2024-03-29T17:30:41+03:30
http://armaghanj.yums.ac.ir/browse.php?mag_id=51&slc_lang=en&sid=1
51-642
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
Evaluation of Using IVMagnesium Sulfate forPrevention of PostoperativeAtrial Fibrillation Arrhythmiain Patients UndergoingCoronary Artery BypassGrafting
A
Ebadi
F
Mohammadhosseini
SK
Tabatabai
A
Rostaminejad
ida1959mad@yahoo.com
Introduction & Objective: Atrial fibrillation (AF) is the most
common important arrhythmia of cardiac surgery. Magnesium, like
several other pharmacologic agents, has been used in the
prophylaxis of postoperative AF with varying degrees of success.
The purpose of this study was to determine the effect of
magnesium administration in reducing postoperative AF after
cardiac surgery.
Materials & Methods: In a double blind randomized clinical trial,
over an 18-month period, 162 patients that electively scheduled for
coronary artery bypass graft (CABG) surgery involving
cardiopulmonary bypass were studied. The patients were randomly
assigned to magnesium receiving (n=81) and placebo (n=81)
groups. In magnesium group, the patients were received an
intravenous infusion of magnesium sulfate, 2 g, immediately after
the termination of cardiopulmonary bypass. Total serum
magnesium concentration was measured before induction,
immediately after operation (before magnesium infusion), and 24
hr after ICU admission. AF was sought with a 12-lead
electrocardiogram (ECG) from the end of surgery up till 72 hr after
operation.
Results: AF occurrence in magnesium group (7.4%) was lower
than placebo group (34.6%) and the differences were statistically
significant (p<0.0001). There was no significant difference in serum
magnesium level during the follow-up. In patients with AF, the
serum magnesium concentration before operation was significantly
lower than others (p=0.0001). In all patients, the serum magnesium
was decreased immediately after operation (p<0.0001).
Conclusion: This study showed that hypomagnesemia is a
common finding after postoperative cardiac surgery and it is
associated with post operation AF. The use of magnesium in early
postoperative periods is highly effective in reducing the incidence
of AF after coronary artery bypass grafting
arrhythmia
Atrial fibrillation
2008
7
01
1
10
http://armaghanj.yums.ac.ir/article-1-642-en.pdf
51-643
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
Effect of KTP Laser Made byAEOI on Resected Prostateafter Open Prostatectomy
MR
Razzaghi
M
Mohammad hosseini
AR
Rezaei
laser.cntr@gmail.com
I
Rezaei
S.H
Nicknam
B
Javanmard
Introduction & Objective: Transurethral resection of prostate
(TURP) is the operation most frequently performed in urology. In
view of the morbidity associated with this procedure, research has
been conducted to propose an endoscopic alternative to TURP.
Using of high energy laser is the most promising method in these
cases. In this study, we evaluated the effect of home made KTP
laser on re-sected prostate adenoma after open prostatectomy.
Materials & Methods: 40 patients complaining of symptomatic
BPH were treated by open prostatectomy. These 40 prostates
were divided in to two parts. One part was sent for pathology
assessment (group A) and the other part was sent to KTP laser
room in the same hospital (group B). The prostates in group B
were divided into 4 groups (1, 2, 3, 4), each with 10 prostate tissue.
In groups 1, 2, 3 and 4, prostate lobes underwent laser ablation in
one, two three and four stage. In any stage, KTP laser, 5 watts for
15 seconds, was used. All of prostate ablated with laser were sent
to pathology for evaluation of tissue ablation capacity and deep
tissue penetration. The study in all of stages was blinded for
pathologist.
Results: Mean age of participants was 73.25±6.8 years and mean
level of PSA was 3.65±2.1 ng/dl. In both groups, with every stage
laser, we have 1 to 2 mm tissue ablation associated with prostate
type. In pathologic examination, we have 0-2 mm tissue
destruction with disappearance of cells' nuclei, basophilia of
stroma and damaged tissue (cutter like effect). Findings were
compatible with burn effect.
