[Evaluation of HBV vaccination sitiuation in students of Army University of Medical Sciences]

HBV infection is one of the great medical problem in world and Iran. Based on who reports, about%37 of world people infected by HBV and over 2 miliard people have new or old evidence of HBV infection. More ever about of 400 milion of people have chronic hepatitis and be carier of HBV infection. Every year about 2 milion people died with HBV infection. 3/4 of worl people live on high risk area. Thus this study will be important. In this description study, 300 student of army university of medical sciences were study. All of the information agrigated by this information analyzed by SPSS software. Also in all of the study steps, reaserching manner bases were be done exactely. In this study, as 300 student, 190 were medical student and 110 paramedical student,%89 of them were vaccineted and%11 not 0. In all vaccinated students%54/5 in 3 step%36/6 in 2 step%9 in 1 step were vaccineted 0%74/2 of medical students and%25 of paramedical student were done 16 hepatit program 0. Other studies done about efficasy of HBV vaccination, but our study based on evaluation of HBV vaccinat ion sitiuation.ln end we found that HBV vaccination have good sitiuation in army university of medical sciences and will be improved if we wann

[Heterotopic triplet pregnancy [twin tubal] in 32 year-old women in Yasuj city]

Objective: The incidence of heterotopic pregnancy [HP] has risen in recent years, largely due to more frequent use of ovulatory medicine and increased incidence of pelvic inflammatory disease. Most HP are localized in the uterine tube and, usually, it is diagnosed when symptoms develop

Report: We report the case of a 32 year-old, gravida1, para 0, woman with fertile by IVF. The patient attended the emergency department because of acute aabdominal pain. She was evaluated in our department and a heterotopic twin pregnancy in the tube was diagnosed by transvaginal sonography. Intrauterine pregnancy with positive fetal cardiac activity at 9 weeks of gestation according to crown-rump length measurement was detected. Laparotomy was carried out because of acute abdominal syndrome. Right ruptured tubal ectopic/ heterotopic pregnancy and hemoperitoneum were diagnosed. Right salpingectomy was carried out

Conclusion: The incidence of HP is increasing due to the widespread use of assisted reproductive technology. An early transvaginal sonography performed by experienced radiologist/radiographer is considered to be essential and beneficial in establishing early diagnosis of HP. Both salpingectomy and selective fetal reduction by embryo aspiration can be administered as one of the effective therapies for HP with the optimal outcome of intrauterine pregnancy