@article { author = {Salam, Abdus and Siraj, Harlina Halizah and Mohamad, Nabishah and Das, Srijit and Yousuf, Rabeya}, title = {Bedside Teaching in Undergraduate Medical Education: Issues, Strategies, and New Models for Better Preparation of New Generation Doctors}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {1-6}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {10.30476/ijms.2011.39597}, abstract = {Bedside teaching is a vital component of medical education. It is applicable to any situation where teaching is imparted in the presence of patients. In teaching in the patients’ presence, learners have the opportunities to use all of their senses and learn the humanistic aspect of medicine such as role modeling, which is vital but difficult to communicate in words. Unfortunately, bedside teaching has been on the decline. To investigate the reasons for the decline in bedside teaching, its importance and its revival, a review of literature was carried out using PubMed and other data bases. The review revealed that the major concerns of bedside teaching were time constraint, false preceptors’ concern about patients’ comfort, short stay of patients in hospitals, learner distraction by technology, lack of experience and unrealistic fa-culty expectation. Whatsoever the reasons, bedside teaching cannot be replaced with anything else. There are newer approaches of effective bedside teaching, and the core focus of all such approaches is educational process. A bedside teacher must learn how to involve patients and learners in the educational processes. Moreover, bedside teaching is the process through which learners acquire the skills of communication by asking patients’ permission, establishing ground rules, setting time limit, introducing the team, diagnosing learner, diagnosing patient, conducting focused teaching, using simple language, asking patient if there is any question, closing with encouraging thanks, and giving feedback privately. It is most important to ensure a comfortable environment for all participants, the learner, the patient and the bedside teacher. Ongoing faculty development programs on educational processes and realistic faculty expectations may overcome the problems.}, keywords = {Bedside teaching,issues,Strategies,new models}, url = {https://ijms.sums.ac.ir/article_39597.html}, eprint = {https://ijms.sums.ac.ir/article_39597_32044aff91f055fcc592544bde70c096.pdf} } @article { author = {Razeghinejad, Mohammad Reza}, title = {Gonioscopic Features in Patients with Acute and Chronic Angle-Closure Glaucoma}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {7-13}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {Background: A number of ocular biometric parameters, iris hiotologic and anatomic characters have been suggested as inciting factors for converting patients with narrow angle to angle-closure glaucoma. This study was conducted to determine if there was any goniscopic difference between patients with acute angle-closure glaucoma (AACG) and chronic angle-closure glaucoma (CACG). Methods: The study is a retrospective analysis of the charts of 97 patients with asymmetric CACG and 15 patients with unilateral AACG. The age, sex, type of glaucoma, gonioscopic findings and optic nerve head cup/disc ratio were recorded for all patients. Dynamic gonioscopy and Spaeth’s convention were used to grade the drainage angle. The eyes with AACG or more optic nerve damage in CACG groups were considered as involved eye, and the contralateral eyes in the AACG and CACG groups were considered as noninvolved and less-involved, respectively. Results: There was no significant difference between patients with AACG and CACG in terms of age, gender, refraction, and laterality of the involved eyes. In intragroup analysis, no significant difference was observed for distribution of iris attachment, irido-corneal angle, iris configuration, or trabecular pigmentation. In intergroup analysis, the superior iris was attached more anterior in the involved eyes of AACG compared to that in CACG (P=0.007). Moreover, the iris root attachment was also more anterior in both the superior (P=0.001) and inferior (P=0.002) angles of the noninvolved eyes of AACG vs. than those in the less-involved eyes of CACG group. Conclusion: The findings of the study indicate that there is no significant difference between the eyes with AACG or CACG in terms of goniscopic findings. However, the superior iris attachment was located more anterior in eyes with AACG compared to that in eyes with CACG.