Yafteh
Year:2002 | Volume:3 | Issue:13|Papers Count:17

Regarding that hyperlipidemia and obesity are considered as the main risk factors in coronary heart diseases, to conduct epidemiologic studies about this topic in different parts of our country seems necessary.The research was a cross - sectional study in nature and carried out on 2048 normal persons over 20 years old (756 males and 1292 females) who referred to the health clinic of Kerman, for check up.A fasting blood sample was examined for the levels of cholesterol and triglyceride. Weight and height were measured and body mass index (BMI) was calculated.Results showed that the mean of BMI, triglyceride and cholesterol were 25± kg/m2, 160±98 mg/dl and 191±45 mg/dl respectively. The percentage of those with BMI≥25 was 46%, of those with triglyceride over 200 mg/dl was 23%, of those with cholesterol over 239 was 13%.In multiple stepwise regressions, BMI was recognized as the most important modifiable determinant of the levels of lipids.According to the results, it is necessary to give more information about the importance of controlling BMI and paying more attention to the nutritional status and physical activity.

Incidence of coronary involvement regarding the etiology of valvular disease and also indications of coronary angiography before valve surgery is different in this group of patients. For aviodance of unnecessary coronary angiography, we decided to perform this study in our center to determine the incidence of coronary disease and guidance of angiography before valvular heart surgery . In this retrospective study on 100 patients in Golestan hospitai of Ahwaz university of medical sciences, between Mars 1997 to Mars 2000. Results of coronary angiography before valve surgery showed that only 8 patients had significant coronay lesion (incidence of coronary disease was 8%) with mean age 52.75 year (between 40 to 65 years old). Five of these patients were male (62.5%) and three of them were female (37.5%). Three patients with coronary disease had history of chest pain and two patients had history of smoking. One , three and fourt of the coronary patients had mitral ,aortic and multivalvular involvement respectively.Two of the coronary paitents without history of chest pain or coronary risk factors, had aortic valve disease. According to the findings of this study , the most important predictor factors of coronary disease before valvular surgery were history of chest pain and presence of risk factors for coronary artery disease, thus coronary angiography is unnecessary in women under 40 years old without historj of chest pain 1 coronary risk factors or aortic valve desease .

Treatment of tympanic membrane perforation > 3mm diameter by use of polyurethane sheet had been relatively successful, but for perforation larger than 3 MM, myringoplasty using connective tissue, is needed.The aim of this research was the repair of tympanic membrane perforation larger than three mm by use of polyurethane graft.In this experimental study 19 patients with dry tympanic membrane perforation larger than 3 mm were selected and treated by polyuret1mnesheet after excision of perforation rim and application of polyurethane solution human albumin 200/0as adhesive tool. Results showed that perforation repaired by neotympanium connation in 10.4% of the cases, and failure of graft observed in 73.6% of them. In spite of efficacy of polyurethane in mesodennal tissues, its application is not recommended for repair of tympanic membrane perforation.

ncompetent cervix refers to an specified identity in obstetrics and characterized by painless dilatation of the cerclage surgical operation which is done in some cases in the form of emergency, but if it is accompanied by prolaps of amnion membrane, the chance of success won"t be too much.Our case was a woman with pregnancy (at 23 rd week of the pregnancy) and prolapsed amnion membrane, she underwent cerclage operation. At first emerged amniotic sac from vagina was pushed into the cervix and then using Mac Donald technique the borders of dilated cervix was successfully sutured by special cerclage suture.This successful operation had no complications such sa infection, bleeding or leakage and her pregnancy continued for 32 weeks. Then she referred with labour pain and leakage, so the cerclage sutures were opened and vaginal delivery was permitted, two premature male neonates were born, but one of them died in the first 24 hours after delivery and the other one is going on to life without any problem or disorder.

In old ages, we often encounter ECG changes that their clinical significance are not obviously clear .In this study prevalence of ECG. changes in asymptomatic individuals (100ECGs) were studied. Results showed that in 16% of the cases there was conductive disturbances, in 13% there was disturbances of rhythm and in 4% there was unusual waves .Having such findings can lead to initiation of phannacotherapy, preventive procedures and or can be used in symptomatic persons. So it seems that routirieECG perfonnance in these ages, despite the alosence of clinical symptoms, is necessary.

