purpose: to evaluate the nature of obstruction in difficult irrigation after probing for congenital nasolacrimal duct obstruction (cnldo). methods: in a prospective interventional study, the nature of obstruction in 75 eyes of 68 children aged between 12 and 23 months with cnldo who had difficult irrigation after probing was evaluated. all patients underwent monocanalicular silicone intubation....

background: cerebrovascular disease leading to stroke is the most common cause of aphasia. speakers with agrammatic non-fluent aphasia have difficulties in production of movement-derived sentences such as passive sentences, topicalized constituents, and wh-questions. to assess the production of complex sentences, some passive, topicalized and focused sentences were designed for patients with no...

Disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. For patients living with multiple chronic conditions, such disconnects can be particularly detrimental. Lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

statement of the problem: anatomic variation can potentially impact the surgical safety. purpose: the purpose of this cross-sectional study was to assess the prevalence of ostiomeatal complex variations based on cone beam computed tomography (cbct) images of the patients seeking rhinoplasty. materials and method: in this cross-sectional study, cbct images of 281 patients including 153 female an...

introduction: telomeres are repetitive sequences of ttaggg section that find at two ends of eukaryotic chromosomes and they shield chromosome ends. telomere shortening in patients with myocardial infarction has been reported. shelterin complex's role is essential in telomere length regulation. telomeric repeat binding factors 1 and 2 (trf1 and trf2) are the most important sheltrein complex...

background today, despite the efforts of the medical community and healthcare staff along with the advancements in medical technology, patients’ dissatisfaction and complaints have been increased. the present study aimed at making a survey on the patients’ complaints in a large training hospital affiliated to mashhad university of medical sciences (mums).   methods this descriptive, cross-secti...