@article{ author = {Abbasiranjbar, Z}, title = {Prevalence of Asthma Symptoms in Children}, abstract ={Abstract Introduction: There are considerable evidence on increased prevalence of asthma and allergic disease in the world. But due to different methodologies, these studies cannot be compared. Objective: This study aimed to determine the prevalence and severity of allergic diseases in children of Rasht city by ISSAC methodology in 2001-2002. Materials and Methods: This is a descriptive study the samples were selected randomly from first grade students of 63 primary schools and second and third grade students of 22 guidance schools. Based on ISAAC protocol, students completed questionnaires, and results were analyzed by SPSS soft ware by 95% confidence interval. Results: Out of 6145 questionnaire, 6060 were returned. The prevalence of "ever wheezing " was 25% in guidance school and 22% in primary school students. In boys it was higher than girls (26.7%VS. 22.57%) (P< 0.05). Prevalence of asthma was 7.1% in 6-7 year olds and 7.1% in 13-14 year old students. It was higher in boys (P < 0.05) and in 6-7 year olds was higher than 13-14 year old students (p < 0.05). And totally was higher in 2001-2002 study than previous studies (5.96% VS. 3.4%, P < 0.05). 114 students (3.68%) had sleep disruption over one night a week and 143 students (17%) had speech limitation due to wheezing. These results were lower than previous studies (19% sleep disruption and 23.7% speech limitation in 1995-1996)(p < 0.05). Conclusion: Comparing with previous studies, the result revealed that due to better diagnosis, real rise in prevalence, increasing contact with household allergens and environmental pollutant and better usage of proper diagnostic tests, prevalence of asthma symptoms increased, however morbidity rate declined.}, Keywords = {Asthma, Child, Epidemiology}, volume = {14}, Number = {56}, pages = {1-9}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-489-en.html}, eprint = {http://journal.gums.ac.ir/article-1-489-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {Vejdani, J and MohtashamAmiri, Z and Rezaie, M}, title = {Prevalence of Nursing Caries and Associating Factors in 2-4 year Olds Children}, abstract ={Abstract Introduction: Nursing caries is a specific form of rampant caries affecting the primary teeth of infants as a result of improper nursing bottle habits and/or prolonged unrestricted bottle and breast-feeding. The clinical feature is distinctive in that the maxillary incisors are the most affected. This condition can lead to pain, infection, and interference with eating and expensive dental treatment. Objective: The purpose of this study was to determine the prevalence and associating factors of nursing caries between 2-4 year-old children in Talesh in 1382. Materials and Methods: In this cross-sectional study 261 children aged 2-4 years were selected through a multistage random sampling and examined. Data collection was done by a questionnaire consisting of anterior teeth. Besides dmft (decayed, missed and filled teeth) was evaluated. Data analysis was done with SPSS 11.5 software and X2 square was used. Results: Prevalence of nursing caries in this sample was 28%. There was a significant correlation between nursing caries and sex, tooth brushing habit, parent’s educational state, feeding with liquid sweetened with sugar, cleaning the teeth after feeding and snack eating. There wasn’t a significant correlation between visiting the dentist, using the sweetened pacifier, bottle-feeding and breast-feeding with nursing caries. 36.4% of children were caries free. The mean of dmft was 7.86 in nursing caries cases and 1.79 in others (P<0.05). Conclusion: The prevalence of nursing caries in this community is high. It’s necessary to educate parents about controlling the associating factors of nursing caries.}, Keywords = {Dental Care for Children, Dental Caries, Dentition- Primary, Knowledge, Primary Prevention}, volume = {14}, Number = {56}, pages = {10-17}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-490-en.html}, eprint = {http://journal.gums.ac.ir/article-1-490-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {Zare, M and MalekAfzeli, H and Jandghi, J and Alammeh, M.R and Kolahdoz, M and Asadi, A}, title = {Effect of Training Regarding Puberty on Knowledge, Attitude and Practice of 12-14 year old Girls}, abstract ={Abstract Introduction: This study was conducted in attention to the low level of knowledge and information of adolescent girls regarding physical and psychological changes and also the importance of