ABSTRACT
Long QT syndromes [LQT] are genetic abnormalities of ventricular repolarization, with an estimated incidence of about one per 10000 births. It is characterized by prolongation of the QT interval in electrocardiogram [EKG] and associated with a high risk for syncope and sudden death in patients. Type of this syndrome is association with congenital deafness. Our objective was to evaluate QT interval in children with congenital deafness. For 219 patients referred to Imam Khomeini Hospital audiometric clinic in 2011, questionnaire were completed. A total of 23 congenitally deaf children were included. All patients' examinations were done by a pediatric cardiologist. Electrocardiogram is conducted in all children [23 patients] with sever and deep congenital deafness. Then the QT interval was measured based on Bazett's formula. Echocardiography was also performed in these children to assess left ventricular function and the presence of mitral valve prolapse. The overall patients were two hundred and nineteen children. A total of twenty three congenitally deaf children were included and electrocardiogram was obtained. Three children had obviously prolonged QTc [0.48 +/- 0.02] second. The median age of them was 6.1 +/- 5 year, the median weight was 18 +/- 11.3 kilogram and the median of QT interval was 0.48 +/- 0.02 second. The QT interval obtained 0.48 +/- 0.02 second. In the present study we found prolonged QT in congenital deafness, thus we recommend to evaluate the electrocardiogram of children with congenital deafness.
Subject(s)
Humans , Infant , Child, Preschool , Child , Deafness/congenital , Child , Electrocardiography , Syncope , Surveys and QuestionnairesABSTRACT
To study and compare the attitudes, concerns, perceived impact and coping strategies for avian influenza [AI] among the first year medical students [FYMS] and interns in Tehran University of Medical Sciences. This was a cross sectional study carried out on FYMS [n=158] and interns [n=158] in 2008. The data collection tool was a questionnaire containing 37 questions in five parts. The three choices including "agree, disagree and unsure" were considered for all questions. We used Chi-square and Fisher's exact tests for analysis. Most of FYMS and interns [78.2%] believed their health would be depended on the care of their selves. Most of them [95.3%] believed that if they knew avian flu better, they could be more prepared for it. The majority were concerned about risk to their health from their work [62.7%]. Most [67.7%] accepted the risk and only 5 [1.6%] would consider stopping work. For non-work concerns, 70.9% were concerned about their spouses/sexual partners and 65.8% about their children. For perceived impact, most [66.5%] believed that they would feel stressed at work and the majority [74.4%] expected an increased workload. FYMS and interns have positive attitudes but major concerns about contracting AI and its relation to medical practice.
ABSTRACT
<p><b>OBJECTIVE</b>Injuries are common and important problem in Tehran, capital of Iran. Although therapeutic centers are not essentially established following the constructional principles of developed countries, the present opportunities and equipments have to be used properly. We should recognize and reduce the deficits based on the global standards. This study deliberates the trauma resources and capacities in university hospitals of Tehran based on Arizona trauma center standards, which are suitable for the assessment of trauma centers.</p><p><b>METHODS</b>Forty-one university hospitals in Tehran were evaluated for their conformity with "Arizona trauma center standards" in 2008. A structured interview was arranged with the "Educational Supervisor" of all hospitals regarding their institutional organization, departments, clinical capabilities, clinical qualifications, facilities and resources, rehabilitation services, performance improvement, continuing education, prevention, research and additional requirements for pediatric trauma patients. Relative frequencies and percentages were calculated and Student's t test was used to compare the mean values.</p><p><b>RESULTS</b>Forty-one hospitals had the average of 77.7 (50.7%) standards from 153 Arizona trauma center standards and these standards were present in 97.5 out of 153 (63.7%) in 17 general hospitals. Based on the subgroups of the standards, 64.8% items of hospital resources and capabilities were considered as a subgroup with the maximum criteria, and 17.7% items of research section as another subgroup with the minimum standards.</p><p><b>CONCLUSIONS</b>On the basis of our findings, no hospital meet all the Arizona trauma center standards completely. The hospitals as trauma centers at different levels must be promoted to manage trauma patients desirably.</p>