}, keywords = {Angle-closure glaucoma,gonioscopy,Iris}, url = {https://ijms.sums.ac.ir/article_39598.html}, eprint = {https://ijms.sums.ac.ir/article_39598_5040dc357dac7dde4346b5f469e000dc.pdf} } @article { author = {Wani, Mohd Lateef and Ahangar, Ab Gani and Lone, Gh Nabi and Singh, Shyam and Majeed Dar, Abdul and Bhat, Mohd Akbar and Zubair Ashraf, Hakeem and Irshad, Ifat}, title = {Vascular Injuries Caused by Tear Gas Shells: Surgical Challenge and Outcome}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {14-17}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {Dec 2009 were studied. Patients with vascular injuries caused by causes other than tear gas shells were excluded from the study. Results: All patients were treated with reverse saphenous vein graft as segmental loss was less than 2.5 cm. Wound infection was the most common complication, followed by graft occlu-sion. Amputation rate was 16.66%. Associated nerve injury occurred in 44.44% of the patients. Conclusion: Tear gas shell injuries should not be taken lightly. They can cause injuries as serious as vascular injuries. Vascular injuries cased by tear gas shells require prompt re-vascularisation to improve limb salvage. Despite proper revascularisation, patients have significant morbidity and need proper rehabilitation in the follow ups.}, keywords = {Tear gas,Vascular injury,saphenous vein}, url = {https://ijms.sums.ac.ir/article_39602.html}, eprint = {https://ijms.sums.ac.ir/article_39602_e140feb3b94df2c255a8e110446aa8d7.pdf} } @article { author = {Hassanzad, Maryam and Khalilzadeh, Soheila and Kahkouee, Shahram and Parsanejad, Nazanin and Baghaie, Nooshin and Bloorsaz, Mohammad Reza}, title = {The Correlation of Brody High Resolution Computed Tomography Scoring System with Clinical Status and Pulmonary Function Test in Patients with Cystic Fibrosis}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {18-23}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {Background: To reduce the mortality and morbidity rates of cystic fibrosis (CF) patients, and to have an effective clinical management, it is important to monitor the progression of the disease. The aim of this study was to evaluate the progression of lung disease in CF patients by means of assessing the correlation of the CT scoring system with clinical status and pulmonary function test at the Pediatric Pulmonary Ward of Masih Daneshvari Hospital in 2008. Methods: Pulmonary high resolution computed tomography (HRCT) was performed in 23 CF patients using the Brody's scoring system. Morphologic signs as well as the extent and severity of each sign were scored, and the total score was calculated. The correlation of HRCT scores (total score as well as the score for each parameter) with Shwachman Kuczycki scoring system and pulmonary function test were examined. Results: The study included 9 female and 14 male patients with an age range of 5-23 years (mean: 13.42 years). Bronchiectasis (100%) and peribronchial wall thickening (100%) were the most frequent CT abnormalities. Mucus plugging, air trapping and parenchymal involvements were respectively seen in 95.7%, 91.3% and 47.8% of patients. The overall CT score for all patients was 57.6±24.2 (means±SD). The results of pulmonary function test showed a restrictive pattern; however, in 5.3% of the patients PFT was normal. The overall Shwachman-Kulczycki score was 53.48±13.8. There was a significantly (P=0.015) negative correlation between the total CT score and Shwachman-Kulczycki score; however, there was no significant correlation between total CT score and the results of PFT (P=0.481) Conclusion: The Brody's scoring system for high resolution computed tomography seems to be a sensitive and efficient method to evaluate the progression of CF, and can be more reliable when we combine the CT scores with clinical parameters.