adenotonsillar hypertrophy and obstructive sleep disordered breathing can lead to attention deficit/hyperactivity disorder (adhd). the purpose of this study was to evaluate effect of adenotonsillectomy on improvement of adhd symptoms in a quasi-experimental (before and after) study. the efficacy of adenotonsillectomy on improvement of adhd symptoms of 35 children aged 5-12 years with adenotonsi...

A 27 year old male with a history of Klippel-Trénaunay syndrome, who consults for pain and swelling in his left arm. On examination, there was an aberrant member enlargement and varicose veins, localized only at the forearm and left hand. (Fig.s 1,2). Coagulation: D-dimer 3.58 mg/L. Doppler ultrasound showed thrombosis of the distal end of the left brachial vein and main branches dependent. He ...

Fabry disease is an X-linked lysosomal storage disorder caused by a deficiency of α-galactosidase A (α-gal A), leading to the progressive accumulation of glycosphingolipids. Classical hemizygous males usually present symptoms, including pain and paresthesia in the extremities, angiokeratoma, hypo- or anhidrosis, abdominal pain, cornea verticillata, early stroke, tinnitus, and/or hearing loss, d...

Current experimental investigation deals with the effects of asymmetrical rolling parameters on the inhomogeneity, microstructure, mechanical, and geometrical properties of rolled brass wire. Toward this end, a roll machine with three different roll radii ratios was set up. The asymmetrical conditions are arranged using three different sets of rolls with different diameters that result into dif...

CASE A 52-year-old man without a history of atopy was referred to the dermatology clinic at the City of Hope Medical Center for lesions on his arms and legs that had been present for several months. He stated that they began to appear days after receiving traditional needle acupuncture therapy. The location of the lesions on his extremities coincided with where the acupuncture needles had been ...

BACKGROUND Cardiomyopathies are a heterogeneous group of heart muscle disorders and are classified as 1) Hypertrophic Cardiomyopathy (HCM) 2) Dilated cardiomyopathy (DCM) 3) Restrictive cardiomyopathy (RCM) and 4) Arrhythmogenic right ventricular dysplasia (ARVD) as per WHO classification, of which HCM and DCM are common. HCM is a complex but relatively common form of inherited heart muscle dis...

This year marks the fiftieth anniversary of the first contemporary account of hypertrophic cardiomyopathy by Dr Robert Donald Teare, a pathologist working at St George’s hospital in London. In a now seminal case series in the British Heart Journal, Teare reported asymmetric hypertrophy of the interventricular septum in 8 patients between the ages of 14 and 44.1 Although widely recognised as a c...

AIM To determine the relation between the extent and distribution of left ventricular hypertrophy and the degree of disturbance of regional relaxation and global left ventricular filling. METHODS Regional wall thickness (rWT) was measured in eight myocardial regions in 17 patients with hypertrophic cardiomyopathy, 12 patients with hypertensive heart disease, and 10 age matched normal subjects...

Background: Infants of Diabetic Mothers (IDMs) are at known risk for the development hypertrophic cardiomyopathy (HCM). Echocardiography is essential diagnosis HCM, to assess left ventricular function, and degree ventricle obstruction, rule out structural cardiac malformations.
 Objective: To study association maternal third-trimester glycemic level with HCM in IDMs.
 Study Design: Ob...

background: any defect in the extremities of the body can affect different life aspects. the purpose of this study was to investigate the effect of roy’s adaptation model-guided education on coping strategies of the veterans with lower extremities amputation. methods: in a double-blind randomized controlled clinical trial, 60 veterans with lower extremities amputation referring to kowsar orthot...