Journal of Ardabil University of Medical Sciences
Year:2002 | Volume:1 | Issue:4|Papers Count:12

Background & Objective: Benign Rolandic epilepsy is one of the most common epileptic syndrome in children with an excellent outcome. The pattern of inheritance is autosomal dominant and usually started between 3-14 years. The purpose of this study was to show clinical manifestation, outcome and good recovery of these patients after treatment.Methods: In this descriptive and prospective study between 2000-2001in Isfahan University of medical science, 21 patients according to clinical and electroencephalographic findings of Rolandic epilepsy were evaluated. Results: 17 patients were male and 4 female. The range of patients age was between 4-18. positive family history of Rolandic epilepsy were seen in 7 patients. There is not any recurrence of attacks after treatment with carbamazepin (18 patients) and sodium valproate (3 patients).Conclusion: Clinical diagnosis with EEG findings are very important in patients with Rolandic epilepsy. Physicians must inform patients and their parents about excellent outcome of this type of epilepsy.

Background & objective: Recovery state or post - anesthetic awakening is one of the most dangerous anesthetic stages. Respiratory, cardiovascular and other complications such as nausea, vomiting, shivering, pain and restlessness have been reported. This study designed to investigate prevalence of this complications and its probable risk factors in Ardabil Fatemi and Alavi hospitals. Methods: In this prospective study, 160 patients were selected in Alavi and Fatemi hospitals during winter of 2001. We completed a sheath for everybody about their history of medical diseases, pervious history of anesthesia, addiction, drug abuse, smoking, physical class of ASA, type of anesthesia, time and place of surgery. Data was analyzed by SPSS software.Results: These results were obtained in patients after surgery in recovery room: shivering 36.3%, pain 26.9% , restlessness 21.3% , respiratory complications 13.8% , cardiovascular complications 12% , nausea and vomiting 8.8% . We found significant correlation between some risk factors with complications, e. g: shivering with history of medical diseases, drug abuse and place of surgery and so, pain with restlessness, respiratory complication and place of surgery.Conclusion: This study according to similar studies revealed higher prevalence of some of post - anesthetic complications as shivering, pain and restlessness in our samples.

Background & objectives: Helicobacter pylori is considered as an important factor in chronic gastritis , peptic and duodenal ulcer, also probably in adenocarcinoma of distal stomach. H. Pylori infection can be led to chronic ulcers and ultimately to atrophy and stomach metaplasia. H. pylori shows an increasing resistance to the current antibiotics. For this reason the present research in which the anti bacterial effects of four food additive plants against ten strains of H. Pylori were investigated. Methods: The plants turmeric, ginger, clove and cardamom were selected to act against ten strains of H. Pylori. The effect of ether, ethanol and water extracts on H. Pylori specimens isolated from the patients was studied, using the agar diffusion method . Results: Considered water extracts for their antibacterial effects, turmeric had the most anti H. Pylori efficacy (mean of inhibitory growth zone diameter ; 21.5 mm). Ginger, clove and cardamom were respectively placed thereafter. Among ethanol extracts, ginger with diameter mean of 19.7 mm showed the most efficient effect as compare with turmeric and clove. Ether extracts of the mentioned plants had anti H. Pylori effects (Mean of inhibitory growth zone diameter were 19, 13, 11.1 and 10.5 mm respectivelyConclusions: Water, ethanol and ether extracts of turmeric had higher anti H. Pylori activity. Recognition of the effective fraction 0f this plant as an efficient anti H. Pylori is further step to be investigated.

Background & Objective: Entering the university is an urgent event in the life of the youngs, that causes a lot of changes in their social relationships. This study was performed in order to evaluate students mental health in the Faculty of Rehabilitation at Shahid Beheshti University in spring 2002.Methods: For this descriptive and analytical study,120 students were selected including 86 female and 34 male of whom 109 were single and 11 were married. The sampling method was unrandom. These students were requested to fill General Health Questionnaire (GHQ-28) as well as personal information Questionnaire. Results: According to this study, the mean score of students GHQ was 21.96(with 8.76 S.D) and 31.6% of students were suspected suffering from a kind of mental disorders .Conclusion: Statistical method in this research showed no significant difference between men and women, single and married and different age groups. This study suggests further psychological evaluation and adequate counseling service to promote students mental health.

