2024-03-29T02:21:02Z
https://jkmu.kmu.ac.ir/?_action=export&rf=summon&issue=4442
Journal of Kerman University of Medical Sciences
jkmu
1023-9510
1023-9510
1994
1
1
Determination of reference ranges using medical laboratory date
H
Rahi
A
Kiyani
In order to have reliable reference ranges and to minimize the effects of variables such as the procedure of specimen collection, geographical location, dietary habits, life style and possible errors during the performance of tests, it is recommended that each medical laboratory establish it's own reference values. Idealy, the reference ranges Should be determined by analysis of specimens from every or, from a random sample of the individuals in the population of interest. However, in terms of time and money, it is very expensive and impracticable to examine and apply the selection criteria to the entire population and therefore a random selection of a subset of individuals is recommended. As an alternative, a number of methods have been suggested where by the test results of individuals undergoing routine analysis can be used to establish reference values. These people are a pt to forma heterogeneous sample, I.e. a mixture of two distributions, one, of healthy and one, of sick individuals. For this reason and the fact that in our country almost all clinical laboratories are using reference ranges belonging to foreign sources, a special computer program was devised to analyse the data collected at Kermanshah central laboratory. A set of reference values for routine and special biochemical tests have been derived. This includes; Glucose 55-119 mg/ dl, BUN 6-20 mg/ dl, cholesterol 138-278 mg/ dl, triglyceride 57-156 mg/ dl, creatinine 0.45-1.2 mg/ dl, uric acid 2.8-7.1 mg/ dl, total bilirubin 0.39-1.2 mg/ dl, direct bilirubin 0.18-0.23 mg/ dl, calcium 8.5-10.4 mg/ dl, phosphorus 2.5-5.6 mg/ dl, sodium 138-143 mmol/ L, potassium 3.8-4.8 mmol/L, iron 68-165 ug/ dl, Hb 10.2-16.8 G/ dl, total protein 6.6-7.1 G/ dl, SGOT 9-27U/ L, SGPT 8.26 U/ L, T 3.93-12.41 ug/ dl, T3 – Uptake 23-32℅, FTI 1.3-3.8℅mg/ dl, TSH 0.36-3.13 uIU/ ml. This results were compared with the reference ranges established by kitmanufacturers. The results of glucose, cholesterol and HB estimation have also been compared with the values calculated for a random samples selected by the health survey of Iran in Kermanshah province.
Biochemical reference ranges
Kermanshah
1994
12
01
1
11
https://jkmu.kmu.ac.ir/article_38721_8b758f57c90540bbda3ca8e5c270626e.pdf
Journal of Kerman University of Medical Sciences
jkmu
1023-9510
1023-9510
1994
1
1
Epidemiology of pemphigus and treatment outcome in Kerman
A.R
Fekri
Y
Niliyan
S
SHomsodini
The usual outcome of pemphigus whitout treatment is death. The introduction of corticosteroids has greatly reduced the mortality of this condition, though a significant morbidity remains. The patients who are receiving high- dose steroids together with other immunosuppressive agents are at risk and may cause death through drug side effects and opportunitic infections. The descriptive study has been done on 75 cases of hospitalised or outpatients suffering from pemphigus, data collection was retrospective. Fifty six cases were pemphigus vulgaris and 7 cases were foliaceous type. The high peak frequency of pemphigus was in the age range of 30-40. Females were 3 times more affected to pemphigus vulgaris than men. Epidemiological varieties and therapeutic side effects such as pulmonary tuberculosis, Hyperglycemia, ophthalmic herpes, diarrhea, eczema hypericum growth retardation, malignancy, corticosteroidal depression and suicide in a case have been evacuated in the study.
