per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
1
8
article
Study of Enamel Organ Morphogenesis in the Rat During Fetal and Postnatal Period
M Jalali
mejalaly@yahoo.co.in
1
M.R Nikravesh
2
Abstract
Introduction: Although in recent years, the dental condition of many animal models was used for odontogenesis study and survey but still knowledge about many changes of odontogenesis such as amelogenesis and morphogenesis of enamel organ is insufficient.
Objective: Therefore in this present study, it was tried to study the amelogenesis and ameloblast differentiation during embryonic and postnatal periods in wistar rat.
Materials and Methods: Amelogensis process and ameloblast differentiation along developing molar teeth of embryonic (E15-E20) and postnatal (1-10) days in the rats were investigated by routine staining.
Results: Based on data obtained, amelogenesis was first observed in the late embryonic stage (E16). On day 18th of gestation, organ of mina was differentiated and its developmental processing along to early postnatal period. After that, ameloblast maturation and enamel development continued until 9 postnatal day.
Conclusion: Results of research findings indicated that amelogenesis and developmental changes in the wistar rat occurs in the late embryonic period with the phenomena of amelogenin and by the end of one week with secretion of extracellular matrix and odontogenesis, ameloblast differentiation resulted.
http://journal.gums.ac.ir/article-1-520-en.pdf
Amelogenesiss
Enamel Organ
Molar
Morphogenesis
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
9
23
article
Factors Defined by Nurses as Influential Upon the Development of Clinical Competence
Z Parsa Yekta
rtabari@gums.ac.ir
1
F Ahmadi
2
R Tabari
3
Abstract
Introduction: Competence is acknowledged as a controversial issue in health care settings, which affects many different aspects of the nursing profession such as education, practice and management. Although a number of research and discussion papers have explored the issue of competence in nursing and in particular the meaning and assessment of nursing competence, to date little research has been carried out to survey the factors identified by nurses themselves as being influential upon the development of professional competence in nursing. In this regard, this study attempted to reveal factors that contribute to the formation of competence based on nurses’ experience. Once these factors understood, managers and educators might be able to implement appropriated strategies to boost nursing competence development.
Objective: This study was conducted to explore and identify factors described by nurses as influential on the development of professional competence in nursing.
Materials and Methods: This study is a qualitative study, which was done through content analysis. The sample consisted of fifteen registered nurses who were recruited from two Tabriz university-affiliated hospitals, which were chosen by non-probable sampling and by “sampling based on objective”. Tape-recorded semi-structured interviews were used as the data collection method. The contents of the interviews were transcribed into statements based on chosen methodology and then analysed.
Results: Six interrelated categories were identified from the collected data. These categories, which have some degrees of overlap, include: (I) experience (II) opportunities (III) environment (IV) personal characteristics (V) motivation (VI) theoretical knowledge.
Conclusions: Based on the findings obtained, a wide domain of internal and external personal conditions and factors influence achieving clinical competence. An understanding of these factors gives nursing managers and educators a scientific basis for closer dealing with this debatable issue. Nurses need this knowledge to be better able to pursue effective competency development pathways and ultimately to be prepared for providing a high standard of care. Thus the findings of this study could have important implications for nursing practice, management and education.
http://journal.gums.ac.ir/article-1-521-en.pdf
Clinical Competence
Nurses
Qualitative Research
Quality of Health Care
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
23
28
article
Escherichia Coli and Drug Sensitivity in Children with Urinary Tract Infection
H Sorkhi
hadisorkhi@yahoo.com
1
A Jabbarian Amiri
2
A Askarian
3
Abstract
Introduction: Urinary tract infection (UTI) is the most common bacterial infection in children. By the age of seven years, 8.4% of girls and 1.7% of boys had at least one episode of UTI. With suitable treatment, risks of complications are decreased. E.coli is the most common cause of UTI, but sensitivity of this microorganism is different in the world.
Objective: Therefore this study has been done to determine the sensitivity of E.coli to drugs in this area.
Materials and Methods: In this study, all children over one month old with UTI that were admitted in Amirkola Children Hospital were evaluated, and the resistance of E.coli to common drugs that were used for treatment of UTI were evaluated.
Results: E.coli infected 59.5% of children, 41% of boys and 68% of girls with. The most resistance to Ampicilin was 96% and the least resistance to ceftriaxon was 6%. Eighty-one percent infected with E.coli were resistant to co-trimoxazol.
