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Acta Medica Iranica

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https://www.readbyqxmd.com/read/28188950/hemophagocytic-lymphohistiocytosis-in-a-neonate-case-report
#1
Pari Zarrini, Ziba Mosayebi, Asghar Ramyar, Hosein Dalili
 Hemophagocytic lymphohistiocytosis (HLH) is a syndrome of pathologic immune activation, occurring as either a familial disorder or a sporadic condition, in association with a variety of triggers. This article will introduce a neonate with HLH in Iran. We report a case of HLH presenting with respiratory distress and fever, hepatosplenomegaly, jaundice and pancytopenia on the second day of life. Typical clinical and laboratory findings were detected in the neonate. HLH was diagnosed according to HLH-2004 guidelines...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188949/one-stage-angioplasty-and-stenting-of-ostium-of-left-common-carotid-artery-and-stenting-of-left-internal-carotid-artery
#2
Massoud Ghasemi, Maryam Mehrpooya, Farshad Ghasemi, Fatemeh Shahbazi
Our aim was to report techniques and our experience in One-stage angioplasty and stenting of ostium of left common carotid and left internal carotid arteries in an octogenarian man with transient ischemic attack, who was completely recovered from neurologic insults short time after the procedure. An 81-year-old man presented with a transient ischemic attack. Neurologic examination showed left side transient visual obscuration or amaurosis fugax and right hemiparesis. Carotid duplex imaging revealed an 80% stenosis of the left internal carotid artery (LICA) and 95 % of the ostium of left common carotid artery (left CCA)...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188948/splenic-hamartoma-immunohistochemical-profile
#3
Seyed Mohammad Tavangar, Alireza Abdollahi
Splenic hamartoma is an unusual accidental finding with non-neoplastic feature that may be incidentally diagnosed because of its compression effect on surrounding organs. The predominant pathological feature leading diagnosis is circumscribed, un-encapsulated bulging nodules with focal fibrosis or cyst. The histopathological feature of splenic hamartoma is the positivity for CD8, and occasionally for CD31, CD34, and CD68 biomarkers on vascular wall but the cells are frequently negative for CD21. Herein, we describe a case with initial diagnosis of nephrolithiasis due to abdominal pain that was finally confirmed as splenic hamartoma by histopathological assessments and detection of CD8, CD31, CD34, and CD68 positivity...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188947/retroperitoneal-necrotizing-soft-tissue-infection-in-a-healthy-adult-masquerading-as-acute-pancreatitis
#4
Nitin Agarwal, Mohammad Shazib Faridi, Pradeep Saini, Navneet Kaur, Arun Gupta
Necrotizing soft tissue infections (NSTIs) are polymicrobial infections with high morbidity and mortality. We report a case of retroperitoneal NSTI in an immunocompetent young male, with clinical symptoms and signs mimicking acute pancreatitis (pseudo-Cullen's and pseudo-Grey-Turner's signs. The initiating lesion was a pustule which progressed and mimics acute pancreatitis. CT scan showed features of retroperitoneal NSTI. After extensive debridement and antibiotics, the patient improved. NSTI of the retroperitoneum is rare...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188946/integration-of-cognitive-skills-as-a-cross-cutting-theme-into-the-undergraduate-medical-curriculum-at-tehran-university-of-medical-sciences
#5
Akbar Soltani, Maryam Allaa, Hamideh Moosapour, Azadeh Aletaha, Farzaneh Shahrtash, Alireza Monajemi, Tohid Arastoo, Maryam Ahmadinejad, Azim Mirzazadeh, Mahboobeh Khabaz Mafinejad
Nowadays, improvement of thinking skills of students is one of the universally supported aims in the majority of medical schools. This study aims to design longitudinal theme of reasoning, problem-solving and decision-making into the undergraduate medical curriculum at Tehran University of Medical Sciences (TUMS). A participatory approach was applied to design the curriculum during 2009-2011. The project was conducted by the contribution of representatives of both basic and clinical faculty members, students and graduates at Tehran University of Medical Sciences...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188945/assessment-of-clinical-teachers-professionalism-in-iran-from-residents-and-fellowships-perspective
#6
Sima Garshasbi, Hamidollah Bahador, Nahid Fakhraei, Abolfazl Farbod, Maryam Mohammadi, Soleiman Ahmady, Seyed Hassan Emami Razavi
In the present study, professional conduct of clinical teachers in Tehran University of Medical Sciences in Iran was assessed by their residents (n=292) and fellowships (n=48) using a standard questioner called self-reported measurement equipment. This evaluation was a descriptive cross-sectional study. Professionalism was questioned in four domains including clinical teacher-patient, clinical teacher-student, inter-professional and clinical teacher-self relationships. Accordingly, mean scores of the teachers in cases of clinical teacher-patient; clinical teacher-student, inter-professional (teamwork) and clinical teacher-self relations were 61%, 62...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188944/comparison-of-fecal-calprotectin-in-exclusively-breastfed-and-formula-or-mixed-fed-infants-in-the-first-six-months-of-life
#7
