Iran University of Medical Sciences
Razi Journal of Medical Sciences
2228-7043
2228-7051
1
بهار
1994
6
1
THE LEGAL SECURITY IN MEDICAL SERVICES AND THE LIMIT OF ITS ACQUAINTANCE
9
14
FA
M.M
Isfahani
Y
Medical sciences which respond to basic human needs (that is providing, maintaining and restoring health) have a high value in the Islamic weltanschaung because they have to preserve lives. Having sufficient knowledge and doing one's best by using divine motives is an obvious clue of a great worship and without having the necessary knowledge, giving the medical services by physicians or any in giving medical care makes the physician responsible for his doing. In this regard, by having a brief look at religious responsibilities of medical professionals, it is obvious that being free of malpractice and its consequences is related to continuing education, accuracy and attention, acting professional limits and getting consent from the patient or his parents (guardians).In this article different aspects of the problem being discussed and emphasis has put on an increasing knowledge in proportion to scientific developments by using islamic guidances.
http://rjms.iums.ac.ir/article-1-1910-en.html
http://rjms.iums.ac.ir/article-1-1910-en.pdf
Iran University of Medical Sciences
Razi Journal of Medical Sciences
2228-7043
2228-7051
1
بهار
1994
6
1
SPONTANEOUS PERFORATION OF INTESTINE IN CASE OF HENOCH SCHONLEIN SYNDROME
15
19
FA
S.A.
Jalali
Y
The ~n~phyloctoid putpUr~ is ~n ~/lergic vasOllitis which may involve the skin, joints, gastrointestinal tract and the kidneys. Although SO percent of these patients develop abdominal pain, surgic~1 complications are quite infrequent. spontaneous perforation of intestine in Henoch-schOnlein purpura is also rare and only several cases have been reported in the literature so far. Most of the cases with perforated intestine have been followed by intussusception and focal intestinal necrosis. This case was not preceded by intussusception which is indeed very rare only a very few such cases have been reported. physicians and surgeons should be aware of this rare complication and have patients with abdominal pain under close observation.
http://rjms.iums.ac.ir/article-1-1911-en.html
http://rjms.iums.ac.ir/article-1-1911-en.pdf
Iran University of Medical Sciences
Razi Journal of Medical Sciences
2228-7043
2228-7051
1
بهار
1994
6
1
ASSOCIATION OF HLA IN SELECTED GROUP OF IRANIAN PATIENTS WITH RHEUMATOID ARTHRITIS
20
24
FA
M.
Shekarabi
Y
B.
Nikbin
N
F.
Davachi
N
F.
Khosravi
N
Close relation of rheumatoid arthritis (RA) and HLA antigen DR4 has been reported with incidence as high"as 50-75% (3) In this study 34 patients in different stages of RA and treated with different drugs were studied for HLA DR4 antigen. 100 healthy individuals working in the lab. were tested as controls. DR4 were noted in patients with 3/25 risk, RR=3.25 (1'<0.01) These findings will increase knowledge on RA pathophysiology.
1) Rheumatoid arthritis (RA) 2) HLA Antigen 3) Relative risk (R.R)
http://rjms.iums.ac.ir/article-1-1915-en.html
http://rjms.iums.ac.ir/article-1-1915-en.pdf
Iran University of Medical Sciences
Razi Journal of Medical Sciences
2228-7043
2228-7051
1
بهار
1994
6
1
RECENT ADVANCES REGARDING PARIETAL CELLS OF STOMACH
25
29
FA
A.
Sadeghi Looyeh
Y
During the last five years the recognition of ionic channels in the parietal cells of stomach and acid chloride mechanisms of secretion by these cells has become totally clear by the "Patch Oamp" technique. The apical cytoplasm in the oxyntic cells are in the form of vesicles where membranes contain H+, K+ -ATPase pump. Stimulation causes fusion of these tubular vesicles with the cell membran of the apical region and this process increases the cell membrane area to about 10 times. Associated with this process is the activation and opening of the channel of chloride and potassium in the apical membrane. After the stimulation of cell a considerable amount of chloride passes through the activated vesicles thus producing cannaliculi secretion of acid associated with the hyperpolarization of the membrane of the apical region. This process also transport considerable amount of chloride and also presumably opens the cannaliculi several folds. At present the acceptable model-of transport in apical cell membrane of the parietal cells is based on the counter transport of chloride and potassium. Thus during stimulation, fusion of vesicles in the apical membrane and expansion of apical membrane leads to opening of hydrogen-potassium pump into the lumen of the gland. The hyperpolarization of the membrane of the apical region is associated with the secretion of acid.
