Investigating the Indication of Post Operation Radiotherapy in Cervical Cancer Patients
Zohreh
Yousefi
Professor of Obstetrics and Gynecology, Women’s Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Fatemeh
Homaee
Associate Professor of Radiotherapy, Cancer Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Marzieh
Talebian
Resident of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Habibollah
Esmaily
Associate Professor of Biostatistics, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
author
text
article
2012
per
Introduction: Cervical cancer is preventable but still its mortality is 50% in our country. Primary treatment (surgery or radiotherapy) should be carefully planned to avoid radiotherapy after surgery which has high morbidity. In this study, the indications of post operation radiotherapy and errors of treatment that impose combined modality to patients were determined and some suggestions were given to surgeons, radiotherapists and pathologists.
Methods: This descriptive and analytical research was held on patients with cervical cancer who referred to Qaem and Omid tumor clinics from 1988 to 2008 and had been treated with radiotherapy after hysterectomy. Patients’ statuses in first refer (clinical-pathological), follow up after radiotherapy in term of recurrence or death were studied in 93 records. Survival rate was evaluated with kaplan-meier method. General linear model and chi-square test were used to compare of variables. P less than 0.05 was considered statistically significant.
Results: 28 patients had radical hysterectomy, 55 patients had simple and 10 patients had supracervical hysterectomy. 3and 5-year disease-free survival were respectively 57.1% and 52.8% and 3 and 5-year overall survival were respectively 76.2% and 67%. Error rate during treatment and doing radiotherapy after hysterectomy were 64 surgeon errors , 23 pathologist errors, 6 radiotherapist errors and 8 patients’ referring error.
Conclusion: Appropriate follow-up before doing hysterectomy in cervical cancer and being careful for postoperative treatment improve the treatment of patients with cervical cancer. Most of radiotherapy after hysterectomy cases was the result of inoperative surgery. Therefore, if hysterectomy is needed for any reason, we must be sure of health of patient's cervix by patient’s examination and answer of cytology.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
13
no.
2012
1
9
https://ijogi.mums.ac.ir/article_5690_c340c4a1a8afa1d8beefe19860e39e1b.pdf
dx.doi.org/10.22038/ijogi.2012.5690
Study of Relation between Consanguinity and Somato- Physical Malformations
Leili
Hafizi
Assistant Professor of Obstetrics and Gynecology, Women’s Health Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
author
Kazem
Ghodsi
Assistant Professor of Genetic, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
author
Marzieh
Ghasemi
Assistant Professor of Obstetrics and Gynecology, Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.
author
text
article
2012
per
Introduction: Preventing the birth of malformed neonates has been the aim of scientists for a long time. It has revealed that the risk of such children, especially with recessive inheritance diseases is much common among consanguineous marriages. Because of high frequency of familial marriages in Iran, this survey was done with the aim of investigating the relation between consanguinity and somato–physical malformations.
Methods: This prospective cross-sectional study was done on 30 malformed children, derived of familial marriage, referred to Ghods rehabilitation center in Mashhad city in 2009. The survey was held on two stages on these 30 pedigrees. First, all malformed children in these pedigrees were compared according to the relationship between parents. Then, all marriages in the pedigrees were divided into two groups: familial and non familial and their relationship with somato–physical malformations was evaluated. Statistical analysis performed by SPSS software (version 19) and T-test. P less than 0.05 was considered statistically significant.
Results: There were 158 familial marriage and 59 malformed children in the 30 pedigrees. Among malformed children, 47 children (79.6%) were born from the three degree familial marriage, 8 children (13.6%) from the four degree and 4 children (6.8%) from non-familial marriages. Children malformation rate was significantly higher in familial marriage than non-familial (p=0.002) and in the three degree familial marriage compared to the four degree (p=0.035). In the next step, comparing the malformation between two familial and non-familial marriages, the difference was significant (p=0.003).
Conclusion: Somato–physical malformations are more probable in familial marriages. Besides, among familial marriages, somato- physical malformations are more in third degree ones.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
13
no.