Conclusion: Pathologic findings proved, in the ex vivo
investigation, that KTP laser offers a good tissue ablation capacity
and minimal microscopic tissue damage. The risk of capsule
perforation is very low. This procedure is safe and effective in
which bladder outlet obstruction symptoms will be quickly relieves
and has a low rate of complications. Moreover KTP laser has much
cost effectiveness, although we need further studies on live
prostatic tissues
Benign Prostatic Hyperplasia (BPH)
2008
7
01
11
18
http://armaghanj.yums.ac.ir/article-1-643-en.pdf
51-644
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
Effect of Oral Clonidine onPost Operative Nausea andVomiting in GynecologicalLaparoscopic Surgery
F
Javaherforoosh
M
Pipelzadeh
M
Namazi
Introduction & Objective: Despite advances in anesthesia
nausea and vomiting is still a frequent post operative complication
of general anesthesia for laparoscopic surgery. Many treatment
modalities have been tried to reduce this unpleasant side effect. In
this study we assessed the efficacy of oral clonidine in
laparoscopic surgery in gynecological laparoscopic surgery.
Materials & Methods: In this prospective double blind study, 86
ASA classes 1 or 2 were selected. Study group (n=43) received
clonidine (0.2 mg tablet with 50 cc water) 60 – 90 minutes before
surgery while control group ( n=43) received placebo. The patients
were monitored for presence of nausea and vomiting for 24 hours.
Moreover sedation scores and hemodynamic changes between 2
groups were compared. Collected data were analyzed by SPSS
using chi–square and Fisher tests.
Results: Nine patients (20.9%) in study group and 19 patients
(44.2%) in control group nauseated (p = 0.0 21) while 16.3% of
patients in study group and 34.9% in control group vomited (p =
0.048).
Conclusion: Clonidine had statistically significant effect on
reducing the incidence of both nausea and vomiting. It is a simple
effective solution and its routine use can be suggested in
gynecological laparoscopic surgery.
Clonidine
Nausea &
Vomiting
Laparoscopy
2008
7
01
19
27
http://armaghanj.yums.ac.ir/article-1-644-en.pdf
51-645
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
The Effects of LeukemiaInhibitory Factor onDevelopment of MousePreimplantation Embryo
I
Amiri
M
Parvini
A
Amini
R
Mahmodi
rmahmoudi40@yahoo.com
Introduction and Objective: Recent studies have demonstrated
that mammalian preimplantation embryos are exposed to a mixture
of many different growth factors and cytokines, expressed by the
follicles, oviducts and endometrium. Receptors for many of these
growth factors have also been shown to be expressed by
preimplantation embryos. In vitro culture of human and animal's
embryos in conventional media lacking growth factors can result in
suboptimal growth and a variety of short-term and long-term
developmental abnormalities. One of these factors is Leukemia
Inhibitory Factor (LIF). The aim of this study was to evaluate the
effects of LIF on the mouse preimplantation embryo development.
Materials & Methods: Six to eight weeks old NMRI mice were
superovulated by injection of 10IU PMSG and 10IU HCG 48h later.
The mated mice were killed 48 hours after HCG injection, oviducts
were flushed and two-cell embryos were collected and divided
randomly to two groups (control and treatment). Control medium
was HTF and treatment medium was HTF+1000u/ml LIF. In each
group the embryos were cultured in an incubator at 37°C with 5%
CO2 for 72h.The state of embryo development was evaluated in 12
hours interval using inverted microscope.
Results: There was not any significant difference in the rate of
morolla and blastocyst formation after 36 hours. In comparing
hatching rates, 60 and 72 hours after culture, there were significant
difference between control and treatment groups (p< 0.008).
Conclusion: LIF doesn’t provide obvious stimulation in the early
mouse embryo development until morolla stage. However, it has
positive effects on preimplantation blastocyst growth, differentiation
and hatching.
2008
7
01
29
38
http://armaghanj.yums.ac.ir/article-1-645-en.pdf
51-646
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
Identification andDifferentiation of Trichophyton Mentagrophytes and T.rubrum by Polymerase Chain Reaction and Enzymatic Digestion
H
Mirhendi
mirhendi@tums.ac.ir
S
Nooripour Sisakhet
MR
Shidfar
F
Zaini
N
Jalalizand
F
Tavakoli
Introduction & Objective: Trichophyton rubrum and T.
mentagrophytes are most common causative agents of
dermatophytosis in the world. Differentiation of these species is
important from the epidemiological and pathological point of view.
