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Acta Medica Iranica

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https://www.readbyqxmd.com/read/27888599/a-rare-anomaly-of-duodenum-a-case-report
#1
Rekha Lalwani, Sunita Athavale, Sheetal Kotgirwar
 Anatomical variations of duodenum such as atresia, stenosis, and variations in shape have been described by various authors, but the existence of a gross anomaly in shape and position of midgut segment of the duodenum is rare. Few reported cases of duodenal anomalies date back to early twentieth century. In the wake of advancement of imaging techniques and minimal access surgeries, authors report a case of a rare duodenal anomaly. The reported case assumes significance because of thepossibility of misinterpretation of radiological images which has been discussed while citing such references...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888598/adult-onset-still-s-disease-with-different-antibodies-a-case-report-and-review-of-literature
#2
Maryam Mobini, Roya Ghasemian, Fatemeh Zameni
 Adult-onset Still's disease (AOSD) is a rare systemic inflammatory disorder of unknown etiology. There is not currently any specific serological markers for AOSD , and  diagnosis still relying on the exclusion of other likely diagnoses. Yamaguchi's criteria are used as a diagnostic criterion which contains negative serologic markers for other collagen vascular diseases including systemic lupus erythematosus and rheumatoid arthritis. Here we report a 28-year-old woman with arthralgia, fever, rash, leukocytosis, lymphadenopathy, sore throat, abnormal liver function and negative rheumatoid factor and ANA but  seropositive for anti-CCP, anti-dsDNA, and C-ANCA...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888597/team-based-learning-a-new-approach-toward-improving-education
#3
Rita Rezaee, Neda Moadeb, Nasrin Shokrpour
 Team-based learning is designed to provide students with both conceptual and procedural knowledge, aiming to enhance active learning and critical thinking. In the present study, team-based learning and lecture methods in teaching the "hospital organization and management" course among hospital management students were compared. This quasi-experimental study was conducted on 25 undergraduate students of management. Teaching sessions were divided into two parts. The first part was taught with interactive lectures and the second part with team-based learning method...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888596/a-study-of-the-readiness-of-hospitals-for-implementation-of-high-reliability-organizations-model-in-tehran-university-of-medical-sciences
#4
Seyed Mohammad Hadi Mousavi, Hossein Dargahi, Sara Mohammadi
Creating a safe of health care system requires the establishment of High Reliability Organizations (HROs), which reduces errors, and increases the level of safety in hospitals. This model focuses on improving reliability through higher process design, building a culture of accreditation, and leveraging human factors. The present study intends to determine the readiness of hospitals for the establishment of HROs model in Tehran University of Medical Sciences from the viewpoint of managers of these hospitals...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888595/quality-of-life-in-medical-students-with-internet-addiction
#5
Farzad Fatehi, Alireza Monajemi, Anahita Sadeghi, Rita Mojtahedzadeh, Azim Mirzazadeh
The widespread use of internet has caused new psychological, social, and educational problems for the students. The aim of this study was to examine the quality of life in medical students who suffer from internet addiction. This cross-sectional survey was carried out in Tehran University of Medical Sciences, and a total of 174 fourth-to seventh-year undergraduate medical students were enrolled. The quality of life was assessed by WHOQOL-BREF questionnaire which covers four domains of physical health, psychological, social relationships, and the environment...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888594/effect-of-acute-noise-exposure-on-salivary-cortisol-a-randomized-controlled-trial
#6
Gholamreza Pouryaghoub, Ramin Mehrdad, Alireza Valipouri
Cardiovascular adverse effects are interesting aspects of occupational noise exposure. One possible mechanism of these effects is an alternation in hypothalamic-pituitary-adrenal axis. Our aim was to measure salivary cortisol response to relatively high-intensity noise exposure in a controlled randomized trial study. We exposed 50 male volunteers to 90 dBA noise for 20 minutes and compared their level of salivary cortisol with 50 non-exposed controls. Salivary samples obtained before and after exposure. Before intervention means (SD) salivary cortisol level were 3...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888593/a-comparative-study-on-dietary-style-and-physical-activity-of-women-with-and-without-gestational-diabetes
#7
Fatereh Momeni Javid, Masoumeh Simbar, Mahrokh Dolatian, Hamid Alavi Majd, Zohre Mahmoodi
Gestational diabetes increases the risks for mother and fetus during pregnancy. As a principle of caring for diabetes, recommending patients to lose weight through more physical activities and a restrictive diet has a long history. The present study was carried out aiming at determining and comparing dietary style and physical activity in women with gestational diabetes and healthy pregnant women. This descriptive-comparative study was carried out simultaneously on 200 pregnant women (with gestational diabetes and healthy)...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888592/problems-in-diagnosis-and-treatment-of-retrorectal-tumors-our-experience-in-50-patients
