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Ghassemi A.,Mashhad University of Medical Sciences | Keikhaei B.,Jondishapour University of Medical science
International Journal of Pediatrics | Year: 2014

Introduction: Iron Deficiency (ID) is the most prevalent nutritional disorder in the world. The prevalence of Iron Deficiency Anemia (IDA) is about 9% in toddlers, 9-11% in adolescent girls and less than 1% in teenage boys. IDA presents when there is not sufficient iron for haemoglobin synthesis. In particular it has negative effects on the behavior, cognitive performance, immune system and physical growth of infants, preschool and school age children. Material and Methods: Blood samples of 337 randomly selected children (6-59 months) living in the Ahwaz, Khuzestan province-Iran, were taken. Serum ferritin, Complete Blood Cell (CBC) and hematological indices were measured Results: In this study (61.1%) of the children had serum ferritin less than 12mcg/dl. Prevalence of IDA were (29.1 %). The results showed that most children with IDA were at (12-23) months. Families with more than 6 children had (4.49) times greater chance of IDA. The mean of breast-feeding in non-IDA children was higher than IDA children (17.6 and 16.3 months respectively, P > 0.05). In this study families who gave tea to their children for (1-11) months had the highest prevalence of IDA. Conclusion: There are several main risk factors for ID & IDA in the children. Parent's illiteracy, family income and using cow's milk before 12 months are among most important risk factors for iron deficiency for children.


Ghassemi A.,Mashhad University of Medical Sciences | Keikhaei B.,Jondishapour University of Medical science
International Journal of Pediatrics | Year: 2014

Introduction: Primitive neuroectodermal tumours (PNET) are malignant small cells neoplasm mainly occurring in children but can occur at any age. Extensive bleeding into the pleural cavity is rare in children. Hemothorax would be compatible with a variety of congenital anomalies including sequestration, patent ductus artreiosus, and pulmonary arteriovenous malformation. Case Report: A 2.5-year old girl who was known a case of PNET with dyspnea and tachypnea referred to our hospital. The chest X-ray revealed bilateral opacity. After consulting the general surgeon, the bilateral chest-tubes inserted and 200cc blood drained. Discussion: The diagnosis of a hemothorax can be made only by thoracentesis. The symptomatology of the peripheral primitive neuroectodermal tumors is related to size and their location. We did not find any residue of cancer as a cause of hemothorax, and the hemothorax was not related to side effects of chemotherapy, infection and trauma. Therefore, PNET should be included as a cause of children hemothorax.


Saharkhiz N.,Shahid Beheshti University of Medical Sciences | Nikbakht R.,Jondishapour University of Medical science | Salehpour S.,Shahid Beheshti University of Medical Sciences
International Journal of Fertility and Sterility | Year: 2014

Background: Embryo transfer (ET) is one of the most important steps in assisted reproductive technology (ART) cycles and affected by many factors namely the depth of embryo deposition in uterus. In this study, the outcomes of intracytoplasmic sperm injection (ICSI) cycles after blind embryo transfer and embryo transfer based on previously measured uterine length using vaginal ultrasound were compared.Materials and Methods: This prospective randomised clinical trial included one hundred and forty non-donor fresh embryo transfers during January 2010 to June 2011. In group I, ET was performed using conventional (blind) method at 5-6cm from the external os, and in group II, ET was done at a depth of 1-1.5 cm from the uterine fundus based on previously measured uterine length using vaginal sonography. Appropriate statistical analysis was performed using Student’s t test and Chi-square or Fisher’s exact test. The software that we used was PASW statistics version 18. A p value <0.05 was considered statistically significant.Results: Chemical pregnancy rate was 28.7% in group I and 42.1% in group II, while the difference was not statistically significant (p=0.105). Clinical pregnancy, ongoing pregnancy and implantation rates for group I were 21.2%, 17.7%, and 12.8%, while for group II were 33.9%, 33.9%, and 22.1, respectively. In group I and group II, abortion rates were 34.7% and 0%, respectively, indicating a statistically significant difference (p<0.005). No ectopic pregnancy occurred in two groups.Conclusion: The use of uterine length measurement during treatment cycle in order to place embryos at depth of 1-1.5cm from fundus significantly increases clinical and ongoing pregnancy and implantation rates, while leads to a decrease in abortion rate (Registration Number: IRCT2014032512494N1). © 2014 Royan Institute (ACECR). All rights reserved.


