Zahedan Journal of Research in Medical Sciences
Year:2002 | Volume:4 | Issue:2|Papers Count:10

This is a descriptive- analytic study has been conducted in order to assessing physical health status of male students ranging 6-12 years old studying in academic year 1998- 1999 in city of Saravan . In this study 400 boys aged between 6- 12 years , of 1th to 5th grades were selected randomly from boy’s primary school in Saravan city based on polyphasic sampling , and then were evaluated from these variables: physical growth ( height, weight) , health conditions of vision , hearing , mouth and tooth. The data collected by questionnaire and observation record sheets . several instruments have been utilized for examination ( eg : measuring tape , weighting scale , Smelled chart , tuning fork, flashlight and spachula ). The median values for heights and weights of children subjects in all of age groups positioned below the 25 the percentile of national center of health statistics (N.C.H.S) the height of 28.5% and the weight of 28% of children subjected were under the 5 the percentile of N.C.H.S. 22.7% of under research individuals had reduced visual acuity in varying degrees ( 0.9- 0.4) in one or both eyes 5.5% of individuals were subjected to whisper test and were found to have hearing loss in one or both ears. 84% of students in the present research were having decay in primary or permanent teeth .Comparing average value of height and weight related to students under the research in age groups of 6-8 and 9 years with demographic specifications , it was found that there is a positive correlation between the average of weight and height and the parent’s educations and occupation ( specially mothers) (p=0.03,p=0.01) . In general , results revealed that physical health status of target population is undesired, therefore , considering the importance of early diagnosis and cure , such screening should be performed in children at school .

Reports of interactive between lumbar spine and hip movement vary for stoop & squat, loading conditions. This study analysis two groups of subjects (45 subjects) during stoop & squat lifting with loaded & unloaded. A Three-Dimensional Optoelectric Motion Analysis System was used to measure the amount of lumbar spine and hip motion during stoop and squat lifting. Each subject performed stoop and squat lifting with and without weight. Individuals with loaded tended to move from lumbar spine greater than those with unloaded, especially in the squat lifting (loaded ROM lumbar spine =23.7 & unloaded ROM lumbar spine= 15.1). Individuals with loaded tended to move from the lumbar spine joint smaller than those with unloaded especially in the stoop lifting (loaded ROM lumbar spine =14 & unloaded ROM lumbar spine= 22.2). There was a measurable different between two group subject during stoop & squat lifting with loaded & unloaded. Individuals with loaded tended to move from lumbar spine earlier than those with unloaded, especially in the squat lifting. Individuals with loaded tended to move from the hip joint and ankle joint earlier than those with unloaded especially in the squat lifting. Individuals with loaded tended to move from lumbar spine smaller than those with unloaded, especially in the stoop lifting.

Body mass index (BMI) is a tool for indicating weight status in adults. BMI is used as an index for determining the total body fatness or general obesity. In importance of young people health, this study was carried out to determine the rate of healthy among students of Zahedan University of Medical Sciences in 2001-2002. We chose 720 students (428 female aged 20.9±2.4 and 292 male aged 23.3±4.6 y) that were selected in stratified sampling. The results shows the Mean and SD BMI were 21.6±3.1, and 21.7±2.9, respectively, in female and male a student that statistically there was no difference between mean BMI. 18.3% of students were underweight, 12.9 were overweight and 1.3% was obese. As results show some of female and male students are in a degree of malnutrition, therefore launching nutritional programs and life style modification program are recommended.

Although, over the past 3 decades the operation described by Rastelli and his colleagues but Iranian experience is limited only to recent years. Therefore we decided to evaluate and present an institutional experience in one of the major Iranian heart hospital. A retrospective analysis was carried out in 64 patients who undergoing Rastelli operation since March 1993 to September 2000 at Shaheed Rajaie Heart Hospital. The group included 40 (62%) boys and 24 girls, aged 3-18 years (mean 9 year). Most common diagnosis was transposition of great arteries (TGA) with ventricular septal defect (VSD) and left ventricular outflow tract (LVOT) obstruction (62%).Homograft conduit used in 61% of patients and conduit obstruction was the most common complication (30%). Early (in hospital) mortality of the Rastelli operation in our study was 19% (12/64). The Rastelli operation in children with complex CHD is possible and successful has been in our center and our results comparable with primary results of advanced centers.

