Internal Medicine Today
Year:2000 | Volume:6 | Issue:2|Papers Count:18

Background and purpose: About 50% of women experience primary dysmenorrhea with noevidence of primary pelvic disease. Current drugs to treatment of primary dysmenrrhea had contraindication the objective of mefnamic acid and carumcarvi in primary dysmenrrhea.Materials and Methods: This research was a prospective randomized clinical trial study. The cases were 500 high school students (14-18 years) with primary dysmenorrhea that randomaly allocated to five groups with 100 cases in each group. Group I took one carumcarvi cap tid, group II took cap carumcarvi tid. Group III one cap carumcarvi bid, Group W placebo cap tid and group V one mefnamic acid cap tid. All of these groups were evaluated for 1-3 days in two cycle.Results: There was significant difference in pain relief between placebo group with other groups (P<0.0001). There was a significant difference between group 3 with other groups of caiumcarvi and mefnamic acid group (P<0.000), and also between group I with group II and mefnamic acid there was significant difference (P<0.0001).Conclusion: Use of 2 caps of carumcarvi tid is more effective than the other groups of carumcarvi and there was not significant difference in pain relief between group II and mefnamic acid group.

This investigation is a quasi-experimental study to evaluate (The effect of group therapy on elderly depression rate). 33 elderly clients of 60 to 86 years of age (male and female) were selected from kahrizak complex in 2000.Depression of clients was assessed before and after intervention by Geriatric Depression Scale (GDS).Then the group therapy was utilized based on elderly depression, anxiety, interact and self care. Depression rate was measured just before and just after the performance of planned sessions and one month later. Depression rates were computed in two groups (male and female), statistical tests revealed significant difference in two groups (P<0.001). Thus the hypothesis of this study "Group therapy decrease elderly depression rate” was proved.

A descriptive-analytic study was performed to assess the effect of different factors on birth weight (fetal growth) during pregnancy at health care centers of Bojnord.Data were obtained from a random sample of 118 family charts existed in settings. Statistical analysis of data showed that there was a significant and strong relationship between birth weight and parity, and length of pregnancy interval. Also a weak association was observed between mother's age and birth weight.The other factors such as mother's level of education, economic and social status of family had no effect on birth weight.

Osteomyeltit is an in flammion of bone that is usually a hematogenous infection but it may be caused by open fracture of adjacent infective process. The most age affecting is 3 to 20 year-old and it is about two times as common in males as in females. A bacterial organism most common that cultured in this group shows staphylococus aurous that causes of 50 percent. the first clinical picture is pain and the other symptoms including fever, limitation of motion and it may caused septicemia in the neonatal period and early infancy.The sites of involvement are femur that affecting nearly 75 percent tibia is about 18.7 per and sacroiliac is about 6.2 per. A truma is known as most common predisposing agent. Radiologic picture are soft-tissue swelling subpreiostal reaction nd in long time or chronic process radiographic manifestation shows sequestrums. treatment consist of appropriate Antibiotic and sergical treatment.Septic Arthritis is most usually affected by three ways that it contains:1- spreading abroad blood bacteria.2- Extension of bacteria through adjecnt tissue.3- in the children by epiphseal into the joint space.The most common age is 3 to 40 year - old, hip is the most usually joint that is affected. The hip joint is the 'only joint that is involved associated with osteomyelitis and septic Arthritis. Clinical finding is showed pain about 100 percent, fever 92 per and localization symptoms including warmth, redness and tenderness that show nearly in 94 per of patient laboratory finding an ESR was elevated in 90.5 per. leukocytisis in 79.7 per positive CRP in the 75 per of patient. Treatment is including drainage specially in hip joint and shoulder and so we must admit the other case to do for them Antibiotic therapy injection and after receiving reply of culture changing for appropriate Antibiotic therapy.

The objectives of this study was to investigate the changes in blood pressure(systolic and diastolic) and weight during Ramadan -fasting month in apparently healthy Muslim scholars Eighty college-students were followed in 5 states before, during and after the month of Ramadan.The results showed a decrease significantly in weight and means systolic and diastolic blood pressure (p<0/05). These Findings contribute to a better understanding of the contradicting results reported by various investigators .Ramadan-Fasting month can result in reducing weight and blood pressure.