reproductive health to adolescent girls as one of the health priorities. Objectives: The objective of this study were to assess the effect of training and also to determine the appropriate strategies of adolescent health education to 12-14 year old girls of Semnan. Material and Methods: This study was done as a field trial through educational intervention among two groups, composed of 370 girls from Semnan as a group with training and 372 girls from Damghan without traninig in two phases before/ after education and then the knowledge, attitude and practice of the two groups were compared. Results: Comparison of the results before and after educational intervention between two groups showed that the girls’ knowledge about puberty before intervention was insufficient and had false beliefs, but training corrected their information. Also it has been shown that the proper and effective method of adolescent education is the strategy of training via their family especially through their mothers. This strategy was accepted by families and 85% of girls emphasized on this method. According to the need assessment, educational modules were prepared for early adolescence age group girls (10-14 years old). Conclusion: The results show that the cultural obstacles and difficulties concerning reproduction education can be diminshed to its minimum and successfully transferred. In attention to obtained results, it is suggested to start training from younger ages (9-10 year olds) in girls and extending that to older girls and with proper strategy educate adolescent boys.}, Keywords = {Adolescence, Health Education, Knowledge-Attitudes-Practice}, volume = {14}, Number = {56}, pages = {18-26}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-491-en.html}, eprint = {http://journal.gums.ac.ir/article-1-491-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {Ghiravani, Z and Mesbahzadieh, B}, title = {The Effect of Ramadan Fasting on Secretion Thyroid Hormones In Healthy Male Adults}, abstract ={Abstract Introduction: Fasting during Ramadan plus changes in sleep schedule effects the pattern of different hormone secretions. . Objective: This study was done to determine the effect of fasting on thyroid hormone secretion and in case of satisfactory changes, fasting might be used to promote the function of thyroid gland and in case of unsatisfactory effect, at risk patients may be prohibited from fasting. Materials and Methods: Fifty-two single male students aging 18- 24 years who had at least a daily abstinence of 12 hours during Ramadan voluntarily participated in the study. Four samples of blood were taken from them: the first sample (Control) was taken two day before Ramadan and the other three samples (experimental cases) were taken at 4 pm on the tenth, twentieth and twenty- eighth of Ramadan. Besides the students had the same diet. Their weight was measured during the experiment days. Concentration of , and TSH were measured by means of “Elisa” device. Then the results were analyzed through ANOVA intra - group method. Results: The assessment of the results revealed that the serum of increased in the last days of Ramadan (P <0.01). But no changes occurred in serum of and TSH in men as compared to before Ramadan. Also during Ramadan there was a significant decrease in body weight in every subject. Conclusion: Overall the study showed that all changes in secretion of thyroid hormones in men during Islamic Fasting month are physiologic and causes no pathologic changes.}, Keywords = {Fasting, Men, Thyroid Hormones }, volume = {14}, Number = {56}, pages = {27-32}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-492-en.html}, eprint = {http://journal.gums.ac.ir/article-1-492-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {}, title = {Effect of Ramadan Fasting on Sexual Desire: The Role of Hormones or Neocortex?}, abstract ={Abstract Introduction: Sexual desire is one of the most important physiologic needs and motives in human beings. According to Islam teaching, one of things that muslims must refrain from in Ramadan fasting is sexual relation. Objective:The aim of this study is to undrestand the nature of sexual desire changes during fasting in Ramadan. Materials and Methods: Thirty-two healthy, single males aging 24-28 years were studied. During the Holy month of Ramadan, they avoided foods and drinks for about 12hrs according to the Islamic fasting program. Three blood samples were taken from each subject at 5 pm on the day before Ramadan (baseline sample), first and last day of Ramadan. Serum testosterone, LH and FSH levels were