Conventional methods including macroscopic and microscopic
morphology and biochemical tests are time-consuming (in some
cases it takes 3-4 weeks), laborious and still sometimes insufficient
to identify these agents. The aim of this study was to use
polymerase chain reaction followed by enzymatic digestion for
differentiation of these 2 species.
Materials & Methods: In this descriptive–experimental study one
hundred strains were isolated from patients with dermatophytosis.
Preliminary identification was done by morphological methods.
DNA was isolated and purified by glass-bead methods and ITS1-
5.8SrDNA-ITS2 region was amplified by PCR and the amplicon
was digested by the restriction enzyme MvaI. The products were
visualized after agarose gel electrophoresis and staining.
Differentiation of the species was based on sequence analysis and
the electrophoretic patterns.
Results: Morphological tests were not able to definitely
differentiate the two tested species, especially for isolates with
intermediate features. Using molecular methods, it was found that
45 isolates are T. rubrum and 54 are T. mentagrophytes. One
isolate was Fusarium spp. Physiological tests were confirmed the
results except for 4 isolates. It was also found that hair perforation
test is more reliable than urease test for differentiation of these two
species.
Conclusion: We found that DNA-based method, although
expensive, is a fast and reliable method for differentiation of T.
rubrum and T. mentagrophytes. The frequency of mentioned
species was almost similar in the tested isolates. The method is
recommended for differentiation of other dermatophytes.
Trichophyton Mentagrophytes
Trichophyton Rubrum
PCR
2008
7
01
39
48
http://armaghanj.yums.ac.ir/article-1-646-en.pdf
51-647
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
Effect of Oral Consumption of Magnesium on Glucose Concentration and Formalin Test in Diabetic Rats
N
Gheibi
gheibi_n@yahoo.com
H
Rasolpor
F
Rajaei
H
Jahani Hashemi
MH
Esmaeili
E
Abbasi
Introduction & Objective: Magnesium is an essential metal in
carbohydrate metabolism that causes activation and release of
insulin. Increasing of blood sugar in diabetic patients resulted in
decreasing of magnesium in the serum and its low concentration in
urine. The aim of this study was to evaluate the effect of oral
administration of magnesium on glucose concentration and
formalin test in diabetic rats.
Materials & Methods: This experimental study was done from
April 2007 till July 2008 in medical school of Qazvin University of
Medical Sciences. In this study 80 NMRI rats (Razi Co. Iran)
categorized in ten groups control, diabetic without treatment of
magnesium, diabetic with treatment of magnesium in one (1), two
(2), three (3) and four (4) week(s). The other 4 normal groups were
treated with magnesium in same timescales. In the diabetic
groups, diabetes was induced with i.p. injection of 60mg/kg of
streptozotocin. Besides of weight measurements, glucose
concentration of animals was measured with enzymaticcolorimetric
method. Pain scores were measured in formalin test.
Statistical analysis was carried out by ANOVA and Tukey test.
Results: The results showed that the difference in animal weight
and glucose concentrations between control and diabetic groups
was significant (P<0.0001). Glucose concentrations of magnesium
treated diabetic groups were significantly different between 1 and 2
(P<0.005) 1 and 3 or 4 groups (P<0.0001) 2 and 3 (P<0.001) and
2 and 4 (P<0.01). Statistical differences between control and
magnesium treated diabetic groups were significant between
control and 1 (P<0.0001) control and 2 (P<0.05). Considering the
weight of rats, there was no significant difference between diabetic
in one side and 1 and 2 groups in other side while differences
between diabetic and the other 3 and 4 groups were significant
(P<0.001 and P<0.0001, respectively). In this study results from
flinching and licking responses have been evoked by formalin in
biphasic model of formalin test.
Conclusion: Magnesium consuming in diabetic rats resulted in
time dependent increasing of animals weight and decreasing of
glucose concentration. Results from formalin test show
hyperalgesic effects in diabetic and diabetic treated with
magnesium groups in comparison with control groups.