#8
Ghodratollah Maddah, Abbas Abdollahi, Hamid Etemadrezaie, Babak Ganjeifar, Behnaz Gohari, Mohsen Abdollahi, Masoumeh Hassanpour
Retrorectal tumors are rare lesions in adults, which remains a difficult diagnostic and management problem. The purpose of this study was to evaluate the results of surgical management of retrorectal tumors in our institution. In a retrospective study, a consecutive series of patients who underwent surgical excision of a retrorectal tumor were identified from a database. Medical records, radiology, pathology reports and surgical approach were checked retrospectively. The data was analyzed using SPSS statistical software (version 18)...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888591/a-novel-approach-to-minimally-invasive-management-of-sigmoid-volvulus
#9
Alireza Tavassoli, Ghodratollah Maddah, Sadjad Noorshafiee, Maryam Salehi, Shima Imannezhad, Ehsanollah Ghorbanian
Resection is the most common treatment choice for sigmoid volvulus, a common complication in our region. A new minimally invasive technique for sigmoid resection with local anesthesia was done in this study. This method is invented to avoid general on regional anesthesia in high-risk patients. Nineteen patients were evaluated and then 14 were enrolled in this study. Sigmoidectomy with a left lower quadrant incision was performed and demographic data, the length of hospital stay, complications and procedure time were recorded...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888590/erythrocytes-membrane-alterations-reflecting-liver-damage-in-ccl%C3%A2-induced-cirrhotic-rats-the-ameliorative-effect-of-naltrexone
#10
Fatemeh Sarhadi Kholari, Ahmad Reza Dehpour, Mitra Nourbakhsh, Amir Hossein Doustimotlagh, Molood Bagherieh, Abolfazl Golestani
Cirrhosis is the consequence of chronic liver disease. Deleterious effects of oxidative stress on hepatocytes may be reflected in the erythrocyte membrane. Naltrexone (NTX) has been shown to attenuate hepatocellular injury in fibrotic animal models. The aim of this study was to investigate the progressive effect of CCl4 on the liver and whether the improvement of liver cirrhosis can be monitored through alterations in the erythrocyte membrane. In this study, 84 male Wistar rats were divided into 4 groups and received reagents (i...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888589/combination-anti-apoptotic-effect-of-erythropoietin-and-melatonin-on-ischemia-reperfusion-induced-renal-injury-in-rats
#11
Shokofeh Banaei, Nasser Ahmadiasl, Alireza Alihemmati
Renal ischemia-reperfusion (IR) contributes to the development of acute renal failure (ARF). Oxygen free radicals are considered to be principal components involved in the pathophysiological tissue alterations observed during renal IR. The purpose of this study was to investigate the combination effect of melatonin (MEL) and erythropoietin (EPO), which are a potent antioxidant and anti-apoptotic agents, in IR-induced renal injury in rats. Wistar Albino rats were unilaterally nephrectomized and subjected to 45 min of renal pedicle occlusion followed by 24 h reperfusion...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888588/lps-responsive-beige-like-anchor-gene-mutation-associated-with-possible-bronchiolitis-obliterans-organizing-pneumonia-associated-with-hypogammaglobulinemia-and-normal-igm-phenotype-and-low-number-of-b-cells
#12
Sima Shokri, Mohammad Nabavi, Tatjana Hirschmugl, Asghar Aghamohammadi, Saba Arshi, Mohamad Hassan Bemanian, Morteza Fallahpour, Rasool Molatefi, Mahsa Rekabi, Narges Eslami, Javad Ahmadian, Kian Darabi, Gholam Reza Sedighi, Maryam Monajemzadeh, Mohammadreza Modaresi, Nima Parvaneh, Kaan Boztug, Nima Rezaei
LPS-Responsive Beige-like Anchor (LRBA) deficiency is a disease which has recently been described in a group of patients with common variable immunodeficiency (CVID) in association with autoimmunity and/or inflammatory bowel disease (IBD)-like phenotype. We here describe a 10-year-old boy who experienced recurrent infections, mainly in the respiratory system, associated with thrombocytopenia and anemia. Immunological workup showed low numbers of B cells and low IgG, but normal IgM levels. In spite of therapeutic doses of antibiotics, antivirals, and antifungal agents, in addition to immunoglobulin replacement therapy, he developed disseminated involvement of both lungs with peripheral nodules; transbronchial lung biopsy revealed possible bronchiolitis obliterans organizing pneumonia (BOOP)...
October 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27832697/the-complete-response-to-targeted-drugs-without-surgery-or-radiotherapy-a-case-of-pituitary-metastasis-from-renal-cell-carcinoma
#13
Mehrdad Payandeh, Masoud Sadeghi, Edris Sadeghi
Pituitary gland metastasis was seen in elderly patients, and the incidence of pituitary metastasis is 1% to 4% of all cancer patients. Renal cell carcinoma is a primary malignancy in only 2.6% of pituitary metastases. We reported a 50-year-old man with pituitary metastasis from renal cell carcinoma that had signs of diabetes insipidus. He had multiple lesions in both lungs, and bone scan involved L12 and L1 vertebrates. He was treated with combination bevacizumab 600 mg/month and sunitinib 50 mg/D for four weeks with two weeks rest for 6 months...