determined by RIAs. In addition, all subjects filled out questionnaire that searched for changes in parameters relevant to sexual desire. Results: Testosterone levels in 2nd 3rd test samples were significantly greater than baseline one (p=0.007,p=0.025 respectively). No traceable changes occurred in LH levels, but FSH serum levels showed significant reduction in 2nd and 3rd samples (p=0.006,p=0.001 respectively). According to the result obtained from the questionnaire, there were significant reduction in frequency of masturbation, thinking about intercourse, thinking about sexual matters and relevant visual enjoyment, and sexual matters when meeting opposite sex (p<0.01 for all parameters). In addition, there was appreciable decrease in frequency of morning erection (p<0.05). In contrast, frequency of nocturnal ejaculation was increased (p<0.05). Conclusions: Reverse changes between serum testosterone levels and those parameters related to sexual behavior with voluntary aspects, suggest voluntary influences through pathway inside CNS may overshadow peripheral effects of testosterone during Ramadan fasting. So that person can supress sexual desire by reduction in defferent type of stimuli on encephalized portion of sexual desire and this is not equal to depression of reproductive system in Ramadan.}, Keywords = {Fasting, Sex Hormones}, volume = {14}, Number = {56}, pages = {33-41}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-493-en.html}, eprint = {http://journal.gums.ac.ir/article-1-493-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {RahbarTaramsary, M and Orangpoor, R and Zarkami, T and Palizkar, M and Mousavian, S.A}, title = {Survey Patients Poisoned With Aluminum Phosphide (Rice Tablet)}, abstract ={Abstract Introduction: Aluminum phosphid (AlP) or rice tablet is one of the most common pesticides in the world. Exposure of AlP with water, steam and gastric acid produces phosphin gas (PH3) that results in poisoning. AlP poisoning is widely used for suicide in adolescent and young adult. Two third of poisoned patients expire. Objective: The goal of this research was to study epidemiological, clinical and laboratory changes in poisoned patients. Materials and Methods: In this cross sectional study the medical charts of 116 patients who were admitted to Razi hospital from April 2000 to December 2003 was reviewed. Data such as age, sex, residency, number of tablet that used, the time between poisoning & admission, vital sign & lab data such as electrolytes & ABG were gathered from patients charts & entered into the check list previously provided. Results: In this study 54.3% of patients were male. Mean age was 29.47±14.79 years & 41.2% of patients committed suicide with one tablet, 78.4% had GI manifestations, mean of systolic blood pressure was 87.48±28.66 mmHg & the time between poisoning & admission of this patients, number of tablet used, systolic blood pressure, HCO3, PH & O2 saturation were related to mortality rate (P<0.05). Conclusion: From the total patients, 68 (58.61%) of them died. Using these results and correlation of mortality rate with the time between poisoning and admission of these patients, number of tablets used, systolic blood pressure, HCO3, PH & O2 saturation, we can use these data for further studies to estimate the prognosis of these patients.}, Keywords = {Aluminum Phosphid, Phosphines, Poisoning }, volume = {14}, Number = {56}, pages = {42-47}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-494-en.html}, eprint = {http://journal.gums.ac.ir/article-1-494-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {Hashemi, S.J and Jabalameli, M and Soltani, H.A and Heydari, M}, title = {Frequency of Cardiac Dysrythmia, Blood Pressure Changes and Level of Arterial Oxygen Saturation During Endotracheal Suctioning in Intensive Care Unit Patients}, abstract ={Abstract Introduction: Tracheobronchial suctioning has some complications for the patient. One of these complications is cardiac dysrythmia. Some articles mention ventricular extra systole to be common after suctioning but some other articles indicate bradycardia or premature arterial contraction (PAC) as the most common dysrythmia during endotracheol suctioning. Objective: In attention to the danger of cardiac dysrythmia during suctioning and also different existing opinions among researchers, the present study is conducted to determine the frequency of cardiac dysrythmia during tracheobranchial suctioning. Materials and Methods: Four hundred patients aging 18-65 under mechanical ventilation from intensive care units of Ayetoloh Kashani