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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 short review of results with palbociclib in a real world daily clinic
Abstract : Background: Palbociclib (P) was the first cyclin-dependent kinase 4/6 (CDK4/6) inhibitor approved for ER+/HER-2 negative advanced breast cancer patients. Neutropenia is commonly observed. Aim: We carried out a review of our data to provide a real-world experience of the results and toxicities associated with this th..
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Travel Clinic and 10 Travel Checklist: One Health Medical Center Pretoria CBD 0123224541
My opinion: Introduction: International travel can be exciting but poses health challenges peculiar to an individual or country. Travel consultation is advisable before setting off to a new city or country. The steps taken for a safe trip begin with preparations from home to the mode of travel and the travel destination and contin..
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Worth Investigating Futuristic Potential For Patient Education Regarding Sugammadex Especially If Patient Is Self-Paying, Peripartum, Postmenopausal, Or Transgender Woman
My opinion: American Society of Anesthesiologists (ASA) has apparently recommended sugammadex use over neostigmine use by anesthesia providers to antagonize maybe most of their patients' neuromuscular blockade [1]. This may make sugammadex use the norm rather than the exception because although dosing and redosing of sugammadex ma..
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Technique For Awake GlideScope Intubation Under Topical Anesthesia
My opinion: For predicted difficult airway intubation, awake fiberoptic intubation under topical anesthesia has been there for quite a while especially when prediction is difficult-to-impossible to safely intubate trachea under any level of sedation with or without loss of spontaneous breathing. Except for awake fiberoptic intubat..
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Automated Management By Algorithms With Cash Payment By Patients
My opinion: When humans inexplicably get detached from their privileged humanity while inexplicably seeking attachment with marginalized artificial intelligence, this seemingly inexplicable act of treason may appear just, only in the retrospect if and when marginalized artificial intelligence will somehow win over privileged human..
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ANTITHESIS OF 33% PROBLEM
My opinion: When I first heard about 33% problem [1-3], I thought that 33% problem is going to haunt me despite moving from India to the United States (U.S.). When graduating to practice anesthesia in India, I had often heard that we as anesthesiologists in India must ensure that we get paid for our anesthesia services at least at..
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Self-Timed Six-Weeks Walking-Steps Data Of A Medically Directing Anesthesiologist
My opinion: For as long as I can remember, I have always been a keen walker well before realizing that American Heart Association recommends walking for health [1-2]. It seems that our evolutionary past is persisting within our genes that helped survival of our ancestors as modern humans coming out of Africa on foot to populate th..