Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 1 5 Mohammad Esmaeil Tashayod 2015 09 28 This paper deals with the assessment of the depth of the modern anesthesia. A new classification is proposed and a test is designed for monitoring the movement of the hand during complete relaxation. https://acta.tums.ac.ir/index.php/acta/article/view/217 https://acta.tums.ac.ir/index.php/acta/article/download/217/213

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 6 18 Mohammad Pajhouhi 2015 09 28 Pretibial myxedema is an uncommon manifestation of Graves' disease and because of its rarity, information regarding its natural course and its relationship with other manifestations of Graves' disease is not sufficient. We reviewed 150 consecutive cases diagnosed as having pretibial myxedema in a twenty-year period in a tertiary care center. Only one patient in this group did not have ophthalmopathy, and the majority of cases had significant proptosis and ophthalmopathy, 30% required orbital decompression surgery. Dermopathy is a late manifestation of the Graves' disease and its onset is usually after the diagnosis of hyperthyroidism and ophthalmopathy. In a few patients, dermopathy preceded diagnosis of hyperthyroidism or the onset of ophthalmopathy. Fourteen patients have never had hyperthyroid, eleven patients in this group had developed spontaneous hypothyroidism. All cases showed the involvement of the lower extremities, and only one patient showed to have combined upper and lower extremities involvement. The most common form of thyroid dermopathy was non-pitting edema. Nodular and plaque forms were also relatively common and occurred with equal frequency. Polypoid form occurred in one patient and elephantiatic form in another. There was no consistent correlation among different types of dermopathy and severity of eye disease. During a three-month to nineteen-year follow up in 120 patients, complete remission was observed only in twelve patients. Partial remission was more common and occurred more frequently in patients who had local steroid therapy. it is possible that patients with remission might have been excluded of the follow up program.Thus, the remission data should be interpreted cautiously. https://acta.tums.ac.ir/index.php/acta/article/view/218 https://acta.tums.ac.ir/index.php/acta/article/download/218/214

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 19 22 Ardeshir Ghavamzadeh & Fereydune Ahmadi &Mohammad Jahani 2015 09 28 This study was undertaken to assess the effectiveness of 5-FU plus epirubicin in the treatment of the advanced gastric cancer. For this purpose, 22 patients with no previous treatment were studied. All of the patients were unoperable or metastatic. Follow up checking continued for 24 months. Our selected therapeutic regimen consisted of a combination of 500 mg/m2 5-FU dialy for five days, and 75 mg/m2 epirubicin for one day. The response rate in this study was 47.4% and the mean survival rate was 9.7 months. By far, the most common complication was gastrointestinal disturbances and no carditoxicity was seen. Having presented the results of this study and comparing it with the other therapeutic regimens like FAM combination, this selected two drug combination seems to be a useful therapeutic protocol. https://acta.tums.ac.ir/index.php/acta/article/view/219 https://acta.tums.ac.ir/index.php/acta/article/download/219/215

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 23 28 Mohammad Hassan Khalessi 2015 09 28 Fourteen patients with bilateral low frequency sensorineural hearing loss were found with disproportionate speech discrimination scores. These patients were submmitted to a comprehensive audiological, electrophysiological, neurological, and radiological battery of investigation. The results pointed to a lesion probably in the central auditory pathway. https://acta.tums.ac.ir/index.php/acta/article/view/220 https://acta.tums.ac.ir/index.php/acta/article/download/220/216

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 29 34 Shahnaz Rafiei Tehrani & Tahereh Mousavi & Mahmoud Akbarian 2015 09 28 Fifty-seven patients suffering from systemic lupus erythematosus with different clinical features were studied from various aspects of immunological abnormalities, including anti-nuclear antibodies; anti-DNA; anti-Sm (Smith's antigen); and, other extractable nuclear antigens. The tests employed were microhemagglutination, counter immunoelecterphoresis, and radio immunoassay (RIA). The comparison between the two techniques for detectiong anti-DNA titers showed a significant correlation between them. There was also a significant positive correlation between the presence of anti-DNA and lupus nephritis (P>O.05). However, lupus nephritis has a negative association with anti-Sm. We will discuss anti-Sm in SLE patients that may have an inhibitory effect on developing the lupus nephritis. The association of anti-Sm in SLE may help the physicians to prognose the disease and manipulate the treatment. https://acta.tums.ac.ir/index.php/acta/article/view/221 https://acta.tums.ac.ir/index.php/acta/article/download/221/217

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 35 36 Zahid Hussain Khan 2015 09 28 In a cross section of the patients scheduled for various operations, the plausability of lidocaine as an induction agent is studied and described. The results were dismaying suggesting, henceforth, that as an induction agent, lidocaine altogether fails to accomplish the assignment assigned to this drug. https://acta.tums.ac.ir/index.php/acta/article/view/222 https://acta.tums.ac.ir/index.php/acta/article/download/222/218

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 37 42 Iraj Sadigh Mostowfi & Faramarz Soleymanlou & MohammadVafaie & Kambiz Ansari & Mostafa Pourtaghva &Yahya Aghighi & Kasra Vafaie 2015 09 28 Parasitic colitis, especially Entamoeba histolytica, is a well-known disorder in the Middle East particularly in Iran. The carrier state of the disease or the chronic type frequently remains undiagnosed or mistaken as irritable bowel syndrome which results in further discomfort and increases the incidence of associated complain. We devised a technique by inserting bisacodyl suppository and then examining the mucosal discharge for finding parasitic organisms. In our study over a period of two years on 1600 patients, which is presented here, 20% of patients who were positive underwent treatment. All signs and symptoms were disappeared after a course of treatment. https://acta.tums.ac.ir/index.php/acta/article/view/223 https://acta.tums.ac.ir/index.php/acta/article/download/223/219