Center were selected. EKG, systolic and diastolic arterial pressure (SAP, DAP), heart rate (HR) and arterial hemoglobin saturation were recorded before the endotracheal suctioning. Then standard endotracheal suctioning was done and these parameters were determined during the suctioning. At the end of suctioning another EKG was taken and shown to the cardiologist. Data were analyzed using descriptive statistics, ratios and also analysis variance. Results: Mean age of the patients and M/F ratio were 33±14 yrs. and 17.2 respectively. The most common abnormal rhythm during the suctioning was sinus tachycardia (33%). No other arrhythmias were seen in this study. The greater increase in HR occurred 2 minutes after endotracheal suctioning (114±20 vs. 102±16 pre suctioning)(P<0.05). Patients’ systolic blood pressure significantly rose after suctioning (P<0.05). There was insignificant difference in diastolic BP and saturated arterial hemoglobin. Conclusion: These findings suggested that endotracheal suctioning can induce sinus tachycardia but other dysrythmias, which may be dangerous in the patients under mechanical ventilation, did not occur in this study. Perhaps suctioning tracheal and bronchial secretions under correct medical conditions causes no dangerous arrythmias.}, Keywords = {Arrhythmia, Blood Pressure, Hemoglobin, Intensive Care units, Suction}, volume = {14}, Number = {56}, pages = {48-53}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-495-en.html}, eprint = {http://journal.gums.ac.ir/article-1-495-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {Salem, K and Nickedl, M and Vejdani, P and Gholami, E}, title = {Survey DMFT Index In Twelve Year Old Children}, abstract ={Abstract Introduction: One of the best ways to evaluate the activity and efficiency of a health care system is to assess WHO advised indices. In oral health systems, one of the most important of these indices is DMFT index. Objective: The aim of this research was to assess DMFT index in 12-year-old children in East of Gilan province in 2003. Materials and Methods: 855 students at age 12 were examined in three cities of Langrood, Lahijan and Siahkal, in this descriptive- analytic cross sectional study. Staged clustering randomly chose samples. Method of clinical examination was by Visual- tactile and questionnaire. Data about gender, parental education frequency of tooth brushing and number of children in the family was also recorded. Results: The mean DMFT index was 1.65, 1.49, and 1.60 respectively and about 33.3%, 39.3%, 34.4% of population was caries –free (DMFT=0). There was a positive correlation between five and more children in the family, and more than 2 times of brushing each day with DMFT. The correlation between filling teeth and education was also significant. Conclusion: The study populations are grouped in low caries group according to WHO criteria in Iran as an Eastern Mediterranean region. More efforts are needed to attain DMFT =0 for 50% of 12 year old population.}, Keywords = {Child, Dental Care for Children, Dental Caries, DMF Index, Pediatric Dentistry }, volume = {14}, Number = {56}, pages = {54-60}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-496-en.html}, eprint = {http://journal.gums.ac.ir/article-1-496-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {Noorsalehi, E and Mojtabaii, S.H and Bolookimoghadam, K and Orangpour, R and Frouhari, A}, title = {Evaluation of Blood Transfusion and Splenectomy in Thalassemic Patients}, abstract ={Abstract Introduction: Thalassemia is the most common hereditary disease in the world that is widespread in some countries including the countries around the Mediterranean Sea as well as Iran. Based on the studies performed, the prevalence rate of thalassemia minor in Rasht-city is 8.5% and the prevalence rate of thalassemia major is in a ratio of 1 to 1000 population. Since this disease is an incurable chronic one, the treatment regimens are merely supportive. Obviously, the availability of a regular, appropriate method for treatment of these patients can assist them to better tolerate the sufferings from the treatment. Objective: This study was performed in order to investigate the demographic, laboratory, and clinical data of patients with thalassemia major undergoing the treatment of permanent blood transfusion in Hefdah-Shahrivar Teaching Hospital in Rasht-City and in order to evaluate their treatments. Materials and Methods: In this a descriptive study, retrospective and prospective data were gathered and 400 patients with thalassemia major who referred to Hefdah- Shahriver