although primary chronic hypertension (htn) is increasingly common in adolescence, secondary forms of htn are more common among children. primary htn is associated with being overweight and/or a positive family history of htn. carotid intima-media thickness, a known risk factor for atherosclerosis is frequent in both adults and children with htn and other associated cardiovascular (cv) risk fac...

background: sleep disorders are common among patients with chronic heart failure (hf), and it can have a significant effect on patients’ daily activities as well as their health. the purpose of this study was to assess sleep quality and its predictors in iranian patients with chronic hf.   methods : this cross-sectional study was conducted on a sample of 200 patients with hf in two hospitals of...

pruritus is a common and bothersome problem among uremic patients which negatively affects life quality and prognosis of the patient. various factors are known to be involved in the development of pruritus. the aim of this study was to assess the frequency and the factors which may have relationship with uremic pruritus, especially bone mineral metabolism indicators. current cross-sectional stu...

background: sleep disorders among heart failure (hf) patients negatively influence the quality of life. awareness of sleep disturbances, as one of the disturbing factors of the quality of life among hf patients, and its related factors would help health care staff to provide more comprehensive care. hence, this study was conducted to determine the quality of sleep and its related factors in hos...

background: several echocardiographic markers have been introduced to assess the left ventricular (lv) mechanical dyssynchrony. we studied dyssynchrony markers and the latest lv activation site in heart failure patients with and without left bundle branch block (lbbb). methods: conventional echocardiography and tissue velocity imaging were performed for 78 patients (lv ejection fraction ≤ 35%),...

generally, fatigue failure in an element happens at the notch on a surface where the stress level rises because of the stress concentration effect. the present paper investigates the effect of a notch on the fatigue life of the hsla100 (­high strength low alloy) steel which is widely applicable in the marine industry. tensile test was conducted on specimens and mechanical properties were obtain...

objective: congestive heart failure (chf) has become one of the most important health care problems in western countries. this article focuses on the outpatient diagnosis and management of heart failure. we want to compare the outcome of patients who were treated with high dose diuretics in the emergency department (ed) without admission with patients who were admitted to hospital for standard ...

introduction acute poisoning by oral ingestion of mixed hazardous materials can lead to multiorgan toxicity and may represent a special challenge in clinical management, in particular if little is known about the effects of the involved agents. this is especially true when industrial chemical substances have been swallowed, as a huge variety of toxic substances must be taken into account. concl...

objectives: the aim of this study was to assess nutritional status and identify the most significant mna-items (mini nutritional assessment) to accelerate the determination of nutritional risk of heart-failure in elderly patients. methods and materials: the present research was a cross-sectional descriptive analytical survey on hospitalized heart- failure elderly patients (n=225). the sampling ...

the clinical and economic importance of heart failure is widely recognized.   the incidence of heart failure is on the increase, particularly with the aging of the population around the world.   it is time for a paradigm shift in heart failure management. alternative non-pharmacological strategies to remodel the failing ventricle will shape a major portion of heart failure therapy in the decade...