2024-03-29T19:17:40+03:30 http://jmums.mazums.ac.ir/browse.php?mag_id=42&slc_lang=fa&sid=1
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 Analysis of the outcome of Anterior Cruciate Ligament reconstruction surgery on knee in athletes from Sari, 2007-2008 E Shafiei M Mohammad Javadi M.H Kariminasab M Shayesteh Azar M.M Daneshpour md_daneshpoor@yahoo.com R.A Mohammadpour A Mohammadi Background and purpose: The anterior cruciate ligament (ACL) is one of the four major ligaments of the knee and also the most important knee stabilizer. Since the incidence of ACL tearing is especially high in young athletes, and reconstruction surgery and a prolonged rehabilitation may be rtequired, understanding the outcome of the ACL reconstruction surgery and preventive measures such as physiotherapy and muscle supporting exercises, could improve the outcome of the ACL reconstruction surgery. The aim of this study was to evaluate and recognize the outcome of ACL reconstruction surgery in athletes from Sari in 2007-2008. Materials and methods: In this descriptive study, 57 male athletes (mean age: 26.56 ± 6.17 years) referred to several hospitals in sari during 2007-2008 were assessed after ACL reconstruction surgery. The assessment for the outcome of the ACL reconstruction surgery was done by physical examination, such as range of motion (ROM) and performing stability tests (lachman test, anterior drawer test). Data were analyzed using statistical tests ANOVA, χ2 and t -test. Results: Mean age of the patients was 26.56 ± 6.17 years (17-51). Mean duration after surgery was 18.4 ± 10.57(5-35). The most common cause of tearing was playing soccer (63.2%). The right knee was affected in 35 players (61.4%) compared with the left knee in 22 (38.6%). Thirty three (57.9%) right knees were dominant in comparison with 24(42.1%) left knees. Type of trauma in 17 subjects (29.8%) was contact and 40 (70.2%) was non-contact. There were three (5.3%) patients with movement limitation (10-30˚) and five (8.8%) with knee instability. There was no significant relationship between mean duration after surgery and limitations in movements (P=0.412), knee stability (P=0.999), and patients satisfaction (P=0.412). There was a significant relation between dominant knee and stability (P=0.046).Conclusion: According to the results of this study, it appears that performing ACL reconstruction surgery results in satisfaction of patients and can specially be helpful (if performed appropriately) in athlets. Outcome ACL reconstruction surgery ACL tear athletes 2010 1 01 2 7 http://jmums.mazums.ac.ir/article-1-594-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 An epidemiological study on the reported cases of tuberculosis in Mazandaran (1999-2008) using spatial design J Yazdani Charati A Kazemnejad ir.ac.Kazem_an@modars M Mosazadeh Background and purpose: The incidence of tuberculosis (TB) in Iran is about 13 in 100000 people and this rate in Golestan and Sistan & Balouchestan Provinces is the highest. Due to the proximity of Golestan to Mazandaran, this epidemiological survey has been done to identify the high risk locations by using of disease mapping of tuberculosis incidence rate. Materials and methods: This observational longitudinal survey was performed on the cases occurred between 1999 and 2008. The characteristics of the total cases of 2,444 were taken from tuberculosis admission book. The epidemiological and demographical variables including age, gender, year, location, and others characteristics were analyzed using descriptive and inferential statistics methods by statistical package of SAS and SPSS. Results: From 2,444 patients, 1,283 (52.5%) were male and 47.5% were female. 61 percent were city dwellers, 39 percent were from rural areas and 96.4 % were Iranians. The highest incidence rate of TB was seen in Behshahr with rate of 19.39 and the lowest rate in Joybar with the rate of 6.45. Conclusion: The prevalence of TB cases in Mazandaran is lower than other provinces such as Guilan and Golestan. In addition, late diagnosis of TB in Mazandaran was higher than other provinces such as Khorasan Razavi and Kordestan. The delay in TB diagnosis in Iran is longer than other in countries such as the UK and Nepal. The results of this study can provide useful information for health care services providers and policy makers to mange the disease by implementing appropriate