ABSTRACT
The Shiraz Organ Transplant Center in southern Iran has been performing all liver transplantations in Iran and certain neighboring countries for 12 years. This study evaluated the 140 operations performed from April 1993 through November 2004. Sixty-one percent of the recipients were men and 39% were women. The average recipient age was 29.9 +/- 14.0 years. One hundred twenty-eight patients has a full-size cadaveric transplant. Most frequent causes of cirrhosis were cryptogenic and viral. An acute rejection episode occurred in 47.5% of cases, and two episodes in 8%. Most frequent short-term complications included respiratory, neurologic, and biliary problems. The 1-, 2-, and 3-year patient survival rates were 92%, 89%, and 85%, respectively. The experience that the Shiraz Organ Transplant Center has had with liver transplantation indicated success comparable to that noted in other reports. The calculated trend suggests that a goal of 100 transplantations for 2005 is within reach.
Subject(s)
Liver Transplantation/physiology , Adolescent , Adult , Female , Humans , Iran , Liver Diseases/classification , Liver Diseases/surgery , Liver Transplantation/methods , Male , Retrospective Studies , Treatment OutcomeSubject(s)
Liver Transplantation/methods , Adolescent , Adult , Cadaver , Child , Child, Preschool , Family , Female , Humans , Iran , Liver Transplantation/mortality , Liver Transplantation/statistics & numerical data , Living Donors , Male , Middle Aged , Survival Rate , Tissue DonorsABSTRACT
A breast cancer screening programme was evaluated for approximately 10,000 women aged 35 years and older. There were 67 cases of breast cancer. Highest rates of attendance were seen among younger women (35-44 years) and middle socioeconomic groups. Lowest rates were among those aged over 65 years and low socioeconomic groups. The rate of detection by self-examination was similar to that by health personnel examination. At all stages of screening, positive findings were most common among the high socioeconomic class. Attendance decreased steadily from first to last stages of serial screening. Although mammography is the most sensitive method of detection, because of its high cost we suggest establishing breast self-examination education programmes and encouraging women to self-examine.
Subject(s)
Breast Neoplasms/diagnosis , Mass Screening/methods , Mass Screening/standards , Urban Health Services/organization & administration , Adult , Age Distribution , Age Factors , Aged , Breast Neoplasms/epidemiology , Breast Self-Examination/standards , Female , Health Care Costs/statistics & numerical data , Health Education , Health Services Research , Humans , Iran , Mammography/standards , Mass Screening/economics , Mass Screening/statistics & numerical data , Middle Aged , Needs Assessment , Patient Acceptance of Health Care/psychology , Patient Acceptance of Health Care/statistics & numerical data , Physical Examination/standards , Prevalence , Program Evaluation , Sensitivity and Specificity , Socioeconomic FactorsABSTRACT
A breast cancer screening programme was evaluated for approximately 10,000 women aged 35 years and older. There were 67 cases of breast cancer. Highest rates of attendance were seen among younger women [35-44 years] and middle socioeconomic groups. Lowest rates were among those aged over 65 years and low socioeconomic groups. The rate of detection by self-examination was similar to that by health personnel examination. At all stages of screening, positive findings were most common among the high socioeconomic class. Attendance decreased steadily from first to last stages of serial screening. Although mammography is the most sensitive method of detection, because of its high cost we suggest establishing breast self-examination education programmes and encouraging women to self-examine
Subject(s)
Breast Self-Examination , Health Care Costs , Health Education , Mammography , Mass Screening , Patient Acceptance of Health Care , Physical Examination , Socioeconomic Factors , Urban Health Services , Breast NeoplasmsABSTRACT
Data on the reproductive behaviour of women in Shiraz are presented. A total of 9934 randomly selected women aged > or = 35 years of all socioeconomic levels were interviewed. The mean age at menarche +/- standard deviation was 13.96 +/- 1.23 years, mean age at first marriage was 17.10 +/- 4.24 years and mean age at first pregnancy was 19.50 +/- 3.90 years. The mean number of children was 4.56 +/- 1.70 children, although for illiterate women it was 6.76 +/- 1.76 children and for high-school- or university-educated women it was 3.36 +/- 1.70 children. The mean age at menopause was 47.80 +/- 3.78 years.
