Internal Medicine Today
Year:2000 | Volume:6 | Issue:1|Papers Count:20

This study was carried out to find out, whether Ramadan Fasting would affects mental health of the moslems . This study was conducted in Gonabad, a city in the eastern region of the Islamic republic of Iran.Two hundred healthy adult volunteers (114 women and 86 men) that had no previous mental disorder and who Fasted during Ramadan, were selected. This investigation was conducted to study the changes in mental health status. General Health Questionnaire (GHQ - 28 ) was completed before Ramadan month, and again after the end of Ramadan. All Questionnaires scored by likert scoring method and the results were compared with pre - fasting and post-fasting scores.Analysis showed a significant decrease in mean scores, after Ramadan (-4.77, P<0.0001). Mental disorders decreased from 17.5% Pre - fasting to 12% post - fasting (p <0.05).Also Anxiety and Depression symptoms and social dysfunction were significantly decreased (P<0.001).The findings suggest that religious practices as Ramadan Fasting, beneficially affects on mental health and decreased mental disorders.

Middle Lobe Syndrome is a condition of chronic atelectasis due to interinsic or extrinsic obstruction of the bronchus of this lobe. This bronchus is relatively long, subtends an acute angle with the intermediate bronchus and is surrounded by a collar of lymph nodes when these lymph nodes become enlarged due to infection or become scarred or even calcified secondary to chronic granulomatous disease, they may cause obstraction of the middle Lobe bronchus, leading to atelectasis with or without infection.Because the iung disease and MLS are common in this Province and there is not any study in this regard, we decide to study the patients that refered to Brochoscopic department of khatam hospital of zahedan in the last 4 years with diagnosis of MLS. prior Bronchoscopy, questionaire were completed and then Bronchoscopy were done, BAL and biopsy (if necessary) were none. the results Showed that: from 138 patiens (62% male and 38% female) , the most probable diagnosis before FOB was tuberclosis (40.1%), the most finding FOB was erythema and edema of Bronchous . The result of Pathological report were: chronic inflamation (56.1%) , malignancy (21.2%) and tuberclusis (12.4%).Conclusion: the most common cause of Middle Lode Syndrome in this study was chronic inflammation.

In order to identify the major bacterial agents, causing nosocomial infections and also detection of resistancy drugs to current antibiotics, a cross -sectional study was carried out in three hospitals of Medical Sciences University of Hamadan. In this study 712 samples were collected from different parts of emergency section, injection and dressing rooms, and patients rooms. The samples were cultured on E. M. B and Blood agar by sterile wet cotten swab. A smear was also prepared for gram staining dye. After detection of bacterial agents, 174 strains were performed for antibiogram by agar disk diffusion method. The mean of frequency of contamination was 48.6% in three hospitals. The distribution of gram negative bacteria was 52.3% and gram positive bacteria was also 47.7%. The highest contamination was obtained from emergency sections but the lowest contamination was in injection and dressing rooms. The most important bacteria were: Staph aureus and epidermidis, E. coli, Bacillus subtilis, Klebsiella, Enterobacter, Pseudomonas, Lactobacilli, Diphtheroieds and Entercocci.The most drugs resistancy was observed in staphilococci, E. coli, Klebsiella, Enterococci and Pseudomonas aueroginosa. There was high resistancy for Ampicillin, Tetracycline, sulfametaxazlo, Penicillin and cephalexin.

The survey of risk factors prevalence of CAD is one of the mortality factors in most areas, and some cases are known as the most risk factors of it , hut the prevalence in different areas is different. This study was to certify the prevalence of the risk factors of CAD on 218 CAD patients out of 102000 people of Gonabad city. The survived ones had an average age of 61.15 years and an average weight of 65.36 Kg. 60.6% of them was urban and the others were in rural areas. 41.3% were using from animal fat (oil) and only 3.2% used plant oil as a consumption fat.63.3% were males and 36.7% were females. 39.8% had hypertension and 14.7% of them had diabetes disease that most of them were under drug treatment. 39.8% of them had hyperlipidemi that 9.2% were curing as a cause of hypercholesterolemia. 25.7% reported a cardiac disease history in one of thier close relatives. 45.4% of the CAD patients used to smoke, pipe or narcotic drug that duration of this disease was more than 5 years in 85.8%. 42.5% of the infected women used contraceptive pills.The FBS level was more than 110 mg/dl in 21.5% of the studied people, triglyceride was more than 150 mgldl in 43.6% of them, and cholesterol was more than 220 mg/dl in 31.7%. Blood urea was more than 43 mgldl in 6.4% of the people, 48.5% of them had asystolic pressure more than 140 mmHg and 13.3% had a diastolic pressure more than 90mmHg. 55.5% of them had pectoris angina and 44.5% of them had myocardium infarction when finally checked.The results showed that: hypertension, using smokes and unfiltered cigarettes, pipe or other narcotic drug and physical inactivity are the most risk factors of prevalence in this area, then training and supportive programs are necessary in reducing risk factors and for prevention from CAD for men of upper age, menopaused women and those with lower class study as those who are more susceptible.

Melasma is one of the most common cause of presenting women to dermatologist. Nearly.1/2 to 3/4- of pregnant patient, 1/3 Women taking Birth control pill, have melasma. Melasma is more common in tropical and subtropical area along with increasing taking birth control pill, incidence of melasma in Women are increasing.To study the hormonal level and clinical presentation of women with miasma. In this study have been done on 65 melasma patients, who have been admitted in Razi hospital in 1378. The average level of FSH, LH and Estradiol are in Razi hospital in normal range. The average age of melasma presentation was 32.8 and average age of melasma begining was 26.6 years.According to distribution in face, 70.8% centrofacial 21.5% malar and 7.7% mandibular pattern, most of patients have no family history (61.5%) sunlight Exacerbated melasma in 78.5% . 24.5% of patients had melasma after taking ocp and 45.5% of patient had history of melasma during pregnancy.

