مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Issue Information

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
Title: 
Author(s): 

Issue Info: 
  • Year: 

    0
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    -
Measures: 
  • Citations: 

    0
  • Views: 

    2993
  • Downloads: 

    0
Keywords: 
Abstract: 

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Title: 
Author(s): 

Issue Info: 
  • Year: 

    0
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    -
Measures: 
  • Citations: 

    1
  • Views: 

    1421
  • Downloads: 

    0
Keywords: 
Abstract: 

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Author(s): 

TOOZANDEHJANI HASAN

Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1587-1597
Measures: 
  • Citations: 

    0
  • Views: 

    835
  • Downloads: 

    0
Abstract: 

Introduction: This research was done to investigate the relative efficacy of family trainings and life skills to the families of patients with chronic mental disorders in Mashhad.Methods: In this semi-empirical research, a sample of 300 subjects was chosen in stratified random and systematic approach from the families of patients with chronic mental disorders admitted in round the clock centers in Mashhad and who were in waiting list; these subjects were randomly divided to two groups of experiment and control and we introduced family trainings and life skills to experiment group. There was no training to control group. These two group were tested at the beginning of trainings and post training with instruments such as taking care of and mental disorders attitude questionnaire, life skills attitude questionnaire, California social adjustment questionnaire, Rosenberg self esteem, general health questionnaire and epidemiological mental disorders questionnaire.Finding: The result indicated that training had no effect on the attitude of families toward taking care of mental disorder, but family members’ attitude toward mental disorder was changed. These trainings had influence on changing family member’s attitude toward life skills, social adjustment, self esteem, mental health increase and reducing mental disorders.Conclusion: The reason for efficacy of group method of life skills training as cognitive behavior is their educational foundation, because in this method it is emphasized on both cognitive and behavioral aspects. On the other hand, more efficacy of training needed more time. Also controlling influential factors can affect in more efficacy of these trainings.

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1598-1605
Measures: 
  • Citations: 

    0
  • Views: 

    873
  • Downloads: 

    0
Abstract: 

Introduction: Evidence based practice is an approach to clinical practice which emphasizes the use of best clinical researches as a component of clinical decision making. The aim of this study was to determine the percentage of current clinical decision making and disease management which is based and supported by high-level evidence in an educational hospital located in Isfahan, Iran.Methods: A cross-sectional study was carried on 103 patients who were admitted during one month to seven Internal medicine wards in Alzahra hospital. For each patient, the primary diagnosis and primary treatment were recorded. Evidence based resources were then searched for randomized controlled trials (RCT’s), systematic reviews and clinical practice guidelines to find the best research evidence that the treatments were effective. The main outcome measure was the level of evidence which supports the primary intervention for the primary diagnosis of each patient.Finding: Level I evidence (at least one randomized trial) supported the primary intervention used in 68.9% of internal admissions and level II evidence (convincing non-experimental evidence) supported the primary intervention in 31.1% of admissions. None of patients received intervention with level III supporting evidence.Conclusion: Most patients had received high level supported interventions. It seems that we should repeat this study in other wards. Also it may be recommended to design some educational evidence based practice for non academic physicians.

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1606-1616
Measures: 
  • Citations: 

    0
  • Views: 

    1348
  • Downloads: 

    0
Abstract: 

Introduction: Obesity, a growing universal problem, is a disorder/illness related to several factors. These factors includ environmental, metabolic and genetic factors. Genetic studies have been undertaken for several different causative mutations involving obesity genes on different chromosomes and few mutations have been reported in that regard. Leptin is one of the most important adipose derived hormones with important role in regulating body weight through the inhibition of food intake and stimulation of energy expenditure. This hormone binds to leptin receptor that is present in surface of a number of cells especially to the ventromedial nucleus of the hypothalamus, known as the appetite centre, and it can activate intracellular signalling domains. A very small group of humans possess homozygous mutations for the leptin/leptin receptor genes which lead to a constant desire for food, resulting in severe obesity.Methods: Here we introduce a hereditary familial mutation in leptin receptor gene of two young sisters from a Kurdish-Turkish family who were suffering from severe obesity. Blood samples were taken from all member of the family and DNA was extracted from leukocytes. Sequencing was performed for suspected genes involving in severe obesity. Canonical structures Swiss homology modelling of these molecules was prepared.Finding: Data analysis showed that two sisters were homozygous for two different missense mutations in the leptin receptor. Their parents were heterozygous for these mutations.Conclusion: The data suggests that these mutations have impaired the leptin signalling and therefore have caused severe obesity in these two sisters.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1617-1627
Measures: 
  • Citations: 