Conclusion: According to this study, resistance of E.coli to the most drugs that were used for treatment of UTI were different in comparison to other area which requires attention.
http://journal.gums.ac.ir/article-1-522-en.pdf
Child
Drug Resistance
Drug Resistance
Microbial
Escherichia Coli Infectious
Urinary Tract Infections
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
29
35
article
Comparing MRI Findings and Blink Reflex in Patients with Brainstem Strokes
K Basiri
1
M Zare
2
S Khosravi
3
Abstract
Introduction: Blink Reflex (BR) is an electro diagnostic test, which is equivalent to the corneal reflex. BR responses are classified as R1, R2 and R2c. Abnormalities of these responses have been reported in brainstem lesions.
Objective: This article aims to survey diagnosis of brainstem strokes by BR in comparison to MRI findings.
Materials and Methods: Twenty-two brainstem stroke patients were evaluated. Brain MRI and BR were obtained within the first 48 hours in all of them. Ten control cases of similar age and sex were enrolled to the study for determination of normal and abnormal range of BR responses. At last MRI finding were compared with BR responses.
Results: from the total of 22 patients, MRI did 21 correct diagnosis of brainstem and BR did 20. BR correctly diagnosed one case, not diagnosed by MRI, and two cases with normal BR was diagnosed by MRI.. BR responses were also analyzed in midbrain, pons , modullary and cerebellar lesions . Brain MRI and BR were successful in diagnosis of the brainstem lesions in 95.4% and 90.9% cases respectively, and each test revealed some cases unidentified by other method.
Conclusion: In diagnosis of brainstem lesions, it is better to use clinical findings, MRI and electrophysiological tests together. This policy can minimized the undiagnosed fraction of brainstem stroke and may prevent a catastrophic outcome.
http://journal.gums.ac.ir/article-1-523-en.pdf
Blink Reflex
Brain Stem Infarctions
Magnetic Resonance Imaging
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
35
40
article
Educational Needs about Acute Rheumatic Fever in Mothers
P Kasmaei
p-kasmaei@gums.ac.ir
1
Z Atrkar Roshan
2
F Majlesi
3
Abstract
Introduction: Rheumatic fever is an inflammatory disease that occurs as a delayed, upper respiratory infection with group A streptococci. This disease with its effect on the heart has special importance on the person’s individuality, family and sociality. It is a major cause of cardiovascular mortality in developing countries. Major determinants influencing this disease are socio- economic, cultural, and environmental and health services related factors including low level of health education.
Objective: The goal of his study was to determine mothers’ educational needs on Acute Rheumatic Fever in urban areas of Gilan.
Materials and Methods: In this cross-sectional study 500 mothers referring to Maternal and Child Health Centers for child monitoring and immunizing were selected by cluster sampling. Data were collected with questionnaire consisting of 41 closed ended questions.
Results: Based on the findings of this study 66.3% to 95.7 of mothers had weak to moderate knowledge on four aspects (epidemiology, symptoms, prevention and side effects) from the total of five aspects (epidemiology, symptoms, prevention, side effects and treatment) of this disease and needed education. There were significant relation between educational level and knowledge level in each aspects of the disease (P<0.001).
Conclusion: In attention to the low level of mothersُ knowledge and its important role in prevention of rheumatic fever and its complications, this study emphasizes face to face training programs during pregnancy and after that in Health Centers and on the other side, since there was a significant difference between educational level and knowledge level, it is emphasized that all Iranian women to have at least guidance schooling.
http://journal.gums.ac.ir/article-1-524-en.pdf
Mothers- Education
Needs Assessment
Rheumatic Fever
Rheumatic Heart Disease
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
41
46
article
Survey of Relationship Between The Microbial Flora of Cervix at Time of Embryo Transfer and Invitro Fertilization (IVF) Outcomes
A Ghasemi nezhad
1
N Izadi Mood
2
P Pour Ghasem
3
Abstract
Introduction: The embryo transfer to uterus is the most important process with can limit the success rate in IVF.
The existence of pathogenic microorganisms in cervix may lead to infection of embryo at the time of transfer. Objective: In order to determine the relationship between microbial flora of cervix at time of embryo transfer and IVF outcome a longitudinal study was conducted on infertile women in IVF center of Mirza Koochak-Khan hospital in the years of 1379-80.
