Showing papers in "Journal of Isfahan Medical School in 2008"

Molecular assessment on the prevalence of urogenital infection with chlamydia trachomatis in asymptomatic men

Abstract: Chlamydia trachomatis is a common curable, bacterial sexually- transmitted disease. The epidemic of Chlamydia trachomatis (CT) has been well documented in young women, but information is limited regarding its prevalence among a healthy population of young men. The purpose of this study was to determine the prevalence of urogenital infection with CT in asymptomatic men. Background: This cross-sectional study was conducted on 140 asymptomatic men, aged 15-49 years, attending to the reference laboratory of Bu-Ali hospital, Tehran, Iran from Dec 2005 to May 2006. Participants were selected by random sampling and had not voided at least for the past 2 hours (F.C.U). They completed a questionnaire containing personal characteristics such as age, marriage status, education and job. Demographic data and PCR results analyzed by SPSS 13 . Methods: From the 140 urine samples, 1 (0.7%) was positive for Chlamydia trachomatis by PCR (%95 CI: %0-%2.07). Findings: Based on this study, screening for Chlamydia trachomatis in Iranian young asymptomatic men is not recommended. However, for evaluating the true prevalence rate wide studies with large sample sizes are needed. It seems that for epidemiologic studies serology is more cost- effective than PCR is. Conclusion: Chlamydia trachomatis, prevalence, men, urine, PCR Key words:

Incidence of neurological syndromes after thrombolytic therapy in elderly patients with acute myocardial infarction

Abstract: Background: Reperfusion therapy is the standard treatment of acute myocardial infarction (AMI). If the percutaneous coronary intervention (PCI), as a preferred reperfusion strategy, was not available, thrombolytic therapy is chosen as an alternative treatment. However, the affect of thrombolytic therapy in old patients is still controversial; especially because of its effects on increasing the incidence of intra cranial hemorrhage (ICH). In this study, we evaluated the incidence of neurological symptoms and ICH after thrombolytic therapy in more than 65 years old patients with AMI. Methods: 300 patients of 65 years old and more with AMI in which their symptoms had been begun more than 12 hours before admission to the hospital, and with no contraindications for receiving thrombolytic therapy, were chosen. The patients were admitted in Noor hospital between 2004 and 2006. All of them received streptokinase (SK) in the same way, and the information's were pulled out from their files and gathered in a check list. Findings: Among 300 patients in our study, there were 124 women (41/33%) and 176 men (58/66%). Their mean age was (74±9) years (from 65 to 92 years). 78% were discharged after one week hospitalization and 22% (66 patients) died. Arrhythmias or myocardial re-infarction were the leading cause of death in 56/06% of all deaths. No death due to ICH and no evidence of ICH, such as hemi-paresis or loss of consciousness, were occurred. Conclusion: We suggest that thrombolytic therapy in old patients with acute myocardial infarction is a good alternative treatment when there is no ready access to a skilled PCI facility. In our study, increasing of mortality rate due to ICH was not enough to exclude giving SK to more than 65 years old patients. Key words: Acute myocardial infarction, percutaneous coronary intervention, intracranial hemorrhage, streptokinase, thrombolytic therapy

Evaluation of visual function improvement after nd: yag laser posterior capsulotomy in patient with posterior capsule opacification

Abstract: Background: Posterior capsule opacification (PCO) is one of the most common side effects after cataract surgery. YAG laser posterior capsulotomy is used for the treatment of PCO. This study evaluated the improvement of visual function after ND: YAG laser posterior capsulotomy in patient with PCO after cataract surgery. Methods: In this descriptive study, 48 patients with PCO without underlying disease were selected for ND: YAG laser posterior capsulotomy. Their visual functions included visual acuity, contrast sensitivity and glare sensitivity was measured before and one month after Nd: YAG laser capsulotomy. In addition, we evaluate the correlation between the type of the lens and visual function. Findings: Among 48 patients studied, 21 (43.7%) were male and 27 (56.3%) were female and the average age was 70.6±10.7 years. Average visual acuity, contrast sensitivity and glare sensitivity before Nd: YAG laser capsulotomy was 20/37, 20/83 and 20/95 respectively that changed to 20/24, 20/50, and 20/64 after capsulotomy. Conclusion: Nd: YAG laser capsulotomy improved visual functions (include visual acuity, contrast sensitivity and glare sensitivity). The type of lens used in cataract surgery did not influence these parameters. Key words: Posterior capsule opacification, Nd: YAG laser capsulotomy, cataract

