Pahlavi medical journal最新文献

In acute Staphylococcal infections, antimicrobial drug therapy must often be initiated before culture results and antibiotic susceptibility testing are completed. Three hundred and ten cultures of coagulase-positive Staphylococcus aureus were tested for antibiotic sensitivity by the Kirby-Bauer method at the Nemazee Hospital in Shiraz, Iran. The overall resistance to penicillin G was 97.10% whereas over 99% of the isolated Staphylococci were sensitive to the penicillinase-resistance penicillin cloxacillin. A penicillinase-resistant penicillin should therefore be used in the initial management of all serious Staphylococcal infections until the organism responsible for infection can be shown to be specifically sensitive to penicillin G.

Eight patients with congestive cardiomyopathy were examined at autopsy. All showed significant mural thrombi. The majority had repeated pulmonary and peripheral emboli. Cardiac catheterization was considered helpful in the diagnosis. Anticogaulation may be worthwhile in addition to the routine therapy for cardiomyopathic heart failure.

The prevalance of various intestinal parasites has been determined from a study of 40, 267 people from both urban and rural areas of Khorasan province, Iran. Except for G. lamblia, T. hominis, and H. nana, the prevalence of intestinal parasites seems to be lower in this province than in other areas of Iran. The incidence of infestation in village females was higher than in village males, but was similar in the two sexes in the towns and cities. Of those infested, more than 20% from urban areas and 35% from rural areas had multiple infestations.

One hundred and seventy consecutive unselected patients suspected of having acute myocardial infarction (AMI) were admitted to our Coronary Care Unit (CCU); 100 of them proved to have AMI (CCU group). These patients were compared with another 100 cases of AMI, which were admitted to our hospital in the period immediately preceding the establishment of CCU (prior group). Criteria of selection used for both groups were the same. The mortality rate in the CCU group was 11% compared to 31% of the prior group. There was no single case of sudden death due to primary ventricular fibrillation, though only one due to ventricular asystole in the CCU groups. Our findings also were compared with those reported of elsewhere and the difference is discussed. The reasons for lower mortality rate and sudden death are explained. In coronary care unit, in addition to try to decrease the total mortality rate, also should try to reduce the incidence of Primary ventricular fibrillation and asystole. The two main causes of sudden unexpected death in AMI.

Four cases of colloid medium are presented. The light and electron microscopic pathological changes are described and the important role of the sunlight exposure in producing these lesions in out-door workers in Iran is emphasized.

The incidence of sex-chromatin-positive cells during the first five days of life was investigated in buccal smears stained with aceto-orcein in three groups of newborn females: 51 term infants, 17 small-for-date prematures and 9 prematures with birth weight appropriate for gestational age. In addition, single buccal smears were obtained from a control group of 50 older female children. No significant difference was found in the number of sex-chromatin positive cells between the three groups of infants. The mean incidence of sex-chromatin-positive cells in the neonatal period was lower than that of the older control girls, as has been reported by previous workers. The mean incidence of sex-chromatin-positive cells on the fifth postnatal day never reached 17% which was the mean frequency of sex-chromatin positive cells in older controls. This contrasts with the findings of other workers who reported the rise of sex-chromatin positive cells to occur on the second or third days of life.