Hormozgan Medical Journal
Year:2013 | Volume:17 | Issue:1|Papers Count:18

Introduction: Hirschsprung's Disease (HD) is a common congenital disease of colorectum. The initially treatment consisted of preoperative diverting colostomy, followed by definite abdominal pull-through and closure of colostomy on later date. This study was conducted to compare Trans Endo Rectal Pull Through (TERPT) and Trans Abdominal Pull Through (TAP) methods in patients with HD.Methods: 62 children (39 males and 23 females) with proven HD on the basis of rectal biopsy or barium enema underwent TAP or TERPT in one center and by unique operative team between January 2009 and August 2011. Children with a prineal disease, concomitant congenital anomaly, and total colonic agangelionosis were excluded. All patients had post operative pathologic proof.Results: 12 months follow-up showed that, the most common post operative complication in both groups was perianal excoriation (24.2%) followed by enterocolitis (22.53%), soilage (20.96%), constipation (14.50%), anal stricture (6.5%), fecal incontinency (3.2%) and anastomosis leak (3.2%). There was a significant difference between TERPT and TAP groups in operative time (107-155 min), surgical site infection (all 5 patients were in tap group), need to re-hospitalization (25%-41.5%) and cosmetic (4%-62.2%). There was no difference between age and sex of the patients and post operative complication.Conclusion: TERPT in comparison to TAP would be an alternative, safe technique for HD patients. The TERPT approach is less invasive and can provide a better clinical outcome than TAP in terms of operative time, surgical site infection need to re-hospitalization and cosmetic.

Introduction: With respect to high association of skeletal chest deformity with cardiac abnormalities, these patients should be evaluated for evidence of cardiac involvement. So, we used echocardiography to investigate this association.Methods: This case-control study was done on 144 patients with skeletal chest deformity referred to OPD clinic. 240 persons were selected as control group, without any skeletal chest deformity and matched by age and sex with case group. Both groups were evaluated by 2-D color Doppler echocardiography and data were analyzed by SPSS software.Results: Mean age of males and females in case group was 7.48±4 and 6.93±3.94 and in control group was 7.81±4.16 and 8.43±4.02, respectively. 76.39% of case group and 36.67% of control group had asymptomatic CHD. This difference was statistically significant (P<0.05). 52 patients out of 70 patients with pigeon chest deformity, had heart disease and 60% with Mitral Valve Prolapses (MVP). 37 patients out of 62 patients with pectus excavatum deformity had heart disease and MVP was more frequent (59.67%). In 12 patients with scoliosis, MVP was in 6 patients (50%). We found that in control group, prevalence of asymptomatic CHD in patients with positive family history of skeletal chest deformity was 1.25 times more than patients without positive family history.Conclusion: Since the prevalence of MVP in this study was high, we suggest that all patients with skeletal chest deformity, especially in presence of cardiac murmur should be evaluated for cardiac abnormalities.

Introduction: Treatment of patients with acute myocardial infarction (AMI) is time related, so delay in treatment could affect prognosis. Recognizing pre-hospital or in-hospital delays in initiating treatment and reducing these factors is very efficacious in treatment of these patients.Methods: A cross sectional study was carried out on 227 patients with acute myocardial infarction. Demographic data, educational level, marital status, type of transfer to hospital and delay in arrival to hospital were recorded. The data were analyzed by SPSS.Results: 35.7% of patients arrived during one hour of symptom onset, and 7.9% arrived after 24 hours of symptom onset. Patients with high level education (P=0.049) and a family history of coronary artery disease (P=0.011) had significantly less delay in arriving to hospital. Age, marital status, gender, and route of transfer to hospital were not related with pre-hospital delay. Patients thought most common cause of delay in arrival was unawareness of coronary artery disease (38.8%) and self-medication (34.3%).Conclusion: Increasing awareness of patients about cardiovascular symptoms and their risk factors could be helpful in patients seeking medical care. Therefore, general education via media and primary and middle schools could be helpful.

Introduction: Free radicals can cause lipid proxidation, especially in athletes. The aim of this research was to determine the response of lipid exercise proxidation and antioxidantm system to single bout of High Intensity interval Exercise (HIE) in elite soccer players.Methods: In this semi experimental study, 20 football players were selected randomly and divided into experimental and control groups. Both groups participated in high intensity interval exercise protocol. The collected data were analyzed using t-test. Results: The results showed that HIE protocol could significantly increase MDA and GPX in experimental group (P<0.05). But, Intensive exercises didn't significantly change the SOD Indexes in experimental group.Conclusion: The present research results indicate that as a result of a single bout of high intensity interval exercise (HIE), the body is exposed to risk of oxidative stress. In addition, antioxidant system can provide high anti oxidative protection for organism.