}, keywords = {Clinical status,pulmonary function test,cystic fibrosis}, url = {https://ijms.sums.ac.ir/article_39606.html}, eprint = {https://ijms.sums.ac.ir/article_39606_9328c3026ec63df3bca07da0e0050a4d.pdf} } @article { author = {Tamokou, Jean De Dieu and Kuiate, Jules Roger and Tene, Mathieu and Nwemeguela, Timothée Julbelin Kenla and Tane, Pierre}, title = {The Antimicrobial Activities of Extract and Compounds Isolated from Brillantaisia lamium}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {24-31}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {10.30476/ijms.2011.39609}, abstract = {Background: Brillantaisia lamium is an erect branched herb, which grows to a height of 1.50 m in moist tropical areas, both in full sun and partial shade. In Cameroon, the aerial part of this plant is used in the treatment of various microbial infections such as skin diseases and infections of urinary tract. The aim of this study was to evaluate the antimicrobial activities of CH2Cl2: MeOH (1:1) extract, fractions and compounds from the aerial part of B. lamium. Methods: The plant was dried and extracted by maceration in CH2Cl2: MeOH (1:1 v/v). Structures of the compounds from the CH2Cl2: MeOH (1:1) soluble fraction were determined by spectroscopic methods and compared with published data. The broth micro dilution method was used to evaluate the antimicrobial activities against bacteria and fungal species. Results: Four known compounds: aurantiamide acetate (1), lupeol (2), lespedin (3), sitosterol 3-O-β-D-glucopyranoside (4) and a mixture of sterols: campesterol (5), stigmasterol (6) and β-sitosterol (7) were isolated from CH2Cl2: MeOH (1:1) extract of B. lamium aerial parts. The crude extract, fractions and isolated compounds exhibited both antibacterial and antifungal activities that varied with microorganism (MIC=6.25 – 1000 µg/ml). Compound 3 was the most active (MIC=6.25 – 100 µg/ml) while Staphylococcus aureus, Enterococcus faecalis, Candida tropicalis and Cryptococcus neoformans were the most sensitive to all the tested compounds. Conclusion: The overall results of this study indicate that the CH2Cl2: MeOH (1:1) extract and some of isolated compounds have interesting antimicrobial properties and can be used for the treatment of fungal and bacterial infections.}, keywords = {Antifungal,Antibacterial,phytochemicals}, url = {https://ijms.sums.ac.ir/article_39609.html}, eprint = {https://ijms.sums.ac.ir/article_39609_33962da7be515e8e237229acebbac954.pdf} } @article { author = {Mohammadzade, Mohammad Ali and Mohammadzade, Maryam and Herfatkar, Mohammad Rasul}, title = {A Comparison of Interposition and Femoropopliteal Bypass Grafts in the Management of Popliteal Artery Trauma}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {32-35}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {Background: Peripheral vascular injury associated with lower limb trauma is a well-known emergency. The experience for the management of popliteal artery trauma have mainly come from managing the traumas of military personnels during Iran-Iraq war. The present study compared the effects of two currently-used surgical techniques in the management of popliteal trauma, namley femoropopliteal bypass graft and interposition vein graft on limb salvage. Methods: A retrospective review of 40 patients with popliteal artery trauma admitted to the trauma unit of a university teaching hospital during 2003 to 2008. The patients had undergone femoropopliteal bypass graft (n=26) or interposition vein graft (n=14) for the management of popliteal trauma. Results: The amputation rate among patients managed by femoropopliteal bypass or interposition vein graft was 35.7% and 61.5%, respectively. Knee stability among patients ma-naged by interposition graft group was 57.7% and in those managed by femoropopliteal bypass graft was 85.7%. Conclusion: The rates of knee stability achieved by the employed techniques indicate that femoropopliteal bypass vein graft is superior, and therefore, preferable to the interposition vein graft in the management of popliteal artery trauma.}, keywords = {Vascular surgery,vascular trauma,interposition graft}, url = {https://ijms.sums.ac.ir/article_39610.html}, eprint = {https://ijms.sums.ac.ir/article_39610_6a14e0fd837519f17e3eec49fcad5fbd.pdf} } @article { author = {Asadi-Pooya, Ali Akbar and Yaghoubi, Ehsan and Nikseresht, Alireza and Moghadami, Mohsen and Honarvar, Behnam}, title = {The Neurological Manifestations of H1N1 Influenza Infection; Diagnostic Challenges and Recommendations}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {36-39}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {Background: World Health Organization declared pandemic phase of human infection with novel influenza A (H1N1) in April 2009. There are very few reports about the neurological complications of H1N1 virus infection in