Urmia University of Medical Sciences
Studies in Medical Sciences
2717-008X
29
10
2019
1
1
EVALUATION THE PREVALENCE OF ORAL LYMPHOMA AND IT’S RELATION WITH TYPE OF LYMPHOMA, AGE, GENDER AND LOCATION IN PATIENTS REFERED TO TABRIZ IMAM REZA HOSPITAL
698
706
FA
Aila
Bahramian
School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
Monireh
Halimi
School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
Mahsa
Kafili
Tabriz Islamic Azad University, Tabriz, Iran
Ahmad
Behroozian
School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
Sahar
Soleimani
School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
Tahmineh
Razi
School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
Parya
Emamverdizadeh
School of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
Background & Aims: Lymphoma is a malignant neoplasm that affects lymphoreticular system. Since first signs and symptoms of lymphoma can affect oral and tonsil region determining the prevalence of oral lymphoma is important for dentists. The aim of this study was to determine the prevalence of oral lymphoma and its relation to type of lymphoma, age, gender and location in patients referred to Tabriz Imam Reza hospital.
Materials & Methods: In this retrospective cross-sectional study, medical document files of patients with oral lymphoma referred to Tabriz Imam Reza hospital during a ten years period (2007-2017) were evaluated. The variables like age, gender, type of the lymphoma and location were recorded in checklists and evaluated. We have used SPSS (version 17) to analyze data.
Results: In this study, of24000 cases of lymphoma، 55 cases with oral lymphoma were reported. Of 55 cases, 52 cases were Non-Hodgkin lymphoma (94.5%) and 3 cases were Hodgkin lymphoma (5.5%). Oral lymphoma was more prevalent in males than in females. Thus, the male to female ratio was 2.05. In the current study, the mean age of patients was 53±16.75 years in males and it was 57.16± 18.51 years in females. Tonsils were the most common site for the occurrence of lymphoma in the oral cavity (67.3%).Other common sites of involvement were major salivary glands (14.6%), palate (7.3%), base of the tongue (3.6%), buccal mucosa (3.6%), maxillary sinus (3.6%), and lower alveolar bone (1.8%).
Conclusion: In the current study, diffuse Large B Cell (DLBCL) was the most common type of oral lymphomas. Oral lymphoma was more common in males and accounted for 8.4% of all lymphomas. Therefore, complete oral examination and regular dental visits are strongly recommended.
Urmia University of Medical Sciences
Studies in Medical Sciences
2717-008X
29
10
2019
1
1
CLASSIFICATION OF EPILEPTIC SEIZURE IN EEG SIGNAL USING ADAPTIVE NEURO FUZZY INFERENCE SYSTEM
707
715
FA
mahdieh
ghasemi
University of Neyshabur
Mahrad
puryusef
university of Neyshabur
Background & Aims: Epilepsy is a brain disorder in which nerve cells receive abnormal inputs. This disease can lead to abnormal behaviors, feelings and symptoms such as loss of consciousness, which is called the seizure. Identification and classification of the epileptic seizure events in electroencephalographic signal against free seizure intervals plays an important role in clinical investigations.
Materials & Methods: We used five groups of 100 EEG signals recorded at Bon University. EEG time series recorded in surface EEG recordings from healthy volunteers and intracranial EEG from epilepsy patients during the seizure-free interval within and outside the seizure. In the first step, statistical features were extracted from the time-frequency characteristics of EEG signals in five main spectra. Reduced dimension of the statistical features was fed to adaptive neuro fuzzy inference system as a strong classifier.
Results: The results obtained in this study improved the accuracy of their pre-published researches. The first and second error in our method has reached zero and 0.02, respectively.
Conclusion: This research is an effective way for diagnostic seizure events, specifically once there are suspected clinical symptoms of epileptic such as occurred in newborns.
Urmia University of Medical Sciences
Studies in Medical Sciences
2717-008X
29
10
2019
1
1
Gerstmann’s syndrome in non- dominant hemisphere: a case report
716
719
EN
Masoud
Ghiasian
Department of Neurology, Faculty of Medicine, Hamedan University of Medical Sciences, Hamedan, Iran.
