Kerman University of Medical SciencesJournal of Kerman University of Medical Sciences1023-95101519931201Epidemiology of head injury in Kerman61138846ENHEskandariAssistant professorRAzimiJournal Article20161101This cross-sectional study was carried out during the year 1990 at Shahid Bahonar hospital of Kerman. During this period 1350 patients were admitted, 53℅ of whom were below the age cases occurring between 3 to 7 pm. The highest rate of admission was in summer. The average stay at the hospital was 7.2 days and the mortality rate in these patients was 8.14℅ , twenty four of whom (22.2℅) expired a few minutes after admission. Out of the total number of admitted patient 106(7.8℅) had a surgical operation.
Kerman University of Medical SciencesJournal of Kerman University of Medical Sciences1023-95101519931201Diagnosis and prognosis disclosure to dying adult cancer patients part1, physician attitude121738847ENMJanghorbaniAssistant professorMJhiyan PourAssistant professorH.RTabatabaeiJournal Article20161101A total 119 physicians were interviewed to examine whether the diagnosis and prognosis of cancer should be communicated to terminally ill cancer patients. 53(44.5℅) of the physicians were not involved in the management of the patients who had recently died of cancer. 56(84℅) of the physicians who had patients didn't discuss the diagnosis and 62(93.9℅) the prognosis with their patients who had recently died of cancer, though 65.5℅ of the physicians believed always and 7.6℅ sometimes the diagnosis and prognosis must be communicated. Perceived social class was found to be associated with patients awareness and discussion with physicians. The main reason given for not discussing the diagnosis with the patients was physicians fear of patients anxiety, distress and emotional reactions.
Kerman University of Medical SciencesJournal of Kerman University of Medical Sciences1023-95101519931201Necrotizing enterocolitis report of 20 cases182338848ENM.HDaei-PariziAssociate professorPNiknafsAssociate professorAAhmadiAssociate professorNEshghizadehJournal Article20161101Necrotizing enterocolitis is a disease of unknown origin. Epidemiological observations emphasize the potential roles of infection, enteric feeding and local vascular compromise of the Gastrointestinal tract in the pathogenesis of this disease. Clinical findings include signs of sepsis , plus abdominal distention , vomiting, bloody stool and occasionally , signs of intestinal perforation and peritonitis. Serial plain abdominal films necessary to confirm the diagnosis, although, distention of intestinal loops could be the only radiological finding, pneumatosis intestinalis with or without portal air are pathognomonic. In this report, 20 cases of NEC over a period of 8 years (1984-1992) are reported. Four out of 20 were below one month and 16 between one month to 3 years of age. Fourteen cases followed an episode of acute gastroenteritis. Among our patients 3 developed NEC after using diphenoxylate for diarrhea prior to admission. In 9 patients moderate to severe malnutrition was notable . Seventeen patients were formula fed, only 3 cases were surgically treated. Mortality rate among our patients was 30℅.Kerman University of Medical SciencesJournal of Kerman University of Medical Sciences1023-95101519931201An investigation on the relationship between risk factors and severity of tardive dyskinesia242938849ENYKalafiAssistant professorGH.RTadayoniAssistant professorJournal Article20161101The focus of most previous research concerning tardive dyskinesia has been on the impact of risk factors on the development( incidence) of this syndrome. In this paper, we report our results on the relationship between risk factors and the severity of tardive dyskinesia. A total of 33 patients diagnosed as tardive dyskinesia with no other medical illness studied: 21 males and 12 females with a mean age of 50. Twenty four of them diagnosed as schizophrenia and 9 as mood disorder, assessment of severity of tardive dyskinesia was based on the AIMS score. Significant positive correlations were found between age, sex, primary mental illness and severity of tardive dyskinesia.
Kerman University of Medical SciencesJournal of Kerman University of Medical Sciences1023-95101519931201Report of 40 cases of kale-azar from Kerman province303738850ENPNiknafsAssociate professorM.HDaei-PariziAssociate professorAAhmadiAssociate professorJournal Article20161101Visceral leishmaniasis is endemic in most parts of Kerman province. During eleven years, 40 patients in pediatric age group were admitted to the pediatric ward at the university hospital No.1 in Kerman. Fever and hepatosplenomegaly were the two most common clinical findings while leukopenia, thrombocytopenia and anemia were the most common laboratory findings, in 60℅ of cases the diagnosis was made by bone marrow aspiration and in 40℅ by response to treatment. All the patients were successfully treated using methylgluvamine antimoniate intramuscularly at the dose of 60 mg/ kg/ day for two weeks. We concluded that in dealing with prolonged fever and hepatosplenomegaly, kale-azar should be considered.
Kerman University of Medical SciencesJournal of Kerman University of Medical Sciences1023-95101519931201A critical review of current classification of depression384538851ENM.TYasemiAssistant professorJournal Article20161101The difficulties of current classifications of depression can not be considered independent of the general complications of psy chiatric classification. A tedious period of heated debate between the proponent of unitary vs pluralist views, and between the advocates of the categorical vs dimensional views didn't prove fruitful. Current classifications share two main characteristics I.e, they are " descriptive " and " categorical" . Our review of evidence regarding the classification of depression indicates that these two peculiarities are the main causes of stagnation of validity. In general, current classifications system have failed to attain their proposed goals. Our suggestion is that the efforts of researchers should be directed toward two parallel approaches. One approach may be called " systemic – dimensional" which can in fact lead to a comprehensive and valid classificatory system, still far from reach. The other approach is practical and problem because they embody neither of the above mentioned approachs.Kerman University of Medical SciencesJournal of Kerman University of Medical Sciences1023-95101519931201Superficial multiple fibromatosis( combined 3 syndromes)464938852ENS.AShamsodiniAssistant professorSHDabiriAssistant professorJournal Article20161101A 50 years old male patient to referred to our clinic for multiple hard diffused lesions on palms, plantars and penis. The Genesis of the problem goes back to 10 years earlier. The lesions appeared first on the soles and gradually new lesions appeared on the palms and eventually on the penis, so that stretching and contraction of the fingers and toes has become painful. During the last 6 years, two times he has been operated upon and the lesions are removed, now he has developed the problem of penis curvature, feels severe pain after detection , especially at the time of copulation . Isolated fibrornatous of palm is named Dupuytren's syndrome. Pure lesions of sole are named as lederhose,s disease and pure lesions on the penis are named as peyroine,s syndrome. Deep skin biopsy is done and superficial multiple fibromatosis is confirmed.
Kerman University of Medical SciencesJournal of Kerman University of Medical Sciences1023-95101519931201Scaphocapitate syndrome495238853ENS.AMarashiAssociate professorJournal Article20161101Scaphocapitate syndrome is quite rare. It usually remain undiagnosed at first and is treated as a scaphoid fracture. This syndrome was first reported in 1937. Since then 14 more cases have been reported. Six types have been described with type 1 being the most common one. This is the first case reported from the department of orthopaedic surgery, Ahvaz university of medical sciences.