Showing 109 results for MOHAMAD
Nasser Simforoosh, Abdol Karim Danesh Dezfuli, Mohamad Reza Razzaghi,
Volume 2, Issue 2 (8-1988)
Abstract
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.
H Dabirashrafi, K Mohamad, M Mohamadi, N Moghadami Tabrizi, N Moslemizadeh, P Malekdar,
Volume 2, Issue 4 (2-1989)
Abstract
210 Iranian women participated in a study in two main categories
(comprising six subgroups) for comparison of prophylactic antibiotic prescription
by the intravenous route with the irrigation method together with
control subgroups. Interesting results from our study were:
1- There was no significant statistical difference between subgroups with
regard to infectious morbidity.
2- The rate of early infectious morbidity in our patients was lower than in
American studies.
3- Late infections were more common than early infections in our study.
4- The rate of late endometritis in the irrigation subgroup under category of
labor lasting less than six hours was significantly lower than the irrigation
subgroup in the category of labor lasting more than six hours.
We think that the results of a particular study investigating the
usefulness of prophylactic use of antibiotics at cesarean section from one
country is not necessarily relevant for another country having a different
culture and customs.
H Dabirashrafi, M Bigdeli, K Mohamad, A Ghassemi Nejad, S Vakili, N Moghadami Tabrizi,
Volume 3, Issue 1 (8-1989)
Abstract
Regarding the false negative results of culdocentesis, it is believed that
the protocol of B-hCG, sonography, D&C and free use of laparoscopy gives
more reliable information to the physician than the protocol of B-hCG,
sonography and culdocentesis. We used the former protocol on 50 patients
suspected of having ectopic pregnancy. The most common diagnoses were
EP (48%) and PID (16%), respectively. It seems, in contrary to reports from
abroad, among differential diagnosis of EP, ovarian cyst is not very common
in Iranian patients. One of the objectives of our protocol was to determine if
the use of laparoscopy with laparotomy causes an increase in the rate of
postoperative infection and elongates the stay of the patient in hospital. Thus
we compared our new protocol with the old protocol (gravindex, culdocentesis,
laparotomy) of management ofEPin our hospitaifrom the point of: 1- the
length of stay in hospital before and after laparotomy, and 2- the rate of
laparotomy infection. There was no statistical difference between the two
groups. The results of this comparison proved that laparoscopy when used
with laparotomy does not cause increased morbidity for the patients. The
most prominent feature of our special new protocol was the free use of
laparoscopy.1t is believed that the free use of laparoscopy has the following
advantages:
1- Elimination of false negative results of culdocentesis and encourage the
surgeon to perform essential laparotomies.
2- Identification of some cases of EP that can be managed conservatively.
3- Identification of the non-EP cases that should not be operated on.
Hormoz Dabirashrafi, Yahya Behjatnia, Kazem Mohamad, Nasrin Moghadami-Tabrizi,
Volume 3, Issue 3 (11-1989)
Abstract
Seventeen patients with polycystic ovarian disease (peOD) were
treated by laparoscopic ovarian electrocauterization (LEC). Ten were
admitted to hospital for infertility, four for hirsutism, two for severe scalp
hair loss, and one for abnormal uterine bleeding. Four of the patients were
virgins. We had 50% (5 of 10) pregnancies and 88% (15 of 17) showing a
decline in testosterone levels after this operation. 87% of the patients
showed regularity in menstruation. 80% (8 of 10) of infertile patients
ovulated after LEe. We think the use of LEe for the treatment of severe
scalp hair loss and in virginal peo patients are new ideas in our article. The
rate of pelvic adhesion after LEe was 0% in our series. A 6-to-24 month
follow-up showed that many of these patients had normal clinical and
laboratory findings.