Diabetes Mellitus
Magnesium
Formalin test
pain
Rat
2008
7
01
49
60
http://armaghanj.yums.ac.ir/article-1-647-en.pdf
51-648
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
Antiatherogenic and Antioxidant Effects of Valine on Coronary Arteries of Hypercholesterolemic Animals
A
Movahedian
movahedian@pharm.mui.ac.ir
GR
Dashti
GA
Naderi
M
Khademiezadeh
Introduction & Objective: The decrease of peroxidantion of
lipoproteins as a key event in the development of atherosclerosis
by increasing plasma antioxidant capacity might be an effective
approach in preventing such diseases. It has been shown that
some amino acids and polyamines have antioxidant activity. In this
study antioxidant and antiatherogenic effects of valine in
hypercholesterolemic rabbits have been investigated.
Materials & Methods: fifteen male white rabbits were divided into
three groups including: normal control, hypercholesterolemic
control and hypercholesterolemic treated with L-valine. Animals
were fed with special diets for five weeks and then plasma total
cholesterol (TC), triglyceride (TG), high density lipoprotein
cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C),
conjugated diens (CDs), malondialdehyde (MDA) and antioxidant
capacity (AC) were measured. Coronary arteries were obtained in
order to measure fatty streaks formation by histological studies.
Results: No significant difference was observed in plasma TC,
LDL-C and CDs levels between valine treated and
hypercholesterolemic control groups. However the levels of TG,
HDL-C and MDA in valine-treated group showed a significant
differences in comparison with hypercholesterolemic control group
(p<0.05). Comparison of serum antioxidant capacity in valine
treated group showed significant increase comparing to
hypercholesterolemic control group. The mean size of produced
fatty streaks also showed significant reduction in valine-treated
group in comparison with hypercholesterolemic control group
(p<0.05).
Conclusion: The results showed that valine can prevent the
formation of fatty streaks in hypercholesterolemic rabbits by
increasing of serum antioxidant capacity and decreasing the level
of lipid peroxidation.
Fatty
Atherosclerosis
2008
7
01
61
68
http://armaghanj.yums.ac.ir/article-1-648-en.pdf
51-649
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
A study on the Relationship between Different Dimensions of Perceived Social Support and Different Aspects of Wellbeing
Gh
Ghaedi
H
Yaaghoobi
Introduction & Objective: previous studies suggest that
satisfactory social support leads to physical health and
psychological well-being. The aim of the present study was to
investigate the gender differences in relation betweens different
dimensions of perceived social support and different aspects of
well-being in Iranian University Students.
Materials & Methods: This analytical study was conducted, using
three different groups of students. Students were selected among
the students of Tehran University and Allame Tabatabayi
university, in 2007. Students were asked to complete perceived
social support, positive affect, negative affect, life satisfaction, and
psychological and social well-being scales. All the students
voluntarily completed and returned the questionnaire. Multiple
regression analysis was used to analyze the data using SPSS
software.
Results: It was found that, social support measures are better
predictors for life satisfaction and affect balance in girls compared
with boys. Moreover, perceived social support from family plays a
more important role in girls when it comes to prediction of
psychological and social well-being. In contrast, perceived social
support from friends plays the same role in boys. Finally, perceived
social support from special person and colleagues’ faculty can not
significantly predict aspects of well-being.
Conclusion: there were gender differences in addition to
similarities in the relation between aspects of perceived social
support and aspects of well-being. Some aspects of perceived
social support predict well-being better in boys and some others
are better for prediction of well-being in girls.
Perceived Social Support
Psychological Well-being
Social Well-being
Life Satisfaction
Affect Balance
2008
7
01
69
81
http://armaghanj.yums.ac.ir/article-1-649-en.pdf
51-650
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
Interventions Based on PRECEDE-PROCEED for Promoting Safety Behaviors in Primary School Boys
M
Nazari
A
Heidarnia
Hidarnia @ modares.ac.ir
H
Eftekhar Ardebili
M
Mobasheri
F
Amin Shokravi
SH
Niknami
G
Babaei
Introduction & Objective: Pedestrian injuries are a significant
source of morbidity, mortality and disability among children.