Materials and Methods: Thereby 100 eligible women were entered study consecutively. They underwent IVF treatment. After transferring the embryo, 2 cm of the end of using catheters were cut and put in the tubes of physiology solution, then either cultured in chocolate agar or blood agar 5% containers. And were incubated for 48-72 hours in aerobic-anaerobic conditions.
Results: The culture results were positive in 53 patients. The most frequent pathogen was E.Coli.
The overall clinical pregnancy rate was 10% (10 cases). This rate was significantly more in patients with negative culture than positive cultures (14.9% versus 5.7% P=0.03) and the ongoing pregnancy rate was 10.6% and 3.8% respectively (p=0.015).
The patients with positive and negative culture were not significantly different about the mean of: age, HMG consumption, serum estradiol, FSH measures and the number of embryo transferred. The mean of infertility period was different significantly, 8.9±3.8 in negative and 7.1±4.4 year in positive culture patients (p=0.03).
Conclusion: The contamination of cervix with pathogenic microorganisms at time of embryo transfer is associated with decrease success rate of IVF treatment.
http://journal.gums.ac.ir/article-1-525-en.pdf
Cervix
Embryo Transfer
Fertilization in Vitro
Microbial Flora
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
46
52
article
Comparing the Effect of Normal Saline and Sodium Bicarbonate On Duration of Anesthesia Following Epidural Anesthesia by Lidocaine 2% in Patients with Femoral Fracture
B Naderi Nabi
Naderi_Bahram@yahoo.com
1
K Haryalchi
2
F Farzi
3
Z Atrkar Roshan
4
GH Ghamatzadeh
5
A seddighnezhad
6
Abstract
Introduction: Epidural anesthesia is one of effective regional anesthesia methods for different kinds of (small and large) surgeries. Prolongation of sensory and motor block following epidural anesthesia is accompanied by long stay in PACU and more post anesthesia care requirements. One of the essential needs is limiting hospital stay and decreasing epidural anesthesia side effects. Therefore, using methods that can cause early discharge and reduce sensory-motor and sympathetic blockade period are necessary. Using crystalloid solutions is one of these methods.
Objective: In this study the researcher tried to compare the effectiveness of two crystalloid solutions – normal saline and sodium bicarbonate solution – to access the best method.
Materials and Methods: This research is a randomized double blind clinical trial study. Sixty ASA-II patients who had repairing surgery for fracture of femor were divided into two equal groups (thirty patients in each group). And all of them received 20ml lidocaine 2% through epidural catheter insertion. In the end of surgery, the patient was transported to recovery room and 15ml crystalloid solution – normal saline or sodium bicarbonate – was injected and then catheter was removed. The level of sensory blockage based on blocked spinal and motor blockage were examined and registered every 15 minutes by Bromage scale (zero=none, 1=motor blockage of hip, 2=hip and knee block, 3=ankle, hip and knee block). Data was analyzed by t-test and Anova tests by SPSS.10 software.
Results: The mean age in normal saline group was 41± 12 and in sodium bicarbonate group was 43±11 years. There were 13 female and 17 males in normal saline group and 15 female and 15 males in sodium bicarbonate group. The mean of regression time of sensory block of sodium bicarbonate was 92min and 50sec, and due to normal saline was 99min and 25sec. The regression time of motor block due to sodium bicarbonate was 89min and 25sec, and due to normal saline was 94min and 50sec. All results were significant (P<0.05).
The regression of sensory and motor block due to sodium bicarbonate was more rapid than normal saline. Any side effect was not detected.
Conclusion: According to data obtained, it seems that using sodium bicarbonate as compared to normal saline at the end of femoral surgery improves sensory-motor blockade sensation due to injection of Lidocaine 2%soution and educes PACU stay period and improves anesthesia tolerance.
This method could be used for all patients whom receive epidural anesthesia.
http://journal.gums.ac.ir/article-1-526-en.pdf
Anesthesia
Epidural
Femoral Fractures- Surgery
Lidocaine
Normal Saline
Sodium Bicarbonate
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
53
60
article
Prevalence of Hidden Prostate Carcinoma
S Falahat kar
1
Z Atrkar roshan
2
A Askari
3
A Shafaghi
4
M Bagherian
5
KH Shekar chi
6
A Foroohari
7
Abstract
Introduction: Benign prostate hyperplasia (BPH) is the most common benign tumor in males and a major cause of urinary symptoms in most males over 50. Prostate cancer is the second lethal cancer, after lung cancer, in the males.
