INTRODUCTION Severe injuries of the pancreatic head and duodenum in haemodynamically unstable patients are complex management. The purpose of this study is to report a case of complex pancreatic trauma induced by gunshot and managed with surgical approaches at three different times. PRESENTATION OF CASE Exploratory laparotomy was indicated after initial emergency room care, with findings of c...

in this paper, by presenting some notions and theorems, we obtaindifferent types of fuzzy topologies. in fact, we obtain somelowen-type  and chang-type fuzzy topologies on general fuzzyautomata. to this end, first we define a kuratowski fuzzy interioroperator which induces a  lowen-type  fuzzy topology on the  set ofstates of a max- min general   fuzzy automaton. also by  provingsome theorems, ...

An L-fuzzifying matroid is a pair (E, I), where I is a map from2E to L satisfying three axioms. In this paper, the notion of closure operatorsin matroid theory is generalized to an L-fuzzy setting and called L-fuzzifyingclosure operators. It is proved that there exists a one-to-one correspondencebetween L-fuzzifying matroids and their L-fuzzifying closure operators.

Introduction: antimicrobial activity of irrigants and interappointment intracanal dressing is an important consideration in endodontics . The aim of this study was to evaluate the clinical efficacy of chemomechanical preparation of the necrotic canals with different irrigants and intra canal dressing in the control of root canal infection and sinus tract closure. Materials &Methods: In this ...

Pancreatic intraductal papillary mucinous carcinoma (IPMC) can rupture and lead to fistula formation in multiple organs [1,2]. An over-the-scope clip (OTSC) has been used to close gastrointestinal perforations and fistulas [3]. We describe a patient in whom the OTSC was useful for the closure of an IPMC-colonic fistula accompanied by infection. The patient was a 57-year-old woman who was transf...

BACKGROUND Intra-operative surgical site irrigation (lavage) is common practice in surgical procedures in general, with all disciplines advocating some form of irrigation before incision closure. This practice, however, has been neither standardized nor is there compelling evidence that it effectively reduces the risk of surgical site infection (SSI). This narrative review addresses the laborat...

background: closure of patent ductus arteriosus (pda), ventricular septal defect (vsd) and atrial septal defect (asd) can be done surgically or by device. this study was designed to compare the total cost of surgical or device closures of pda, asd or vsd for iranian patients. methods: this is a cross-sectional study, conducted from january 1, 2005 until january 1, 2006 in two large heart center...

background: quality of life (qol) assessment in patients on chronic hemodialysis (hd) or peritoneal dialysis (pd) has rarely been carried out. the aim of this study was to assess the quality of life during hemodialysis and peritoneal dialysis treatment in patients referred to teaching hospitals in urmia, iran. methods: all chronic hd and pd patients in taleghani and imam khomeini teaching hospi...

conclusion a comparison of these data with those of other countries showed that there was considerable geographic variation in bacterial patterns of sensitivity and resistance properties. therefore, the selection of antibiotics for empiric therapy especially in children with terminal renal failure on continuous ambulatory peritoneal dialysis (capd) treatment should be based on the knowledge of ...