Fifteen of 194 patients (7.7%) with tetralogy of Fallot operated upon since January 1, 1972 under a protocol of routine primary repair despite young age died in-hospital. Most deaths were from low cardiac output. Young age and smallness of size increased the risk of operation. No deaths occurred among patients older than 4 years. High hematocrit was also a risk factor. Transannular patching has...

1Directorate General of Preventive Medicine, Ministry of Health, Baghdad, Iraq. 2Institute of Tuberculosis and Chest Disease, Baghdad, Iraq. 3 Department of Community Medicine, Al Nahrain Medical College, Baghdad, Iraq. ABSTRACT Over a period of 6 months the effect of home visits on compliance with directly observed therapy, short course (DOTS), was studied on 480 new smear-positive tuberculosi...

Postoperative refraction Postoperative refraction and provision of spectacles (if needed) are essential to ensure the best possible visual outcome for a patient. This is important because satisfied patients will encourage others in the community to undergo cataract surgery. During the 4–8-week follow-up appointment, refract both eyes and accurately check the visual acuity. Make sure you underst...

In general, handling centrifuges is a safe process, as long as high quality equipment is used, such as anodized or PTFE coated aluminum rotors for instance, and the following conditions are met: the centrifuges and their equipment are used properly, are in an undamaged condition and maintained as recommended here. Prevention from long-term exposure to residues like salts or aggressive chemicals...

Background  The aim of this study was determine the effect of kangaroo mother care (KMC) immediately after delivery on mother-infant attachment 3-month after delivery. Materials and Methods: In this RCT study, 72 mother-infant pairs were randomly divided in to kangaroo mother care and routine care groups.The intervention group received kangaroo mother care (KMC) in the first two hours post birt...