Yafteh

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Background: Brain ischemic disorders are common diseases of neural systems. One of the predisposing factors affect to the brain ischemia is systemic hypertension. The aim of this study was the determination of relation between blood pressure and spread of brain ischemia in CT scan in brain ischemia patients. Materials & Methods: In the first stage and on the basis of research group, we selected 33 males and 33 females at the age of 45 and more with the diagnosis of brain ischemia by chance. Then we collected the information of those patients about general information, post history of hypertension and cardiovascular diseases. Then, we recorded degree of systolic and diastolic blood pressure on the first day of bedridden time and recorded specifications of ischemia in CT Scan about numbers and extent of ischemia. In the final stage, we considered relations between systolic and diastolic pressures and extension of ischemia. Datas were analyzed by EPI6 software. Results: Those finding showed that about 63.3% of patients were in 65 to 74 years old. In 81.8% of them hypertension history was positive. It is also specified that 36.3% of patients had normal systolic blood pressure and 45.4% had normal diastolic blood hypertension, and 63.7% had several ischemia. The severity ischemia in 54 cases (81.8%) were above 2 cm2. It is specified that there was no significant relation between systolic blood pressure and extension of ischemia in CT scan, but there was a significant relation between diastolic blood pressure and extension of ischemia (P=0.03). Having the negative history of hypertension in conformity of two indexes was significant (0.03%). There is no significant relation about sex, but there was a significant relation between two indexes and age above 75 years old (P=0.04). Conclusion : It is demonstrated that blood pressure and hypertension without history have a major role in extension of ischemia and aged is important factor between relation of two indexes.

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Mazaheri Sh1, Fazlian MM2, Hossein Zadeh A3 1. Assistant Professor, Department of Neurology, Faculty of medicine, Hamedan University of Medical Sciences 2. General practitioner, Specialty and Subspecialty Hospital of Besat, Hamedan University of Medical Sciences 3. General practitioner, Hamedan Health Center Abstract Background: Multiple Sclerosis (MS) is one of the most common causes of chronic neurological disability in young adults and geographical diversities and differences have been reported in its occurrence. For more concise data about MS in the West of Iran, in this study, the clinical and epidemiological features of MS patients were evaluated at the University Hospital of Hamedan. Materials and methods: Data for 155 MS patients attending Hamedan University of Medical Sciences’ MS Clinic between the years of 2004 and 2005 who had fulfilled Poser criteria for clinically definite MS were reviewed. Moreover, early and late MS onsets for clinical and epidemiological differences were compared. Results: The early onset MS was reported in 23(14.83%) subjects who were 18 or less years old of whom 7(30.44%) were male and 16(69.56%) were female. The age mean was 16.22±16.36. 17(73.92%) patients were classified as having relapsing-remitting MS, while 5 patients (21.73%) were classified as having secondary progressive MS and 1 patient (4.35%) was classified as having primary progressive MS. There were no significant differences in clinical and epidemiological features for MS subtypes in the institute. 12.9% of patients had positive family history for the disease and one patient had a benign MS. The clinical and epidemiological features of early and adult onset MS were not significantly different in the study. Conclusion: The present study confirmed that while the clinical and epidemiological features of MS patients in Hamedan university hospital were similar to those in other Iranian institutes in most of the cases, early onset MS was more common.

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Background: With regard to the importance of attachment in developing separation anxiety, the purpose of this study was to investigate the effectiveness of attachment based intervention via video feedback on decreasing negative representations and separation anxiety problems in preschool children. Materials and Method: The research method was semi experimental with pretest-posttest and follow up. For this, 21 mother-child dyads (11 dyads in experimental and 10 dyads in control group) were selected from 2 child counseling centers based on including criteria. The experimental group received 8 to 10 individual attachment based intervention sessions and the control group received the other relation based intervention for comparison of their effectiveness. The participants were assessed using maternal behavior Q-SORT, MacArthur story stems and child psychopathological symptoms inventory in pretest, post-test and 3 months interval follow up. Results: The findings revealed the effectiveness of attachment-based intervention on increasing maternal sensitivity, decreasing negative representations of child and also separation anxiety symptoms in children of experimental group. The mean scores of experimental group in comparison to witness group have significantly decreased in all variables. Conclusion: Considering this results, it seems attachment-based intervention could increas maternal sensitivity and this change with decreasing negative representation of child via recovering interactions have a positive effect on decreasing separation anxiety problems of children.