Hospital of Rasht in 2002 almost monthly for blood transfusion and check-up, were studied. In addition to the demographic data, in dices such as average hemoglobin level before the blood transfusion, the interval between the two periods of transfusion, annual blood need, the volume of blood transfusion bags, heart disease, megalosplenia, and splenectomy were recorded for them. Results: In this study, 50.25% of the cases were males and 49.75% females. Mean age of patients was 15.73 ± 5.77 years.32.7% of the families had 5 children or more and 30% of patients were the first child of their family. Mean age for initiation of blood transfusion was 31.67±23.39 years. Only 11.1% of patients with thalassemia major had a mean hemoglobin level of 9.5 gr/dL before the transfusion and less than one half of patients (45.8%) had mean intervals of blood transfusion less than 28 days. Meanwhile, about one third of patients had undergone splenectomy .In this study, there was a significant relation between the education level of the father and the economic level of the family with regular and early visits of patients for blood transfusion. Conclusion: It appears that intervals of blood transfusion compared to the earlier studies have had an optimal trend towards shortening but until achieving the optimum hemoglobin level before the blood transfusion, which is higher than 9.5 g/dl according to the order of WHO, there is still a long way ahead. Obviously, regular annual studies can show upward trend or even downward trend for adequacy of treatment in these patients.}, Keywords = {Blood Trausfusion, Splenectomy, Thalassemia-Therapy }, volume = {14}, Number = {56}, pages = {61-66}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-497-en.html}, eprint = {http://journal.gums.ac.ir/article-1-497-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {Shafiei, F and AsarDavalloei, R and Ameri, A and Fesharaki, M and EbadiFardAzar, F}, title = {Effect of Training on Level of Knowledge and Attitude of Female Health Workers on Menopause and Its Related Proble}, abstract ={Abstract Introduction: Menopause is a natural period of life that means permanent cessation of menstruation and end of reproductive period, which occurs at age of 45-52 years. Objective: The aim of the study was to determine the effect of training or knowledge and attitude of female health workers working in east of Gilan province regarding menopause and its related problems. Materials and Methods: 386 female health workers responded to questions on knowledge and attitude about menopause and its related problems. Results: Findings showed that before training, 29.5% of health workers had good knowledge, 26.2% had average knowledge and 44.3% had weak knowledge and after education the results of good average and week knowledge changed to 85.2%, 13.2%and 1.6% respectively. Also their attitude to word menopause before training the levels of attitude was 31.6%positive, 63%neutral and 5.4%negative, and after training 94.7%had positive, 2.6% neutral and 0%had negative attitude. Conclusion: The results showed training promoted level of awareness and attitude about menopause and its related problems. There was a significant difference (p<0.000) between awareness and attitude of health workers and variables such as age, work experience, marital status, educational level and sources of information before and after training. Therefore training and education is the best way of promoting the level of knowledge, changing attitude and enabling them.}, Keywords = {Education, Knowledge, Menopause}, volume = {14}, Number = {56}, pages = {67-73}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-498-en.html}, eprint = {http://journal.gums.ac.ir/article-1-498-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {Ajami, A and Nasrolahi, M and Sharif, M}, title = {Comparison of Serological Methods for Diagnosis of Brucellosis}, abstract ={Abstract Introduction: Brucellosis is one of the most prevalent infectious diseases in Iran. Clinical signs are not specific and laboratory methods are necessary for definite diagnosis. Isolation of microorganism from clinical samples is the most definitive methods, but its succession depends on many factors that can not be used in all cases. Standard agglutination test (SAT) and recently Enzyme Linked Immunosorbant Assay (ELISA) are the most important serological tests for diagnosis of brucellosis. Objective: In this study we compared these two diaghostic methods in patients suspected of brucellosis in Sari in 1381. Materials and Methods: In this descriptive study, all patients suspected of brucellosis who referred to health centers of Sari city from 1381/2/1 to 1381/8/1 were chosen regardless of age, sex and condition. Their sera were collected and tested by SAT, 2ME (according to WHO standard methods with Pasteur institute antigen) and Elisa (IBL Hamborg). 