Journal of Guilan University of Medical Sciences
2383-4307
2
6
1993
4
1
CLINICOEPIDEMIOLOGICAL STUDY OF HUMAN FASCIOLIASIS IN GUILAN
4
11
FA
Kambiz
Forghanparast
ABSTRACT:
Following an outbreak of hypereosinophilia in 1988 in Guilan province of Iran (particularly in Bandar Anzali and Laheejhan) a clinicoepidemiological study on 2364 patients was carried out. All patients were clinically examined and routine hematological tests were performed. Samples of stool from 884 patients (convenient sampling) were parasitologically examined, using different methods speciallpy modified KATO (3 Samples for each patient during lodags). Ova of Fasciola sp. were found in %36.5 of the patients. In a more specified study the parasitological examinations for
Fasciola sp. was positive in %75 of the selected patients, who had a clinical history of more than 3 months and eosinophilia greater than %30.Detailed studies have shown that %79 of the patients were females and the infection was more frequent in 10-30 years old age group. The peak of the clinical disease was in spring 1989, which could be related to the consumption of raw local vegetables ( Mentha piperata Mentha aquatica, Nasturtium officinale , and Eryngium coerulesce) earlier in the winter. Different non- specific signs and symptoms were observed among which weight-loss, epigastric pain and sweating were chief complaints of more than %80 of the patients. myalgia, artreralgia, fever, pain of the right hypochondrium and anorexia were also of cosiderable occurrence (more than %70), cough and dyspnea were not uncommon (%57). In %66 of the patients leucocytosis in association with hypereosinophilia was observed. More than %90 of the patients had eosinophilia greater than %30 and %3 of them had eosinophilia still greater than %80. ESR was normal in only %2 and CRP was positive in %55 of the patients.
This is the first report of weight loss as a major clinical finding in human fascioliasis
Journal of Guilan University of Medical Sciences
2383-4307
2
6
1993
4
1
A Study of Height and Weight in the Students of Rasht and Sangar,1989.
12
20
FA
Hedayeti-Omami
Barzigar
SUMMARYLATE
The body weight (BW) and height are important creteria for assesment of the health status of children and adolescents. The BW and height curve of guilanian girls and boys may be different from the curve of other areas of Iran and other countries.
In autumn of 1989 we studied the BW (with indoor clothes) and the height (without shoes )in 6206 girls and boys in randomly selected schools of Rasht (11 schools)and sangar (10 schools).
Upto age 9 years, the mean hieght of Rasht girls and boys is equal ,but from the age of 9 to 14 years, the girls height exceeds that of boys. After the age of 14 years the girls height does'nt increase anymore ,while boys continue to grow. The maximal annual increases of height occur in Rasht girls (5-7cm)at the age of 9.5 -11 years and in boys(6-9 cm) at the age of 13-15 years.
The mean BW of Rasht girls at the age of 9-11 years is more than the BW of rasht boys, and beyond this age group is less than Rasht boy BW. The BW of Rasht girls does'nt increase any more after the age of 14 years. The maximal annual increases of BW occur in girls (2.5-5 kg) at the age of 11-14 years and in boys (4-7 kg) at the age of 13-16 years.
Sangar girls and boys have equal height upto 14 years old thereafter the girls height does'nt increase any more,but boys height continue to increase.The maximal annual increase of height occur in Sangar girls (4-6 cm)at the age of 10-13 years and in Sangar boys(6-9 cm)at the age of 13-15 years.
The mean BW of Sangar girls at the age of 10-13 years is more the mean BW of Sangar boys,and beyond this age group is less than Sangar boy BW.The BW of Sangar girls does'nt increase any more after the age of 14 years ,but the BW of Sangar boys continue to increase . the maximal annual increase of BW occur in Sangar girls (3-6 kg) at the age of 11-14 years and in boys(4-7 kg) at the age of 12 -14 years
In conclusion the schoolgirls and schoolboys of Rasht are taller and hevier than the sangar schoolgirls and schoolboys,respectively. The schoolgirls's body weight and height reach a peak at the age of 14 years, but school boys continue to grow even at the age 18 years.
The guilanian girls and boys are taller and hevier than the Esfahan girls and boys, but have less body weight and height than the Tehran girls and boys respectively. The guilanian girls and boys are shorter and have less weight than the USA girls and boys ,respectively.
