News Q: What is an obstetric fistula? A: This is a condition which occurs when a woman is in labour for four or five days. The bony head of the baby presses on the pelvis for so long that a hole develops between the vagina and the bladder or between the vagina and the rectum, resulting in urinary or faecal incontinence. It's possible to prevent this injury by delivering the baby by caesar-ean s...

Histamine release by neuromuscular blocking agents Sir,—The design of the study by Naguib and colleagues [1] on the histamine releasing potencies of various neuromuscular blocking drugs resulted in cardiovascular changes which were profound, adverse and predictable. For example, the data sheet for mivacurium suggests administration over 5–15 s. The authors chose 5 s, despite quoting references ...

The use of multimedia in distributed computing systems has begun to include such complex and mission-critical application domains as digital television production, “video-on-demand” services, medical and security systems. Continuous-media systems in general impose strong requirements on their underlying operating system and network support mechanisms; this is especially relevant to mission-crit...

The objective of this chapter is to examine some of the key issues surrounding the incorporation of the Knowledge Management (KM) paradigm in healthcare. We discuss whether it would it be beneficial for healthcare organizations to adopt the KM paradigm so as to facilitate effective decision-making in the context of healthcare delivery. Alternative healthcare management concepts with respect to ...

Evaluation of nonstress test (NST) in the antenatal assessment of fetal well being in the high-risk pregnancy has been found to be clinically efficacious. The basis for its interpretation has been the reactive or normal and no reactive or abnormal test. Between January 1997 and May 1998, 53 high risk pregnant women were studied by NST at the Department of Obstetrics and Gynaecology, Bangabandhu...

Stoacılık, felsefe tarihinde metafizik ve etik alanında oldukça etkili olmuş bir düşünce okuludur. Metafizik görüşleri açısından şunlar söylenebilir: Tüm evren, etkin edilgen olarak iki ayrı ilkeden oluşmuştur. Edilgen olan ilke madde; ise evrende içkin Tanrı’dır. Fakat her arasında mutlak ayrım olduğu söylenemez. Çünkü Tanrı, aslında evrenle bütünleşik, onu kaplayan organizma tasavvur edilmişt...

of Vehrencamp et al. (2013) is totally unwarranted. We merely stated the general theoretical proposition being tested in our study, a standard protocol for scientific articles. The statement was fully justified given the large literature on performance constraints affecting sound production and the association of acoustic signal features with aspects of sender characteristics. Kroodsma does not...

•Myocardial enhancement after agitated saline contrast study in a dog is described.•Suspect air microemboli can inadvertently be introduced into coronary vasculature.•Air are theoretic risk of echocardiography. Echocardiography the primary imaging modality for diagnosing heart disease animals and people. While color flow Doppler identify intracardiac blood direction velocity, injection (introdu...

how to cite this article: fallah r, habibian s, noori-shadkam m. efficacy and safety of single low dose intravenous fentanyl in pain reduction of lumbar puncture in near term neonates by a randomized clinical trial. iran j child neurol. spring 2016; 10(2):60-66. abstract objective reduction of pain of invasive procedures in neonates can prevent pain side effects. the purpose of present study wa...