the literature. Occasionally, these complications are severe and even fatal in some individuals. The aims of this study were to report neurological complaints and/or complications associated with H1N1 virus infection. Methods: The medical files of all patients with H1N1 influenza infection admitted to a specified hospital in the city of Shiraz, Iran from October through November 2009 were re-viewed. More information about the patients were obtained by phone calls to the patients or their care givers. All patients had confirmed H1N1 virus infection with real-time PCR assay. Results: Fifty-five patients with H1N1 infection were studied. Twenty-three patients had neurological signs and/or symptoms. Mild neurological complaints may be reported in up to 42% of patients infected by H1N1 virus. Severe neurological complications occurred in 9% of the patients. The most common neurological manifestations were headache, numbness and paresthesia, drowsiness and coma. One patient had a Guillain-Barre syndrome-like illness, and died in a few days. Another patient had focal status epilepticus and encephalopathy. Conclusions: The H1N1 infection seems to have been quite mild with a self-limited course in much of the world, yet there appears to be a subset, which is severely affected. We recommend performing diagnostic tests for H1N1influenza virus in all patients with respiratory illness and neurological signs/symptoms. We also recommend initiating treatment with appropriate antiviral drugs as soon as possible in those with any significant neurological presentation accompanied with respiratory illness and flu-like symptoms.}, keywords = {nfluenza A (H1N1),neurological,Seizure,Coma}, url = {https://ijms.sums.ac.ir/article_39611.html}, eprint = {https://ijms.sums.ac.ir/article_39611_47c2b0446ee4fc472e19350c58d1a4b1.pdf} } @article { author = {Kazemi Nezhad, Seyed Reza and Fahmi, Fatemeh and Khatami, Saeid Reza and Musaviun, Mohsen}, title = {Molecular Characterization of Cosenza Mutation among Patients with Glucose-6-Phosphate Dehydrogenase Deficiency in Khuzestan Province, Southwest Iran}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {40-44}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {Glucose-6-phosphate dehydrogenase (G6PD) deficiency is one of the most common hereditary enzymatic disorders in human, increases the vulnerability of erythrocytes to oxidative stress. It is also characterized by remarkable molecular and biochemical heterogeneity. According to previous investigations, G6PD Cosenza (G1376C) is a common G6PD mutation in some parts of Iran. Therefore in the present study we have characterized Cosenza mutation among G6PD deficient individuals in Khuzestan province. In order to identify G6PD Cosenza, we analyzed the G6PD gene in 64 samples out of 231 deficient individuals who had not G6PD Mediterranean mutation, using PCR- restriction fragment length polymorphism (RFLP) method. G6PD Cosenza mutation was found in 6 males of 231 samples, resulting in the relative rate of 2.6% and allele frequency of 0.023 among Khuzestanian G6PD deficient subjects. A comparison of these results with previous findings in some parts of Iran suggests that G6PD Cosenza is a common mutation in Khuzestanian G6PD deficient individuals.}, keywords = {G6PD deficiency,Cosenza mutation,molecular characterization}, url = {https://ijms.sums.ac.ir/article_39599.html}, eprint = {https://ijms.sums.ac.ir/article_39599_cf7c024468cd002e172ecc7e79fbd286.pdf} } @article { author = {Asadollahi, Khairollah and Hastings, Ian M. and Beeching, Nicholas J. and Gill, Geoffrey V. and Asadollahi, Parisa}, title = {Leukocytosis as an Alarming Sign for Mortality in Patients Hospitalized in General Wards}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {45-49}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {There is some evidence that leukocytosis without infection is associated with increased hospital mortality, but data in this regard are very incomplete. This study was designed to investigate the relationship between leukocytosis at the time of admission and mortality among patients hospitalized in general wards. During July to Nov 2004, all deceased patients who had a white blood cell (WBC) count record for the first 24 hours of admission were selected as cases. Among survivors, twice the number of cases was selected as controls. Different levels of WBC counts were compared between cases