introduction: controversy remains as to the advantages and disadvantages of pharyngeal packing during septorhinoplasty. our study investigated the effect of pharyngeal packing on postoperative nausea and vomiting and sore throat following this type of surgery or septorhinoplasty.   materials and methods: this clinical trial was performed on 90 american society of anesthesiologists (asa) i or ii...

The traditional paradigm for learning and training of operators in complex systems is discussed and criticised to react on the strong influence (the doctrine of 'mental logic') coming from research carried out in artificial intelligence (AI). The most well known arguments against the AI-approach are presented and discussed in relation to expertise, intuition and implicit knowledge. The importan...

In recent years, so-called "effectiveness studies," also called "real-world studies" or "pragmatic trials," have gained increasing importance in the context of evidence-based medicine. These studies follow less restrictive methodological standards than phase III studies in terms of patient selection, comedication, and other design issues, and their results should therefore be better generalizab...

The merits and drawbacks of privatization have been subjects of considerable debate among business-people, city leaders, and public employees alike. Indeed, each element of privatization—from its apparent cost-saving properties to its possible negative impact on minority workers—provokes strong reaction. About the only thing that everyone can agree on is that the trend has been enormously benef...