September 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27832696/hyperammonemic-induced-coma-by-bacterial-overgrowth-in-a-child-with-hirschsprung-s-disease
#14
Fatemeh Farahmand, Ahmad Khodadad, Gholamhosein Fallahi, Davood Motaharizad, Javad Sabery Nejad
Cases with Hirschsprung's disease show the functional intestinal obstruction. Obstruction in these patients may lead to bacterial overgrowth with stasis and inflammation of the colon. Bacterial overgrowth can cause hyperammonemia that makes lethargy and loss of conscious and finally admitting in ICU. The purpose of this case report is to present a case that had Hirschsprung's disease and referred to Children's Medical Center with serum hyper-ammonium caused by bacterial overgrowth that induced coma and altered level of consciousness then made her to admit to PICU...
September 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27832695/isolated-common-hepatic-artery-branch-thrombosis-results-and-risk-factors
#15
Abdoulhossein Davoodabadi, Hamid Reza Talari, Maseeh Jahanbakhsh
Isolated common hepatic artery branch thrombosis with severe gastric ischemia and duodenojejunal infarction is a rare condition; it usually presents with acute abdomen and may be associated with underlying thrombotic risk factors. We present a 35-year-old man admitted to our hospital with five days history of sudden abdominal pain and deteriorating epigastric pain. He was a driver and had no any past medical history. Explorative laparotomy showed: distal 2/3 gastric, duodenojejunal and papilla vater was sloughed...
September 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27832694/long-term-follow-up-of-sulfur-mustard-related-bronchiolitis-obliterans-treatment
#16
Hamidreza Abtahi, Soheil Peiman, Morteza Foroumandi, Enayat Safavi
Bronchiolitis obliterans (BO) is the most remarkable pulmonary sequels of war-related sulfur mustard inhalation. There is little if any data about long-term efficacy of associated BO treatment. Five years spirometric records of three groups of patients with obstructive pulmonary diseases (asthma, COPD, BO) and documented sulfur mustard inhalation were evaluated. The BO patients were treated with inhaled Seretide 125-250/25 (2 puffs BID), azithromycin (250 mg, three times/week) and N-acetylcysteine (1200-1800/day)...
September 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27832693/distance-learning-can-be-as-effective-as-traditional-learning-for-medical-students-in-the-initial-assessment-of-trauma-patients
#17
Shervin Farahmand, Ebrahim Jalili, Mona Arbab, Mojtaba Sedaghat, Mandana Shirazi, Fatemeh Keshmiri, Arsalan Azizpour, Somayeh Valadkhani, Shahram Bagheri-Hariri
Distance learning is expanding and replacing the traditional academic medical settings. Managing trauma patients seems to be a prerequisite skill for medical students. This study has been done to evaluate the efficiency of distance learning on performing the initial assessment and management in trauma patients, compared with the traditional learning among senior medical students. One hundred and twenty senior medical students enrolled in this single-blind quasi-experimental study and were equally divided into the experimental (distance learning) and control group (traditional learning)...
September 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27832692/entrepreneurship-psychological-characteristics-of-nurses
#18
Mohammad Reza Dehghanzadeh, Golrasteh Kholasehzadeh, Masoumeh Birjandi, Ensieh Antikchi, Mohamad Reza Sobhan, Hossein Neamatzadeh
Nurses are full partners with other health care professionals. Until fairly recently the scope of nurses potential in entrepreneurship has not been widely recognized. The present study tries to evaluate entrepreneurship psychological characteristics among nurses. The survey instrument included scales measuring entrepreneurship psychological characteristics including locus of control, need for achievement, risk taking propensity, ambiguity tolerance, and innovation, among nurses in the Shahid Sadoughi Hospital, Yazd, Iran in 2013...
September 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27832691/clinical-course-teaching-in-transport-of-critically-ill-patients-small-group-methods
#19
Mohammad Taghi Beigmohammadi, Mojgan Rahimi, Omid Nabavian, Seyed Hossein Davarani, Kassra Karvandian, Fatemeh Kamalitabar
Critically ill patient transfer is potentially risky and may be lead to morbidity and mortality. Physicians' skill is very important for safe transport. We want to evaluate the effect of clinical course teaching on the promotion of physicians' abilities in the transport of critically ill patients. In an interventional study, 320 interns, male and female, were taught about patient transfer in two groups include in one day clinical course as the small group system (n=160) and other group the lecture base learning (n=160)...
September 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27832690/cytotoxic-potential-of-centaurea-bruguierana-ssp-belangerana-the-mtt-assay
#20
Seyed Nasser Ostad, Afsaneh Rajabi, Rahim Khademi, Fatemeh Farjadmand, Mahdieh Eftekhari, Abbas Hadjiakhoondi, Mahnaz Khanavi
The genus Centaurea with an extensive background in Iranian traditional medicine represents more than 70 species in Iran that some of them are endemic to Iran. A variety of secondary metabolites has been isolated from this genus thus far. Sesquiterpene lactones and flavonoids have been reported as main compounds of C.bruguierana. Methanolic extract and different fractions of the whole fruiting samples of Centaurea bruguierana ssp.belangerana (Asteraceae) were examined for cytotoxicity against various cell lines using MTT cytotoxicity assay in order to identify active fraction(s)...
September 2016: Acta Medica Iranica
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