Pahlavi medical journal最新文献

BMR, t1/2 of serum T4, and the conversion of T4 to T3 were normal in a patient with iodotyrosine-dehalogenase deficiency who had undergone total surgical thyroidectomy and had been maintained on 200 mug of oral T4 daily. It is concluded that the enzyme system for monodeiodination and conversion of T4 to T3 is different than iodotyrosine-dehalogenase.

Questions related to the use of narcotics were administered to 607 students attending four Iranian universities: Pahlavi University, the University of Tehran, Isfahan University, and Aryamehr University. Twenty-four percent of the students reported that they have used drugs at some time, although only 11% of the students have used drugs more than three times in their lives. Hashish was the most frequently used drug, having been used by 54% of the students who have used narcotics. Ninty percent of the students prefer to ingest the drugs by smoking them. A majority of the students (59%) said that they use drugs for pleasure or to increase sociability. Use of drugs was found to be significantly related to sex, age, number of years of university attended, and father's education. Although proportionately more males than females use drugs, they do not appear to differ significantly from the females in the type of drugs used or the frequency of use. Drug use was not significantly related to the parents' socio-economic status or parents' use of drugs. Exposure to drug use in the university seems to be more closely related to drug use than does parental influence.

We have collected all the reported cases of Echinococcus cysts recovered in every surgical ward in Mashhad since their establishment. At the same time we searched corpses of livestock which had been slaughtered in Khorassan's slaughter houses in different days since 1969 for evidence of cysts, and also dogs, 2 wolves, 4 jackals and 11 foxes which had been killed with strychnine, for adult worms. Occurrence of hydatid cyst infestation was found in 478 reports of surgical operations amongst 43,196 cases operated for various diagnosis including hydatidosis. The number of hydatid cyst infestation amongst 15,691 corpses is as follows: 881 out of 12,311 sheep and goats, 378 out of 3380 cattle and camels. The dogs' infestation was rather high as we found adult Echinococcus worms in 50 out of the examined 266, which gives a percentage of 18.79. But no worms could be found in the 2 wolves, 4 jackals and 11 foxes which were examined. All the adult worms examined were Echinococcus granulosus.

As an outgrowth of the Report of the Imperial Commission on the Study of Health and Medical Problems, The College of Health Sciences was established as the basic educational unit to provide comprehensive health care education within the framework of a team approach to Iranian national health care. The programs are to nonrestrictive, thereby demonstrating the principles of the concept and practice. Because of this, the College is a multidiscipline institution, and will expand to include programs of study in all health care specialties. The program of study for the equivalent of the baccalaureate degree in the College is based on functional analysis of the tasks to be performed by the primary care workers called behdars. The curriculum is task oriented and is made up to two sections, each of 33 months instruction. The first year concentrates on basic functional science and medicine in an academic setting, and the following two years are spent in clinical training in geographically diverse dispensaries and health care facilities. The second stage of the academic program will be available to graduate behdars who have successfully completed two or more years of work in the health care network and who display academic and professional excellence. Through a unit system approach these candidates for doctor of medicine will complete eleven months or more of comprehensive instruction in functional basic sciences, and this will be followed by two years in comprehensive hospital internship.

With the phenomenal expansion of knowledge in both basic and clinical sciences, it is absolutely essential to provide a sound foundation of anatomical sciences for the clinical teaching within the limited time available. Problems like shortage of qualified teachers in anatomy, isolation of anatomical sciences from the rest of the basic and clinical departments and multicentricity of sections of anatomical sciences urged us to apply an integrated system as tailored to our needs and limitations. By interdepartmental integration of gross anatomy, histology and embryology a more coordinated teaching has been achieved. Joint clinicoanatomical presentations by participation of anatomists in clinical teaching and clinicians in teaching of anatomy have not only upgraded the teaching but have also significantly reduced the problem of teachers shortage. These presentations are essentially directed towards illustrating the living anatomy, diagnostic anatomy, operative anatomy, applied embryology and microanatomy or the selected regions, with bearings on physical examination, pattern of the diseases, diagnostic and surgical procedures, genesis and treatment of congenital defects and neuroanatomical localisation of lesions. Fundamental basis of developmental and genetic defects are dealt with by a team of pediatrician, pediatric surgeon and the anatomists, with additional emphasis in the genesis of these defects and resultant disorders of function.

One hundred consecutive cases of upper gastrointestinal hemorrhage were studied clinically, radiologically and endoscopically. Erosive gastritis, duodenal and gastric ulcer, and bleeding esophageal varices accounted for 85% of the cases. The presenting sign of hematamesis or melena was of no value in localizing the bleeding site relative to the pyloric sphincter. Erosive lesions of the esophagus and stomach were suspected clinically in less than 50% of the cases and were the lesions least amenable to radiologic diagnosis and where early endoscopy was most useful. Our observations demonstrate again the frequent association between ethanol or aspirin ingestion and erosive gastritis.