N Engl J Med 2009;360:2328-39. Copyright © 2009 Massachusetts Medical Society. A drenal insufficiency — the clinical manifestation of deficient production or action of glucocorticoids — is a life-threatening disorder that may result from either primary adrenal failure or secondary adrenal disease due to impairment of the hypothalamic–pituitary axis.1,2 This article focuses on providing the prac...

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Introduction: Cerumen is known as ear wax, produced regularly by cerumen and lipid secretary glands. Regarding the effect of Mazandaran province's humid weather on the prevalence of pathogenic microorganisms, this study was performed to determine the bacterial flora of the ear in patients with acute otitis externa and its comparison with healthy subjects. Materials and Methods: In this case-...

OBJECTIVE To study brachial plexus impairment, incidence and predisposing factors. METHODS A retrospective study of cases of brachial plexus palsy diagnosed post delivery at Al-Jamahiria Maternity Teaching Hospital, Benghazi, Libya from 1st January 1993 to 1st December 1993. RESULTS Out of a total of 17,288 deliveries in 1993, there were 20 cases of brachial plexus impairment (0.115% or 1.1...

In recent years, obesity has been recognized as a major public health problem due to its increased prevalence in both children and adults and its association with numerous life-threatening complications including diabetes, heart disease, hypertension, and cancer. Obesity is a complex disorder that is the result of the interaction between predisposing genetic and environmental factors. However, ...

background & aim: skin-to-skin contact immediately after birth plays a pivotal role in proper breastfeeding and mother-infant interaction. despite numerous benefits of mother-infant skin-to-skin contact, this health behavior is not performed by many midwives. this study aimed to evaluate the influential factors for mother-infant skin-to-skin contact based on the precede-proceed model from the p...

purpose : identifying the predisposing factors of the infectious keratitis results in understanding the underlying mechanisms of its expansion and severity that is essential for initiation of optimal empirical antimicrobial therapy. this study identified main predisposing factors of bacterial keratitis in a sample of iranian population. methods : ninety patients with bacterial keratitis were pr...