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Ectopic pregnancy is a major cause of maternal morbidity and mortality, increasing in incidence worldwide . Ec - topic pregnancy is responsible for a significant proportion of maternal mortalities in the united states, comprising about 9% of all such deaths . The accurate diagnosis of ectopic pregnancy can now be made ...
Tinnitus may be pulsatile and synchronous with the patient's heartbeat or non - pulsatile and continuous . Pulsatile tinnitus is generally subjective but sometimes audible (objective) to the examiner by ear or by a stethoscope . Several vascular conditions can lead to pulsatile tinnitus, such as arterial bruit, venous ...
We report a 66-year - old man who struggled with a painless left - sided chest mass for almost a year without an established diagnosis . Prior to this report only eight other cases have been documented in literature of an intercostal hernia being induced by coughing or other source of increase in positive pressure in t...
Obstructive sleep apnea syndrome (osas) is a common disorder, which is characterized by instability of the upper airway during sleep, resulting in reduction or elimination of airflow, oxygen desaturation, and sleep disruption . Approximately 4% of middle aged men and 2% of middle aged females are estimated to be affect...
A dearth of effective treatment strategies exist for global cerebral ischemia - reperfusion (gci / r) injury following successful resuscitation from out - of - hospital cardiac arrest (ohca). Ohca is a devastating disease process with neurological injury accounting for a disproportionate amount of the morbidity and mor...
Polymyositis (pm) is an idiopathic inflammatory myopathy with a prevalence of 1013 cases per 100,000 people in japan1 . In pm, respiratory symptoms, such as interstitial pneumonia, are frequently observed in patients with dermatomyositis3 . Therefore, physiotherapy may improve the limb muscle strength and activities of...
The incidence of melanoma has more than doubled over the last two decades, making it one of the fastest rising cancers worldwide . Currently, however, the mortality rate is significantly higher than the 1.3% diagnosed with incurable metastatic disease at presentation, implying its metastatic potential (reviewed in [1, ...
They also shift the center of gravity to the non - paretic lower limb causing asymmetric posture, decreased body balance, and reduced weight movement ability1 . The balance ability of hemiplegic patients suffering from stroke is the most important factor for them and their family members, and its improvement is the mos...
Colorectal cancer is one of the most common malignancies, with one million new cases each year worldwide.1 liver metastases are detected in 40% to 60% of patients with colorectal carcinoma and in one third of the cases it is the sole site of disease.24 if untreated, the median survival of patients with hepatic metastas...
Traumatic brain injury (tbi) is one of the leading causes of morbidity and death in pediatric patients, and diffuse injury is the most common cause of death in this population . The contribution of brain edema in cases of tbi remains a critical problem and the role of the decompressive craniectomy in the management of ...
Increasing patient risks and costs associated with the delivery of health care services have been related to inappropriate and uncontrolled use of both diagnostic and therapeutic interventions which make evidence - based guideline recommendations for best clinical practice increasingly important . According to the beac...
The concept of colony stimulating factor (csf) as a hematopoietic induction, differentiation, and growth factor was first discussed in 1966 (1). A case of malignancy was later reported with increased csf activation in serum and urine in 1974 (2). Afterwards, it was demonstrated for the first time that csf was directly ...
Historically, the emergence of novel influenza virus subtypes in the human population has been associated with worldwide epidemics (or pandemics). In recent history, the most devastating example of a new subtype emerging in the human population was the 1918 influenza virus, which expressed a subtype 1 hemagglutinin pro...
Extensive use of extended - spectrum cephalosporins, fluoroquinolones and carbapenems for treatment of these infections, has led to a significant increase of resistance in these bacteria . Resistance mechanisms such as production of -lactamases, plasmid - mediated quinolone resistance (pmqr) and carbapanemases have cau...
Intestinal obstruction is a common surgical emergency frequently due to adhesions, tumors, inflammatory disorders, volvus, and external or internal hernias . They can occur mainly in patients who have undergone gastric surgery and in multiple sites of the gastrointestinal tract . There are many treatments for intestina...
Dystonia is a hypertonic condition caused by damage to the central nervous system, which is associated with pulling and stiffness of muscles . There are several different forms of dystonia, which may affect only one muscle, groups of muscles, or muscles throughout the body . Cervical dystonia (cd), also called spasmodi...
