Background and Objectives: Approperiate treatment of obstructive uropathy is a disease is of great importance in patient care. The objective of this study was to compare the results and complications of percutaneous nephrostomy with hemodialysis in correcting water and electrolyte disorders in patients with obstructive uropathy. Subjectes and Methods: In this clinical trial study, 30 patients with obstructive uropathy were selected as study group. Patients were randomly divided into hemodialysis and percutaneous nephrostomy (PCN) groups. In both groups, BUN/Cr, Na, and K were measured every 6 hr. The end point variables were: time for preparation for action (T1), time to clearance (T2), total hospitalization time (T3), pain score, satisfaction rate and complications in both groups were compared. Finally, the data were analyzed using SPSS software versin 20. Results: Results shows that T1 in both PCN and hemodialysis groups was not significantly different. However, T2 and T3 in the PCN group had was more significantly decreased than in hemodialysis group. In addition the satisfaction rate in patients with PCN was higher than hemodialysis. Concentration of potassium and creatinine in the PCN group decreased more than hemodialysis. However, there was no significant difference in the trend of reduction of other indicators such as sodium, systolic and diastolic blood pressure in both groups. Conclusion: PCN method can be an alternative, appropriate, less expensive, and has fewer complications than hemodialysis method for patients with obstructive uropathy.

Percutaneous vertebroplasty is a promising therapeutic technique for pain control in patients with pathologic fractures of vertebral bodies. Percutaneous vertebroplasty is an appropriate treatment for vertebral pathologic fractures, which is resistant to other usual treatment. It is a useful and only choice in special cases, because of less tissue damage and there is no risk of open surgery and patient's embolization is rapid. Herein we described the first case of percutaneous vertebroplasty in Yazd shahid sadoughi teaching hospital, which was done in ordybehesht 1386 in a 72 years old male with pathologic fracture of 2 lumbar vertebrae. He was suffered from pain and disability and open surgery was not appropriate treatment for him.

A number of patients with severe obstruction due to hypertrophic cardiomyopathy have derived benefit at least over the short-term from inventional infarction of a portion of the interventricular septum by the infusion of alcohol into a selectively catheterized septal artery, with reduction of the outflow gradient and improvement in symptoms. This paper contains successful TASH on a symptomatic patient with high LVOT gradient and methods and complications.

Background: Despite recent improvement in coronary intervention, there are many controversies about its results in diabetic patients. The goal of this study is comparison of in hospital outcome of diabetics after coronary intervention with nondiabetics.Methods: In this study 115 diabetic and 115non diabetic patients who admitted for coronary intervention in our center during 1383&84 were entered in an analytic study of Cohort type. Datas about clinical, aniographic, procedural and post procedural (24hours) characteristics were entered in each patient’s form. Independent T test,chi-square and Fisher’s exact test were used for analyzing datas.Results: The Diabetic Patients were most often older men, and they had higher angina class, more co-risk factors and lower ejection fractions. Diabetic’s lesions were longer and more located in proximal portion of vessels. But success rate, major complication (death, revascularization, Q Wave MI and CVA), and minor complications (coronary/peripheral arteries complication, pulmonary edema, ischemic ECG) had no significant differences between two groups.Conclusion: Diabetes mellitus does not affect short outcomes of coronary intervention as an independent factor. So intervention could be done in these patients with considering favorable outcomes.

