[ prevalence of hearing loss and its influencing factors in patients with diabetes admitted to Naghavi hospital, Golabchi diabetes center, and Matini hospital in Kashan city in 2013]

One of the symptoms of diabetes, is hearing loss, a condition on which controversial results are available. This study was performed to determine the prevalence of hearing loss and factors affecting the condition in patients with diabetes. In this cross sectional study 80 patients with diabetes and 80 healthy controls, matched for their age and sex were enrolled for the study, after obtaining consent. Age, sex, BMI [Body Mass Index], and diabetes duration were recorded for each patient, and audiometry was performed for both diabetic patients and healthy controls at 250 Hz, 500Hz, 1KHz, 2KHz, 4KHz and 8KHz, with a hearing threshold level of 20 dB considered as normal. The data obtained was analyzed using the Chi- square and T-test or nonparametric equivalents. High frequency hearing loss in diabetes cases was more common, than in sex and age- matched controls [P value= 0.001]. Duration of diabetes and Body Mass Index did not have a significant relationship with hearing loss. In the present study, high-frequency hearing loss is more common in diabetic patients than in healthy individuals; Similar studies are recommended with regard to confounding factors to identify factors affecting hearing loss, and prevent its complications, such as loss of social relations, in diabetics

[Providing a standard operating process for health and care rapid response teams in Iran]

Regarding the frequency of disasters and effective response to the first hours after occurrence, it is necessity to form rapid response teams in order to reduce casualties and property losses. This paper aims to provide a standard operational process for health and care rapid response teams in Iran. In this applicable research, which was done by descriptive-comparative method, various countries were compared based on different factors such as activation process, training, structure, equipment and their functions during crisis. All studied countries activated their own rapid response teams based on a predetermined standard process in response phase. These teams are working under a unique command reference. They already are selected and have changeable structure based on disasters. Also they received standard trainings continuously and provided an appropriate response to disasters based on their job description and modern equipment, According to the research, some measures should be taken in order to decrease mortality and timely response to disasters as follows: to organize health rapid response teams in different levels of country; to establish an incident command system for guiding teams; to use local facilities with necessary equipment, and to define a clear job description with appropriate training for the selected individuals of these teams

Atypical Aicardi's syndrome on two sisters not twins

Aicardi's syndrome is a rare genetic disorder characterized by heterogeneity of clinical findings and prognosis. The characteristic features include infantile spasms, agenesis of the corpus callosum and chorioretinal lacunae. This syndrome is seen almost exclusively in female and is often sporadic. However, some familial cases were reported in the literature. The prognosis is unpredictable. It is grave in most of cases with severe psychomotor retardation. The authors report two sisters not twins, from a consanguineous familily with atypical Aicardi syndrome diagnosed at 2 months of age. Clinical feautures were infantile spasms, partial agenesis of the corpus callosum and atypical ophthalmologic abnormalities. Evolution was marked by severe psychomotor retardation, scoliosis and severe recurrent pneumonia entailing the death of one of the patients at 3 years of age

[Idiopathic thrombocytopenic purpura. Study of 61 cases]

Idiopathic thrombocytopenic purpura [ITP] represented the most frequent cause of children's thrombocytopenia. Until our days universal management of ITP does not exist. We performed retrospective and then prospective study of 61 children admitted for ITP during 15 years. The aim of the study was to precise the epidemiological, clinical and therapeutic profiles and propose management algorithm. The incidence of ITP was 0.34 per cent. The mean age was 6 years with male predominance. Initial thrombocytopenia was inferior than 10.000/mm3 in 44,2 per cent of cases. Spontaneous recovering was noted in 17 cases. Oral prednisone therapy with 2mg/kg/day during 21 to 35 days and 4mg/kg/day during 4 days was performed respectively in 21 and 19 cases. Intravenous immunoglobulin and methylprednisolone pulse therapy was performed respectively in 17 and 5 cases. Splenectomy was successfully performed in 3 cases. Chronic ITP was noted in 13 cases. Acute ITP without hemorrhagic syndrome should be treated in first stage with oral prednisone at 4mg/kg/day during 4 days. In case of failure, a second cure may be prescribed. If not we return to intravenous immunoglobulin

[Febrile seizures in child. A retrospective study. About 511 cases]

The aim of this study was to analyse epidemiological, clinical profile of febrile seizures, to identify indications of laboratory studies and EEG examination, and to assess risk of recurrence, and epilepsy. A retrospective study of 511 children aged from three months to five years who presented with a first febrile seizure hospitalized in the pedatrie department of Monastir Hospital from the 1[st] January 1990 to 31[th] of December 1999 was conducted. Febrile seizure represents 4, 9% of all hospitalized children between 1990 and 1999. 78% of children aged from three months to two years, sex ratio was 1, 27 with 286 boys and 225 girls. In 99, 4% of cases, febrile seizure was generalized, and tonic clonic in 82, 2%. In our study seizures [86,3%] were considered simple, although those focal onset, prolonged duration, or that occur more than once within the same febrile illenes were considered complex in 13, 7%. Recurrence was observed in 9, 9% and only 1, 2% developed epilepsy