Internal Medicine Today
Year:2002 | Volume:8 | Issue:1|Papers Count:11

Sertoli- leydig cell tumors are extremely rare. These tumors are diagnosed most commonly in the second & third decades of life in young women. The tumors are frequently unilateral& low - grade malignancies.Seltoli-leyding cell tumors often produce. 70-75% of patients demonstrate clinical virilization. We report a case of a seltoli leydig cell tumor , stage la of left ovary, on a 21 year old woman. The initial clinical ,manifestation was 5 months amenorrhea that had been misdiagnosed with abortion & ovanan mass. A physical examiniation revealed large abdominal tumor located in the central region of abdomen. She didn"t show any signs of virilization. Laparatomy was performed & left salpigoophorectomy with incisional biopsy of the right overy was carried out. Histopathologically, it was a moderately differentiated tumor without heterologous elements.

History and Objectives: Disabilities and congenital anomalies are one of the most factors of children mortality and disability today In developed countries, the diseases decreased Mortality rate of congenital anomalies is high among others. One of the most challenges of the world today is congenital anomalies, then many families are in pain mentally or physically. This research is to certify the causes and prevalence rate of congenital anomalies of neonates in Gonabad city in 1373-1380. Materials and Methods: This research is a descriptive and retrospective, all the files and notebooks of neonates born in 1373-1380 were studied, 12319 live neonates and 194 dead ones. blood group, Rh, mother age and all other data were collected. Results:The results showed that 60 live - born neonates had congenital Anomalies among all, and this problem was more in males than females. The most common was from musculoskeletal and club-foot and the second one was neural tube defect. There was a meaningful difference between the number of labours and apgar score with the kind of anomaly. Conclusion: Since one of the children and neonates mortality rate is congenital anomalies and this needs money and time and the families have many problems to care as wall as some organization and institutions, then its necessary to do and perform these kinds of researches to recognize and control these kinds of anomolies.

Introduction: Hypothermia is one of the most common problems of postoperative patients and is preventable with accurate body temperature control and proper warming measures. Methodology: The indirect measures included.axilliary- electronic, axilliary - mercury, rectal - electronic and rectal - mercury. core temperature waz also measured using the esopagranl site. This study has been done on 115 open heart surgerypatients in intensive care unit(fCUI) of Ghaem Medical center at Mashhad With sampling Method based on purpose.for collection of data, axilliary and rectal temperature of each patient was obtained on arrival to the fCU and every 15 minutes for the next 2 hours by electronic thermometer and form the begining hour of second with mercury thermometer, with simultanous direct esophageal temperature value was recorded. Result:Assumming esophageal temperature is most representative of "Core temperature, the findings of research revealed a statistically - significant difference between each of indirect and direct techniques body tempertaure measurement, (p<0.000l) These findings also show Singnifcant deferences between the accuracy of each indirect techniques together (P<0.01). The rectal - electronic Method was found to be the most accurate technique for messing body temperature (-0.21). Therefore, Five hypothesis of research based on difference between the mean value of temperature measured by direct and indirect techniques and difference among the accuracy of each indirect measures techniques confirmed with 99.9% cofficient of confIdence, where as sixth hypothesis based on the rectal - mercury technique is the most accurate was not supported. The statistically signficant negative correlation between postoprative core temperature and the patient"s age, (R=-0.35, P<0.0001) , Body surface area (BSA), (R=-0.34, P <-0.0002), length of surgery, (R=-0.33 , P< =0.0003)and duration of cardio pulmunary bypass ( CPB) (R=-0.33,P< =0.0003) suggeststhat the elderly and the greater BSA patient"s and also patients with longer length of surgery and CPB are the most susceptible to postoperative hypothermia than the others. Gflnerally it seems that use of rectal - electronic technique is probably better than of others.

In recent years hypnotism phenomenon is a new and modern discussion spoken throughout the universites and colleges and even mostly in the public, so that every body says his or her own idea even though some of the ideas are based on unreality and traditions and these ones all together has made some unknown questions for researchers and those who are curious that it can be the treatment of all diseases and cure them. And they have made some money that it has changed the reality of this scientific phenomenon. Now we are going to define hypnotism as it really is and no more and how it works on medicine with it,s limitations as the other by those who are familiar with the brain functions and mental mechanisms completely.

Aids is one of the infectious disease in the world that has disappointed the human being for controlling the infctious diseases As reports say one person is being infected with HIV in each 5 minute.Then eductional and teaching methods Seems helpful for Preventing it that health teaching has a key role here in.The research goal is to prevent S.T.Ds in students by HB.M Model.Since Health teach.ing can be effected in preventing with HB.M, one of the best preventive model, that was made upon psychobehavior the OlY emphasize that human behavior includes two major variables. 1 - The value of goal and aim for the person.2 - Prediction and estimation of the person to reach that goal for the second time in this research 500 student. were studied in Biljand universities.The major aim is to celtify HB.M variables in preventing S.T.Ds.The data was collected by a questionaire with content validity and scientific reliability and validated by test method.%10.3 of the students didnot know S.T.Ds, %85.5 of the open university were not familiar with S.T.D and there was a meaningful relationship between the university and the students knowledge. The average score of the students of basic sciences was %21.28 and this did not show any relationship between their subject and knowledge.