    0
  • Views: 

    1467
  • Downloads: 

    0
Abstract: 

Background: Large number of patients and their critical situation with a variety of complaints in emergency departments need special attention in training medical students in these sectors.Considering the deployment of Emergency Medicine depatment at the Isfahan University of Medical Sciences since two years ago becoming mandatory period for medicine interns, this study was designed to evaluate the quality of education provided to interns in the emergency department.Methods: This cross-sectional study was carried out in 2010 in Alzahra hospital (SA) in Isfahan. All of medical interns were studied in the emergency medicine department were enrolled in this study at the end of their emergency medicine course. Quality of clinical training in emergency medicine was measured by a satisfaction questionnaire that was validated in consultation with the faculty member. The questionnaire scaling was Likert Scale with five scales range from the very favorable to very unfavorable. Questionnaires were completed by interns and the data was analyzed by SPSS software and ANOVA test.Finding: The mean scale of evaluation was 135.1±12.5 (out of 165 maximum scales); educational quality in emergency ward was 75.8%. The minimum and maximum scales were 94 and 153 respectively.Conclusion: Although the quality of education in the emergency department has a good situation, but to reach an 100% favorable condition and national and international standards is necessary to fix the defects, especially defects of equipment.

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1628-1637
Measures: 
  • Citations: 

    0
  • Views: 

    3150
  • Downloads: 

    0
Abstract: 

Introduction: Palliative tendon transfer procedures for radial nerve palsy are continuing to evolve.There is a big history behind this procedure. Many studies are done and they have gradually led to describe two basic methods of transfer, using the Flexor Carpi Ulnaris (FCU) or the Flexor Carpi Radialis (FCR) for transfer. There are some differences in cosmetic and functional results of these surgical plans. This study was done to compare these two methods.Methods: This study was done in Alzahra (SA) and Kashani hospitals in Isfahan. 41 known cases of chronic radial nerve palsy that had the inclusion criteria were selected during 7 years. They had divided into 2 groups randomly. In one group, we used FCR and in the other one we used FCU to restore fingers (metacarpophalangeal joint) extension. Post operative plan was the same in both groups. A questionnaire was designed and each patient was evaluated by physical exam. The collected data was analyzed by SPSS software. The chi square, t, and Fischer tests were used for data analyzing.Results: There was significant difference between fingers active extension, Ulnar deviation and cosmetic results in two groups (P<0.05). The difference between wrist extension, infection and scar formation was not significant (P>0.05).Conclusion: The use of FCR method had better results in our study. We recommend this method if the patient does not have any contra indications.

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1638-1647
Measures: 
  • Citations: 

    0
  • Views: 

    2695
  • Downloads: 

    0
Abstract: 

Background: Suicide is an important problem of communities. This indecent behavior can cause organic, psychological, and social morbidities such as organ defects, family derangement, and rejection from family and community. Suicide repetition rate is high with only limited research been put to its prevention. This study was done to evaluate the effect of primary health care and supportive care interventions on suicide recurrence rate.Methods: This research was a randomized controlled trial. Attempted hospitalized suicide persons were entered into the study. Persons from villages or marginal area of Isfahan city in the supervision of health centers were divided to two groups (intervention and control) randomly. WHO guideline was translated and revised according to situation of Iran, then a simple follow chart was designed based on the WHO guideline. We integrated this protocol as a mental health pilot program to the health network of Isfahan province. The Behvarzs (Primary health personnel) were educated about supportive mental care and follow up of the patient. Interventions were done with telephone and verbally. Intervention were done for 3 months. The outcome was measured by severity of suicidal ideation and repetition of suicide attempt.Finding: Themean score of suicidal ideation in intervention group before and after the study was19.8 and 10.5, that difference was statistically significant (P<0.001). In control group also the change of this score was significant, let down 19.6 to 14. In run of this period no suicide was occurred.Conclusion: According to Beck score, integration of the supportive mental care model can decrease suicidal ideation so health system of Iran is an appropriate site for implementing this model. In control group people also improved their mental status in many ways. Attraction of supportive resources such as family, friend, and spirituals do a significant role to improve mental health status and is an opportunity for managers.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1648-1654
Measures: 
  • Citations: 