Effect of melatonin in the prevention of postoperative adhesion formation in an experimental study

Abstract: Post operative adhesion formation is a very important clinical problem because of its complications such as pain, bowel obstruction, infertility and subsequent intra-operative complications. We aimed to investigate the effects of melatonin (ME), as an agent acting against free radicals, on the prevention of adhesion formation. Background: A number of 39 rats were randomly assigned into three groups of equal number. Serosal injury was created using a standard technique, one group received a single dose of intraperitoneal (IP) ME immediately after injury; a single dose of subcutaneous (SC) ME was given to the second group 30 minutes prior to surgery; but the control group did not received ME. All animals were re-operated 2 weeks after the surgery and the adhesion scores were determined by an examiner blinded to the under experiment groups. Methods: The total score of adhesion reduced significantly in IP and SC groups in comparison to controls (p Findings: This study showed that single dose ME therapy can be effective in the prevention of post operative adhesion formation. This finding may be a basis for future studies. Conclusion: Adhesion formation, melatonin, prevention, experimental study Key words:

Comparison of the severity of injection pain and success in spinal anesthesia of elderly patients by midline and paramedian approaches

Abstract: The side effects of general anesthesia increase by ageing. Considering the inability of elderly patients to cooperate with anesthesiologist for implementation of spinal anesthesia, this study was conducted to compare the severity of injection pain and success of two methods of spinal anesthesia through midline and paramedian approaches in elderly patients. Background: In this randomized double-blind clinical trial, 100 elderly patients who were candidated for elective surgery under spinal anesthesia, were randomly assigned into two groups of equal number ; in one group spinal anesthesia was conducted with midline approach and in the other group with paramedian approach. Data were analyzed with SPSS ver13.0 by using Chi-square, Mann-Whitney U and t-Student tests. Methods: The patients of the two groups had no significant difference in terms of age, weight, height and gender. In the paramedian approach, severity of injection pain was significantly lower than in the midline group (p=0.01). In addition, the first successful trial instances were significantly higher in the paramedian than in the midline approach (36 vs.17 cases, respectively, p Findings: Considering that spinal anesthesia with paramedian approach results not only in lower severity of injection pain but also in higher number of first successful trial instances, it is suggested to use this method for elderly patients. Conclusion: Elderly, spinal anesthesia, midline approach, paramedian approach Key words:

Effect of pre-incisional subcutaneous infiltration of morphine on pain intensity after upper abdominal surgery