and timely interventions. Tuberculosis Poisson distribution incidence 2010 1 01 9 16 http://jmums.mazums.ac.ir/article-1-595-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 A comparison of single-layer versus multi-layer closure of the leg wound following long saphenous vein harvest for coronary artery bypass graft surgery: a prospective randomised controlled trial S.M Nouraei S Masoumi R.A Mohammad Pour Tahamtan M.R Habibi mahammadreza.habibi@gmail.com S.S Alamolhoda Background and purpose: Cardiovascular diseases is the leading cause of death in the world. Over the last decades, open heart surgery reduced the mortality rate of these patients. The long saphenous vein is most commonly-used conduit in coronary artery bypass surgery. Complications associated with its harvest can lead to significant patient morbidity. We aimed to determine the optimal method of wound closure in these patients by comparing single-layer with multi-layer wound closure techniques. Materials and methods: In a randomized controlled trial, eighty patients undergoing first-time elective coronary artery bypass were randomly divided into single-layer and multi-layer leg wound closure groups. In the first group, single-layer wound cloture technique, and in the second group, multiple-layer cloture technique was applied. Postoperative complications in both groups were analyzed using SPSS software (17) and descriptive statistical tests t-test and chi-square. Results: The two groups were comparable in respect of age, weight, height, sex and BMI. There was a significantly higher incidence of haematoma formation in the multi-layer closure group (n=18) compared with the single-layer closure group (n=5) (p<0.001). There was also a significantly higher incidence of saphenous nerve neuralgia in the multi-layer closure group on the 14th postoperative day. The incidence of postoperative pain and wound infection was also lower in the single-layer wound closure group. Conclusion: Single-layer leg wound closure following saphenous vein harvest for coronary artery bypass grafting is associated with fewer postoperative complications and does not impair postoperative wound-healing. We recommend its routine use in this clinical setting to prevent unwanted side effects such as wound infection and / or chronic pain and hematoma formation. CABG (Coronary Artery Bypass Grafting surgery) long saphenous vein wound closure 2010 1 01 18 23 http://jmums.mazums.ac.ir/article-1-596-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 Assessment of the prevalence of refractive eye error and IOP during pregnancy and after delivery in patients referred to ophthalmology clinic of Boo-Ali Hospital of Qazvin in 1387 M Khalaj mo_khalaj@yahoo.com E Mohammadi Zeidi S Gorbani F Hashemi Background and purpose: Many pregnant women some of whom also suffer from refractive errors and use eyeglasses attend eye clinics The aim of this study was to assess the prevalence of refractive eye errors and changes in IOP, during pregnancy and after delivery among patients referred to ophthalmology clinic of Boo-Ali Hospital of Qazvin. Materials and methods: The study was conducted at eye clinic of Boo-Ali Hospital in Gazvin- Iran. A total of 150 pregnant women aged 17 to 38 years (mean 24.76 ± 4.61) were treated by ophthalmologist in three stages (16- and 32- week of pregnancy and 4 months after childbirth. Initially, all pregnant women were visited by a gynecologist and then they were referred to the ophthalmology clinic. The visual acuity was determined using chart Snellen from a distance of 6m and then refractive errors were measured by static retinoscopy and autorefractometer. Intraocular pressure was measured using air-puls noncontact tonometer in three stages. Results: In the first stage (16-week of pregnancy), hyperopia was seen in 12 patients (%8), myopia in 104 patients (%69.3), astigmatism in 26 patients (%17.3) and 8 patients (%5.3) were normal. The results of the second stage (32-week of pregnancy) showed that 3 patients (%2) were hyperopia, 143 patients (%95) myopia, 2 patients (%1.3) astigmatism and 2 patients (%1.3) were normal. Four months after childbirth, 5 patients (%3.3) were hyperopia, 129 patients (%86) myopia, 13 patients (%13.7) astigmatism and 3 patients (%2) normal. The estimated relative risk of myopia was increased significantly in the second stage. The patients' IOP in the first