This study is a descriptive. analytical research that surveys the children growth curve, fed with breast and formula between 0-6 months.The goal of the research is to compare the children growth curve of 0-6 months using formula and breast feeding in the same age, then 200 samples from both of the groups were selected, it means that all the children using formula were sampling and in the same way some samples were selected from those who were using breast feeding, that had the same factors like. mothers job, age and the child age in month and exclusive breast feeding, both of the groups were the same. The data was collected by a questionnaire and the children growth curve sampling was done in three health centers of number 1,2,3 of the city.The data analysis showed that in general breast feeding children had a better condition from those who used formula so that on the children curve, the first group were over the 50 percent and the average of the first group weight was more than those using formula.

An Interventional and field trial study carried out in the siaho area, (Bandar Abbas, Iran) during 1994 to 1995. Efficacy of Deltamethrin - Impregnated was compared to that of untreated and treated villages, in relation Malaria control. 6 villages with a total population of 4421 and 2 villages with a total population of Deltamethrin - Impregnated bed net was compared to that of untreated and treated villages, in relation Malaria control. 6 villages with a total population of 4421 and 2 villages with a total population of 1825 were used as treatment and control, respectively.The collection, impregnation (target dosage of 25 mg active ingredient [AI] / m2), redistribution of the nylon nets, carried out in early April, Were done by local health workers, supervised by the senior research staff.Species composition of Anopheline catches in different methods in control and treated villages was Anopheles dthali 33.8% Anopheles stephensi 39.6%, 41% Anopheles culicificies 3.3% , 2.5% Anopheles superpicuts 3.9% , 4% Anopheles, thurkhudi 4.2% , 3.6% Anopheles moghulensis 4.8% , 4.9% Anopheles fiuvatilis 10.3% 15.3% , respectively.The use of impregnated bednets has significant effect on the inicidence of Malaria and positive slide but no significance effect was observed in human and animal blood behavior and indoor resting density of vectors. The mortality of anophelines brought in contact with the treated nets for 3 min. in bioassay dropped to less than 90% in 5 months. In south of Iran with different vectors, exophilic and endophagic habit, long transmission season, the use of impregnated bednet with pyrethroid insecticides with other integrated control measures and residual spraying should be used.

This research is a descriptive survey, done to certify the prevalence of hypertension in Gonabad city in 1375. The research sample, 1259 persons over 18 years old, in two different times with the intervals of two weeks for every persons of the right hand in sitting position, their hypertension was measured and written down. The research results show that 263 out of 1259 samples had hypertension. Then its prevalence in Gonabad city is %20.88. The results show also that from 751 male samples, 170 or %22.63 had hypertension and from 508 of females 93 persons or %18.30 had hypertension. From hypertension severity point of view %22.81 had systolic hypertension, %25.09 had diastolic hypertension over normal, %37.26 had slight, % 11.40 averages and %3.47 had severe hypertension. %67 of them was not informed of their hypertension and %10.26 were using anti- hypertension medicines, while hypertension of %93 Persons were not Controlled.

This research is a semi - exprimental of single - group to survey the impact of a self-learner booklet of using medical libraries on familiarity and using medical students of Iran university, entering the university for the first term in year 1374 were tested. They were about 100 students that by a pretest and a post - test and presenting them a self – learner booklet of using medical libraries during two weeks and then the post -test was done, and the marks between the two tests were compared. The research hypothesis believed that studying the said booklet will affect the medical students knowledge on knowing and using methods of medical libraries and their sources, the ways the students need to find their books and sources and using of computer data bases in the libraries and they understand and find this kind of teachings good and necessary.

Considering the cultural, social, health, economic and living condition and pediculosis prevalence among male and female primary school students was done descriptive and analytically and to study the pediculosis prevalence condition in Gonobad primary schools in 1378.Sampling Was done clusterly and school selection were done by a simple chance sampling 816 of males and females were surveyed so that the head hairs, hats and scarves were surveyed from nit, nymph and matured pediculos and then the samples were studied microscopically in laboratories for a higher diagnosis assurance, while a questionaire including some questions and information about being a health worker, using common tools, home pediculosis back ground, home population, parent's job and their school degree, bath times and for each of the samples was performed, then the results were analyzed by x2 test.According to the results found pediculosis prevalence among males and females of Gonabod primary schools was %10.28 , it was %19.5 in females and %0.48 in males, %3.4 of them were in urban schools and %96.6 in rural school that a meaningful relation was between pediculosis prevalence and sex and life conditions.While %19.97 of the total had a health worker and %80.03 had not one, that no meaningful relation was found, % 60.9 of them were using shampoo and soaps permanently for their head washing. There was a meaningful relation between bathing and infection. %55.2 of them had one persons of their family infected by pediculos. The results showed a meaningful relation for using common tools and equipments (comb, towel, hat, scarf and bed). %48.3 of the student's mothers of them were illiterate and %6.9 of them had guidance school degree or upper degree. Generally the results shows that there is a meaningful relation between life and health style and the family caring about individual health and a wider prevalence in the rural rather than urban areas is in relation with some factors as lack of enough water and a good bath and disappropriate health condition and lack of enough health teaching.