Objective: In attention to the possibility of occurring incidental carcinoma in BPH patients, in this study we decided to estimate its prevalence in urology centers of Rasht hospitals: Razi, Aria and Golsar.
Materials and Methods: In this descriptive cross sectional study, from April 2000 through July 2002, we interviewed all patients who later underwent surgery for BPH and filled out the questionnaire form. The reports of the patients were collected from patients and Rasht pathology centers. Data were analyzed by SPSS.9.0 using chi square test, t- test and fisher exact test. P value less than 0.05 was considered significant.
Results: From 1437 patients, 39 patients were excluded from study because their pathology reports were not found, and 1398 patients were enrolled. The mean age of patients were 67.8± 7.8 years (43-91). Prostate carcinoma was detected in 75 patients (5.4%), and all had adenocarcinoma. Mean age of prostate cancer group was 69.4± 8.3 years. Fifty patients (66.7%) were smokers.
Familial history of prostatic cancer was negative in all patients in cancer group. In patients with diagnosis of cancer, the major symptoms at admission were irritate symptoms (5.3%), irritate obstructive (94.7%) and none of them had only obstructive signs. The grade of tumor in 62.3% was well differentiated and in 37.7% was moderate differentiated. The mean of PSA in cancer and BPH groups were 8.2± 12.7 and 2.6± 4.1 mg/ml respectively (P= 0.0001) The kind of operation in 53.1% was TURP and in 46.9% was open prostatectomy. In prostate cancer group, 76% of operations were TURP and in 24% were open prostatecomy.
Conclusion: In this study, prevalence of prostate cancer in operated patients with a BPH diagnosis was
5.4% that is similar to other studies.
http://journal.gums.ac.ir/article-1-527-en.pdf
Prostatectomy
Prostate Hyperplasia
Prostate Neoplasm
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
59
67
article
Survey Spread of Positive Lepotospirosis by ELISA in Guilan Province
H.R Honarmand
Honarmand_36@yahoo.com
1
S Eshraghy
2
M.R Khorami Zadeh
3
F Mansour Ghanaie
4
M.S Fallah
5
M Rezvani
6
GH Abdollah Pour
7
Abstract
Introduction: Lepotospirosis is most widespread zoonosis in the world and is prevalent in tropical and temperate regions. Diagnosis of leptospirosis by clinical symptoms is difficult due to lack of specified pathogenic signs and similarity of its clinical symptoms to some bacterial and viral febrile disease, so laboratory plays an important role and ELISA is a common serological method. Animal leptospirosis is common in regions of Iran where traditional and un mechanized husbandry are used. But human leptospirosis is only prevalent in Guilan and Mazandaran and is endemic in Giulan. Factors such as climate conditions, wild animals, rice plantations, environmental water and finally keeping pets by traditional ways all contribute to this disease in Guilan.
Objective: This study was done to determine the epidemiological characteristics of leptospirosis in Guilan.
Materials and Methods: The sample of this study consisted of all suspected persons who referred to general hospitals of Guilan province. Blood samples were taken from these patients. All blood samples were examined by a commercial ELISA kit to detect positive cases and determine epidemiological features of this disease in this province.
Results: Findings show that most of positive cases belong to males (62.37%) than females (27.23%), and in farmers (86%) and in warm months (90% from first of Khordad to end of Sharivar), and its frequency in middle age (20 – 50 year olds) was almost 65%.
Conclusion: The geographical spread of the disease was more in big cities of Guilan province where had more villages and were crowded as well. This study showed that most cases of disease was detected in people who are somehow involved in farming.
http://journal.gums.ac.ir/article-1-528-en.pdf
Immunoglobulin G
Immunoglobulin M
Leptospirosis
Leptospirosis- Epidemiology
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
66
70
article
Survey of Etiological Factors of Obstructive Jaundice Undergone Operation
H Mohammadi Nikooie
Mohammadi@gums.ac.ir
1
R Ebrahimian
2
Abstract
Introduction: Obstructive jaundices are those caused by obstruction of the extra hepatic bile ducts. Among causative reasons factors such as bile cholestatic, tumors and other benign factors such as obstructions (1).