A 66-year - old healthy man was referred from a private dental clinic for evaluation of a multilocular radiolucency at the left molar region of the mandible . Panoramic radiograph revealed a well - defined multilocular radiolucent area under the mandibular canal at the distal root of the second molar tooth (fig . The l...
Estradiol-17 (e2), the predominant and most biologically active estrogen, is an 18 carbon (c-18) steroid with an aromatic a - ring . It is synthesized mainly by the ovary; however, other organs and tissues, including adipose tissue, the brain (neurons, astrocytes, and microglia), cells of the immune system, and bone, a...
The primary objective of any diagnostic imaging modality is to accurately define the presence, the type, and the extent of disease in order to optimize patient management decisions and best plan therapeutic and surgical interventions . In women with suspected breast cancer, the aim of diagnostic imaging is to detect an...
It was found that job stress brought about hazardous impacts not only on nurses health but also in their abilities to cope with job demands . This seriously impairs the provision of quality care and the efficacy of health services delivery . Stress has a cost for individuals in terms of health, wellbeing, and job satis...
Anal fistula is a debilitating disease that requires complicated medical interventions to treat the patients (1). According to the studies, the incidence of fistula - in - ano ranges from 2638% (2). Its prevalence has not been exactly defined, but a few studies have reported its prevalence in limited populations (3). T...
Insulin resistance is the critical pathophysiological disorder in the vast majority of individuals with type 2 diabetes (t2d). Obesity is associated with tissue inflammation which is now recognized as a critical etiology of insulin resistance [14]. Circulating white blood cell counts, including absolute neutrophil and ...
The endoscopic component separation technique [ecst] is an emerging technique for repair of large ventral hernias (1). The technique offers specific advantages to the open technique and to traditional ventral hernia repair . Although the technique is growing in popularity, these types of procedures represent a minority...
Short stature is defined as a stature more than 2 s.d . Below the age - adjusted mean and diverse etiologies of short statue have been identified and include endocrinological short stature caused by deficient secretion of growth hormone and/or thyroid hormone, excessive secretion of cortisol due to pituitary / adrenoco...
Dedifferentiated chondrosarcoma (ddcs) is a rare and malignant form of primary bone tumor refractive to chemotherapy and radiotherapy . We report a case of a 51-year - old male having a swelling and an ulcer distal to the left knee later diagnosed with dedifferentiated chondrosarcoma of proximal tibial and fibular meta...
A 39-year - old woman was seen in our clinic due to decreased visual acuity in her left eye . Her best corrected visual acuity (bcva) was 20/20 in the right eye and 20/200 in the left eye . Fundus examination revealed a yellow ovoid lesion with subretinal fluid in the surrounding retina in the superior extrafoveal regi...
Cell culture: canine melanoma cell lines, cmgd2 and cmgd5, were kindly provided by dr . All cells were grown in rpmi1640 containing 10% fbs and 1 anti - biotic / anti - micotic (life techologies, carlsbad, ca, u.s.a . ). Antibodies: antibodies were obtained from the indicated supplier: anti - total pp2ac (merck millipo...
Overweight and obesity are increasing in many parts of the world and are one of the major risk factors causing health problems . Preventing adolescents from becoming obese adults is important for their future health and may reduce health - care costs . Weight control and ideal body shape have evolved to be a main focus...
The functional assessment of cancer therapy - general (fact - g) questionnaire, designed to measure quality of life (qol) in cancer patients, has gone through many validation studies, both in its english and translated versions [2 - 5]. However, little research has been conducted in south american spanish speaking pati...
Obesity has reached epidemic proportions in american adults and children and in most parts of the developed world [1, 2]. Childhood obesity has indeed become one of the foremost issues in contemporary biomedical research particularly because of its importance in predicting adult overweight and obesity as well as its as...
In 2014, nearly 1 in 6 pediatric residents in the united states participated in an international health elective (ihe) in a resource - limited setting . This increased activity occurs against a backdrop of a growing awareness of the importance of providing global health (gh) education for all residents, not merely thos...
It is usually done under local anesthesia with sedation under monitored anesthesia care (mac) or general anesthesia. [24] patients may feel discomfort due to pain, noise due to suction, manipulation of instruments and head - neck position . Commonly used medications for mac are benzodiazepines, opioids and propofol . M...