Abstract: U…U‚O¯U…U‡: O´UˆO§U‡O¯UŒ UˆO¬UˆO¯ O¯O§O±O¯U©U‡ U†O´O§U† U…UŒ‌O¯U‡O¯ O±O³U¾OaUˆO±U‡O§US U…O®O¯O±US O¯O± O¨O§UOa‌U‡O§UŒ U…O­USO·US U†UŒO² UˆO¬UˆO¯ O¯O§O±U†O¯. O§UŒU† O§U…O± U…U†O¬O± O¨U‡ U©O§O±O¨O±O¯ O¨O§U„UŒU†UŒ U…O®O¯O±U‡O§ O¨U‡ OµUˆO±Oa U…O­UŒO·UŒ O´O¯U‡ O§O³Oa. U¾U˜UˆU‡O´ O­O§O¶O± O¨O§ U‡O¯U OaO¹USUSU† OaO£O«USO± O§U†UUSU„OaO±O§O³USUˆU† U…UˆO¶O¹US U…UˆO±UUSU† U¾UŒO´ O§O² O¨O±O´ O¬O±O§O­US O¨O± U©O§U‡O´ O¯O±O¯ U¾O³ O§O² O¹U…U„ O¯O± O¨USU…O§O±O§U† O¯O§UˆO·U„O¨ O¬O±O§O­US UUˆU‚O§U†US O´UƒU… O·O±O§O­US Uˆ O§O¬O±O§ U¯O±O¯USO¯. O±UˆO´‌U‡O§: O¯O± O§USU† U…O·O§U„O¹U‡‌UŒ O¯Uˆ O³UˆUŒU‡ U©UˆO± O¢UŒU†O¯U‡‌U†U¯O±OŒ 70 O¨USU…O§O± O¯O§UˆO·U„O¨ O¬O±O§O­US UUˆU‚O§U†US O´UƒU… O§U†OaO®O§O¨ Uˆ O¨U‡ O¯Uˆ U¯O±UˆU‡ U…O³O§UˆUS OaU‚O³USU… O´O¯U†O¯. U¾O³ O§O² O§U„U‚O§US O¨USU‡UˆO´USOŒ O¯O± O¨USU…O§O±O§U† U¯O±UˆU‡ U…UˆO±O¯OŒ 10 U…UŒU„UŒ‌U„UŒOaO± U…UˆO±UUSU† mg/kg 1/0 O¯O± U…O­U„ O¨O±O´ O¬O±O§O­US O¨U‡ O±UˆO´ O²USO±O¬U„O¯US O§U†UUSU„OaO±U‡ O´O¯. O¯O± O¨USU…O§O±O§U† U¯O±UˆU‡ O´O§U‡O¯ O§O² U…O­U„UˆU„ O³O§U„USU† U†O±U…O§U„ O¨O§ U‡U…O§U† O­O¬U… O§O³OaUO§O¯U‡ U¯O±O¯USO¯. O³U¾O³ O¨O±O´ O¬O±O§O­UŒ 15 O¯U‚UŒU‚U‡ U¾O³ O§O² O§U†UUSU„OaO±O§O³USUˆU† U…UˆO¶O¹US O§U†O¬O§U… Uˆ U¾O§O±O§U…OaO±U‡O§US U‡U…UˆO¯USU†O§U…USUƒ O¨USU…O§O±O§U† O¯O± O­USU† O¹U…U„ Uˆ O´O¯Oa O¯O±O¯ U¾O³ O§O² O¹U…U„ OaO§ 24 O³O§O¹Oa OaO¹USUSU† Uˆ O«O¨Oa U¯O±O¯USO¯. U‡U…U†U†UŒU† U…O¬U…UˆO¹ U…UˆO±UUŒU† U…OµO±UUŒ U¾O³ O§O² O¹U…U„ Uˆ O²U…O§U† O¯O±UŒO§UOa O§UˆU„UŒU† O¯UˆO² U…UˆO±UUŒU† O¯O± O¯Uˆ U¯O±UˆU‡ O«O¨Oa U¯O±O¯UŒO¯. O¨O±O§UŒ O¢U†O§U„USO² O¢U…O§O±US O§O² OaO³Oa‌U‡O§US t Uˆ U…O¬O°UˆO± UƒO§US O§O³OaUO§O¯U‡ O´O¯. UŒO§UOaU‡‌U‡O§: U…USO§U†U¯USU† O´O¯Oa O¯O±O¯ O¯O± O¨USU…O§O±O§U† U¯O±UˆU‡ U¯UŒO±U†O¯U‡‌UŒ U…UˆO±UUSU† O¯O± O³O§O¹O§Oa 4 Uˆ 6 U¾O³ O§O² O¹U…U„ O¨U‡ O·UˆO± U…O¹U†UŒ‌O¯O§O±US UƒU…‌OaO± O§O² U¯O±UˆU‡ O³O§U„USU† O¨UˆO¯ (O¨U‡ OaO±OaUSO¨ 82/1±97/4 O¯O± U…U‚O§O¨U„ 80/1±97/5 O¨O§ 012/0=p Uˆ 00/2±30/4 O¯O± U…U‚O§O¨U„ 90/1±20/5 O¨O§ 04/0=p). U…USO§U†U¯USU† OaO¹O¯O§O¯ U†O¨O¶ Uˆ U‡U…U†U†USU† U…USO§U†U¯USU† OaOoUSUSO±O§Oa O¢U† O¯O± O¯U‚O§USU‚ 5OŒ 10 Uˆ 15 U¾O³ O§O² U…O¯O§O®U„U‡ O¯O± O¨USU…O§O±O§U† U¯O±UˆU‡ U…UˆO±UUSU† O¨U‡ O·UˆO± U…O¹U†US‌O¯O§O±US UƒU…‌OaO± O§O² U¯O±UˆU‡ O³O§U„USU† O¨UˆO¯ (05/0 > p ). U†OaUŒO¬U‡‌U¯UŒO±UŒ: O§USU† U…O·O§U„O¹U‡ U†OaUˆO§U†O³Oa OaO£O«USO± O§U†UUSU„OaO±O§O³USUˆU† U…UˆO¶O¹US U…UˆO±UUSU† O±O§ U¾UŒO´ O§O² O¨O±O´ O¬O±O§O­US (Preemptive) O¯O± O§O¹U…O§U„ UUˆU‚O§U†US O´UƒU… O¨O± UƒO§U‡O´ O¯O±O¯ U¾O³ O§O² O¹U…U„ U†O´O§U† O¯U‡O¯. OaO£O«USO± UƒO§U‡U†O¯U‡‌UŒ O¯O±O¯ O¯O± O³O§O¹O§Oa 4 Uˆ 6 O¨O¹O¯ O§O² O¹U…U„ U…US‌OaUˆO§U†O¯ U†O§O´US O§O² O¬O°O¨ O³USO³OaU…USUƒ O¯O§O±Uˆ Uˆ OaO£O«USO± O¢U† O¨O± U©O§U‡O´ O¯O±O¯ O¨O§O´O¯. UˆO§U˜U¯O§U† U©U„UŒO¯UŒ: O¯O±O¯ U¾O³ O§O² O¹U…U„OŒ U…UˆO±UUSU†OŒ O§U†UUSU„OaO±O§O³USUˆU†OŒ O¬O±O§O­US UUˆU‚O§U†US O´UƒU….

