While practicing anesthesia in developing and underdeveloped countries, it is important to consider not only the quality of anesthesia but also the cost-effectiveness. I read the article by Singh et al. where the author mentions cost-effective indigenous drug delivery system for nerve blocks.[1] The mentioned technique is an attempt and concentrated mainly on cost-effectiveness. We do regularly...

Gonadotrophins are injected daily over several days in follicular stimulation protocols. To facilitate self-injection, various injection or reconstitution devices are available. It was investigated whether injection training enabled patients to choose their preferred device. Patients and their partners received nurse-led training about: powdered urofollitropin (Bravelle) with needle-free recons...

We designed a specially designed coaxial spinneret in this study. The inner stainless-steel needle was connected to the inner plastic syringe just like the traditional one. The outer stainless-steel needle was replaced by a plastic nozzle, and connected to the outer plastic syringe. The tip of the inner stainless-steel needle was shortened 2 cm from the tip of the outer plastic nozzle. This str...

Background: Apart from reducing occupational exposure to cytotoxic hazards, the PhaSeal® closed-system transfer device (CSTD) can extend the beyond-use dates (BUDs) of unfinished vials of antineoplastic drugs for up to 168 hours (seven days). In this study, the total material cost incurred by its use in a Malaysian government-funded hospital was calculated. Methods: A list of vial stability fol...

Aspirations or Jamshidi needle biopsies (n = 287) of bone marrow were performed on children and adolescents with acute leukemia or other malignant disease following the use of a spring-loaded instrument that delivered local anesthetic in a jet spray; 89% of the patients were receiving chemotherapy, 12% were thrombocytopenic, and 23% of the 269 patients who were afebrile at the time of the proce...

The intraligamentary or periodontal ligament (PDL) injection technique uses a standard dental syringe 1,2 and many clinicians have described several difficulties related to it. These include positioning the needle within the desired location, controlling the placement of the needle throughout the administration phase of anesthesia, increased pain perception reported by dental patients due to hi...

background: needle stick accidents  are a serious health  risk  for blood-borne infections among health-care workers(hcws). objective: to determine the frequency of needle stick injuries (nsis)  among hcws. material & methods: a cross-sectional study was conducted in  behesti hospital  of kashan from september 2012 to march 2013. data were collected using  a questionnaire. result: needle stick ...

This study examines the prevalence of public injecting and willingness to use drug consumption rooms (DCRs) among UK needle exchange programme (NEP) attendees. Three hundred and one injecting drug users (IDUs) were surveyed using a brief questionnaire across five NEPs in London and Leeds between April and June 2005. Injection in a public place in the past week was reported by 55% of the sample ...