introduction: rheumatic heart disease still remains one of the leading causes of congestive heart failure and death owing to valvular pathologies, in developing countries. valve replacement still remains the treatment of choice in such patients.the aim of this study wasto analyze the postoperative outcome of  double valve replacement (mitral and aortic ) in patients of rheumatic heart disease. ...

infective endocarditis is one of the most severe complications of parenteral drug abuse. the outstanding clinical feature of infective endocarditis in intravenous drug abusers is the high incidence of right-sided valve infection, and the tricuspid valve is involved in 60% to 70% of the cases. we herein report a case of isolated pulmonic valve infective endocarditis with a native pulmonary valve.

the patient was a 19 year-old woman with the diagnosis of resistant hypertension, although she was under treatment of three classes of anti-hypertensive drugs (beta blocker, angiotensin receptor blocker, diuretic) for more than one year. in physical examination there was only a significant difference between the systolic blood pressure of upper and lower extremities (200 vs. 120 mmhg), without ...

Tuberculosis is a major public health problem in India. The rising incidence of multi drug resistant tuberculosis and unusual presentations of the disease is posing a great challenge for clinicians. We report an interesting case of 27 year old male who initially presented with submandibular abscess, subsequently developed velopharyngeal insufficiency during hospital stay and finally diagnosed a...

Tuberculosis is a major public health problem in India. The rising incidence of multi drug resistant tuberculosis and unusual presentations of the disease is posing a great challenge for clinicians. We report an interesting case of 27 year old male who initially presented with submandibular abscess, subsequently developed velopharyngeal insufficiency during hospital stay and finally diagnosed a...

BACKGROUND Velopharyngeal insufficiency is an uncommon complication of adenoidectomy. Persistent velopharyngeal insufficiency following adenoidectomy (VIA) may occur in association with an unrecognized syndrome, such as velocardiofacial syndrome (VCFS). Although the diagnosis of VCFS is primarily a clinical one, a test has been developed to identify the underlying chromosomal abnormality, ie, d...

The purpose of this investigation was to examine the impact of a hearing-aid on nasalance scores by evaluating nasalance in a prefitting condition and in a postfitting condition, and to determine in what way a more accurate auditory feedback system and possible other sensory information may play with regard to the nasalance scores. An additional objective was to compare the obtained nasalance s...