Pars Journal of Medical Sciences
Year:2008 | Volume:5 | Issue:5|Papers Count:9

Introduction: Zinc is one of the essential trace elements that exists in the structure of many enzymes and is essential for growth, development, reproduction, central nerves system and immune system function. This study was carried out to determine serum zinc status in primary school children in Neyriz.Materials and Methods: This cross-sectional study was carried out on 205 primary school children that randomly selected with range 7-11 year. 3ml fasting blood venous was obtained of children and serum zinc level was measured by atomic absorption spectrophotometer.Results: Mean serum zinc concentrations was 88.08±34.37 mg/dl that significantly was higher in boys (P=0.01).30.2% of them had zinc deficiency.Conclusion: Results show that the zinc deficiency is a nutritional problem in primary school children. Further study for finding causes of zinc deficiency and removing it through educationing parents are recommended.

Introduction: Hirsutism is a common problem in young women that may be, sign of internal glands diseases (eg: ovary, adrenal, hypophysis,...) The aim of this research was measurement of serum level of hormones that produce by these glands in women with hirsutism.Materials and Methods: In this cross-sectional, descriptive research, in all the hirsute women that referred to Dermatology clinic of Jahrom from April 2004 to April 2005 serum level of Testosterone, Dehydroepiandrosterone-sulphate (DHEA-S), prolactin, Luteinizing hormone (LH) and Follicle-Stimulating Hormone (FSH) was measured with ELISA method.Testosterone> 1.2 ng/ml. DHEA-S > 41 mg/ml, prolactin> 25 ng/ml and LH/FSH>3 was considered abnormal. Data was analysed by chi-square method.Results: Out of 81 patients who was referred, 59 patients (72.8%) had positive FHx of hirsutism and 42 pts (52%) had irregular menstruation. Serum testosterone, DHEA-S and prolactin was high in 9.9% (7pts of 71 pts), 12.7% (10 pts of 79pts), 10.1% (8pts of 79pts) respectively and 23.8% (19pts of 80 pts) had LH/FSH>3. High level of serum testosterone DHEA-S and prolactin didn't have significant correlation with irregular menstruation (P=.429, .087, .713 respectively), Positive FHx (P= .67, .452, 1.000 respectively) and marital status (P=.684, .73, .707 respectively). LH/FSH>3 had significant correlation with irregular mensturation (P<0.001), But didn't have significant correlation with age (P=0.126), merrital status (p=.784) and positive FHx (P=.648).Overall34pts (42/5%) had at least one abnormality in their laboratory examination (testosteron­ or DHEA-S­ or prolactin­or LH/FSH >3). Conclusion: Out of81 pts, 59 pts (72.8%) had positives FHx of hirsutism so it seems that genetic has significant role for inducing of hirsutism. Manypts with hirsutism [34pts (42.5%)] had at least one hormonal abnormality so as screening tests, measurement of hormones such as testosterone, DHEA-S, prolactin, LH and FSH is necessary in pts with hirsutism.

Introduction: Patients with renal transplant who receiving immunosuppressive drugs are prone to any opportunistic infections such as CMV. This study is planned to detect the prevalence of anti CMV before transplantation and long term follow up of active CMV disease incidence. Materials and Methods: In this descriptive analytic study, all of the 70 patients who candidate for renal transplantation during 2002-2005 studied in Al-Zahra Hospital of Isfahan. After filling questioners, Elisa test for anti CMV (IgM, IgG) performed and prevalence of these antibodies calculated. Also prevalence of these antibodies calculated according to age and gender and six months follow up was done for incidence of acute CMV disease following transplantation. Results: Of 70 patients studied among them 64 (91/4%) had IgG-anti CMV (59/4% male and 40/6% female). 2 person had IgM-anti CMV that both of them were female (100%). There was relationship between anti CMV IgG prevalence and age (P<0/01) and no relationship of anti CMV IgG and gender. There was no any relationship of anti CMV IgM and age/gender, 2 cases (2/8%) of active CMV disease occurred after transplantation and one of them rejected the transplant.Conclusion: According to the prevalence of anti CMV IgG among studied patients there was high risk of reactivation which causing sever complication and transplant rejection so this recommendable to rapid diagnosis, prevent sever infection and mortality by performing CMV serology before transplant, detecting antigenemia PP (65) and PCR weekly as a screening test.

Introduction: Many physiological and psychological changes occur in women during pregnancy and often delivery, after accompanied by pathologic changes. The present study aimed at surveying and assessing pregnant women's mental health during pregnancy and its refuted factors.Materials and Methods: This is a cross-sectional study, researching about 214 pregnant women mental health referring to the maternity clinics in jahrom. The data were corrected using random cluster sampling method. The in strumpet of the study was a questionnaire containing demographic information and 90 sc190 questions used for detecting mental disorders. The data were an analyzed both descriptively and analytically using frequency and chi-squeal tests. Results: There results revealed that the disorders with the highest frequency were depression (94%) and, anxiety (90%) and the lowest belonged to psychosis (54%). it was shown that many of them suffered symptoms of disorder; about 43% of them. There was significant relationship between demographic finding and total score member of patient (p<.05). Conclusion: It can be said that mental health care during pregnancy is as important as physical care, that we need defined and identified suspicious mother and mental care to prevent such disorder.

