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Acta Medica Iranica

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https://www.readbyqxmd.com/read/28033701/giant-bladder-stone-in-a-healthy-young-female-a-case-report
#1
Seyed Mohammadreza Rabani
Giant or massive bladder stone is a rare condition that is usually seen in men with an underlying urologic problem. Hereby we report a large stone in a healthy young female without any predisposing factor and with the minimal urologic complaint.
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28033700/brucellosis-with-multi-organ-involvement-in-a-patient-with-history-of-composite-aortic-graft-and-hepatitis-b
#2
Seyed Ali Dehghan Manshadi, Omid Rezahosseini, Zahra Abdi Liaei
The brucellosis with multi-organ involvement in a patient with a history of the composite aortic graft (Bentall procedure) and Hepatitis B infection is rare. A 35-year-old man presented to us with fever and loss of consciousness. Four years ago, he was IDU and underwent cardiac surgery because of endocarditis. Recently lumbar spondylodiscitis was diagnosed. The Wright (1/320) and Coombs Wright tests (1/640) were positive. After CNS imaging, lumbar puncture was done. The CSF pleocytosis was lymphocyte dominant...
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28033699/understanding-doctoral-nursing-students-experiences-of-blended-learning-a-qualitative-study
#3
Abdolhossein Emami Sigaroudi, Shahrzad Ghiyasvandian, Alireza Nikbakht Nasabadi
The concept of blended learning in the field of nursing and medicine has been accepted. Blended learning has been extensively used thanks to the development of communication technologies and the availability of Internet services. Meanwhile, experiences-based research, by all accounts, can help the expansion of such a learning modality. Therefore, this study was designed to explain nursing doctoral students' experiences of blended learning. To attain this goal, a descriptive phenomenology method was used to illustrate experiences as they are experienced by the participants in the study...
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28033698/balance-performance-of-deaf-children-with-and-without-cochlear-implants
#4
Amir-Abbas Ebrahimi, Guita Movallali, Ali-Ashraf Jamshidi, Hojjat Allah Haghgoo, Mehdi Rahgozar
 The aim of this study was to compare the static and dynamic balance performance of deaf children with and without cochlear implants. This is a cross-sectional study of 145 school children, aged between 7 and 12 years comprising 85 children with congenital or early acquired bilateral profound sensorineural hearing loss (the hearing loss group) and 60 normal hearing aged-matched control counterparts were assessed using the balance subtest of Bruininks-Oseretsky test of Motor Proficiency (BOTMP). The hearing loss group, 50 without cochlear implants (the non-implant group) and 35 of them with unilateral cochlear implants (the implant group) were recruited from schools for the deaf and normal hearing children (the control group) randomly selected from two randomly selected elementary schools of Tehran city...
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28033697/management-of-retinal-vein-occlusion-who-is-responsible
#5
Mohamadreza Aghamirsalim, Reza Sorbi, Mohammadreza Naderian, Sudha Cugati, Marianne Levon Shahsuvaryan, Maryam Ghazizadeh Hashemi
Retinal vein occlusion (RVO) is a common retinal vascular occlusive disorder and is associated with a variety of systemic risk factors. The aim of this study was to investigate whether the underlying diseases were evaluated and managed appropriately by ophthalmologists. We performed a study of 1344 patients with retinal vein occlusion (RVO). Patients were evaluated with a questionnaire including ten closed questions to determine whether ophthalmologists evaluated and informed their patients about the underlying systemic diseases...
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28033696/assessing-metabolic-syndrome-through-increased-heart-rate-during-exercise
#6
Masoumeh Sadeghi, Mojgan Gharipour, Pouya Nezafati, Davood Shafie, Esmaeil Aghababaei, Nizal Sarrafzadegan
The present study aimed to assess changes in resting and maximum heart rates as primary indicators of cardiac autonomic function in metabolic syndrome (MetS) patients and to determine their value for discriminating MetS from non-MetS. 468 participants were enrolled in this cross-sectional study and assessed according to the updated adult treatment panel III (ATP-III) definition of MetS. Resting and maximum heart rates were recorded following the Bruce protocol during an exercise. A receiver operating characteristic (ROC) curve was used to identify the best cutoff point for discriminating MetS from the non-MetS state...
