<?xml version="1.0"?>
<Articles JournalTitle="Acta Medica Iranica">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>11</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>11</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Comparison of the Efficacy of Nifedipine and Hydralazine in Hypertensive Crisis in Pregnancy</title>
    <FirstPage>701</FirstPage>
    <LastPage>706</LastPage>
    <AuthorList>
      <Author>
        <FirstName>Zahra</FirstName>
        <LastName>Rezaei</LastName>
        <affiliation locale="en_US">Department of Obstetrics &amp; Gynecology, Women Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Fatemeh</FirstName>
        <LastName>Rahimi Sharbaf</LastName>
        <affiliation locale="en_US">Department of Obstetrics &amp; Gynecology, Women Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mino</FirstName>
        <LastName>Pourmojieb</LastName>
        <affiliation locale="en_US">Department of Obstetrics &amp; Gynecology, Women Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Yashar</FirstName>
        <LastName>Youefzadeh-Fard</LastName>
        <affiliation locale="en_US">Department of Obstetrics &amp; Gynecology, Women Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Manijeh</FirstName>
        <LastName>Motevalian</LastName>
        <affiliation locale="en_US">Department of Pharmacology, Razi Institute for Drug Research, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Zahra</FirstName>
        <LastName>Khazaeipour</LastName>
        <affiliation locale="en_US">Research Development Center, Imam Khomeini Hospital, Health Deputy of Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Sara</FirstName>
        <LastName>Esmaeili</LastName>
        <affiliation locale="en_US">Department of Obstetrics &amp; Gynecology, Women Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Intravenous hydralazine is a commonly administered arteriolar vasodilator that is effective for hypertensive emergencies associated with pregnancy. Oral nifedipine is an alternative in management of these patients. In this study the efficacy of nifedipine and hydralazine in pregnancy was compared in a group of Iranian patients. Fifty hypertensive pregnant women were enrolled in the study. A randomized clinical trial was performed, in which patients in two groups received intravenus hydralazine or oral nifedipine to achieve target blood pressure reduction. The primary outcomes measured were the time and doses required for desired blood pressure achievement. Secondary measures included urinary output and maternal and neonatal side effects. The time required for reduction in systolic and diastolic blood pressure was shorter for oral nifedipine group (24.0&#xB1;10.0 min) than intravenus Hydralazine group (34.8&#xB1;18.8 min) (P&#x2264;0.016). Less frequent doses were required with oral nifedipine (1.2&#xB1;0.5) compared to intravenus hydralazine (2.1&#xB1;1.0) (P&#x2264;0.0005). There were no episodes of hypotension after hydralazine and one after nifedipine. Nifedipine and hydralazine are safe and effective antihypertensive drugs, showing a controlled and comparable blood pressure reduction in women with hypertensive emergencies in pregnancy. Both drugs reduce episodes of persistent severe hypertension. Considering pharmacokinetic properties of nifedipine such as rapid onset and long duration of action, the good oral bioavailability and less frequent side effects, it looks more preferable in hypertension emergencies of pregnancy than hydralazine.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3823</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3823/3798</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>11</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>11</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Detection of Human Papillomavirus in Squamous Cell Carcinoma of Conjunctiva by Nested PCR: A Case Control Study in Iran</title>
    <FirstPage>707</FirstPage>
    <LastPage>714</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Fahimeh</FirstName>
        <LastName>Asadi-Amoli</LastName>
        <affiliation locale="en_US">Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Amir Behzad</FirstName>
        <LastName>Heidari</LastName>
        <affiliation locale="en_US">Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Issa</FirstName>
        <LastName>Jahanzad</LastName>
        <affiliation locale="en_US">Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mahmoud</FirstName>
        <LastName>Jabbarvand</LastName>