    0
  • Views: 

    4285
  • Downloads: 

    0
Abstract: 

Introduction: Bladder tumors have a high incidence. Despite most of them are superficial their relapse rate after Transurethral resection of bladder tumor (TURBT) surgery is high. Treatment after TURBT by in-vesicular methods is a way to decrease the relapse rate. The purpose of this study was to determine the effect of an added dose of Mitomycin in addition of the delayed six-weeks treatment on the rate and degree of tumor relapse in patients with bladder tumor referred to Alzahra and Noor hospitals in Isfahan.Methods: In this prospective study, patients with superficial bladder tumors were selected and randomly devided in two groops. The sample size for each group was 18 patients. Patients in case group received a dose of mitomycin C after TURBT; then, both groups underwent delayed six-week treatment.Results in terms of numbers, time, grade, and stage of relapse were analyzed usingχ2, Mann-Whitney, and Student t-test.Finding: The recurrence was seen in 33.3% of patients in case group and 66.7% of control groop (P=0.04). The grade of relapsed tumor was significantly difference between the two groups (P=0.001). The mean frequency of relapse was 0.5±0.78 in case group and 1.1±1.0 in control group (P=0.04). The type T1 is more prevalent in control groop in comparison to case groop (P=0.006) but the time of relapse was not significantly difference between groups (P=0.09). The relapse time was 12.5±14.1 months in case group and 6.7±3.7 months in control group.Conclusion: Considering the reduced number, stage, and grade of relapse in case group, the positive effect of using Mitomycin immediately after TURBT was proved. Studies with more patients and further follow-up period are necessary to review late relapses.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1655-1667
Measures: 
  • Citations: 

    0
  • Views: 

    4191
  • Downloads: 

    0
Abstract: 

Background: Patients with chronic renal failure and hemodialysis impaired their immunological responses such as phagocytosis and chemotaxi and also, complement dysfunction due to leukocyte dysfunction and reduced number. Therfor they are susceptible to opportunistic infections. The studies on intestinal parasitic and fungal infections in patients with hemodialysis are few. This study was done to investigate the frequency of parasitic and fungal infections in these patients.Methods: This study was a cross-sectional study.330 stool samples from hemodialysis patients with chronic renal failure were collected. After recording the patient profile in questionnaire, different tests was performed with specific laboratory methods.Finding: The prevalence of intestinal parasites and fungi in hemodialysis patients were 23.9 and 36.1%, respectively. Endolymax Nana (6.4 %) and Geotricum Candidom (10.9 %) were the most common fungi and parasite in hemodialysis patients. The highest rate of intestinal parasites and fungi were reported in the age groups of 65-51 years (29.7 %) and older than 65 years (60.3 %). Between age and prevalence of intestinal parasites and fungi was significant relationship (P=0.002 and P=0.004, respectively). There was no significant relationship between gender and the prevalence of intestinal parasitic infections (P=0.184), while the relation of incidence of fungal infections and gender was significant (P=0.028). There was significant relationship between the prevalence of intestinal parasitic and fungal infections and the duration of dialysis and health status (P<0.05) but with Location subjects no significant relationship was found (P>0.05). The most common digestive symptom was constipation and then, abdominal bloating was reported.Conclusion: Considering that the prevalence of intestinal parasitic and fungal infections in patients undergoing hemodialysis is high, it is recommended to evaluate hemodialysis patients for intestinal parasitic and fungal infections before drug prescription. Furthermore, the microscopic examination of stool culture and component tests of patients with chronic renal failure undergoing kidney transplantation should be considered.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1668-1675
Measures: 
  • Citations: 

