School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 Wilson Mikity Syndrome (WMS): Report of Two Cases 77 88 OTHER Mohammad Hossein Marandian Homa Mojiri Rostam Bastani Zadeh Deux cas de Syndr'.:lme de Wilson-Mikity sont rapportes: le premier c:mcerne un premature chez qui les signes d'insuffisance re:,piratoire ont debutes tro;s semaines apres !a naissance. La radiographie a mis en evidenc Le deuxieme malade i:-ernit 2.EO::J kilos lors de son hospitalisati::>n a l'ag:c d􀍂 qu·11,c jou􀍌s. La radio­grap'.1ie pulmonaire mett en ev;dencde:, opaci­te rec!iculaires bilateraies.  Ces deux malades sont decedes: le prem'er a rag􀍳 de trais mois et le deuxieme a J'age de 4 se­nnines.  A l'autopsie l'examen microscopique des pou­mo:1s mettait en ev:dence une fibrose intern1tielle pulmonaire marquee et des !esi::ms d'emphy􀆓eme c:,muensateur. Le deuxieme malade avait en plus u 1 large dcfc:::t inte:·-auriculaire. 

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 The Causes of Chronic Pelvic Pain in Women 89 94 OTHER Freizer Kazemi Chronic pelvic pain probably is a symptom most frequently complained of by women to a gynecologist.  Too frequently this leads to a laparatomy from whkh either no benefit is derived, or the pain is actually made worse.  The purpose of thls paper is to reevaluate the cause and etiology of chronic pelivc pain, not only to save unnecessary and expensive surgery, but most effectively to rid the patient of her symptoms.  An intimate cooperation between Gynecolo­gist, Urologist, Psychiatrist, and internist is man­datory to make a clear diagnosis prior to any surgical intervention. 

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 Rickets Due To Prolonged Use of Antiepileptic Drugs 95 104 OTHER Mohammad Hossein Marandian Manoochehr Saboori Deylami Khalil Zareiyan George Azma Batool Behfrooz La therapeutique ant epileptique de longue duree provoque une profonde modification du metabolisme de la vitamine B et notamment une acceleration du catabolisme de celle-ci.  Les auteurs rapportent un cas de ce type particulier d'osteomalacie et la revue de la lit­terature leur permet de souligner trois points essentiels:  1 ) les besoins journaliers de la vitamine B sontaccrus chez les enfants soumis aux drogues anti-convulsives,  4- Proc.Roy. Soc. Med. 65: 730, 1972. 5- Hahn T.J. Hendin B.A. Scharp, G.R. haddad J.G. effect of chronic anticonvul­sant therapy on serum 25-Hydroxycalciferol level in adult. the New England Journal cf Medicine. 287, S00-803, 1972. 6- LIFSHITZ. F, and MacLaron, N.K: Vitamin ( D) dependent rickets in institutionalized, mentally retarded children receiving long - term anticonvulsant therapy. Journal of - pediatrics. 83, 612-620, 1973. 7- SILVER. J. Davies. T.J. Kupersmitt, E. Orme. M Petrie, A: Vajda, F. Prevalence and treatment of vitamin - D-deficiency in children on anticonvulsant drugs. Archives of Disease in childhood. 49: 344-49, 1974. 8- Leaidas, J.C. et, al, Chemically induced anticonvulsant therapy. Journal of children, Radiology. 109: 409-12, 1973. 9- Klipstein, R.A.: Subnormal serum folate antiepileotic therapy ;ind ricket in vulsant drug therapy, Blood 23: 68, 1964. 10- Krus, R,: Osteopathien bei antiepileptischer langzeitherapie ( Fcrlaiifige Mittellung), Monatsch, Kinderheilkd, ll6: 378, 1968. 11- Lap,lane. R. Les Spasmes eu Flexions, Rev. Prat 26: 3639, 1966. 12- Rheumatism gardenalique Camus, J.P. et, al. Rev. Prat 22,: 1963, 1972. 13- Paupe, J. Etiologie et Physiopathologie du rachitisme commun Rev. Prat 27: 8, 1967. 14--- Paupe, J. et al, Le rachitisme carentiel tardif, sen. Hop. Paris: 44: 859, 1969. 

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 A Report on Adrenal Gland Estrogens and Manifestations of Femininity 105 109 OTHER Ahmad Motameni It has been shown and confirmed that adrenal cortical tumours synthesize and secrete oestro­gens more than normal adrenals and eventually produce feminization in some cases.  In addition to the above mentioned findings the lack of conversion of testosterone to dihydro­testosterone has been shown to be the main bio­chemical disorder which causes the lack of hair growth in public area in some cases of testicular feminization. 

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 Low Esophagus Carcinosarcoma: Introducing Three Cases 110 117 OTHER Bijan Roosta Farokh Kfaei Behrooz Shafaghi Nous presentons 3 cas de carcino-sarcome de l'oesophage dans une serie de 5574 cas de tu­meur oesophagienne.  Il s'agit d'une tumeur rare de l'oesophage qui se presente sous forme d'une masse polypeu­se localisee au l/3 moyen de l'oesophage et pro­vogue une dysphagie qui aboutit progressive­ment a !'obstruction complete de l'oesophage. La tumeur sur le plan histologique, est formee par les deux composantes, carcino-et sarcomateuse.  Malgre l'inquietants spect clinique, radiolo­gique, chirurgicale et d'anatomo-pathologique, l'evolution est lente et les metastases sont tar­dives. 

