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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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The Missing Link At Anesthesia Induction: Excessive Dynamic Airway Collapse
My opinion: As an anesthesia provider, it has always bewildered me that despite visual confirmation of endotracheal tube’s passage across the vocal cords on video-laryngoscopy, capnography confirmation on the anesthesia monitor is sometimes delayed by few-to-many breaths. This delayed appearance of end-tidal carbon dioxide can b..
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"It's poverty, Covid"
My opinion: In 1990s, James Carville said that it is all about economy whichever way one looks at it [1]. Essentially, economy has evolved as a guise for food energy because food energy for individual’s survival requires individual’s society’s economic growth. Now the question arises whether food energy availability is modif..
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Idiopathic Postoperative Paresis: Know The Unknown
Case Report(s): Postoperative paresis can be frustrating when aetiology is unclear. Herein, after obtaining written and informed consents, we are presenting perioperative hospital course of two patients with “idiopathic” postoperative paresis. Case One: 31-year-old multigravida female presented to labour and delivery suite in ac..
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Investigate In-Mask Temperature As A Surrogate Indicator Of Potentially "Therapeutic" Nasopharyngeal Temperature Denoting Masks' Therapeutic Efficiency To Complement Masks' Filtration Efficiency Against SARS-CoV-2 And Its Variants
My opinion: Abundance of information leading to abundance of interpretation leads to abundance of misunderstanding thus creating a double jeopardy preventing the true understanding of information. Herein, I am sharing my interpretation hoping to correct the misunderstanding unless my understanding of the ever-changing situation ma..
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My In-Mask Micro-Climate's Hot And Humid Efficiency
My opinion: Since the dawn of COVID-19 pandemic, I have been personally exploring my masks’ ambiance. After documenting in-mask heat and humidity objectively determined with Hygrochron iButton DS1923 in my face covering [1], I had been wondering whether my in-mask micro-climate will differ (A) if simple mask vs. valved mask vs. ..
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The Effects of Wet Cupping on White Blood Cells Count: A Retrospective Study
Introduction: Background: Wet cupping is the process of using a vacuum at different points on the body but with incisions in order to remove 'harmful' blood, which lies just beneath the surface of the skin. Cupping can be used on the neck, shoulders, back, sacral area, hip, abdomen, thigh, upper arms, and calves 1. Although there ..
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Triple negative breast cancer under neoadjuvant treatment: the role of assessment ultrasound.
Abstract : Triple-negative breast cancer is a separate entity that comprises several molecular subtypes driven by specific genetic alterations that might potentially be targeted. However, currently most patients continue to receive standard chemotherapy regimens. Neoadjuvant treatment is accepted for larger tumours and locally ad..
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Can Audiometry/Tympanometry Unravel If Our Masks Not Allowing Our Ear Drums To Vibrate Freely?
My Opinion: It happens to be a chance real observation and a chance theoretical interpretation. It is just an amusing tell-tale that what people are saying and what we are hearing is not exactly the same when they or we especially when they and we are wearing masks. So, the question arises how the masks are affecting our hearing [..