uneventful pregnancies giving rise to unaffected children had the screening programme been offered to them: a tricky concept. (It is not easy to see how that estimate of cost is obtained from their abbreviated table III.) The cost of permanent care of people born with Down's syndrome relative to that of an assumed normal birth cohort is so low partly because the estimated cost of permanent care...

OBJECTIVE Dietary guidance emphasizes plain low-fat and skim milk over whole, reduced-fat, and flavored milk (milk eligible for replacement [MER]). The objective of this study was to evaluate the population-level impact of such a change on energy, macronutrient and nutrient intakes, and diet cost. DESIGN Cross-sectional modeling study. SETTING Data from the 2001-2002 and 2003-2004 National ...

introduction: caustic ingestion is responsible for a spectrum of upper gastrointestinal tract injury from self-limited to perforation. this study conducted to evaluate clinical characteristics as well as surgical outcomes in patients with caustic ingestion.   materials and methods: between nov1993 to march 2011, 14 adults with a clinical evidence of corrosive ingestion were admitted into our in...

background: vitamin d (vit d) is linked to various conditions including musculoskeletal, metabolic and   cardiopulmonary diseases. however, it is not clear whether correction of vit d deficiency exerts any beneficial effect in patients with pulmonary hypertension. methods: this study was a prospective uncontrolled longitudinal study. patients with pulmonary hypertension and vit d deficiency wer...

adrenal insufficiency is a life-threatening disorder which must be treated with glucocorticoid replacement and needs permanent dose adjustment during patient's different somatic situations. insufficient glucocorticoid doses result in adrenal crisis and must be treated with intravenous hydrocortisone. the patient was known with adrenal insufficiency and was treated optimally with fludrocortisone...

introduction: despite advances in cardiac surgery, many patients might still encounter some post-surgical complications and difficulties. to overcome such difficulties, they should receive the required education. in view of the fact that determining the educational needs is the first step in educational planning, the present study aims to determine the educational needs of patients undergoing h...

background : postmenopausal hot flash is a common disease amongst women with high prevalence of 75%. hormone replacement therapy (hrt) is a well-known relief of symptoms which has disadvantages such as side effects and contraindication for certain types of hormone related diseases and breast or estrogen related cancers. one of the alternatives is acupuncture which is an east asian and more spec...

this study tries to codify a proper mathematical model which can be predict the costs of repair and maintaining the tractors as precisely as possible for three common models of tractors in shahid beheshti cultivation firm in andimeshk-ahvaz road of dezfoul. studied tractors include: newhland tm155 tractor which is chosen from the most perfect file of 10 tractor machines and jandier tractor-3140...

BACKGROUND Evaluation of thyroid function in neonates born from mothers affected by autoimmune thyroiditis in order to define if a precise follow-up is necessary for these children. The influence of maternal thyroid peroxidase antibody (TPOAb) and L-thyroxine therapy during pregnancy on neonatal thyroid function was also investigated. METHODS 129 neonates were tested for thyroid function by m...