Veriety and frequency of jobs, progress of technology and sciences have been led to increase in threating factors, job diseases and job accidents. In this cross - sectional, job accidents occurred in 2000, were studied. Data was collected using a questionnaire. Results showed that the majority of accident- prone workers (81.4%)were under the age of 40 and occurrence of accident was more in building workers than others. From view point of work record 50% of Lhe injured workers had maximum of 5 years of work record and 52.7% of them had no literacy or low literacy .(P<0.05). More than 50% of the accidents had been occurred in workshops lacked technical protection conunittee and most of them were in private ownership .Accidents frequency was very high (80.6%) in workshops which had no responsible for safty and work health. There was a significant relationship between existence of responsible for safty and work health and accident accurrence (P<0.05). 94.4% of the accidents had been occuITed among workers who had no training or education about safty and health. Most of the accidents had been occurred in the morning working hours shift (63.9%) and among married works with a peak in June and July. The occuTenctieme of accidents was often between 9 to 11 a. ffi. Considering the exposure of workers at this risk, it is suggested to prevent accidents by suitable planning such as promotion of literacy level of workers, necessary training of safty and health, inspection and cleanliness of working environments, as well as paying attention to workers" economic and familial problems.

Migrane is one of the most common neurologic sequels which recur in the form of periodic headaches with different severity and duration.This descriptive study was carried out on 200 patients, referred to Social security hospital of Khoramabad in autumn 2001, to determine some migraine initiating and aggravating factors.After the diagnosis of disease by migraine criteria, patients were asked about effect of some aggravating factors on the severity of headache. Then data was collected and analyzed using SPSS software.Results showed that noise was the most frequent aggravating factor (86.5%).44% of the females and 24% of the males said that bathing more than one hour, results in aggravating headache (PV=0.04).Some different information about effect of foodstuffs on severity of headache was obtained.31.5% of the patients stated that some foodstuffs aggravate their headache.10.50% of them said that foodstuffs have no effect on the severity of headache.

The best nutrition for the healthy infants growth and development is the mother"s milk. Some studies have indicated that environmental conditions play an important role determining the concentration of many biochemical components present in the mother"s milk. One of the important factors is the mothers" diet. Regarding the nutrients and their relationship with the biochemical substances in the mothers" milk, many contradictory results have been reported by researchers. This study descriptively investigates 104 lactating mothers referring to the health centers in Khoramabad, then mothers" diet and mothers" nutrients and mothers" milk biochemical components were analyzed to determine the relationship between different factors.Results showed that there was no relationship between fat, carbohydrate, protein, calcium, phosphorous, sodium, potassium consumption with the amount of milk components. There was a positive relationship between sugar consumption and mothers" weight with the amount of fat in the milk. A positive relationship between protein and calcium consumption with the urea in the milk and a positive relationship between cholesterol consumption and the amount of potassium in the milk have been observed too.

Infertility is one of the most important sequela in medical science that microorganisms are among its causes.The possile etiologic role of mycoplasma hominis and ureaplasma urealytictium in infertility has been suggested from years ago, but it has not yet been approved completely.Therefore, this study has been designed to approve this hypothesis and to prevent the infertility.This study was a case control type of investigation done over 125 infertile women without physiological sequela for infertility and a control group included 250 safe and pregnant women. To investigate the presence of ureaplasma urealyticum and mycoplasma hominis, cervical culture was performed in both groups and inoculated one PPLO agar containing Argenin and urea. After recording of results of the study and questionnaires, data was analyzed by K2 and Fisher exact tests. Mean age in case group was 27.9±4.3 years and in control group was 28.6±3.5 years. Positive cervical culture for mycoplasma hominis in case group was 25.6% (32 persons) and in control group 7.2% (18 persons) (P<0.0001).Positive cervical culture for ureaplasma urealyticum in case group was 32.8% (41 persons) and in control group 19.2% (48 persons) (P<0.0018) In comparison this study with similar studies, positive culture ureaplasma urealyticum and mycoplasma hominis in patients of case group were much more in this study and there is a significant relationship between mycoplasma hominis, ureaplasma urealyticum and infertility.Therefore, it is recommended that infertile women without physiological sequela should be examined for contamination with ureaplasma urealyticum and mycoplasma hominis and in case of positive results, by proper treatment the rate of infertility will be reduced.

Hyperlipidemia is always considered as an important risk factor for cardiovascular diseases and other diseases such as pancreases.In this descriptive - analytic study we tried to detect the mean level of blood lipids and its relationship with age, sex, family history of cardiovascular diseases and different jobs.843 individuals selected as sample size 5 then their cholesterol and TG level were tested and above- mentioned variables collected using a questionnaire. Results showed that the mean level of TG and cholesterol were 166.5mg/ld and 193.4 mg/dl respectively.There was a significant relationship between TG and sex, but this relationship was not observed between sex and cholesterol, as well as there was a significant. relationship between family history of MI, specially under the age of 60, and level of cholesterol.No significant relationship was observed between age and TG or cholesterol, but between job and TG there was a significant relationship.