Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Interatrial Block: A Virtual Pandemic Requiring Attention
84
93
EN
Raman
Mehrzad
Department of Medicine, Steward Carney Hospital, Boston, MA, USA
raman.mehrzad@steward.org
David H.
Spodick
Department of Medicine, Division of Cardiology, St. Vincent Hospital and University of Massachusetts Medical School, Worcester, MA, USA
Interatrial block (IAB) denotes a conduction delay between the two atria (P-wave duration ≥110 ms). Depending on the severity of the block, IAB can be partial or advanced. Even though several studies have reported a high prevalence of IAB, it still remains a diagnosis many neglect without any follow-up. The crisis in IAB is undramatic until predictable complications appear. Nevertheless, the danger in IAB is real because of the major associations with multiple medical conditions, including atrial fibrillation, myocardial ischemia, left atrial enlargement, and systemic emboli. There are different treatment options for IAB to eliminate its consequences, including pacing and medical management with angiotensin-converting enzyme inhibitors and angiotensin receptor blockers. Pacing has been shown to give promising results and could potentially prevent conditions related to cardiovascular disease such as hypertension or diabetes mellitus. Given the high prevalence of IAB, together with its potentially serious consequences, and yet being largely ignored, we stress attention to this potentially dangerous pandemic and raise consideration for further investigations.
Electrocardiography,Pandemic,Atrium,Block
https://ijms.sums.ac.ir/article_39585.html
https://ijms.sums.ac.ir/article_39585_a8a0c097145939f640a6c6294e92b154.pdf
Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Echocardiographic Evaluation of the Effects of a Single Bolus of Erythropoietin on Reducing Ischemia-Reperfusion Injuries during Coronary Artery Bypass Graft Surgery; A Randomized, Double-Blind, Placebo-Control Study
94
101
EN
Shervin
Ziabakhsh-Tabary
Department of Cardiac Surgery, Fatemeh Zahra Hospital, Mazandaran University of Medical Sciences, Sari, Iran
Rozita
Jalalian
Department of Cardiovascular, Fatemeh Zahra Hospital, Mazandaran University of Medical Sciences, Sari, Iran
Farzad
Mokhtari-Esbuie
General Physician, Fatemeh Zahra Hospital, Mazandaran University of Medical Science, Sari, Iran
farzad_mokhtari_s@yahoo.com
Mohammad Reza
Habibi
Department of Anesthesiology, Fatemeh Zahra Hospital, Mazandaran University of Medical Sciences, Sari, Iran
Background: Erythropoietin (EPO) is known as a regulating hormone for the production of red blood cells, called erythropoiesis. Some studies have shown that EPO exerts some non-hematopoietic protective effects on ischemia-reperfusion injuries in myocytes. Using echocardiography, we evaluated the effect of EPO infusion on reducing ischemia-reperfusion injuries and improvement of the cardiac function shortly after coronary artery bypass graft surgery (CABG).Methods: Forty-three patients were recruited in this study and randomly divided into two groups: the EPO group, receiving standard medication and CABG surgery plus EPO (700 IU/kg), and the control group, receiving standard medication and CABG surgery plus normal saline (10 cc) as placebo. The cardiac function was assessed through echocardiography before as well as at 4 and 30 days after CABG.Results: Echocardiography indicated that the ejection fraction had no differences between the EPO and control groups at 4 days (47.05±6.29 vs. 45.90±4.97; P=0.334) and 30 days after surgery (47.27±28 vs. 46.62±5.7; P=0.69). There were no differences between the EPO and control groups in the wall motion score index at 4 (P=0.83) and 30 days after surgery (P=0.902). In the EPO group, there was a reduction in left ventricular end-systolic and end-diastolic diameters (LVESD and LVEDD, respectively), as compared to the control group.Conclusion: Our results indicated that perioperative exogenous EPO infusion could not improve the ventricular function and wall motion index in the immediate post-CABG weeks. Nevertheless, a reduction in LVEDD and LVESD at 4 days and 30 days after CABG in the EPO group, by comparison with the control group, suggested that EPO correlated with a reduction in the remodeling of myocytes and reperfusion injuries early after CABG.Trial Registration Number: 138809102799N1
Erythropoietin,Ischemia,Reperfusion injury,Coronary artery bypass graft
https://ijms.sums.ac.ir/article_39586.html
