Background. We have previously shown that 75% of individuals on antiretroviral therapy (ART) in a resource-limited setting who experienced virological breakthrough to >1000 copies/mL were resuppressed after an intensive adherence intervention. This study examines the long-term outcomes of this group in order to understand the impact of the adherence intervention over time. Methods. ART-naïve ad...

BACKGROUND Endo-epicardial dissociation (EED) of electric activations resulting in transmural conduction of fibrillation waves (breakthroughs) has been postulated to contribute to the complexity of the substrate of atrial fibrillation (AF). The aim of this study was to elucidate the correlation between EED and incidence of breakthrough and to test the plausibility of transmural conduction versu...

OBJECTIVE Rapid analgesic onset opioids, particularly fentanyl buccal tablet, is preferable for managing breakthrough pain. The efficacy and safety of fentanyl buccal tablet and its association with around-the-clock opioids needs to be explored with an option of dose adjustments, more closely reflecting administration in clinical practice. The aim of the study was to assess the safety and effic...

the use of anticoagulant and antiplatelet agents has become more prevalent during the past decades. these drugs may potentially cause gastrointestinal (gi) bleeding. thus, there is an increasing need for gi endoscopy in patients who take these medications. in patients who take anticoagulant and antiplatelet agents, the appropriate conditions under which endoscopic procedures should be performed...

background to compare the efficacy of a 48 hour infusion of octerotide with a five-day infusion to prevent rebleeding and mortality at one week and one month in patients who present with acute esophageal variceal bleeding. materials and methods patients who presented to emam hospital of ahwaz jundishapur university of medical sciences that were diagnosed with acute variceal bleeding were commen...

PURPOSE We constructed a risk prediction instrument stratifying patients with primary vesicoureteral reflux into groups according to their 2-year probability of breakthrough urinary tract infection. MATERIALS AND METHODS Demographic and clinical information was retrospectively collected in children diagnosed with primary vesicoureteral reflux and followed for 2 years. Bivariate and binary log...

peptic ulcer disease and its complications have long been studied but the coexistence of two major complications in a kissing ulcer is uncommon. we present our experience with this entity and review the related literature. a 27 year old man was suffering from concomitant major complication of duodenal kissing ulcer, huge anterior perforation and uncontrolled posterior bleeding, presenting as he...

background: recombinant activated factor vii induces hemostasis in patients with coagulopathy disorders. aryoseven™ as a safe iranian recombinant activated factor vii has been available on our market. this study was performed to establish the safety of aryoseven on patients with coagulopathy disorder. methods: this single-center, descriptive, cross sectional study was carried out in thrombus an...

How can companies simultaneously excel at today’s business while building tomorrow’s? It is a delicate organizational task. But new principles based on five years of research show that established organizations can build new futures when they design breakthrough new business units so that they can forget, borrow, and learn. Creating the future requires both breakthrough ideas and breakthrough e...

in many reservoirs, after water flooding, a large volume of oil is still left behind. hot water injection is the most basic type of thermal recovery which increase recovery by improved sweep efficiency and thermal expansion of crude.in the present work, the effects of injection rate and the temperature of the injected water were surveyed by using core flooding apparatus. water flooding was perf...