    0
  • Views: 

    962
  • Downloads: 

    0
Abstract: 

Background: Intraperitoneal adhesion is one of the most important complications after laparatomy and it may cause many problems for patients in long time such as infertility, bowel obstruction, and chronic pelvic pain. This study was done to determine a way to reduce the formation of adhesion after laparatomy.Methods: In this experimental and laboratory study, 40 adult female rats divided in two equal groups, randomly (case and control). In stage 1, all of the rats were anesthetized. Then, we opened the abdominal wall; 6 about 2-cm incisions were made on the right side and in left, a 1×1-cm piece was excised from abdominal wall. In stage 2, after 2 weeks we opened abdominal wall and according to Cook scale, we scored adhesion banding; then we added 3 cc amniotic fluid in case and 3 cc distilled water in control group. In stage 3, after 2 weeks, we opened abdominal wall by midline incision and adhesion were scored. Data were analyzed by tests such as t-test and paired t-test.Finding: The adhesion was less in case group (P<0.001). Also, the difference between grades of two groups was significant (P=0.02).Conclusion: Our study showed that amniotic fluid is capable to lyses of adhesion band after laparatomy. More researches are needed to find out positive effects of this material to use as anti adhesive agent in human.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1676-1683
Measures: 
  • Citations: 

    0
  • Views: 

    1058
  • Downloads: 

    0
Abstract: 

Background: Mycoplasma is a major contaminant agent of cell lines and is cosiderd as a serious problem of economic and biological importance in basic research, diagnosis, and biotechnology products. Detection of mycoplasma infection in cell cultures started on microbiological culture; later, other methods like DAPI staining and serological tests such as Indirect Immunofluorescnse, ELISA, DNA probe, PCR, PCR-ELISA, and Real-Time PCR developed for detection of mycoplasma. In this study, we detect the contamination of varity of mycoplasma species in cell lines in national cell bank of Iran.Methods: In this study, a sensitive, specific, and rapid method was used for detection of varity of mycoplasma species in cell lines. This method was based on a PCR reaction using genus specific primers for 11 mycoplasma species.Results: Mycoplasma contamination using this assay was examind for 183 different cell lines deposited in national cell bank of Iran. PCR showed that 48.6% of cell lines were contaminated with mycoplasma while 27.3% of them were found to be infected by microbial culture. In comparison to microbiological culture, PCR method was shown to be 100% sensitive and 70.7% specific.Conclusion: Our results using species specific primers reveald that the most important contaminating mycoplasma species in cell lines were mycoplasma fermentans, mycoplasma arginini, mycoplasma hyorhinis, and mycoplasma orale. We were also able to identify a number of cell lines which were contaminated whit more than one species of mycoplasma.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1684-1694
Measures: 
  • Citations: 

    0
  • Views: 

    5818
  • Downloads: 

    0
Abstract: 

Background: Ovarian cysts are among the most frequent pathologic states of the ovary. The goal of this study was to determine the frequency and age distribution of various types of ovarian cysts.Methods: In this cross-sectional investigation, 200 women with ovarian cyst who had undergone ovrian cystectomy in Shahid Beheshti hospital in Isfahan between years 2007-2009 entered the study. Three age groups including prepuberty, reproductive, and postmenopausal were considered. The cysts were categorized as nonneoplastic or neoplastic. Data were extracted from pathology reports and patients’records. SPSS software was used for data analysis.Finding: Mean age of the patients was 31.4±9.8 years.1.5%, 92% and 6.5% of the patients were in prepuberty, reproductive, and postmenopausal age groups, respectively. 42% of the cysts were neoplastic and 58% were nonneoplastic. No statically significant relationship was observed between the nature of the cyst and age group. Overall, endometriosis with frequency of 18% was the most frequent cyst. Among neoplastic cysts, serous cystadenoma and dermoid cyst, each with frequency of 31.2% were the most common types. There wasn’t any significant relationship between the mean ages of various neoplastic cysts. Endometriosis with the frequency of 31% was the most common nonneoplatic cyst and there wasn’t any significant relationship between the age group and the type of nonneoplastic cyst.Conclusion: The majority of ovarian cysts are nonneoplastic and endometriosis is the most frequent type of ovarian cysts in surgically removed specimens. Most of the ovarian cysts are observed in reproductive age.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1695-1700
Measures: 
  • Citations: 

