[Effect of Stachys lavandulifolia on fatigue, nausea and vomiting associated with primary dysmenorrheal]

Because of importance and outbreak of dysmenorrhea and Its effect on life of 50% of population in the world[women], this study was done. To evaluate the therapeutic effects of Stachys lvandulifolia on fatigue, nausea, and vomiting associated with primary dysmenorrhea. This was a randomized clinical trial performed on 50 women aged 18-25 years and 50-60 kg whight suffering from primary dysmenorrhea. Fatigue, nausea, and vomiting were evaluated by visual analogue scale [VAS]. Initially, the study population was requested to consume the Stachys lvandulifolia flowers at a dose of 10 gr of brewed powder three time a day and for a total of 5 days [2 days before pain to 3 days after pain], based on a common traditional administration. Later, the members of both groups were followed up for three cycles. Fatigue, nausea, and vomiting as well as the side-effects were evaluated following consumption of brewed powder of Stachys lvandulifolia flowers. Statistical analysis was performed using t-test and chi-square test. Following consumption of Stachys lvandulifolia the level of fatigue considerably reduced among test group and the difference was significant [p=0/000], statistically. Likewise, a significant difference in severity of nausea between the test and control groups was shown [p=0/006]. No statistically significant difference regarding the severity of vomiting was established between two groups. According to our data, it could be concluded that the use of Stachys lvandulifolia, based on a traditional administration, causes favorable therapeutic effects by reducing the degree of fatigue and nausea in primary dysmenorrhea with no obvious side-effect yet with no effect on vomiting

[Comparing the protein of 2-hour and 24-hour urine samples in patients with suspected preeclampsia]

Determining the protein content of a 24-hour urine sample is the gold standard for diagnosis of hypertensive disorders in pregnancy. To determine whether the 2-hour urine protein value can be used as a substitute for the 24-hour urine protein value in patients with preeclampsia. This was a cross sectional study performed on 60 inpatient women with suspected preeclampsia due to positive urinary test strip with minimum protein content of 1[+] and BP >/= 140/90 at Kosar Teaching Hospital in Qazvin [Iran] during autumn and winter 2008. Urine samples were collected within 24 hours in successive periods: The first 2-hour and the next 22-hours urine, in separate containers. The protein contents of 2-hour and 24-hour urine samples were calculated and the correlation between both groups was determined using Pearson's correlation. The cut off point for 2-hour urine protein was obtained with ROC curve. Of 60 patients studied, 42 had proteinuria less then 0.3gr/24h and 18 with proteinuria higher than 0.3gr/24h. No patient with severe proteinuria [2gr>24h] was detected. There was a significant correlation between the 2-hour and 24-hour urine protein content in patients' samples. Pearson's correlation coefficient [r] was 0.788 [p=0.000]. The cut off point for mild proteinuria was determined at 0.035gr/2h with sensitivity, specificity, positive predictive value, and negative predictive value of 63.3%, 89.5%, 77.8% and 80.95%, respectively. Total protein values of 2-hour samples positively correlated with values of 24-hour samples of preeclampsia women and therefore can be substituted for assessing the protein content of 24-hour urine samples as a more convenient, faster, and cheaper method for diagnosis of preeclampsia

[Rudimentary hemiuterus rupture in a 14-weeks pregnancy]

In some cases, pregnancy is complicated by anomalies of the reproductive tract. Uterine dysfunction and uterine rupture are serious hazards in these abnormalities. This case was a 22 years old lady with acute abdomen signs in her first pregnancy with a gestational age of 14 weeks. In our evaluation, she had a unicornuate uterus with a right rudimentary horn. The pregnancy occurred at this rudimentary horn causing uterine rupture and internal hemorrhage

intra-uterine missed abortion with a simultaneous tubal ectopic pregnancy

A case of heterotopic pregnancy is reported. This case was a 25 years old woman with a chief complain of vaginal bleeding which was spotting in following pregnancy after using clomiphene. An ultra-sonography report showed a missed abortion about 8 weeks of gestation. After a few days, she returned with an acute abdomen. A tubal pregnancy with a missed abortion was suggested as a differential diagnosis. Laparatomy and D and C were performed. Pathologic report also confirmed simultaneous intra-uterine and extra-uterine pregnancy within recent years. The use of reproductive technology and ovulation stimulation has increased the prevalence of this type of rare pregnancy. Thus, heterotopic pregnancy should be considered in the presence of ectopic pregnancy signs and symptoms even if a normal intra-uterine pregnancy was confirmed