Side effect
corticosteroidal depression
pemphigus
Epidemiology
1994
12
01
12
16
https://jkmu.kmu.ac.ir/article_38722_5fa184eb2ab939e2d42a34d510978772.pdf
Journal of Kerman University of Medical Sciences
jkmu
1023-9510
1023-9510
1994
1
1
Evaluation of plasma lipids and lipoproteins in patients with psoriasis
B
Yaghmaei
A.R
Fekri
M.R
Bazrafshani
E
Sabet
Psoriasis is an epidermal disease characterized by chronic relapsing papillon squamous erythematous plaques which may develop in the skin of elbows, knees and extensor surfaces. The cause of psoriasis is unknown. The primary etiologic factor may be related to excessive uncontrolled synthesis is resulting from changes in (1) the function of growth factors ( EGF),(2) presence of proto- oncogenes, (3) enhanced synthesis of polyamines and (4) increased production of cyclic nucleotides such as cAMP and cGMP which all together culminate in increased production of cellular components leading to increased epidermal and cellular proliferation and abnormal incomplete cellular differentiation. This study was performed to evaluate the plasma lipid level in these patients. Plasma cholesterol and triglycerides were measured by enzymatic methods and HDL, VLDL and LDL were determined by electrophoresis, 27 patients underwent the named biochemical tests and the results were compared with those of 30 healthy volunteers. Both groups were examined by a specialist and found to be completely free of any cardiovascular diseases and any other diseases causing blood lipid alterations such as diabetes, hyperlipidemias ....etc. HDL, LDL and cholesterol level in patients were non-alcoholic non-significantly higher than those of the contents. Also there was no statistically significant difference in the concentration of VLDL in Both groups. Triglyceride levels in patients was higher than control group and the difference was statistically significant ( p<0.05).
Psoriasis
lipoproteins
Cholesterol
Triglyceride
1994
12
01
17
22
https://jkmu.kmu.ac.ir/article_38723_fee8e0b105d2d23e219d311414229644.pdf
Journal of Kerman University of Medical Sciences
jkmu
1023-9510
1023-9510
1994
1
1
Evaluation of knowledge and usage of personal protective equipments by welding workers in Kerman door shops
N
Hashmi nejhad
Y
Nikiyan
In order to Investigate the knowledge and usage of personal protective equipments with 290 workers interviewed who were employed in 200 welding shops in Kerman. The data were recorded in a questionnaire. The results showed that in respect to personal protective equipments 31.4℅ had low knowledge, 50.3℅ medium knowledge and 18.3℅ good knowledge. Hand shieldwelding , safety goggles, clothes and glove are used more frequently than other protective equipments. There was a significant relationships between age, occupational history, skill and their knowledge.
Personal protective equipment
knowledge
welding workers
1994
12
01
23
28
https://jkmu.kmu.ac.ir/article_38724_ddd25441ab9667eb10a651c37314b694.pdf
Journal of Kerman University of Medical Sciences
jkmu
1023-9510
1023-9510
1994
1
1
Evaluation of Kerman nursery instructors, knowledge on methods of cardiopulmonary resuscitation ( C.P.R) and urgent management for aspiration of foreign bodies
M
Sabeti-moghadam
M.T
Yasemi
Y
Nikiyan
M
Safar-navadeh
Aspiration of foreign bodies occur in infants and children frequently. Regarding hazards of this important accident that may sometimes lead to death and the necessity of an urgent management, knowledge of nursery instructors on this issue was studied. A questionnaire was designed by the investigators that included questions about methods for removal of foreign bodies and C.P.R and filled by all nursery instructors of Kerman city ( n=163). After data collection, analysis was done using descriptive statistics, X2 and X2 for trend, the following results were achieved; average age of instructors was 31.1+_8.8,(72.4℅) were high school graduates, and about half of them, 84(51.1℅) reported no foreign bodies from airways, 111(68℅) didn't know mouth to mouth breathing and 112(68.7℅) had no information about methods of cardiac massage. 142(87.1℅) of them declared that they needed to take a course on C.P.R. and methods of removal of foreign bodies from upper respiratory tract. There was no significant relationships between number of passed continued courses, duration of career, number of children and level of education on one hand and cardiac massage and removal of foreign bodies on the other hand. There was only a significant relationships between having passed continued education classes and number of children with knowledge on mouth breathing ( p<0.05). This investigation established the need to conduct training courses on C.P.R and removal of foreign bodies from upper airways for nursery instructors.