The reporting rate of the cancers from shiraz hospitals to fars province cancer registry

Abstract: Background : Malignancy as a common cause of mortality needs to be investigated for its epidemiology and pattern of distribution in population. Data collection about cancer epidemiology is the first step in preventing and controlling this health problem. Cancer registries provide basic information for many epidemiological studies. In this study, reporting and notifying the rate of cancers to Fars province cancer registry center (FPCRC) were examined during 2004-5. Methods : 10% of all admitted patients in Shiraz hospitals during 2004-5 were selected as studied group. So, 300 medical files were selected by multi-stage random sampling; then, then, 3 Shiraz University of Medical Sciences affiliated hospitals and 3 private hospitals were selected by cluster random sampling. Through medical records of patients diagnosed with cancer in 2005 in these hospitals, the study group was selected by systematic random sampling. These data were compared with data kept by FPCRC. Reporting and notification rates of different cancers to FPCRC were calculated. Findings : The reporting rate of cancer cases to FPCRC was 60%. The accuracy rate of those reported cases was 87.5%. The reporting rate of the cancers from SUMS affiliated hospitals was significantly lower comparing to other hospitals (p Conclusion : The reporting rates of cancers to FPCRC are obviously low and appropriate interventions are necessary. Key words : Cancer, medical report rate, Fars province, Iran.

Hypercoagulopathy And Serum “Natural Antithrombotic Factors†in Beta-Thalassemia Major