Sajjad
Daneshyar
Student Researcher committee, Hamedan University of Medical Sciences ,Hamedan, Iran
Gerstmann’s syndrome is caused by a left (dominant) inferior parietal lesion, particularly involving the angular gyrus or subjacent white matter of the left hemisphere. We describe case of an 80 year old right handed man admitted to our hospital with history of sudden onset of blurred vision. At first in neurological examination, he had left hemonymus hemianopia and characteristic features of Gerstmann’s syndrome. In the requested paraclinical test, Computed Tomography (CT) scan showed hypo dense area in the right occipital lobe with expansion to parietal and temporal lobe. Gerstmann’s syndrome is characterized by four symptoms: aghraphia, acalculia, finger agnosia and right-left disorientation. One or more of these manifestations may be associated with word blindness (alexia) and hemonymus hemianopia or lower quadrantanopia.In our case, Gerstmann’s syndrome is caused by a lesion in non -dominant hemisphere, which madethis case worth for reporting.
Urmia University of Medical Sciences
Studies in Medical Sciences
2717-008X
29
10
2019
1
1
Left Main Coronary Artery Disease: traditional risk factors in a study from northwest of Iran
720
725
EN
Behnam
Askari
Department of cardiovascular surgery, Seyed-al-Shohada Heart Center, Urmia University of Medical Sciences, Urmia, Iran
Alireza
Mahoori
Department of anesthesiology , Seyed-al-Shohada Heart Center, Urmia University of Medical Sciences, Urmia, Iran
Mohammad
Heidari
Department of Epidemiology and Biostatistics, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Farzaneh
Nourinejad
General physician , Urmia University of Medical Sciences, Urmia, Iran
Background & Aims: Significant left main coronary artery disease (LMCAD) is found in 3 to 6 percent of all patients who undergo coronary arteriography. LMCAD usually requires an emergent surgery that has a higher rate of mortality and complications. The risk factors of left main involvement in previous studies are controversial. The aim of this study was to determine the traditional risk factors for left main coronary artery disease.
Materials & Methods: From March 2014 to March 2016, data of all patients with isolated primary on-pump Coronary artery bypass graft (CABG) in the Seyed-al-Shohada cardiovascular center were collected. Coronary artery disease major risk factors and echocardiography and coronary angiography data’s were recorded.
Results: OF 895 patients that underwent CABG during a two year period, 145 cases (16.2%) were in left main (LM) group and 750 cases (83.8%) were in Non-left main group. The mean age for patients in LM group was 59.8 ±8.7 years and it was 60.5±10 in NON LM group. The prevalence of male gender (84.1 vs. 71.2%), dyslipidemia (46.9% vs. 24.9%) and smoking (61.4% vs. 45.3%) were more common in LM group. The prevalence of diabetes (42.1% vs. 36.9%), hypertension (49.7% vs. 54%), Family history of CAD (24.1% vs. 18.4%) and mean BMI (26.1 vs. 26.8) were not significantly different between two groups.
Conclusion: This study showed that age differences did not exist between patients with LMCAD in and without LMCAD. However, the frequency of male sex, Dyslipidemia and Smoking were significantly higher in the LM group. Valvular heart diseases were less common in patients with LMCAD.
Urmia University of Medical Sciences
Studies in Medical Sciences
2717-008X
29
10
2019
1
1
INVESTIGATING THE QUALITY OF CARE INDEX ASSOCIATED WITH DIABETIC PATIENTS COVERED BY URMIA RURAL PHYSICIAN IN 2017
726
735
FA
mirhashem
hosseini gardian
Urmia University of Medical Sciences
ali
sadaghianifar
Health Center of Urmia
javad
rasouli
Urmia University of Medical Sciences
rasool
entezar mahdi
Urmia University of Medical Sciences
Background & Aims: More than 382 million people in the world live with diabetes, 80% of whom live in low-income and developing countries. Today, it is quite clear that improving metabolic control in diabetic patients can reduce the complications of the disease. The purpose of this study was to evaluate the quality of care associated with diabetic patients under the coverage of Urmia rural family physician program in 2017.
