Abstract Objective This study aims to assess a quality improvement intervention decrease opiate prescriptions at discharge and improve patient access multimodal analgesics (MMA) after otolaryngologic surgery. Study Design Longitudinal initiative with retrospective prescription trend review prospective questionnaire collection. Setting An academic medical center. Methods Opioid, acetaminophen, non‐steroidal anti‐inflammatory drug (NSAID) procedures were reviewed. Two annual department‐wide...

Artificial insemination (AI) has been used for avian reproduction due to the discovery of cryoprotectants extending its usefulness both in production domestic fowl and conservation wild species. The goal this study was assess effect on pooled semen individual ejaculate cryopreservation with dimethyl sulfoxide (DMSO) polyvinylpyrrolidone (PVP). Twenty ejaculates twenty samples roosters, pheasants hawks were frozen media containing DMSO or PVP. PVP are equally effective semen. Even is a good...

The Klippel-Trenaunay syndrome is a rare congenital disorder that affects one or more limbs. It characterised by cutaneous vascular nevi, venous malformations and hypertrophy of soft tissues bone. There are very few cases reported in pregnant women, so the level uncertainty high when it appears during gestation. disease increases obstetric risk can exacerbate complications, mainly thromboembolic haemorrhagic. We report below case woman diagnosed with this multidisciplinary management held our centre.

Chronic necrotizing pulmonary aspergillosis is not common and usually involves mildly immunosuppressed patients. We present a case of 58-year-old man with history mining-related pneumoconiosis corticosteroid therapy who developed bilateral infiltrates subsequent cavitation. The patient was treated at first as having community-acquired pneumonia only belatedly diagnosed suffering from after Aspergillus fumigatus precipitins appeared in blood the same fungus grew bronchoalveolar lavage fluid....

Children with femur fractures can have severe pain after elastic nail fixation. The purpose of this paper is to test the effectiveness an intraoperative hematoma block in controlling postoperative children that underwent fixation isolated fractures. We compared 13 who received bupivacaine a fracture concurrent control group 22 similar did not receive block. time first narcotic dose surgery was over 5 hours later versus (P = .008). significantly lengthen surgery. This study demonstrates...

Seminal storage, both fresh and cryopreserved, has contributed to the reproduction of wild birds in captivity, however, a method predicting fertilization capacity is needed. Indicators sperm acrosome reaction (AR) have been associated with its capacity. Therefore, aim this study was evaluate vitro AR cryopreserved Harris hawk using Beltsville Poultry Semen Extender (BPSE) Lake as diluents. 64 ejaculates were obtained examined after thawing. The basic evaluation for each ejaculate made...

Results are reported in this paper from a study aimed at evaluating significant competencies final-year students of some engineering programmes Chile. The was carried out by group eight universities that were interested exploring ways to assess learning outcomes such as those demanded the recent Chilean accreditation system. authors actively participated all stages study, contributing directly design, application and results evaluation tests. A sample 150 tested, under conditions guaranteed...

Abstract Aims This study aims to investigate the acute haemodynamic effects of percutaneous transluminal flow regulation (PTCR®) with an inferior vena cava regulator balloon in heart failure patients. Preload reduction has been achieved high potency diuretics. However, no conducted humans assess effect intermittent occlusion for preload reduction. Methods and results Six patients were included study: four men (55 ± 6 years old) two women (63 4 old). Baseline evaluations Doppler...

Abstract A controlled-release (CR) form of diclofenac-potassium has been developed, which delivers 100 mg over the course 24 hours. This formulation is administered QD and provides steady plasmatic levels drug. The aim this study was to compare effectiveness tolerability CR versus immediate-release (IR) formulation, when used for treatment pain in patients with knee osteoarthritis. prospective, randomized, double-blind, comparative, multi-center, parallel-group conducted male female who had...

Motivation for the study. Dengue prevention and control is based on of its vector. This study was conducted because need to know costs associated with Aedes aegypti in a region that carries out planned vector activities. Main findings. The incurred dengue Loreto 2017 2018 amounted PEN 4,066,380.25 3,807,858.73, respectively. Implications. Knowing cost activities will allow us better plan these have basis cost-effectiveness studies other methods dengue. To estimate region, during years 2018.

Percutaneous Transluminal Caval-flow Regulation (PTCR) is an emerging alternative therapy to treat patients with acute heart failure (AHF). AHF represents the first cause of hospitalization in elderly persons and main determinant huge healthcare expenditure related (HF). Despite therapeutic advances, prognosis poor, in-hospital mortality ranging from 4% 7%, 60 90-day mortality. To reverse this situation, a balloon catheter medical device has been designed produce cyclic occlusions Inferior...

O Brasil tem seu crescimento econômico pautado na exploração dos recursos naturais, dispostos principalmente região Amazônica, por meio das implantações de grandes projetos, os quais proporcionam transformações nas dinâmicas espaciais do sujeito local. A exemplo, tem-se a construção da Usina Hidrelétrica Belo Monte (UHEBM) Volta Grande Xingu – PA, suas edificações geraram o deslocamento compulsório diversas famílias que residiam áreas influência empreendimento, acarretando deformações nos...

<p>La necesidad de reproducir delfín nariz botella (<em>Tursiops truncatus</em>) en cautiverio se ha incrementado debido a las restricciones internacionales para su comercialización y por el riesgo dificultad logística traslado ejemplares. Por lo anterior, hace importante conocer biología reproductiva cautiverio. El objetivo este trabajo, fue los indicadores post tratamiento con altrenogest (Regumate<sup>®</sup>), citología vaginal, niveles estradiol reinicio la...

Background: Up to the present, preload reduction in congestive heart failure (CHF) patients is performed with high potency diuretics. We reported TCT/ACC 2014 and 2015, hemodynamic changes of first 6 CHF case humans, using Percutaneous Transluminal Caval flow Restriction (PTCR) procedure achived caval counterpulsation balloon (CCPB). This innovative method reduced CHF. In this study we are reporting results consecutive CHF, treated intermittent CCPB, guided by respiratory phases. Now...

ABSTRACT Objectives Vector control is the method of prevention and dengue outbreaks used in Peru. With objective calculating costs incurred vector control, an estimation Aedes aegypti Regional Health Directorate Loreto, during execution regional plan for surveillance A. was carried out. Materials methods Documentation reviewed, interviews were conducted with stakeholders about interventions its adult larval stages, 2017 2018. Results It found that Loreto Region two years studied amount to:...