[ relationship between depression and religious attitudes in students of Qom university of medical sciences, Qom, Iran]

Depression is one of the main causes of debility all over the world. Its prevalence is reported to be 10% -64% in students. Various researches indicate that utilizing religious approaches play an efficient and effective role in treating mental disorders. The present study was conducted with the aim of determining the relationship between depression and religious attitudes in students of Qom University of Medical Sciences [QUMS], Qom, Iran. In this descriptive- analytical study, 250 students of QUMS were assessed by means of three questionnaires; a standard depression test questionnaire, and religious attitude questionnaire. The obtained data were analyzed using statistical procedures of Chi-Square, Mann-Whitney, Kruskal- Wallis test and Spearman Correlation Coefficient and P<0/05 was considered as the level of significance. The study showed that 44.8%of the subjects had no depression, 37.2% had minor depression, 14.8% were moderately depressed, and 0.8% were intensely depressed while 2.4% very intensely depressed. The study also showed that 82% of the cases had positive attitudes toward religious beliefs and 18% had negative ones. Moreover, results showed that there was a meaningful but negative relationship between depression and religious attitudes [P<0/02]. Regarding the positive effects of religious beliefs and practices on mental health, it is recommended to use this potential in community health planning especially when dealing with young adults

[Case report of a rare ovarian lymphoma in a 39 years old woman with rupture of small intestine]

Ovarian cancer is one of the common gynecological cancers. Meanwhile it is the most lethal cancer and cause of more than 50 percent mortality among gynecological cancers. In early stages, this cancer is usually asymptomatic or symptoms may be equivocal so neither patient nor physician can diagnose it. In this study we report an ovarian lymphoma with acute abdominal presentation in 39 years old woman. A 39 years woman was admitted to Nekooei hospital in Qom because of abdominal pain and signs of peritonitis. At the time of admission pain pattern was colicky but it became constant in accompany to nausea and mild fever. In the early physical examination she showed generalized tenderness in abdomen without rebound and guarding. After several hours, abdominal signs got worse. Vital signs showed no significant abnormality. Ultrasonography was ordered for further evaluation. Finally patient was made ready for operation with primary diagnosis of ruptured ovarian cyst. Surgery team found out during operation rupture of small intestine due to tumoral growth in the bowel

[ efficacy of diltiazem on diminution of patients' complaints after anal surgery]

Local pain and painful defecation are common patients' complaints after anal surgery. Topical diltiazem, a calcium channel blocker, can decrease the tonicity of smooth muscles of anal sphincter and probably decrease the aforementioned painful condition. This study evaluates the efficacy of topical diltiazem gel on these complaints. In this double-blind, randomized, placebo-controlled study, patients received either diltiazem gel or placebo [a gel not containing diltiazem], in inch at the site of operation, twice per day. All patients were followed up on 2[nd] and 7[th] postoperative days for scoring of complaints. The pain and painful defecation decreased significantly in second day in patients received diltiazem. Pain was completely alleviated in all patients received diltiazem in 7[th] postoperative day. But, in the placebo group, pain was reported by some of the patients in this day. No unwanted effect was reported in patients received diltiazem. Topical 2% diltiazem gel is effective on alleviation of pain and pain during defecation after standard anal surgery