Objective: The aim of this survey was to study the causes of the cholestatic Jaundice Guilan province, in attention to high prevalence of decreased G6PD enzyme, thalesemia and different hemolytic anemia.
Materials and Methods: In the study with reference to archive of Razi and Poorsina hospitals, 314 patients with obstructive jaundice were selected and data extracted from patient charts.
Results: Of 314 patients, 125 were males (39.8%) and 189 (60.2%) were females.
Average age of patients was 60 to 70 years. The most common reasons for obstructive jaundice was related to cholestate (54.8%), then tumors (28%), and benign obstruction (17.2%). Sixty percent of stones were pigmentations and 40% wrer cholesterol. Factors related to tumors were cancer of pancreas (61.4%), and then cholocangiocarcinoma (19.3%). It’s important to note that from 54 cases of benign factors related to obstructive jaundice 18 patients had ampullary stenosis and 17 had faslioliasis and from 103 patients who had pigmented stone, 17 patients had hemolytic anemias.
Conclusion: Based on the medical literature, the common causes of cholestatic jaundice are choledocholithiasis, cholangio carcinoma, pancreatic cancer and Billiary stricture. Of stones the cholesterol type is very common and the hemolytic anemia producing pigmented stones doesn’t consist the major causes of billiary stones.
In this survey pigmented stones are more common than the cholesterol type. (103 pigmented stones versus 69 cholesterol stones). There are 17 cases of hemolytic anemia accompanied by 103 cases of pigmented stone.
http://journal.gums.ac.ir/article-1-529-en.pdf
Billiary Tract Neoplasm’s
Cholestasis-Extra hepatic
Jaundice-Obstructive
Gallstones
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
71
76
article
Frequency of Gingivitis in Beta- Thalassemia Major
F Shahsavari
shaahsavari@gums.ac.ir
1
M Pourmohammadi
2
M.H Farahvash
3
Introduction: Beta-thalassemia major patients require regular blood transfusion. These patients may suffer diabetes, heart or liver disease due to this treatment. As a result they need regular medical examination and care. Unfortunately oral and dental problems in these patients receive little attention. Available information in references on the prevalence of gingivitis is scant and this study was designed to investigate the frequency of gingivitis in these patients.
Objective: The aim of this study was to determine the frequency of gingivitis through the Gingival Index in beta-thalassemia major in comparison with healthy controls.
Materials and Methods: This is a cross sectional study with a control group. The sample included 58 patients and 58 healthy controls (from referrals to the college and healthy partners of patients) and the Gingival Index was used for all the samples. The two groups were matched regarding to age, sex, socio-economic condition and oral hygiene.
Results: Thirty-nine of patients had mild and 19 patients had moderate gingivitis. In control group 55 healthy controls showed mild and three controls moderate gingivitis. None of the samples had severe gingivitis. There was significant difference in GI scores between the two groups (P<0.01). The mean serum ferritin level in patients was 1758.67 ng/ml and 39 patients had been splenectomized. biopsy of spleen. There was no correlation between serum ferritin level, splenectomy and GI in thalassemia patients.
Conclusion: Increased gingivitis is shown in thalassemic patients and they need special dental attention (especially the condition of gums).
http://journal.gums.ac.ir/article-1-530-en.pdf
Beta Thalassemia
Beta Thalassemia- Complication Gingivitis
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
76
84
article
Early Neonatal Injuries in Normal Vaginal and Cesarean Deliveries
N Esmailpour
esmailpour@gums.ac.ir
1
M Asgharnia
2
Abstract
Introduction: About one percent of all deliveries are abnormal and 4% are “difficult” deliveries and since a long time ago vaginal delivery is considered as preferred method or delivery.
Objective: The goal of this study was to provide a relatively complete picture of early neonatal injuries in vaginal and cesarean deliveries.
Materials and Methods: This is a retrospective descriptive study and the sample consisted of all women who delivered in Al-Zahra Maternity Hospital (Rasht) between 1998 June 20th to 1999 October 20th, whose neonate had some sort of injury. Their appropriate data was collected in a census sampling procedure.