This research is a descriptive study and sectional one that survey the managers and chieves views on the existing problems of treatment and health services and the role of continual education on solving these problems in the year 1379 in Gonabad medical college. The research sample was the managers and chives working and managing their personnel’s. The data was collected by a questionnaire containing three sections of the existing problems, the role of continual education on solving these problems and the proper method of solving. To provide the questionnaires and plan the basic principles of the research, at first a basic study primarily was done about collecting the data on the problems being existed in the area.The results of the research shows numerous and different findings that the most important are as follows.46% of the managers and chieves know their working duties 12% of the samples had not any experts staffs. 49% of the samples had been offered only half of the management responsibility. 44% of them have said that there is a complete relationship between their work and their skills and 5% had not mentioned any relationship. In another item 22% of the managers and chieves had mentioned that continual education was completely (100%) effective on the staffs satisfaction from their job.In the second section of the open questions about 95% of the samples had mentiond effective the role of continual education and useful in relation with any problems to solve it. In the third section of the questions on offering the education methods from the samples views, the short term education with 30.1% was the most offered method and self-learning with 0% was the least one. At last the common problems offered by the samples were:a. The shortage of the expert and educated personnel and staffs in all fields and researches too.b. Having no interest, motivation, skills and enough efficiency among the staffs.c. Lack of coordination between all sections and treatment and health centers.

Pesticide poisons and all other chemical materials used for improving quality and quantity of agricultural products have a residue on the said products that is harmful and have bad effect for users, While the scale is more than the normal level of "MRL".In this research cucumber with the priority of daily harvest and multi - using was selected among the agricultural products, and cholorinated and phosphorus poisons on farms was measured. The samples of cucumber on trucks entering fruits and vegetables selling area of Tehran city in the first and middle two - days of each months and by chromatography gas method were measured.The rest of thirteen pesticides cholorinated and seven poisons phosphorus were identified on the samples. Aldrine pesticide among oregano phosphorus poisons and malathion pesticide had shown the most residue among organophosporus poisons. Comparing between them the "Codex" table was used. The rest of cholorinated poisons residue on cucumber product that is not of the legal poisons of the country needs another research. Since the research is planned For administration of controlling and caring over Poisons residue amount of agricultural products, then it has shown the faults, weakness and administration needs of poisons residue measuring as a health duty.Need for organizational known coaprations of different sections in the ministry of agriculture and health, and technical and supportive deficiencies are of the said factors.

This is a descriptive- analytical sectional research to survey the maternal breast feeding function method on breast feeding.All mothers referring to urbon health centers during two weeks were asked by a 35 items questionnaire that was planned in accordance with the research goals to collect the data. The results showed that 64.5% of the mothers had not stopped breast feeding and 80.3% of the infants had only breast feeding until the age of 6 months. 81.2% of infants were using breast' feeding and 8.1%formula and 10.7% used animal fresh milk. 82.9% of the wives had a positive - view on milk feeding and 6.8% had a negative view and 10.3% had no idea on stopping milk feeding.

Medical insurance causes increasing justly availability of people to health care. Actually the main object of improvement of health insurance system is better access to multilateral expansion. Therefore for attention to good quality and quantity insurance services is necessary for any society.This research has a descriptional form that is performed in order to determine the position of rendering insurances services from viewpoint of insured person’s employees of insurance and insurance organization of clinical services in Mashhad city 1379. 487 insured subjected, 301 employees were selected by the method of cluster classic and probability.Aquired information were collected by sample selection form and questionnaire for insured persons and a questionnaire for employees of insurance, interview and a questionnaire for managers.Obtained results from testing quality show that 84.2% insured as average, 88.1% employees knew the quality as well, and 66.6% managers declared it as average.Since the most insured people, employees and managers evaluated the insurance services in employees about to quality, it seems that, with respect to the significance of the problem, eliminating this difference and rendering services as desirable form is essential.