@article{ author = {Afraz, M.R}, title = {Clinical and Electrocardiographic comparison of patients with primary Mitral Valve Prolapse Syndrome and control group}, abstract ={ABSTRACT: Mitral Valve Prolapse (WVP) in one of the commonest cardiac abnormalities. Echocardiography has generally been accepted as the diagnostic modality of choice, To assess the characteristic symptoms signs and electrocardiographic abnormalities of MVP results of prospective 500 age and sex matched healthy subjects without echocardiographic MVP (control subjects). The diagnostic criteria used were : Pansystolic or late leaflets of the mitral valve in M-Mode echocardiography with or without two - dimensional echocardiographic criteria (severe bowing of leaflet(s) on the parasternal long axis and four-chamber view).. A history of MVP in first degree relatives was more common in subjects with echocardiographic MVP (10.4%Vs 2%,P<0.001). Mid -systolic click (55.2% vs 3.2%,P<0.001) and late - systolic murmur(28.2% vs 0.4% ,P<0.001) were more common in subjects with as compared to those without echographic MVP but ,Systolic ejection murmur was common in contral group (24% vs 13% ,P<0.001). ST segment and wave changes supraventricular premature depolarization ,Paroxysmal supraventricular tachycardia atrial fibrillation ,atrial tachycardia ,ventricular tachycardia, WPW syndrome ,first degree A-V block ,Left ventricular hypertrophy LGL syndrome and RBBB occurred with similar ventricular hypertrophy with and without echocardiographic MVP on the resting 12-lead ECG,but ventricular premature depolarization was common in MVP (11% vs 7.4%,P<0.05) These results indicate that most patients with echocardiographic evidence of MVP have very high incidence of clinical features include symptome such as palpitation, auscultatory findings include mid-systolic click and late systolic murmur , dysrhythmia such as ventricular premature and a history of MVP in first degree relatives.}, Keywords = {}, volume = {3}, Number = {9}, pages = {1-10}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-2043-en.html}, eprint = {http://journal.gums.ac.ir/article-1-2043-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1994} } @article{ author = {HedayatiOmami, M.H and ShahrokhiKaramy, M.R and AhmadZadehfar, H.A}, title = {A Report of 137 Cases of Thyroidectomy in Dr Heshmat Hospital ,in Rasht ,Guilan (1360 - 1365)}, abstract ={ABSTRACT : To study the indications and results of thyroidectomy in a non-academic hospital in RASHT, the center of Guilan province, we studied the pre- and post-operation status of 137 patients admitted between 1360 -1365 in Dr Heshmat hospital. The pathologic reports of 100 cases were available, and 62 patients presented for postoperative evaluation . Eighty seven percent of the patients were females . The age of ( mean±SD, years) of males and females was 29.5±11.5 and 31.5±10, respectively. In more than 90% of the patients the chief complaints were goiter or neck mass. ninety two Patients had cold nodule. Preoperative diagnosis was cold nodule in 68% and multinodular goiter in 23.5% of cases . The type of operation was lobectomy or lobectomy and isthmectomy in 70% of cases and subtotal or near total thyroidectomy in 22.5% of cases. The pathologic diagnosis was endemic goiter in 68% of cases . Eight percent had thyroid carcinomas. The prevalence of Hashimoto's thyroiditis was four percent. Postoperatively, 5 patients had vocal cord paralysis and one other patient had hypoparathyroidism. In conclusion ,the majority of the patients who underwent thyroidectomy were females with endemic goiter. The prevalence of thyroid carcinoma was much less than reports from university centers of Tehran, despite more limited operation, the complications were more frequent. The majority of patients had endemic goiter. The Hashimoto's Thyroiditis was much more common than that in previous reports.}, Keywords = {}, volume = {3}, Number = {9}, pages = {11-16}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-2044-en.html}, eprint = {http://journal.gums.ac.ir/article-1-2044-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1994} } @article{ author = {Modabbernia, M.J and Vaezsalehi, M.E}, title = {A Study on Prevalence Rate of Psychiatric Disorders Arising from War with Associated Factors in Hospitalized Patients of Mirzakoochak Hospital ,Rasht, Guilan , in 1365-68.}, abstract ={ABSTRACT: A descriptive study was done to show the prevalence of psychiatric disorders arising from war. Of 1850 hospitalized patients at Mirzakoochak Hospital, 223 patients who had psychiatric disorders due to war were studied by means of questionnaire and clinical interview according to DSM -III -R criteria. The mean age was 22.95 with standard deviation :5.59+. The results showed that %65.5 of patients had anxiety disorders and %87.2 of them had PTSD. Of the whole patients, %29.5 had various forms of psychosis and %5 had the diagnosis of malingering, from associated factors : %87.5 of the patients were exposed to explosion waves ,%61.4 of them were military forces, %67 were single ,%53 lived in rural areas , %32.7 were 21-24 years old ,%11 were illiterate and %2.5 had a history of psychiatric disorders in their families.