background: diabetes mellitus is a chronic disease which many factors are involved and is developing considerably worldwide. increasing aging population and obesity in the societies has improved the scale of the type 2 diabetes significantly. the aim of this study was to determine the direct medical costs of outpatient cares of diabetes in iran. methods: active patients of isfahan endocrinology...

a 30-year-old female with end-stage renal disease was a candidate for dual lumen catheter placement. after catheter insertion, o2 saturation measurement of the aspirated blood from the catheter was similar to that of arterial blood. they referred the patient to our hospital after 48 hours. diagnostic procedures revealed that the tip of the catheter had entered the pleural cavity. catheter remov...

we present a case report of acute spontaneous knee hemarthosis due to erosion of the nail through the knee joint capsule in a boy, seven months following retrograde flexible nailing for fractured femur. careful positioning of the location of the insertion site of flexible nails and proper nail tip management are important to avoid this rare late complication.

introduction: the precise time of using percutaneous coronary intervention (pci) after fibrinolytic therapy for maximum efficiency and minimum side effects is still undetermined. therefore, the present study was designed to compare the outcome of myocardial infarction (mi) patients who underwent surgical intervention (angiography and pci) within 48 hours of thrombolytic therapy or after that. m...

background: hematopoietic stem cell transplantation (hsct) is currently the only curative treatment for acute leukemia. as hsct improves the long-term survival, it is necessary to assess the late-onset complications affecting the quality of life following hsct. subjects and methods: the study included 122 patients (65 male, 57 female) with leukemia (72 aml and 50 all) who received transplants f...

background: postoperative pulmonary complications (ppc) are of the major reasons for death. prolonged mechanical ventilation (pmv) and delayed extubation are leading to the incidence of more seriously complications. the effect of hyperinflation has not been investigated in control of these complications in patients who have been weaned from mechanical ventilation and are undergoing t-tube suppo...

context the current literature suggests that minimally invasive surgery is associated with faster recovery and less morbidity than open surgery. parenchyma-sparing pancreatectomy is minimally invasive surgery, including enucleation, inferior head pancreatectomy, spleen-preserving distal pancreatectomy, and central pancreatectomy, combined pancreatectomy such as inferior head pancreatectomy plus...

discussion the vigilance and experience of medical personnel in the icu, appropriate iv sedation, and using a bite block are the best ways to prevent mortality caused by aspiration of an ett in all intubated patients. case presentation we report a case of death caused by tracheal tube aspiration, where it was located distal to the vocal cords, with a part of it entering the right bronchus and t...

postcholecystectomy clip migration is rare and can lead to complications such as clip-related biliary stones. most of such incidents have been reported as case reports. this study reviews a case of postcholecystectomy clip migration. it can occur at any time but typically occur at a median of 2 years after cholecystectomy. clinical presentations are similar to those with primary or secondary ch...