@article { author = {Fekri, A.R and Janghorbani, M}, title = {Late cutaneous complications in chemical warfare victims in Kerman province}, journal = {Journal of Kerman University of Medical Sciences}, volume = {2}, number = {3}, pages = {108-119}, year = {1995}, publisher = {Kerman University of Medical Sciences}, issn = {1023-9510}, eissn = {2008-2843}, doi = {}, abstract = {Iraq has used chemical warfare agents in recent Iran-Iraq conflict ( 1980-88) . There are few studies regarding late complications of chemical warfare and there is no report concerning late cutaneous complications. The present study is concerned with the late clinical manifestation of cutaneous complications in chemical warfare casualties in comparison to non – chemical injured soldiers. Upon this, we have selected in random 500 chemical warfare exposed victims and 500 non- chemical injured soldiers as a control group. From the files in the Kerman branch of Iranian foundation of War casualties. For 3 successive years ( 1992-1995), in 3 months intervals each case was examined physically accompanied by thorough cutaneous examination and skin biopsy was taken when it was clinically indicated. Skin complications which were found in chemical warfare victims more than the control group were as follows: dryness of the skin to 7 folds severe dryness of the skin to 19 folds burning of the skin to 23.2 folds, pruritus to 5 folds, hyperpigmentation to 6 folds , chronic articaria to 5 hypopigmentation to 4 folds , scaling to 5 folds, diffuse hair loss to 1.7 folds, alopecia arearia to 5.5 folds, eczema to 9.3 folds, and vitiligo to 18 folds. All of these differences were statistically significant. Apparently normal skin was 2 folds less frequent in chemical warfare victims than in control group. In contrast to these findings, Acne vulgaris and tinea- versicolor were noted in 5.2℅ and 7.4℅ of non – chemical crash injured soldiers respectively, but absent in chemical warfare exposed victims. Although non- chemical crash injured soldiers were younger than chemical warfare victims ( 30.6  +_5.7 years vs. 32.1+_ 7.6 years) and this difference was statistically significant ( p<0.001) . The prevalence of each disorder was adjusted for age. After adjustment , differences were still present. Based cell epithelium (0.2℅) and chronic myelogenous leukemia with purpuric eruption in the skin (0.4℅) were observed only in chemical warfare victims. In spite of skin dryness in about 50℅ of chemical warfare exposed victims, skin biopsies revealed neither a decrease in the number, nor in  the size of the sebaceous glands of eccrine sweat glands, which were the main target of injury after the sulfur mustard gas exposure. Specific tests for measuring the amount of secretion of the eccrine sweat glands have been performed on 60 chemical warfare victims which revealed no sign of decrease in the activity of these glands.}, keywords = {Chemical warfare casualties,late cutaneous complications,sulfur mustard gas,Iran,Iraq}, url = {https://jkmu.kmu.ac.ir/article_38788.html}, eprint = {https://jkmu.kmu.ac.ir/article_38788_9f9bd1612ae29d91f83410a6ed4fa618.pdf} } @article { author = {Khaksari, M and Khosh baten, A and Askari, A.R and Rahimi, M and Hajizadeh, S}, title = {Effect of ibuprofen and methimazole on post burn edema}, journal = {Journal of Kerman University of Medical Sciences}, volume = {2}, number = {3}, pages = {120-127}, year = {1995}, publisher = {Kerman University of Medical Sciences}, issn = {1023-9510}, eissn = {2008-2843}, doi = {}, abstract = {We determined the effects of ibuprofen and methimazole on the formation of second- degree burn edema. Two small burns were produced on the back of rats. Ten minutes prior to burn, Evans blue ( EB) dye was injected through a femoral vein catheter. All animals were extravasation of evans blue. Ten groups of rats were studied. Immediately after induction of burns, test drugs were administered intraperitoneally. The results showed that, ibuprofen (12 mg/ kg) effectively decrease E.B. extravasation in test group s compared to the control group ( 14.1 mg/100 mg skin vs 35.5 +_2.3 mg/100 mg skin). Methimazole (1 mg/ kg) also decrease E.B extravasation compared to the control ( 28.7+_1.2 mg/100 mg skin v.s 35.5+_2.3 mg /100 mg skin). Comparison between these drugs showed that ibuprofen appeared to the more potent than methimazole. Similar water content of control and test group indicatas that these drugs did not reduce water content in burned skin. Certainly, a discrepancy was observed between protein leakage and accumulation of fluid. These data support this postulation that inhibition of arachidonic acid metabolism in site of cyclooxygenase was much more effective than inhibition of thromboxan synthetase.