Abstract: U…U‚O¯U…U‡: U‡UŒU¾O±U©UˆO¢U¯UˆU„UˆU¾O§OaUŒ UŒU©UŒ O§O² O¹UˆO§O±O¶ U…U‡U… OaO§U„O§O³U…UŒ U…O§U˜UˆO± Uˆ O§UŒU†OaO±U…O¯UŒOa O§O³Oa O´UŒUˆO¹ UO±O§UˆO§U† O§UO²O§UŒO´ UO´O§O± O´O±UŒO§U† O±UŒUˆUŒ O¯O± U¾UŒ O¨O±UˆO² OaO±UˆU…O¨UˆO²U‡O§UŒ O±UŒUˆUŒ O¯O± O¨O¹O¶UŒ O§O² U¯O²O§O±O´‌U‡O§OŒ U†O´O§U† O§O² O§U‡U…UŒOa O§UŒU† O¹O§O±O¶U‡ O¯O§O±O¯ O¯O± O§UŒU† OaO­U‚UŒU‚ O¨U‡ O§O±O²UŒO§O¨UŒ O´UŒUˆO¹ U‡UŒU¾O±U©UˆO¢U¯UˆU„UˆU¾O§OaUŒ O¯O± O¨UŒU…O§O±O§U† OaO§U„O§O³U…UŒ U…O§U˜UˆO± U¾O±O¯O§O®OaU‡ O´O¯U‡ O§O³Oa O±UˆO´‌U‡O§: O¬U‡Oa O§O±O²UŒO§O¨UŒ O´UŒUˆO¹ O§UŒU† O¹O§O±O¶U‡OŒ 41 O¨UŒU…O§O± OaO§U„O§O³U…UŒ U…O§U˜UˆO± O³O§U©U† O§OµUU‡O§U† U©U‡ O¨O§ OaO²O±UŒU‚ U…U†O¸U… O®UˆU† O²UŒO± U†O¸O± O¨UˆO¯U†O¯OŒ O§O² U„O­O§O¸ U…UŒO²O§U† U¾O±UˆOaO¦UŒU†‌U‡O§UŒ C Uˆ S Uˆ Antithrombin IIIOŒ O§O±OaO¨O§O· U…UŒO²O§U† O§UŒU† UO§U©OaUˆO±U‡O§ O¨O§ O¹UˆO§U…U„ O²U…UŒU†U‡‌O§UŒ Uˆ U‡U…U†U†UŒU† UˆO¬UˆO¯ O§UO²O§UŒO´ UO´O§O± O´O±UŒO§U† O±UŒUˆUŒ U…UˆO±O¯ O§O±O²UŒO§O¨UŒ U‚O±O§O± U¯O±UOaU†O¯ UŒO§UOaU‡‌U‡O§: O¯O± 43% O¢U†O§U† U©U…O¨UˆO¯ U¾O±UˆOaO¦UŒU† COŒ 53% U©U…O¨UˆO¯ U¾O±UˆOaO¦UŒU† S Uˆ 30% U©U…O¨UˆO¯ AT-III U…O´O§U‡O¯U‡ U¯O±O¯UŒO¯ 82% O¨UŒU…O§O±O§U† O­O¯O§U‚U„ O¨O§ U©U…O¨UˆO¯ O¯O± UŒU© UO§U©OaUˆO± U…O´U©U„ O¯O§O´OaU†O¯ U©U…O¨UˆO¯ UO§U©OaUˆO±U‡O§UŒ O¶O¯ O§U†O¹U‚O§O¯UŒ O¯O± O³U† O¨O§U„O§UŒ 10 O³O§U„OŒ U‡U…UˆU¯U„UˆO¨UŒU† U¾O§UŒUŒU†‌OaO± U¾UŒO´ O§O² OaO²O±UŒU‚ Uˆ UUˆO§OµU„ OaO²O±UŒU‚ O®UˆU† O¨UŒO´OaO± O§O² 21 O±UˆO² UO±O§UˆO§U†UŒ O¨UŒO´OaO±UŒ O¯O§O´Oa U‡U…U†U†UŒU† O¨UŒU† U…UŒO²O§U† UO±UŒOaUŒU† O³O±U… O¨O§ U©U…O¨UˆO¯ U¾O±UˆOaO¦UŒU†‌U‡O§UŒC Uˆ S O§O±OaO¨O§O· U…O¹U†UŒ‌O¯O§O± O¨UˆO¯ (P P )OŒ UˆU„UŒ UU‚O· O¯Uˆ O¨UŒU…O§O± O§UO²O§UŒO´ UO´O§O± O´O±UŒO§U† O±UŒUˆUŒ O¯O§O´OaU†O¯ U†OaUŒO¬U‡‌U¯UŒO±UŒ: U‡O±U†U†O¯ O¯O± O§UŒU† U¾U˜UˆU‡O´ U…UˆO§O±O¯ O§UO²O§UŒO´ UO´O§O± O´O±UŒO§U† O±UŒUˆUŒ O´O§UŒO¹ U†O¨UˆO¯OŒ UˆU„UŒ O´UŒUˆO¹ O¨O§U„O§UŒ U©U…O¨UˆO¯ UO§U©OaUˆO±U‡O§UŒ O¶O¯ O§U†O¹U‚O§O¯UŒ U‚O§O¨U„ OaUˆO¬U‡ O¨UˆO¯ UŒO§UOaU‡‌U‡O§UŒ UUˆU‚ OaO£UŒUŒO¯ U©U†U†O¯U‡‌UŒ O´UŒUˆO¹ O¨O§U„O§UŒ U‡UŒU¾O±U©UˆO¢U¯UˆU„UˆU¾O§OaUŒ O¯O± O§UŒU† U¯O±UˆU‡ O§O² O¨UŒU…O§O±O§U† O¨UˆO¯ Uˆ U„O²UˆU… U¾UŒU¯UŒO±UŒ O¯U‚UŒU‚‌OaO± O±O§ O¨U‡ UˆUŒU˜U‡ O¯O± O¨UŒU…O§O±O§U† O¨O§ O®O·O± O¨O§U„O§ U…O´O®Oµ U…UŒ‌O³O§O²O¯ UˆO§U˜U¯O§U† U©U„UŒO¯UŒ: OaO§U„O§O³U…UŒ U…O§U˜UˆO±OŒ U‡UŒU¾O±U©Uˆ O¢ U¯UˆU„UˆU¾O§OaUŒ OŒ O§UO²O§UŒO´ UO´O§O± O´O±UŒO§U† O±UŒUˆUŒ

