J Res Med Sci
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Primary choriocarcinoma of the uterine cervix is an extremely rare disease. The clinical diagnosis of cervical choriocarcinoma is difficult, because of its rarity and being non-specific abnormal vaginal bleeding the most common symptom. In the present report, the authors present a case of cervical choriocarcinoma, which was initially misdiagnosed as a cesarean section scar ectopic pregnancy. Remission of cervical choriocarcinoma was accomplished with the combination of hysterectomy and chemotherapy.
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Etomidate and Propofol are common anesthetic agents. Previous studies say that Etomidate can be used in patients with limited hemodynamic reserve and Propofol can lead to more hemodynamic instabilities. This study was performed to explore the cardiovascular response during the induction of anesthesia with Etomidate or for comparison, Propofol in elective orthopedic surgeries. ⋯ Since, patients receiving Etomidate have more stable hemodynamic condition, if there would be no contraindications, it could be preferred over Propofol for general anesthesia.
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Corneal collagen cross-linking with riboflavin, also known as collagen cross-linking (CXL), involves the application of riboflavin solution to the eye that is activated by illumination with ultraviolet A (UVA) light. We survey here the topographic corneal changes one year after CXL in patients with corneal keratoconus. ⋯ Our study showed a significant improvement in topographic corneal changes and refractive results in patients with corneal ectasia after CXL.
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One of the methods used for standard setting is the borderline regression method (BRM). This study aims to assess the reliability of BRM when the pass-fail standard in an objective structured clinical examination (OSCE) was calculated by averaging the BRM standards obtained for each station separately. ⋯ The RMSE of the standard was very small indicating that BRM is a reliable method of setting standard for OSCE, which has the advantage of providing data for quality assurance.
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The aim of this study is to verify the effects of the combined and classic training of different isometric rates of force development (RFD) parameters of legs. ⋯ Dominant explosive factors are maximal RFD of leg extensors and calves, and legs at 250ms. Specific training enhanced explosiveness of calves of GROUPSPEC general and partial domination of GROUPSPEC by 87% over GROUPCLASS, and 35% over GROUPCONTROL.