M Nobakht, N Simforoosh, Ali Mohamadian, B Amir-Ansari,
Volume 4, Issue 1 (2-1990)
Abstract
Twenty-two recipients of HLA-nonidentical living related and nonrelated
renal allografts were studied for alterations in the relative percentage
of OKT4-positive peripheral blood T-cells after transplantation. Characteristic
shifts in the ratio of T-helper to T -suppressor/cytotoxic cells (TH/TS-C),
but not absolute cell numbers, were demonstrated to correspond with the
status of the allograft. Our results are indicative of a correlation between
rejection episodes and the increase in OKT4:0KT8 ratios, that were
characterized by a significant rise in the percentage of OKT4-positive cells
(P=0.001), and a decrease in the percentage of OKT8-positive cells
(P=0.001).
Ali Asghar Moshtaghie, Mohsen Ani, Mehdi Azani, Mohamad Sheikhzeinodini,
Volume 4, Issue 2 (5-1990)
Abstract
The concentrations of serum calcitonin', parathormone (PTH), amylase,
alkaline phosphatase (ALKP), calcium and phosphorus were studied in
pre-and post-dialysis patients with chronic renal failure. All patients had
extremely elevated serum urea and creatinine concentrations with the mean
values of143.8 and 10.5 mg/dL respectively. The plasma amylase activity was
higher than normal with a mean of 174 lUlL, but showed no significant
changes following hemodialysis. The mean values for calcium and phosphorus
in pre dialysis plasma were 7.2 and 7.5 mg/dL respectively, whereas it
changed to 8.6 and 3.8 mgldL post-dialysis. The extent of increase in PTH
and alkaline phosphatase levels depended on the duration of dialysis in the
majority of the patients. The longer the period of the dialysis, the higher the
concentrations of PTH and ALKP. On the basis of this study the relationship
between bone disease and hemodialysis has been discussed.
Sima Rafati Seyedi Yazdi, Stephane Couty-Jouve, Mohammad H Alimohamadian, Yahya Dowlati,
Volume 11, Issue 1 (5-1997)
Abstract
This study was performed in order to define the cellular immune response of
12 recovered cutaneous leishmaniasis subjects to different soluble antigens of the
amastigote form of Leishmania major. A soluble leishmanial antigen preparation
(SLA) derived from highly-purified amastigotes from infected nude mice was
fractionated by Mono Q column using Fast Protein Liquid Chromatography
(FPLC) system. Three different fractions were obtained. The lymphoproliferative
response, interferon•gamma (IFN.'Y) and interleukin•4 (JL•4) to amastigote SLA
and its three subfractions were measured. The highest proliferative response and
specific IFN.'Y production without synthesis of fL•4, was induced by the fITst
fraction of amastigote SLA. These results showed that the individuals who had
recovered from cutaneous leishmaniasis had expanded memory T- cell clones
recognizing different antigens in the first fraction of amastigote SLA.
The main and most important point of this study was the identification of one
fraction of an amastigote antigen which preferentially reacted with cells from
recovered human cutaneous leishmaniasis cases.
Mohamad Reza Davoudi, Donia Farrokh,
Volume 13, Issue 3 (11-1999)
Abstract
We describe a case of pulmonary blastoma, a rare primary lung malignancy
which affects a younger population. This tumor contains both mesenchymal and
epithelial elements. Pulmonary blastoma tends to relapse locally and metastasizes
mainly in the first few years. It has a poor 5-year prognosis, and shows a potentid
radio-chemosensitivity. Because these tumors are considered malignant, surgical
excision is recommended.
In this paper, we describe a case of pulmonary blastoma in a 3 year old boy with
a brief review of literature.
Mohamad Bagher Tavakoli,
Volume 18, Issue 3 (11-2004)
Abstract
The treatment of thyroid cancer using an unsealed source of radioactive materials
is usually associated with a large amount of 131I. A major problem for hospital admission
of these patients is the waste disposal which requires protection of the public.
152 patients with thyroid cancer admitted to the nuclear medicine department of
Said AI- Shohada Hospital for UI I treatment were studied. 1311 excreted from these
patients during isolation was calculated. Exposure from patients were measured using
a Victorian 190F survey dosimeter.
