Six cases report of Crimean Congo Hemorrhagic Fever (CCHF) in Golestan Province of Iran

CCHF is a dreadfull zoonetic disease that is transmitted through tick bites or direct contact of infected animals, tissues or blood secretions. This virus can be seen in domestic animals and ticks. At present, CCHF exists in different areas of the world and can be consideras a health problem. The case in present report was 24 year old men, resident in Ali-Abad a town in Golestan province. He had eaten liver of infected sheep, and was suspected to CCHF according Protocol of WHO criteria to the CCHF. He was treated with Ribavirin and supportive management, and subsequently recovered. This report helps health staff to find out the risk and probable causes of disease thus controlling the spread of the disease

The study of effective factors on persisted diarrhea in under five year old children Gorgan and Agh-Ghala health center

Diarrhea is one of the main reasons of mortality among children in the developed countries and half of all death is due to persisted diarrhea. This research is a cross-sectional and analytical study done on 708 children with acute diarrhea in village around Gorgan, to find out the effective factors on having persisted diarrhea in children under 5 years old. Face to face interview and determining the variable factors and examining health center records on children with acute diarrhea were the basis for filling the corresponding questionnaires. 14 days after the start of acute diarrhea, which was the second part of this research, the above questionnaires were fully completed by calling on the patient’s home. According to our investigation the risk factors related to the persisted diarrhea were as follow: Age, ethnicity, children length of breast feeding, chlorinated water, children consumed food at the time of acute diarrhea. The results from this investigation indicate that with 95% about probability 10.7%-11.3% of patients with acute diarrhea end-up with persisted diarrhea, which means diarrhea, was continued for more than 14 days. Therefore by controlling the above risk factors the mortality rate due to acute diarrhea could be reduced

The prototype of drug mis.abused of opioids in the self-introduced addicts in Gorgan (North-East of Iran)

Background&Objective: Addiction is one of major problems of today's world population. The first step on combating a social issue or disease is the proper re.organization. This study was done to determine the demographic characteristic, prototype of drug consumption and its relation with some personal and social variation in Gorgan (North-East, Iran). Materials&Methods: This study was a descriptive cross sectional research. The characteristics of 3005 addicts, was studied whom research voluntarily to the addiction clinic during 2001–2005 in the 5th Azar hospital of Golestan Medical Sciences University in Gorgan. The collected data was analyzed using the SPSS software. Results: From a total 3005 files which were studied, 2786 (92.7%) were male and the reminder were females. The meanSD of age was 36.9111.41. 4.8% of samples had university education, 21.3% high school diploma, and 61.7% were either unemployed or without any certain job. Opium with 66.7% was the substance with highest rate of consumption. In 40.2% of the cases, inhaling was the main route of consumption and in 30.9% of addict subjects taking the drugs orally. From the point view of type of drug, smocking cigarette, alcohol consumption, using cannabis and pill consumption, there was a meaningful correlation (P<0.05). The rate of addicted male subjects whom referred to the clinic to leave the addiction was 14.97% times of female subjects. 93.8% of the addicts persons had 20-50 years of age, which is an indicative of the real of age of addicted people in Gorgan. Conclusion: Unemployment can be considered as one of the main cause of high rate of addiction among the people in the society and in particular in this sample population. It seems that with education and creating employment in the region, to some extend the addiction can be controlled

Photoclinic

The patient was 58 years old lady, admitted due to recurrent right temporal cystic mass, with no previous histopathologic study. On physical examination, a 3*3 cm mobile, cystic mass was present with no other positive finding. Skull CT scanning revealed multilocular cystic lesion of right temporal soft tissue, without involvement of orbit, sinuses and temporal bone. Chest radiography and abdoman sonography was reported to be normal. She undergone operation of cyst evaluation and open underwent draiwage. She dishcharged after 3 days and no recurrence happened in one year follow up. Histopathologic study of the cyst contents, confimed the diagnosis of hydotid cyst. Hydatical cystis, most commonly involves the liver, then lungs and varely striated muscles may be involved at larval stage of edinococcus granulosus and rare edinococcus multilocularis, only in 3% of hydotid disease. Parasite spreads in hematogenous manner. Peritoneal, spleaic, mediastinal, renal, bone, heart, brain, muscular. Arterial, seminal vesicle involvement rarely happens. Preop sonography, CT scanning and MRI and serologic ELISA testing helps diagnosis. New method of FNA and cylologic study as noted by thial, et al may be diagnostic. Appropriate theropy is cysto-peri cystectomy or evacuation. Mebeandazole or albendazole orally as adjunct therapy before and after operation, specially when surgery is impossible may be valuable