Showing 4 results for Sadigh
Sh Ghasemi, A Chehrei, N Sadigh, S Akhavanfard,
Volume 10, Issue 36 (12-2003)
Abstract
Upper respiratory tract is a rare site of tuberculosis infection. (1.9% of all tuberculosis cases). There are a few reported cases of nasopharyngeal and palatine tonsil infection, but posterior oropharynx is extremely a rare entity. The patient of the present study was a 67-year-old woman who referred to Shohadaye Haftom-e-Tir Hospital with progressive dysphagia and odinophagia from which she was suffering for about two months before being admitted to the hospital. She also had a history of productive cough without hemoptisis, which was associated with fever, chill, night perspiration and weight loss. Clinical examination revealed an exudative pharynx and cervical lymphadenopathy. Her chest roetgenogram showed a diffused reticulonoduler pattern and hillar lymphadenopathy of lungs. A pharyngeal fiber-optic examination showed an ulcerative mass in the posterior oropharyngeal wall. Also biopsy was taken and a culture for mycobacterium was positive. According to positive sputum staining for acid fast bacillus(AFB), oropharyngeal lesions and chest X-ray a diagnosis of tuberculosis of oropharynx with miliary tuberculosis was made therefore, the patient underwent anti-tubercular treatment. She was discharged with markedly decreased symptoms, but one month later she died because of stopping her medications. Upper respiratory tracts are generally resistant to tuberculosis, however, repeated exposure to infected sputum may overwhelm this defense. Pharyngeal tuberculosis should be included in the differential diagnosis of pharyngeal lesions, especially in endemic regions. The most important differential diagnosis of these lesions are neoplasms of pharynx. In conclusion, biopsies are indispensable for diagnosis and DOT (Directly Observed Therapy) is highly recommended.
Key Words: 1) Tuberculosis 2) Oropharynx 3) Pharynx
Sh Sadigh Maroufi, A.a Sharafi, M Behnam, H Haghani,
Volume 11, Issue 40 (9-2004)
Abstract
Chronic exposure to N2O environmental pollution may influence the health of personnel working in operating and recovery rooms. Human studies have indicated that chronic exposure to N2O may decrease mental performance, audiovisual ability, and manual dexterity and may also cause adverse reproductive effects like reduced fertility, spontaneous abortion and neurological, renal, and liver diseases. In this study, concentration of N2O in ambient air was monitored in 45 operating rooms and 12 recovery rooms at 12 hospitals. Ambient air was sampled automatically from three breathing sites in operating room(anesthetists, surgeons, operating room nurse) and one site in recovery room(recovery nurse) using a portable infrared spectrophotometer(N2O monitor 3010) with ppm mode. In addition, the effect of air ventilation system on the outcomes was measured. Statistical analysis of the data demonstrated that mean exposure of operating rooms was significantly lower in ventilated than unventilated rooms(P<0.05). Anesthetists showed higher mean exposure than other staff in all conditions, and operating room nurse showed lowest mean concentration. The breathing zone anesthetic concentration of N2O in 100% of sampling exceeded NIOSH recommended exposure limit(REL) for N2O (25ppm). Our data showed that exposure of recovery nurses to N2O was higher than REL of NIOSH but there was not any significant correlation between room air ventilation and the outcomes(P>0.05). In conclusion, proper use of air ventilation, anesthetic gases and scavenging system are necessary for having limited contamination with N2O.
P Alipour, D Saedi, M Sadighi Nejad,
Volume 11, Issue 44 (3-2005)
Abstract
Cerebral aneurysms are of clinical importance regarding their fetal outcomes. The prevalence has been estimated between 2.4% and 6.8% of outopsies. Regarding the epidemiological differences of populations, the present cross-sectional study was undertaken to assess the angiographic findings of ruptured aneurysms. 50 patients with the diagnosis of ruptured cerebral aneurysms were admitted to Haftom-e-Tir Hospital in Tehran, from 2001 to 2002. Data about sex, age, risk factors, clinical presentations and angiographic findings of DSA(site, size and number of lesions) were collected and analysed via SPSS 11.5 software (presuming α=0.05). Mean age was 52±3.4 and 52% of the patients were women. Hypertension(65.3%) was the most prevalent risk factor. 64% of the patients suffered from headache and 58% presented with loss of consciousness. The first ranked site of aneurysms was Anterior Communicating Artery(63%). The mean size was 6.9±0.9mm(±2SE). 60% of aneurysms were of 6-10mm size and 8% of patients had multiple aneurysm. The findings of this study about sex, site, size and risk factors, are in accordance with other studies. Higher prevalence of aneurysms in patients younger than 30 years old, fewer cases with multiple aneurysms and more than half of patients with loss of consciousness are the main considerable differences.
M Razzaghi Azar, A Moghimi, N Sadigh, M Montazer, P Golnari, L Zahedi Shulami, S van Buuren, H Mohammad Sadeghi, A Zanganeh Kazemi, S.m Fereshtehnejad,
Volume 13, Issue 50 (4-2006)
Abstract
Background & Aim: Ethnicity and location are among the factors that affect the time of puberty onset. There are few studies concerning the age of puberty in Iranian children. The aim of the present study was to evaluate the age at the onset of puberty in Iranian schoolgirls and schoolboys living in Tehran. Patients & Methods: This cross-sectional study was conducted between 2001 and 2004 on 2212 children consisting of 1420 6-17-year-old healthy schoolgirls and 792 6-15–year-old healthy school boys living in Tehran, Iran. Samples were collected on the basis of a multistage probability sampling. All the samples, examined by a physician, were evaluated with regard to the secondary pubertal characteristics, and asked about the presence of menarche. All pubertal characteristics were evaluated by inspection, while budding breast was by palpation. General additive logistic modeling method was used for the analysis of data and the estimation of the probability of pubertal stages. Results: The median age(percentile 10, percentile 90) of G2 and P2 in boys were 9.01(90=11.84) and 10.34(6.84-13.10) years and the median age of B2 and P2 among 1136 girls were 9.74(8.23-11.94) years and 10.49(8.86-12.17) years, respectively. There were 399 girls who had experienced menarche with the median age of 12.68(11.27-15.96) years. Conclusion: The time of the onset of secondary pubertal characteristics among Iranian girls is similar to other white girls but the onset of puberty seems to be earlier among Iranian boys in comparison with reports from the other countries.