https://ijms.sums.ac.ir/article_39586_1b02a082b471d9d268b7a30374a6f723.pdf
Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Monocular Elevation Deficiency: A Case Series of Surgical Outcome
102
106
EN
Mohammad Reza
Talebnejad
Poostchi Ophthalmology Research Center, Department of Ophthalmology, Shiraz University of Medical Sciences, Shiraz, Iran
talebnejadmr@yahoo.com
Gholam Abbas
Roustaei
Poostchi Ophthalmology Research Center, Department of Ophthalmology, Shiraz University of Medical Sciences, Shiraz, Iran
Mohammad Reza
Khalili
Poostchi Ophthalmology Research Center, Department of Ophthalmology, Shiraz University of Medical Sciences, Shiraz, Iran
khalilimr57@gmail.com
Background: Inferior rectus recession, Knapp procedure, partial tendon transposition, and combined procedure are different surgical procedures in the management of monocular elevation deficiency (MED). Only a few studies have been published on the management of this problem. In this study, we report our experience with patients with MED focusing on the indications and types of surgery in the south of Iran. Methods: In this case series, a computerized database review on 4773 patients with strabismus was performed and 18 patients diagnosed as having MED who had undergone strabismus surgery were enrolled.Results: Of the 18 patients, 13 had only hypotropia and 5 had horizontal deviation as well. Preoperative vertical deviation was between 15 and 60 prism diopter (mean±SD=25.8±10.7 PD). Fourteen patients had positive forced duction test on elevation. Seventeen patients had ptosis twelve of them had true ptosis and the remaining 5 had pseudoptosis). The mean postoperative follow-up was 24.4 months. Four patients underwent Knapp procedure, 12 patients underwent inferior rectus recession, and for 2 patients a combined procedure was performed. The mean postoperative hypotropia was 6.1±7.9 PD. Twelve out of the 18 patients were corrected to within five PD of orthophoria and no one was found with overcorrection. Conclusion: Although MED is etiologically multifactorial, satisfactory surgical results can be achieved by judicious selection of the surgical technique based on the results of the forced duction test.
Monocular elevation deficiency,Strabismus,Surgery,Recession
https://ijms.sums.ac.ir/article_39590.html
https://ijms.sums.ac.ir/article_39590_6b22a8610f9a68f9fb46c074b3f008fe.pdf
Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Small Molecule-BIO Accelerates and Enhances Marrow-Derived Mesenchymal Stem Cell in Vitro Chondrogenesis
107
116
EN
Mohamadreza Baghaban
Eslaminejad
Department of Stem Cell and Developmental Biology at Cell Science Research Center, Royan Institute for Stem Cell Biology and Technology, ACECR, Tehran, Iran
eslami@royaninstitute.org
Nasrin
Fallah
Department of Developmental Biology, University of Science and Culture, Tehran, Iran
Background: Hyaline cartilage defects exhibit a major challenge in the field of orthopedic surgery owing to its limited repair capacity. On the other hand, mesenchymal stem cells (MSCs) are regarded as potent cells with a property of cartilage regeneration. We aimed to optimize marrow-derived MSC chondrogenic culture using a small bioactive molecule referred to as BIO. Methods: MSCs from the marrow of NMRI mice were extracted, culture-expanded, and characterized. Micro-mass culture was then established for chondrogenic differentiation (control group). The cultures of MSC in chondrogenic medium supplemented with 0.01, 0.05, 0.1, and 1 µM BIO were taken as the experimental groups. Cartilage differentiation was examined by both histological sections and real-time PCR for Sox9, aggrecan, and collagen II at different time points. Moreover, the involvement of the Wnt pathway was investigated. Results: Based on histological sections, there was seemingly more intense metachromatic matrix produced in the cultures with 0.01 µM BIO. In this experimental group, cartilage-specific genes tended to be upregulated at day 14 compared to day 21 of the control group, indicating the accelerating effect of BIO on cartilage differentiation. Overall, there was statistically a significant increase (P=0.01) in the expression level of cartilage-specific genes in cultures with 0.01 µM BIO (enhancing effects). These upregulations appeared to be mediated through the Wnt pathway evident from the significant upregulation of T-cell factor and beta-catenin molecules (P=0.01). Conclusion: Taken together, BIO at 0.01 µM could accelerate and enhance in vitro chondrogenesis of mouse marrow-derived MSCs.