2012
10
15
https://ijogi.mums.ac.ir/article_5691_96f81ae16623ba1f518ca184a344258b.pdf
dx.doi.org/10.22038/ijogi.2012.5691
An Ultrasonic Investigation of Stability of Pelvic Floor in Women with and without Urinary Stress Incontinence
Farideh
Dehghan Manshadi
Assistant Professor of Physiotherapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Mohamad
Parnianpour
Associate Professor of Biomechanics, Faculty of Mechanical Engineering, Sharif University of Technology, Tehran, Iran.
author
Zinat
Ghanbari
Associate Professor of Obstetrics and Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
author
Javad
Sarrafzadeh
Assistant Professor of Physiotherapy, Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
author
Anooshirvan
Kazemnejad
Professor of Biostatistics, Faculty of Medicine, Tarbiat Modares University, Tehran, Iran.
author
text
article
2012
per
Introduction: Bladder base movement (BBM) reflects the level of pelvic floor (PF) stability and responds with mechanical load induced changes of PF or body position. Adoption of proper body position during pelvic floor muscle (PFM) training for management of Stress Urinary Incontinence (SUI) is very important. This study was performed aimed on investigating BBM while performing different postural interventions in women with and without SUI using Trans Abdominal Ultrasonography (TAUS).
Methods: This clinical trial was conducted on 41 women referred to Vali Asr hospital of Imam Khomeini Hospital in Tehran during 2008-2009. After collecting demographic information, Trans Abdominal Ultrasonography was done at rest, during Crook lying and Straight Leg Raising (SLR), cough and Valsalva maneuvers, during PFM and Transversus Abdominis (TrA) contractions and BBM was assessed. Data were analyzed using SPSS software (version 16), Kolmogorov-Smirnov test, independent T-test, repeated measures ANOVA test, Bonferroni post hoc test and Pearson’s correlation test. P less than 0.05 was considered statistically significant.
Results: Regarding ultrasonic assessment, only the main effect of intervention was significant (p=0.0001). Adopting crook lying position affected BBM more positively in continent women compared with incontinent women (mean 6.3 vs. 2.5 mm; P<0.05). There were no differences in effects of cough, Valsalva maneuvers, TrA and PFM contractions on BBM between two groups (P>0.05).
Conclusion: Changing patient position from straight leg raising to crook lying causes upward movement of bladder base. Comparing the two groups was shown that the effect of crook lying on elevation of bladder base in control group was significantly more than patients.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
13
no.
2012
16
25
https://ijogi.mums.ac.ir/article_5692_71e5a7bdedeff2d92b05b4efbafa857c.pdf
dx.doi.org/10.22038/ijogi.2012.5692
Psychological Meta-Analysis of the Infertility Researches in Iran
Hossein
abbasi Molid
M.Sc. of Family Counseling, Applied Research Center of South Khorasan police Command, Birjand, Iran.
author
Jamileh
Reza Zadeh varaghchi
General Practitioner, Welfare Organization of South Khorasan Province, Birjand, Iran.
author
text
article
2012
per
Introduction: Infertility is one of the life crises that make lots of stress for couples in the majority of societies. Infertile couples, strongly experience many problems and disorders in their psychological, personal, marital and social life. The purpose of this study was investigating and categorizing the psychological disorders of Iranian infertile couples by the means of Meta-Analysis method.
Methods: In this study, published Persian papers such as Fertility and Infertility, Iran Journal of Nursing, Woman in Culture Arts, Pajoohandeh , Fundamentals of Mental Health, Hakim, Rahavard-e-Danesh, Iranian Journal of Obstetrics, Gynecology and Infertility, Family Research, Thought and Behavior in Clinical Psychology, Teb va Tazkiyeh and psychological studies and M.Sc. thesis in subject of infertility were studied from 1997 to 2010. 39 researches in subject of Iranian infertile couples were selected and analyzed by meta-analysis method.
Results: There are 23 potential psychological disorders in life of Iranian infertile couples. These disorders are classified into three levels: cognitive (12 disorders), emotional (9 disorders) and behavioral (2 disorders).
Conclusion: Cognitive and emotional disorders were more frequent among Iranian infertile couples which indicate the necessity of psychological consulting interventions for them.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Mashhad University of Medical Sciences
1680-2993
15
v.
13
no.
2012
26
33
https://ijogi.mums.ac.ir/article_5693_5666f5c9fd415857952cd4e7e8954c2f.pdf
dx.doi.org/10.22038/ijogi.2012.5693