and controls. Totally 1650 patients, including 550 deceased (cases) and 1100 survivors (controls) were analyzed. Of these, 876 (53%) were males and 774 (47%) females, and 42 (3%) were admitted to ICU, 1426 (86%) to medical and 182 (11%) to surgical wards. There was a significant difference between the mean age of deceased patients (78.0 years) and survivors (53.0 years) (P10×109/l accounted for 804, among which 335 (42%) were deceased. Leukocytosis and leukopoenia were more frequent among the deceased patients compared to the survivors. The likelihood ratio for leukocytosis and leukopenia among the cases and controls was 1.4 and 2.3, respectively. Leukocytosis was identified as an alarming sign for mortality among patients admitted to general hospital wards at early stages of admission. A quick medical intervention for amendment of the causes related to leukocytosis should consequently reduce hospital mortality.}, keywords = {General hospital,Hospital mortality,Inpatient,leukocytosis}, url = {https://ijms.sums.ac.ir/article_39603.html}, eprint = {https://ijms.sums.ac.ir/article_39603_75fd2bc980309e164bf6d4cb8498303e.pdf} } @article { author = {Rafati, Hasan and Saghafi, Abdollah and Saghafinia, Masoud and Panahi, Farzad and Hoseinpour, Mohamadjavad}, title = {Survival after In-Hospital Cardiopulmonary Resuscitation in a Major Referral Center during 2001-2008}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {50-53}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {Despite efforts to save more people suffering from in-hospital cardiac arrest, rates of survival after in-hospital cardiopulmonary resuscitation (CPR) are no better today than they were more than a decade ago. This study was undertaken to assess the demographics, clinical parameters and outcomes of patients undergoing CPR by the code blue team at our center during 2001 to 2008. Data were collected retrospectively from adult patients (n=2262) who underwent CPR. Clinical outcomes of interest were survival at the end of CPR and survival at discharge from the hospital. Factors associated with survival were evaluated using binomial and Chi Square tests. Of the patients included (n=2262), 741 patients (32.8%) had successful CPR. The number of male patients requiring CPR was more than females in need of the procedure. The majority of patients requiring CPR were older than 60 years (56.4±17.9). The number of successful CPR cases in long-day shift (7:00 to 19:00) was more than that in the night shift (19:00 to 7:00). Furthermore, 413 (18.4%) cases were resuscitated on holidays and 1849 (81.7%) on the working days. The duration of CPR was 10 min or less in 710 (31.4%) cases. Cardiopulmonary resuscitations which lasted less than 10 minutes were associated with better outcomes. The findings of the present study indicate that some manageable factors including the duration of CPR, working shift, working day (holiday or non-holiday) could affect the CPR outcomes. The findings might also be taken as evidence to suggest that the allocation of more personnel in each shift especially in night shifts and holidays, planning to increase the personnel's CPR skills, and decreasing the waste time would result in the improvement of CPR outcome.}, keywords = {Cardiopulmonary resuscitation,Cardiopulmonary arrest,Survival}, url = {https://ijms.sums.ac.ir/article_39607.html}, eprint = {https://ijms.sums.ac.ir/article_39607_620107a9c48b9ae3e56c03e41fa59a45.pdf} } @article { author = {Hosseini, Seyed Mohammad Vahid and Bahador, Ali and Foroutan, Hamid Reza and Sabet, Babak and Geramizadeh, Bita and Zarenezhad, Mohammad}, title = {The Application of a New Cyanoacrylate Glue in Pediatric Surgery for Fistula Closure}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {54-56}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {Surgical glues have been used in pediatric surgery because of the fragility of tissue, and to prevent major surgeries. The present report describes our experience with using a new cya-noacrylate Glubran 2 (Viareggio, Italy) in the treatment of five cases of tracheoesophageal atresia with fistula (one fistula protection, three recurrent fistula, and one unstable patients), two cases of hypospadias, one case of vesicutanouse fistula after bladder extrophy, and one case of cloacal extrophy from January–December 2008. Three cases of recurrent tracheoesophageal atresia with fistula were treated by bronchoscpic glue injection. The other two cases benefited from glue through its ability to plug the fistula and to act as a protecting layer on anastomosis. In two cases with hypospadias excessive use of the glue caused skin necrosis, which was repaired. The wounds of cloacal extrophy were protected from nearby colostomy con-tamination and infection, and the vesicocutanouse fistula was closed by deepithelialization and sealing with glue. Based on the outcomes of the cases, it may be possible to suggest that Glubran 2 may be used safely in Pediatric Surgery as a sealant for the prevention and treatment of fistulas.