Materials & Methods: In this cross-sectional (descriptive-analytical) study, 257 rural diabetic patients under the coverage of Urmia city health center were selected through simple random sampling among the existing patients. Optimal blood glucose control was considered as The hemoglobin A1C less than 7% and three criteria of the American Diabetes Association was used to assess the patient's care status, SPSS version 21software was used to analyze the chi-square and logistic regression tests to determine the relationship between optimal blood glucose control and independent variables.
The results: The mean age and duration of the patients were 59.1 and 6.7 years, respectively, and 66% of the participants were female. A total of 10% of patients mentioned the hospitalization history due to illness during a recent year, and 9.7% of participants had at least one of the complications of diabetes. The mean of Hemoglobin A1C was 7.08 ± 1.37, the mean lower lipid (LDL) was 35.8 ± 112.8 and the mean systolic blood pressure in patients was 124 ± 14.7. In terms of optimal glucose control (A1C <7%), 50.6% of patients had favorable conditions for glucose control and in general, 17.1% of participants in this study achieved three criteria of optimal diabetes care (HBA1C <7%, LDL <100mg / dl, BP <140mm / Hg). In multivariate analysis with logistic regression, after adjusting the effect of confounding variables, there was a statistically significant relationship between duration of diabetes, insulin consumption, referral history to private physician of clinic, visit by a clinician and body mass index with optimal blood glucose control.
Conclusion: In general, metabolic control in rural diabetic patients covered by Urmia Health Center was satisfactory. This study showed that the regular referral of diabetic patients for testing hemoglobin A1C (at least twice a year) from rural health centers for patients under coverage could be effective in promoting their care.
Urmia University of Medical Sciences
Studies in Medical Sciences
2717-008X
29
10
2019
1
1
The effect of Vitamin B12 and Folic acid supplementation on quality of life of Relapsing-Remitting Multiple Sclerosis patients
736
745
FA
Ehsan
Nozari
Urmia university of medical sciences
Saeid
Ghavamzadeh
Urmia university of medical sciences
Nazanin
Razazian
Kermanshah university of medical sciences
Background & Aims: Whereas previous studies have found a significant correlation between the quality of life in Multiple Sclerosis (MS) patients and vitamin B12 consumption, small number of controlled trial intervention studies proved the effectiveness of this vitamin. Thus, we decided to conduct this study to determine the effect of supplementation with vitamin B12 and folic acid on the quality of life in patients with Relapsing-Remitting MS.
Materials & Methods: This double blinded clinical trial was performed within two months on two groupswith25 MS patients in each. The intervention group recieved5mg of folic acid daily and 3 doses of 1mg vitamin B12 and the placebo group received placebo tablets and normal saline. In order to determine the quality of life, we administered the MSQOL-54 questionnaire before and after the intervention. Statistical data were analyzed using the Kolmogorov-Smirnov test, independent t-test, paired t-test, Mann-Whitney and Wilcoxon by SPSS software (version23).
Results: The average age of patients in the placebo and intervention groups was 30.52±4.97 and 30.16±4.99, respectively. Analysis of the quality of life before and after the intervention showed a significant improvement in the mental field of quality of life (P < 0.05), but there was no significant difference in the physical field of quality of life (P > 0.05). However, in the intervention group we saw a significant improvement in both mental and physical fields of quality of life (P < 0.05).
Conclusion: This study showed that increasing consumption of vitamin B12 and folic acid can make a decisive improvement in the quality of life in these patients which is consistent with similar studies conducted. By revealing the potential role of vitamin B12 and folic acid in the aspects of physical and mental fields of quality of life, an increase in the consumption of foods rich with vitamin B12 and folic acid with appropriate interventions is recommended.