Hydatic cyst is caused by Echinococus worm, that involves any part of the body, sometimes it is presented in organs such as thyroid, breast and other organs. Axillary that may be consider adenopathy or metastasis and do biopsy, which so there is danger of leakage, anaphylaxis or relapse. The reported case was 39 years old female presented with painless axillary mass without inflammation since 19 years ago that slowly enlarged. Physical findings suggested hydatid cyst which was confirmed with ultrasonography and IHA for Echinococus granolosus and other diseases ruled out. She was operated and she had no relapses after 1.5 years follow up.

Background & Objective: One percent of emergency ward receptions are acute abdomen problems. Gynecological causes include 20%of them. Relation between physiology of women and abdominal pains challenges diagnosis. Clinical diagnosis in these cases have no substitution and studies about accuracy of diagnosis helps to correct future clinical diagnosis.Methods: A cross-sectional study conducted over 148 women whom admitted for acute abdomen causes and operation in Urmia Kosar Hospital during 1375-79. Data of history and Para clinical and also pre and post operation diagnosis Collected by related questionnaire and interpreted.Results: Ectopic pregnancy (39.9%), ruptured ovarian cyst (23.6%), ovarian cyst torsion(18.2%), abdomen masses unrelated to gynecological system (4.1%), were respectively common causes. Two cases were normal. Five appendicitis cases diagnosed after laparatomy. We observed 76% similarity of diagnosis before and after laparatomy, which coordinated with other studies. Ectopic pregnancy with 66 cases of diagnosis before and 53cases confirmation after operation was related to over diagnosis and 22 cases of ovarian cyst ruptures before operation and 36 cases of them after operation were related to under diagnosis.Conclusion: Considering the results, common causes of acute abdomen incur most frequent misdiagnoses. So keeping in mind that sometimes common cases appear atypically and on time using of paraclinic measures can help the surgeon to diagnose correctly before laparatomy .

Background & Objectives: Coronary artery disease is one of the most important mortality causes in developed and developing countries. Many risk factors can influence coronary artery disease some of which can be controlled and prevented. Information should be given to people for controlling these factors and prior to this information - giving, the primary awareness of them about risk factors needs to be ascertained. This research is a study of the knowledge, attitude and practice of Ardabil people about CAD risk factors.Methods: This descriptive analytic study was done on 384 individuals (female and male) over 20 years old. These subjects were selected from five clusters. Synthetic questionnaire was used for data collection through direct interview at home. The collected data was then analyzed by SPSS software.Results: 50.5% of samples were females. 27.3 % of the subjects were high-school graduates. Most of them (70%) were aware of stress and lesion as risk factors. 66.9% of them were aware only of the effect of immobility on coronary artery disease but 13% of them had regular physical activity. 52.1% of them were aware of the harmful effect of salt on CAD, but 15% of them had low salt intake. 48.2% of people were aware of benefit of liquid oil on health, but only 25% of them consumed it. Results showed that, 48.2%, 51.3% and 40.9% of individual had moderate knowledge, positive attitude, and weak practice, respectively. The relationship among variables was significant (P<0.0001), and practice of people has been increased with increasing of knowledge and attitude.Conclusion: Regarding these results, regular programs are necessary for increasing awareness and practice of people as primary preventive steps for controlling CAD.

Background & Objective: The diagnosis of psychiatric disorders are mainly made on base of clinical interview and physical mental examination of the patient. The clinical application of laboratory tests is limited to rejection of probable causes which may lead to emerge of mental manifestations. For assessing the efficiency of brain computerized tomography in this respect, a study was conducted.Methods: All of the hospitalized patients in psychiatric emergency unit of Isfahan medical school for six mounts were examined in the view of demographic characteristics, clinical diagnosis, and the number of performed brain computerized tomography and their results.Results: Brain computerized tomography was requested for 142 patients among the 408 hospitalized patient in psychiatric emergency unit. Among the performed scans only in one case (0.7 percent). Mild brain atrophy was reported and the remaining 141 scans were normal or at limit level of normal.Conclusion: According to limited diagnostic value of Brain computerized tomography in psychiatry and also techno economic problems, the accurate assessment of its actual application specially in our society, seems necessary.