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 43 44 Gholamreza Pourmand & Firouzeh Akbari 2015 09 28 Two hundred and forty patients, who had undergone vasectomy from 1977 to 1985 and subsequent vasovasostomy ,were studied for the presence of sperm-specific antibodies by using the Kibrick's gelatin agglutination test. The number of successful pregnancies and the presence of agglutination were also considered in this survey. Sixty-nine pregnancies occurred in total and agglutination was present in 49% out of 51% positive specimens by the Kibrick Test. The average sperm motility was slightly higher in the negative Kibrick group than in the positive Kibrick group. The obtained data indicated that there seems to be a relationship between the increased titers and percentage of agglutination in semen samples. https://acta.tums.ac.ir/index.php/acta/article/view/224 https://acta.tums.ac.ir/index.php/acta/article/download/224/220

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 49 56 Mohammad Hossein Hekmatara 2015 09 28 Cavernous hemangioma is a rare benign tumor of the internal auditory canal (IAC) of which fourteen cases have been reported so far. Tinnitus and progressive sensorineural hearing loss (SNHL) are the chief complaints of the patients. Audiological and radiological planes, CTScan, and magnetic resonance image (MRI) studies are helpful in diagnosis. The only choice of treatment is surgery with elective transmastoid trans¬labyrinthine approach. And if tumor is very large, the method of choice will be retrosigmoid approach. https://acta.tums.ac.ir/index.php/acta/article/view/225 https://acta.tums.ac.ir/index.php/acta/article/download/225/221

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 57 64 Massoumeh Ebtekar & Nematollah Khansari 2015 09 28 The close relationship between the immune system and the central nervous system (CNS) has been well-studied. The CNS regulates almost all the functions of the immune system; however, the effect and/or the control of the immune system on the CNS has not been well-studied yet. Recent reports suggest that the CNS has its own defence mechanism(s). In this review, attempts have been made to discuss some of the controversial issues in order to approach a clear conclusion. https://acta.tums.ac.ir/index.php/acta/article/view/226 https://acta.tums.ac.ir/index.php/acta/article/download/226/222

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 65 67 Vahraz Ghaffari & Simin Kamyab & Mahnaz Alie 2015 09 28 This is a rare case of pregnancy following the previous cesarean section with diastasis of the recti abdominis and extensive necrosis of the skin over he pendulous herniated uterus. https://acta.tums.ac.ir/index.php/acta/article/view/227 https://acta.tums.ac.ir/index.php/acta/article/download/227/223

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 68 71 Nemattolah Khansari & Seyyed Ziaaddin Mazhari & Hoori Rezvan 2015 09 28 In a comparative study, 460 serum samples were tested for the serological determination of human immunodeficiency vrius (HIV) using an ELISA kit and a Rapid Test kit. Results indicated that the Rapid Test is reliable for screening unkonwn samples when there is no special equipment for screening with immunoblotting and/or ELISA. https://acta.tums.ac.ir/index.php/acta/article/view/228 https://acta.tums.ac.ir/index.php/acta/article/download/228/224

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 31 1-4 1993 12 15 72 74 Massoud Moghaddam 2015 09 28 Two case reports of malignant external otitis in the elderly diabetics and their complications and management with regard to our experience at Amir Alam Hospital, Department of ENT will be discussed here. https://acta.tums.ac.ir/index.php/acta/article/view/229 https://actacle>

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 43 3 2005 06 15 209 211 ‎A. Farahnak H. Ghobadi F. Bagheri 2015 09 28 Schistosomiasis is the second most common parasitic cause of death, after malaria. Biomphalaria glabrata is a fresh water snail with medical importance since it is the intermediate host of Schistosoma mansoni, an agent of schistosomiasis. The internal defense system of B. glabrata snails is mostly represented by circulating elements of the hemolymph, hemocytes, which are important factors in fighting against infections in snails. The purpose of this study was morphological study of B. glabrata hemocytes and their interaction with miracidia of Schistosoma mansoni. B. glabrata hemolymph was collected by heart puncture and a differential count of hemocytes was done in dyed preparations. Dyeing with Giemsa revealed two cell types: type 1, hemocytes with basophilic nucleus, little cytoplasm and sub-spherical shape and type 2, nucleated hemocytes, uniformly basophilic and spherical shape. Hemocytes showed cytoadherence and encapsulation after 1 h of miracidium-hemocyte incubation. These results could be of concern in the control programs of schistosomiasis. https://acta.tums.ac.ir/index.php/acta/article/view/2994 https://acta.tums.ac.ir/index.php/acta/article/download/2994/2975

Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 43 3 2005 06 15 212 214 H. R. Hatamian M. R. Imamhadi 2015 09 28 Determination of F-wave latency is a simple and valuable method in evaluating proximal part of peripheral nerves. The aim of this study was to determine the mean minimal peroneal F wave (F min) in healthy individuals. A total of 282 individuals were studied. The mean age was 45.6 years. The F min (± SD) for 564 peroneal nerves was 47.09 ± 4.51 ms. The F min for the age group of 20-45 and height group of 160-180 cm were 47.63 ± 4.50 and 49.77 ± 3.76, respectively. This study demonstrates that the mean F min of our samples was not significantly different from other important similar studies. Age and particularly height had a major role in determination of F min value and these two parameters must be considered in clinical evaluation of patients. https: