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Search Results: 1 - 10 of 46 matches for " Nona Zabolinejad "
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ANCA-Negative Pulmonary-Renal Syndrome with Pathologic Findings Suggesting Thrombotic Thrombocytopenic Purpura
Mitra Naseri,Nona Zabolinejad
Iranian Journal of Pediatrics , 2007,
Abstract: Background: Thrombotic thrombocytopenic purpura (TTP) is a rare disease characterized by microangiopathic hemolytic anemia, thrombocytopenia, neurologic abnormalities, fever and renal dysfunction. The disease classically spares the lung tissue, but recently some cases were reported that presented with respiratory involvement (adult respiratory distress syndrome or pulmonary-renal syndrome). Presentation with pulmonary-renal syndrome has rarely been reported. Case Presentation: We report a 14-yaers-old boy admitted to the hospital because of a biochemical evidence of renal failure. Two days after admission he developed a high fever, hemoptysis and respiratory distress. Open kidney biopsy was performed and confirmed the diagnosis and finally the patient expired due to neurologic involvement. Conclusion: This case is presented to discuss the need to update the criteria for TTP diagnosis and considering TTP in the differential diagnosis of pulmonary renal syndromes.
A rare case report of endobronchial actinomycosis with severe hemoptysis
Fariba Rezaeetalab,Nona Zabolinejad
Iranian Journal of Otorhinolaryngology , 2009,
Abstract: Introduction: Endobronchial actinomycosis is an uncommon disease with symptoms of cough, hemoptysis and endobronchial obstruction. It can imitate the presentations of pulmonary tuberculosis or cancer. Case Report: A 68 year-old male was referred with the complaint of fever, cough and severe hemoptysis. His weight loss during the last 3 months was 8 kgs. Blood tests indicated mild leukocytosis and increased sedimentation rate. In his chest radiography, opacity was observed in the left lower pulmonary lobe. Fiberoptic Bronchoscopy revealed a nodular lesion in the lateral segment of left lower lobe. Pathologic diagnosis confirmed the presence of actinomycosis. Conclusion: Although endobronchial actinomycosis is uncommon, it is included in the differential diagnosis of endobronchial obstructive lesions, especially bronchogenic malignant tumors and bronchial tuberculosis. In areas with high incidence of tuberculosis, endobronchial actinomycosis can mimic its symptoms.
Omental-Mesenteric Myxoid Hamartoma Mimicking Malignancy in a 14-Month-Old Child (A Case Report)
Nona Zabolinejad,Ahmad Bazrafshan,Parya Dehghanian,Naghmeh Zabolinejad
Iranian Journal of Pediatrics , 2008,
Abstract: Background: The omental-mesenteric myxoid hamartoma (OMMH) is a very rare lesion, mainly seen in children and characterized by multiple omental and mesenteric nodules, which may be confused with malignant neoplasm. Microscopically, these lesions consist of a richly vascularized myxoid stroma with plump mesenchymal cells. This lesion has a benign clinical course without recurrence during follow up. Case Presentation: We present a 14-month-old boy that was referred with history of abdominal distension, fever and vomiting for 3 months. Enhanced computed tomography (CT) revealed a huge well-demarcated hypodense and spherical mass which displaced bowel loops without obvious penetration to the intestinal walls.Histological and immunohistochemical examinations confirmed the diagnosis of OMMH.No evidence of recurrence was noted during 3 years follow up. Conclusion: OMMH is a very rare lesion and because of its aggressive appearance, differential diagnosis with malignancy is warranted. The clinical picture of our case also led to high suspicion of malignancy. However by consideration of histological and immunohistochemical findings we could achieve the correct diagnosis.
Fibrous Hamartoma of Infancy, Report of Two Cases
Nona Zabolinejad,Mehran Hiradfar,Ahmad Bazrafshan
Iranian Journal of Pediatrics , 2008,
Abstract: Objective: Fibrous hamartoma of infancy (FHI) is a rare, benign soft tissue tumor that typically occurs within the first two years of life. It has a specific histologic appearance comprising of three different mesenchymal tissues with variable proportions in an organoid fashion. The clinical course is typically benign with excellent prognosis. We report two cases of this rare lesion and review its cilinicopathologic characteristics. Case(s) Presentation: The first case was a 15-month-old girl who had a subcutaneous mass in the right axillary region and the other one was an 18-month-old boy with a mass on the medial surface of his right ankle. The masses were successfully excised. After 6 and 30 months follow up no recurrence occurred. Conclusion: Although the clinical and imaging findings of FHI are quite similar to those of malignant soft tissue tumor, histologic characteristics of this tumor will guide to the definite diagnosis that will prevent aggressive and mutilating procedures.
Multiple Congenital Epulis of the Mandibular Ridge: A Case Report
Mehran Hiradfar,Nona Zabolinejad,Mohammad Gharavi,Sadaf Sebt
Iranian Journal of Otorhinolaryngology , 2011,
Abstract: Congenital epulis is a very rare benign soft-tissue tumor of uncertain histogenesis, which is also known as “gingival granular cell tumor of the newborn”. It occurs almost exclusively as a single tumor along the alveolar ridge of the maxilla in newborn females. Although congenital epulis is strikingly similar to the more common adult granular cell tumor histologically, in contrast to the latter congenital epulis cells are negative for S-100 protein. This case report describes a 15-day-old female infant with multiple congenital epulis of the mandibular alveolar ridge.
Heterotopic Oral Gastrointestinal Cyst: Report of Two Cases
Nona Zabolinejad,Mehran Hiradfar,Ehsan Khadivi,Mohammad Gharavi
Iranian Journal of Otorhinolaryngology , 2010,
Abstract: Introduction: Heterotopic gastrointestinal cyst of the oral cavity is an extremely rare lesion with fewer than 40 cases reported in the English literature. It usually involves the soft tissue covering the floor of the mouth and the tongue. Lining of this lesion resembles gastric or intestinal mucosa. Case Report: In this report we describe the lesion in two boys and discuss their pathogenesis.
Мальчики-мажоры карабахской войны: жизненные истории военной молодёжи [ChildsoldiersoftheKarabakhWar: Life Stories of a Militarised “ Youth ”].
Нона Шахназарян / Nona Shakhnazarian
Journal of Power Institutions in Post-Soviet Societies , 2008,
Abstract: The article deals with young veterans of the Karabakh War (1991-1994). It is focused on ordinary teenagers whose lives became part of warfare. The harsh, shocking hardships they experienced during the war are far from being named “youth culture of leisure” (that is to say youth sub/contra culture as a social phenomenon, rather than biological age scale). It seems that those adolescents have skipped a stage of their lives. The article touches upon the young veterans’ Post-Traumatic Stress Disorder (PTSD) syndrom and how they try to overcome it. Some of them are still traumatized by the consequences of war after more than a decade. Some have undergone identity-transformations that affect their present life trajectories.
A brief analysis of regional disparities in the use of hospital services for acute cases in Romania
Nona Delia CHIRIAC
Management in Health , 2010,
Abstract: Purpose: to study the geographical disparities in the consumption of hospital services and their potential causesMethodology:The study presented in the article is a descriptive observation one, conducted for the year 2008. The analysis included all the cases discharged from continuous acute care hospitals in Romania, considered valid.There were studied the following hypotheses:the excess in consumption of hospital services (measured by the standardized ratio of the cases and of the hospitalization days, according to the age group) is associated with a lower standard of living and a greater number of bedsthe excess consumption of hospital services generates a reduction of the mortality in the general population in that geographic areas (measured by the standardized mortality report by age group).The association between these variables was tested for the 8 development regions (the Spearman correlation test) respectively for the patient's home county (the Pearson correlation test), using the statistical analysis software SPSS.Results:Although differences in the consumption of among the different development regions, respectively among the counties, are obvious, no association between the high volume of hospital services and mortality was found; therefore, it can be assumed that excessive consumption of services is not accompanied by an improving of the health status of patients as mortality reduction. The income influences poorly the volume and the outcome of the healthcare, but correlates with the number of hospital beds in counties with a higher income level. There is no correlation between the number of hospital beds and the volume of the consumed services. Although, at county level, the correlation between the number of cases and the hospitalization days are proven, there are development regions that surprises by the overall scarcity of cases, but excess hospital days.Conclusions There are variations in hospital care practice, which should be measured and analyzed in terms of causes, and should be prevented through monitoring the service needs, data reporting and the careful assessment of the structures and the resources.
The evolution of hospital activity, variations in surgical practice, overall and addressed to vulnerable patients
Nona Delia Chiriac
Management in Health , 2010,
Abstract: The whole modern health management aims to shift the healthcare from hospitals to outpatient care. During last decades, EU reduced the number of hospital beds, the length of stay, trying to improve the efficiency of the health system. Is this possible to be done, preserving in the same time the equal coverage with health services, limiting the practice variations? The present study presents the evolution of the main indicators for the volume of hospital and surgical activity; some of differences recorded among regions or patient groups, and identifies features of the surgical practice concerning some vulnerable age groups of patients: children and elderly. The conclusions point out that the hospital activity increased, but varied among districts and age groups. There are some surgical interventions that occur very often in children or consume many hospital days in elderly that might need special analysis in order to evaluate their appropriateness or efficiency.
N SPRIJINUL COMPANIILOR ROM NESTI PENTRU O DEZVOLTARE COMPETITIV I DURABIL
Alina-Nona Petric
Revista de Economie Sociala , 2012,
Abstract:
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