stage was higher than the second stage and this difference was statistically significant (P<0.05). Conclusion: The results of this research showed that there is a significant relationship between pregnancy and myopia. IOP was reduced during pregnancy and return to the normal level after delivery. Refractive errors prognancy myopia IOP 2010 1 01 25 31 http://jmums.mazums.ac.ir/article-1-597-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 Histopathologic comparison of chromic catgut suture materials from Iran and abroad M Marjani mzmarjani@gmail.com M Hashemi R Sedaghat Background and purpose: The chromic catgut sutures are the most common suture materials in surgical operations. The purpose of this in-vivo study was to evaluate the histopathological inflammatory reaction incited by four different kinds of catgut suture materials. Materials and methods: Twenty five adult New Zealand White rabbits, weighing approximately 2-3 kg, were divided into 5 groups of 5 rabbits in each group. Four types of catgut sutures were implanted in the dorsum and thigh muscles. After 2, 7, 14, 21 and 60 days, the animals were sacrificed and the sutures, subcutaneous and muscle tissues were removed from the implanted areas. Results: Statistical analysis for comparison of each two suture materials showed significant differences between groups (p<0.05) while ETHICON suture showed minimum inflammatory reaction and was considered the best. Conclusion: Uncontrolled raw materials of the catgut suture from the intestine of particular animals may cause a variety of pathological effects beyond the threshold set for medical surgery. Chromic catgut suture implantation suture material pathology rabbit 2010 1 01 33 42 http://jmums.mazums.ac.ir/article-1-598-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 The effects of the number of sessions of continuous and intermittent aerobic training in a week on markers of healthy heart in menopause Wistars rats V Dabidy Roshan Vdabidiroshan@yahoo.com T Jolazadeh Background and purpose: The purpose of the present study was to determine the effects of three and five sessions of continuous and intermittent aerobic training in a week on some markers of healthy heart (high sensitive C- reactive protein [HS-CRP], LDL-C and HDL-C) in female Wistars rats of strain 14848. Materials and methods: Eighty-eight rats weighting 325.6 ± 4.93 gram and 21.5 months old, with 3 months fertility period were prepared and divided randomly into three groups: Control, continuous and intermittent with 5 and 3 sessions of aerobic training in a week, and three subgroups including pre-test, mid-test and post-test. Continuous training protocol was performed during 12 weeks, 3 or 5 sessions a week, with progressive speed 12 to 23 meter per minute and duration of 10 to 122 minutes. Blood samples were drawn following 12-14 hrs fasting in three phases at the baseline level. With similar situations and HS-CRP and or LDL-C and HDL-C were measured via immunoturbidimetric assay and enzymatic method, respectively. Data were analyzed using ANOVA considering P£ 0.05 as significance level. Results: The results showed that HS-CRP levels in control group increased significantly in the 6- and 12-week period. However, in both continuous and intermittence aerobic training groups, insignificant decrease was seen in the first 6 weeks. In addition, assessment of the difference of HS-CRP, LDL-C and HDL-C among the groups showed that the difference was significant between the control and the 5 sessions continuous groups after 6 and 12 weeks. Conclusion: These findings suggest that although the effectiveness of 5 sessions of training in a week is generally more than continuous training, the duration of training is more important than the frequency of the training sessions per week to inhibit the inflammatory response. Exercise C-reactive protein rats menopause 2010 1 01 44 53 http://jmums.mazums.ac.ir/article-1-599-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 Study of compost quality from rural solid wastes (Babol, Iran) A.A Amouei Imnamou@yahoo.com H.A Asgharnia A Khodadi Background and purpose: In spite of many studies on composting from municipal solid wastes, rural solid wastes have not been studied. A high percentages of rural solid wastes containing domestic, animal and agricultural solid waste is biodegradable. The objective of this research was to study