        <affiliation locale="en_US">Department of Ophthalmology, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Squamous-cell carcinoma (SCC) of the eye conjunctiva is a rare tumor. Its link with immune impairment suggests that infectious agents such as human papillomavirus (HPV) may be involved in the etiology of SCC. We conducted a case-control study on 50 SCC cases (mean age: 65.2) and 50 age frequency-matched control patients with lesion-free, normal conjunctival biopsies (mean age: 63.8) obtained from the cancer registry archive at Pathology Department of Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran, where SCC has become the most common conjunctival malignancy. MY/GP nested PCR was performed for HPV detection and E6/E7 consensus primers in combination of type specific primers were used in another nested PCR series for HPV typing. HPV DNA was detected in 46 of 50 samples of squamous cell carcinoma and none of the normal biopsies by nested PCR using primer sets of the HPV consensus L1 region (MY/GP). Subsequently, specimens from the 46 positive cases were subjected to specific PCR. Although 630bp amplicon was produced in 44 of 46 samples (E6/E7 primers), none of the specific HPV PCR reactions for HPV DNA type 16, 18, 31 or 33 resulted in the detection of HPV DNA in the 44 SCC specimens of the conjunctiva. Current results confirm the role of HPV in the etiology of conjunctival SCC. The absence of HPV 16, 18, 31 and 33 in conjunctival SCC in this study raise doubts about the role of genital types of HPV in conjunctival carcinomas.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3824</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3824/3799</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>11</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>11</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Anti-Mullerian Hormone as a Predictive Factor in Assisted Reproductive Technique of Polycystic Ovary Syndrome Patients</title>
    <FirstPage>715</FirstPage>
    <LastPage>720</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Ashraf</FirstName>
        <LastName>Aleyasin</LastName>
        <affiliation locale="en_US">Department of Infertility, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Marzie</FirstName>
        <LastName>Aghahoseini</LastName>
        <affiliation locale="en_US">Department of Infertility, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Sara</FirstName>
        <LastName>Mokhtar</LastName>
        <affiliation locale="en_US">Department of Infertility, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Parvin</FirstName>
        <LastName>Fallahi</LastName>
        <affiliation locale="en_US">Department of Infertility, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">This study aimed to assess the relationship between the serum levels of anti-mullerian hormone&#xA0;(AMH) and other hormonal markers and results of assisted reproductive techniques (ART) in polycystic&#xA0;ovary syndrome (PCOS) patients. This cohort study was conducted on 60 PCOS patients who were&#xA0;candidates for assisted reproductive techniques. In all patients the serum levels of AMH, follicle stimulating&#xA0;hormone (FSH) and luteinizing hormone (LH), estradiol (E2), free testosterone (fT), testosterone (T) and&#xA0;inhibin B were measured in the 3rd day of menstrual cycle. The relationship between serum level of measured&#xA0;hormonal markers with retrieved oocytes, mature oocytes, the number of transferred fetus and pregnancy rate&#xA0;were assessed. The cut-off value for the serum level of AMH and retrieved oocytes were determined. There&#xA0;was a significant direct correlation between the serum mullerian inhibiting substance (MIS) level with&#xA0;number of total picked up oocytes (r=0.412), mature oocytes (r=0.472) and embryo transfer (r=0.291). There&#xA0;was a linear and significant correlation between inhibin B and fertilization (r=0.283) Cut-off point for AMH&#xA0;level according to presence or absence of pregnancy was 4.8 ng/ml and it was not statistically significant&#xA0;(P=0.655). Area under curve (AUC) was 0.543. Cut-off point for MIS according to picked up oocytes was 2.7&#xA0;ng/ml with area under the curve (ROC curve) of 0.724 (CI= 0.591-0.831) (P=0.002). Patients with PCOS who&#xA0;had AMH more than 2.7 ng/ml, the number of retrieved oocytes (6 or more) was higher than MIS/AMH &lt;2.7&#xA0;ng/ml (P=0.002). As a marker of ovarian responsiveness to controlled ovarian hyperstimulation (COH) and&#xA0;despite a small sample size of our study, it is revealed that pretreatment MIS/AMH is highly associated with&#xA0;the number of mature oocytes retrieved during COH in PCOS women.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3825</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3825/3800</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>11</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>11</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Relationship between Helicobacter pylori Infection and Chronic Obstructive Pulmonary Disease</title>
    <FirstPage>721</FirstPage>
    <LastPage>724</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Seyyed Hamid</FirstName>
        <LastName>Hashemi</LastName>
        <affiliation locale="en_US">Department of Infectious Diseases, Hamedan University of Medical Sciences, Hamedan, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Ebrahim</FirstName>
        <LastName>Nadi</LastName>
        <affiliation locale="en_US">Department of Pulmonary Diseases, Hamedan University of Medical Sciences, Hamedan, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mehrdad</FirstName>
        <LastName>Hajilooi</LastName>
        <affiliation locale="en_US">Department of Immunology, Hamedan University of Medical Sciences, Hamedan, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mohammad-Ali</FirstName>
