Intima, media, and adventitia are three layers of arteries. They have different structures mechanical properties. Damage to intima layer arteries leads an inflammatory response, which is usually the reason for atherosclerosis plaque formation. Atherosclerosis plaques mainly consist smooth muscle cells calcium. However, geometry properties change during time. Blood flow source biomechanical stress plaques. Maximum that can burden before its rupture depends on fibrous cap thickness, lipid...

Renal colic is one of the most common complaints in patients admitted to Emergency Department (ED). Computed Tomography (CT) reference standard for diagnosis any stones kidneys or ureters. However, CT has classical disadvantages, such as radiation exposure, cost and availability. Recently, STONE clinical prediction criteria were suggested identify uncomplicated ureteral stone cases among patiens ED with abdominal pain. Primary objective this study was external validation criteria.This a...

This study aimed to compare the efficacy of intravenous (IV) morphine plus ibuprofen or ketorolac versus IV alone in controlling renal colic pain emergency department.This double-blind, randomized clinical trial was conducted during November 2018 and March 2019 Iran. Patients aged 18-65 years with acute numerical rating scale (NRS) score higher than 6 10 were enrolled study. They randomly assigned I, K, control groups receiving 5 mg 800 (n = 65), 30 only 65) intravenously, respectively. NRS...

To assess the possible factors associated with increasing risk of COVID-19 among EMTs.This study was a case-control conducted in Tehran, Iran. Case group consisted confirmed EMTs based on results reverse transcriptase polymerase chain reaction and/or lung computed tomography scan. Healthy were randomly selected as control group. Patients asked to fill out checklist including demographic data, data related work situation (such number missions and type mask cloth) PPE precautions.Sixty-eight...

Background: Multiple sclerosis (MS) is one of the most common autoimmune diseases worldwide and various comorbidities are reported with MS. The objective this study to estimate prevalence diseases' comorbidity in patients Methods: In cross-sectional study, we investigated a group MS terms age, gender, duration MS, presence simultaneous diseases, such as Graves' disease, Hashimoto's thyroiditis, type 1 diabetes mellitus (DM), systemic lupus erythematous (SLE). Results: This included 1215...

Introduction: Coronavirus Disease (COVID‐19) has become the most important global health issue, and chest computed tomography (CT) scan can help determine severity of infection. Objectives: This study aimed to provide an emergency scoring tool for predicting 30-day adverse outcomes in non-critical new-onset COVID-19 patients. Methods: derivation was conducted on patients presenting department urban teaching hospital Tehran, Iran, between 20 February March 2020. The total lobe score (TSS),...

Background: Vitamin D has an essential role in bone growth and metabolism. Currently, its been investigated different diseases. It is high prevalence of vitamin deficiency the world, particularly developing countries. Objectives: The aim this study to investigate children 1 - 6 years old relation with their age, sex body mass index. Methods: This was conducted pediatric clinic Javaheri Hospital Tehran, from 2016 2017. population presenting for routine examination or treatment. collected data...

Background: Extended-focused assessment with sonography in trauma (E-FAST) has been introduced as a free fluid identification technique the abdomen, and currently, like stethoscopes, it is routinely used to assess traumatic patients, part of physical examination tools. We decided examine effect using E-FAST clinical judgment physicians managing patients blunt abdominal chest wall trauma. Materials Methods: In this cross-sectional study, all who were admitted from May 2014 till 2015 emergency...

Abstract Background Chronic periodontitis (CP) is a prevalent infectious disease caused by an interplay between pathogens and immune responses. Gene polymorphisms are among the factors that affect susceptibility to CP. This study aimed assess association CP single nucleotide (SNPs) of interleukin-10 (IL-10), interleukin 1 ß (IL-1 ), tumor necrosis factor- α (TNF- ) genes. Methods A total 87 patients with 89 healthy controls were included in this study. Venous blood samples obtained, DNA was...

Objectives: This study aimed at performing a path analysis to assess the parameters of health belief model concerning BSE. Methods: The present descriptive cross-sectional care center, affiliated with Islamic Azad University Tehran, Faculty Medicine in northwest Iran was conducted from May June 2018. champion’s HBM scale, breast cancer knowledge test assessed all participants. SPSS-22 and Lisrel-8.8 software, using statistical analysis, were used for analyzing data. Results: Totally, 225...

