conclusions the combination of intravenous paracetamol 1 gr and ketamine 0.5 mg/kg resulted in an overall reduction in pain scores, decreased postoperative analgesic requirements, and lower agitation score compared with intravenous paracetamol 1 gr and tramadol 0.7 mg/kg for patients undergoing renal surgery. results postoperative pain scores were significantly lower in the pk group than in the...

BACKGROUND In the treatment of long thoracic nerve palsy with pectoralis major transfer, it remains unknown whether direct transfer of the pectoralis to the scapula or indirect transfer with an interpositional graft provides superior outcomes. METHODS A 3-tiered study was performed to gain a comprehensive understanding. (1) A survey of the membership of the American Shoulder and Elbow Surgeon...

Background There is a growing body of literature on evidence-informed priority setting. However, the literature on the use of evidence when setting healthcare priorities in low-income countries (LICs), tends to treat the healthcare system (HCS) as a single unit, despite the existence of multiple programs within the HCS, some of whic...

BACKGROUND The American Shoulder and Elbow Surgeons (ASES) annual scientific meetings are premier forums whereby orthopaedic surgeons are informed of the latest research advances in shoulder and elbow surgery. The purpose of the present study was to assess the Level of evidence (LOE) in the clinical papers presented at both the open and closed ASES annual scientific meetings from 2005 to 2014. ...

OBJECTIVE To systematically review the evidence available for nonsurgical management of hip dysplasia (HD). STUDY DESIGN Literature review. METHODS Databases (Pubmed, Veterinary Information Network) were searched for clinical studies on nonsurgical management of HD in dogs. The evidence in each study was reviewed and assigned a score (I-IV) based on previously reported levels of evidence. ...

STUDY DESIGN Two reviewers rated the 112 clinical articles, from January through June 2003, published in Spine using a level-of-evidence grading system. The ratings were compared to previously published ratings of 2 orthopedic journals with similar impact factors. OBJECTIVE To compare Spine to other orthopedic journals using a level-of-evidence rating system. SUMMARY OF BACKGROUND DATA A pr...

Background Ketamine is an antagonist receptor of N-methyl-D-aspartate (NMDA), and phencyclidine derivate sedative agent. Thus the aim of this study was to evaluate the effect of intravenous (IV) and intramuscular (IM) injection of Ketamine for sedation procedure of children. Materials and Methods In this randomized clinical trial the patients, 1-6 year-old children referred to Emergency Departm...

pain in icu patients should be managed effectively and safely. fentanyl and paracetamol are used frequently in icu. however experience using iv paracetamol in the setting of critically ill patients is limited. we evaluated the analgesic effect and adverse reactions of intravenous paracetamol compared to fentanyl in icu patients with mild to moderate pain. forty patients in a general icu were ra...

background: foot ulceration is one of the most common complications associated with diabetes that needs to be managed. in iran, prevalence of diabetes foot ulcer is 3%. according to studies, evidence‑based nursing (ebn) is an effective alternative to facilitate clinical decision making in patient care and may lead to quality improvement in nursing practice. the aims of this study are to assess ...