Masoumeh Asgarshirazi, Mamak Shariat, Fatemeh Nayeri, Hosein Dalili, Alireza Abdollahi
We conducted this study to compare fecal calprotectin between exclusively breastfed and formula or mixed fed infants aged one month and six months. Sixty term infants were enrolled from the labor ward of Valiasr Hospital between Oct 2011 and July 2015 and their fecal calprotectin was checked by the ELISA method and Hycult biotech kits. The enrolled infants had a birth weight of 2500-4000 g and no perinatal insults or hospitalization. Stool sampling was done at 1±1 week and at 6n±1 months. The six-month infants had no recent disease, antibiotic use or vaccination...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188943/evaluating-awareness-of-pediatricians-and-general-practitioners-on-transformation-of-the-health-system-in-iran
#8
Sepideh Masoud, Gilda Rajabi, Farnaz Delavari, Nima Rezaei
In orders to promote the level of healthcare in societies, governments try to have different policies to transform the health system. The aim of this study was to measure the level of awareness of practitioners in Iran, after initiating the new transformation of the health system in the country, starting from May 2014. This is a descriptive-cross-sectional study, which was inducted in October 2014. The study population consists of 208 physicians who attended the 26th International Congress of Pediatrics in Tehran, Iran...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188942/photorefractive-keratectomy-with-mitomycin-c-for-high-myopia-three-year-follow-up-results
#9
Hassan Hashemi, Yahya Salimi, Poopak Pir, Soheila Asgari
Photorefractive keratectomy (PRK) is a safe and effective surgical keratorefractive technique which is done with the application of mitomycin-C (MMC) in cases of high myopia to prevent the formation of corneal haze This study was conducted to evaluate 3-year visual acuity and quality outcomes of PRK-MMC in high myopia. This before-after study was conducted on 20 individuals (40 eyes) with myopia more than 6.0 diopter (D). Visual acuity and quality indices were evaluated before and three years after the procedure and their stability was examined between the 1st and 3rd years...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188941/association-between-breast-reconstruction-surgery-and-quality-of-life-in-iranian-breast-cancer-patients
#10
Farnaz Sinaei, Kazem Zendehdel, Mahsa Adili, Atefeh Ardestani, Ali Montazeri, Mohammad Ali Mohagheghi
Breast reconstruction (BR) surgery is not common for the treatment of breast cancer in low- and middle-income countries, including Iran. We evaluated the quality of life (QoL) in Iranian breast cancer patients who underwent BR at the Cancer Institute of Iran. We compared patients who had BR with breast cancer patients who had a radical mastectomy as the control group, matched for age, and time since surgery. We interviewed the cases and controls and collected data about QoL using EORTC-Q30 and EORTC-Q23 questionnaires...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188940/the-possible-role-of-nitric-oxide-and-oxidative-stress-in-the-enhanced-apoptosis-of-cardiac-cells-in-cirrhotic-rats
#11
Hamed Shafaroodi, Mehrdad Hashemi, Zahra Nadia Sharif, Leila Moezi, Zeinab Janahmadi, Ahmad Reza Dehpour
 Cirrhosis has been related with hyperdynamic circulation, manifesting as increased cardiac output and decreased systemic vascular resistance. In the present study we examined the cirrhosis outcome on apoptosis of rat hearts. We also tried to explore the role of nitric oxide (NO) and oxidative stress in the probable changed apoptosis of cirrhotic hearts. Twenty eight days after ligation of bile duct, heart tissues were tested for apoptosis. The extent of malondialdehyde (MDA), and the activities of catalase (CAT), glutathione peroxidase (GSHPx) and superoxide dismutase (SOD) have been calculated in heart tissues...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188939/survey-of-nerve-fiber-layer-thickness-in-anisometropic-and-strabismic-amblyopia
#12
Reza Soltani Moghaddam, Abdolreza Medghalchi, Yousef Alizadeh
. To investigate the effect of anisometropic and strabismic amblyopia on the nerve fiber layer thickness. This cross-sectional study was done on 54 amblyopic subjects, equally in both strabismic and anisometropic groups. The thickness otonerve fiber layer measured in superior, inferior, nasal, temporal quadrants and as a whole in both eyes of both groups. The means of thickness were compared in amblyopic and sound eyes. In strabismus group, the average nerve fiber layer thickness of the sound eye , in superior, inferior, nasal and temporal quadrants and as a whole were 113...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188938/multipotent-stem-cell-and-current-application
#13
Aligholi Sobhani, Neda Khanlarkhani, Maryam Baazm, Farzaneh Mohammadzadeh, Atefeh Najafi, Shayesteh Mehdinejadiani, Fereydoon Sargolzaei Aval
Stem cells are self-renewing and undifferentiated cell types that can be differentiate into functional cells. Stem cells can be classified into two main types based on their source of origin: Embryonic and Adult stem cells. Stem cells also classified based on the range of differentiation potentials into Totipotent, Pluripotent, Multipotent, and Unipotent. Multipotent stem cells have the ability to differentiate into all cell types within one particular lineage. There are plentiful advantages and usages for multipotent stem cells...
