@article{ author = {}, title = {}, abstract ={}, Keywords = {}, volume = {4}, Number = {14}, pages = {0-0}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1895-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1895-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {Barzigar, A and Akbar,, M.H and Mirblook, F and Shamkhani,, K and Zandi, A and Nasimi, M}, title = {Screening of School Children in Guilan for Prevalence of Rhematic Heart Disease}, abstract ={ABSTRACT: Acute rheumatic fever and rheumatic heart disease are the common health problems of developing countries.Prevention and Control of Rheumatic heart disease is an important task of cardiovascular health program under World Health organisation. During 3 years 422,000 School children in four areas of Guilan province were screened (371400 urban and 50600 rural area children ). 166 cases (39.3 per hundred thousand school age population )of acute rheumatic fever were detected . 88 cases had rheumatic heart disease giving the data of 0.2 per thousand of school- going Population. Prevalence of rheumatic fever and rheumatic heart disease was more among male children than that in the females. Prevalence rate in urban school children was 0.16 per thousand while that in rural areas was 0.58 per thousand. As compared, the prevalence rate in different age groups ,middle school children (early second decade )suffered more than primary and secondary School children . Single valvular diseases were Mitral regurgitation, Mitral stenosis and Aortic incompetence in order of prevalence. Prevalence of multiValvular rheumatic heart disease,was Mitral Stenosis with regurgctation; Mitral stenosis with Aortic incompetence; Aortic Stenosis and incompetence, then the Aortic incompentence with Mitral regurgitation were in decreasing order. Rarest form was Aortic Stenosis with mitral Stenosis. Regarding Sex incidence of Valve disorders, Mitral Regurgitation was common among girls and mitral stenosis was common among boys (Reverse to the incidence,as stated in the textbooks).Prevalence of Aortic Regurgitation was more in boys than the girls . Prevalence of Multivalvular disorders in different grades comprises as 0.0112 per thousend in primary school 0.0362 per thousand in middle guidance school and 0.0116 per thousandin higher Secondary School. prevalence of single Valve disorder among primary school children was 0.0358 per thousand, in middle school it was 0.075 perthousand and in high school 0.031 per thousand, As a whole Prevalence of Rheumatic heart disease is more common ammong middle school childern than other two age groups ,but chisquare test with 99% accuracy did not confirm the significance. Result of this survey in Guilan shows that prevalence of rheumetic fever and rheumatic heart disease is lesser then other developing and industrial countries for example ,in a study at New Zealand incidence of RHD was 11,6 per thousand in USA,0.6 per thousand, and in japan 0.7 per thousand . Again, followibg WHO Proposal in 1988 Sixteen developing countries of the world, surveyed for RHD in school children in 1990 (During the time period of Guilan study) and declared the prevalence as 2.2 per thousend which is eleven times greater than Guilan incidence. Of course the incidence of RHD is one and half times more in rural and Mountainous areas. It seems that poverty ,lack of knowledge and remoteness, large family size ,living toghether in small and dark room are the factors involved. If Special care is given to the health anal medical treatment and betterment of economic condition of people Streptococal throat infection is managed well in time and people be educated through mass media, then prevalence of rheumatic fever and rheumate heart disease may be decreased much lesser like other developed and industralized countries.}, Keywords = {}, volume = {4}, Number = {14}, pages = {1-10}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1896-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1896-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {Mirblook., F and Afraz., MR and Sadeghi., G.R}, title = {Study of the risk factors and prevalence of atrial fibrillation and systemic arterial thromboembolism (stroke)in patients with rheumatic valvular heart disease.}, abstract ={ABSTRACT: A consecutive Series of 522 patients (mean age 40.36 years ,female 70.9% ,male 29.1% ) with rheumatic valvular heart disease were studied during a period of seven years ,with particular reference to understanding the prevalence and risk factors of atrial fibrillation (AF) and systemic arterial thromboembolism (SAT). AF was observerd in 165 (31.6%) patients .The frequency of AF were 33.3% in pure mitral stenosis, 7.1% in pure mitral regurgitation 48% in mitral stenosis with regurgitation,50.9% in patients with mitral valve surgery and 76.2% in multivalvular surgery. The frequency of AF in pure mitral valve disease was significantly greater than pure aortic valve disease (32.4% vs.23% ,P<0.001). SAT occurred in 31 (5.9% patients 5.5% with stroke and 0.4% with peripheral lower limbs)with 96% mitral valve and 29% aortic valve involvement, that was significantly more common in patients with AF than without AF (15.2% vs 1.7% ,P<0.001). The frequency of anticoagulant therapy in patients with AF but without SAT was significantly more common than patients with AF and SAT (59.3% vs.12% ,P<0.001). Mean age of patients with stroke was significantly greater than other patients (51.3 vs.39.7 year,P<0.01) These data strongly suggest that in the patients with rheumatic valvular heart disease : 1 - AF is frequent in mitral valve disease ,multivalvular disease and history of mitral or multivalvular surgery , 2-SAT (stroke) is more Common in mitral valve disease ,AF ,older age ,and AF without anticoagulation.