Dysphagia: an unusual presentation of metastatic uterine cervical carcinoma

Worldwide, cervical cancer is the third most common cancer among women and the fourth leading cause of death from cancer. The most common sites of metastasis are the pelvic lymph nodes, vagina, and the pelvic sidewalls. Distant metastases are uncommon but can involve the bone, lung, and liver. Characteristics associated with increased rate of distant metastasis include bulky tumor, endometrial extension, lymph node involvement, and advanced disease. We report the case of a woman with stage II cervical carcinoma, who presented with dysphagia due to cervical cancer metastases to the mediastinum

use of laryngeal mask airway during transesophageal echocardiography in pediatric patients

Transesophageal echocardiography [TEE] in the cardiac lab is usually performed in pediatric patients under general anesthesia with an endotracheal intubation [ET]. This study was performed to investigate the safety and efficacy of using the laryngeal mask airway [LMA] as an alternative to ET to maintain pediatric airway during the general anesthesia for TEE. A total of 50 pediatric patients undergoing TEE in the cardiac lab were randomized to have their airway maintained during the procedure with either LMA [LMA group] or ET [ET group]. Hemodynamic, respiratory parameters, time to extubation, recovery time, the incidence of complication and operator satisfaction were compared between the two groups. There were no differences between both groups in hemodynamic and respiratory parameters. Laryngeal spasm was reported in one patient in the LMA group and two patients in the ET group. TEE operators were equally satisfied with the procedure in groups. The time to extubation was shorter in the LMA group [P < 0.01]. The mean recovery time was also significantly shorter in the LMA than in the ET group [44 +/- 8 min and 59 +/- 11 min, respectively; P < 0.001]. The LMA is safe and effective in securing the airway of children undergoing diagnostic TEE

[ effectiveness of stress inoculation group training on somatization and anxiety of the coronary heart disease patients]

The purpose of this study was to determine the effectiveness of stress inoculation training on the Somatization and Anxiety of coronary heart disease patients. Subjects were consisted of 40 patients with coronary heart disease, who were randomly selected from the hospitals Golestan, Mehr, naft and Tapesh Clinic of Ahwaz, through systematic sampling method. These patients were randomly assigned to experimental [N=20] and control [N=20] groups. There was 10 females and 10 males in each group. The experimental group received 8 weekly sessions of stress inoculation training that the control group did not received it. It was hypothesized that training would increase the general health of the training group as compared with the control group. The GHQ-28 was administered to both groups before and after training. The results of analysis of covariance showed that training significantly improved the general health in the experimental group as compared with the control group. Also, compared with the control groups, the experimental group showed significantly lower scores on the somatization Anxiety disorder and insomni. The result of research showed the stress inoculation training effected on the amount of general health, somatization and Anxiety disorder and insomnia in coronary heart disease and this method can be used with usual medicine care in improvement and rehabilitation in cardiovascular diseases

Effect of steroidal and non steroidal drugs on rheumatoid arthritis patients

This study was carried out on 100 seropositive rheumatoid patients' 86 females and 14 males with age ranging from 26- 70 years. A control group of normal healthy volunteers was taken for comparison. The patients were randomly classified into 5 groups each group comprised 20patients who received the recommended daily dose of a drug for 4 momths. The drugs given were voltaren for group I, feldene for group II prednisolone for group IIl a combination of voltaren and prednisolone for group IV and a combination of feldene and prednisolone for group V.IgG. IgA. IgM and B lymphocytes were increased before treatment at the end of treatment.lgM showed significant reduction in all the groups. B lymphocytes showed significant increase as compard to the control group at the end of treatment there was a significant decease. T-lymphocytes prercent showed highly significant decrease in all groups before treatment. This was followed by significant decrease at the end of treatment