Annals of Military and Health Sciences Research
Year:2004 | Volume:2 | Issue:3 (Serial Number 7)|Papers Count:14

Background: Sulfur mustard (HD) (bis(2-chloroethyl) sulfide) is a strong alkylating agent with known mutagenic and suspected carcinogenic properties. Materials &Methods: 40 Albino-Nmari male rats, 3 months old, were divided into four groups (10 in each group) and injected with 5, 10 mg /kg sulfur mustard in tyrods buffer .After 8 weeks rats were killed. The samples were fixed in formaldehyde solution (%10), stained with H&E and studied with light microscope. Results: Increased distance between seminiferous tubules. Accumulation of necrotic materials of the cells in the lumen of seminiferous, oligospermia, displacement of somniferous tubules and changing the situation of sertoli nuclei from the abdominal positioning to basal in both groups of sulfur mustard that compared with normal and tyrods groups. Conclusion: Presence of necrotic form of spermatocytes and necrotic cells with picnotic nuclei in both sulfur mustard groups but more in 10 mg/kg HD.          

Background: Chronic obstructive pulmonary disease is one of the harmful complications in chemical injuries with sulfur mustard. Corticosteroids, bronchodilators and anti cholinergic are the most common drugs use in this disease in which it isn't definitely treatment but is palliative. Materials and Methods: There were 39 patients suffered by sulfur mustard, non smoker, without history of the use of corticosteroid during last month selected based on the spirometery and American thoracic society criteria and divided into 3 group mild moderate and sever. They underwent intravenous corticosteroid for 8 days and pulmonary function test (PFT) was done before and after treatment. Results: All patients the PFT was increased after treatment FVC and FEV1 increased significantly in contrast the PEF the results show severity of the obstruction in 33.33% patient was decreased, in61.4% without change and in 5.12% was increased.31.65 of the patients who had mild obstruction become better. Also 60% with moderate obstruction and 80% with sever obstruction become as same. So however the more sever obstruction, better recovery. Conclusion: This protocol is a good method to treat the moderate and sever COPD and it recommended to not treatment the mild ones.        

Background: Renal colic is a common cause of acute severe pain. Opioids and non-opioids analgesics and NSAIDs and phosphodiesterase enzyme (PDE) inhibitors are four medical categories that recommended for treatment, but the relative efficacy of these drugs is uncertain. Materials and Methods: To examine the benefits and disadvantages of pethidine, piralgin, diclofenac and aminophyllin for the management of pain in acute renal colic, as a randomized clinical trial study, patients with four suspected renal colic (n=200) were randomised to receive these 4-drugs at emergency ward of -hospitals. Pain relief and side effects was assessed at one hour after the analgesics. Oatas has been analised by statistical soft ware of SPSS-ver.11. . Results: pain relieved in the pethidine group after 30 minute and one hour was %60 (30 patients ) & %94(47 patients ),for piralgin group was %54(27 patients) &%92(46 patients), diclofenac group was %28(14 patients)& %68(34 patients) and for aminophylline was %24(12 patients) &%62 (31 patients).(P< 0/05) The side-effects of 4-groups was included: pethidine: nausea (11 Patients), vomiting (7 Patients), respiratory depression(3 Patients) and headache(2 Patients) ; piralgin (3 Patients); aminophylline: orthostatic hypothension(7Patients), vertigue (9Patients ), headache( 12patients); diclofenac had no side-effect. Conclusion: Tramadol response was as same as pethidine but less side-effects diclofenac is a good choice for mild pain; but aminophyllin had a bad response with very much side-effects..    

Background: The intention of this research performance is to create fundamental transfusion in X-Ray generation functional mechanism in order to promote its efficiency, application expansion, production cost reduction, operation facility. Materials and methods: For performing this project, a series of software investigation has been required to precise exploration and preliminary problems solution. A vacuum case .0.01 mmHg that has homo axial coils that are laid layer by layer inside the vacuum. The coils are formed by 32cm diameter in outer layer that is constituted by 6mm thin wire. The number of total layers is up tog. The inner layer has 1mmdiameter and its wire is 0.2mm .the coils have been broken off length wise each 5cm. and its total length is 40cm Results: The 180 degree deviation of electrons causes dissipation of bulk of their kinetic energy in the form of X-Ray photon. Conclusion: The measurement of pure intensity of X-Rays was obtained from difference between X-Rays and scatted electrons with out electron filtration and election measured intensity with filtration.      