1/80 titer in SAT consider as positive and 2 dilution difference between 2ME and SAT consider as positive IgM. Results: Overall the sera of 276 patients (183 female and 93 male) were tested for IgG and IgM antibodies against brucella. 12 samples were positive for IgG + IgM with both SAT and Elisa methods. IgG detected in 98 samples by Elisa method while 27 samples were positive for IgG by SAT. Elisa detected IgM in 6 samples while SAT and 2ME were negative and SAT and 2ME detected IgM in 3 samples while Elisa was negative. Conclusion: In diagnosis of acute brucellosis (IgM + IgG ) both technique were the same but in diagnosis of subacute and chronic disease ( IgG without IgM or visevera ) two methods were very different.}, Keywords = {Agglutination, Brucellosis, Enzyme Linked Immunosorben}, volume = {14}, Number = {56}, pages = {74-79}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-499-en.html}, eprint = {http://journal.gums.ac.ir/article-1-499-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {SafariAshtiani, M and EmamHadi, M.R}, title = {Carpal Tunnel Syndrome and Its Different Clinical and Demographic Features}, abstract ={Abstract Introduction: Carpal tunnel syndrome is an important cause of pain and functional impairment of the hand due to compression of the median nerve at wrist. About 0.5% of the general population report being diagnosed with this syndrome, but few patients consult clinicians and disease becomes self-limited. Although, the treatment is conservative, some patients require surgery. Objective: The aim of this study is to investigate the various clinical and demographic features of patients who required surgery for treatment of his/her disease. Materials and Methods: From 1997 to 1999, 63 patients with surgical treatment of carpal tunnel syndrome were studied. This study was performed in Rasht Poorsina hospital. The diagnosis of carpal tunnel syndrome required clinical and electro diagnostic confirmation. A Questionnaire including age, sex, occupation and underlying diseases of patients were filled. SPSS.10 Software processed data. Results: 76.2% were females and 23.8% were males and the mean age of patients was 44.818.67 years. 22.2% had underlying diseases and diabetes mellitus was the most frequent one. Nocturnal paresthesia (74.6%) was the most common symptoms and positive phalen maneuver (81%) was the most common sign. Involvement was bilaterally in 41%, and 17% & 5% in Right and Left side, respectively. The most frequent surgical indication was persistent symptoms for more than one year (39.7%). Conclusion: Carpal tunnel syndrome is a curable disease. By decreasing age of requirement to operation in our region, primary care physicians should refer complicated patients to prevent subsequent disabilities especially in younger and active patients.}, Keywords = {Carpal Tunnel Syndrome, Epidemiology,Median Nerve, Neural Conduction}, volume = {14}, Number = {56}, pages = {80-85}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-500-en.html}, eprint = {http://journal.gums.ac.ir/article-1-500-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} } @article{ author = {Ansar, M.M and Gazor, R and Bahadori, M.H and Hosseini, F}, title = {A Rare Case Report of Musculocutaneous Nerve}, abstract ={Abstract Knowing the variations of the brachial plexus is of high importance during the surgery of axilla for surgeons. A rare case was observed in the left upper limb of a 55- year old female’s cadaver, during the routine dissection in Gilan Medical University. In this case the musculocutaneous nerve that normally arises from the lateral cord of brachial plexus, originated from median nerve, without perforating coracobrachialis muscle, and was located between biceps brachii and brachialis muscles and innervated them. Then, it pierces the deep fascia just below the elbow and extends as lateral cutaneous nerve of forearm. The nerve of coracobrachialis muscle is a branch directly isolated from lateral cord and enters into the muscle.}, Keywords = {Brachial Plexus, Musculocutaneous Nerve }, volume = {14}, Number = {56}, pages = {86-89}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-502-en.html}, eprint = {http://journal.gums.ac.ir/article-1-502-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {2006} }