HYPOTHESIS Use of circular stapled hemorrhoidectomy will result in the same or improved safety and efficacy outcomes as those of the conventional methods for hemorrhoidectomy in patients with hemorrhoids. DATA SOURCES Studies on stapled hemorrhoidectomy were identified using PREMEDLINE and MEDLINE (June 1966-June 2001), EMBASE (January 1980-June 2001), Current Contents (June 1993-June 2001), ...

Bangladesh, an alluvial and deltaic land of 147,570 square km, is prone to various natural disasters such as cyclones, floods, and droughts (Ahmad et al., 2001). The total population is about 130 million. The people of this country are still overburdened with various infectious diseases and ailments due to malnutrition. Unfortunately one more environmental hazard from geological sources – arsen...

OBJECTIVE Personal health applications have the potential to help patients with chronic disease by improving medication adherence, self-efficacy, and quality of life. The goal of this study was to assess the impact of MyMediHealth (MMH) - a website and a short messaging service (SMS)-based reminder system - on medication adherence and perceived self-efficacy in adolescents with asthma. METHOD...

Background: Post-hemorrhoidectomy pain is common, usually temporary, and responsive to analgesics. However, some patients experience prolonged, intractable anal pain, which refractory conventional analgesics adversely effects quality of life. We aimed evaluate the efficacy a combination injection containing local anesthesia steroids for treatment post-hemorrhoidectomy pain.

INTRODUCTION: Management of posthemorrhoidectomy pain remains a very unsatisfactory clinical dilemma. Compared with electrocautery and laser, the Harmonic Scalpel ® causes minimal lateral thermal injury during tissue dissection. PURPOSE: The aim of the study was to establish whether decreased lateral thermal injury translated into diminished posthemorrhoidectomy pain. METHODS: A prospective ran...

Most patients with hemorrhoids experience only mild symptoms that can be treated with nonprescription topical preparations. Patients usually seek treatment when symptoms increase. Internal hemorrhoids typically present with prolapse or painless rectal bleeding. External hemorrhoids also bleed and can cause acute pain if thrombosed. Medical therapy should be initiated with stool softeners plus l...

Background: Diltiazem is a calcium channel blocker that can prevent absorption by myocytes and decrease the tone of internal anal sphincter. Thus, it be used for treatment fissures; however, its effect on post-hemorrhoidectomy pain unclear. Accordingly, current study aimed to evaluate topical diltiazem pain. Methods: This cohort included 50 candidates hemorrhoidectomy referred Shahid Mohammadi ...

BACKGROUND World Health Organization (WHO) considered Mental Health Continuum (MHC) as a good instrument for well-being studies. Moreover, gensini score (GS) is an intensity index for coronary artery disease (CAD). The aim of our study was to compare GSs among patients who had coronary artery disease with different well-being states. METHODS This was a cross-sectional study conducted in Tehra...

OBJECTIVE Sympathetic denervation and hyperemia are implicated in the pathogenesis of Charcot neuroarthropathy (CN) but are also features of diabetic peripheral neuropathy (DPN). Differences in these physiological parameters were sought by determining C-fiber function (laser Doppler imager [LDI]flare technique) and maximum microvascular hyperemia (MMH) in 13 subjects with diabetic CN (DCN), 10 ...

This paper introduces two new ideas in the construction of fast universal hash functions geared towards the task of message authen-tication. First, we describe a simple but novel family of universal hash functions that is more eecient than many standard constructions. We compare our hash functions to the MMH family studied by Halevi and Krawczyk 13]. All the main techniques used to optimize MMH...