ABSTRACT
Dicephalic parapagus tribrachius conjoined twin is a very rare condition. We present a case of 5-days-old male dicephalic parapagus conjoined twins. The conjoined twins were diagnosed in 4[th] month of pregnancy by ultrasonography. The pregnancy terminates at 36 weeks by cesarean section and triplets were born. The babies were male conjoined twins and another healthy male baby. Many congenital defects of interest can now be detected before birth. Sever form of this malformation precludes postpartum life. It is supposed that with advances in screening methods for prenatal diagnosis these cases are terminated in first or second trimester of pregnancy
ABSTRACT
General practitioners working in remote and rural areas sometimes need consultation with cardiologists. One practical and cost-effective way is transmission of patients' electrocardiographic images via ordinary fax machine to the cardiologists, but there is an important question that how much agreement exists between the diagnoses made by reading an original electrocardiogram and its copy transmitted via fax. In this cross-sectional study, 60 original electrocardiographic images were given to cardiologists for diagnosis. In the next step those electrocardiographic images were faxed to the hospital through a simple cheap fax machine, one month later the same cardiologist was asked to put his diagnosis on the copied versions of electrocardiographs, and the results were compared. In 59 studied cases, the two method of diagnoses were exactly the same and only in one case the diagnoses were different. Therefore, Kappa agreement coefficient was calculated as 96%. According to the results of this study, general practitioners working in deprived areas can be certainly recommended to send patients' electrocardiographic images to the cardiologists via fax in the case of needing consultation
ABSTRACT
To assess the prevalence of cardiovascular disease [CVD] risk factors in patients with psoriasis. Patients and methods The study group included seventy-three patients with psoriasis aged 20-50 years and an equally sized sex and age matched control group. CVD risk factors including diabetes mellitus [DM], hypertension [HTN], dyslipidemia, obesity and smoking history were assessed. Results Most of the CVD risk factors were more prevalent in psoriasis patients versus controls. The risk factors with a positive correlation included: DM [OR: 4.96, CI: 1.165-14.89], HTN [OR:3.16, CI:1.01-9.81], hypertriglyceridemia [OR:3.91, CI: 1.51-10.09], obesity [OR: 2.74, CI: 1.34-5.60] and increased level of low density lipoprotein-cholesterol [LDL-C] [OR:1.77, CI:1.08-1.73]. No significant differences were found between two groups for high density lipoprotein-cholesterol [HDL-C] and cigarette smoking. Conclusion CVD risk factors were more common in this young and middle aged psoriasis patients group, so early screening test for CVD risk factors is recommended in this group of patients