Prevention of these injuries is thus a major priority for public health
and requires a comprehensive approach and educational
strategies. The purpose of this study was designing and evaluation
of an educational program, based on the PRECEED-PROCEED
model for improvement of safety behavior in primary school boys.
Materials & Methods: This study is a field trial carried out in 6th
areas of Tehran in 2007. Participants (n=88) were 10 – 11 year old
who followed by items measuring the PRECEED-PROCEED
model before and after two months of intervention. The collected
data were analyzed with T test, X2 and pair T test using SPSS
software.
Results: After participating in educational program, significant
improvements were found in knowledge, attitude, behavior,
enabling and reinforcing factors of the components of PRECEEDPROCEED
model.
Conclusion: The findings suggest the beneficial effects of
educational intervention based on the PRECEDE-PROCEED
model on improving the safety behavior. It can be recommended
that health education plan be used on educational models.
Boys
2008
7
01
83
93
http://armaghanj.yums.ac.ir/article-1-650-en.pdf
51-651
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
Comparison of Coping Skills in Peptic Ulcer, Irritable Bowel Syndrome and Normal People
SHA
Kharamin
H
Nilli
A
Mohamadi
GH
Mobashery
1.Wolf S. The psyche and the stomach. A historical vignette. Gastroenterology 1981 80: 605–14.
2.Bytzer P, Howell S, Leemon M, Young LJ, Jones MP, Talley NJ. Low socioeconomic class is a
risk factor for upper and lower gastrointestinal symptoms: a population based study in 15000
Australian adults. Gut 200149:66-72.
3.Levenstein S, Ackerman S, Kiecolt-Glaser JK, Dubois A. Stress and peptic ulcer disease. JAMA
1999 281(1):10-1.
4.Ackerman SH, Hofer MA, Weiner H. Age at maternal separation and astric erosion susceptibility
in the rat. Psychosom Med 1975 37: 180-4.
5.Levenstein S. Stress and peptic ulcer: life beyond Helicobacter. BMJ 1998 316: 538-41.
6.Gilligan I, Fung L, Piper DW, Tennant C. Life event stress and chronic dif-ficulties in duodenal
ulcer: a case control study. J Psychosom Res 1987 31: 117-23.
7.Levenstein S, Kaplan GA, Smith M. Sociodemographic characteristics, life stressors, and peptic
ulcer: a prospective study. J Clin Gastroenterol 1995 21:185-92.
8.Levenstein S, Kaplan GA, Smith MW. Psychological predictors of peptic ulcer incidence in the
Alameda County study. J Clin Gastroenterol 1997 24: 140-6.
9.Whitehead WE. Assessing the effects of stress on physical symptoms. Health Psychol 1994 13:
99–102.
10.Blanchard EB, Lackner JM, Jaccard J, Rowell D, Carosella AM, Powell C, et al. The role of
stress in symptom exacerbation among IBS patients. J Psychosom Res 2008 6492):119–28.
11.Schwarz SP, Blanchard EB, Berreman CF, Scharff L, Taylor AE, Greene BR, et al.
Psychological aspects of irritable bowel syndrome: comparisons with inflammatory bowel disease
and nonpatient controls. Behav Res Ther 1993 31: 297–304.
12.Blanchard EB, Radnitz C, Evans DD, Schwarz SP, Neff DF, Gerardi MA. Psychological
comparisons of irritable bowel syndrome to chronic tension and migraine headache and
non-patient controls. Biofeedback Self Regul 1986 11: 221–30.
13.Drossman DA, McKee DC, Sandler RS, Mitchell CM, Cramer EM, Lowman BC, et al.
Psychosocial factors in irritable bowel syndrome: a multivariate study of patients and non-patients
with irritable bowel syndrome. Gastroenterology 1988 95: 701–8.
14.Whitehead WE, Crowell MD, Robinson JC, Heller BR, Schuster MM. Effects of stress or life
events on bowel symptoms: subjects with irritable bowel syndrome compared with subjects without
bowel dysfunction. Gut 1992 33: 825–30.