Evaluation of Association between Ultrasonographic Carotid IMT with Severity of Angiographic Coronary Artery Involvement, in Contrast to Control Group in Angina Pectoris Patients

Abstract: U…U‚O¯U…U‡: U…O·O§U„O¹O§Oa U‡U…U‡‌U¯UŒO±UŒ O´U†O§O®OaUŒ U…OaO¹O¯O¯US O¯O± O¯O³Oa O§O³Oa UƒU‡ O¨O± O§O³O§O³ O¢U† O§UO²O§USO´ O¶O®O§U…Oa O§USU†OaUSU…O§-U…O¯USO§US O´O±USO§U† UƒO§O±UˆOaUSO¯ (IMT) U…US‌OaUˆO§U†O¯ O¨U‡ O¹U†UˆO§U† U¾USO´‌U¯UˆUSUS UƒU†U†O¯U‡‌UŒ O¨USU…O§O±US‌U‡O§US U‚U„O¨US O¹O±UˆU‚US O¨U‡ UƒO§O± O±UˆO¯. O¯O± O§USU† U…O·O§U„O¹U‡ UƒUˆO´USO¯U‡ O´O¯ O§O®OaU„O§U IMT O¯O± 2 U¯O±UˆU‡ O¨USU…O§O±O§U† O¯O§O±O§US O¯O±U¯USO±US O¹O±UˆU‚ UƒO±UˆU†O± Uˆ O¨O¯UˆU† O¯O±U¯USO±US O¹O±UˆU‚ UƒO±UˆU†O± O¨O± O­O³O¨ O¢U†U˜USUˆU¯O±O§UUS U…UˆO±O¯ U…U‚O§USO³U‡ U‚O±O§O± U¯USO±O¯. O±UˆO´‌U‡O§: O§UŒU† U…O·O§U„O¹U‡‌UŒ U…UˆO±O¯-O´O§U‡O¯UŒ O¯O± O¨UŒU…O§O±O§U† U…O¨OaU„O§ O¨U‡ O¢U†U˜UŒU† OµO¯O±UŒ O«O§O¨Oa O§U†O¬O§U… U¯O±UOa. 35 O¨UŒU…O§O± O¨O§ O¢U†U˜UŒUˆU¯O±O§UUŒ U©O±UˆU†O±UŒ OoUŒO±O·O¨UŒO¹UŒ O¯O± U¯O±UˆU‡ U…UˆO±O¯ U‚O±O§O± U¯O±UOaU†O¯ Uˆ U‡U…UŒU† OaO¹O¯O§O¯ O§O² O§UO±O§O¯ O¨O§ O¢U†U˜UŒUˆU¯O±O§UUŒ U©O±UˆU†O±UŒ O·O¨UŒO¹UŒ O¨O±O§UŒ U¯O±UˆU‡ O´O§U‡O¯ O¨U‡ OµUˆO±Oa OaOµO§O¯UUŒ O§U†OaO®O§O¨ O´O¯U†O¯. U…O¨OaU„O§UŒO§U† O¨U‡ O¯UŒO§O¨Oa UŒO§ O¨UŒU…O§O±UŒ U…O²U…U† U©U„UŒUˆUŒ O§O² U…O·O§U„O¹U‡ O®O§O±O¬ O´O¯U†O¯. IMT O´O±UŒO§U† U©O§O±UˆOaUŒO¯ O¯Uˆ U¯O±UˆU‡ O¯O± O´O±UŒO§U†‌U‡O§UŒ U©O§O±UˆOaUŒO¯ O¯O§O®U„USOŒ U…O´OaO±U© Uˆ O¨UˆU„O¨ O¯Uˆ O·O±U U…O­O§O³O¨U‡ Uˆ UˆO¬UˆO¯ U¾U„O§U© O¯O± O´O±UŒO§U†‌U‡O§UŒ U©O§O±UˆOaUŒO¯ U†UŒO² O¯O± O¯Uˆ U¯O±UˆU‡ O«O¨Oa O´O¯. U…UŒO§U†U¯UŒU† IMT Uˆ UˆO¬UˆO¯ U¾U„O§U© O¯O± O´O±UŒO§U†‌U‡O§UŒ U©O§O±UˆOaUŒO¯ O¯Uˆ U¯O±UˆU‡ O¨O§ O¢O²U…UˆU†‌U‡O§UŒ O¢U…O§O±UŒ t-testOŒ U…O¬O°UˆO± U©O§UŒ Uˆ O¯O± OµUˆO±Oa