Bahmani M.,Lorestan University of Medical Sciences | Rafieian-Kopaei M.,Shahrekord University of Medical Sciences | Karamati S.A.,Shahid Beheshti University of Medical Sciences | Bahmani F.,Ilam University | And 3 more authors.
Asian Pacific Journal of Tropical Disease | Year: 2014

Objective: To identify antiparasitic medicinal plants used by people in southern regions of Ilam province in Iran. Methods: This study was carried out using questionnaire and interview method between February 2012 and April 2013 and also by means of public resources. Along with distributing questionnaires herbarium specimens of each plant were collected and then their genus and species were determined in the Natural Resources Research Center of Ilam province. Results: A total of 19 medicinal plants used as antiparasitic plants belonged to 14 families were identified in southern regions of Ilam province. Majority of antiparasite herbs were related to Compositeae (11%), Rosaceae (11%), Solanaceae (11%), Liliaceae (11%), and Asteraceae (11%) families. Aerial parts with 28% were the most plant organs used for the treatment of parasitic diseases. Results of this study showed that infusion with 83% is the most popular form of herbal medications in southern regions of Ilam province. Conclusions: The report of medicinal plants belonged to northern regions of this province may provide necessary condition for researchers to identify effective substances and to study the clinical effects claimed for these plants and their effective substances on different parasitic diseases while traditional effects of these plants are documented. © 2014 Asian Pacific Tropical Medicine Press.


Taie K.,Jondishapour University of Medical science | Jasemi M.,Jondishapour University of Medical science | Khazaeli D.,Golestan University of Medical Sciences | Fatholahi A.,Golestan University of Medical Sciences
Urology Journal | Year: 2012

Purpose: To evaluate the prevalence and type of rigid ureteroscopy complications and suggest a new method for ureteral avulsion prevention. Materials and Methods: Between March 2002 and March 2009, we retrospectively evaluated 2955 patients who had undergone diagnostic or therapeutic ureteroscopy for asymptomatic hematuria, migrated ureteral stent, or transurethral lithotripsy. They were enrolled from four hospitals in Ahvaz, Iran. Results: Complications were encountered in 241 (8%) patients, including transient hematuria (4.2%), mucosal erosion (1.4%), stone migration (1.3%), ureteral perforation (1.2%), and fever and/or sepsis (1.0%). Ureteral avulsion occurred in 6 (0.2%) patients. Mostly, complications were managed conservatively, using ureteral stenting. Ureteral avulsions were managed using a new technique. Conclusion: In our series, the complication rate is comparable with the literature. A new technique was used in case of ureteroscope entrapment in the ureter, to lessen the occurrence of ureteral avulsion.


Solhi L.,Iran Polymer And Petrochemical Institute | Atai M.,Iran Polymer And Petrochemical Institute | Nodehi A.,Iran Polymer And Petrochemical Institute | Imani M.,Iran Polymer And Petrochemical Institute | And 2 more authors.
Dental Materials | Year: 2012

Objective: This work investigates the graft polymerization of acrylic acid onto nanoclay platelets to be utilized as reinforcing fillers in an experimental dental adhesive. Physical and mechanical properties of the adhesive and its shear bond strength to dentin are studied. The effect of the modification on the stability of the nanoparticle dispersion in the dilute adhesive is also investigated. Materials and methods: Poly(acrylic acid) (PAA) was grafted onto the pristine Na-MMT nanoclay (Cloisite ® Na +) through the free radical polymerization of acylic acid in an aqueous media. The resulting PAA-g-nanoclay was characterized using FTIR, TGA and X-ray diffraction (XRD). The modified nanoclays were added to an experimental dental adhesive in different concentrations and the morphology of the nanoclay layers in the photocured adhesive matrix was studied using TEM and XRD. Shear bond strength of the adhesives containing different filler contents was tested on the human premolar teeth. The stability of nanoclay dispersion in the dilute adhesive was also studied using a separation analyzer. The results were then statistically analyzed and compared. Results: The results confirmed the grafting reaction and revealed a partially exfoliated structure for the PAA-g-nanoclay. Incorporation of 0.2 wt.% of the modified nanoclay into the experimental adhesive provided higher shear bond strength. The dispersion stability of the modified nanoparticles in the dilute adhesive was also enhanced more than 25 times. Significance: Incorporation of the modified particles as reinforcing fillers into the adhesive resulted in higher mechanical properties. The nanofiller containing bonding agent also showed higher shear bond strength due to the probable interaction of the carboxylic acid functional groups on the surface of the modified particles with hydroxyapatite of dentin. © 2011 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.


Fallahi H.R.,Jondishapour University of Medical science | Naeini M.,Jondishapour University of Medical science | Mahmoudi M.,Jondishapour University of Medical science | Javaherforoosh F.,Jondishapour University of Medical science
International Journal of Oral and Maxillofacial Surgery | Year: 2010

Congenital maxillomandibular fusion (syngnathia) is rare. The first case was reported in 1936. By 2004, only 25 cases of syngnathia had been reported including 6 cases with fusion of the ascending rami of the mandible with the maxilla and zygomatic complex. This report concerns a 6-month-old girl with a type of congenital fusion of the ascending rami of the mandible with the upper alveolar arch and zygomatic complex that leads to restriction of mouth opening. The clinical features of this anomaly and a brief review of literature are presented. © 2010 International Association of Oral and Maxillofacial Surgeons.