Introduction: Jaundice is common in neonatal period and in severe type cause neurotoxicity (Kernicterus), so diagnosis and treatment of severe hyperbilirubinemia is very important. This study investigates the predictive value of umbilical cord serum bilirubin (UCSB) for subsequent jaundice in healthy term newborns.Methods: In this cross-sectional study, 341 normal term (gestational age>37 week) and near term (gestational age=35-37 week) from Bandar Abbas Shariati hospital with birth weight above 2500gr were selected randomly. Asphyxia and congenital anomalies cases and those who need resuscitation were excluded from the study. All neonates according to the umbilical cord blood bilirubin level were divided in two groups: UCSB³2 mg/dl and UCSB<2 mg/dl. Then, in 3rd day after birth, all neonates according to total serum bilirubin test swore divided in two groups of TBS<12.9 mg/dl and TBS>12.9 mg/dl. The collected data and demographic characteristics of the cases were analyzed by SPSS-16 using t and Chi-square tests.Results: The results show that the average cord blood serum bilirubin was 2.556±0.678 mg/dl and the average for 3rd day after birth was 12.125±2.234 in all the cases. Out of 76 neonates with UCSB<2 mg/dl, 69 neonates had TBS<12.9 mg/dl, 3 days after birth and 7 cases had TBS³12.9 mg/dl. Out of 261 neonates with UCSB³2 mg/dl, 150 neonates had TBS<12.9 mg/dl, 3 days after birth and 111 cases had TBS³12.9 mg/dl. There was a significant relationship between umbilical cord serum bilirubin and 3 days after birth bilirubin score (P<0.001).Conclusion: Based on the results of this study, it seems that umbilical cord serum bilirubin can be a predictive value for after birth hyperbilirubinemia in newborns.

Introduction: Bunium persicum is a gramine plant from Umbelliferae family. Candida albicans is a kind of yeast known as normal flora of skin and gastrointestinal tract (GIT), respiratory and genitourinary (GU) mucosa. This fungi makes disease in immunodeficient individuals. The aim of this study was to assess the antifungal effect of essential oil of Bunium persicum on Candida albicans.Methods: 28 plate's receptacle of Candida albicans were passaged on Sabouraud dextrose agar medium. Seven plates were assign as control (without essential oil of Bunium persicum) and 21 plates as cases, consisted 1mg/ml, 2 mg/ml and 3mg/ml (7 plates for each of them) Bunium persicum essential. All plates incubated in 37oC incubator for 72 hours. Colony counting was done each 24h by crossbar paper and Heerbrugg WILD stereoscope. Finally, descriptive statistics was used for results presentation.Results: After the first 24hr, Candida albicans yeasts had growth in all case plates but no growth was seen in control plates. In the second 24hr, all control and 1mg/ml essential oil of Bunium persicum plates, had growth, but no culture observed in 2mg/ml and 3mg/ml essential oil of Bunium persicum plates. Finally after 72hr, although culture was seen in control (Innumerable), 1mg/ml (Innumerable) and 2mg/ml (Average=46 colony) essential oil of Bunium persicum plates, no culture was observed in 3 mg/ml plates.Conclusion: Results of present study demonstrated that, all 3 concentrations could delay culture of Candida albicans and induce stay effect on that. Time of staying culture of fungi was related to essential concentration in medium.

Introduction: Aging and middle aged population growth and increase in life expectancy, has changed the attitude towards elderly. However, decrease in cognitive performance of aged people has always been under investigation. This study was carried out to investigate the effect of working memory software on self-esteem, self-concept and middle aged memory.Methods: This experimental study was carried out based on pre-test and post-test on experiment and control groups in Isfahan, Iran.50 middle aged people were selected randomly and divided to experimental and control groups (25 people for each group). Measurement tools in this study were Wechsler memory scale for adolescents, Rogers's self-concept and Aizeng self-esteem.Results: Covariance analysis showed a significant difference in self-esteem, selfconcept and control groups. But, after the software education, the differences in experiment group were higher.Conclusion: Working memory software could strengthen middle age working memory, and upgrade their life style.

Introduction: One of the most important branches of scientometrics is citation analysis which offers patterns showing authors’ information searching behavior and authors’ authorship. Citation Analysis provides a pattern of authors’ Information-seeking behavior and also Content Analysis provides a pattern of authorship. This study aimed to analyze the citations and content of published articles in the Hormozgan Medical Journal (HMJ) from 2006 to 2011.Methods: In this descriptive study, the citation and content of 211 published articles in the HMJ during 2006-2011 were analyzed. Data analysis was done by SPSS-16 using descriptive statistical methods.Results: Out of 4168 citations in 211 published articles from the view point of citations to the type, the shape and the language of the resources, the maximum were for journals (78.55%), print material (98.27%) and English language (83.5%). The mean of citations for each article was 19.7 and authors’ self-citation was (1.63%). Out of 746 authors in 211 published articles most of them were male (64.45%), most of corresponding -authors were assistant – professors (36.96%) and most of them were affiliated to HUMS (85 tittles). Most type of articles were original articles (96.68%), maximum number of articles were published in 2006 (49 tittles) and most of them were written by more than one author (95.7%).Conclusion: Although published articles in HMJ have had an acceptable condition from the view point of authorship pattern, considering limited usage of up-to-date and electronic resources, it seems the affiliated organization needs to take measures for improving the authors’ pattern of information–seeking behavior.

