the lack of pathognomonic signs and symptoms makes the diagnosis of pulmonary embolism (pe) difficult. here, we report a case of a 42-year-old man presented to the emergency department with worsening epigastric pain, hypotension, frank bradycardia, and final diagnosis of pe. although previous studies have indicated that abdominal pain was observed in 6.7% of patients with pe, the exact reason f...

severe sepsis and septic shock are major problems as the result of high rates morbidity andmortality in intensive care units (icus). in the presence of septic shock, each hour of delay inthe administration of effective antibiotics is associated with a measurable increase in mortality.aminoglycosides are effective broad-spectrum antibiotics that are commonly used in icus forthe treatment of life...

background: acute intoxication with alp is extremely lethal. the present study was conducted to determine the range of serum cortisol levels in alp poisoning and its correlation with patient outcome. methods: this study was carried out on patients who were intoxicated with alp. their demographic data and pertinent findings in their history and physical examination were recorded at the time of a...

experiment was conducted to evaluate the effect of different levels of egg yolk for coating and storing spermatozoa. ejaculates were collected from four rams. in each session, second ejaculates (n=4) were collected in a tube containing 1 ml coating buffers which were prepared by 10, 15 or 20% egg yolk plus tris-fructose. samples were pooled, centrifuged and the supernatant removed in the labora...

the article reports a clinical case of a 39-year-old male patient who was admitted in the emergency room in shock. the clinical exams and additional tests identified a right massive hemothorax, without apparent etiological factors. he was submitted to an emergency right thoracotomy. a bulky varicose formation in the diaphragmatic surface, with evident laceration and haemorrhage was identified. ...

high levels of regulated oncogen-alpha (gro-a) expression have been observed in the liver. gro-a stimulates proliferation of epithelial cells and induction of rolling and extravascular migration of neutrophils and mononuclear cells. given the above observations, this chemokine was chosen to be analyzed in freshly isolated and cultured hepatocytes. in this study, hepatocytes (2×106 cell/ml) were...

in critically ill infants and children, intravascular (iv) access is sometimes very difficult. in such cases intraosseous (io) infusion should be used as the method of choice. however, in practice, different problems are experienced with this procedure. to overcome the practical problems and to confirm the efficacy of io infusion in reversing hypovolemic shock, an animal model was used by emplo...

it has been hypothesized that the survival, development, fecundity and population of insects are affected significantly by high temperatures. the diamondback moth, plutella xylostell (l.) (lepidoptera: plutellidae), is a serious and economically important pest of cruciferous crops throughout the word. in this research, the adult longevity and fecundity of p. xylostella were studied in laborator...

introduction diabetic foot is a clinical disorder, which is commonly seen in patients with diabetes mellitus. it is also the major cause of below knee amputation in the world. there are many underlying causes such as neuropathic, ischemic, and infectious causes for diabetic foot. local or systemic complications may develop after snake bite. case presentation we reported a very rare case, involv...

background: the current study was designed to compare the complications and adverse eff ects of central venous catheter (cvc) insertion under ultrasound guidance in patients with and without coagulopathy. materials and methods: in this clinical trial,59 patients who needed cvc for various reasons were enrolled. patients were divided into two groups of those with and without coagulopathy based o...