69 1735-3165 Journal of Rafsanjan University of Medical Sciences 5408 Oncology Concordance Standards of Breast Cancer Pathology Reporting: with International A 4-Year Study in Kerman 1 12 2005 4 4 286 293 07 06 2020 07 06 2020 Background and Objective: Accurate pathology reporting is important for treatment of malignancies including breast cancer. The aim of this study was to determine the concordance of the current reporting system with international cancer reporting guidelines. Materials and Methods: Pathology reports of 112 consecutive cases of invasive breast cancer who were treated by modified radical mastectomy and axillary lymph node dissection in different hospitals of Kerman city during 2001 to 2004 were studied. Adherence to the international guidelines for macroscopic and microscopic items were determined. Pathology reports were collected from pathology centers of Kerman University of Medical Sciences, social security organization and private laboratories. Rosai check list was considered as our standard reporting proforma. Results: One hundred twelve cases met the inclusion criteria. The results of reporting of the prognostic criteria were as follow: Histologic type (100%), lymph node status (96.4%), tumor size (93.7%), tumor location (91.2%), histologic grade (87.5%), vascular invasion (85.7%), perineural invasion (83.9%), status of surgical margins (82.3%), calcification (75%), necrosis (74.1%), presence of insitu component (39.3%), tumor multicentricity (38.4%), extent of lymph node involvement (33%), extent of insitu component (23.2%) and level of lymph node involvement (0.8%). Conclusion: In most reports the presence and extent of carcinoma insitu, level and extent of lymph node metastasis and tumor multicentricity have been ignored. Considering the pivotal role of these factors; using a standard reporting protocol is suggested.   Key words: Breast cancer, Pathology report, Standard checklist
120 Community Medicine Comparison of Topical EMLA Cream with Oral Glucose on Pain Reduction at Venipuncture in Ichteric Newborns Noori Shadkam M. Behjati M. Fallahzadeh H. 1 12 2005 4 4 294 299 22 04 2006 121 Biochemistry Comparison of Antioxidant System in Patients with Ischemic Heart Disease and Control Group and its Relation to Ceruloplasmin Gholamhoseinian A. Mohammadi Gh.A Yeganeh M. Nazari M. Nakhaee N. Zahmatkesh H. 1 12 2005 4 4 300 305 22 04 2006 5409 Neurology The Frequency of Site and Number of Cerebrovascular Lesions in Diabetic Patients with Thrombotic Stroke in Ali-Ebn-Abitaleb Hospital in Rafsanjan in the Years 2003-2004 1 12 2005 4 4 306 311 07 06 2020 07 06 2020 Background and Objective: Diabetes, is an important risk factor for crebrovascular lesions. Studies obviously demonstrate a higher prevalence, worse prognosis, more relapses and complications and higher mortality rate due to stroke in diabetic patients. This risk is independent from other risk factors , and various studies such as topography of stroke lesions conducted on diabetic patients showed controversial results. This study was conducted to compare the prevalence of location and the number of thrombotic stroke lesions in diabetic and nondiabetic patients in Rafsanjan, Iran. Materials and Methods:This cross - sectional study was conducted on patients suffering from thrombotic stroke, through the convenience nonrandom sampling. Sixty diabetic cases and 60 nondiabetic controls matched for demographic factors and risk factors of stroke, the MRI images of study participants were analyzed by using EPI6 software. Results: 56.7% of samples were female and the average age of patients was 67.5 years. The majortly of samples (66.7%) had history of hypertension. All together 99 vascular lesions in diabetic patients and 118 vascular lesions in nondiabetic patients were observed. The number of lesions had been increased by increasing patients' age significantly. In diabetic patients parietal lobe, occipital lobe and brain stem and in nondiabetic patients parietal, frontal and temporal lobes were the most frequent location of lesions respectively. The majority of these patients (70%) had more than two vascular lesions. The number and the site of cerebrovascular lesions showed no significant difference between diabetic and nondiabetic patients. Conclusion: There was no significant difference between diabetic and nondiabetic patients concerning the number and site of cerebrovascular lesions. However, trombotic stroke in diabetic patients with hypertension had a specific clinical pattern, with a low progress but a sudden appearance and high rate of morbidity and mortality. It can be concluded that stroke in these patients should be diagnosed and treated rapidly.       