http://rjms.iums.ac.ir/article-1-1916-en.html
http://rjms.iums.ac.ir/article-1-1916-en.pdf
Iran University of Medical Sciences
Razi Journal of Medical Sciences
2228-7043
2228-7051
1
بهار
1994
6
1
CHRONIC IDIOPATHIC GLOMERULONEPHRITIS AND PREGNANCY
30
36
FA
Ahad
Ghods
Y
The effect and outcome of pregnancy in patients with chronic idiopathic glomerulonephritis was studied. The study population consisted of 98 patients. All patients were divided into 8 groups according to presence, absence or coexistence of 3 general risk factors such as hypertension, renal failure and nephrotic syndrome. The adverse effect of renal disease and risk factors on the outcome of pregnancy was evaluated by increased incidence offetal death, toxemia and premature delivery. The influence of pregnancy on maternal nephropathy was evaluated by unexpected rise of serum creatinine from onset of pregnancy upto six months post delivery. There was high incidence of fetal death (36%), toxemia (27%), premature delivery (30%) and worsening of maternal nephropathy (28%). Toxemia was more common in hypertensives (P< 0.007) and premature delivery in patients with nephrolic syndrome (P<0.007). Worsening of maternal nephropathy was correlated with renal failure (P<O.OS), hypertension (P<0.02S) and toxemia (P<0.007) but not with nephrotic syndrome or with fetal death rate.
http://rjms.iums.ac.ir/article-1-1917-en.html
http://rjms.iums.ac.ir/article-1-1917-en.pdf
Iran University of Medical Sciences
Razi Journal of Medical Sciences
2228-7043
2228-7051
1
بهار
1994
6
1
10 YEAR RETROSPECTIVE STUDY ON 420 THYROIDECTOMIES DONE IN SHAHID DR. RAHNEMOON HOSPITAL
37
43
FA
M.A.
Ghoraeian
Y
S.
Javidan
N
This is a retrospective study of 420 patients undergone thyroidectomy in Rahnemoon hospital during last 10 years. The results are as follows: Thyroid malignancies and surgical procedures were three times more common in female than male. Mean age was 38.2 years for male and 35.1 for female. For both sex 4th decade of life was the most common age of disease. 22% of patients had Positive family history of thyroid disease, but this did not increase the incidence of thyroid malignancies. in thyroid malignancies 77% were female and 23 % male, with 4th of decade of life being the most common age of occurrence. all patients with malignant tumors and majority with benign lesions were euthyroid, so, abnormal thyroid function is indicator of benign lesions. solitary nodules were more common and occurred more in right Lobe than left. Incidence of malignancy in solitary nodules were 20% and in multinodular Lesions 13%. In radioistope scan study, all malignant nodules and majority of solitary and multinodular goiters were cold nodules. In surgery82% of all nodules were benign and 18% malignant. Most common benign lesions. were multinodular goiter and adenoma respetivelv and most common malignant lesions were papillary carcinoma, 66%, follicular ca.26%, medullary ca. 4.5%, sarcoma 1.5% and Hurthle cell ca, 1.5%. This study in major parts was compatible with results reported by other centers.
1) Thyroid 2) Thyroidectomy 3) Cold nodulle 4) Papillary carcinoma 5) Thyroid scan
http://rjms.iums.ac.ir/article-1-1918-en.html
http://rjms.iums.ac.ir/article-1-1918-en.pdf
Iran University of Medical Sciences
Razi Journal of Medical Sciences
2228-7043
2228-7051
1
بهار
1994
6
1
EXPANDED PROGRAMME ON IMMUNIZATION AND HEPATITIS B VACCINE
44
49
FA
M.A.
Nilforushan
Y
Immunizaton is the most effective way of preventing contagious diseases in children. Expanded programme immunization (E.P.I) in Iran started actively in 1984 when coverage of immunization for six communicsbl« diseases namely poliomyelitis, diphtheria, pertussis, tetanus and measles was about 20 percent and for tuberculosis was less than 5 percent surveys done in mid 1988 and 1991 showed that the over all coverage for first five diseases and tuberculosis rapidly reached 88 and 92 percent respectively (4). Who recommended that hepatites B vaccination to be added to E.P.I. in countries where carrier rate is 8% or over this vaccination to be added by the end of 1995 and in all countries by the end of 1997. Studies on volunteer !Jlood donors carried out by the Iran National Blood bank in various parts of Iran showed 2- 3 percent HbsAg positivity healthy blood donors who were HbsAg negative, HBc Ab and HBsAb rate was 11.2 and 10.4 percent in those under 20 years, and 54 and 47 percent in those above fifty years of age, respectively (3). Prevention of this dangerous debilitating and lethal diseases which is highly contagious is very important and life saving, National Commitee of E.P.I has rcommended and approved the addition of hepatitis B vaccine to the previous immunization schedule which has come to action since the second haff of march 1993 and is going to cover all the new borns with three doses of recombinant hepatitis B vaccine shortly after birth, six weeks later and the last one at 9 months of age (2).
http://rjms.iums.ac.ir/article-1-1919-en.html
http://rjms.iums.ac.ir/article-1-1919-en.pdf