Subject(s)
Contraception Behavior/psychology , Reproduction , Women/psychology , Adolescent , Adult , Age Factors , Child , Contraception Behavior/statistics & numerical data , Educational Status , Employment/psychology , Employment/statistics & numerical data , Family Characteristics , Female , Humans , Marital Status/statistics & numerical data , Marriage/psychology , Marriage/statistics & numerical data , Maternal Age , Menarche , Menopause , Middle Aged , Pregnancy/psychology , Pregnancy/statistics & numerical data , Socioeconomic Factors , Surveys and Questionnaires , Women/educationABSTRACT
In this retrospective study, 45 patients with low-grade (I-II) isthmic spondylolisthesis are reported. Spinal decompression, stabilization and fusion were performed in 19 patients (group I). Stabilization and fusion without decompressive laminectomy were performed in 26 patients (group II). The results, which are mostly encouraging, show no significant difference between the two groups.
Subject(s)
Decompression, Surgical/instrumentation , Lumbar Vertebrae , Spinal Fusion/instrumentation , Spondylolisthesis/surgery , Adult , Chi-Square Distribution , Decompression, Surgical/methods , Evaluation Studies as Topic , Female , Follow-Up Studies , Humans , Lumbosacral Region , Male , Middle Aged , Radiography , Retrospective Studies , Severity of Illness Index , Spinal Fusion/methods , Spondylolisthesis/diagnostic imaging , Spondylolisthesis/pathology , Treatment OutcomeABSTRACT
Intraosseous schwannoma of T12 with burst L1 fracture is extremely rare. Here we present a report of the successful treatment and 18-month follow-up of a 46-year-old man with this complication.
Subject(s)
Lumbar Vertebrae/injuries , Neurilemmoma/complications , Spinal Fractures/complications , Spinal Neoplasms/complications , Thoracic Vertebrae , Accidents, Traffic , Humans , Lumbar Vertebrae/diagnostic imaging , Male , Middle Aged , Neurilemmoma/diagnostic imaging , Neurilemmoma/pathology , Neurilemmoma/surgery , Radiography , Spinal Fractures/diagnostic imaging , Spinal Neoplasms/diagnostic imaging , Spinal Neoplasms/pathology , Spinal Neoplasms/surgery , Thoracic Vertebrae/diagnostic imagingABSTRACT
In this retrospective study, ten patients with lumbar iatrogenic instability are reported who were treated by pedicular fixation and bone grafting with an average follow-up of 18 months. Early results, which are mostly encouraging, show relief of symptoms, solid fusion of spine, and maintenance of lumbar curve with no major complications.
Subject(s)
Bone Screws , Iatrogenic Disease , Joint Instability/surgery , Lumbar Vertebrae/surgery , Spinal Fusion/instrumentation , Aged , Female , Humans , Joint Instability/diagnostic imaging , Joint Instability/etiology , Male , Middle Aged , Pain, Intractable/diagnostic imaging , Pain, Intractable/etiology , Pain, Intractable/surgery , Prognosis , Radiography , Retrospective Studies , Spinal Diseases/diagnostic imaging , Spinal Diseases/etiology , Spinal Diseases/surgery , Spinal Fusion/methodsABSTRACT
In this retrospective study, 27 acetabular fractures treated by open reduction and internal fixation with an average follow-up of 3.7 years (1.5-4.0) are reported. Reduction leaving a displacement of < or = to 2 mm was achieved in 9 hips (30%). Good or excellent results were obtained in 22 hips (82%), and in 2 patients who were referred to us after 3 weeks, we performed supra-acetabular osteotomy to obtain congruent joints with fairly good results. The most common complication was heterotopic ossification in 59% of the patients, which led to poor results in 2 patients with grade IV. Avascular necrosis of the hip occurred in 2 patients, and 1 patient developed a late deep infection, which led to osteomyelitis and fused hip.