Mucus hypersecretion is a notable aspect of a variety of chronic inflammation diseases including asthma, chronic bronchitis, bronchiectasis, and cystic fibrosis [1, 2]. Excessive production of mucus leads to airway mucus obstruction, thus contributing to the morbidity and mortality in these diseases . As the major comp...
Maternal mortality, which is widely accepted as a key indicator of population health and of socioeconomic development,1 is high in many african communities . Africa, particularly sub - saharan africa (ssa), has made insignificant progress toward reducing maternal mortality rate in the continent where almost half of the...
The public health impact of both childhood obesity and current rates of hiv infection and other sexually transmitted diseases (stds) among adolescents is substantial, and each problem represents a significant threat to the health of young people in the united states . In addition to increased risk for cardiovascular di...
Smooth muscle - derived uterine leiomyosarcomas are frequently aggressive tumours accounting for one third of all uterine sarcomas . Even with early diagnosis, metastatic recurrence rates are high for leiomyosarcoma, with the lung, subcutaneous regions and abdominal cavity being the most frequent sites . Prognosis is p...
A large number of common genetic variants have been found to be associated with obesity phenotypes in europeans [13]. Variants in the fto (fat mass and obesity - associated) gene have demonstrated the strongest associations with obesity in europeans [1, 4, 5]. However, results from a recent study in indians from pune (...
The relationship between illness and emotions has attracted for a long time the humanity . More than 300 years ago, thomas willis suggested that there was a relationship between diabetes and depression, and that diabetes was the result of long sadness (1). Reports from the international diabetes federation indicate tha...
Human immunodeficiency virus (hiv)-associated cholangiopathy is a biliary obstruction resulting from benign stricture of the biliary tract in patients with advanced acquired immune deficiency syndrome (aids) (1). The biliary tract is a frequent site of infection in patients with aids, and this complication was estimate...
, cancer has been the most common cause of death since 1990, accounting for 27.6% of all deaths in 2012 . Since the vatican s 1980 declaration reaffirmed that disproportionate means of preserving life, which are understood as offering no reasonable hope of benefit or involving excessive burdens on the family or communi...
To address some of the aforementioned outstanding questions, a study by tadokoro et al . Published in this issue (p. 505) (11) and another recent joint study by tang et al . Published in nature immunology (12) used the increasingly popular technique of two - photon laser scanning microscopy to examine potential interac...
Bacterial strains: three h. cinaedi strains were used in this study and have been previously described . The t22 and t34 strains were isolated from the feces of a healthy dog and hamster, respectively . The h. cinaedi ccug 18818 strain was obtained from the culture collection at the university of gteborg, sweden and wa...
Postpartum depression with symptoms such as anxiety, depressed mood, forgetfulness, and irritability is similar to depression in other periods of life, but its incidence is three times more in the first 5 weeks after delivery . Postpartum depression has serious consequences on the quality of life of the mothers and the...
Nonlinear spectroscopy and photostimulated second harmonic generation (psshg) are the two important tools to investigate the higher - order nonlinear optical processes, in particular, in semiconductors . So, in order to observe the psshg, one needs to have a noncentrosymmetric process . These include (1) the reduction ...
Developmental disability (dd) is a group of severe chronic conditions that are attributable to an impairment in physical, cognitive, speech, language, psychological, or self - care areas that are manifested during the developmental period (younger than 22 years of age). Intellectual disability (i d) is a disability cha...
The avoidance of long - term immunosuppression by achieving immunological tolerance would be the ultimate solution to improving long - term patient survival and giving kidney transplant patients a better quality of life . Unfortunately, owing to its complex immunopathogenesis, true immunological tolerance to avert allo...
The digestive disease week (ddw) meeting was held in may 18 - 21, 2013 in orlando, usa . As in previous meetings, endoscopic ultrasound (eus) was an important topic in this meeting because it has been widely used in diagnosis and treatment of gastrointestinal and pancreatic diseases . New progresses discussed in the me...
A complete list of categorized references for all articles captured in this review can be found here.
Spontaneous cerebrospinal fluid (csf) fistula of the skull base is an uncommon condition associated with multiple etiologies and can have a variable presentation . Of note, obese, middle - aged, and multiparous women most commonly develop this condition.1 2 intractable, watery discharge from the nose (rhinorrhea) that ...
Soon after the enactment of the medicare program in 1965, it became clear that fulfilling the mandate of providing health care security to medicare beneficiaries would require assurances that funds were used effectively and that beneficiaries received care consistent with medical quality standards . The systems designe...