}, Keywords = {}, volume = {4}, Number = {14}, pages = {11-17}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1897-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1897-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {NasirMohtaram., S and Forghan-parast., k}, title = {A Survey on accidental poisonings in childern admitted 17 Shahrivar Hospital( Rasht, 1989 - 1990.)}, abstract ={ABSTRACT: Accidental poisoning, which is one of the most important issues in world health is related to a wide range of factors the frequency of these factors is under influence of traditional and environmental conditions. The understanding of the most common causes of poisoning can determine prevention strategies.As a step towards this objective, the records of patients admitted to the Children hospital (17th Shahrivar, Rasht )in the years between 1989 and 1990 were investigated. The results show that 9.7% of the admitted cases were poisoned. With a mortality rate of 6 per thousand ,88% of the poisoned children were under 5. The highest age distribution for poisoning was under 1.5 years. In this group the most frequent causes of poisoning were petroleum and medicine Considering all age groups, medicine with 41.1%, Petroleum with 32.5 percent and opium with 9.2 percent were the 3 top causes. Insecticides and detergents caused 7.4 and 5.6 percents of the cases respectively. This study indicates that the frequency of poisoning probably decreases with age .It seems that providing information to parents in relation to poisonings and their preventive measures with the consideration of safety guidelines in the storage of toxic substances particularly medicines and petroleum ,may help to reduce accidental poisoning  }, Keywords = {}, volume = {4}, Number = {14}, pages = {18-21}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1898-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1898-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {Heidari, M and Alinejad, Z and Tabatabaji, A and Hoosepian, o}, title = {Immune profile in preeclampsia & eclampsia (gestosis)}, abstract ={ABSTRACT: Eclampsia and preeclampsia with the new name gestosis is one of the diseases which occurs during pregnancy. The cause and pathological mechanisms of gestosis have remaind unknown. The current temptation seems to presume that any disease of unknown etiology has an underlying immunologic cause so there is a great attention to gestosis as an immunologic disease. Any hypertension associated with proteinuria and oedema are identified as gestosis while many of these patients do not have true gestosis . Our investigations confirmed this view.Among 71 patients introduced with gestosis ,only 24 cases were determined to be studied . Many investigators mention that gestosis is due to first babies because the maturation of immune response and producing blocking factor protect the following fetals .Our study don't show this correlation ,only 42% of patients were in their first pregnancy and 58% of them were in second to 11th pregnancy. Our study was an attempt to evaluate the immune system of patient ,normal pregnant and normal non-pregnant women.Immunoglobulin levels (IgA, IgM),CIC (circulating immune complex )and C4 have no significant differences , there are differences in C3 component ,and the percent of T and B lymphocyte among pregnants with gestosis ,normal pregnant and non - pregnant women .Our study demonstrates that only pregnancy can be effective in making differences in some factors and has no significant correlation with gestosis.    }, Keywords = {}, volume = {4}, Number = {14}, pages = {22-29}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1899-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1899-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {Aghajanzadeh, .H}, title = {A Prospective Study of 350 Patients Having Lumbar Disk Operation in Rasht from 1989-1993}, abstract ={ABSTRACT: This study is based on the analysis and interpretation of statistical data carried on 350 patients having lumbar disk operation . The number of male patients have beem more than that of female in ratio of 3/2The most common age was from 30 to 50. Most of the patients among mem are farmers and workers and among women , house wives. More than 60% of discal herniation have been at level of L4-L5 and 20% at the level of L5-S1. Complications of surgical procedure have been too scarce. 90% of operation sesults have been excelent ,7% rather good, 2% unchanged, 1% bad.}, Keywords = {}, volume = {4}, Number = {14}, pages = {30-35}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1900-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1900-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {Roushani, A and Tavakkoliniya, R}, title = {A Report of Renal Colic Cases in a Period of 57 months in Bandar-,Anzali}, abstract ={ABSTRACT: In a prospiective review, 26277 records of patients hospitalized in emergeny ward of Shahid Behesht Anzali,were investigated. 873 cases (3.3% had been hospitalized with the diagnosis of renal Colic .Diagnosis of 12 patients was changed and acute appendicitis was the most common cause of misdiagnosis. Results :69% of patients were male and 31% were female Peak of patients' age was 20-49. The most common reason for hospitalization was requirement to narcotics. Presentation was more common in April, May and June ,and from 12 MN to the day after . 