Mesenchymal Stem Cells,Mouse,6-bromoindirubin-3 -oxim
https://ijms.sums.ac.ir/article_39593.html
https://ijms.sums.ac.ir/article_39593_398611cb3310ef0f1b81cb1b1d19c4d9.pdf
Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Interposition of Ileal J-Pouch for Rectum Reconstruction in Dog
117
122
EN
Leila
Ghahramani
Colorectal Research Center, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
leila_ghahramani@yahoo.com
Saeed
Yazdani
Colorectal Research Center, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
Saeed
Derakhshani
Department of General Surgery, Chamran Hospital, Tehran, Iran
Abbas
Rezaianzadeh
Research Center for Health Sciences, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
rezaiana@sums.ac.ir
Reza
Jalli
Department of Radiology, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
jallireza@yahoo.com
Bita
Geramizadeh
Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
geramib@sums.ac.ir
Ali Reza
Safarpour
Colorectal Research Center, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
fsafarpour@yahoo.com
Salar
Rahimikazerooni
Colorectal Research Center, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
Seyed Vahid
Hosseini
0000-0002-9228-3567
Colorectal Research Center, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
hoseiniv@sums.ac.ir
Background: The gold standard of the management of rectal cancer in the middle and lower parts is low anterior resection with coloanal anastomosis. About 50% of the patients undergoing this procedure might experience some complications because of the low capacity of the neorectum. The aim of this study was to evaluate ileal J-pouch interposition as a neorectum between the anal canal and the remaining colon in comparison to coloanal anastomosis and transverse coloplasty. Methods: Twelve dogs, weighing 23-27 kg, were divided into three groups. After laparotomy, the volume of the primary rectum was measured so that it could be compared with that of the neorectum at the end of the study. After rectal resection in Group A, the colon was directly anastomosed to the anus. In Group B, a 5-cm longitudinal incision was made 2 cm proximal to the anastomosis and was sutured transversely (coloplasty). In Group C, a 5-cm ileal J-pouch was interposed between the colon and anus. After 8 weeks, the neorectum was evaluated for volume, radiology, and pathology.Results: All the samples were alive until the end of the study. The healing of the anastomotic lines was acceptable (pathologically) in all. The mean volume expansion was 20.9% in Group A, 21.7% in Group B, and 118.2% in Group C, with the latter being significantly higher than that of the other groups (P=0.03). Colon J-pouch and coloplasty after proctectomy in some situations have not been performable. This study evaluated the performance of ileal J-pouch interposition. Conclusion: This study showed that ileal J-pouch interposition might produce an acceptable reservoir function and that it seems feasible and safe in selected cases.