}, keywords = {Burn edema,ibuprofen,methimazole}, url = {https://jkmu.kmu.ac.ir/article_38789.html}, eprint = {https://jkmu.kmu.ac.ir/article_38789_14c17f5a49922ee2f5b40ee6688c5b0b.pdf} } @article { author = {Setodeh nejhad, A.R and Janghorbani, M and Delshad, M}, title = {Epidemiology of burns in Kerman: analysis of 1000 cases}, journal = {Journal of Kerman University of Medical Sciences}, volume = {2}, number = {3}, pages = {128-134}, year = {1995}, publisher = {Kerman University of Medical Sciences}, issn = {1023-9510}, eissn = {2008-2843}, doi = {}, abstract = {The aim of this study was to describe the statistical analysis of 1000 burn patients admitted for treatment of burn between May and December 1995. The analysis data included age, gender, marital status, place of birth, time of accident, cause and extent of burn injuries. Children ( <10 years) comprised 46.3℅ of the patients . Adolescents and young adults (10_40 years) comprised 44.3℅ of the patients. Male with mean (standard deviation= SD) age of 16.6(15.9) formed 55.6℅ and female with mean (SD) age of 18.6 (16.5) comprised 44.4℅ of the total burns. The oldest patient was 85 years and the youngest was two months old. 85.6℅ of the patients received their burns at home. 96.3℅ sustained their burns accidentally while 3.7℅ of patients committed suicide with fire. Scald comprise 40.8℅ ,flame 25.5℅ hot tea 9.6℅ and hot appliances 9.2℅ of the burns.}, keywords = {Burn,Epidemiology,Kerman,Iran}, url = {https://jkmu.kmu.ac.ir/article_38790.html}, eprint = {https://jkmu.kmu.ac.ir/article_38790_b7adf94d35a5b006174c5976e33ba409.pdf} } @article { author = {Eslami nejhad, Z and Safariyan, SH}, title = {A preliminary study of the prevalence of Gonococcal genital infection in 500 non – pregnant women referring to a private and public clinic in Kerman, Iran}, journal = {Journal of Kerman University of Medical Sciences}, volume = {2}, number = {3}, pages = {135-139}, year = {1995}, publisher = {Kerman University of Medical Sciences}, issn = {1023-9510}, eissn = {2008-2843}, doi = {}, abstract = {  To prevent the Gonococcal opthalmia neonatorum in many countries including Iran application of 1℅ tetracycline ophthalmic ointment is a common practice. To evaluate the prevalence of Gonococcal genital infection and the ophthalmic prophylaxis regimen  we have tested specimens which were collected from the endocervix of 500 non – pregnant women attending a private and public gynecology clinic in Kerman. These women were at their fertility age  belonged to different socioeconomic groups. According to this study the prevalence of Gonococcal genital infection was 0.4℅ . One out the 2 positive cases was Asymptomatic and the other one, Asymptomatic.  }, keywords = {Asexually transmitted diseases,Gonococcal genital infection,Women,Kerman}, url = {https://jkmu.kmu.ac.ir/article_38791.html}, eprint = {https://jkmu.kmu.ac.ir/article_38791_1d3c5a811c0a8c6480c3351cbb5638b8.pdf} } @article { author = {Ansari, M.H and GHavam, F and Rashidi, A and Etemad, K}, title = {The effect of aspirin therapy on the plasma renin activity in myocardial infarction}, journal = {Journal of Kerman University of Medical Sciences}, volume = {2}, number = {3}, pages = {140-143}, year = {1995}, publisher = {Kerman University of Medical Sciences}, issn = {1023-9510}, eissn = {2008-2843}, doi = {}, abstract = {      In this study, the changes of renin system activity and the effects of aspirin therapy on the plasma renin activity ( PRA) in myocardial infarction were investigated. Fifty nine patients with myocardial infarction were selected. By suppressed in the former group which was statistically significant ( p<0.01).   }, keywords = {aspirin,renin,Myocardial Infarction,angiotensin}, url = {https://jkmu.kmu.ac.ir/article_38792.html}, eprint = {https://jkmu.kmu.ac.ir/article_38792_f41cea3590f50044b32237c45815e2aa.pdf} } @article { author = {Saryazdi, S and Rahnema, Z}, title = {A comparative study of therapeutic effect of inter lesional injection of bleomycine and glucantime in patients infected with cutaneous leishmaniasis}, journal = {Journal of Kerman University of Medical Sciences}, volume = {2}, number = {3}, pages = {144-148}, year = {1995}, publisher = {Kerman University of Medical Sciences}, issn = {1023-9510}, eissn = {2008-2843}, doi = {}, abstract = {  Various therapeutic methods have been used in treatment of cutaneous leishmaniasis. Each of these methods has its own advantages and disadvantages. One of the old treatment is intra lesional injection of glucantime. Recently , a few cases of treatment by bleomycine have been reported, in the study, the effects of these two drugs were compared. Eighty nine cutaneous leishmaniasis, diagnose by direct smear method, and with previous treatment were treated with either of the two drugs. Forty eight lesions were treated with bleomycine, from which 39℅ showed complete and 23℅ relative recovery , while 38℅ of cases had no recovery. From 41 lesions treated by glucantime, 14.6℅ showed complete, 73.2℅ relative, and 12.2℅ no recovery. It seems that bleomycine was more effective in short term, while glucantime was more effective in long term treatment of leishmaniasis due to its high rate of relative recovery effect found in this study.     }, keywords = {Cutaneous leishmaniasis,bleomycine,glucantime}, url = {https://jkmu.kmu.ac.ir/article_38793.html}, eprint = {https://jkmu.kmu.ac.ir/article_38793_3cb0e5bc6e9198be8f92c39a4e2892e4.pdf} } @article { author = {Nohi, E and Yasemi, M.T and Nikiyan, Y}, title = {Attitude of nurses of Kerman university of medical sciences toward patient teaching by clinical nurses}, journal = {Journal of Kerman University of Medical Sciences}, volume = {2}, number = {3}, pages = {149-153}, year = {1995}, publisher = {Kerman University of Medical Sciences}, issn = {1023-9510}, eissn = {2008-2843}, doi = {}, abstract = {    Teaching patients is one of the most essential element in nursing practice. Lack of enthusiasm and belief in a task such as teaching wouldbit difficult, if not impossible. In this research, a summative scale ( likely) questionnaire consisting of 22 items was prepared to assess the attitude of all nurses ( n =108) in Kerman university of medical sciences. Content validity was improved after consulting available experts in the field. The reliability of research instruments were determined by a test- reiest, using spearman correlation coefficient. Internal consistence of the questionnaire was ascertained by cronbach, ( r=0.88). Overall, fifty two of the subjects ( 48.2℅) had a positive attitude ( mean score higher than 3), forty seven (43.5℅) had a negative attitude ( mean score lower then 3) and nine (8.3℅) were indifferent toward educating patients. Although the majority of nurses considered teaching patients an important task, most of them (72℅) regarded this duty as special task to be done by physicians. Among the study variables educational level ( p<0.02) and type of the service ( educational vs clinical) ( p<0.001) had a significant relationships with positive attitude, while gender, marital status and length of career had no correlation. The results from this project underscores the change of attitude and reeducation of nurses to have a role in teaching patients.  }, keywords = {Teaching patients,Nurse,Attitude}, url = {https://jkmu.kmu.ac.ir/article_38794.html}, eprint = {https://jkmu.kmu.ac.ir/article_38794_0003a06138928fba0682a673986cf52e.pdf} } @article { author = {Zarei-Mahmodabadi, A}, title = {Actinnomycetoma : A case report}, journal = {Journal of Kerman University of Medical Sciences}, volume = {2}, number = {3}, pages = {154-157}, year = {1995}, publisher = {Kerman University of Medical Sciences}, issn = {1023-9510}, eissn = {2008-2843}, doi = {}, abstract = {  Actinnomycetoma is a relatively rare chronic pustular infection. Thirty four cases have been reported from various geographic locations in  Iran. In this case report, a fifty year old male patient with Actinomycotic mycetoma lesions in his right foot was studied. Studies of the direct smear and culturing of the specimens ( both pus and & exudate, collected from the lesions), revealed that Nocardia asteroids was the causative agent.  }, keywords = {Actinnomycetoma,Nocardia asteroids}, url = {https://jkmu.kmu.ac.ir/article_38795.html}, eprint = {https://jkmu.kmu.ac.ir/article_38795_195dd770d958bee79cc44d44353dff28.pdf} }