More than 70 percent of the administered 131I was excreted after 24 hours, 90
percent after 48 hours and 96 percent after 72 hours of isolation. The mean biological
half life of 1311 in patients with thyroid cancer was found to be 13.9±1.9 hours. There
was no significant difference between the mean effective half life in the patients related
for the first time and second time at 95 percent significance level.
The results of this study showed that the difference in the discharge rate of 1311
from patients with thyroid cancer receiving first and second treatment was not significant.
The mean discharge rate after the first 24 hours was more than 70%, and it was
more than 96% after the third 24 hours of drug administration. The results can be used
to design safe collecting and discharge methods of the wastes.
Mohamad Bagher Tavakoli,
Volume 18, Issue 3 (11-2004)
Abstract
The treatment of thyroid cancer using an unsealed source of radioactive materials
is usually associated with a large amount of 131I. A major problem for hospital admission
of these patients is the waste disposal which requires protection of the public.
152 patients with thyroid cancer admitted to the nuclear medicine department of
Said AI- Shohada Hospital for UI I treatment were studied. 1311 excreted from these
patients during isolation was calculated. Exposure from patients were measured using
a Victorian 190F survey dosimeter.
More than 70 percent of the administered 131I was excreted after 24 hours, 90
percent after 48 hours and 96 percent after 72 hours of isolation. The mean biological
half life of 1311 in patients with thyroid cancer was found to be 13.9±1.9 hours. There
was no significant difference between the mean effective half life in the patients related
for the first time and second time at 95 percent significance level.
The results of this study showed that the difference in the discharge rate of 1311
from patients with thyroid cancer receiving first and second treatment was not significant.
The mean discharge rate after the first 24 hours was more than 70%, and it was
more than 96% after the third 24 hours of drug administration. The results can be used
to design safe collecting and discharge methods of the wastes.
Fatemeh Ghane Sharbaf, Mohamad Hosein Fallahzadeh, Alireza Modarresi, Mohamad Esmaeili,
Volume 20, Issue 1 (5-2006)
Abstract
ABSTRACT
Background: Experience with vesicoureteral reflux (VUR) differs in different centers and there are plenty of controversies. The aim of this study was to evaluate the outcome of primary VUR complications and the rate of recurrence of UTI.
Methods: The medical charts of all infants and children with primary VUR who were followed up by two nephrologists were reviewed. During 19 years (1985-2004), 330 patients (271 females, 59 males) with 496 refluxing ureters were followed up as primary VUR.
Results: The patients’ age at diagnosis was 4 days to 16 years (mean: 4.1 years) and the mean duration of follow-up was 4.5 years. Urinary tract infection (UTI) was the presenting symptom in 95% and fever was recorded in 35% of cases. Frequencies of different grades of VUR at initial investigation were 10%, 35%, 30%, 13% and 12% for grades I to V, respectively. Recurrence of UTI in VUR of grades I to V were 22.2%, 18.1%, 20%, 23.4% and 17.9%, respectively. Follow-up voiding cystourethrogram revealed resolution of VUR in 55%, improvement in 27.5%, no change in 12%, and deterioration in 5.5%. Complications such as chronic renal failure and hypertension were observed in 13 and 13 patients, respectively. Renal scarring was present in 52% of boys and 29% of girls.
Conclusion: The present study indicates that symptomatic primary VUR is more common and has better prognosis in girls. Recurrence of UTI is not related to the grade of VUR.
Fatemeh Davari-Tanha, Saghar Samimi-Sede, Zohre Khalilpour, Fatemeh Khanmohamadi, Jalle Mohamadpour,,
Volume 22, Issue 2 (8-2008)
Abstract
Abstract
A32 year-old multigravid patient with 10 weeks of pregnancy was referred to the emergency ward with massive vaginal bleeding and preshock state. Suction curettage, laparotomy, uterine artery ligation, Macdonald cerclage, and hysterectomy was done, in that order. After hysterectomy and massive transfusion she recovered. When a diagnosis of cesarean scar pregnancy is made in the emergency state and especially in the presence of underlying disease, morbidity is high and fertility lost.