Rectum,Ileal pouch,Reconstruction
https://ijms.sums.ac.ir/article_39594.html
https://ijms.sums.ac.ir/article_39594_9da354982e3fc80a7f0fc6f263967135.pdf
Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Mulberry Leaf Extract Attenuates Oxidative Stress-Mediated Testosterone Depletion in Streptozotocin-Induced Diabetic Rats
123
129
EN
Mohammad Reza
Hajizadeh
Department of Biochemistry, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
hahmadirad@yahoo.com
Ebrahim
Eftekhar
Molecular Medicine Research Center, Department of Biochemistry, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
ebrahim.eftekhar@hums.ac.ir
Fatemeh
Zal
0000-0002-7078-4854
Department of Reproductive Biology, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran
fatemehzal@yahoo.com
Aida
Jafarian
Recombinant Protein Laboratory, Department of Biochemistry, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Zohreh
Mostafavi-Pour
0000-0002-3779-177X
Recombinant Protein Laboratory, Department of Biochemistry, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran and Maternal-Fetal Medicine Research Center, Hafez Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
zmostafavi@sums.ac.ir
Background: It has been proposed that oxidative stress may contribute to the development of testicular abnormalities in diabetes. Morus alba leaf extract (MAE) has hypoglycemic and antioxidant properties. We, therefore, explored the impact of the administration of MAE on steroidogenesis in diabetic rats. Methods: To address this hypothesis, we measured the serum level of glucose, insulin, and free testosterone (Ts) as well as oxidative stress parameters (including glutathione peroxidase, glutathione reductase, total antioxidant capacity, and malondialdehyde) in the testis of control, untreated and MAE-treated (1 g/day/kg) diabetic rats. In order to determine the likely mechanism of MAE action on Ts levels, we analyzed the quantitative mRNA expression level of the two key steroidogenic proteins, namely steroid acute regulatory protein (StAR) and P450 cholesterol side-chain cleavage enzyme (P450scc), by real-time PCR.Results: The MAE-treated diabetic rats had significantly decreased glucose levels and on the other hand increased insulin and free Ts levels than the untreated diabetic rats. In addition, the administration of MAE to the diabetic rats restored the oxidative stress parameters toward control. Induction of diabetes decreased testicular StAR mRNA expression by 66% and MAE treatment enhanced mRNA expression to the same level of the control group. However, the expression of P540scc was not significantly decreased in the diabetic group as compared to the control group.Conclusion: Our findings indicated that MAE significantly increased Ts production in the diabetic rats, probably through the induction of StAR mRNA expression levels. Administration of MAE to experimental models of diabetes can effectively attenuate oxidative stress-mediated testosterone depletion.
diabetes mellitus,Morus alba,Oxidative stress,Testosterone
https://ijms.sums.ac.ir/article_39595.html
https://ijms.sums.ac.ir/article_39595_fd898af5014cab1487094e6e979d9406.pdf
Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Effects of Pomegranate Seed Oil on Insulin Release in Rats with Type 2 Diabetes
130
135
EN
Ali Akbar
Nekooeian
0000-0001-5643-245X
Department of Pharmacology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
nekooian@yahoo.com
Mohammad Hassan
Eftekhari
0000-0002-6911-3551
Department of Nutrition, School of Nutrition and Food Sciences,
Shiraz University of Medical Sciences, Shiraz, Iran
ranjbarmaryam29@yahoo.com
Soroor
Adibi
Department of Nutrition, School of Nutrition and Food Sciences,
Shiraz University of Medical Sciences, Shiraz, Iran
soadibi@gmail.com
Abdloreza
Rajaeifard
Department of Statistics, School of Nutrition and Food Sciences,
Shiraz University of Medical Sciences, Shiraz, Iran
10.30476/ijms.2014.39596
Background: Pomegranate seed oil and its main constituent, punicic acid, have been shown to decrease plasma glucose and have antioxidant activity. The objective of the present study was to examine the effects of pomegranate seed oil on rats with type 2 diabetes mellitus. Method: Six groups (n=8 each) of male Sprague-Dawley rats, comprising a control, a diabetic (induced by Streptozocin and Nicotinamide) receiving water as vehicle, a diabetic receiving pomegranate seed oil (200 mg/kg/day), a diabetic receiving pomegranate seed oil (600 mg/kg/day), a diabetic receiving soybean oil (200 mg/kg/day), and a diabetic receiving soybean oil (600 mg/kg/day), were used. After 28 days of receiving vehicle or oils, blood glucose, serum levels of insulin, malondialdehyde, glutathione peroxidase, and lipid profile were determined. Results: The diabetic rats had significantly higher levels of blood glucose, serum triglyceride, low-density lipoprotein cholesterol, total cholesterol, and malondialdehyde and lower levels of serum insulin and glutathione peroxidase. Rats treated with pomegranate seed oil had significantly higher levels of serum insulin and glutathione peroxidase activity, and there were no statistically significant differences in terms of blood glucose between them and the diabetic control group. Conclusion: The findings of the present study suggest that pomegranate seed oil improved insulin secretion without changing fasting blood glucose.
