esophageal perforation continues to be a difficult diagnostic and management problem. recommendations regarding treatment remain controversial. 17 patients with perforation of the esophagus were retrospectively reviewed at the thoracic surgery unit of imam khomeini hospital between 1981 and 1992. the majority of the injuries involved the thoracic esophagus (10 or 59%), followed by the cervical ...

Esophageal perforation continues to be a difficult diagnostic and management problem. Recommendations regarding treatment remain controversial. 17 patients with perforation of the esophagus were retrospectively reviewed at the Thoracic Surgery Unit of Imam Khomeini Hospital between 1981 and 1992. The majority of the injuries involved the thoracic esophagus (10 or 59%), followed by the cerv...

there is now clear evidence that the atherosclerotic process begins in childhood. a major and important cause of atherosclerosis and coronary heart disease (chd) is elevated cholesterol level. in order to clarify the sigificance of elevated total cholesterol (tc) in children who live in tehran, we measured the lipid profiles including tc triglyceride (tg), and high density lipoproteein choleste...

Data on menarcheal age were collected on girls admitted to the University College of Swansea over a 12-year period. It appears that the downward trend in menarcheal age ceased in girls born about 1946 (the 1965 student intake) and that an upward swing may have since occurred. This change in the secular trend is not due to the association of menarcheal age with family size or of position in sibs...

This 12-year-old girl was transferred from an outside hospital for treatment of pneumonia. She had been well until 7 days before admission, when she developed what was felt to be cellulitis of her left lower extremity. She was given intravenous clindamycin, and the swelling and erythema improved. However, the following day, she started having respiratory distress, and she was found to have an i...

OBJECTIVES Spontaneous hemopneumothorax is a rare clinical disorder that results from a torn small vessel located in adhesions between the visceral and parietal pleurae resulting from the progress of lung collapse. A large spontaneous hemopneumothorax is often life threatening, so the late recognition and delayed intervention can increase mortality rate. PATIENTS AND METHODS From March 1994 t...

OBJECTIVE To examine the prevalence of articular hypermobility and its relationship to musculoskeletal pain in Icelandic 12-yr-olds, and to obtain baseline data for a prospective study on the subject. METHODS A total of 267 12-yr-olds were examined for articular hypermobility by the Beighton criteria. The children also answered a questionnaire concerning musculoskeletal pain and injuries, spo...

Thymectomy has been shown to be effective in the treatment of myasthenia gravis. The logical goal of operation is the complete removal of the thymus, but there is no consensus on the selection criteria of patients for surgery and the choice of surgical approach. We retrospectively reviewed 56 patients with myasthenia gravis who had been treated surgically by transsternal radical thymectomy betw...