2024-03-28T21:29:54+03:30 http://journal.gums.ac.ir/browse.php?mag_id=91&slc_lang=fa&sid=1
91-2051 2024-03-28 10.1002
Journal of Guilan University of Medical Sciences JGUMS 2383-4307 2423-4818 10.32598 1992 1 3 Prevalence of psychiatry disorders in patients with mitral valve Prolapse syndrome MJ Modabernia MA Afraz MA Darbandy Z Yazdandoust H Mousvavy SUMMARY: The mitral valve prolapse syndrome (MVPS) is a common cardiac disorder, occurring in five percent of general population. An association has been claimed between MVPS and psychiatry disorders. In this study 648 patients (mean age 32.2 years, 411 female .237 male subjects) with echocardiographically confirmed MVPS were tested for psychiatry disorders, and compared with 660 control groups (mean age 33.3 years,470 female, 190 male subjects), collectively, 559 (86.3 percent) of 648 MVPS had psychiatry disorders: generalized anxiety disorder -331, dysthemic disorder 11, panic 76, simple phobia 15, agoraphobia 11, social phobia 9, obssesive neurosis 5 and hypochondriac neurosis 1 subject. 334 (50.6 Percent) of 660 control (general population) subjects had psychiatry disorders: dysthemic disorder 115, panic 50. generalize danxiety disorders 49, social phobia 48, simple phobia 30,obssesive neurosis 24, agoraphobia 15 and hypochondriac neurosis 3 subjects. Our results corroborate the contention that the prevalence of psychiatry disorders in patients with MVPS is significantly different from that of control (general population) subjects. We conclude that the role of MVPS in the etiology of psychiatry disorders is as yet not completely determined. We would urge that all patients with this syndrome should be afforded not only a complete cardiac evaluation, but in addition a careful investigation of emotional factors in their life situation.   1992 4 01 1 10 http://journal.gums.ac.ir/article-1-2051-en.pdf
91-2052 2024-03-28 10.1002
Journal of Guilan University of Medical Sciences JGUMS 2383-4307 2423-4818 10.32598 1992 1 3 Measurment of stable Glycosylated Hemoglobin (Hb A1) and Its unstable type (pre- Hb A1c) with the lon- exchange Chromatography in Diabetic patients A Tarjoman, SUMMARY: At present, measurment of glycosylated hemoglobin, especially the stable fraction of hemoglobin (HbA1c) is one of the ways to control diabetes because this measurment can demonstrate total glycemia during last 1.2.3 months. Glycosylated hemoglobin is seen in 3 forms: Ala Alb A1c. Among these hemoglobin Alc is quantitively more than other 2 forms and its difference with other hemoglobins in terms of chemical structure is the linkage of a molecule of glucose in N-terminal of β chain on the aminoacid of Valine without intervention of enzyme. Glycogenesis of this protein (Hb A1c)occurs very slowly and this process continues in the all life-time of red globules. Formation of Hb A1c takes place in 2 different phases: First phase: Appearance of the unstable form called aldimine or pre HbA1c which is reversible and its formation is very faster than the second phase. Second phase: Formation of Ketoamine or stable form of glycosylated hemoglobin. The main goal in this article is to make a comparison between the rate of unstable glycosylated hemoglobin and its stable fraction with glycemia. The results obtained indicate that there is a close correlation between total glycosylated hemoglobin and its unstable fraction. The rate of unstable glycosylated hemoglobin enhances with the increase of hemoglobin. Correlation between glycosylated hemoglobin and glycemia in the state of fast which has been experimented on the same blood sample, is direct and meaningful. A Comparison between the linkage of stable and unstable glycosylated hemoglobins with glycemia rate divided into 4 different (1g/L, 1-2g/L, 2-3g/L, 3-4g/L), indicates that the contents of stable and unstable hemoglobins have a direct relation with glycemia, i.e, the more the content of glycemia, the more will be the contents of stable and unstable hemoglobins, and the linkage of stable fraction with glycemia is always better than the unstable fraction In addition, the close linkage between the fractions of stable and unstable glycosylated hemoglobin reflects that diabetic patients who are not under complete control, the content of pre-Hb A1c, a marker of glycemia changes in the short-term, and stable glycosylated hemoglobins, a marker of glycemia changes in the long-term, will increase simultaneously.   1992 4 01 11 22 http://journal.gums.ac.ir/article-1-2052-en.pdf
91-2053 2024-03-28 10.1002
