the charts of 27 patients with kawasaki disease (kd) admitted to nemazee hospital in shiraz from january 1991 to october 1998 were reviewed to identify the results of mean peroxidase index (mpxi) values, a measure of neutrophil staining intensity, obtained by the technicon hi analyzer (technicon instruments corp., tarrytown, ny) within the first 10 days of the illness 2 separate groups of patie...

introduction: acute coronary syndrome accounts for more than 15% of the chest pains. recently, hess et al. developed north american chest pain rule (nacpr) to identify very low-risk patients who can be safely discharged from emergency department (ed). the present study aimed to validate this rule in eds of two academic hospitals. methods: a prospective diagnostic accuracy study was conducted on...

spontaneous coronary artery dissection (scad) is a rare and important cause of acute coronary syndrome and sudden cardiac death. various etiologies are thought to be responsible for this condition, among which underlying atherosclerosis seems to be the most common. scad is predominant in women and is usually diagnosed via coronary artery angiography. therapeutic interventions include medical th...

a double left anterior descending (lad) coronary artery emerging from the left and right coronary arteries is classified among rare coronary anomalies. we herein report a 73-year-old man presenting with acute coronary syndrome (posterolateral myocardial infarction). he was admitted with typical chest pain, and due to his progressive ischemic changes on electrocardiography (ecg) and elevated car...

background: tumor lysis syndrome caused by widespread tumor cell damage may lead to electrolyte imbalances and express as metabolic disturbance causing clinical abnormalities. patients and methods: all patients younger than 16 years with documented malignancy candidate for chemotherapy, in hamedan province of iran were enrolled. results: out of 69 cancer patients the laboratory form of tumor ly...

conclusions a few eligible articles on seismo-nephrology were found in iran, and a limited number of current articles had poor or fair quality. as expected, the chaotic situation after mass disasters and the lack of documentation led to the loss of much important data on the diagnosis and management of victims. lessons learned from the current researches can be used as a valuable guide for futu...

Abstract Ionizing-radiation causes acute radiation syndrome leading to hematopoietic, gastrointestinal and cerebrovascular injuries. Substantial federal efforts have been made develop therapeutic radioprotectants for routine clinical use, however it remains a long-standing unresolved problem. We investigated population of mice that recovered from high-dose live normal lifespans. These elite-sur...

introduction: acute renal failure is an uncommon complication of idiopathic nephritic syndrome in children. renal failure could be secondary to causes such as sever hypovolumia, acute tubular necrosis, interstitial nephritis, bilateral renal vein thrombosis, acute pyelonephritis and rapid progression of original glomerular disease. it may be idiopathic if the underlying cause is undetermined. a...

Objective: To identify the nursing diagnoses of risk for decreased cardiac tissue perfusion and activity intolerance establish association between components both signs symptoms acute coronary syndromes. Materials methods: Observational associative study with 75 patients diagnosed syndrome in a Brazilian public hospital. Inferential statistics multiple Poisson regression models were applied. Re...

Since the terrorist attack of September 11, 2001, preparation by the health care system for an act of terrorism has been mandated by leaders of governments. Scenarios for terrorist acts involving radioactive material have been identified, and approaches to management (based on past experience from atomic weapons detonations and radiation accidents) have been developed. Because of their experien...