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 The Adverse Effects of Nicotine and Carbon Monoxide on Cardiovascular Disease 118 123 OTHER Morteza Farokh Seir Siavash Samandar Giti Samar Cigarette smoking causes injury of coronary arteries as well as other arteries. Sudden death is more frequent in heavy smokers than in non smok­ers. Studies showed that dangerous arrhythmias will be the result of effect of nicotine when injected in the animals. Carbon-monooxide is also dangerous for man when it is produced by smoking.  The prevention of heart disease will be more satisfactory when Doctt)rs will advice patients on smoking and other risk factors.  This advice could become one of the most re­warding activitis in medical practice. Those people who have already coronary diseases must be more careful of danger of smoking. 

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 Acute Benign Lymphocytosis 124 128 OTHER Abbas Momen Zadeh Mahmood Kabiri Vali Zadeh Etude de deux cas d'Hyperlymphocytose in­fectieuse benigne consernant de deux enfants subfebriles, Sans adenopathies ni Hepato-SplenG---­ megalie confirmee par les examens bi.ologiques et en particulier Etude cytologique de la moele osseuse;  Amelioration clinique et Hematologique de fac;on spontanee sans Traitement. 

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 Culture of Waterbag Cells and Detection of Mangleism with G/D Adhesion in Trimester Embryos 129 132 OTHER Mahmood Kabiri A case mongolism due to "hereditary trans­location ·· is presented and discussed. The mother of the patient showed a Karyogram with 45-XX and G/D translocation. She had no stigmata. She had an abortio􀀾 when she was 19 years old.  In the second pregnancy the amniotic fluid was gained by amniocentesis. The Karyogram showed G/D translocation mongolism. The Karyo­gram of the child's father was normal 46-XY.  The next off spring of these parents is ex­pected to be either normal or a carrier as its mother is. 

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 Mechanism of Action of the Thyroid Hormone on the Heart 133 137 OTHER Seyed Amanollah Shafie Farokh Shadan Mansoor Jadali Zadeh SUMMARY  The foliowing cardiac effects may be at­tributed to thyroxin:  1-Thyroxin augments all anaerobic pro­cesses in the body includ::ng the heart, and decreases the glycogen content of the heart ( 1, 2, 5, 27). The resistance of the heart to anoxia is increased in hyperthyroidism ( 25). 2- Thyroxin influences the cardiac weight and prevents cardiac atrophy (3, 8, 10, 11, 19, 20, 21, 30, 33).  3-Thyroxin stimulates synthesis of a new cardiac protein and possibly a newcardiac myo­sin (I 0, 16, 25, 35, 36, 38).  4-Thyroxin influences the inherent con­tractility of the heart muscle, and this influence is inden􀂡ndent of the norepinephrine stores and the alterations in the high energy phosphate stores ( 6). Thyroxin has an inotropic and a chro­notropic action on heart muscle (14).  5-Manifestations of the thyroxin effects on the heart are the same as the manifestations of the stimulation of beta-adrenergic receptors. These effects could be blocked by beta-adrenergic blocking agents ( 32). These beta-adrenergic re­ceptors are probably adenyl cyclase (31).  6-Increased levels of epinephrine and norepinephrine, and stimulation of beta receptors may be involved in the manifestations of thy­roxin effects in hyperthyroidism. ( 14) 

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 A Rare Localization of Neurofibromatosis: A Case Report 138 140 OTHER Morteza Shaghaghi Bericht einer seltenen Lokalisation der Neuro­fibromatose von Recklinghausen bei einem 6 jahri­gen Madchen. In dieser publikation wurde zunachst die krankheit in kurzem besprochen und anschlie­send ein intcressanter Fall mil exzeptionaler Lokali­sation namlich Befall oberen Anteils des Mediasti­nums mit klinischem Bild einer akuten - Luftnot - situation vorgestellt.  R·EFERENCES 

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 Everyday General Practitioner Challenges: Arterial Hypertension "Methods of Diagnosis, Identification, Cause, and Significance of Disease (1)" 141 146 OTHER Mohammad Danesh Pajooh This article has no abstract

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 Some Tips about Tonsils and Adenoid Tonsil 147 151 OTHER Mohsen Moghadam This is an artic.:le about the pharyngeal lymphoid tissue. so called waldyer's ring. I have tride to give a rather clear discription of Its functi<"m, especially pointing to Its role in protecting the body against the infections by promoting the antibodv production and lymphocite formation.  In the view of these functions a clear cut indi­cations and contraindications of adenotonsillectomy has been stated.  There is also a hint to precaution, and compli­..:ations of the operation.  In this article two points have been emphasized: 1- The role of the pharyngeal tis􀂊ue in immu­noglobulin produc!ion and the effect of tonsil opera­tion on this function.  2- The effect of the upper resr,iratory tract allergy in mimicking U.R.T. infections and what are the effect of adenotonsillecromy in the presence of the allergic manifestations.  In my view the statement made bv pediatric al­lergists holds its groi.mds in every case of adenoton­sillectomy accompanied by U.R.T. allergy it is better to treat the allergy first and wait for 6 months. if after this is done, there is any indication for the ope­ration then go on to perform it. 

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 Drug Poisoning: Poisoning by Antidepressants 152 156 OTHER Mahshid Afshar This article has no abstract

School of Medicine, Shahid Beheshti University of Medical Sciences Research in Medicine 1735-5311 5 2 1977 3 1 MESO – TELESYSTOLIQUE Medical News: Mitral Valve Prolapse: CLIC SOUFFLE MESO Syndrome - TELESYSTOLIQUE 157 158 OTHER Mohammad Bagher Yazdani This article has no abstract