Background: Human sperm heads which present disturbances of choranatin condensation are stained by acidic aniline blue. To determine whether the proportion of unstained heads, i.e with well condensed chromatin, can be considered as an index of sperm quality. Materials and Methods: study was undertaken in 20 infertile patients with spinal cord injure and 20 intetile patients with non- spinal cord injure. In addition to the usual sperm characteristics, the percentages of unstained heads and of morphologically normal and abnormal forms were concomitantly evaluated. Results: The results obtained in this research show a significant relationship between the mean of sperm volume, concentration, validity and motility; Conclusion: In scipationts and the results taken by previous researchers. In addition the mean of sperm morphology and sperm condensation between the two groups was not significant so we can say that s.ci has no significant effected on condensation of chromatin of sperm.      

Background: The propose of this study was to determine the prevalence of the migraine headache among patients with Bipolar type I disorder. Previous research has shown an increase in migraine headache in bipolar type I disorders. But the information is sparse concerning the prevalence of migraine in subgroups of the affective disorder. Materials and Methods: 120 subjects, who visited during 3month, were evaluated. There were 74 men and 46 women. Patients with bipolar type I disorder consecutively admitted in 506 Army hospitals were examined with interview based on DSM-4 diagnostic criteria. Migraine headache was diagnosed according HIS-criteria. Interviews with patients were accomplished by the researcher. Results: Of the 120 patients with bipolar I disorder 12(10%) had migraine headache. On the 46 women 7(15%) and of the 74 men migraine 5(6%) had migraine headache. the most frequency of migraine was in patients aged30-40 (20.5%). Conclusion: Migraine headache was seen with increased frequency in the bipolar I disorder population. Because the clinical statement for missing migraine are enormous, recognition of the common comorbidity of migraine headaches with bipolar I disorder is necessary.        

Background: The aim of this study as a semi experimental project was to assess the effect of educational program on knowledge, attitude and behavior (Practice) about the endemic goiter among pre high school (secondary) students of Ilam city in 2000-2001. Materials and Methods: 226 students as a sample were selected randomly and examined. In a questionnaire form, Knowledge, attitude and behavior of all students about the endemic Goiter were collected and then analyzed. All samples regarding the degree of Goiter according to palpation technique which is approved by WHO were studied. About 36.7% of them had no Goiter and the nest (63.3%) showed a degree of Goiter. The amount of Iodine in consumption salt in all samples was qualitatively tested. All tested samples had Iodine in them .20 samples were quantitatively analyzed for Iodine randomly and 21 samples were randomly examined for T3, T4, TSH. Results: On the base of finding in the first stage of research, educational program was designed and was done for all samples. In the next stage the same 226 students were examined again by means of questionnaire. The result of before and after educational intervention for its effect on knowledge, attitude and behavior about the endemic Goiter were compared. The result showed that the educational intervention and behavior among students under tested. Conclusion: Comparison of average differences of knowledge in students before and after test were analyzed and showed that the educational intervention significantly caused knowledge increase in samples and even caused change in attitude and the educational program for increase the knowledge, attitude and behavior among the pre high school students of Ilam city about the Goiter pre high school has been effected.    

Background: Catheter-induced ectopic ventricular beats are observed in some patients. It is frequently stated that intracardiac foreign bodies such as an electrode catheters, a central venous line, or pulmonary artery catheter that migrates to the ventricle may give genesis to arrhythmia. Case report: We report of life threatening ventricular arrhythmia occurring during insertion of a guide wire through the right jugular vein. A 41-years old man scheduled for elective coronary artery bypass graft (CABG), was referred to operating room. After induction of anesthesia and during insertion of the central venous catheter from right jugular vein, guide wire insertion resulted in sustained coarse ventricular fibrillation. The guide wire was removed immediately and treatment started. Defibrillation with 200, 300, 360 J, and antiarrhythmic drug therapy didn't convert this Coarse VF to normal rhythm. During the cardiopulmonary resuscitation (CPR) and chest compression the femoral artery and vein canulas were inserted and cardiopulmonary bypass was started. The surgical procedure was uneventful and at the end of operation patient's vital signs were stable. The patient stayed four days in ICU and at the 8th day after operation discharged from hospital with good general condition. Conclusion: Mechanical irritation of the cardiac chamber that commonly induces ectopic activity has abolished by removal of the stimulus, but in this case unresponsive life-threatening ventricular fibrillation was occurred.