coincidental occurrence of hepatocellular carcinoma (hcc) and cholangiocarcinoma, known as “collision tumors”, within a cirrhotic liver is rare. herein, we report a case of liver transplantation (lt) in a patient with such collision tumors. our patient was a 56-year-old woman with hepatitis c virus-related cirrhosis and 2 focal hepatic lesions, measuring 1.5 and 3 cm, in the liver segments 8 an...

introduction: insertion or deletion of a guanine in -1607 at promoter region of matrix metalloproteinase-1 enzyme creates two allelic types for this gene in the population: 2g and 1g, respectively. 2g allele contains an extra binding site for ets transcription factors that this may increase the level of gene expression. therefore, aim of this study was investigation of the single guanine insert...

introduction: pyogenic granuloma (pg) is one of the inflammatory hyperplasia seen in the oral cavity. it is a reactional response to minor trauma or chronic irritation and also might be related to hormonal changes. rarely, pg occurs extragingivally.the most common treatment of pg is surgical excision but alternative approaches such as laser excision have also been proposed. case report : herein...

the purpose of this study was to investigate the effectiveness of emotional regulation training group therapy, based on dialectical behavioral therapy (dbt) and cognitive therapy, on improving emotional regulation and distress tolerance skills and relapse prevention in addicts.in a quasiexperimental study, 39 patients with the diagnosis of opioid dependence based on dsm-iv criteria were randoml...

objective: bipolar disorder (bd) is a disabling psychiatric disorder with frequent recurrences. besides pharmacotherapy, psychoeducation could be helpful in reducing symptoms as well as recurrence of this disorder, leading to improvement of patients’ quality of life. this study aimed at investigating the effectiveness of a culturally adjusted structured program for training iranian bd patients....

introduction: video-assisted thoracic surgery (vats) is now commonly used for primary spontaneous pneumothorax. in the present study we compared the outcomes of this technique with those obtained by conventional thoracotomy.material and methods: in this cross-sectional stud, forty patients were enrolled into two groups: vats (n=20) and thoracotomy (n=20). in both groups the blebs were resected ...

purpose: to ascertain the role of social support and positive affect in prediction of addiction relapse. materials and methods: the research method was a causal-comparison. population included all the clients seeking for medical advice in the centers for addiction treatment in saravan and iranshar. the sample includes 186 participants (83 participants had no relapse and 83 participants had rela...

we report a young male with an initial excisional biopsy report of melanoma of the lower back, referred to our hospital for complete excision and sentinel lymph node (sln) biopsy.  four peritumoral intradermal tc-99m phytate injection was performed and slns were detected in both axillary and right inguinal regions. on the biopsy only the right axillary sln was metastatic leading to right axilla...

introduction: 99mtc-mibi has been proposed for use as an imaging agent for various tumors, including breast cancer, lung cancer, lymphomas, melanomas and brain neoplastic lesions. brain tumors are very common and radiotherapy being major part of treatment following surgery. after radiotherapy, deteriorating clinical status can be due to either radiation necrosis or recurrent tumor. computed tom...

conclusions it is suggested that for addiction rehabilitation and relapse prevention, health practitioners should not only provide an intervention program to their patients, but they should design a program for families to participate in the treatment as well so that patients can function at a higher level of wellness. therefore, the family participation program should be reinforced as part of ...