        <LastName>Seif-Rabiei</LastName>
        <affiliation locale="en_US">Department of Social Medicine, Hamedan University of Medical Sciences, Hamedan, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Uldoz</FirstName>
        <LastName>Roustaei</LastName>
        <affiliation locale="en_US">Department of Infectious Diseases, Hamedan University of Medical Sciences, Hamedan, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">There is some evidence indicating the role of Helicobacter pylori infection in pathogenesis of extragastrointestinal diseases including skin, vascular, and autoimmune disorders, as well as some respiratory diseases. The aim of this study was to investigate the association between H. pylori and chronic obstructive pulmonary disease (COPD). In a case-control study, 90 patients with COPD and 90 age- and sex- matched control subjects were included. Serum samples were tested for anti-H. pylori and anti-CagA IgG by ELISA. A physician completed a questionnaire including demographic characteristics, habitual history, and spirometric findings for each patient. Of 90 patients with COPD 66 (51%) had mild, 31 (34.4%) moderate, and 13 (14.4%) sever disease. There was no significant association between H. pylori IgG seropositivity and COPD. Serum levels of anti-CagA IgG were significantly higher in patients with COPD than in the control subjects (P &lt; 0.001). No association was observed between H. pylori infection and severity of COPD. The results suggest that there is an association between CagA-positive H. pylori infections and COPD. Further studies should be planned to investigate the potential pathogenic mechanisms that might underlie these associations.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3826</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3826/3801</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>11</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>11</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Relationship between Exposure to Industrial Noise and Serum Lipid Profile</title>
    <FirstPage>725</FirstPage>
    <LastPage>729</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Ramin</FirstName>
        <LastName>Mehrdad</LastName>
        <affiliation locale="en_US">Center for Research on Occupational Diseases, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Afshin</FirstName>
        <LastName>Malek Bahabad</LastName>
        <affiliation locale="en_US">Department of Occupational Medicine, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Azadeh</FirstName>
        <LastName>Nahan Moghaddam</LastName>
        <affiliation locale="en_US">Center for Research on Occupational Diseases, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Aim of our study was to investigate the effects of exposure to industrial noise on serum lipid profile among workers who are exposed to noise at work. In a historical cohort study, we recruited 154 and 146 male workers as high and low level noise exposure groups respectively. We defined workers with at least one year exposure to noise level more than 90 dB as high exposure group, and those with exposure to less than 80 dB as low exposure group. Afterwards, in the fasting blood specimens of participants we measured serum Triglyceride (TG), total Cholesterol (TC), high and low density lipoprotein (HDL and LDL). Mean of TG, TC, HDL and LDL for low exposure group were 148, 189, 38 and 103 mg/dl and for high exposure group were 237, 189, 37 and 104 mg/dl respectively. Mean serum TG between two groups was different. Even after adjustment for age, BMI, smoking and work hours per week, serum TG among high exposure group was 89 mg/dl higher than low exposure group and this difference was statistically significant (P=0.00). There was no significant difference between two groups in TC, LDL and HDL levels. This study did not find a statistically significant relationship between exposure to noise and serum TC, LDL and HDL, but TG in two groups was different and this difference was statistically significant.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3827</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3827/3802</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>11</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>11</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Relationship between the Pattern of Coronary Artery Disease Risk Factors and Lipid Ratios with Five Groups of Body Mass Index in 28566 Healthy Adults</title>
    <FirstPage>730</FirstPage>
    <LastPage>736</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Zinat Nadia</FirstName>
        <LastName>Hatmi</LastName>
        <affiliation locale="en_US">Department of Social Medicine, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mitra</FirstName>
        <LastName>Mahdavi-Mazde</LastName>
        <affiliation locale="en_US">Department of Nephrology, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Seyed Saeid</FirstName>
        <LastName>Hashemi-Nazari</LastName>
        <affiliation locale="en_US">Health City Office, Tehran Municipality, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Ebrahim</FirstName>