Results: There were 5289 (40%) cesarean section and 7828 (60%) normal vaginal deliveries with 24 (4.5per1000) early neonatal injuries in cesarean and 117 (1.5per1000) in vaginal deliveries. Most injuries in cesarean deliveries were ulcerations located on faces and skulls and in vaginal deliveries were clavicle fractures 19(3.6per1000) and 40 (5.3per1000) respectively.
Conclusion: It appears that early neonatal injuries are more in vaginal deliveries than cesareans and elective cesarean may be a preferred procedure for some pregnant women. Although for thorough assessment a randomized clinical trial may be needed.
http://journal.gums.ac.ir/article-1-531-en.pdf
Cesarean Section
Delivery Obstetrics
Infant-Newborn
Labor Complications
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
84
91
article
Study of Constraining Factors of Research from the Viewpoint of Faculty Members in Guilan University of Medical Sciences
R Farmanbar
Farmanbar@gums.ac.ir
1
F Asgari
2
Abstract
Introduction: Science, research, culture and politics are interdependent. Advent of developments in each of these fields can not be realized without establishment of the coordinated developments in other fields in a sustainable way. Research is one the key ares in the area of national security.
Quality and quantity of scientific products are the most important indicators for national development in the country. At present, there is a great gap between the scientific products of Iran and many other countries in the world. Despite the increased rate of research credits as well as the increased number of investigators in our country, there is no appropriate increase in number of research projects approved by Iranian universities of medical sciences and in number of internationally published articles. Thus, we attempted to investigate the deterent factors and the constraints for research among the main elements of universities (faculty members).
Objective: This study was carried out to determine the deterent factors for implementing the research projects from viewpoint of faculty members in Guilan University of Medical Sciences in 2003.
Materials and Methods: Present study was carried out in a descriptive method by using a questionaires developed by Fonk et. al and its validity and reliability was established. The questionnaire was given directly to all faculty menbers of Guilan University of Medical Sciences (N=28) and finally, 186 people answered. Data were analyzed by statistical software of SPSS and inferential statistics.
Results: Examination of results showed that administrative and organizational factors in view of faculty members were the most important deterent factors for research. The majority of faculty members (76.9%) as assistant- Professor believed that authorities and mamagers didn’t pay attention to the results of applied research while the majority of faculty members as educators (87.6%) believed that there was no strong motivation for research.
Conclusion: Research limitations can be eliminated by effective leadership and management in the field of research in universities and by establishment of research facilities and possibilities such as establishing research consultation nucleus and shortencd period of time for assessment and approvement of research projects and by reduction of teaching hours and educational duties and by establishing opportunities in the areas of research and by enabling research areas by faculty members.
http://journal.gums.ac.ir/article-1-532-en.pdf
Attitude
Faculty
Research
Universities
per
Journal of Guilan University of Medical Sciences
2383-4307
2423-4818
2005-07
14
54
92
96
article
Seven Years Outcome of Little Abdominal Anerism
M.A Mohammadzadeh
Mohammadzadeh@gums.ac.ir
1
Abstract
Introduction: Long-term outcome of small abdominal aortic aneurysms is not well known in Guilan province.
Objective: The aim of this study was to follow up of small abdominal aortic aneurysms for seven years.
Materials and Methods: Thirty-nine patients with small and asymptomatic abdominal aortic aneurysm (27-41 mm) were chosen from Poursina and a private hospital in Rasht and they were followed son graphically from 1377-1384.
Results: Mean follow up time was 4.5 years. There was 1.5 mm aneurismal dilatation per year. (0-9.5mm). Two patients referred with abdominal pain and sign and symptom of aortic dissection (5.1%) whom have been operated as an emergency case. Sixteen cases needed elective aortic reconstruction (40.8%). Two of them (5.1%) died postoperatively. Their health status after seven year was 57%. Mean time necessary for aortic rupture was 5.2 years. (1.9-7 years), and mean time for aortic reconstruction was 3.5 years (1.7-7 years).
Conclusion: The fate of small abdominal aortic aneurysms depends on the rate of growth and its size, which occasionally causes death due to rupture. Observations indicate the important of controlling these patients in prevention of side effects.
http://journal.gums.ac.ir/article-1-533-en.pdf
Aneurysm
Aneurysm- Ruptured
Aortic Aneurysm-Abdominal