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28033695/attention-deficit-hyperactivity-disorder-and-anxiety-in-children-with-malignancy
#7
Parsa Yousefi Chaijan, Mojtaba Sharafkhah, Ali Abdolrazaghnejad, Mohammad Amiri, Mohsen Ebrahimi Monfared, Saghi Fatemi Tabaei
Attention deficit hyperactivity disorder (ADHD) and Anxiety is the most common childhood psychiatric disorder. Based on studies, these disorders are more prevalent in some chronic disease. This study aimed at investigating the prevalence of ADHD and anxiety in children with malignancy and anxiety in their parents and comparing the results with those of the control group. One hundred, 3-15-year-old children with malignancy and 100 healthy children without malignancy or any chronic disease were included in this case-control study as case and control groups, respectively...
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28033694/risk-factors-and-consequent-outcomes-of-placenta-previa-report-from-a-referral-center
#8
Soraya Saleh Gargari, Zahra Seify, Ladan Haghighi, Maryam Khoshnood Shariati, Masoumeh Mirzamoradi
 Because of an unknown factor, the frequency of complicated pregnancy with placenta previa has been raised during past decade. This study was designed to deepen our understanding of risk factors and outcomes of placenta previa in our country. This study investigated 694 cases of placenta previa comparing with 600 healthy pregnant women with not overlie placenta in two referral and tertiary Obstetrics and Gynecological Hospital in Iran on the basis of the clinical and para-clinical analysis, in order to find the probable risk factors for occurrence of placenta previa and its effect on maternal and neonatal complications...
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28033693/comparison-of-morphine-suppository-and-diclofenac-suppository-for-pain-management-after-elective-caesarean-section
#9
RANDOMIZED CONTROLLED TRIAL
Atossa Mahdavi, Zeinab Telkabadi, Ashraf Aleyasin, Marzieh Agha Hosseini, Leili Safdarian, Ali Momenzadeh
This study investigated efficacy and side effects of Morphine suppository for pain management after the first elective caesarean delivery in comparison to Diclofenac suppository. One hundred women aged 18-40 with term pregnancies undergoing elective caesarean section for the first time participated in this prospective project. Exclusion criteria included drug sensitivity, fetal malformations or defects, and complications during the cesarean operation. After same spinal anesthesia and same surgical techniques and in the recovery room patients consecutively received 100 mg diclofenac suppository or 10 mg morphine suppository...
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28033692/helicobacter-pylori-and-its-virulence-factors-effect-on-serum-oxidative-dna-damages-in-adults-with-dyspepsia
#10
Heshmat Shahi, Rasoul Bahreiny, Somayeh Reiisi
Helicobacter Pylori infection is a common gastrointestinal infection that can cause pathological effects, increase oxidative stress and induce an inflammatory response in gastric mucosa. Inflammatory aspects may prompt the production of radical oxygen substance (ROS) which may damage cells and release 8-hydroxydyoxyguanosine (8-OHdG) to serum. In this study, we evaluate the prevalence of H. pylori virulence factors and the association between serum level of 8-OHdG, H. pylori infection, and its various virulence factors...
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28033691/memantine-enhances-the-effect-of-olanzapine-in-patients-with-schizophrenia-a-randomized-placebo-controlled-study
#11
RANDOMIZED CONTROLLED TRIAL
Ahmad Fakhri, Sirous Pakseresht, Mohammad Reza Haghdoost, Nasihat Hekmatkhah, Maria Torkashvand, Behnam Ghorbanzadeh
Glutamate dysregulation may be involved in the neuropathology of schizophrenia. Memantine, a drug approved by the FDA for the treatment of moderate to severe Alzheimer's disease, acts as a partial uncompetitive NMDA receptor antagonist. The aim of this study was to examine the efficacy of memantine as an adjunctive treatment to olanzapine in patients with schizophrenia. In this double-blind, placebo-controlled studies, patients with schizophrenia according to DSM-IV clinical criteria were selected. Patients were randomly assigned to receive either memantine (week 1:10 mg/day; weeks 2-6:20 mg/day) plus olanzapine (15-20 mg/day) or olanzapine plus placebo...
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/28033690/progress-of-iran-in-medical-research
#12
REVIEW
Shadi Kolahdoozan, Sadegh Massarrat
 The indexed Iranian journals in ISI and PubMed at the end of 2012 with known impact factor (IF) were evaluated with regard to the number of articles published in 2010-2012, the number of citations by authors from inside and outside Iran, their IF as well as their ranking order among all other journals in their specialized categories. There were among 130 English journals, 21 indexed with known IF. The mean IF of these journals increased from 0.4 in 2010 to 0.68 in 2012. The number of citations per article by authors from outside Iran increased from 0...
November 2016: Acta Medica Iranica
https://www.readbyqxmd.com/read/27888599/a-rare-anomaly-of-duodenum-a-case-report
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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