Introduction: Zona is a disease due to reactivation of dormant Herpes Zoster virus in dorsal root gangelion and almost manifest by vesicular rash in one dermatom.Materials and Methods: 100 patients with a descriptive study, identified as having zona during ten years (1375-85) at AI-Zahra hospital in Isfahan were reviewed. Patients investigated from the point of age, sex prevalence, underlying disease involved and dermatom.Results: 1% of patients were under 20 years, %16 between 20 and 50 years and %83 greater than 50 years old. %45 of Cases was male and %55 were femle. Mean age of them were 61.4±2. Among 100 patients 68 cases had underlying disease. 23 cases had history of surgery in 2 resent months (%52.2 male), 15 cases had diabet type II (%46.7 male). 13 cases had malignancy (%69.2 male), 13 cases had used corticosteroid (%46.2% male) and 4 cases had psychological disorder that all were female. The most involved dermatom in the patients were 34 trigeminal, 24 thoracic, 7 cervical, 16 lumber, 12 sacral and 7 Generalized. There were significantly relation between underlying disease and involved dermatom (P<0.001), all of the patients with generalized dermatom were immunocompromised.Conclusion: Zona is more common and sever in immune compromised patients and people suffering from underlying disease. Therefore this matter necessitates prevention of disseminated forms and complication of disease through increasing awareness of patients in this regard and earlier presentation for treatment.

Introduction: Hepatitis C virus (HCV) is a major cause of chronic liver disease among chronic renal failure (CRF) patients undergoing maintenance hemodialysis.The present study aimed to investigate the prevalence of HCV infection in patients on haemodialysis of Jahrom.Materials and Methods: This cross-sectional study was carried out on all haemodialysis patients of Jahrom in April - May 2006. All patients were screened for anti-HCV antibodies, using ELISA and confirmed by using RIBA methods.Results: We found that 3 patients (8.8%) were anti-HCV positive by ELISA and 2 (5.9%) patients were confirmed by using RIBA methods.Conclusion: Seroprevalence of HCV in the heamodialysis patients of Jahrom was 5.9% that is lower than seroprevalence of HCV in haemodialysis patients of other countries.

Introduction: The use of drug increases very much in the last decade and according to the variety of prescribed medicines and Drug interaction, have many bad effects on patients. This study was surveyed the Drug interactions and the number of prescribed medicines in different wards of Jahrom hospitals to decrease the bad effects of it. We should inform the physicians and nurses according to the results.Materials and Methods: This is a descriptive cross-sectional study, 4969 prescriptions of diseases who admit in wards of Jahrom hosptials, that on May 2006 were surveyed. The chi-square test was used for data analysis.Results: In this research, 4969 prescriptions were surveyed. 668 (13.44%) prescriptions have only one kind of drug and 79 (1.59%) prescriptions have more than four drugs. The mean dosage form value was 2.38 items per prescription. The percentage of severe intervention was 0.08 and the moderate was 11.2. In two hospitals 56.63% of patient received antibiotics, 22.16% NSAIDs and 7.91% Corticosteroids.Conclusion: According to the results the mean dosage form value was 2.38 items, less than civil mean, 3.8 items, and slightly more than 12 developed countries, 2.2 items. To get the satisfied conditions, it is necessary to improve collaboration of the physicians and the pharmacists and to have education programs for the medical students, nurses and physicians to familiarize with drugs and effects and intervention between them by education development centers.

Introduction: One of the main factors that can promote education from a static to a dynamic and effective state is evaluation. Also evaluation of educational program quality is a feedback of how educational process performed in various stages. In addition, evaluation is the most effective means for improving the quality of education, and determines weak and strength points of education process.Materials and Methods: This study has been designed as an internal evaluation project by cooperation of pediatric group and education and development center of Jahrom University of Medical Science. In this study, a few factors of educational system evaluated by use of objective based model, includes; specific objectives, management of educational planning trainess (extern & intern students), faculty member, educational facilities and equipments, teaching and learning process and assessment learning. Data was obtained by three questionnaire desirable, checklist, observation and interview with medical student, pediatric faculty member, and pediatric ward personnel. The collected data was analyzed by descriptive statistics. Results: The result showed pediatric group manager and educational equipment teaching as semi desirable situation. learning process as desirable situation to as semi desirable. Faculty member has good educational round. Index's in research activity such as number of paper, research designed and written books, in 2004 year had semi-desirable but this situation had desirable in 2006.Conclusion: According to our result pediatric ward has a good to moderate situation in regard to various criteria, and to improve this situation, a suitable planning and program should be designed to respond to weak and strength point.