Tuberculosis disease is still one of the important diseases, such that almost 1/3 of the world population have tuberculosis myobacterium and nearly 8 million new cases tuberculosis is found in the world yearly. But its incidence and the method is different in the different areas of the world and in our country Iran. In our study on the patients having tuberculosis in Gonabad city about 103000 people during 1372-80 . 279 people were recognized to have tuberculosis that 57% of them were rural and 58% were female. The most involved were house wives and those men who were farmers and do sheeping. 77.8% had pulmonary tuberculosis and 22.2% of non - pulmonary tuberculosis, digestive system, skeletal, urinary and other parts of the body. 72.4% of pulmonary tuberculosis sputum smear showed positive B.K , and 27.6% were negatives. During the survey the per cent of pulmonary tumberculosis of postitive smear waz morethan 70% and at the same time non - pulmonary. disease with fluctuatianal prevalence from 11.1% in years 72 increased to 28/6% in year 76, showing rather successfulness in finding diseases. The average age of the patients was 45.4% , but the survey showed that the most percent of patients having non - pulmonary tuberculosis were (42.1%) between the age of 20-40 and the same to pulmonary tuberculosis were (90.1%) between those of 60-80 years old. The most percent of positive smear of sputum form B.K point of view in the patient with pulmonary tuberculosis were in age group of 20-40 and the negative one in the age groups under 20 years old. There fore more attention should be paid to patients process and mostly the said group and positive semar and follow dots plan in the region.

Cardiac syncope, among all couses of mortality in patients who are suffering from heart diseases, can be indicated as one of the prevalent causes. that is, the most prevalent syncope causes related to the cardiac output obstraction and output cardiac arythmies, while some activities such as valsalva maneuvre is being done. Confirming the importance of the issue, a sub-experimental study has been done on the 64 healthy volunteers as, "determining the effects of the cardiovascular response on the different kinds of body positions, during the valsalva maneuvre. According to these studies, the valsalva manuevre in supine position, sims position, make less changes in systolic blood pressure and heart rate, rather than the positions in which the top of the bed sets 30°, 70° and 90°. The data has been acquired by two stages, at the first stage, the demographic data concerned With the volunteers achieved and then, the check up form and the cardiovascular specialist, examined them. First of all, in supine position, the basic systolic blood pressureand hemt rate of all researched samples were asked to turn into supine position, sims position and also fowler and semifowler posittions (30 q 700) and do the maneuvre, so that in these intervals ( before, time and after the maneuvre) they measured the blood pressure and heart rate. In order to determine the significant difference, they have used, T, Analysis variances and pierson test. The acquired results indicate the least significant changes in systolic blood pressure sims position, was being done.

Adenomyosis is a diagnosis that presents after hystrctomy and. pathologic studies the dirction of modern medicine is a clinical diagnosis and medical treatment. clinicalfactors related is helpful in clinical diagonsis. From january 2000 till february 2002, 131 patients whom operated (hystrctomy) in Zeinab hospital were studied. The incidence of disease, was 31.3% and the peak, was in the fifth decade. The most common symptoms was:AUB, pelvic pain and secondary dysmenorrhea ,In most cases size of uterin was reported as normal and in 19.5% was accomplished with leiomyoma and in 45% larger than normal. We can aniticipate adenomyosis with description and careful examination and with medical treatment was avoided from adventitous surgery .

Today prisons are one of the certain centers of HIV in all over the world. This matter must be seriously noticed that the most of the prisoners after a short time of jail retum to the socity . In fact prisoners are not only susceptible to exposure infection of HW but also they are a reservoirfor beginning and development of the HIV in The society. The rate of HIV infection among the prisoners is higher of general population. This study is a quasi-experimental one it has been aimd to evaluate the effect of health education program on the AIDS preventive bahavior of prisoner aged under25 years old (Ghzalhesar-prison-Tehran). IN this research 50 males addicted prisoners, were selected. A questionnaire was developed in four sections: demographic factors, knowledge, attitude and practice and it was used after taking reliability and validity. The level of KAP toward AIDS was evaluated first by using a questionnaire (pretest). The educational needs were recognized, and then the educational plan was designed. Educational method in this study was lecturing, group discussion, face to face, answer, question, poster,leaflet, pamphlet and video film. After 2 months performing education program, KAP determined (posttest)and then compard with pretest information Collection data analyzed by parametric and non-parametric statistic tests. The results of the study show that 22% of prisoners in prison had drugs Injection, 8% of them had sexual intercourse, 38% of them had arazor shared and 6%of them had tattooed. Also %82 of prisoners were witness in using syring for drugs and %48 were witness for sexual intercourse of other prisoners. Analysis of the data before and after the educational program showed that there is significant difference between knowledge, attitude and practice. The results of the study indicated that health education programs has effected increase of KAP. (p<0.0001) The others results showed, there is significant relation between demographical educational variable and prisoners knowledge and Attitude But there are not significant relation between condemnation period with prisoners knowledge, Attitude and behaviors.