U„O²UˆU… U…U†-UˆOaUŒU†UŒ U…U‚O§UŒO³U‡ U¯O±O¯UŒO¯. UŒO§UOaU‡‌U‡O§: O¯O± O§UŒU† U…O·O§U„O¹U‡‌ 59 O¨UŒU…O§O± (27 O²U† Uˆ 32 U…O±O¯) U…UˆO±O¯ U…O·O§U„O¹U‡ U‚O±O§O± U¯O±UOaU†O¯ U©U‡ 33 U†UO± O¯O±U¯O±UˆU‡ U…UˆO±O¯ Uˆ 29 U†UO± O¯O± U¯O±UˆU‡ O´O§U‡O¯ O¨UˆO¯U†O¯. O¯O± O¨O±O±O³UŒ USO§UOaU‡‌U‡O§ O§O®OaU„O§U U…O¹U†UŒ‌O¯O§O± O¢U…O§O±US O¨USU† U…USO§U†U¯USU† IMT O´O±USO§U† UƒO§O±UˆOaUSO¯ U…O´OaO±Uƒ O¯O± 2 U¯O±UˆU‡ UŒO§UOa U†O´O¯ (069/0=p). O§O² O³UˆUS O¯USU¯O± U…USO§U†U¯USU† O§USU† O´O§O®Oµ O¯O± O´O±USO§U† UƒO§O±UˆOaUSO¯ O¯O§O®U„US Uˆ O¨UˆU„O¨ O¯O± 2 U¯O±UˆU‡ O§O®OaU„O§U U…O¹U†UŒ‌‌O¯O§O± O¢U…O§O±US O¯O§O´Oa (004/0=p Uˆ 01/0=p). UO±O§UˆO§U†UŒ UˆO¬UˆO¯ U¾U„O§U© O¬O¯O§O± U©O§O±UˆOaUŒO¯ O¯O± O³UˆU†UˆU¯O±O§UUŒ O¯O± U¯O±UˆU‡ U…UˆO±O¯ O¨U‡ OµUˆO±Oa U…O¹U†UŒ‌O¯O§O±UŒ O¨UŒO´OaO± O§O² U¯O±UˆU‡ O´O§U‡O¯ O¨UˆO¯ (001/0=p). O¯O± U…O¯U„ O±U¯O±O³UŒUˆU† U„O¬O³OaUŒU© U…O´O®Oµ O´O¯ U©U‡ O¯O± U¯O±UˆU‡ U…UˆO±O¯ O§O­OaU…O§U„ UˆO¬UˆO¯ U¾U„O§U© 9/5 O¨O±O§O¨O± U¯O±UˆU‡ O´O§U‡O¯ O¨UˆO¯. O¨UŒU† IMT U©O§O±UˆOaUŒO¯ U…O´OaO±U© Uˆ O³U† O§UO±O§O¯ O¯O± U‡O± O¯Uˆ U¯O±UˆU‡ O±O§O¨O·U‡‌UŒ U…O¹U†UŒ‌O¯O§O±UŒ UˆO¬UˆO¯ O¯O§O´Oa (05/0p U†OaUŒO¬U‡‌U¯UŒO±UŒ: O¯O± O§USU† U…O·O§U„O¹U‡ U…O´O®Oµ O´O¯ O¨USU† O¢OaO±UˆO§O³UƒU„O±UˆO² O¹O±UˆU‚ UƒO±UˆU†O± Uˆ O´UˆO§U‡O¯ O§O¨OaU„O§ O¨U‡ O¢OaO±UˆO§O³UƒU„O±UˆO² O¯O± UƒO§O±UˆOaUSO¯ O§O±OaO¨O§O· UˆO¬UˆO¯ O¯O§O±O¯. O§UˆU„OaO±O§O³UˆU†O¯ USUƒ O±UˆO´ OaO´O®USOµUS O§O±O²O§U† U‚USU…OaOŒ O¯O± O¯O³OaO±O³ Uˆ O¯O± O¹USU† O­O§U„ OoUSO± OaU‡O§O¬U…US O§O³Oa UƒU‡ U…US‌OaUˆO§U†O¯ O¯O± U…O¨OaU„O§USO§U† O¨U‡ O¨USU…O§O±US‌U‡O§US UƒO±UˆU†O±OŒ O´UˆO§U‡O¯ O¢OaO±UˆO§O³UƒU„O±UˆO²UƒO§O±UˆOaUSO¯ U‡U…O²U…O§U† O±O§ U†O´O§U† O¨O¯U‡O¯. UˆO§U˜U¯O§U† U©U„UŒO¯UŒ: O¢U†U˜USUˆU¯O±O§UUS UƒO±UˆU†O±OŒ O³UˆU†UˆU¯O±O§UUSOŒ UƒO§O±UˆOaUSO¯OŒ IMT