        <LastName>Hajighasemi</LastName>
        <affiliation locale="en_US">Health City Office, Tehran Municipality, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Behnaz</FirstName>
        <LastName>Nozari</LastName>
        <affiliation locale="en_US">Research Center of Iranian Tissue Bank, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Nasrin</FirstName>
        <LastName>Jalilian</LastName>
        <affiliation locale="en_US">Department of Obstetric and Gynecology, Kermanshah University of Medical Sciences, Kermanshah, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Azita</FirstName>
        <LastName>Mahdavi</LastName>
        <affiliation locale="en_US">National Behzisti Organization, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Pattern of the coronary artery disease (CAD) risk factors across body mass index (BMI) categories remains uncertain. There is a different threshold of obesity for increasing cardiovascular hazard across populations, accordingly recognition and management of obesity and overweight can guide better control of CAD epidemic in the national level. To determine the discrepancy in the prevalence of CAD risk factors across five BMI categories. A population based survey of 28566 participants recruited to medical screening of taxi drivres in Tehran (MSTDT) was designed. According to a standardized protocol data on CAD risk factors were obtained by taking medical history, examination and laboratory tests. After adjustment for age, sex, literacy, smoking, systolic blood pressure (SBP), fasting blood sugar (FBS), and LDL-C/HDL-C ratio, these CAD risk factors of diastolic blood pressure (DBP)&gt;90 mmHg, hypertriglyceridemia, high triglyceride/ HDL-C ratio, hypercholesterolemia, and high cholesterol/HDL-C ratio were increased significantly across five incremental categories of BMI. Prevalence of DBP&gt; 90 mmHg, hypertriglyceridemia, hyper cholesterolemia and ratios of cholesterol/ HDL-C and TG/HDL-C increased considerably across five groups of BMI. This pattern is different from previous research and our results endorsed more features of pattern of CAD risk factors across BMI categories.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3828</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3828/3803</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>11</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>11</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Relationship between Arterial Blood Pressure and Body Mass Index of School Age Children of Southern Region of Iran</title>
    <FirstPage>737</FirstPage>
    <LastPage>741</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Hamideh</FirstName>
        <LastName>Shajari</LastName>
        <affiliation locale="en_US">Department of Pediatrics, Tehran University of Medical Sciences ,Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Ahmad</FirstName>
        <LastName>Shajari</LastName>
        <affiliation locale="en_US">Department of Pediatric Nephrology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mohsen</FirstName>
        <LastName>Akhavan Sepahi</LastName>
        <affiliation locale="en_US">Department of Pediatric Nephrology, QOm University of Medical Sciences, Qom, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Amir Houshang</FirstName>
        <LastName>Mehrparvar</LastName>
        <affiliation locale="en_US">Department of Occupation Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Reza</FirstName>
        <LastName>Roghani</LastName>
        <affiliation locale="en_US">Department of Pediatrics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.</affiliation>
      </Author>
 ls and Gandy Center of Surgery between 2003-2008 were evaluated. Forty three of 87 patients finally undertaken intravenous regional sympatholytic block according to therapeutic protocol. 37 patients (86%) received one block, 2 of them (4.75%) received 2 repetitions of blocks and finally repeated block for three times occurred in 4 patients (9.3%). A week after block pain relief outcomes was recorded as following; excellent in 7 patients (16.3%), good in the 32 patients (74.4%) and moderate in the 4 patients (9.3%). After a month, 8 patients (18.5%) showed excellent relief and it was good and moderate in 32 (78%) and one case (2.4%), respectively. Pain relief after three months was excellent, good and moderate in the 13 patients (31.7%), 25 patients (61%) and 3 patients (7.3%), respectively. In this study level of pain relief was significant in various intervals and it showed significant difference in relief three months after block (P=0.04). CRPS due to SMP(sympathetically maintained pain) is thought to be alleviated by phentolamine. Intravenous phentolamine infusion is potentially a new significant option for the therapy of CRPS.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3788</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3788/3763</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>8</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>08</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">The Diagnostic Accuracy of High Resolution Ultrasound Imaging for Detection of Secondary Hyperparathyroidism in Patients with Chronic Renal Failure</title>
