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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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Audit of Paclitaxel induced Peripheral Neuropathy in Early Breast Cancer
Abstract : Paclitaxel induced peripheral neuropathy (PIPN) is predominantly sensory. It usually appears with higher cumulative doses (>1,400 mg/m2), being less frequent with weekly regimens or lower doses. Numbness, paresthesias and burning pain in a glove-and-stocking distribution, distal and symmetrical are the most frequen..
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Revisiting Skill Of Asleep Nasotracheal Intubation
My opinion: With the advent of video-laryngoscopy, numbers of fiberoptic intubation are dwindling and it is ironic that not so long ago, fiberoptic intubation had itself relegated blind nasotracheal intubation as a skill of the past [1-2]. However, despite the dwindling-to-absent numbers, the skill of the past may still have some ..
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Blemish To Banish The Food And Famish Beast Within For Good
My opinion: There are legends but it may be time to see what they truly are. Until it is biologically proven that snakes [1] acquire something by being near to paper money or golden treasures, the only thing one can decipher is that owners and hoarders of money or gold want to scare off beggars and stealers by keeping the myth of ..
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Compression-Ventilation Ratio Of 75:5 Per Minute Can Become 100:10 Per Minute From The Get-Go: Time To Mandate Continuous Quantitative Waveform Capnography During Cardiopulmonary Resuscitation As Bag-Valve-Mask Capnography May Allow Continuous Chest Compressions Without Pausing To Visualize Chest Rise
My opinion: When we as anesthesia providers can no longer imagine providing anesthesia and even sedation to our even emergently boarded surgical patients without continuous quantitative waveform capnography, it is ironic that American Heart Association is awaiting more evidence before it can universally mandate its recommendation ..
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Surgical Site Infections (SSIs): Can Clear Anesthesia Screen Drape Be Suppressing Self-Infection (SSI)?
My opinion: Since the onset of pandemic, it has been anecdotally observed that incidence of surgical site infections (SSIs) may be coming down [1-6]. One of the explanations thought to be underlying this presumed reduction in SSIs is sterner as well as more complete use of personal protective equipment (PPE) not only by providers ..
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What Comes First: Suction Or Intubation Just Like Suction Or Extubation
My opinion: Blind suctioning [1-2] of oral cavity and oropharynx prior to extubating endotracheal tube or supraglottic airway device is routinely recommended to prevent airways emerging from general anesthesia reacting in response to tracheal aspiration of oral and oropharyngeal contents accumulated there while endotracheal tube o..
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Zero-Sum Game between Marginalization of Privilege and Privilege of Marginalization
My opinion: There is a famous legend wherein in response to Emperor Akbar’s question to shorten a line without erasing it, his minister Birbal responded by making a larger line next to it [1]. Privilege like many other things in life follows the same pattern. One can only belittle it but can never discard it. Moreover, the story..
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Eternal Work-Kin-Me: Mentees Must Understand Mentors
My opinion: We talk about work-kin-me as a modern-day invention in response to our modern-day workaholism induced by our modern-day consumerism and our corresponding modern-day overconsumption [1-2]. However, whether deemed workaholics or engaged with work [3-4], modern-day workers like us may have to read between the lines writte..