Seyed Reza Mousavi, Arash Najaf Beygi,, Mohsen Talebianfar, Mohamad Zeinalzadeh, Ataollah Heidari,
Volume 22, Issue 4 (2-2009)
Abstract
Abstract
Background : Cancer has not been elucidated in colerectal site. C-reactive protein
(CRP) is a product synthesized in hepatocytes and has been reported to be up-regulated
by such proinflammatory cytokines as interleukin-1 (IL-1), interleukin-6 (IL-6),
and tumor necrosis factor (TNF). The significance of a preoperative serum elevation
was evaluated using CRP as a predictive indicator for the malignant potential and
prognosis.
Methods: Forty consecutive patient with colorectal cancer whose local lesions
were resected in our department, plus forty healthy volunteers, were selected. Any
patient with inflammatory diseases such as infection or collagen disease was excluded
from the current study. The preoperative serum CRP level and the control group
were measured. The relationships between the serum elevation of CRP and both the
clinicopathologic factors and prognosis of the patients was investigated.
Results: The rate of patients with elevated serum CRP level was significantly
higher in the colorectal cancer patients in comparison to the control group (55% versus
2.5%). Furthermores the incidence of liver metastasis, peritoneal carcinomatosis,
histopathologic lymph nodes metastasis, and tumor invasion in colorectal cancer patients
with a preoperatively elevated serum CRP level were significantly more frequent
than in those with a negative serum CRP level. The survival rates of the colorectal
cancer patients without a preoperative elevation of the serum CRP proved to
be significantly more favorable than that of the colorectal cancer patients with such
an elevation (94.4% versus 59.1% P<0.001).
Conclusion: Apreoperative serum elevation of CRP was thus found to be an indicator
of the malignant potential of the tumor as well as prognostic factor for patients
with colorectal cancer.
Hamid Behtash, Ebrahim Ameri, Mohamadsaleh Ganjavian, Farzad Omidi-Kashani, Marzieh Nojomi,
Volume 22, Issue 4 (2-2009)
Abstract
Abstract
Background: Spondylolysis and spondylolisthesis can be associated with significant
low back pain, especially in physically active adolescents. Non-operative management
is usually successful in improving symptoms, but surgical intervention is
occasionally required. The aim of this study was to determine the effect of in situ posterolateral
fusion in the treatment of refractory cases with spondylolysis.
Methods: In this prospective before and after study, we described our experience
in13 patients managed by in situ fusion after failing multimodality non-operative
treatment. All surgical procedures were performed by the senior author and by a similar
technique. The spondylolytic vertebra and the one below were fused, in situ. Finally,
clinical outcome and recovery rates of clinical symptoms were evaluated by
Henderson’s functional capacity and Oswestry Disability Index version 2.1, respectively.
Results: The mean duration of non-operative management was 36 (12-72)
months. There were 8 males and 5 females. Average pre- and postoperative Oswestry
Disability Indices were 28.4%±13.7% and 4.9±7.8 respectively (P=0.001, significant).
All patients had follow-up contact on an average of 42.3 months (range 30 - 62
months). Based on Henderson’s clinical outcome functional capacity at the final follow-
up stage clinical outcomes were excellent in 10, good in 2 and poor in 1 patient.
The case with poor result had a pseudoarthrosis and was re-oprated. Finally he had an
excellent outcome.
Conclusion: We accept that the number of our cases is not high significantly but it
can be claimed that in situ fusion is a safe and effective modality to treat symptomatic
patients with spondylolysis and low-grade spondylolisthesis. A study with much
more cases is strongly recommended.