Urmia University of Medical Sciences
Studies in Medical Sciences
2717-008X
29
10
2019
1
1
: Assesment the effectivness of administration tuberculosis surveillance system in West Azerbaijan province between years 2006-2014
746
755
FA
zahra
moradi
Faculty of Medicine,Urmia University of Medical Sciences, Urmia, Iran
shaker
salari
Department of Public Health Tabriz, Islamic Azad University, Tabriz, Iran
Hamidreza
Khalkhali
Associate Professor of Biostatistics,Department of Epidemiology and Biostatistics, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Seyed Jalil
Mousavi
Assistant Professor of Infectious Diseases, Faculty of Medicine,Urmia University of Medical Sciences, Urmia, Iran
Background & Aims: TB as a major public health problem in the world. Weaknesses in screening, inadequate treatment, drug resistance and TB epidemics coincide with the AIDS, TB control program has encountered a serious problem. To clarify the process improvement and control of tuberculosis a monitoring and evaluation system is essential. So that this study aimed to provide a clear picture of the status of tuberculosis and the efficiency and effectiveness of the disease surveillance system was designed in West Azerbaijan province.
Materials & Methods: this study was cross-sectional, the study population included all TB patients diagnosed and registered in Western Azerbaijan province between 2006 to 2013. Data were analyzed using SPSS 20 software. The outcome and process indices were computed and compared with
Standards.
Results: Of the 2009 patients with TB in the province of West Azerbaijan, 4/ 51% were women and 33 percent of patients had over 60 years of age. Derived indicators for the years of study includes success rate on average 94/ 79%, incidence of smear-positive cases per 100000 population on average 12/ 3, cure rate on average 51/ 75% and Failure rate On average was above 4%.
Conclusion; the causes of delay in diagnosis, delay in treatment, Indexes inappropriate indicate a problem in the implementation of TB care programs in Western Province is Azerbaijani. Finally, it is recommended that Personnel training, Fix management deficiencies and Budget has taken into consideration.
Urmia University of Medical Sciences
Studies in Medical Sciences
2717-008X
29
10
2019
1
1
MEDICAL SCIENCE HISTORICAL CIRCUIT IN ANCIENT IRAN WITH SURVEY TO SAMANID ERA
756
762
FA
Abdollah
Tolooeiazar
Urmia University, Faculty of Literature, Urmia, Iran
Abdolnaser
Nazariani
Urmia University, Faculty of Literature, Urmia, Iran
Shahnaz
Pasandideh
Urmia University, Faculty of Literature, Urmia, Iran
Background & Aims: Medicine is one the most important sciences of human knowledge and also it has communication with human life and survival and contains special position in the social institutes and organizations. Historical investigators relate medical science root to religion, mythology, traditions and human ceremonies and manners. In Avesta scripture, we can observe medical mythology scenes that show the attention of people in Ancient Iran to hygiene and medical patterns. According to the ancient case, medical science in the historical era faced basic changes. In Sasanid era, famous physicians such as Muhammad Ibn-e- Zakarya and Abu Ali Sina provided inevitable outcomes to sciences enrichment. So authors in current study investigated medical science position in Sasanid era.
Materials & Methods: This study was analytical- descriptive. Related information of the subjects was gathered by library investigation and the information was analyzed in raw data after fishing. Used references according to primitive and last historical importance and validity were classified and evaluated.
Results: Samanids tried to survive the ancient symbols by continuing cultural affairs. Samanids survey is observable in the Iranian cultural roots, medical, literature, music, handcrafts, medicine and chemistry science.
Conclusion: By browsing the remained documents from the ancient era, we can determine the importance of the medical training and knowledge. Attention to medical science training in Iran ancient era and next stages such as Sasanid era show Iranian civilization and cultural dynamic against other contemporary civilizations and cultures. The valuable work of Muhammad Ibn-e- Zakarya and Abu Ali Sina changed Sasanid medicine to international level. The main role of physicians is not forgotten in the cultural revival of medical science.