Foreign body aspiration is a worldwide problem and one of the common causes of death in children less than 5 years old Clinical findings and complications of foreign body aspiration are partly related to kind, size, location and amount of obstruction in the airway system. It seems that in Sistan and Baloochestan kind of foreign body aspiration is going to be changed. This survey is done to compare the kind of F.B and their symptoms during last 10 years in two 5 years period. All bronchoscopy with or without esophagoscopy charts during last 10 years were reviewed. The charts with incomplete data were excluded. 50 charts related to years 1371-1375 and 69 charts belonging to years 1376-1380 were studied and x2 was used for statistical evaluation. Results showed that between years 1371- 1375 watermelon seed was the common F.B, which was aspirated, and supari was the one mostly seen during years 1376 – 1380. In both periods it was most common in boys. The F.B was mostly seen in the right main bronchus during years 1371-1376 and left site during years 1376-1380.F.B was occurred mostly in infants less than 2 year during 1371-1`376 and at 6-12 years during 1376-1380. By this study we may conclude that the type of F.B, age of F.B aspiration and location of it, has been changed during last 5 years and aspiration of supari as a new entity is increased.

Every year thousand of malaria cases mostly the vivax type Occur in Iran. The recommendation of WHO for antirelapes therapy of vivax malaria is the usage of primaquine (15mg daily) for 14 days but in area where G6PD deficiency rate is high 8 weeks therapy (each week 45 mg of primaquine) is recommended. Considering the fact that in Iran drug therapy of malaria is implemented by direct observation of health care workers, 8 weeks regime of antirelapes therapy of vivax is very expensive and in some situations impractical. In this study shorter duration of antirelapse therapy was compared to that of 8 weeks regimen. In 1996 and 1997 antirelapse therapy of vivax in Sistan and Baluchistan province in southeast of Iran was done with different regimes according to manpower and executive facilities. This is a cohort study that compare clinically and parasitologicaly relapse of vivax malaria in 200 patients with one-week therapy, 200 patients with 2 weeks, 800 patients with 4 weeks and 500 patients with 8 weeks therapy by primaquine. Relapes rate of vivax malaria by each regime were 23.8%,13.2%,5.4% and 4.6% respectively .Relative risk of relapse in comparison with 8 weeks regime were 5.2 ,2.9 and 1.2 respectively .Number need to therapy (NNT) were 5,12 and 125 .Interval of first relapse varied between 6 to 52 weeks with mean of 28.8 weeks . The relapse rate was not different by sex. The relapse rate by 4 and 8 weeks regimes were low and there was not significant difference of relapse rate in 4 and 8 weeks regimes. So in special situations we can use 4 weeks therapy instead of 8 weeks therapy.

Unilateral mydriasis (dilation of one pupil) after anesthesia and operation is one of the important problems. This problem may be due to cerebral complication trauma on eye due to  operation, drug effect, deep anesthesia and etc. Physical examinations and other work up must be done for detect of this problem. In some causes this complication is reversible and in other causes such as eye or cerebral complication it is important. In this report a 52 years man with ASA I. (with out disease or with mild disease) patient is presented that has endoscopic surgery for nasal and sinus of maxilla an ethmoid with general anesthesia. And involved postoperative right mydriasis. After complete award patient complained on right blurred vision. Essential work up was done with ophthalmologist and no problem reports. After six hours pupil return to normal size and next day patient with out any complication was discharged. Cause of this complication was accidentally enter’s adrenaline mixed to local anesthetic drug in right eye.