Punicic acid,Diabetes,Insulin
https://ijms.sums.ac.ir/article_39596.html
https://ijms.sums.ac.ir/article_39596_3d4c36138d84227e65497e174ee65615.pdf
Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Treatment of Monosymptomatic Nocturnal Enuresis: Sertraline for Non-Responders to Desmopressin
136
139
EN
Reza
Mahdavi-Zafarghandi
Department of Urology, Imam Reza Educational Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
mahdavir@mums.ac.ir
Ali
Seyedi
Department of Urology, Imam Reza Educational Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
One of the challenges in the management of primary monosymptomatic enuresis (PME), especially in adolescents, is response failure to medical regimens such as desmopressin. This prospective study aimed at addressing the efficacy of sertraline in the treatment of 25 adolescents (13-18 year old) with PME having experienced failure to previous desmopressin therapy. Patients were recommended to take one oral tablet of sertraline (50 mg) every morning after meal for 3 months. The patients were followedup every 6 weeks, the final visit being 6 months after treatment termination. Comparing the number of wet nights in the pretreatment nocturnal records with the follow-up visits revealed a significant reduction (P=0.01). The primary efficacy outcome was achieved in 18 (72%) of the 25 patients; 12 patients had full response, whereas six patients showed partial response. Four (16%) of the 25 children presented with a relapse after 6 months of follow-up. Drug-related adverse events were rare. Sertraline effectively reduced the number of wet episodes in adolescents with PME who had experienced failure to desmopressin therapy. With respect to the favorable efficacy outcome of this medication and the scarce drug-related adverse effects, sertraline can be proposed as a novel treatment for PME.
Nocturnal enuresis,Sertraline,Adolescent
https://ijms.sums.ac.ir/article_39587.html
https://ijms.sums.ac.ir/article_39587_42ff72e6fb3de21a7b9a2f5350e58ef8.pdf
Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Prevalence of Lymph Node Metastasis in Radical Prostatectomy; A Retrospective and Multicenter Study in Iran
140
143
EN
Mohsen
Ayati
Uro-Oncology Research Center (UoRC), Tehran University of Medical Sciences, Tehran, Iran
mrnowroozi@yhoo.com
Mohammad Reza
Nowroozi
Uro-Oncology Research Center (UoRC), Tehran University of Medical Sciences, Tehran, Iran
Hassan
Jamshidian
Uro-Oncology Research Center (UoRC), Tehran University of Medical Sciences, Tehran, Iran
Elnaz
Ayati
Uro-Oncology Research Center (UoRC), Tehran University of Medical Sciences, Tehran, Iran
Farhad
Zarghan
Uro-Oncology Research Center (UoRC), Tehran University of Medical Sciences, Tehran, Iran
Lymph node (LN) metastasis is considered an important prognostic factor in patients with prostate cancer. The aim of this study was to determine the rate of LN metastasis among an Iranian population who underwent radical prostatectomy (RP) with pelvic LN dissection (PLND). In a retrospective review of medical records, 450 RP cases were included and the data on LN metastasis were extracted from surgical pathology reports.Overall, 4.7% of the patients had LN metastasis. The rate of surgical stage T3 (50% vs. 13.5%; P=0.021) and pathological Gleason score ³7 (82.4% vs. 48.8%; P=0.002) was significantly higher among LN-positive patients. All patients with LN metastasis had a serum prostate specific antigen level >4 ng/ml.The diagnosis of prostate cancer is in an acceptable, but not ideal, stage of the disease; this may be due to screening examinations and tests.
