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...

Today power consumption is considered to be one of the important issues. Therefore, its reduction plays a considerable role in developing systems. Previous studies have shown that approximately 50% of total power consumption is used in cache memories. There is a direct relationship between power consumption and replacement quantity made in cache. The less the number of replacements is, the less...

BACKGROUND AND PURPOSE The outcome of modern resurfacing remains to be determined. The Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) started collection of data on hip resurfacing at a time when modern resurfacing was started in Australia. The rate of resurfacing has been higher in Australia than in many other countries. As a result, the AOANJRR has one of the ...

In spite of not being legally accepted in most countries, mixed recycled aggregates (MRA) could be a suitable raw material for concrete manufacturing. The aims of this research were as follows: (i) to analyze the effect of the replacement ratio of natural coarse aggregates with MRA, the amount of ceramic particles in MRA, and the amount of cement, on the mechanical and physical properties of a ...

Infective endocarditis is a potentially life threatening condition. It is associated with high mortality and morbidity resulting mostly due to cardiorespiratory failure. Extracorporeal membrane oxygenation is a modality of treatment used to support hypoxic respiratory failure especially in patients who are already on mechanical ventilation. Continuous renal replacement therapy is added mainly f...

OBJECTIVES To evaluate outcomes and complications using cemented modular distal femoral replacement in elderly patients with distal femoral fractures. DESIGN Retrospective chart review, case series. SETTING A Level 1 and Level 2 trauma center, both tertiary referral hospitals. PATIENTS/PARTICIPANTS Eighteen patients older than 60 years (average age 77 years) who had cemented distal femora...