فهرست مطالب narges mofrad-booshehri

According to the American Heart Association and American Stroke Association (AHA/ASA) guidelines, in acute stroke, the door-to-computed tomography (CT) scan (DTC) time should be less than 25 minutes, and time to injection of recombinant tissue-type plasminogen activator (r-tPA) [door-to-needle (DTN) time] should be less than 60 minutes.

We had a tendency to prospectively collect the clinical and time information of patients who received r-tPA during one year after the initiation of prehospital notification (PN). Patients were divided into three groups, covering patients transferred by Emergency Medical Service (EMS) with and without PN, and non-EMS. We then contrasted the impact of EMS with PN and EMS use on onset-to-needle time (ONT), and the neurological outcome. Good outcome was determined as Modified Rankin Scale (MRS) ≤ 2 at 3-month follow-up.

Among 102 studied patients, 64% were transferred by EMS, of whom 53.9% entered PN. Compared with non-PN groups, EMS with PN group showed significantly shorter DTN and DTC time, as well as ONT.

Our study showed that EMS with PN, rather than EMS, significantly improved stroke outcome by shortening of ONT.

Otosclerosis one of the most common causes of conductive hearing loss is more common in females and in their middle ages. It is usually a bilateral and progressive disease. Surgical operation is suggested as the exclusive management of otosclerosis. This study aims to evaluate the hearing results after stapedectomy in otosclerotic patients in Ahwaz. In this retrospective and descriptive study, the records of otosclerotic patients who had undergone stapedectomy or stapedotomy in Imam Khomeini and Apadana Hospitals of Ahwaz, Iran during 1997-2007 were evaluated. All the operations were performed by a single surgeon (first author). Data were analyzed using SPSS and descriptive statistical tests. 197 patients were included in this study. 66.8% were female and the age range was 20-40 years. The affected ears were reported as follows: right ear (65%), left ear (35%) and bilateral (18%). ABG was reported as less than 10db in 63.9% of patients; between 10 to 20db in 29.99% and more than 20db in 5%. Surgical complications were observed in 4.5% of patients (1.5% intraoperatively and 3% postoperatively). Saccular dysfunction seems to be an important finding in SSNHL. Although it is more prevalent in the patients with vertigo, it can be found in the non-dizzy cases. VEMP disturbance in SSNHL shows more extensive pathological involvement. Just like previously conducted studies, satisfactory surgical outcomes with rare complications were observed in the appropriate population under study.