[Personality, intellectual and emotional state of patients with borderline personality disorder]

It is possible to explain the great discrepancy in the personality and psychopathology of patients with borderline personality disorder [BPD], partly, on the basis of differences in their profiles of personality, psychopathology, intellectual and emotional state. The aim of the current study was to assess these items in the patients with BPD. This was a descriptive-comparative study. Among the patients with diagnosis of BPD referring to Sanandaj health centers, 30 accepted to participate in this study. They were assessed by use of MCMI-III, emotional state questionnaire, and The WAIS-R. The results were compared with those of their matched, non-clinical group. SPSS software was used for data processing and data were analyzed by profile analysis and one way ANOVA. Profile analysis showed significant differences between the groups in all of the tests. Comparison of the single scales showed differences in a wide range of variables of personality, intellectual and emotional state. The results indicated an important role for the emotional elements in the development of personality disorders and also similarity of many of the clinical symptoms in these patients. Intellectual elements are also useful for explaining a fundamental part of the symptoms of BPD. These variables seem essential for understanding cognitive, affective and behavioral aspects of the patients with BPD

Ovarian cyst enlargement in a 14 year old female with persistent ascities, severe hypothyroidism and elevated serum CA-125 level

A 14 year old female complained of abdominal pain and distention with vomiting. The physical exam showed thyroid enlargement and ascites. The imaging evaluation demonstrated a large ovarian cyst. Laboratory tests depicted hypothyroidism and marked elevation of Carbohydrate antigen 125 [CA-125] levels. As the bone age was 10 years, more retarded than the chronological age, Van Wyk and Grumbach syndrome was suspected. Treatment with thyroid hormone was initiated and the condition improved dramatically with disappearance of symptoms and signs 5 weeks later

Evaluation of acute renal failure in neonates bedridden in Neonatal Intensive Care Unit [NICU] in Ghaem hospital

Acute renal failure [ARF] is defined as an abrupt severe decrease in glomerular filtration rate [GFR]. ARF is commonly seen in neonates admitted to neonatal intensive care unit. In this article, we have studied incidence, etiology, predisposing factors, management and mortality in neonates affected by ARF. A descriptive study was took placed at NICU of Qhaem hospital over a period of one year, between December 2005 and December 2006. 750 neonates were evaluated for ARF, according to having two of three following criteria: 1-oliguria: U/A<1/2cc/kg/h 2-BUN>20 mg/dl 3-Cr>1/2 mg/dl Patients were assessed for B.S [blood sugar], BUN, Cr, urine index [FENa, Uosm, BUN/cr, U/P osm, RFI, Una], ABG and kidney sonography. According to patient's response to the fluid therapy and kidney sonography, they were divided into two pre-renal and renal failure groups. Data were analyzed using descriptive statistics. From 750 neonates admitted in NICU, 38 patients [5%] demonstrated ARF. Pre-renal failure was found in 29 newborns [76.4%] and 9 neonates [23.6%]. Predisposing factors for ARF were as following: Asphyxia [42%], Respiratory distress syndrome [RDS] [26.7%], sepsis [13%], sever dehydration [13%] and congenital heart disease [CHD] [5%]. Nine infants [23.6%] were died. Mortality was significantly higher in intrinsic renal failure [88%]. ARF is still an important etiology of mortality in newborns. Diagnosis of predisposing factors [prematurity, asphyxia, RDS, ventilation and careful kidney control in newborn is essential in this problem

comparison of controlled release ketoprofen and piroxicam in treatment of rheumatoid arthritis and osteoarthritis

The efficacy and tolerance of controlled release ketoprofen 200 mg, and piroxicam 20 mg were compared in a placebo controlled, randomized, double blind cross-over clinical trial in 40 patients with rheumatoid arthritis and osteoarthritis. All patients received both drugs for two weeks and placebo for two weeks sandwiched between them. Placebo was also given for the first week of the trial to serve as a washout period. Two patients did not complete the study because of ineffectiveness of treatment. Both drugs were found to be effective, though ketoprofen demonstrated significant differences in its favour, as judged by the degree of pain at rest and on passive and active movements, joint tenderness, 15 meters walking time, the number of paracetamol tablets consumed as "rescue" analgesic and patient's and investigator's preference. Controlled release ketoprofen seems to be an effective and well tolerated anti-inflammatory analgesic in both rheumatoid arthritis and osteoarthritis

Management of displaced supracondylar fractures of humerus in children

Thirty children with displaced Supracondylar fractures of humerus were studied between the ages of 3-16 years. Group I included 8 children who reported soon after injury and were treated by open reduction and internal fixation. Group II patients [10] had presented 2 weeks after injury and were managed by callusoclasis and POP in extension. The patients in group III [12] sought advice after 6 months of injury with cubitus varus deformity and were treated with osteotomy. The group I revealed excellent functional and cosmetic results. The children in group II mostly developed some limitation of movements while patients in group III had satisfactory correction of cubitus varus deformity. In conclusion, the treatment of Supracondylar fractures of humerus gives proper results only after sound clinical judgment, correct surgical approach and good team work between orthopaedic and medical rehabilitation departments