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28188937/universal-scientific-education-and-research-network-usern-to-make-the-knowledge-without-borders
#14
Nima Rezaei
No abstract text is available yet for this article.
January 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28120597/paramount-importance-of-angiotensin-receptor-neprilysin-inhibitor-in-heart-failure-management
#15
Hilman Zulkifli Amin, Lukman Zulkifli Amin, Firman Zulkifli Amin
No abstract text is available yet for this article.
December 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28120596/adenoid-cystic-carcinoma-of-bartholin-s-gland-case-report
#16
Mazdak Momeni, Yelena Korotkaya, Gonzalo Carrasco, Monica Prasad-Hayes
Primary adenoid cystic carcinoma (ACC) of Bartholin's gland is a rare gynecologic malignancy. We report a case of locally advanced ACC of Bartholin's gland. A 62-year-old presented with left Bartholin's gland carcinoma and underwent left radical vulvectomy, left-sided inguinal-femoral lymph node dissection, posterior pelvic exenteration, and pedicle abdominal muscle flap. On her 3 months follow-up exam she was disease free.Pelvic exenteration for thetreatment of this rare disease in the vulva is a potential curative option...
December 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28120595/cutaneous-involvement-in-plasma-cell-myeloma-report-of-a-case
#17
Farid Kosari, Hiva Saffar, Sanaz Aghaei
Plasma cellmyeloma constitutes about 10% of all hematologic malignancies. Metastatic cutaneous lesions without underlying bony involvement are rare and associated with advanced disease, poor prognosis and high tumor burden. IgG is the most common subtype and IgD is believed to have a more aggressive course.
December 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28120594/a-15-month-old-boy-with-respiratory-distress-and-parapharyngeal-abscess-a-case-report
#18
Behdad Gharib, Masoud Mohammadpour, Meisam Sharifzadeh, Fatemeh Mirashrafi, Bahareh Yaghmaie, Neda Pak, Mehrzad Mehdizadeh, Hamid Eshaghi, Mojtaba Gorji, Sara Memarian
Parapharyngeal abscess is a life-threatening disease. Upper respiratory tract infection is the main cause in children. We present a 15-month-old boy admitted to the emergency ward with the chief complaint of difficulty in breathing caused by parapharyngealabscess. His condition deteriorated gradually, and he transferred to the operation theater quickly for abscess drainage and because of the difficulty in orotracheal intubation; a tracheostomy was performed. His respiratory condition deteriorated 2 days after PICU admission, and the medical team noticed an unexplainable respiratory distress...
December 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28120593/validating-and-assessing-the-reaction-of-medical-students-toward-team-based-learning
#19
Fatemeh Keshmiri, Atena Rahmati, Ali Ghafarrahimi Amin, Tahereh Faezi
The aim of this study was to evaluate the psychometric properties of tools "Team-Based Learning Student Assessment Tool", Classroom Engagement Survey (CES) and to assess the reaction of learners toward TBL sessions at Tehran University of Medical Sciences. This descriptive study was done in 2013. The first step was to assess the reliability and validity of the tools. TBL-SAI questionnaire include 39 items, and CES consists 8 items. The validity was assessed through Delphi rounds by experts and reliability, through internal consistency and Test-Retest approach...
December 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28120592/profile-of-people-who-inject-drugs-in-tehran-iran
#20
Masoumeh Amin-Esmaeili, Afarin Rahimi-Movaghar, Maryam Gholamrezaei, Emran Mohammad Razaghi
The marked shift in the patterns of drug use in Iran, from opium smoking to injecting drug use, has led to serious health-related outcomes. This study was designed to explore characteristics of people who inject drugs (PWID) in Tehran, Iran. Nine hundred and four PWID were recruited from treatment and harm reduction facilities, as well as drug user hangouts in public areas in Tehran. Participants were interviewed using the Persian version of the World Health Organization Drug Injecting Study Phase II questionnaire...
December 2016: Acta Medica Iranica
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