Manoucher Aghajanzadeh, Ali Monfared, Gholam-Reza Mokhtari, Masood Khosravi, Mohamad K Lebady, Farshid Poorreza, Reza Orangpour,
Volume 23, Issue 1 (5-2009)
Abstract
Abstract
Hydatid cysts are endemic hooknoses in Iran. It may involve various organs of
body. Liver is involved in 80% and lung in 10- 15%of cases. 25% of pulmonary hydatid
cyst is bilateral. Before any transplantations eradication of infection is necessary.
In a 26-year old man with renal failure referred for kidney transplantation. On
initial preoperative evaluation of this patient hydatid cyst lesion was found in two
lungs, left side operated, and right side left in place. Under treatment with albendazole
kidney transplantation was performed. After two-year of follow-up, patient was
in good condition and the size of right cyst did not increased.
Ashraf Mohamadzadeh, Soheila Karbandi, Habibollah Esmaily, Mahdi Basiry,
Volume 23, Issue 3 (11-2009)
Abstract
Abstract
Background: The quality of life and standard of health care in a society is measured
by its preterm infants' mortality rate. The popularity and credibility of alternative
treatment such as touch therapy may be effective in preterm and low birth weight
infants in order to increase their survival rate. The aim of this study was to determine
the effect of touch intervention on the weight gain of preterm infants who were admitted
to the Neonatal Intensive Care Unite(NICU).
Methods: This study was a randomized controlled trial performed in NICU of
Emamreza hospital, Mashhad, Iran, from July 2007 to November 2007. There were
two groups (the control group and the case group) and one response variable (weight
gain). Infants in the control group received routine nursing care. Infants in the case
group, in addition to the routine care, received stroking/passive limb movement therapy
for three 15 minute sessions per day for a 10 day period. Then weight gaining was
compared between the two groups .
Results: The weight gain data was analyzed by SPSS software. Over the 10 day
study period, the case group gained significantly more weight compared to the control
group (p<0.001 (.
Conclusion: The data suggest that stroking/passive limb movement can be an efficient
and cost effective way of enhancing growth in stable preterm infants .
Seyed Hamid Moosavy, Hossein Froutan, Nader Faiazi, Parisa Adimi, Yasir Andrabi, Mohsen Nasiri Toosi, Mohamad Kalani,
Volume 24, Issue 4 (2-2011)
Abstract
Abstract
Bckground: Patients with obstructive sleep apnea (OSA) are at risk of developing the
fatty liver as a result of being overweight. Several studies suggest that OSA per se could be a
risk factor for liver injury and ischemic hepatitis with OSA. The OSA is an independent
risk factor for Insulin resistance. Therefore, we investigated liver enzymes and insulin resistance
in patients with OSA, and compared with controls.
Methods: Eighty-one consecutive patients with clinical suspicion of OSA were referred
to the Sleep Unit of Masih Daneshvary hospital. On the basis of Polysomnography results
patients were divided into two groups: The OSA and non-OSA cases, and also patients without
OSA were used as internal controls. The Serum levels of liver enzymes were measured
in all patients and abdominal ultrasound examination performed for screening the fatty liver
and its grading. Insulin resistance was calculated via homeostasis model assessment
(HOMA).
Results: The OSA was present in 41 and absent in 40 patients. Age, sex and body mass
indices were not significantly different in two groups. The mean of alanine aminotransferase
(ALT) was 31.24±14.05 IU/L in OSA and 29.97±8.9 IU/L in non-OSA (p= 0.349)
and aspartate aminotransferase (AST) was 29.07±9.6 IU/L in OSA and 26.85±6.7 IU/L in
non-OSA (p= 0.389). The mean of HOMA was 2.05±18.2 in OSA and 1.5±0.54 in non-OSA
(p< 0.001).
Conclusion: This study shows that OSA, independent of overweight conditions, is not a
risk factor for abnormal liver enzymes. However, the OSA per se seems to be associated
with increase in insulin resistance and severity of fatty liver.