The crowns of erupted human teeth are covered by symbiotic microbial communities, mainly composed of gram - positive saprophytic bacteria which are normally harmless to the tooth . These communities adhere as biofilms to the highly mineralized enamel that constitutes a barrier which is impermeable to microorganisms and...
It has a propensity for leptomeningeal spread via the cerebrospinal fluid (csf) circulation, and approximately 3035% of the patients present with evidence of metastatic disease . Currently, patients with disseminated medulloblastoma are classified according to chang's operative staging system, where the extent of metas...
Despite our efforts to keep fit, eat sensibly, and avoid accidents, we inevitably succumb to age - related diseases . Cells cannot reproduce indefinitely, presumably due to the unavoidable accumulation of dna errors . To achieve longevity, we are urged (among many other precautions) to avoid ionizing radiation and choo...
A considerable number of patients with surgical emergencies may develop visceral or retroperitoneal oedema due to severe inflammation, shock and fluid resuscitation . This oedema may prevent primary closure of the abdomen or may lead to dangerously high intra - abdominal pressure (iap) and abdominal compartment syndrom...
In randomized controlled trials (rcts), the participants are allocated to two groups of intervention and control for the comparison of some outcomes between them (1). Rcts are considered the most valuable method to assess the efficacy of treatments whether or not the result of a comparison is statistically significant ...
Patients with complaints of radicular pain, neurological deficit, discal herniation, fractures, infection, malignancy, serious systemic disease, and pains secondary to established diagnosis of psychotic disorders were not included in the study general demographic information of the patients were obtained, and then slee...
Hearing disability derives from a deficiency in hearing ability and the performance of an individual in communication . The severity of the disability depends on the nature and magnitude of hearing loss and, consequently, on the hearing difficulties experienced by the listener.2 hearing disability derives from a defici...
Multimorbidity is often defined as the concurrent presence of multiple chronic conditions [14]. The prevalence of multimorbidity is highest among the elderly, with estimated rates ranging from 55% to 80% [5, 6]. With advancements in medical technology and prolonged life expectancy, approximately 81 million americans wi...
Chronic kidney disease (ckd) is associated with increased cardiovascular events and mortality when the glomerular filtration rate declines below 60 ml / min [13]. One significant event in ckd patients is the development of calcitriol deficiency secondary to the reduction / absence of kidney 1-hydroxylase which mediates...
Primary renal synovial sarcoma (prss) was initially described by faria et al . In 2000 detection of characteristic cytogenetic abnormality t(x, 18) within this group of tumors led to the recognition of a renal synovial sarcoma . These tumors harbour characteristic translocation t(x; 18) (p11; q11) described for synovia...
In vivo bioluminescence imaging (bli) is a low - cost, noninvasive, and valuable tool for studying physiological and pathological processes at cellular and molecular levels . This technology has been applied to various biological models to diagnose disease, monitor therapies, and facilitate drug development [15]. Howev...
Pycnodysostosis, a rare bone dysplasias with an estimated prevalence of 1/million is characterized by physical features of dwarfism, hypoplastic nails, blue sclera, proptosis, parrot beak nose, frontal bossing and radiographic features of osteosclerosis, multiple fractures, acro - osteolysis of the distal phalanges, no...
The unicornuate uterine anomaly is often difficult to diagnose and usually low on the list of differential diagnoses for pelvic pain and dysmenorrhea . The authors present a case of a rudimentary uterine horn as a cause for continued pelvic pain and dysmenorrhea in a previously hysterectomized woman a 43-year - old wom...
The online version of this article (doi:10.1007/s00441 - 008 - 0613 - 9) contains supplementary material, which is available to authorized users . The major aim of our study has been to test several combinations of factors associated with a cryopreservation procedure by using slow- and rapid - cooling methods for early...
Laparoscopic cholecystectomy (lc) is recognized as the gold standard method for treating symptomatic gallstone disease . Gallbladder perforation with subsequent gallstone spillage can occur with higher frequency in lc than in traditional open approach . These stones are usually benign but can migrate to various sites l...
Amputation was the standard method for achieving local control of tumors of the proximal tibia prior to the early 1970s . Since the advent of effective chemotherapeutic regimens, limb sparing surgery provides improved patient function and acceptance when compared to amputation [41, 43, 46]. The first limb salvage effor...