Radmanesh M.,Jondishapour University of Medical science | Rafiei B.,Jondishapour University of Medical science | Moosavi Z.-B.,Jondishapour University of Medical science | Sina N.,Jondishapour University of Medical science
International Journal of Dermatology | Year: 2011

Methotrexate (MTX) treatment for psoriasis is most often administered weekly, because the drug has been considered more hepatotoxic when taken daily. However, some patients may tolerate smaller, more frequent doses better. Objective: To study the efficacy and toxicity of daily vs. weekly MTX. Patients and methods: In a randomized controlled trial, 101 patients with generalized plaque psoriasis received oral MTX 2.5mg daily for 6 days (Group 1), and another 101 patients received oral MTX 15mg weekly (Group 2) in three divided doses (every 8hours during a 24-hour period). Patients were followed monthly for 4months as research participants, then for 1year as part of their routine care. Complete blood counts, liver function tests, blood urea nitrogen, serum creatinine, urinalysis, and psoriasis area and severity index (PASI) scores were determined pre-treatment and at the following intervals after starting treatment: 2weeks, 4weeks and monthly for a total of 4months. Changes in PASI scores were classified into three categories: >75% improvement was considered significant; 25-75% moderate; and <25% poor. Results: Sixty Group 1 patients and 81 Group 2 patients showed a significant response (P-value 0.001); 19 patients in Group 1 and 14 in Group 2 responded moderately; 22 patients in Group 1 and six patients from Group 2 responded poorly. Forty-five patients in Group 1 and 33 in Group 2 developed transient increases in liver enzymes (P-value 0.11). Nausea, headache, fatigue, and gastrointestinal upset were noted in four Group 1 patients and 30 Group 2 patients (P-value 0.0001). Conclusion: Nausea, vomiting, headache, and fatigue were significantly less common side effects in our patients who received MTX daily, but liver enzyme abnormalities were less common, and clinical efficacy was greater in the patients who received MTX weekly. © 2011 The International Society of Dermatology.


Ebrahimi A.,Kermanshah University of Medical Sciences | Radmanesh M.,Jondishapour University of Medical science
Journal of Dermatological Treatment | Year: 2010

Background: The treatment of multiple eccrine hydrocystomas is challenging. Surgical excision is impractical. The outcomes of CO2 and pulsed-dye laser therapy are not well studied. Botulinum toxin-A (BT-A) can block the secretions of the sweat glands and prevent dilatation of the cysts. Objective: To study the efficacy of BT-A on eccrine hydrocystoma. Methods: Eighteen patients with multiple facial eccrine hydrocystomas were treated by BT-A. The 500 IU vial of BT-A (Dysport; Ipsen Ltd, UK) was dissolved in 7.5 cc of normal saline to prepare a solution, 0.1 cc of which contains 6 IU of BT-A. Then, 0.10.2 ml of diluted BT-A was injected intradermally around the lesions using an insulin syringe with a 30-gauge needle. A second BT-A injection session was carried out 34 weeks later for four partially responsive patients. Results: Thirteen patients showed significant flattening of the lesions after the first session. The remaining partially responsive four patients showed considerable flattening after the second boosting session, performed 34 weeks later. The side effects were temporary and minimal. The duration of effect for the BT-A injection was 57 months. Conclusion: Intradermal BT-A injection can be considered as a relatively safe and cost-effective treatment for multiple eccrine hydrocystomas. © 2010 Informa UK Ltd.


Karimian N.,Jondishapour University of Medical science | Ghadakzadeh S.,Jondishapour University of Medical science | Eshraghi M.,Jondishapour University of Medical science
Fertility and Sterility | Year: 2010

Objective: To report a rare presentation of Swyer syndrome in a woman with pure 46,XY gonadal dysgenesis. Design: Case report. Setting: Academic gynecology and obstetrics department. Patient(s): A 28-year-old woman with primary amenorrhea. Intervention(s): Laparoscopic gonadectomy. Main Outcome Measure(s): Age at diagnosis, risk of gonadal malignancy, bone mineral density, uterus size, height. Result(s): The patient had pure 46,XY gonadal dysgenesis with hypoplastic uterus, which is a rare finding in Swyer syndrome. She had developed no gonadal malignancies and, despite receiving estrogen, had remained amenorrheic. Conclusion(s): Further studies should be done on this rare chromosomal condition to find the exact factors affecting the uterus size and to improve the ways of inducing puberty in such patients by considering the age of diagnosis in order to help them have a normal sex life and also the ability to carry a fetus in their immature uteruses. © 2010 American Society for Reproductive Medicine.

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