the chemical and microbial quality of compost produced by mixed rural solid wastes and other composts. Materials and methods: In this study, food wastes mixed with animal and agricultural wastes with a weight ratio of 2, 5 and 2 (with a final mixed weighting 150 kg) were studied. For investigation of chemical quality of these materials, some indexes such as carbon/ nitrogen ratio, percentage of carbon, phosphorus, potassium, lead, cadmium and zinc were measured. Microbial quality of these compost materials were defined by assessing the amounts of coliforms and parasite ova. Results: The average amounts of some indices in mixed, household and animal composts were: C/N (14 ± 1.5 20 ± 1.7 17 ± 1.8), percentages of organic material (73 ± 3.9 64 ± 3.8 76 ± 2.5), carbon (32 ± 2.2 40 ± 2.4 37 ± 4.5), nitrogen (2.5 ± 0.5 1.5 ± 0.6 1.9 ± 0.3) and lead in mg/Kg (3.5 ± 0.7 16 ± 2.9 11 ± 1.9), cadmium (0.3 ± 0.05 3 ± 0.9 1.5 ± 0.4), respectively. The number of total fecal coliforms in compost produced by mixed solid materials was 643 ± 176 131 ± 52 respectively in 10 g of solid materials and the number of parasite ova was less than 2 in 4 g solid materials. The compost quality of mixed materials was in agreement with class A of USEPA guidelines hence, usable for flower and plant culturing. Conclusion: Composting may be considered a method to manage the rural solid waste problem. Rural solid wastes compost waste management 2010 1 01 55 61 http://jmums.mazums.ac.ir/article-1-600-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 Evaluation of radiologic findings in neonates with hirschprung\'s disease, referred to Boo-Ali Sina Hospital in Sari between 2008 and 2009 A.R Alaee ar_alaee@yahoo.com Z Mehrara A Nozari Background and purpose: Diagnosis of Hirschprung's disease is one of the most important problems of pediatric surgeons and leaving it without treatment has its own complications. Early diagnosis in younger age with special attention to clinical and radiological findings can reduce these complications. The aim of this study was to compare the findings of plain abdominal radiography and contrast enema in neonates with Hirschprung's disease. Materials and methods: Twenty seven neonates referred to Boo-Ali Sina Hospital, in Sari (2007-2009) for Hirschprung's disease underwent abdominal X-ray and barium enema, and the findings were evaluated followed by rectal biopsy was. In all cases, radiological and barium enema findings were seen by a radiologist, and in each view presence of serration in colon, distention of colon, absence of gas in colon, small intestinal distention, soap bubble and mottling in RLQ of abdomen, delay on barium transit, recto-sigmoid index, absence or present of TZ (Transitional Zone) were assessed. Data were analyzed using SPSS 16 software. Chi-Square test and descriptive statistical methods were used for comparing abdominal X-ray and barium enema effectiveness for differentiating patients with Hirschprung's disease. Results: The findings in plain abdominal radiography were: colonic distention and TZ (82.59%), absence of gas in rectum (48.15%), small bowel distention (7.41%), soap bubble pattern (3.7%) and mottling in RLQ (3.7%). In contrast the findings of enema of neonates were: distention (70.3%), delayed barium transition (59.2%), transitional zone (55.5%), barium-fecal mixing (22.2%), micro colon (7.4%) and serration (3.7%). Conclusion: A plain abdominal radiography is reliable and useful in diagnosis of the disease in patients with failed contrast enema. Hirschprung\'s disease neonate plain abdominal radiography and contrast enema 2010 1 01 63 68 http://jmums.mazums.ac.ir/article-1-601-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 Clinical syndrome in HIV/AIDS resulting in hospitalization based on the CD4 count E Mohammadnejad asreno282@yahoo.com SH.M Jalaimanesh M Mahmoodi Background and purpose: The CD4 lymphocyte count is the strongest index indicating the severity of immunodeficiency, prediction of incidence, diagnosis, and making a decision to start anti retroviral treatment and follow up of therapeutic response. This study was conducted to establish the clinical syndrome resulting in admission of patients with HIV infection based on the CD4 count. Materials and methods: This cross-sectional descriptive study was performed on 71 HIV patients admitted at least for onece to Imam Khomeini Hospital, Tehran during 2008 and 2009. HIV infection was confirmed by positive ELISA and Western blot. The obtained data were analyzed using SPSS software, version 16. Results: From a total of 71 patients, 8.5% were female and 91.5% were male. The mean age of the subjects was 35 ± 8.1 years. 