    <FirstPage>527</FirstPage>
    <LastPage>530</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Hassan</FirstName>
        <LastName>Anari</LastName>
        <affiliation locale="en_US">Department of Radiology. Ardebil University of Medical Sciences, Ardebil, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Bahman</FirstName>
        <LastName>Bashardoust</LastName>
        <affiliation locale="en_US">Department of Dialysis, Ardebil University of Medical Sciences, Ardebil, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Masoud</FirstName>
        <LastName>Pourissa</LastName>
        <affiliation locale="en_US">Department of Radiology, Neurosciences Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Soheila</FirstName>
        <LastName>Refahi</LastName>
        <affiliation locale="en_US">Department of Medical Physics, Faculty of Medicine. Ardebil University of Medical Sciences, Ardebil, Iran. AND Departments of Physics and Medical Engineering, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Ultrasound is one of the preferred modalities for evaluation of the parathyroid glands. This study&#xA0;was undertaken to determine the accuracy of high resolution ultrasound for secondary hyperparathyroidism in&#xA0;patients with chronic renal failure. From March 2008 to March 2009, ninety-one hemodialysis patients were&#xA0;examined by high resolution ultrasound (14 MHz) of the parathyroid glands in comparison to parathyroid&#xA0;hormone level. 43.9% of patients showed enlarged parathyroid glands with an average of 8.7 mm. The mean&#xA0;parathyroid hormone level of patients with enlarged parathyroid glands on sonography was 503 &#xB1; 450&#xA0;pg/ml. We observed a significant correlation between parathyroid hormone level and enlarged parathyroid&#xA0;glands (P&lt;0.0001). Sensitivity and specificity of sonography for detection of secondary hyperparathyroidism&#xA0;were 62.5% and 85.7% respectively. In conclusion, our study showed that high resolution sonography is a&#xA0;useful noninvasive method for the evaluation of secondary hyperparathyroidism in patients on hemodialysis&#xA0;and that sonographically enlarged glands may be a measure of severity of secondary hyperparathyroidism.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3789</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3789/3764</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>8</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>08</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Correlation between the Serum Levels of Uric Acid and HS-CRP with the Occurrence of Early Systolic Failure of Left Ventricle Following Acute Myocardial Infarction</title>
    <FirstPage>531</FirstPage>
    <LastPage>535</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Younes</FirstName>
        <LastName>Nozari</LastName>
        <affiliation locale="en_US">Department of Cardiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Babak</FirstName>
        <LastName>Geraiely</LastName>
        <affiliation locale="en_US">Department of Cardiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Recent studies show that, Inflammation plays an important role in the initiation and progression&#xA0;of atherosclerosis and in the pathogenesis of acute cardiovascular events. There is a possible association&#xA0;between ventricular dysfunction following acute myocardial infarction and high Sensitivity C-reactive protein&#xA0;(HS-CRP) and uric acid. In this study we assessed the relationship between HS-CRP and uric acid with LVEF&#xA0;and Killip Class in patients with acute myocardial infarction (AMI). In a cross sectional study, 188 patients&#xA0;(63 females and 125 males) with AMI (STEMI) who were admitted in CCU ward in Emam Khomeini&#xA0;Hospital, Tehran/Iran, were entered. Uric acid and HS-CRP were measured within first day of admission. We&#xA0;measured ejection fraction (LVEF) and used Killip classification system. The mean age of patients was&#xA0;60.4&#xB1;9.2 years. The mean of uric acid was 5.9&#xB1;1.6, 6.6&#xB1;2.1, 7.1&#xB1;2.1 and 9.4&#xB1;1.3 in patients with Killip Class&#xA0;I, II, III and IV, respectively (P=0.005). The mean of HS-CRP was 1.9&#xB1;1.4, 14.2&#xB1;10.9, 12.2&#xB1;10.9 and&#xA0;15.7&#xB1;6.7 in patients with Killip Class I, II, III and IV, respectively (P=0.005). There was a relationship&#xA0;between HS-CRP and LVEF (Correlation coefficient= -0.788, P&lt;0.001), but there was not between uric acid&#xA0;and LVEF (Correlation coefficient= -0.111, P=0.129), The plasma concentration of C-reactive protein&#xA0;correlated with LVEF and Killip Class in patients with AMI but serum uric acid was just correlated with&#xA0;Killip Class IV. It seems that plasma concentrations of HS-CRP and uric acid are useful for prediction of&#xA0;development of heart failure in AMI patients. More future studies are necessary for final judgment.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3790</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3790/3765</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>8</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>08</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Result of Shelf Acetabuloplasty in Adults: 20 Years of Follow-Up</title>