}, keywords = {Glubran 2,surgical glues,tracheoesophageal atresia with fistula,hypospadias,Fistula}, url = {https://ijms.sums.ac.ir/article_39600.html}, eprint = {https://ijms.sums.ac.ir/article_39600_c1d426bb252433601049481c00121c21.pdf} } @article { author = {Momtahan, Mozhdeh and Nemati, Maryam and Safaei, Akbar}, title = {Disseminated Peritoneal Leiomyomatosis}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {57-59}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {Leiomyomatosis peritonealis disseminata is a very rare condition characterized by the development of multiple smooth muscle-like nodules in the peritoneal cavity. It is associated with increased serum levels of gonadal steroids. The present report describes a 29-year-old patient underwent transabdominal hysterectomy and Bilateral Salpingo oophorectomy six years ago because of leiomyomatosis peritonealis disseminata. After six years she referred to us again because of retroperitoneal fibroma, another rare entity, during hormone replacement therapy inspite of lack of uterus and previous castration.}, keywords = {Leiomyomatosis,oral contraceptive,Uterine leiomyoma,Mesenchymal Stem Cells,metaplasia}, url = {https://ijms.sums.ac.ir/article_39604.html}, eprint = {https://ijms.sums.ac.ir/article_39604_c7bba0993cda59cec5396be938938072.pdf} } @article { author = {Asadi-Pooya, Ali Akbar and Nikseresht, Alireza and Yaghoubi, Ehsan}, title = {Vasovagal Syncope Treated as Epilepsy for 16 Years}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {60-62}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {The differentiation of vasovagal syncope and epileptic seizure is sometimes problematic, since vasovagal syncope may mimic epileptic seizures in many ways. The present report describes a patient who had been diagnosed and treated as having epilepsy with medically-refractory sei-zures for 16 years. Often, unlike epileptic seizures, tonic-clonic convulsions and postictal confusion are uncommon features of vasovagal syncope, but these may occur. Our patient was subjected to subcutaneous injection of one ml normal saline, which caused asystole leading to hypoxia and consequently a typical tonic-clonic convulsion. This patient was proved to have vasovagal syncope. The findings in the present case suggest that the possibility of vasovagal syncope should always be taken into consideration when evaluating patients with medically-refractory or unusual pattern of seizures. In such a circumstance, simultaneous video-electroencephalogram/electocardiogram monitoring may help achieve the correct diagnosis.}, keywords = {Epilepsy,syncope,EEG}, url = {https://ijms.sums.ac.ir/article_39608.html}, eprint = {https://ijms.sums.ac.ir/article_39608_27e8802e6b716e46cc633129c0bd04f6.pdf} } @article { author = {Nagoba, Basavraj S. and Aghav, Vinayak V. and Wadher, Bharat J. and Rao, Arunkumar. and Selkar, Sohan P.}, title = {The Use of Citric Acid for the Treatment of Chronic Non-Healing Sinus}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {63-64}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {}, keywords = {}, url = {https://ijms.sums.ac.ir/article_39601.html}, eprint = {https://ijms.sums.ac.ir/article_39601_14a8ca4cca99c4aea3a871a7d1c24637.pdf} } @article { author = {Amirhakimi, Gholam Hossein and Karamizadeh, Zohre and Dalili, Setilla and Karamifar, Hamdollah}, title = {Association of Methylmalonic Acidemia and Erythema Nodosum}, journal = {Iranian Journal of Medical Sciences}, volume = {36}, number = {1}, pages = {65-66}, year = {2011}, publisher = {Shiraz University of Medical Sciences}, issn = {0253-0716}, eissn = {1735-3688}, doi = {}, abstract = {}, keywords = {}, url = {https://ijms.sums.ac.ir/article_39605.html}, eprint = {https://ijms.sums.ac.ir/article_39605_3a0e67427d30477a36a13a504617293f.pdf} }