74.6% were addicted and 38% had a prison history. The average CD4 count was 202.9 ± 20.09 /ML. 21.1% of the patients received anti-retroviral medication. 49.3% of HIV patients had hepatitis C and 18.6% had hepatitis B simultaneously. Patient with PCP, toxoplasma and TB had the least CD4 count, with an average of 75.85, 94.66 and 143.95 /ML respectively. Patients with empyema, esophagititis and abscess of femur had the highest CD4 average count of 698, 536 and 349.5 ML, respectively. There was a significant correlation between pneumonia and CD4<200/ML (P=0.001) and also, between prison history and TB (P<0.001), and between TB and CD4<200/ML (P=0.012). Conclusion: The prevalence of Pneumocystic pneumonia, Toxoplasmosis and TB syndrome may be higher in patients with CD4<200/ML and the incidence of pulmonary TB were greater in patients eith prison history. HIV AIDS CD4 lymphocyte count pneumonia tuberclosis 2010 1 01 70 77 http://jmums.mazums.ac.ir/article-1-602-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 Survey of characteristics of neonatal death in neonatal intensive care unit of Boo-Ali Sina educational & therapeutic A Bala Ghafari azita.balaghafari@gmail.com H Siamian K Aligolbandi S.SH Rashida Background and purpose: The neonatal mortality rate is an important index for evaluation of public health. It involves the death of infants under 28 days. Obviously, recognizing the characteristics of neonatal mortality in this center, may be useful for promoting the procedures in the NICU, as well as planning to impede the severe complications or death. Materials and methods: This is a descriptive study performed by analyzing the available data from the medical records of NICU patients at Boo-Ali Sina Educational & Therapeutic Center during 2003 and 2006. The number of deaths, names, and medical records number of the dead infants were collected. Among 1238 patients in the NICU, 363 deaths were reported. According to medical records, 222 deaths occurred in neonates aged 0 to 27 days. Data were collected using a checklist, the validity and reliability of which were approved by clinicians. The Descriptive methods were used in analyzing the data. Results: The findings include: 140 subjects were male (63.1%) 72 from single birth (77.5%) the age-group of mothers of 38 cases (37.7%) was 20-24 y 132 cases (59.5%) resided in villages 129 cases (58.1%) with prenatal care 120 cased of Caesarian section (54%) 155 cases (76%) with birth weight lower than 2500 grams and 154 preterm (75.5%). Mortality during neonatal period was divided in two groups: early death (0-6 days) 142 cases (62%) and late death (7-27 days) 80 cases (36%). Conclusion: Correct and exact completion of NICU forms would help undertaking descriptive and analytic epidemiologic studies. Neonatal mortality early neonatal mortality late neonatal mortality NICU 2010 1 01 79 83 http://jmums.mazums.ac.ir/article-1-603-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 Assessment of academic libraries in Mazandran, Goleston and Babul Medical Universities E.S Ilali Z Taraghi ztaraghi@mazums.ac.ir H Siamian P Mahdian A.H Abassi rad R.A Mohammadpour KH Mazaheri Background and purpose: Libraries have a specific place in universities and have also an important role in students' education and research. The aim of this study was to evaluate the situation of academic libraries in Mazandaran, Babol and Golestan Universities of Medical Sciences. Materials and methods: This study is a descriptive survey in 25 academic libraries in Mazandaran, Golestan and Babol medical Universities. The tool of the survey was a standard questionnaire (ACRL), and the libraries were assessed using of checklist and interview. Results: Thirteen librarians (53%) hold a BSc degree, one (4%) with an MSc degree and two (8%) had an AA degree. Regarding to prediction and design of the libraries structure, only 40% (10 libraries) had prior programs. Related to budget, 40% relied on resources from the deputy for research, 12% on faculty current budget and 8% on hospital current budget, (40%) of others libraries did not have a planned budget). 