    0
  • Views: 

    922
  • Downloads: 

    0
Abstract: 

Background: Septic shock is an important and serious disease. The major aim of this research was to find demographic factors and etiology of septic shock in women hospitalized with septic shock diagnosis.Methods: In this retrospective descriptive research, 400 patients with the diagnosis of septic shock who were admitted in obstetric and gynecologic wards of Alzahra (SA) and Beheshti hospitals in Isfahan during ten years were evaluated. The data about age, marital status, etiology, pregnancy status, treatement and death were gathered.Finding: The most prevalent etiology of the disease was septic abortion. Most of the patients were in 25 to 35 years and married. Most of them had 2 or more children, lived in town, are treated by surgical treatment plus medical treatment and 3 antibiotics. The hospitalization stay of most of them was more than 5 days and the mortality was seen in 43% of evaluated patients.Conclusion: This research concluded that etiology of most of the septic shocks was septic abortion that has done illegally and in non sterile condition. This emphasized the importance of people education for have a safe contraception and avoid from illegally induced abortion and septic abortion.

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Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1701-1713
Measures: 
  • Citations: 

    1
  • Views: 

    1476
  • Downloads: 

    0
Abstract: 

Leptin, the adipocyte-derived hormone that plays a key role in energy and body weight homeostasis, has recently known as a mediator in the reproductive system. Leptin acts as a link between fat tissue and reproduction in human and is a signal which transmits the information to the brain; where is adequate fat in stores to cover the energy requirements of reproduction. Leptin acts on reproductive system at multiple levels including hypothalamic-pituitary-gonadal axis. It influences puberty, mensturation, pregnancy, and lactation. The nutritional suboptimal conditions such as eating disorders and obesity can influence serum leptin levels and are associated with some reproductive system disorders such as amenorrhea and polycystic ovarian syndrome. Future studies are expected to clarify the exact role of leptin in human reproductive physiology and pathophysiology.

Yearly Impact: مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Author(s): 

KALANTARI HAMID

Issue Info: 
  • Year: 

    2011
  • Volume: 

    28
  • Issue: 

    121
  • Pages: 

    1714-1715
Measures: 
  • Citations: 

    0
  • Views: 

    7822
  • Downloads: 

    0
Keywords: 
Abstract: 

colonoscopy overview - a colonoscopy is an exam of the lower part of the gastrointestinal tract, which is called the colon or large intestine (bowel). Colonoscopy is a safe procedure that provides information other tests may not be able to give. Colonoscopy is performed by inserting a device called a colonoscope into the anus and advanced through the entire colon. The procedure generally takes between 20 minutes and 1 hour.reasona for colonoscopy - The most common reasons for colonoscopy are to evaluate the following:As a screening exam for colon cancerRectal bleedingA change in bowel habits, like persistent diarrheaIron deficiency anemia (a decrease in blood count due to loss of iron)A family history of colon cancerAs a follow-up test in people with colon polyps or colon cancerChronic, unexplained abdominal or rectal painAn abnormal X-ray exam, like a barium enema or CT scantherapeutic colonoscopyThe most common reasons are the following: Polypectomy, Band ligation of hemorrhoids, Injection or cautery techniques for the treatment of diverticullum with active bleeding or a visible vessel or a vascular ectasia.colonoscopy complications - Colonoscopy is a safe procedure, and complications are rare but can occur:Bleeding can occur from biopsies or the removal of polyps, but it is usually minimal and can be controlled.The colonoscope can cause a tear or hole in the colon. This is a serious problem, but it does not happen commonly.It is possible to have side effects from the sedative medicines.Although colonoscopy is the best test to examine the colon, it is possible for even the most skilled doctors to miss or overlook an abnormal area in the colon.

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