Hormozgan Medical Journal
Year:2001 | Volume:5 | Issue:2|Papers Count:8

This descriptive cross-sectional study was carried out to investigate physicians knowledge of Tuberculosis and DOTS method (Direct observation treatment short course) in BandarAbbas. The subjects were 182 physicians of whom 102 were General Practitioners and 80 were Specialists. A questioner containing 29 questions on different aspects of TB and DOTS method was completed by each subject. The average score acquired by all of the subjects was 16.5 out of 29, i.e the GPs scored 17.75 and the Specialists scored 15.93. The difference was not statistically significant (P>0.005). The number of correct answers given by the physicians was in DOTS method (70.5%), treatment (59.5%), clinical symptoms (56.5%) respectively, and only 40.7% of physicians had knowledge of case finding which is essential for controlling the disease in the community. It is recommended that more effective training programs on tuberculosis should be planned for the physicians.  

Malaria has continued to be a major public health problem in Hormozgan province and in spite of various methods conducted to suppress the disease, such as residual spraying, application of larvicides and modification of the environment, the cases are increasing. This increase maybe due to some technical and operational problems and to the development of the vectors resistance. This retrospective (cross-sectional) study was carried out to assess the epidemiological characteristics of malaria in Hormozgan province during 1995-1999. In order to do this, all the malaria patients who referred to the health centers of the province were examined. Results showed that 38082 cases were identified to be positive during these five years. The highest number of patients and the lowest number of them were reported in 1995 (13757 cases) and in 1999 (1521 cases), respectively. In 1995 the Annual Parasite Incidence rate (API) was 7031 per thousand while in 1999 it reduced to 403. The Annual Blood Examination Rate (ABER) in 1995 and 1999 were 99.3% and 92.3% respectively. Out of seven possible carriers of malaria, five types has been reported from Hormozgan province namely Anopheles stephensi, An. Fluviatilis, An. Culicifacies, An. Superpictus and Andethali. On the whole, the results showed a decrease in the incidence rate of malaria during the recent years.  

This comparative double blind study was undertaken to assess the analgesic effects of lidocaine infiltration on tubectomy patients, including the differences of pain severity, duration of analgesia and also the frequency of analgesic administration after tubectomy. The sampling method was random. Subjects were 80 patients candidate for abdominal tubectomy from July 1993to March 1994 in Obstetrics & Gynecological Hospital affiliated to Tabriz University of Medical Sciences. On preoperative evaluation of the subjects according to physical status classification (ASA), all the subjects were either ASA class I or class II. The subjects were then grouped together in twenties. Three groups were as the experimental group and the fourth one was as the control group. In the experimental groups lidocaine was injected around the incision line 5 minutes before incision in Fan-Shaped method after a general anesthetic was given. The dosage of lidocaine injected into the experimental groups subjects was 20 ml 0.5%, 10 ml 1% and 10 ml 1.5%, respectively. In the control group no lidocaine was administrated .and only a general anesthetic with the same technique used for the experimental groups subjects, was given. The average pain-free periods for three experimental groups were 5, 3.5, and 20 hours, respectively. The average pain-free period for the control group was only one hour. In conclusion, lidocaine infiltration is recommended for relieving acute tense and sudden postoperative pain, especially for the patients with a co-existing disease.  

The need for controlling population growth necessitates the use and development of various contraceptive methods. This descriptive analytical investigation was undertaken to examine the causes of contraceptive, methods discontinuation among women referred to Bandar Abbas Health Centers in 1999. The subjects were 1000 women who had already discontinued a contraceptive method at least one time. The results showed that the onset of mental and physical complications was the commonest cause of cessation of oral combination contraceptive pills, Norplant, DMPA and IUD. In the case of condom, Minipill and withdrawal method, the risk of pregnancy and medical staff recommendation were the commonest causes. 88% of subjects used other contraceptive methods while 12% of them did not use any at all. The average period of using Norplant, IUD, Pill, Condom and injection were 34.5, 33.5, 20.3, 14.8 and 13.3 months respectively. Regarding the short periods of using contraceptive methods, and the causes of their cessation, it seems that before selecting a method, women should be examined carefully and the equipment should be provided for this purpose.  

This experimental study was carried out to-compare the dysfunctional attitude scores of substance dependent patients and those of healthy persons. The samples of research were 100 substances dependent patients (experimental group) referred to outpatient clinic of rehabilitation organization and 100 healthy individuals (control group) who were matched with the former group from demographic characteristics point of view. Beck dysfunctional attitude test was administrated in both groups for data gathering. Data analysis was done by using independent groups t test. The results showed statistically significant difference between the experimental and the control group.  

Depression disorder is one of the commonest complaints of pregnancy and delivery. There are diverse opinions about the prevalence of it. The aim of this study was to determine the prevalence of the postpartum depression in two groups of primiparous and multiparous mothers. The subjects were 164 women of whom 94 were primiparous and 70 were multiparous. A random sampling method was used. Two groups were matched in terms of factors affecting depression. The subjects completed two questionnaires consisting of demographic information and Edinburgh depression test, consecutively. The results showed no significant difference (P> 0.05) in the prevalence of depression in two groups of primiparous (14.29%) and multiparous (14.89%). 8.5% of multiparous subjects had severe depression and 6.39% of them had mild depression whereas all of the primiparous subjects had mild depression.  

For many years Scorpion bites has been a cause of mortality and morbidity in some endemic areas in southern parts of Iran. This study was carried out to examine the epidemiology and clinical manifestation of scorpion bites in children. Subjects were 100 children hospitalized with documented scorpion bite factors such as kind of scorpion, geographical area, age, sex, clinical manifestation and laboratory findings were assessed. Results showed that high risk patients were younger ones or those bitten on central parts of body (trunk) or bitten by H. leptaros. Andractonous bites usually caused a lot of pain and sympathetic over activity (sweating, tachycardia, parasympathetic symptoms, and scrolling). Encephalopathy and myocardititis and ATN was the main causes of mortality among children. Scorpion bites must be managed without delay specially in children. For suitable and urgent management of complications all of the .children with scorpion bites should be kept under observation for the first 12-24 hours.    

Solitary plasmacytoma is a rare tumor. This presented case is a 51 years old male with chief complain of pain and mass sensation in sternal area. Total sternumectomy was done, A 6 X 5 X 4 cm tumor was detected in body of sternum. The pathologic diagnosis was solitary plusmacytoma. Patient was developed multiple my.eloma5 month latter.