Introduction Immediate diagnosis of stroke is crucial in reducing its morbidity and mortality rate. There are various pre-hospital assessment tools, such as the Prehospital Ambulance Stroke Test (PreHAST) Cincinnati Scale (CPSS) used to identify early chain care. The aim this study compare accuracy PreHAST with CPSS diagnosing stroke. Methods In diagnostic patients suspicion were included study. CPSS, criterion indicate facial droop, speech arm drift. it eye position, visual field, palsy,...

Abstract: Intrahepatic gallbladder is a rare anomaly that due to the failure of migration from liver its proper position. This condition increases risk cholelithiasis, hepatic abscess and cholangiocarcinoma. Calcification in wall gallbladder, which known as porcelain also malignancy. In this report 47-year-old man presented at emergency department with continuous right upper quadrant abdominal pain who was misdiagnosed acute cholecystitis. During surgery, not detectable location. Therefore,...

Objective: This study aimed to assess the association between glycemic control status and serum levels of vitamin D3 in Iranian patients with type 2 diabetes (T2D). Materials methods: was a cross-sectional on 452 T2D Tehran, Iran, performed September 2019 2020. We assessed laboratory test level all participants using Enzymatic Glucose Oxidase method. Data were analyzed SPSS version 24. Results: total enrolled this (mean age: 59.4 ± 11.4 years, 63.5% females). Vitamin D deficiency reported...

Aim: This study aimed to investigate the diagnostic accuracy of Cincinnati Prehospital Stroke Scale (CPSS), Los Angeles Screen (LAPSS), and Melbourne Ambulance (MASS) in detecting acute ischemic stroke (AIS) suspected cases compare these scales with each other. Materials Methods:This included patients AIS brought emergency department.Patients' data were collected from their medical records.All test compared final diagnosis based on brain magnetic resonance imaging (MRI) report.Sensitivity,...

A 34-year-old pregnant woman was referred to our emergency ward, complaining of intensification skin lesions which had started six days earlier. Initially, vesicular from head and face accompanied by fever turn generalized pustular expanded the whole body within four (figure 1). By investigating patient's personal contact history, we found that same symptoms were detected in her 9-year-old child 19 prior admission diagnosed as chickenpox. The patient also mentioned previous history chicken...

Volvulus is a rare cause of intestinal obstruction and occurs mostly in sigmoid colon cecum. It more common patients with Down syndrome. In this condition, it even challenging to diagnose the through history physical examination alone. Early diagnosis intervention are critical condition prevent serious side effects. Simultaneous volvulus sporadic case surgical entity. We report very simultaneous cecum transverse colon, its management, outcomes 20-year-old known

Introduction:Hyperthyrotropinemia (HT) can be transient or permanent. There is no specific protocol in confirmatory tests to discriminate between and permanent forms. The aim of this study was investigate the prevalence HT factors that help from HT. Methods:This an observational prospective all neonates diagnosed with referred pediatric clinic Boali Hospital, affiliated Islamic Azad University Tehran Faculty Medicine, Tehran, Iran during September 2017 January 2019. recovery rate...

Objective: As nausea is one of the most common annoying symptoms in isolated head trauma (IHT) and needs timely management to prevent further adverse outcomes, this study was performed compare ondansetron metoclopramide as therapeutic agents nauseous IHT. Methods: This a double-blind clinical trial. Participants were patients visiting ED with chief complaint IHT event. Group A received 10mg/2ml group B 4mg/2ml through slow intravenous (IV) injection. The primary outcome severity 20 minutes...

Introduction:Capnography is a proven effective tool for procedural sedation and analgesia (PSA); however it hardly available in developing countries like Iran.This study aimed to discover the frequency of hypoventilation paediatric patients who received intramuscular (IM) ketamine evaluate relationship between end-tidal carbon dioxide (ETCO 2 ) changes other vital signs.Methods: This was cross-sectional conducted 2019.Paediatric (under 14 years old) underwent PSA with 5 mg/kg given IM...