Millions of people take time off work annually to treat and recover from work - related musculoskeletal pain or impairment in the lower back or upper extremities . Manual handling and lifting are the major causes of work - related back pain . However, back pain and in particular lower back pain are also common in other...
Obesity and its associated diseases such as noninsulin dependent diabetes, atherosclerosis, and cardiovascular disease are a main cause of mortality and morbidity . Development of adipose tissue is a complex process in which growth factors, cytokines, adipokines, proteases, and hormones control extensive modifications ...
The loss of an eye has been regarded as the greatest misfortune, and indian literature showed a 23-fold higher incidence of tumors of the eye as one of the main reasons in children below 15 years of age . Surgical procedures in the removal of an eye are classified into three general categories: evisceration, enucleatio...
Maternal health plays a significant role in determining as well as predicating the health of the offspring later in their life . Fetal exposure to maternal diabetes in utero increases the risk of obesity / adiposity, glucose intolerance, and type 2 diabetes for offspring in later life [25]. Animal studies revealed that...
The international organization for standardization (iso 15189:2012 document) claims that necessary improvements and potential sources of non - conformities, either technical or concerning the quality management system, shall be systematically identified and corrected (1). The above standard deals with quality system re...
Monocular downbeat nystagmus is a very rare manifestation of combined nuclear - supranuclear ophthalmoparesis that is seemingly a secondary dysfunction of cerebellar - modulated crossed oculovestibular fibers of the superior cerebellar peduncle, integrator neurons, or posterior commissure crossing fibers originating at...
Non - melanomatous skin cancer is the most common cancer worldwide, with basal cell carcinoma (bcc) representing the largest portion, with over 3 million cases diagnosed annually . Although it can occur anywhere, it most frequently occurs in areas with excessive sun exposure such as the head and neck . Factors includin...
Cancer of the breast is the most common cancer in both developing and developed countries and is responsible for over one million in an estimated ten million neoplasms diagnosed in both sexes worldwide . Breast cancer is also the primary cause of cancer death among women globally, responsible for about 425,000 deaths i...
The pelvic floor muscles (pfms) play a significant role in continence control, pelvic organ support1, and stabilization of the lumbo - pelvic region2 . Recent studies have found that the pfms perform subsidiary roles in posture control and ventilation3, and contribute to spinal stability4 . The most established risk fa...
As producers and decomposers, bacterioplankton are a key component of microbial food webs and play significant roles in biogeochemical cycles . In algae bacteria symbiosis, bacteria extensively participate in substance cycles, oxidation reduction activities, and regulate the balance of phytoplankton ecosystems, which i...
Two thousand years ago, hippocrates described hydatid disease of the liver as the liver full of water . Tyson in 1687 suggested the parasitic nature of the disease . The details of its clinical aspect, however, only became clear at the beginning of this century . Hydatid disease is common in the sheep - rearing areas o...
Prostate cancer is the most commonly diagnosed nonskin malignancy in men and is the second leading cause of cancer - related death in the united states . The incidence of prostate cancer is also rapidly increasing in korea . In the united states, approximately 90% of patients with prostate cancer are diagnosed with ear...
Since 1994, bacterial artificial chromosome (bac) libraries have become an invaluable resource tool to initiate genomics research in theareas of genome sequencing, physical mapping, positional cloning, complex analysis of targeted genomic regions, and analysis of gene structure and function [18]. More recently, physica...
Cdse / zns semiconductor nanocrystals or quantum dots (qds) possess unrivalled photophysical properties, such as size tunable emission wavelengths, extremely high extinction coefficients over a broad absorption spectrum and enhanced photostability compared to organic fluorophores [14]. Moreover, several concepts have b...
Neonatal herpes simplex virus (hsv) infection manifests either as skin, eye, mouth (sem) disease, central nervous system (cns) disease, or disseminated disease . Disseminated neonatal hsv infection characteristically presents as a sepsis syndrome with fever, hepatitis, and pneumonia with or without encephalitis . Promp...
Before the mid1990s families referred to social services because of child welfare concerns were routinely screened using child protection procedures regardless of the reason for referral (gibbons, 1995; parton, thorpe, & wattam, 1997). Following the review undertaken in child protection: messages from research, (depart...
