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Are We Prescribing More Than 3-Days Worth Opioids' Prescriptions To Our Outpatient Surgical Patients When Discharged On Day Of Surgery? A Quality Improvement Study Worth Exploring
Background: Since the time when Centers for Disease Control and Prevention (CDC) came up with the guidelines [1] to further responsible attitude towards opioid prescriptions in acute pain settings, we have been wondering the status of awareness among opioid prescribers in our institution as well as their responsiveness to the CDC ..
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Personality Disorders: A Review of the Current State of Knowledge
Abstract : Personality disorders are the most common serious mental illness. People suffering from these disorders tend to exhibit emotional patterns and behaviors that seem troubling to the majority of people and are not necessarily explicable by immediate environmental stimuli. Nevertheless, many clinicians are unfamiliar with ..
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Induction of labour in women with nonscarred uterus using balloon catheter: Randomised controlled trial
Abstract : Induction of labour is a common obstetric procedure. At present, different methods are used for induction of labour in women. One of these methods is Foley catheter, which is a low cost method that can induce labour with less risk to the fetus. This is one of the first studies in the Middle East aiming to study efficac..
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Crossed Steinmann Pin Fixation In Supracondylar Femur Fractures In Adults A Case Series
Abstract: Supracondylar femur fractures in adults is a complex fracture constitutes approximately 1% of total fractures and 4-7% of all femoral fractures (Kolmert, 1982)1. There is a bimodal distribution, with ..
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Gait Analysis in Uner Tan Syndrome Cases with Key Symptoms of Quadrupedal Locomotion, Mental Impairment, and Dysarthric or No Speech
Abstract: Introduction: Uner Tan syndrome (UTS) consists of quadrupedal locomotion (QL), impaired intelligence and dysarthric or no speech. Previously, I described the walk of cases with UTS as diagonal sequenc..
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Stress symptoms among students in an elementary school in Kashan, Iran
Abstract: Background Some people think that children’s world is full of games and free from any tension. However, children might feel mental and emotional pressure due to different stressors. Therefore, this study was conducted to assess the stress symptoms among students in elementary school in Kashan, Iran. Methods A cross s..
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Duality of stochasticity and natural selection shape the ecology-driven pattern of social interactions: the fall of Hamilton's rule
Abstract: Both competition and cooperation are pervasive at all levels of biological organization. Traditionally, the theory of evolution, understood as “red in tooth and claw” is challenged by the mere existence of cooperation. As a plausible explanation of this conundrum, Hamilton’s rule has dominated sociobiology for 50..
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High Resolution Melt Curve Analysis- An Innovative Approach for Molecular Diagnosis
Introduction : High Resolution Melting (HRM) is a homogeneous, extremely powerful technique for SNP genotyping, mutation scanning and sequence scanning in DNA samples [1]. Enabled by the recent availability of improved double-stranded DNA (dsDNA)–binding dyes and next-generation real-time PCR instrumentation, High Resolution Meltin..
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Comparison of Thrombin Generation Assay (TGA) and Non-Activated Partial Thromboplastin Time (NAPTT) for the Assessment of Enhanced Procoagulant Activity in Immunoglobulin Solutions
Abstract: The recent revision of the European Pharmacopoeia stipulates that all intravenous immunoglobulin solutions must be investigated with respect to procoagulant activity. Accordingly, the manufacturing processes must be validated regarding the removal of such compounds, to ensure a minimized thromboembolic risk for patient..
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The Germ-soma Conflict Theory of Aging and Death: Obituary to the "Evolutionary Theories of Aging"
Abstract: Regarding aging, the scientific community persists in a state of collective schizophrenia. This state is owed to the so-called “evolutionary theories of aging”. According to these theories, aging, following the peri-/postreproductive decline of selection pressure, is posited to be haphazard, not selected for, not a..
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The Potential Usefulness of Pre and Post Operative Risk Group Stratification in Predicting PSA Failure after Radical Prostatectomy for Localised Prostate Cancer
Abstract: Background: There is no clear cut way of predicting exactly prior to radical prostatectomy which patients would subsequently develop Biochemical failure post operatively.Aims: To investigate the usefulness of Risk Group stratification based upon: pre-operative PSA, clinical staging and Gleason score assessment of prost..
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Is Your Journal Indexed in PubMed? Relevance of PubMed in Biomedical Scientific Literature Today
Introduction: The arrival and spread of internet has enabled development of better bibliographic scientific databases with significantly improved capacity for storage and retrieval. In recent years, electronic database searching has become the default mode of bio-medical information retrieval. The National Library of Medicine (NLM) ..
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A Bioelectric Model of Meridian Channels in Pain Control and Wound Healing with Noninvasive Rectangular Pulse Electric Current Stimulation (RPECS)
Abstract : Questions: What are the meridian channels? Where do they locate if they exist? How do they function to control pain or cure diseases? The answers are not fully clear or confirmed today to our best k..
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Scalp cooling use in breast cancer patients receiving neoadjuvant/adjuvant systemic chemotherapy in England
Abstract : Background Chemotherapy-induced alopecia is a distressing side-effect. Currently the use of scalp cooling has been encouraged but we do not really know the rate of compliance or success in routine practice. Methods We have carried out an audit in our centre to assess both, compliance and success in our patients diagnos..
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Add Jaw-Thrust To Evolve 2-Rescuers Hands-Only CPR
My opinion: Cardiocerebral resuscitation (CCR) as an evolved form of cardiopulmonary resuscitation (CPR) has been termed as Hands-Only CPR (HOCPR) for the lay rescuers.[1] iStan Adult Patient Simulator (CAE Healthcare, Saint-Laurent, Quebec, Canada) provides definitive evidence of “covert” pulmonary resuscitation happening dur..
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COST CONSENT
My opinion: In medicine, patients’ consent for their medical management has evolved as a core ethical principle. One question arises: How responsibly do the patients give consent for their medical management [1-2]? Then the question comes: How can the patients responsibly give consent when they are not fully aware of what costs ..
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Referrals to Occupational Health Services for Burnout
Abstract: Healthcare workers who suspect or report burnout at work should seek occupational health services. They may need professional evaluation and health management prior to return-to-work...
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The birth of antibiotics: cutting a long story short. Part 1
A difficult beginning : Nowadays we are so used to the antibiotics that we take them for granted. However, there was a time were common bacterial infections were at ease and minor scratches or simple cuts were fatal. All started when syphilis, although known for centuries, became the 19th century version of today’s Aids epidemic. This se..
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Legal death asks, "What's in a name?"
Abstract: Legal death asks, “What’s in a name?” Before defining death, we must understand what life is and, after understanding life, we must ponder why we are defining death. Essentially, death is the time-point when the body, as a whole, is ready to begin its irreversible decomposition and decay so that the elements form..
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NSND (Not Sure-Never-Definitely) {YNDK (Yes-No-Don't Know)} APP: "Rate Thyself"
Introduction: In the modern digital world of online ratings-and-reviews, it is important to “Know Thyself” [1-4]. Therefore, instead of being rated-and-reviewed only by strongly motivated consumers who are documenting their strongly perceived positive-or-negative interactions-and-experiences, facilities-and-providers should them..