diabetic ketoacidosis (dka) is characterized by excessive production of organic acids leading to a low blood ph. rarely, because of other complicating factors blood ph may be in the alkalemic range and the term diabetic ketoalkalosis has been coined to describe this condition. so far, less than 30 such cases have been reported in the literature. we report a 34-year-old woman who received methyl...

arterial pulse measurement is one of the most important methods for evaluation of healthy conditions. in traditional iranian medicine (tim), physician may detect radial pulse by holding four fingers on the patient’s wrist. by using this method, under standard condition, the detected pulses are subjective and erroneous, in case of weak and/or abnormal pulses, the ambiguity of diagnosis may rise....

 ABSTRACT Background: The prognosis of SLE is int1uenced by the onset of glomerulonephtitis. Clinical ttials in lupus nephritis have demonstrated that cyclophosphamide therapy is the superior regimen in the management oflupus nephritis for preserving renal function. Objective: The purpose of this study is to define the outcome of renal function with bolus pu lses of cyclophosphamide and steroid...

BACKGROUND The strategies for the management of onychomycosis have changed since the availability of the newer generation of antifungal agents, particularly, itraconazole and terbinafine. Itraconazole (1-week pulse) therapy may have higher efficacy and an improved adverse-effects profile compared to the continuous therapy regimen. OBJECTIVE We performed a pharmacoeconomic evaluation of the mo...

Progeroid syndromes, one of which is metageria, are characterized by signs of premature aging with multiple systemic and skin symptoms. Here we describe an 8-year-old girl with no historyof specific underlying disease in her family, no hair growth at the scalp since she was born, and taller and thinner than her peers. We noticed diffuse subcutaneous fat atrophy. The patientwas refer...

RATIONALE Immunoglobulin G4 (IgG4)-related hypophysitis is a type of IgG4-related disease (IgG4-RD), which is characterized by plasma cells infiltration in the pituitary causing functional changes and (or) space-occupying effect in the pituitary. IgG4-related hypophysitis is sensitive to hormone therapy in most patients, but recurrence is very likely. PATIENT CONCERNS Here, we report a 57-yea...

BACKGROUND While electroconvulsive therapy (ECT) in major depression is effective, cognitive effects limit its use. Reducing the width of the electrical pulse and using the right unilateral electrode placement may decrease adverse cognitive effects, while preserving efficacy. METHODS In a double-masked study, we randomly assigned 90 depressed patients to right unilateral ECT at 6 times seizur...

The current ultrasound therapy machines are implementing continuous waveform, which in fact, is not an optimum technique for therapy treatment process. Apparently, pulse waveform appearing as a more effectively way of signal generation in terms of its power consumption, low cost hardware and short timing used. In order to overcome these drawbacks of conventional therapy machines, we proposed a ...

Vagus nerve stimulation (VNS) therapy is an effective adjunctive treatment for chronic or recurrent treatment-resistant depression in adults, and for pharmacoresistant epilepsy in adults and adolescents. VNS therapy is administered through an implanted pulse generator that delivers programmed electrical pulses through an implanted lead to the left vagus nerve. Programmable pulse parameters incl...

near-fault ground motions with long-period pulses can place severe demands on structures near an active fault. these pulse-type ground motions can be represented by pulse sequences with simple shapes. half-sinusoidal pulse sequences are used to approximate recorded ground motions and dynamic responses of sdof system under the excitation of these pulse sequences are studied. four cases are consi...