Journal of Guilan University of Medical Sciences
2383-4307
2
6
1993
4
1
Study and Evaluation of Formulation and Nutritional values of parenteral Nutrition Formulae of Iranian Generic Project in Ten Major General Hospitals
21
27
FA
Egtesadi
Izadi
Abstract:
Parenteral Nutrition Formulae in Iranian Generic Project were studied in 31 patients hospitalized in ten major general hospitals in Tehran and Shiraz. Estimated theoretical energy (Calculated Energy Value or CEE)
using Harris- Benedict equations and applying the Cerra stress factor was compared with the amount of energy estimated via indirect calorimetric technique (Measured Energy Expenditure or MEE) and following results were drawn:
1 - In view of variation in energy expenditure between males and females, it is necessary to apply two different formulae in calculating the amount of energy expenditure, as it is introduced by Harris- Benedict equations for determination of basal energy expenditure (BEE).
2- Results derived from application of two methods of measurements in determination of energy expenditure (theoretical and experimental methods) were comparable. Thus, it is possible to apply two different methods in measurement of energy expenditure of patients.
3- Although, Cerra stress factor which is applied in theoretical estimate of energy expenditure of patients, is significantly different from true factor (MEE/ BEE), nevertheless.it has a relative validity for estimation of energy expenditure.
4- Formulae used in Iranian Hospitals under present investigation for parenteral nutrition seem to be relatively sufficient for the purpose of provision of patients nutritional needs. However it is recommended that a variety of dextrose formulae in the range of 5-70 percent and other amino acid formulae similar to synthamin and Aminoplex to be supplied in Iranian Generic project.
5- It is strongly recommended that nutrition support teams, comprising of a physician (preferebly a surgeon), a pharmacist. a nurse and a nutritional care specialist, to be established in major Iranian Hospitals in order to assist the management of parenteral nutrition
Journal of Guilan University of Medical Sciences
2383-4307
2
6
1993
4
1
Toxoplasmosis in the Pregnant Women and its Transmission to the
Embryo in Rafsanjan City, Iran
28
34
FA
Keshavarz- Valian
ZareRanjbar
SUMMARY
In this investigation, 203 blood Samples collected from admitted pregnant Women of "Nik-Nafs" Maternity hospital of Rafsanjan, were examined to detect Toxoplasma antibodies by an indirect immunofluorescent assay (IFA). A total of 98 cases (48.3 Percent)were positive with titers of 1:16 or higher. There was no significant difference in prevalence rate between pregnant women of city and villages.
Umbilical cord blood samples of newborns related to seropositive mothers (98 cases) were tested with IgM- IFA and all the results were negative.
Address: Dept. of Microbiology and Parasitology, Medical School, Kerman University of Medical Sciences, Kerman, Iran.
Journal of Guilan University of Medical Sciences
2383-4307
2
6
1993
4
1
One Case-report of Hand-Schuller-christian Syndrome in Children
35
39
FA
Noorsalehi
SUMMARY
Histiocytosis X is associated with idiopathic Proliferation of histiocytes and infiltration of eosinophils in bone marrow Spleen, Liver and other Soft tissues. Clinically there are three distinct forms:
1 - Eosinophilic granuloma is the most benign and Localized form of the disease.
2- Letterer- Siwe is the most malignant, generalized and fatal form of the disease.
3- Hand- Schuller-Christian syndrome is the most Chronic and Variable form of the disease. This can be diagnosed by the following third:
a: One or more destructive foci in the bones.
b: Uni or bilateral exophthalmus.
c: Diabetes insipidus with or without other symptoms of Pituitary deficiency.
This form of disease is seen more in children but can occur in any age group.
The reported Case is a 3- Year old boy who was Presented with following Clinical Signs and symptoms: Polyuria, polydipsia and low weight.
A Skin biopsy revealed histiocytosis X (Hand - SchullerChristian) and drugs used are Vinblastine,6 MP, Prednisolone and D.D.A.V.P
Journal of Guilan University of Medical Sciences
2383-4307
2
6
1993
4
1
39
41
FA
Journal of Guilan University of Medical Sciences
2383-4307
2
6
1993
4
1
Nutrition of school children at the Ages of 6-12 A review
42
49
FA
SUMMARY
The rate of growth in school children is very slow compared to younger children. On the average, they gain 2.3 kg in weight and grow 6.25 cm. in height annually. In this review we consider the growth charts which are widely used for monitoring the growth rate of children.
One of the most important factors in growing children is to meet their nutritional needs. The caloric demands for children aged six to twelve range from 1.650 kcal. to 3700 kcal. Per day, and protein demands are estimated to be 34 grams/day (see table-1 for other nutritional needs). In this review, we also recommend the variety and portion sige as the key elements in the diets of elementary school children. The factors that affect nutritional status of children have also been discussed. In the last section of this review, some important primary nutritional disease which are preventable by proper nutritional care have been presented.