84% of patients had hematuria and 37 % had suspected finding on their K.U.B. 92% of patients were improved or their stones were extracted and in 8% urologic inter vention were undergone . Conclusion : Age and sexual distribution of renal colic was similar to results of other investigations but seasonal distribution was approximately opposite.Usage of K.U.B is limited and it is better to be obtained only for doubtful cases. Availability of narcotics in outpatient wards may decrease expense and workload for both patients and health care units.}, Keywords = {}, volume = {4}, Number = {14}, pages = {36-41}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1901-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1901-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {Bayat., A and Mosaddaghi., S}, title = {A Statistical Study of Typhoid Peritonitis in Surgery Section , Imam Khomeini Hospital of Tabriz During 1366- 71(1987-1992)}, abstract ={ABSTRACT: In this article we have studied 175 peritonitis:12 of them have occured because of testine perforation in persistent typhoid. Seven of the patients were female (mean 58%) and five were male (42%). Their average age was 22. Clinical features of this group of patients were high fever(above 39“), abdominal pain vomitting ,diarrhea ,constipation ,dilation of the abdomen ,rigidity and reboundedness. Laboratory examinations consist of: anemia positive vidal test (83%) , positive blood and stool culture (8%) .Radiographic examination was pneumoperitoneum in 42% of the patients. Laparotomy was done on all of the patients. 75% had only one perforation that was primarily repaired. And in a few cases(17%) small intestine was resected and primarily anastomosed because of several perforations. Effective antibiotic in all operated patients was choloramephnicol with Gentamicin or choloramphenicol with penicilin V. Fortunately 42% of the patients were discharged without complications. And postoperative complications were present in 58% of patients and this complications were regularly: interabdominal abscess(17%)dehiscence(8%),recurrent perforation of intestine (8%),leak of anastomosis(8%),obstruction (8%), and respiratory complications such as:Atelectasis ARDS(8%). Total mortality was 25% (mean only 3 of them died.2 cases were because of Septicemia and the other one was due to ARDS.The increasing reasons of mortality were :Delay in operation because of misdiagnosis ,the degree of contamination of the peritoneum the number of perforations ,dysentry,leukopenia during peritonitis and unconsciousness. The key of recovery after operation is:quick diagnosis and operation ,correct post oprative care of the patient ,prevention of typhoid following hygienic rules.}, Keywords = {}, volume = {4}, Number = {14}, pages = {42-47}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1902-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1902-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {Golchay, .J and Keshavarz.,}, title = {A Report of 10 Cases of Keratoacanthoma Treated with Intralesional Injection of MTX .}, abstract ={ABSTRACT: Keratoacanthoma is a benign self-limited skin tumor. Because it often involutes spontaneously,some believe that K.A should merely be observed .However treatment in some unusual cases may hasten resolution improve cosmetic result and also if a squamous cell carcinoma is misdiagnosed as a K.A,it continues to expand. we report an open clinical uncontrolled study of 10 cases treated successfully with intralesional MTX.All lesions responded with complete resolution after a mean of 1.5 week without any side effects and mild scarring . In conclusion, intralesional MTX is a simple and very effective modality for treatment of selected cases and may offer greater efficacy ,rapid response ,mild pain and lower cost compared with intralesional 5FU.}, Keywords = {}, volume = {4}, Number = {14}, pages = {48-51}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1903-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1903-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {Banan, R}, title = {Tympanic Membrane (T.M) and the left -handed}, abstract ={ABCTRACT: To find out what percentage of the men are left-handed or as a rule use their left hand for writing or do precise or complicated jobs is to question them directly. Neurologists believe that less than 10 percent of people are left - handed. In our study, we should like to know the correct percentage of the men living in Rasht are left -handed . This study is statistically based on my female patients whose right eardrums have been ruptured just because of being slapped by their husbands, brothers or sons using their left hands.}, Keywords = {}, volume = {4}, Number = {14}, pages = {52-53}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1904-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1904-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {}, title = {}, abstract ={}, Keywords = {}, volume = {4}, Number = {14}, pages = {54-57}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1905-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1905-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {}, title = {}, abstract ={}, Keywords = {}, volume = {4}, Number = {14}, pages = {58-59}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1906-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1906-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} } @article{ author = {}, title = {}, abstract ={}, Keywords = {}, volume = {4}, Number = {14}, pages = {60-64}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-1907-en.html}, eprint = {http://journal.gums.ac.ir/article-1-1907-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1995} }