Introduction: Suicide is one of the most important social and public health issues which affect not only the persons who attempted but also their families and community. World Health Organization estimated in 2000 about one million people has died by suicide. In many countries suicide is among main 10 reasons for mortality and one out of three causes of death for15-35 year old age group. Methods: This study was based on data which collected from surveillance system running all around the province in 2012. By using SPSS software version 19, demographic variables, method and result of suicide were analyzed and demonstrated.Results: 712 suicide attempts happened in Hormozgan province in 2012. 451 cases (63.3%) were female and 261 cases (36.7%) were male. Most suicide attempts were in 15- 34 year old age group which consist 89.2% of all cases. Incidence of suicide was higher in summer. Drug poisoning was the main method of suicide (77.7%), afterward hanging (8.8%) and poisoning (8.3%) had high incidence. 9.6% of men and 2.4% of women who attempted suicide had died.Conclusion: According to these findings, suicide is an important problem especially for young people in Hormozgan province. Strengthening the surveillance system and planning to reduce the risk factors in society is necessary to control this problem.

Introduction: for most people, concept and definition of internet addiction is not known and use the word addiction for medication misuse or alcohol. Internet addiction is a physiologic-mental disorder which includes intolerance, severance symptoms, academic deuce, and disorder in social relationships. Some personal characteristics (neuroticism) have important effects on using internet. The objective of the present study was to investigate relationship between neuroticism and academic achievement with internet addiction.Methods: This research was a descriptive study and included 400 high school students, who were selected by random cluster sampling. Information was gathered using a 20 items addiction questionnaire and personality characteristics was measured using NEO 60 items personality inventory. Also, the mean scores of students were used as an index for academic achievement. Descriptive statistics and inferential methods were use for data analysis.Results: Statistical analysis indicated that there is significant relationship between neuroticism and internet addiction. The results also revealed that there is not any difference between internet addiction in male and female students.Conclusion: According to the results, it seems that, some personality traits of students including neuroticism are important to internet addiction, but gender is not an important factor in it.

Introduction: Due to the low tariffs of diagnostic and treatment services in public hospitals and the high cost of health care facilities, the need to receive all revenues from insurance agencies is essential. This study was carried out by the main purpose of prioritizing insurance deductions according to objective intervention in Shahid Mohammadi hospital in Bandar Abbas.Methods: In this cross-sectional study the research population includes all 2300 inpatient records that were under insurance deductions during August to January of 2008. The data were collected by referring to the documents of insurance organizations and Shahid Mohammadi hospital records. The deduction factors of bills were weighted and ranked by Shannon Entropy method and the descriptive data was analyzed using SPSS16 software.Results: The highest deductions were related to villagers health insurance fund (Khadamat Darmani-Rostaeian) (53%), City hospitalization health insurance fund (khadamat Darmani- Bestari Shahri) and social insurance (Taamin Ejtemaei), with 14 and 11 percent, respectively. The orthopedic ward (33%) and general surgery ward (17%) had the highest deductions among all of the hospital wards. After weighting and prioritizing deduction factors, surgeon commission, medicine, geographic full time of physicians and anesthesia were the main factors of the deductions.Conclusion: According to the results, most of the deduction factors were pertinent to the surgery wards that were due to the lack of the doctors and the personnel knowledge who were involved in the treatment process under the insurance laws. The health care team training, use of hospital information systems and providing deductions feedback to the employees can reduce deductions.

Introduction: Magnesium is the second intracellular and fourth common action in the body. Magnesium deficit has been described in patients with type I diabetes. Hypomagnesemia can also be the cause for some clinical diseases such as diabetes. Some researches showed that plasma magnesium level decreases after diabetes induction. Some research believed that magnesium deficiency is a risk factor for diabetes. In the other hand, magnesium deficiency changes vessel morphology and increase vessel myogenic tone. It plays an important role in regulation of cerebral blood flow. Magnesium also plays a crucial role in diabetic vessel complications. This review article tries to investigate the role and mechanism of magnesium on prevention of diabetic vessel complication.

Introduction: Thyroid disease e.g. hypothyroidism, hyperthyroidism, and subclinical hypothyroidism are among the most common endocrine disorders. Dyslipidemia is prevalent in thyroid diseases and lipid oxidation due to oxidative stress play an important role in the pathogenesis of thyroid diseases. Antioxidant enzymes such as paraxonase have a protective role in these patients and their activity is altered in these diseases. This paper reviews serum level of these enzymes in thyroid disease and its association with cardiovascular disease. Different studies have shown that lipid disturbances and antioxidant enzyme alteration increases the risk of atherosclerosis and cardiovascular diseases We review the effect of treatment of thyroid disease on dyslipidemia and serum lipid oxidation and alteration in antioxidant enzyme activity and paraxonase enzyme level.