12 libraries (45%) were open 6 days a week, 10 libraries (40%) 5 days a week and 3 libraries (12%) provided services every day. 39665 references were held at central library of Babol Medical Sciences University and less than 1016 at 5 Azar Hospital in Golestan Medical Sciences University. Fifteen libraries (60%) had access to Medline and Elsevier databases and 10 Libraries (40%) did not have any access. Conclusion: University libraries must be standardized to meet the need of the students and staff. School libraries therapeutic and teaching hospitals standards ACRL Iran 2010 1 01 85 89 http://jmums.mazums.ac.ir/article-1-604-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 Sydenham\'s chorea and erythema marginatum as the first clinical presentation of acute rheumatic fever F Babamahmoodi farhangbabamahmoodi@yahoo.com A.R Babamahmoodi L Delavarian Acute rheumatic fever is an acute systemic disease due to autoimmune reaction against some of BHSA. Similarity between bacterial antigens and cardiaciovascular tissue, synovial membrane, joints and subcutaneous tissues and cerebral basal ganglions are the causes of autoimmune reactions and manifestation of the disease. Most of the ARF occur in children (5-14 years old) followed by streptococcal pharyngitis and the disease is very rare in adults. Sydenham's chorea is a late manifestation of ARF and one of the John's diagnostic criteria that is usually revealed when the other criteria are absent. There is often a long latent period between clinical manifestations of the ARF and the onset of chorea as an uncommon initial presentation of acute rheumatic fever. We report the clinical findings, investigations and the course of clinical development of a seventeen-year-old girl, who presented with acute onset of abnormal involuntary movements in her right hand for two days before her admission. She had sore throat and fever three weeks before development of these new problems. Her complaints disappeared with proper treatment. The considerable findings in this case report was co-incidence of Sydenham's chorea with erythema marginatum, fever, severe mitral valve insufficiency, arthralgia in an adult patient that is a very rare case. She was discharged after a 10-day treatment regime. Acute rheumatic fever sydenham\'s chorea erythema marginatum 2010 1 01 91 97 http://jmums.mazums.ac.ir/article-1-605-en.pdf
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Journal of Mazandaran University of Medical Sciences J Mazandaran Univ Med Sci 1735-9260 1735-9279 2010 19 74 A review on invasive aspergillosis in patients admitted to intensive care unit with emphasis on diagnostic methods M.T Hedayati hedayaty2001@yahoo.co.uk S Khodavaisy M Aliali The genus Aspergillus is ubiquitous filamentous fungi with a wide distribution in nature. The species of Aspergillus are associated with a varied spectrum of diseases including allergy, superficial colonization and invasive infection in humans. Invasive aspergillosis (IA) is a serious and fulminate mycosis in immuno-deficient individuals. Over the last decade, IA has also been reported as a fungal infection in critically ill patients, admitted to ICU with high morbidity and mortality rate. However, long term admission in ICU, treatment with immuno-suppressive agents caused by increasing incidence of IA in the ICU. It is expressed that delay in proper diagnosis, no timely treatment and the presence of different underlying diseases and neutropenia are the important reasons of high mortality in these patients. In spite of advances in diagnosis and treatment of IA, it appears that the occurrence of IA in ICU patients is due to lack of estimation and proper diagnosis of disease. In addition to traditional methods, using the specialized methods such as PCR, evaluation of serological markers including Galactomanan and β-D Glucan in different types of specimens, is necessary to show the true rate of IA risk in ICU patients and also to have a proper program for hygienic and preventive actions. Along with the increase in the number of ICU units comes a surge in admission of patients in these centers, but because there was no such study in Iran, we reviewed the papers in this field to consider different aspects of IA with emphasis on diagnostic methods. Invasive Aspergillosis intensive Care Units galactomannan PCR 2010 1 01 99 112 http://jmums.mazums.ac.ir/article-1-606-en.pdf