15.Levy RL, Cain KC, Jarrett M, Heitkemper MM. The relationship between daily life stress and
gastrointestinal symptoms in women with irritable bowel syndrome. J Behav Med 1997 20:177–93.
16.Lazarus RS. Psychological stress and the coping process. 1st ed. New York: McGraw-Hill1966
100 .
17.Ellis A. Feeling better, getting better, staying better. 1st ed. USA: Impact Publishers 2001 120.
18.Holahan CJ, Moos RH. Risk, resistance, and psychological distress: A longitudinal analysis with
adults and children. Journal of Abnormal Psychology 1987 96: 3-13.
19.Fawzy FI, Fawzy NW, Hyn CS, Elashoff R, Guthrie D, Fahey JL, et al. Malignant melanoma:
Effects of an early structured psychiatric intervention, coping, and affective state on recurrence and
survival six years later. Archives of General Psychiatry 1993 50: 681-9.
20.Carver CS. You want to measure coping but your protocol’s too long: Consider the brief COPE.
International Journal of Behavioral Medicine 1997 4: 92-100.
21.Minderhoud IM, Oldenburg B, Wismeijer JA, Van Berge Henegouwen GP, Smout AJ. IBS-like
symptoms in patients with inflammatory bowel disease in remission relationships with quality of life
and coping behavior. Dig Dis Sci 2004 49(3): 469-74.
22.Pinto C, Lele MV, Joglekar AS, Panwar VS, Dhavale HS. Stressful life-events, anxiety,
depression and coping in patients of irritable bowel syndrome. J Assoc Physicians India 2000
48(6): 589-93.
23.Drossman DA, editor. Moderator. AGA Clinical Symposium - Rome III: New Criteria for the
Functional GI Disorders: 2006 May. 20-25: Los Angeles, California: USA.
26.Van Heck GL, Vinger Hoets AJ, Van Hout GC. Coping and extreme response tendency in
duodenal ulcer patient. Psychosomatic Medicine 1991 53(5): 566-75.
27.Piper DW, Tennant C. Stress and personality in patients with chronic peptic ulcer. Journal of
Clinical Gastroentrol 1993 17(2):178.
28.Pinto C, Lele MV. Joglekar AS, Panwar VS, Dhavale HS. Stressful life – events, anxiety,
depression and coping in patient of irritable bowel syndrome. Association Physicians India
2000 48(6) 589-93.
29.Solmaz M, Kavuk I, Sayar K. Psychological factors in irritable bowel syndrome. European
Journal of Medical Researches 2003 8(2): 549-56.
Peptic Ulcer
Coping Skills
2008
7
01
95
104
http://armaghanj.yums.ac.ir/article-1-651-en.pdf
51-652
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
Adverse Effects of DPT Vaccine in Children below 7 Years of Age in Rural and Urban Areas of Kohgiloye and Boyerahmad Province In 1385
Z
Parisaee
parisay82@yahoo.com
AR
Esteghamati
K
Zandi Ghashghaei
A
Jabarnejad
Introduction & Objective: Vaccination is an important and
precious intervention which can protect individuals and community
against vaccine preventable diseases with low cost. Although
vaccines in use including DPT are very effective but there is no
vaccine without adverse events. The DPT adverse events can be
classified as vaccine reaction, injection reaction, coincidental
events and program error. The aims of this study were to
investigate the adverse events of DPT and providing measures for
improvement of existing surveillance and reporting system.
Materials & Methods: in this cross sectional study a total number
of 2000 children who were vaccinated with DPT were followed for a
4 month periods from the beginning of June to the end of
September for adverse events. Sampling was done by clustering
methods in 20% of rural and urban health centers which were
randomly selected. A structural questionnaire was completed for
each subject along with interview and physical exam. Data were
analyzed using SPSS software version 11.5
Results: Systemic reactions including loss of appetite was seen in
4.9%, fatigue in 3%, pallor in 1.8%, crying for more than 3 hours in
1.6% and vomiting in 1.5% of vaccinated children. local reactions
was seen in 56% of cases which were including: redness in the
injection site (13.5%), swelling without redness (12.2%), swelling
with redness (6.2%). Vaccine reaction (fever as the most) was
noted in 45% of cases, program error in 7.6% of cases, injection
reaction in 3% of children and coincidental in 1.2% of children.