Prostate Cancer,Prostatectomy,Lymph node dissection
https://ijms.sums.ac.ir/article_39591.html
https://ijms.sums.ac.ir/article_39591_74b2204bfcc6d984229c3a8932cdb821.pdf
Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Prenatal Diagnosis of Granular Cell Tumor
144
147
EN
Maliheh
Kadivar
Department of Neonatal Care Unit, Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran
Razieh
Sangsari
Department of Neonatal Care Unit, Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran
raz3532@yahoo.com
Azin
Alavi
Department of Obstetrics and Gynecology, Shariati Hospital, Hormozgan University of Medical Sciences, Hormozgan, Iran
Congenital granular cell tumor (GCT) is a relatively rare intraoral benign tumor, approximately 200 cases of which have been reported in the neonatal period worldwide. The newborn infant may have feeding problems and respiratory difficulties due to airway obstruction. This lesion may be diagnosed by prenatal ultrasonography and simple resection is mostly required. We report a case of an adult type of GCT in a newly born infant, who presented with an intraoral protruding mass with a prenatal diagnosis. This article describes the prenatal course, clinical, and pathological characteristics, and management of the GCT.
Gingiva,Granular cell tumor,Newborn,Prenatal diagnosis
https://ijms.sums.ac.ir/article_39588.html
https://ijms.sums.ac.ir/article_39588_7eefae5d6a57fc64d60b29d9987906a9.pdf
Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Pulmonary Aplasia with Unusual Associations in a Woman
148
151
EN
Arshad Altaf
Bachh
Department of Pulmonary Medicine, Mamata Medical College and Hospital, Khammam, Andra Pradesh, India
doc_arshad@yahoo.com
Sridhar
Pulluri
Department of Pulmonary Medicine, Mamata Medical College and Hospital, Khammam, Andra Pradesh, India
Aadil
Beigh
Department of Pulmonary Medicine, Mamata Medical College and Hospital, Khammam, Andra Pradesh, India
aadilbeigh@gmail.com
Chippa
Raju
Department of Pulmonary Medicine, Mamata Medical College and Hospital, Khammam, Andra Pradesh, India
Ranganath
Deshpande
Department of Pulmonary Medicine, Mamata Medical College and Hospital, Khammam, Andra Pradesh, India
Failure of development of the primitive lung bud leads to an extremely rare congenital anomaly with a prevalence of 34 per 10 lac live births termed pulmonary aplasia. In half of such cases, associated congenital malformations of the cardiovascular, skeletal, gastrointestinal, or genitourinary systems are present. The Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is defined as the congenital aplasia of the uterus and the upper two thirds of the vagina with normal secondary sexual characteristics, ovaries, and a normal karyotype (46, XX). We report an extremely rare association of right lung aplasia, MRKH syndrome, and right renal agenesis with left pelvic kidney, which to the best of our knowledge is the first such association reported.
Lung agenesis,Renal agenesis,Müllerian anomalies
https://ijms.sums.ac.ir/article_39592.html
https://ijms.sums.ac.ir/article_39592_a35442a03c7e818bca7b5ab2cae87434.pdf
Shiraz University of Medical Sciences
Iranian Journal of Medical Sciences
0253-0716
1735-3688
39
2
2014
03
01
Significant Increase in the Prevalence of Multiple Sclerosis in Iran in 2011
152
153
EN
Sadegh
Izadi
Department of Neurology, Motahari Clinic, Shiraz University of Medical Sciences, Shiraz, Iran
izadisad@sums.ac.ir
Alireza
Nikseresht
Department of Neurology, Motahari Clinic, Shiraz University of Medical Sciences, Shiraz, Iran
Maryam
Sharifia
Department of Neurology, Motahari Clinic, Shiraz University of Medical Sciences, Shiraz, Iran and Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
Mohammad Ali
Sahraian
Department of Neurology, Tehran University of Medical Sciences, Tehran, Iran
sahraian1350@yahoo.com
Alireza
Hamidian Jahromi
Department of Surgery, Louisiana State University Health Sciences Center, Shreveport, LA, USA;
Mohammad
Aghighi
Department of Transplantation and Special Diseases, Ministry of Health and Medical Education, Tehran, Iran
Alireza
Heidary
Department of Transplantation and Special Diseases, Ministry of Health and Medical Education, Tehran, Iran
10.30476/ijms.2014.39589
https://ijms.sums.ac.ir/article_39589.html
https://ijms.sums.ac.ir/article_39589_c2859a1b7c84ba5d7444c1fb7c3018f0.pdf