}, Keywords = {}, volume = {3}, Number = {9}, pages = {17-22}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-2045-en.html}, eprint = {http://journal.gums.ac.ir/article-1-2045-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1994} } @article{ author = {Karambin, M.M and Parsi, M.R}, title = {A Study of Meningitis in the Newborn Infants in Hefdah- Shahrivar Hospital,Rasht}, abstract ={ABSTRACT: In a retrospective study on 207 infants who were under medical treatments for sepsis in Hefdah -Shahrivar Hospital,septicemia in 43 patients (20.77%) and meningitis in 21 patients (10.14%) were proved.E.coli is the most common cause of septicemia and meningitis. In Patients with gastroenteritis symptoms, Salmonella and Salmonella paratyphi should be considerd as the most common possible bacteria. There was only a positive culture of CSF by hemophilus influenza.}, Keywords = {}, volume = {3}, Number = {9}, pages = {23-28}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-2046-en.html}, eprint = {http://journal.gums.ac.ir/article-1-2046-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1994} } @article{ author = {NikokarLissehroodi, I and Vaziri, B and Sarshad, A and Moazzami, N}, title = {A Study of Salmonella Infections in Patients of Razi Hospital and Hefdah-Shahriver Hospital ,Rasht.}, abstract ={ABSTRACT The purpose of this study was the evaluation of salmonella infections in Guilan . The survey was carried out on 153 patients of two hospitals in Rasht . Test samples included blood ,feces and urine. Samples taken from patients were cultured and biochemical . Serological test for determination of antigenic formmula were carried out .66 patients were positive for salmonella comprising 57 S. typhi 7 Salmonella group B and S. mathura .S. mathura was isolated from the blood of a 9-year-old girl ;It is the first report in Iran. The infections were most prevelant in man ,in students and age group of 11 - 20 years old. Study of drinking water showed that most of the patients used well water.}, Keywords = {}, volume = {3}, Number = {9}, pages = {29-35}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-2047-en.html}, eprint = {http://journal.gums.ac.ir/article-1-2047-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1994} } @article{ author = {}, title = {}, abstract ={}, Keywords = {}, volume = {3}, Number = {9}, pages = {36-39}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-2048-en.html}, eprint = {http://journal.gums.ac.ir/article-1-2048-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1994} } @article{ author = {Mo’in, H}, title = {Glioblastoma Multiforme in Children, A Case-Report}, abstract ={ABSTRACT: Glioblastoma multiforme is the most malignant primary brain tumor .It usually occurs in the 5th and 6th decades of life and is rare in childern. In this paper a case of glioblastoma multiforme is reported in a ten year - old child who presented with two week's history of headache with no neurological defect.C.T scan revealed å right frontal mass with massive surrounding oedema. He was operated 5 times within 2.5 years due to rapid recurrences and had chemotherapy and radiotherapy. This article with presenting such a patient intends to discuss the following points:  1- Headache in children may be a symptom of malignant brain tumor. 2- Glioblastoma multiforme can occur in childern. 3- With aggressive treatment a patient can expect several years of survival .}, Keywords = {}, volume = {3}, Number = {9}, pages = {40-46}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-2049-en.html}, eprint = {http://journal.gums.ac.ir/article-1-2049-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1994} } @article{ author = {Naghavi, S.E}, title = {Drooling and Various Therapeutic Modalities}, abstract ={ABSTRACT: Droolig or sialorrhea is a common stigmatizing problem in neurologically damaged child or adult. It is troublesome in perhaps one-third of children with cerebral palsy. Drooling occurs when there is a lack of coordinated control of facial, head and neck musculature. Various therapeutic modalities are advocated for the treatment of drooling ,such as surgical or non surgical, some of them have advantages and disadvantages.Nowadays, bilatral submandibular duct relocation with or without sublingual glands resection has become the surgical procedure of choic.}, Keywords = {}, volume = {3}, Number = {9}, pages = {47-51}, publisher = {}, url = {http://journal.gums.ac.ir/article-1-2050-en.html}, eprint = {http://journal.gums.ac.ir/article-1-2050-en.pdf}, journal = {Journal of Guilan University of Medical Sciences}, issn = {2383-4307}, eissn = {2423-4818}, year = {1994} }