    <FirstPage>536</FirstPage>
    <LastPage>542</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Kaveh</FirstName>
        <LastName>Bashti</LastName>
        <affiliation locale="en_US">Department of Orthopaedic Surgeon, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Issa</FirstName>
        <LastName>Navab</LastName>
        <affiliation locale="en_US">Department of Orthopaedic Surgeon, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">The current study was conducted in order to examine the effectiveness of shelf procedure in symptomatic adult patients due to hip dysplasia. This study is retrospective and was performed on patients who had undergone surgery by one orthopaedic surgical team during the past 20 years. Twenty-three men and twenty-three women were enrolled in the study with a mean age of 29.3 years at the time of operation and they were followed up for a mean of 9.3 years. Shelf acetabuloplasty was performed unilateral in 30 patients and bilateral in 16 patients. Results demonstrated that mean Harris Hip Score and CE Angle significantly improved after the operation, while osteoarthritis got more severe post-operatively. The severity of osteoarthritis and the Harris Hip Score respectively significantly increased and decreased 14 years after the operation. Results also demonstrated that as the age of the patient was less, and the patient was more satisfied and the degree of osteoarthritis was less at the time of the operation, the mean change of the Harris Hip Score would be higher and the results of the operation would be more favorable. The preoperative osteoarthritis was significantly worse in to-be-operated hips than their control hips, this difference was not significant after the operation. And finally, although Harris Hip Score has been lower in to-be-operated hips before the operation, it was higher in these very same hips than the control hips after the operation. In short, according to this study although the shelf acetabuloplasty is a salvage procedure and cannot cover the femoral head concentrically like the modern redirectional osteotomies , but it is an effective procedure for a young patient to postpone the progression of the hip osteoarthritis (OA) once it occurs in order to perform reconstructive surgeries later when justified.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3791</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3791/3766</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>8</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>08</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Anterior Fontanelle Size in Healthy Iranian Neonates on the First Day of Life</title>
    <FirstPage>543</FirstPage>
    <LastPage>546</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Hamideh</FirstName>
        <LastName>Shajari</LastName>
        <affiliation locale="en_US">Department of Neonatology, Shariati Hospital, School of Medicine, Tehran University of Medical Science, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Neda</FirstName>
        <LastName>Rashidiranjbar</LastName>
        <affiliation locale="en_US">Department of Neonatology, Shariati Hospital, School of Medicine, Tehran University of Medical Science, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Mahmoodreza</FirstName>
        <LastName>Ashrafi</LastName>
        <affiliation locale="en_US">Department of Neurology, Children&#x2019;s Medical Center, School of Medicine ,Tehran University of Medical Science ,Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">There is limited data in the literature on the normal size of the anterior fontanelle. This crosssectional study was to determine normal values of anterior fontanelle size on the first day of life, using&#xA0;standard methods. Anterior fontanelle size was measured in 400 term and healthy neonates delivered at the&#xA0;Shariati Hospital, Tehran, Iran. Examination included assessment of head circumference, anterior fontanelle&#xA0;size, weight, length. Type of delivery was also recorded. The mean size of anterior fontanelle was 25.34 &#xB1;&#xA0;13.27 mm, and it was established in both genders, 26.70 &#xB1; 13.19 mm in boys, and 23.67 &#xB1; 13.20mm in girls.&#xA0;A significant difference between the mean anterior fontanelle size in boys and girls was found (P=0.023).&#xA0;There was no significant difference in anterior fontanelle size between the infants born with a normal vaginal&#xA0;delivery and those with cesarean-section (P=0.08). There was found a significant negative correlation&#xA0;between the mean size of anterior fontanelle size with both weight and height (P&lt;0.05). No significant&#xA0;correlation was found between mean size of anterior fontanelle and head circumference or with gestational&#xA0;age of infant (P&#x2265;0.05). Our results proved possible to define a references range and centile chart. The method&#xA0;used is simple and accurate and easy used in the routine neonatal examination.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3792</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3792/3767</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>8</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>08</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Doppler Findings in Intrapartum Fetal Distress</title>