Shima Shakiba, Parvaneh Mohamadkhani, Abbas Poorshahbaz, Nahale Moshtaghbidokhti,
Volume 25, Issue 2 (7-2011)
Abstract
Abstract
Background: Personality disorders have essential roles in developing and maintaining depressive episodes, though psychotherapies must approach both symptoms and personality problems. This study examined the efficacy of Brief Object Relations Psychotherapy on depression severity and perceived quality of life of women suffer from major depressive disorder comorbid with cluster C personality disorders. Methods: by purposive sampling method, 6 subjects which met the in/exclusion criteria, were participated in a single subject design study randomly. Interventions were arranged based on A/B with follow up design. Each subject completed Beck Depression Inventory (BDI-II) and original McGill Quality of Life Questionnaire (MQOL) every session during 3 baseline, 15 treatment and 3 follow up assessments sessions. Results: Patients totally reached 55% remission in depression severity with mean effect size 1.92 and 43% remission in perceived quality of life with mean effect size 2.08. Gains were maintained in follow up. Conclusion: The efficacy of Brief Object Relations Psychotherapy was statistically and clinically significant. Perceived quality of life reached to normal range, whereas cluster C personality disorders resistance remission from depression.
Maziar Azar, Farid Kazemi Gazik, Mahdi Nikoobakht, Mohamad-Reza Yousefi, Yaser Ghavami,
Volume 25, Issue 3 (11-2011)
Abstract
Abstract
Background: The Gamma Knife Radiosurgery (GKR) is an established management option for Cerebral Ar-teriovenous Malformations (AVMS). Therapeutic benefits of radiosurgery for arteriovenous malformations are complete obliteration of nidus with minimal neurological deficit.
Methods: Radiosurgery was performed between February 2003 and April 2010 at Kamraniye day clinic, Teh-ran, Iran, using the Leksell gamma knife model B (Elektra Instruments AB, Stockholm, Sweden) on 82 consecu-tive patients with AVMs. The male-to-female ratio was 1.4:1(48M, 34F). The age of the patients ranged from 9 to 70 years (mean, 28.5±12 years). The marginal dose to the AVM nidus was 45 to 85% (median, 60%) isodose and ranged from 14 to 30 Gy (mean, 20.57±13Gy).The maximum dose ranged between 20 to 60 Gy (mean, 37.5 Gy ± 10.17Gy ). Follow up of patients for complete AVM obliteration and in the case of complications MRI were performed.
Results: Complete obliteration of AVM was achieved in 56 cases (68.29%). It was marked in average 3.62 [SD=3.19] years (from 1 to 5 years) after GKR. Partial obliteration (≥50% reduction of the nidus volume) was marked in 24 cases(31%), and less than 50% reduction of the nidus volume was marked in 2 cases(2.4%) with a follow-up of 5 years. Complete obliteration of AVM had statistically significant associations with smaller score of Spetzler-Martin arteriovenous malformation grading system for AVMs. (p< 0.05)
Conclusion: The Gamma Knife Radiosurgery can offer total and partial obliteration to acceptable percent of treated AVM with a low risk of morbidity. Higher success observed in patients with Spetzler-Martin Grade I and II AVMs, which was attributed to smaller volume of AVMs in this group.
Davod Jafari, Hamid Taheri, Hooman Shariatzade, Farid Najd Mazhar, Alireza Jalili, Mohamad Ghahramani,
Volume 25, Issue 4 (12-2011)
Abstract
Abstract
Background: The measurement of hand grip strength has several clinical applications to evaluate chronic hand disability, response to treatment, and work capacity after hand injury.
Methods: We measured hand grip strength of 41 adults and compared their maximum strength with radiographic indices.
Results: There was a significant relationship between hand grip strength and carpal height, third metacarpal and capitate length (All p-values<0.05).
Conclusions: In addition to established factors such as sex, upper limb muscle and joint status, wrist radiographic indices are significantly determinants of hand power grip.