Journal of Guilan University of Medical Sciences JGUMS 2383-4307 2423-4818 10.32598 1992 1 3 The prevalence of sheehan disease in laborers of Rasht Maternity hospital in 1984. Hedayati omami Rezaefar Mahyar SUMMARY: In 1990 for determining the prevalence of sheehan Disease, we reviewed the available medical records of 20,000 pateints admittd in 1984 at RASHT Maternity Hospital. 485 pateints who had at least, one of these criteria were included in this study: max.blood pressure at least one time< 70 mmHg; report of abnormal vaginal bleeding, and Hg <10g/dl. The addresses of 403 cases were available. 141 patients came for study. On the basis of clinical status at the time of delivery in 1362, they were classified in three groups: 'Well (72 cases), with 'Severe weakness' (18 Cases); and Unconscious" (51cases). One patient from the 'Well group had the clinical and laboratory findings of sheehan disease, and one patient from the "Unconscious' group had primary hypothyroidism and hypophyseal adrenal insufficiency. The serum cortisol level of 7 cases of the 'Well' group, 2 cases of the 'Severe Weakness group. 5 cases of the "Unconscious group was less than 10 micg/dl. In conclusion, six years after delivery, the prevalence of sheehan disease in the risk group is less than one percent. The cause of this low rate is unclear. 1992 4 01 23 31 http://journal.gums.ac.ir/article-1-2053-en.pdf
91-2054 2024-03-28 10.1002
Journal of Guilan University of Medical Sciences JGUMS 2383-4307 2423-4818 10.32598 1992 1 3 COARCTATION OF THE AORTA Negligence in Diagnosis Four (Case- Reports). A Barzigar SUMMARY: Coarctation of the aorta is a congenital heart disease consisting 7% of total congenital heart diseases. Its prevalence in men is 2 times more than that in women. This disease is associated with other congenital diseases. including aortic bicuspid valve, the linkage between two ventricles and arteriole channel It is often seen in the Turner syndrome which may lead to complications such as cerebral hemorrhage, aorta discussion, aortic, rupture, and cerebrovascular aneurysm. Clinical manifestations appearing mostly in adults, are in the forms of headache, epistaxis, coldness of body organs, and limping at the time of activity The key and important diagnostic features for this disease are the losing or decrease of femoral pulsations along with the increase of blood pressure in the upper limbs. Thus, if patients or clients particularly the young people during cardio-vascular examinations have mid- systolic souffle in the anterior pectus segment with arterial hyper tension, the first guess is the coarctation of aorta. In this case, immediately the examination of pulse in the upper and lower limbs and then measurement of blood pressure in the limbs is done so that in the normal state, the blood pressure in the lower limbs is 15-20 mm Hg more than that in the upper limbs but in patients afflicted with the coarctation of the aorta, the difference of blood pressures between hands and feet is very high, and even sometimes blood pressure in the feet is not measurable. Furthermore, in the examination of pulses, femoral pulsation is weak or any in some cases. In the present article, all patients reported are afflicted with the coarctation of the aorta associated with arterial hypertension. The illness of these individuals whom must be diagnosed during neonatal and suckling periods (childhood ages), unfortunately due to the carelessness at the time of examinnation and negligence in diagnosis, the above mentioned disease is diagnosed with delay and in different ages of 11,22,24 and 36. The result is that the patients suffer heavy life and financial losses.   1992 4 01 32 45 http://journal.gums.ac.ir/article-1-2054-en.pdf
91-2055 2024-03-28 10.1002
Journal of Guilan University of Medical Sciences JGUMS 2383-4307 2423-4818 10.32598 1992 1 3 Leishmania tropica in Guilan Province, report of 3 Cases J Golchay SH sadr Eshkevari A Darjani SUMMARY: Leishmaniasis is one of the endemic diseases in Iran. Here we present 3 Cases in Guilan Up to the present time. This is the first report of leishmania tropica in this region 1992 4 01 46 50 http://journal.gums.ac.ir/article-1-2055-en.pdf
91-2056 2024-03-28 10.1002
Journal of Guilan University of Medical Sciences JGUMS 2383-4307 2423-4818 10.32598 1992 1 3 Kawasaki Disease in Children: A Case Report. E Noursalehi SUMMARY: Kawasaki is an acute multisystemic disease affecting Predominantly. Children below 4 years of age. Having a Self- limited Course, it often Presents as Vasculitis. The Principal Complications are Stomatitis, conjunctivitis. Lymphadenopathy, Skin rashes as well as involvment of cardiovascular, alimentary and nervous system. In this article we report the First case of Kawasaki Disease in a five year-old boy admitted to the children Medical Center 1992 4 01 51 58 http://journal.gums.ac.ir/article-1-2056-en.pdf
91-2057 2024-03-28 10.1002
Journal of Guilan University of Medical Sciences JGUMS 2383-4307 2423-4818 10.32598 1992 1 3 MEDICAL NEWS and VIEWS 1992 4 01 59 63 http://journal.gums.ac.ir/article-1-2057-en.pdf