RESUMEN
Lung cancer is the most common cause of cancer death worldwide with more than 1.3 million people dying of the disease annually. In Asia, the incidence and mortality rates of lung cancer are generally lower than those in western countries. We aimed to obtain cancer incidence data from the East Azerbaijan. Iran; to select the target populations for our future cancer field studies. Diagnosed primary lung cancer cases and pleura and trachea during five years [2002-2006] were collected from the hospital or private pathology laboratories in East Azerbaijan and analyzed using SPSS 13.0 after metastatic and same cases exclusion. In this study 159314 pathology records were studied in hospitals and laboratories; 12083 of them were cancer cases. 9166 of them were primary cancer patients and Azerbaijan residents. A total of 469 new lung cancer cases [81% male, 19% female] were diagnosed during the years 2002-2006, the age-adjusted incidence rate [A%] per 100,000 being 16.6 for males and 4.2 for females. Squamous cell carcinomas the most common histological type [58.5%], the proportion of adenocarcinoma being 27.6%, small cell carcinoma 12.6% and large cell carcinoma 0.6%. ASR was calculated for cancer of pleura [0.4, 0.3] and for cancer of trachea [0.2, 0.1] per 100000 in male and female, respectively. This study is the first report of respiratory tract cancer incidence in East Azerbaijan. The results of the present study are statistical analysis of the cancer prevalence and incidence in Iran which mainly correspond with the international reports and is a scientific tool we want to offer to all those who work in the prevention, care and treatment of cancer in Iran
RESUMEN
Venous and arterial catheters are used ordinary for continuous hemodynamic evaluation in cardiac surgery intensive care units. The catheters are one of the most important risk factors for nosocomial infection and mortality of hospitalized patients. The aim of this study was to evaluate the rate of bacterial colonization of intravascular catheters and catheter related bloodstream infection in Shahid Madani intensive care unit. 150 admitted patients that had intravascular catheter for more than 48 hours were enrolled in this study during one year period the tip segment of catheters and insertion site cultures were assessed. The rate of colonization was 13[8.7%]. the isolated bacteria were Escherichia coli [23.1%], Pseudomonas aeruginosa [23.1%] staphylococcus aureus [7.7%], coagulase negative staphylococcus [7.7%], Proteus vulgaris [7.7%], Stenotrophomonas maltophilia [7.7%], Candida albikans [7.7%], nonfermentative gram negative bacilli [7.7%] and Acinetobacter spp [7.7%]. The rate of catheter colonization was acceptable in comparison to the other studies. The most common isolated bacteria were Escherichia coli and Pseudomonas aeroginosa. In this study, the important risk factors were duration of catheter use, duration of hospitalization and positive blood culture
RESUMEN
A 37 year-old woman underwent aortic and mitral valve replacement and 3 months later developed a pseudoaneurysm from the anterior aspect of the proximal ascending aorta [AA]. The pseudoaneurysm was approached through a redo-median sternotomy on cardiopulmonary bypass [CPB], moderate hypothermia, and repaired successfully using autologous pericardium The standard approach to such pseudo aneurysm is a CBP and hypothermic circulatory arrest prior to midsternotomy, and repair or replacement of the and but when a pseudo aneurysm arises from a narrow ostiurn on the anterior aspect of the AA, as in this case, it can be repaired under CPB with moderate hypothermia
RESUMEN
To study the incidence of catheter tip colonization, catheter-related infections, their risk factors, and to compare these data with other studies. Since 2006, we have had a through program for the insertion and care of all catheters used at cardiac surgical intensive care unit [SICU], Tabriz University of Medical Sciences, Tabriz, Iran, between May 15, 2006 and September 15, 2007. We studied prospectively 183 catheters in 150 patients in relation to insertion data and catheter characteristics, catheterization time and microbiological cultures. These catheters were in place for >48 hours over a 16 months period. Risk factors were analyzed by multivariate analysis. The analysis included 115 central venous catheter [CVCs], 65 arterial catheters [ACs], and 3 pulmonary artery catheters [PACs] inserted in 150 patients. The median time of catheter placement was 4 days. The incidence of positive tip culture was 9.8% and 10 microorganism isolated from 18 colonized catheters. Thirteen Gram-negative bacilli, 4 Gram-positive cocci, and one yeast were isolated. From multivariant analysis, >6 days of catheterization, and insertion site were the variables associated with significantly increased risk of catheter colonization. Gram-negative bacilli and Gram-positive cocci are the most common microorganisms colonizing CVC and AC from cardiac SICU patients. Duration of catheterization and catheter insertion site were independent risk factors of catheter related infection