SUMMARY Four patients with cyanotic congenital heart disease who had previously undergone superior vena cava-right pulmonary artery (Glenn)

One of the known complications of diabetes is hearing impairment. This comparative study in Tehran, Islamic Republic of Iran, aimed to evaluate the association of diabetes mellitus and sensorineural hearing loss (SNHL) among a non-elderly population. Among 160 subjects aged < 60 years with no history of occupational noise exposure (80 diabetics and 80 age-and sex-matched non-diabetic controls), 45% of diabetic patients and 20% of controls had SNHL (OR 3.5, 95% CI: 1.6-6.6). Age at onset and duration of diabetes were associated with SNHL. Diabetes mellitus may be a risk factor for hearing loss regardless of age and smoking. Determining the cause of SNHL in diabetic patients may lead to development of better treatment options. (OR 3,5 ; 95 % IC : 1,6). Il est apparu que l'âge au moment de la survenue du diabète et la durée de celui-ci sont associés à la perte auditive neurosensorielle. Le diabète sucré peut constituer un facteur de risque de perte d'audition, quel que soit l'âge ou le statut tabagique. La détermination de la cause de la perte auditive neurosensorielle chez les patients diabétiques peut permettre le développement d'options thérapeutiques plus efficaces.

Background:One of the most important complications in cesarean surgery is postoperative pain, and different ways have been proposed to control it.Objectives:The purpose of this study was to determine the efficacy of Diclofenac and Paracetamol combination in comparison with Meperidine on postoperative pain after cesarean surgery.Patients and Methods:One hundred and twenty women candidates for elective cesarean section under spinal anesthesia categorized as ASA class I were selected and randomly assigned to receive either Diclofenac suppository at the end of the operation and thereafter 1 gram infused bolus of Paracetamol (group A), or 20 mg bolus of Meperidine after transition to recovery room (group B) to control postoperative pain.Results:Postoperative pain was present in recovery in 38.3% and 23.3% in groups B and A, respectively (P = 0.009). Postoperative pain was seen after six hours of operation in 38.7% and 16.7% in groups B and A, respectively (P = 0.010). Postoperative pain was present after 12 hours of operation in 38.3% and 15% in groups B and A, respectively (P = 0.002). The additive Meperidine use was the same between the two groups in recovery (P > 0.05). The additive Meperidine use was seen after six hours of operation in 26.7% and 6.7% in groups B and A, respectively (P = 0.013). The additive Meperidine use was seen after 12 hours of operation in 16.7% and none of the patients in groups B and A, respectively (P = 0.004). The frequency of drug adverse effects was the same between the two groups (P > 0.05).Conclusions:Totally, according to the obtained results it may be concluded that Paracetamol and Diclofenac combination would have a better efficacy in postoperative pain control and need reduction to additive analgesia compared to Meperidine.

We evaluated trends in the use of echocardiography among residents of Olmsted County, Minnesota, from January 1, 1975, through June 30, 1987. Annual examinations per 100,000 population among Olmsted County residents increased 6-fold from 264 in 1975 to 1,644 in 1986. Given the pattern of echo use in Olmsted County, these population-based data project a potential annual utilization of 4 million echo exams in the United States. Marked increases over time in labeling of patients with regurgitant valvular heart disease were noted following the introduction of Doppler echocardiography. The diagnostic labeling associated with this evolving technology and the resultant apparent epidemic of valvular regurgitation present a significant clinical technology assessment dilemma.

Background:Gestational diabetes mellitus (GDM) is a common obstetrical complication with both maternal and fetal side effects.Objective:This study was performed to determine the complications in neonates of mothers with GDM receiving insulin vs. dietary regimen.Materials and Methods:In this prospective cohort study, 140 neonates of mothers with GDM attending Javaheri Hospital of Azad University in Tehran in 2013 and 2014 were enrolled and the complications in those receiving insulin versus. dietary regimen were compared.Results:The results demonstrated that 95.7% of those who received a dietary regimen and 85.7% among those who received insulin had a good outcome showing statistically significant differences (p=0.042). The mortality rate was not differed among the patients in two groups (p>0.05).Conclusion:According to the results of this study, it may be concluded that the frequency of complications in neonates of cases with GDM is getting less by receiving dietary regimen.