infection is the precipitating factor. Intramuscular penicillin, combined where indicated, with inhalation therapy should be commenced at once if chest infection is felt to be a contributory factor in cardiac breakdown. Meanwhile investigations should be started and modification of treatment may be made as indicated. The effective treatment of the lung lesion associated with the correct approac...

Correspondence to: Don Poldermans, MD, PhD, Thoraxcentre, Department of Cardiology, Erasmus Medical Centre Rotterdam, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands; [email protected] _________________________ C oronary artery disease is the most common cause of congestive heart failure. More than 70% of the patients with heart failure symptoms have underlying coronary diseas...

hyperbilirubinaemia The study by Keren and colleagues is a retrospective study, using infants in whom preand post-discharge TSB has been carried out, hence causing an inherent bias towards the same group. The data for clinical risk have been collected from documents such as admission, intrapartum, and discharge forms. This retrospective collection can result in missing or ambiguous data, as has...

how to cite this article: karimzadeh p, jafari n, nejad biglari hb, jabbehdari s, alizadeh m, alizadeh gh, nejad biglari hm, sanii s. the clinical features and diagnosis of adrenoleukodystrophy: a case series of iranian family. iran j child neurol. winter 2016; 10(1):61-64. abstract objective adrenoleukodystrophy disorder is one of the x-linked genetic disorders caused by the myelin sheath brea...

Introduction: Medical students’ ability to learn clinicalprocedures and competently apply these skills is an essentialcomponent of medical education. Complex skills with limitedopportunity for practice have been shown to degrade withoutcontinued refresher training. To our knowledge there is noevidence that objectively evaluates temporal degradation ofclinical skills in undergraduate medical edu...

Chest pain is one of the most common presentations in emergency medicine. The initial evaluation should always consider life-threatening causes such as aortic dissection, pulmonary embolism, pneumothorax, pneumomediastinum, pericarditis, and esophageal perforation. Radiographic imaging is performed in tandem with the initial clinical assessment and stabilization of the patient. Radiologic findi...

hyperbilirubinaemia The study by Keren and colleagues is a retrospective study, using infants in whom preand post-discharge TSB has been carried out, hence causing an inherent bias towards the same group. The data for clinical risk have been collected from documents such as admission, intrapartum, and discharge forms. This retrospective collection can result in missing or ambiguous data, as has...

This activity offers CE credits for: 1. Physicians (CME) 2. Other ACTIVITY GOAL This article provides an overview of executive cognition and a review of the functional neuroanatomy of the frontal-subcortical system as well as approaches for evaluating executive cognition in the office. LEARNING OBJECTIVES At the end of this CE activity, participants should be able to: 1. Understand the various ...

Many drugs, chemical substances and agents are potentially toxic to the human auditory system. The extent of toxicity depends on numerous factors. With few exceptions, toxicity in the auditory system affects various organs or cells within the cochlea or vestibular system, with brain stem and other central nervous system involvement reported with some chemicals and agents. This ototoxicity usual...