Past Issue

Lower extremities gangrene in patient with ulcerative colitis

Objective: Increased coagulability is a rare but well-recognized feature which complicates Inflammatory Bowel Disease. Thromboembolism associated with ulcerative colitis has been reported since 1936 but there is no absolute therapeutic management protocol for thromboembolic complications yet. Case presentation: A 14-year-old girl was brought to our emergency department due to pain and paresthesia in both lower extremities and history of bloody diarrhea for 40 days before admission.

Glidescopic superiority during orotracheal intubation in comparison to direct laryngoscopy

The aim of this study was to compare the hemodynamic changes during video laryngoscopy (glidescope) and the conventional method of direct laryngoscopy. Objective: Hemodynamic changes during intubation are extremely important especially in patients with a history of coronary artery disease and arrhythmia. Study Design: Randomized double-blind clinical trial. Methods: This clinical trial recruited 200 male patients undergoing elective orthopaedic surgery.

Epicardial cyst originating from right ventricle

We Cystic structures within the pericardial cavity are rare. They are divided into epicardial and pericardial variants. Pericardial and epicardial cysts rarely cause symptoms. Pericardial cysts occur at the rate of 1 person per 100,000.1Complete surgical excision is recommended when these cysts are detected. If cysts compress surrounding vital structures, cardiopulmonary bypass (CPB) should also be considered.Epicardial cysts originating directly from the epicardium are seen very rarely.

Effect of women education and duration of marriage period on women empowerment at household level in Quetta Pakistan

House Hold decision-making and educational status are critical for economic and human development. Many decisions made at the household level influence the welfare of the individuals living in the household as well as their communities, also enables them to actively participate in financial and economic activities that is helpful to enhance their social mobility, due to which they get a chance to take part in family decision making process.

Assessment of using biologic surgical adhesive (bioglue) on preventing urine leakage after surgical repair of hypospadias in animal dog model

Aim in this study was to evaluate the protective effect of Bioglue for suture line in the repair of hypospadias. Back ground: Bioglue has been used in the treatment of many surgical diseases. The main purpose of Bioglue was as protective layer for traditional suture line or replacement of traditional suture line. Different studies evaluated different methods and techniques to reduce urethra-cutaneous fistula which is a major complication of hypospadias repair. But review of literatures reveals that they were not successful completely.

Nursing interventions for the diagnosis ineffective breathing pattern: cross-mapping

To perform the cross-mapping of interventions indicated by nurses with those proposed by the Nursing Interventions Classification for the nursing diagnosis Ineffective Breathing Pattern. Methods: this is a descriptive and exploratory study that used the cross-mapping method to map the interventions performed by nurses in a pediatric intensive care unit with those described in the Nursing Interventions Classification for the nursing diagnosis Ineffective Breathing Pattern.

A modified two- stage orchiopexy (total canal mobilization) for better preservation of vasculatures and prevention of testicular atrophy in high located testes

Aims: We want to introduce a modified technique of two stage orchiopexy which has good safety margin, regarding vascular damage and testicular atrophy. Methods and Material: From March 2002 to July 2005,195 testes underwent Orchiopexy in patients with mean age 2.5 years (range,1-4). Thirty six of 195 were impalpable, 16 of 36 had modified two stage orchiopexy. In first stage testis anchored to the pubic tubercle, then in the second stage redissected with wide inguinal canal mobilization. All were followed with P/E, sonographicmeasurement, testosterone level for 6-12 month.