN
M
ASHAYERI
From the Department of Reconstructive surgery, Shahid motahhari Hospital, Iran University of Medical Sciences, Tehran, I.R. Iran.
Y
There are unfortunately a relatively large number of cases of esophageal
cancer in Iran as well as other countries, and one of the most difficult
problems facing surgeons is the reconstruction of the esophagus and
restoration of its function after excision of the tumor. From 1978 to 1987,20
patients (16 male, 4 female) ranging in age from 22 to 68 years were surgically
treated for squamous cell carcinoma of the cervical esophagus using free
jejunal loop transfer by microsurgical technique. Patients were followed up
for two years postoperatively. The rate of recurrence of primary neoplasm
was 50%. We consider free jejunal loop transfer a suitable alternative in the
management of upper esophageal carcinoma, especially those complicated
by previous reconstructive methods.
http://mjiri.iums.ac.ir/article-1-1283-en.html
http://mjiri.iums.ac.ir/article-1-1283-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
LHRH THERAPY IN TEN MALE AND TEN FEMALE PATIENTS
37
41
EN
MT
MEMARZADEH
From the Department of Obstetrics and Gynecology, Shahid Rahnamun Hospital, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran
Y
We treated ten men and ten women suffering from hypogonadotropic
hypogonadism with LHRH. Our method of treatment differed 'from others
in that a mini pump was not available at the onset of the study. Nine women
were given injections via a heparinized indwelling catheter every 120 minutes
for 14 days, i,e. the proliferative phase. After ovulation, 3000 IU human
chorionic gonadotropin (HCG) was administered every two days. A minipump
was used for only one patient. From among these nine female patients,
three pregnancies occurred, In male subjects, 50-100 micrograms LHRH
was subcutaneously self-administered twice daily, and 5000 IU HCG was
given intramuscularly twice weekly. With this treatment, secondary sexual
characteristics appeared after a few months, including nocturnal ejaculation,
growth of testes, and elevation of serum testosterone levels.
http://mjiri.iums.ac.ir/article-1-1282-en.html
http://mjiri.iums.ac.ir/article-1-1282-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
DOXYCYCLINE-INDUCED ESOPHAGEAL ULCER
33
35
EN
R
MALEKZADEH
From the Department of Medicine, Shiraz University of Medical Sciences, Shiraz, I.R. Iran
Y
During a period of 4 years (1983-1986), we have seen 18 patients with
esophageal ulcer following the intake of doxycycline capsules at the University
Hospitals of Shiraz Medical School. During the same period only one
other patient with a drug-induced esophageal ulcer was seen and this was
found to be due to a mefenemic acid capsule.
Diagnosis was made by esophagoscopy and after two weeks, follow-up
endoscopies revealed complete healing of the ulcers. After one year, the
follow-up observations of ten patients revealed no stricture or obstruction.
We conclude that doxycycline capsule is the single most common cause of
drug-induced esophageal ulcers and although a self-limited complication, in
already ill patients, it produces significant morbidity which could be
prevented by simple measures.
http://mjiri.iums.ac.ir/article-1-1281-en.html
http://mjiri.iums.ac.ir/article-1-1281-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
DEFECTIVE NEUTROPHIL MOBILITY IN TEN PATIENTS WITH VITAMIN D-DEFICIENT RICKETS
29
31
EN
A
A. FARHOUDI
Form the Children's Medical Center. Tehran University of Medical Sciences, Tehran. Islamic Republic of lran
Y
We studied the immune system, especially the chemotactic activity of
neutrophils, in ten patients with vitamin D-deficient rickets and compared
the results with ten healthy controls of matched age.
Among all immune system factors, the chemotactic studies persistantly
showed remarkable deficiency in leukocyte mobility, both random motion
and migration. When compared with controls, the findings were significant.
It was postulated that the increased susceptibility of the patients with vitamin
D-deficient rickets to infection is mainly due to defective neutrophil
Mobility
http://mjiri.iums.ac.ir/article-1-1280-en.html
http://mjiri.iums.ac.ir/article-1-1280-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
THE ROLE OF FIBEROPTIC BRONCHOSCOPY IN THE DIAGNOSIS OF PULMONARY TUBERCULOSIS
25
27
EN
H
SOHRABPOUR
From the Department of Medicine, Shahid Labbafi-Nejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran
Y
M
MASJEDI
N
From January 1982 to April 1987 , 1500 cases of fiberoptic bronchoscopy
(FOB) were performed. Among these cases, 37 were suspected of having
pulmonary tuberculosis but their sputum examination was either negative or
they were not able to expectorate. In all these cases pulmonary TB was
confirmed either by bronchoalveolar lavage (BAL) fluid examination or by
biopsy. We conclude that FOB is a valuable means for detection of c1inically
suspected but sputum negative pulmonary TB.