The protein creatinine ratio in spot morning urine samples and 24 hour urinary protein excretion in patients with Systemic Lupus Erythematosus

Abstract: A 24-h urinary protein is a standard way to diagnose lupus nephritis. Assessment of protein–creatinine (Pr–Cr) ratio in morning spot urine is a valuable method in diabetic patients but not use in systemic lupus erythematous (SLE) patients routinely. In this study Pr–Cr ratio in spot urine was compare with 24-h urine protein; if they have valuable correlation we can use this test instead of 24-h urinary protein. The aim of this study was to evaluate the correlation of spot urine Pr–Cr ratio for prediction of significant proteinuria (≥300 mg/24 h) in patients with SLE. A cross-section study was conducted in 74 hospitalized women with SLE. The correlation between Pr–Cr in first morning urine specimens and urinary protein excretion in 24-h collections were analyzed. Correlation between Pr–Cr ratio in spot morning urine specimens and urinary protein excretion in 24-h collections was significant (P < 0.0001, r = 0.83). A high correlation and precision of agreement were demonstrated between the two methods of assessment proteinuria in lupus patients. The difference between the two methods was less than the biological variability in the protein excretion and its measurement, enabling the methods to be used interchangeably creatinine ratio in spot morning urine samples is a precise indicator of proteinuria in patients with lupus nephritis and represents a simple and inexpensive procedure in establishing severity of proteinuria in patients with SLE.

Vein wrapping for recurrent carpal tunnel syndrome

Abstract: Background : In spite of surgical technique it is possible to treat recurrence of CTS and regression of symptoms. One of the causes of recurrence is nerve adhesion to soft tissue. Methods : 14 cases, with paresthesia, pain, and weakness after CTS surgery, were checked by clinical and paraclinical methods. Mean duration after surgery was 6 months (8-24). Resurgery was performed with classic approach but a little wider than the first incision. Findings : In 3 patients, transverse retinaculum has not been released completely and in 11 cases, nerve adhesion was seen; after nerve release, dorsal forearm vein was used for separation of nerve from scar tissue and prevention of new scar. Mean duration of follow up after revision was 11 months (8-36). Except 2 cases (because of reflex sympathetic dystrophy (RSD) Syndrome) in other patients all of signs and symptoms were relieved. Conclusion : In recurrent CTS, vein wrapping seems to be a simple and beneficial method. Key words : Carpal tunnel syndrome, recurrence, reoperation, dorsal hand vein

Hydatid Cyst of Interventricular Septum, a Case Report

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A New, Inexpensive and Minimally Invasive Method to Remove a Foley Catheter with Balloon Obstruction

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