Background and Aim: Surgery for removal of urinary system stones has improved very much. At the present time standard therapy for stones which do not respond to ESWL, and also for large or multiple stones is PCNL. In this method the stones are broken into small pieces and taken out. This method has a better outcome and minimal morbidity rate. The aim of this study was to assess the outcome of PCNL operations in Kurdistan province since 1383.Materials and Methods: This was. a cross sectional descriptive analytic study. The study group comprised all the patients who had undergone PCNL from 1383 to 1385 (100 patients). Sampling method was census. Data collected by reviewing the patients' medical records and were registered in check lists. The collected data were analyzed by means of c2 and T-test using SPSS win soft ware.Results: from 1383 to 1385, 100 PCNL operations had been done on 66 (66%) men and 34 (34%) women. The mean age of the patients was 38.33±12.81.(age rang: 17-72 years old). The mean operation time was 86.91±24.12 minutes and the mean size of the stones was 33.72±9.81mm. The mean hospitalization time was 2.33±0.65 days and the mean narcotic (petidin) dose was 57.6±24.17% of the patients developed some kind of complication, but no problem observed in the other 83%. In general 91% of the operations were successful. 2% of the patients needed another surgery and in 7% of the patients, the remaining stones were treated by use of ESWL. The most common type of stones were calcium oxalate. There was a significant relationship between the operation time, dose of narcotic and duration of hospitalization (P=0.000).conclusion: the result of this study were compatible with previous studies and confirms PCNL as a successful surgical method for treatment of the urinary system stones. significant relationship between the operation time, dose of narcotic and duration of hospitalization (p=0.000).Conclusion: The result of this study was compatible with previous studies and confirms PCNL as.a successful surgical method for treatment of the urinary system stones.

Background: Percutaneous dilatational tracheostomy (PDT) is a common surgical procedure in the ICU. The present study was conducted to compare semi-surgical percutaneous dilatational tracheostomy (SSPDT) with conventional percutaneous dilatational tracheostomy (CPDT). Methods: The present randomized clinical trial was conducted on 160 patients hospitalized in the medical intensive care units (ICUs) with an indication for tracheostomy and were systematically divided into two equal groups of 80. In the CPDT group, after a small incision, a 16-gauge needle was blindly inserted into the trachea and the guidewire was placed inside the lumen. A stoma was created by passing a single dilator over the guidewire. In the SSPDT group, a transverse incision (2 cm) was made 1 cm below the cricoid, and the tracheal ring was then fully reached by releasing the subcutaneous tissues using the index figure, and PDT was then performed. The two groups were compared in terms of their tracheostomy complications (including bleeding, pneumothorax, stoma infection and accidental decannulation) and duration of the procedure. Results: The two groups were homogeneous in terms of age, gender, mean APACHE score (P>0. 05). There were no significant differences between the two groups in terms of the mean time from tracheal intubation to tracheostomy (P=0. 869). The duration of the procedure was 5. 16± 1. 72 minutes in the SSPDT group and 6. 42± 1. 71 in the CPDT group (P<0. 001). The complication rate was 7(8. 75%) in the SSPDT group and 16(20%) in the CPDT group (P=0. 043). Conclusion: SSPDT is safer and has fewer complications than CPDT in ICU patients.

Background: One of the most common urologic diseases is renal and urinary tract stone. Patients experience severe pain after lithotripsy operation; one cause maybe the limited knowledge about the procedures. Due to important and considerable application of percutaneous nephrolithotomy (PCNL) procedure, we decided to evaluate the effect of preoperative education on postoperative pain and anxiety in these patients.Methods: This clinical trial study included 130 patients who underwent the percutaneous nephrolithotomy. Nephrolithiasis was confirmed via spiral computed tomography (CT) scan in them. Patients divided randomly into two groups. This study followed with two parallel groups of equal size, and the effect of preoperative education on postoperative pain and anxiety evaluated by means of visual analog scale (VAS) and Beck Anxiety Inventory (BAI), respectively. Postoperative anxiety and pain intensity were compared using independent t test. Findings: The mean anxiety level was 34.89 ± 4.84 and 22.98 ± 2.37 in control and case groups, respectively (P<0.050). In addition, the mean pain intensity level was 74.44 ± 26.74 and 34.18 ± 8.17 in control and case groups, respectively (P<0.050).Conclusion: In our study, postoperative stress and pain intensity after percutaneous nephrolithotomy were significantly less in experimental group. Due to less costs of preoperative educations and potential physiological and psychological effects, it is acceptable for patients to get information before surgery.