[Evaluation the memory of the major depressed patients' hospitalized in the psychiatry department of Rafsanjan Moradi teaching hospital before and after ECT in 2003]

Electroconvulsive therapy [ECT] is one of the most effective treatment methods for recovery of the major depressed patients. The most important concerning in the case of ECT is temporary or permanent memory loss. Many patients who have no satisfactory recovery after receiving ECT, claim they have memory dysfunction. The aim of this research was to evaluat memory of the patients hospitalized in psychiatry department of Rafsanjan Moradi teaching hospital before and after receiving ECT in 2003.This analytical study was performed on 50 patients with major depression who received ECT at psychiatry department of Moradi hospital in six months. Memory status of each patient was evaluated by using Wechsler and Babkak memory tests before treatment, 24 hours after each ECT and one week after ending the treatment. The results presented in the form of diagrams and tables and to analyze the data wilcoxon sign rank test and paired t test were used for data analysis.After the first and the second ECTs, 18%-45% and 6%-15% of the patients showed short and long term memory dysfunction respectively. From the second ECT an increased short-term memory was observed, while long-term memory in the third and fourth ECT increased. From the fifth ECT there was no change in patients' memory. Relative frequency of long and short term memory dysfunction in the age group of 45 years old and above, married persons, low educated patients, farmers, house workers; and the patients with previous history of depression was the highest. [p<0.05].This study showed that after treating major depression by using ECT, the patients' memory was improved. However after the first and the second ECTs, some of the patients showed memory dysfunction. It can be concluded that ECT can be used as an effective way for treatment of depressed patients without risk of memory dysfunction

Aquarium-induced atypical mycobacterial granuloma

A 40 year-old man presented with a granulomatous lesion over the dorsum of the right index finger following a cut by a broken glass of a used aquarium. This is the first case report of aquarium-induced atypical mycobacteriosis by Mycobacterium marinum [M. balnei] in Shiraz, Iran

Burkitt's lymphoma in Southern Iran: pathological study on 35 cases

Pathologic findings in thirty-five cases of Burkitt's lymphoma from the cancer registry of Fars province in southern Iran, during the 8 year period of 1977-1984, are reviewed. It is concluded that: 1- Burkitt's lymphoma in southern Iran is heterogeneous and seems to be of two types; African and non-African probably with two different pathogenesis. 2- Burkitt's lymphoma is the most common childhood lymphoma in Iran. 3- Age and sex distribution is the same as in other parts of the world. 4- Abdominal involvement is the most common presentation

Adamantinoma of tibia: a case report

Adamantinoma is a rare primary malignant tumor of the long bones with unknown pathogenesis. So far only a few cases are reported in the literature [2,3,9,11,17]. Tibia is the major site of predilection, however, the tumor also reported occasionally in other long bones such as femur, fibula, humerus, ulna and radius [1,8,12]. Most of the patients are in the second and third decades of life. Rarely fibrous dysplasia [5] is associated with adamantinoma of the long bones. The symptoms are long standing. The routine radiologic finding is that of multiple lucent zones interspersed with sclerotic bone,usually with one large rarefied area in the mid shaft.Histologically, islands of epithelial cells with peripheral palisading are seen in fibrous stroma. Histogenesis of this tumor is not yet clear. But majority of the believe that of epithelial origin [6,15,16,18].Treatment depends upon the extent of tumor. If it is surgic feasible, resection of the tumor is the treatment choicet if not, amputation. Here we report one case of adamantinoma of tibia and discuss clinicopathological findings