    <FirstPage>547</FirstPage>
    <LastPage>550</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Laleh</FirstName>
        <LastName>Eslamian</LastName>
        <affiliation locale="en_US">Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Khatereh</FirstName>
        <LastName>Tooba</LastName>
        <affiliation locale="en_US">Department of Obstetrics and Gynecology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">The umbilical vein (UV) has a non pulsating and even pattern in normal fetuses. Pulsation of UV&#xA0;has been described in severely growth restricted fetuses with chronic hypoxia. We wanted to see whether UV&#xA0;pulsations could also be seen in fetuses with heart deceleration during labor, as an adjunctive measure to&#xA0;assess the intra partum hypoxia. In a prospective study Doppler examination was performed on 34 fetuses&#xA0;with normal cardiotocography (CGT) and 26 fetuses with abnormal CTGs (GA&gt;37w and cervical&#xA0;dilatation&gt;3cm). Perinatal outcome was assessed according to presence or absence of UV pulsations. The 2&#xA0;groups were similar regarding gestational age, cervical dilatation, Umbilical artery blood pH, S/D&#xA0;ratio,Pulsatility Index( PI) and Resistance Index (RI). Intraabdominal UV pulsation were present in 6 (23.1%)&#xA0;of abnormal CTG group but no case were seen in normal CTG group (P= 0.005). Five of 6 (83.3%) fetuses&#xA0;with UV pulsation underwent cesarean delivery. The rate of cesarean delivery was 90% in abnormal CTG&#xA0;group without pulsation and 14.7% in normal CTG group. The frequency of Apgar score &lt;7 was more in&#xA0;fetuses with UV pulsations (16.7% vs 5%) although not statistically significant. NICU admission was&#xA0;considerably more in UV pulsation group (33% vs 5%, P= 0.123). After exclusion of LBW fetuses the UV&#xA0;pulsation was present in 4 (19%) of abnormal CTG group, who 3 of them underwent cesarean section.&#xA0;Neither umbilical artery pH&lt;7 nor Apger score &lt;7 or NICU admission were seen in these 4 neonates.&#xA0;Pulsation in UV was seen in 23% of fetuses with abnormal CTG during intra partum period. Cesarean&#xA0;delivery and NICU admission was increased in fetuses with UV pulsations, although not statistically&#xA0;significant. When LBW fetuses were excluded no case of UA pH&lt;7, Apgar sore &lt;7or NICU admission were&#xA0;seen.</abstract>
    <web_url>https://acta.tums.ac.ir/index.php/acta/article/view/3793</web_url>
    <pdf_url>https://acta.tums.ac.ir/index.php/acta/article/download/3793/3768</pdf_url>
  </Article>
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Acta Medica Iranica</JournalTitle>
      <Issn>0044-6025</Issn>
      <Volume>49</Volume>
      <Issue>8</Issue>
      <PubDate PubStatus="epublish">
        <Year>2011</Year>
        <Month>08</Month>
        <Day>15</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">Cytomegalovirus Co-Infection in Patients with Human Immunodeficiency Virus in Iran</title>
    <FirstPage>551</FirstPage>
    <LastPage>555</LastPage>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Farhad</FirstName>
        <LastName>Mehrkhani</LastName>
        <affiliation locale="en_US">Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, IR Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Sara</FirstName>
        <LastName>Jam</LastName>
        <affiliation locale="en_US">Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, IR Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Duman</FirstName>
        <LastName>Sabzvari</LastName>
        <affiliation locale="en_US">Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Fatemeh</FirstName>
        <LastName>Fattahi</LastName>
        <affiliation locale="en_US">Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran. AND Department of Immunology, Asthma and Allergy Research Institute, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Zahra</FirstName>
        <LastName>Kourorian</LastName>
        <affiliation locale="en_US">Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>SeyedAhmad</FirstName>
        <LastName>SeyedAlinaghi</LastName>
        <affiliation locale="en_US">Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Hossain</FirstName>
        <LastName>Jabbari</LastName>
        <affiliation locale="en_US">Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
      <Author>
        <FirstName>Minoo</FirstName>
        <LastName>Mohraz</LastName>
        <affiliation locale="en_US">Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran.</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2015</Year>
        <Month>09</Month>
        <Day>28</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Serum samples from 201 HIV positive patients were collected to determine the seroprevalence of&#xA0;CMV infection in Iranian HIV infected patients during March 2004 until March 2005 using 