Cardiopulmonary resuscitation ( C.P.R)
aspiration of foreign bodies
nursery instructors
1994
12
01
29
33
https://jkmu.kmu.ac.ir/article_38725_105b81cbd5c2f85a709ae6f10ea5000c.pdf
Journal of Kerman University of Medical Sciences
jkmu
1023-9510
1023-9510
1994
1
1
Meconium aspiration syndrome in neonates
P
Nik-Nafs
Perhaps the most significant changes in airway management over the recent years have been in the management of an infant delivered through meconium- stained amniotic fluid( MSAF). MSAF occurs in approximately 10℅ to 20℅ of all deliveries and increases to over 30℅ in deliveries after 42 weeks gestation. Meconium aspiration syndrome ( MAS) occurs in about 2℅ to 5℅ of these cases with a high mortality rate. Although it is generally agreed that meconium staining of the amniotic fluid is associated with increased perinatal mortality and morbidity, the benefits of routine delivery- room intubation of the meconium- stained newborn have recently been questioned. Until well-designed prospective investigations are performed, reasonable guidelines to follow are those established by a joint committee of the American Academy of pediatrics( SAP) and the American Heart Association ( AHA) in 1992. Following obstetric oropharyngeal suctioning, the committee recommended that intratracheal suctioning be performed on all meconium- stained babies if (1) there is evidence of fetal in utero distress ( for example, abnormal electric fetal monitoring), (2) the neonate is depressed or requires positive pressure ventilation in the delivery room,(3) the meconium is thick or particulate in nature( this includes " moderately- thick" meconium), or(4) if obstetric pharyngeal suctioning was not performed at all. The remaining meconium- stained babies may not need intratracheal suction should there be thin- consistency MSAF , if the obstetrician has adequately suctioned the pharynx, and if the infant is vigorous.
Air leak syndrome
fatal hypoxia
intrapartum oropharyngeal suctioning
meconium- stained amniotic fluid
persistent pulmonary hypertension of the newborn
1994
12
01
34
44
https://jkmu.kmu.ac.ir/article_38726_2eaa112116b3c690e12708a9610a2120.pdf
Journal of Kerman University of Medical Sciences
jkmu
1023-9510
1023-9510
1994
1
1
Massive osteolysis ( Gorham,s disease) and report a case
M
Jhiyan pour
A.R
Habibi-Khorasani
A.H
Borji
Gotham's disease or vanishing bone is a rare disease with unknown etiology. Frequently, children and young adults are affected. It is characterized by proliferation of vascular or lymphatic tissue which results in destruction and resorption of bone. In this disease, the destructed bone is replaced either by hemangiomatous or lymphangiomatous tissue ( s) and in a later stage, fibrosis occurs. It is postulated that the vascular replacement is an attempt to repair the lesions rather a cause. The first radiograph may show only an irregular area of osteolysis one bone, but the destructive process slowly extends over a period of several years in pathology reports, and the affected Bone irrespective of the intervening joints. The bone is described as soft and spongy in pathology reports, and the affected Bone is replaced by loose or loosing angiomatous tissue, consisting of capillary or sinusoidal vessels. Lymphangiomatous elements may predominate. A patient with Gotham's is reported, whose main complaint was pain in left side of the chest, and in initial chest X-RAY several ribs were vanished on the left side. In spite of radiation therapy, the patient died because of progression of lesion and development of bilateral pleural effusion.
Massive osteolysis
Gotham's disease
1994
12
01
45
50
https://jkmu.kmu.ac.ir/article_38727_90cc9c572d5391736841d0d5243d66a8.pdf
Journal of Kerman University of Medical Sciences
jkmu
1023-9510
1023-9510
1994
1
1
Tracheal carcinoma in a patient with mucosal lichen planus: A ca report
A.H
Habibi-Khorasani
A.H
Borji
SH
Dabiri
S
Shamsodini
A 24 year old woman with bilateral oral white patches was referred to dermatology clinic. Her chief complaint was mouth burning. Pathological report of cut section biopsy from oral mucosa was in favor of lichen planus. Intralesional corticosteroid injection and it's subsequent systemic administration 30 mg/ daily for one month showed no improvement. Therefore a combination of systemic corticosteroid and topical mucosal triamcinolon- actinide in orabase gel( kenalog in orabase) was used. In next examination , two weeks later, mucosal lesions showed improvement, but she was suffering from dyspnea following withdrawal of corticosteroid. One month later she was referred to emergency medical center of a general hospital due to acute respiratory dyspnea. Broncoscopic examination revealed intratracheal mass with nearly complete tracheal obstruction. Microscopic pathological findings of needle biopsy, showed unclassified carcinoma. Tumor was not operatable so radio- chemotherapy was started. The patient had been followed up during last two years with no clinical problem.
Tracheal carcinoma
Lichen Planus
corticosteroid
mucosa
1994
12
01
51
55
https://jkmu.kmu.ac.ir/article_38728_441b1cda6f530385ff3753179e4e671a.pdf