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Background and Objective: Heart failure is the end stage of cardiac disease after that myocardium has used all its reserve and compensatory mechanism. This is a descriptive survey for determine underlying and precipitating etiology of congestive heart failure among patients who admitted on CCU and cardiac department of 5th Azar Hospital of Gorgan. Materials and Methods: In this study 145 patients aged between 19-87 years have participated by data collection using questionnaire and analysis by SPSS-10. Results: The results indicated. The most common underlying causes are myocardial ischemia (57.3%) and the most common precipitating factors is inappropriate drug therapy (75.8%). Orthopnea (86.2%) and ralls (82.8%) are the most symptoms and physical exam findings. AF rhythm with 24.1% is the most common arrhythmia and cardiothoracic ratio more than 0.5 is the most abnormal finding in CXR-PA. The average ejection fraction (EF) in male patients was 32.3% and in women it was 35.7%. There was meaningful relationship between male sex and EF (P<0.05). Conclusion: This study indicated that good control of HTN and preventing of (CAD) incidence are the most important factor to avoid from CHF and appropriating drug therapy has the essential role to maintain compensated state in heart failure.

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Background&Objective: In recent century, progress of technology and hygiene has caused improvement of human life. But factors such as car accidents and braws cause body damages. Due to absence of about the prevalence of jaw and face fractures proper pattern and related damages in Golestan province, this study was done to determine the pattern of jaw and face fracturs in 5th Azar hospital in Gorgan – Iran (2003-04). Materials&Methods: In a 3-years prospective study (2003-04), 221 patients in referral hospital in Golestan province were evaluated and data about demography, etiology, related damages and therapeutic procedures inserted in informational forms and extracted data was analysed by SPSS 11.5 software. Results: In this study 84.1% and 15.9% of patients were male and frmale, respectively and most of them were 21 to 30 years old. The most common causes of fractures of jaw and face in these patients consist of driving accident (72.8%), falling down (15.4%) and major trauma (11.8%). In accidents, motor accidents were the commonest cause (60.9%). Mandible bone was the commonest site of fracture (77.8%) and trauma to the skull and nervous tissues was the most common accompaniment damage. Open reduction was the main therapy in these patients. Death was not seen in this study at all. Conclusion: This study showed that driving accidents, specially motor accidents are the most common causes of fractures of jaw and face. Therefore , emphasis on observation of driving regulations and use of life belt and helmet is very important.