http://mjiri.iums.ac.ir/article-1-1279-en.html
http://mjiri.iums.ac.ir/article-1-1279-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
SUPRA VESICAL DIVERSION AND LATER UNDIVERSION IN SEVERE WAR INJURIES OF THE BLADDER
19
23
EN
M
SEDEHI
From the Department of Urology. Shahid Modarress Hospital. Shahid Beheshti University of Medical Science, Tehran. Islamic Republic of lran
Y
R
ASGHARIEH
N
Y
HOSEINI
N
R
KHORASANIZADEH
N
From 20 patients with bladder injury due to war trauma, three patients
were in critical condition because of extensive bladder injury associated with
rectosigmoid injury and septicemia. In these three patients, early supravesical
diversion was undertaken using ileal conduit. After stabilization of the
patients' condition, undiversion was performed successfully, bringing the
patients back to their normal voiding condition
http://mjiri.iums.ac.ir/article-1-1278-en.html
http://mjiri.iums.ac.ir/article-1-1278-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
ANTEGRADE URETEROSCOPY FOR REMOVAL OFU RETERAL STONES
15
17
EN
ZHANG
JILUN
From the institute of Urology, Beijing Medical University, Beijing, China
Y
NA
YANQUN
N
PENG
BO
N
30 cases of obstructing proximal ureteral stones at the level of L3-L5
which could not be pushed back into the pelvis and passed by a guide wire
under epidural anesthesia, were removed percutaneously with the rigid
ureteroscope. Multiple stones in one ureter, bilateral ureteral stones and a
ureteral stone of a solitary kidney were removed successfully in one session
showing the reliability and efficacy of this procedure.
http://mjiri.iums.ac.ir/article-1-1277-en.html
http://mjiri.iums.ac.ir/article-1-1277-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
ANTERIOR MEGALOPHTHALMOS
11
14
EN
SH
SAJJADI
From the Ophthalmology Department, Shahid Labbafi Nejad Medical Center, Shahid Beheshli University of Medical Sciences, Tehran, Islamic Republic of Iran.
Y
MA
JAVADI
N
H
AHMADIEH
N
Anterior megalophthalmos is a developmental anomaly of the anterior
ocular segment. This is an X-linked recessive disease and manifests as
bilateral enlarged corneas, open iridocorneal angle, hypoplastic iris and
dislocation and opacification of an apparently small lens.
We have also observed obvious vitreoretinal degeneration in our patients.
What may threaten visual acuity later is an open angle glaucoma and
retinal detachment. It should be distinguished from simple megalocornea
and congenital glaucomatous buphthalmos. Two cases of anterior megalophthalmos
in one family are presented and discussed here.
http://mjiri.iums.ac.ir/article-1-1276-en.html
http://mjiri.iums.ac.ir/article-1-1276-en.pdf
Iran University of Medical Sciences
Medical Journal of The Islamic Republic of Iran (MJIRI)
1016-1430
2251-6840
2
1
1988
5
1
OPEN MANAGEMENT OF THE SEPTIC ABDOMEN
1
10
EN
MR
KALANTAR MOTAMEDI
From the Department of Surgery, Shohada Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran
Y
S
ELYASIAN
N
Severe intraabdominal infection associated with abdominal wall, intraperitoneal
and remote organ complications, still carries an unacceptably
high morality rate. In addition to the fundamental principle of eradication of
the source of infection, various treatment modalities have been suggested to
improve the commonly grave outcome. Amongst these, open management
(OM) of the septic abdomen, even though based at least theoretically on
sound physiologic principles, has not been generally accepted as an uncontroversial
method of treatment due to the many and varied complications
associated with it.
Frustrating efforts in the treatment of severe intraabdominal infection
(IAI) led us to investigate a method of open management while avoiding the
complications which others have encountered. What you will read in this
report are new, innovative techniques in the open management of JAJ which
will obviate the complictions of leaving the peritoneal cavity open, such as
disruption of anastomoses, evisceration, the need for assisted respiration
after paralyzing the patient to prevent evisceration, recurrent abscess
formation and need for reexploration to drain such abscesses, complications
associated with late closure of the abdominal wall due to severe adhesions,
and the negative nitrogen balance existing in such patients.
40 patients have been treated with this method after conventional
treatment failure and continued deteriorating condition. Almost all patients
had one organ failure (kidney, liver, brain, etc.), and some had multiple
organ failure associated with hepatorenal syndrome requiring hemodialysis.
Nearly all patients were referred to us in grave condition and were put on this
study. The case selection, assessment of patients, preoperative evaluation
and preparation, detailed operative technique and post-operative care,
along •with the final results are discussed. We are recommending this
technique as a sound and safe method of management of severe intraabdominal
sepsis, and a modality of treatment with an acceptable mortality rate.
http://mjiri.iums.ac.ir/article-1-1275-en.html
http://mjiri.iums.ac.ir/article-1-1275-en.pdf