Conclusion: the most common adverse event following DPT
vaccine was due to vaccine reaction. Injection site had the most
quotas in presenting the vaccine reaction. We suggest changing of
the DPT injection site from deltoid to upper outer part of thigh.
Injection reaction can also be due to first experience of the young
children in their first vaccination schedule
Adverse Event Following Immunization
DPT Vaccine
Children Below 7 Years
2008
7
01
105
114
http://armaghanj.yums.ac.ir/article-1-652-en.pdf
51-653
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
Application of Spinal Anesthesia for Percutaneous Nephrolithotomy (PCNL)
S
Mehrabi
mehrabi390@yahoo.com
K
Karimzadeh Shirazi
Introduction & Objective:: PCNL is the treatment of choice for
renal calculi larger than 20-3o millimeter, staghorn stones and
stones that are multiple or resistant to ESWL. The aim of this study
was the evaluating of the impact of spinal anesthesia on
intraoperative and postoperative outcome in patients undergoing
PCNL.
Material & Methods: The intraoperative and postoperative
anesthetic and surgical variables were evaluated for hundred and
twenty consecutive patients underwent PCNL. Anesthetic and
surgical variables during and after operation in patient undergoing
PCNL under spinal anesthesia were recorded and collected data
were analyzed by SPSS software using chi square test.
Results: Mean time of operation from the beginning of anesthesia
to the end of operation was 98±45 minutes. Mean stone size was
3.1±1.8 cm. Mean time for return of sensory and motor activity
were135±22.7 and 112±35.7 minutes respectively. Major
intraoperative or postoperative complications such as visceral or
vascular injury and unusual bleeding did not occur in any of
patients. Five patients needed transfusion of 1 unit pack cell and
four patients complain from mild to moderate headache and
dizziness and also mild low back pain for 2-4 days after operation
that improved with analgesics and bed rest.
Conclusion: Spinal anesthesia is safe and effective and also
comfortable for performing PCNL and is a good alternative for
general anesthesia in adult patients.
Percutaneous
Nephrolithotomy(PCNL)
Spinal Anesthesia
Complications
2008
7
01
115
122
http://armaghanj.yums.ac.ir/article-1-653-en.pdf
51-654
2024-03-29
10.1002
Armaghane Danesh
armaghanj
1728-6506
1728-6514
10.61186/armaghanj
2008
13
2
Comparison between the Outcomes of External vs Endonasal Dacryocystorhinostomy in Shiraz Khalili Hospital
SB
Hashemi
hashemib@yahoo.com
R
Saluti
A
Fahzadi
Introduction & Objective: The nasolacrimal duct obstruction is a
bothersome disorder that appears after acute or chronic
inflammation, trauma, tumor, surgery or congenital disorders. The
early treatment is irrigation or probing. If these methods were
unsuccessful, dacryocystorhinostomy can be done .The purpose of
this study was a comparison between the results of external vs
endonasal dacryocystorhinostomy, which is done in shiraz
university of medical sciences (Khalili hospital).
Materials & Methods: In this prospective study 46 patients who
suffered from primary nasolacrimal duct obstruction were operated
by endonasal dacryocystorhinostomy in Khalili hospital during 2001
to 2005. The results were compared with external
dacryocystorhinostomy as control group and analyzed by SPSS
using chi-square test.
Results: After 10-31 months (average 20 mo) 40 patients (87%)
cured completely and 60 patients (92.3%) among 65 patients of
control group cured completely. There was no statistically
significant difference between these two methods.
Conclusion: Endonasal dacryocystorhinostomy has more benefit
in compare with external dacryocystorhinostomy because of less
trauma, no skin incision and less complications after surgery.
Comparison between the Outcomes of External vs Endonasal Dacryocystorhinostomy in Shiraz Khalili Hospital
2008
7
01
123
130
http://armaghanj.yums.ac.ir/article-1-654-en.pdf