Acute aortic dissection (aad) has become a treatable disease due to recent advances in new therapeutic approaches for the management of heart and arterial diseases; however, development of quick and economic diagnostic methods remains a challenge . Variability in disease presentation often obscures diagnoses, and imagi...
Hepatitis c virus (hcv) infection affects 2050% of end - stage renal disease (esrd) patients and contributes significantly to morbidity and mortality following renal transplantation (rtx) [1, 2]. Hcv infection has a prevalence of about 2.666% among rtx patients in different countries with great genotype diversity in di...
Male 8-week - old wistar rats (200 250 g; specific pathogen - free (spf); japan shizuoka laboratory center) were individually housed in cages (33 23 23 cm) under controlled conditions of temperature (245 1c), humidity (55 5%) and light (12 h light12 h dark cycle). Rats were provided with a stock diet (charles river for...
Nonalcoholic fatty liver disease (nafld) is a clinicopathological syndrome characterized by hepatic steatosis with or without active inflammation (1) in patients with a negligible alcohol intake . There is growing concern about nafld, not only because this is a common liver disorder with a worldwide distribution, but a...
Pediatric atopy is increasingly prevalent and represents a significant financial and quality of life burden for children and families . In addition to significant morbidity, effects of disease and its treatment, such as fatigue and discomfort as well as frequent clinic visits, may result in academic and social challeng...
Endodontic failure occurs even when the highest standard and the most meticulous treatment procedure is adhered to . When conventional root canal treatment fails, endodontic retreatment is the preferred option as it is one of the most conservative methods . The main goal of retreatment is to regain access to the apical...
Erosive adenomatosis of the nipple (ean) was first defined by jones in 1955 who referred to it as florid papillomatosis or papillary adenoma of the nipple . In 1959 legal, et al . Coined the term erosive adenomatosis because of the clinical and pathologic findings . Adenoma of the nipple, sub areolar papillomatosis, pa...
Behet's disease (bd) is a multisystem recurrent inflammatory disorder that primarily affects young men . It is usually manifested as recurrent oral and genital ulcers, and skin and eye alterations . The neurological complication of bd, termed neuro - behet's disease (nbd), occurs in 5~30% of patients with bd . Parenchy...
The membranous labyrinth of the inner ear is a sensory system for sound, motion, and gravity, consisting of the cochlea, vestibular system, and the endolymphatic sac . The lumen of the membranous labyrinth is filled with endolymph, a k - rich, positively polarized fluid, whereas the surrounding spaces are filled with p...
In the previous issue of critical care, hochreiter and colleagues presented another piece of evidence suggesting that procalcitonin (pct) may indeed be a valuable diagnostic parameter to guide antibiotic treatment duration . Misuse of antimicrobial agents has been a long - lasting problem in intensive care units (icus)...
Prostate cancer (pca) is an important disease for public health care in the united states (us), europe, and korea because it is first in prevalence and second in mortality among men's cancer . The incidence rate of pca has markedly increased over the past 10 years in korea . Much evidence suggests that the risk factors...
The incidence of lung cancer in the people s republic of china has doubled in the past decade1 likely because of aging population, poorly controlled cigarette smoking, and air pollution associated with rapid economic growth.2,3 similar to the tumor histology distribution of lung cancer in industrialized countries,> 80%...
The persistent controversy [13] swirling about the safety and efficacy of the bisphosphonate (bp) class of medications has prompted us to provide an objective review of the early development of these drugs . Understanding the original studies leading to the introduction of bps for indications ranging from the alleviati...
Large posteromedial asymmetrical osseous defects are often seen in proximal tibia while performing a primary total knee arthroplasty (tka) in severe varus knees . Majority of these are peripheral uncontained defects . Depending upon the size of the defect, these can be treated with cementoplasty, cement with screw augm...
Mht occurs when the mean 24-h ambulatory blood pressure measurement (abpm) 130/80 mm hg or mean non - clinical (home or a pharmacy) periodic blood pressure measurement is 135/85 mm hg despite normal (<140/90 mm hg) polyclinic blood pressure . The prevalence of mht was observed to be 1017% in general population - based ...
It is the most common cause if stroke and renal failure . In case of no suitable treatment and control of hypertension, 50% of hypertensive patients will die of coronary artery disease, 33% of stroke and 10 - 15% of renal failure . In different studies, the prevalence of hypertension has been reported from 10% to 17% i...