Key words: Diabetes mellitus, Stroke, Cerebrovascular lesion 123 تغذیه Alkaline Protease Production and its Purification from a Soil Separated Alkalophilic Bacillus Falahatpisheh HR. Jalali M. Badami N. Mardani N. 1 12 2005 4 4 312 319 22 04 2006 124 دندان پزشکی Comparison of in vitro Cytotoxic Effect of Two MTAs (Iran Made and Imported) on Peripheral Blood Mononuclear Cells Nazari Mogaddam K. Ghazanfari T. Mohammadi Basir M. Emadi M. 1 12 2005 4 4 320 325 22 04 2006 125 Occupational Accidents in Construction Industry Among People Reffering to Lobor and Social Affairs Office Rafsanjan, During 2000-2002 Vazirinejad R. Esmaeili A. Kazemi M. 1 12 2005 4 4 326 331 22 04 2006   Occupational Accidents in Construction Industry Among People Reffering to Lobor and Social Affairs Office Rafsanjan, During 2000-2002       R. Vazirinejad PhD [1] , A. Esmaeili PhD1, M. Kazemi PhD Student [2]     Background: Injuries due to accidents have been known as one of the most important cause of disability and death in human communities. Of these, accidents in construction industry are in particular important. This study is conducted to determine factors related to occopational accidents of construction industry and to recognise the outcomes of these accidents in Rafsanjan .   Material and Methods: Our population comprised all cases who were working in construction industry and were registered as having an occupational accident during 2000 to 2002 based on vecords obtained from the central office of labor and social affairs in Rafsanjan. Information about age, gender, the latest educational qualification, marifal status, type of activity, experience, cause of accidents, sites of injury, and the outcome of accident were collected. Parametric tests (z-test, t-test, correlation test) and non-parametric tests (Chi-Square, Fisher Exact) were used to compare groups.   Results: Mean age was 35.8±11.1 years (n=70, min=11 yrs, max=55 yrs). A vast were male (98.6%, n=69) and 83% (n=58) were married. In 36% (n=25) and %30 (n=21) of cases, the accident was due to carelessness and inadequate usage of protective equipment, respectively. The biggest proportion of cases (23%, n=16) were employed in welding activities and the least proportion of injured people were electric workers (7.9%, n=5). A big proportion (45%, n=31) of cases had an experience of less than 5 years. About 18% (n=12) of cases were died due to accidents and 30% (n=21) of cases had a long-term outcome of disability for the rest of their lives.   Conclussion: It can is concluded that occopational health education programs specially for younger employees with a short work experience are strongly suggested. Protective equipment should be available and workers should be persuaded to use these equipment .   Key words: Occupational accidents, Construction accidents, Protective equipment, Rafsanjan   [1] - Assistant Professor, University of Medical Seinces, Social Medicine Department, Medical School, Rafsanjan   Corresponding author, Tel: (0391)5234003 , Fax: (0391)5225209, E-mail: rvazirinejad@yahoo.ac.uk   [2] - PhD Student and Academic Member, University of Medical Seinces, Nursing School, Rafsanjan 126 Physiology Effects of Nitric Oxide on The Expression of Nicotine and Apomorphine Induced Behavioral Sensitization in Mice Shirazi A. Osanloo N. AllafJavadi M. Sahraei H. Khosravi M. 1 12 2005 4 4 332 341 22 04 2006 127 Microbiology The Prevalence of Acinetobacter in Sergical ICU in Rasoul Akram Hospital in 2004-2005 Saadatian farivar A. Nowroozi J. Emami M. 1 12 2005 4 4 342 347 22 04 2006 128 غدد Type 2 Diabetes and Its Risk Factors Afkhami Ardakani M. Rashidi M. 1 12 2005 4 4 348 365 22 04 2006