OBJECTIVE: To review the clinical presentation and management of all infants and children presenting with laryngeal clefts to a tertiary pediatric ENT centre and to identify changes in practice over time. PATIENTS AND METHODS: A retrospective case note review of the management of all infants and children with a diagnosis ...

ABSTRACT: This short manuscript is an invited editorial to introduce a new subsection of the journal, therefore does not include any abstract.

Today, it is expected that doctors and office managers take a greater role in the management of the business aspect of the practice. Medical practices are no different than any small business; however, our products or our services may be far different than any other business or professional practice. We ...

Trichiasis is a common disorder in which eyelashes or cilia arising from their normal position are misdirected toward the ocular surface. This condition frequently causes ocular surface irritation and commonly results from eyelid inflammation and scarring which disrupts the direction of growth of cilia follicles. The knowledge of eyelid and ...

Clinical practice guidelines (CPGs) serve as standards of care in practice, quality improvement, and reimbursement. The extent of conflicts of interest (COIs) in cardiology guideline production has not been well studied. Herein, we describe the scope of COIs in CPGs. We examined the 17 most recent American College of Cardiology/American ...

Objective To compare administration of incidence reporting systems for healthcare risk management in the United Kingdom, the United States, Canada, Australia, and Taiwan, and to provide evidence and recommendations for healthcare risk management policy in China. Methods We searched the official websites of the healthcare risk management agencies of the ...

An estimated 32,000 golf courses worldwide (approximately 25,600km(2)), provide ecosystem goods and services and support an industry contributing over $124billion globally. Golf courses can impact positively on local biodiversity however their role in the global carbon cycle is not clearly understood. To explore this relationship, the balance between plant-soil system ...

A HPLC-FLD method has been developed and validated for zearalenone (ZON) in 107 widely consumed Chinese medicinal herbs and related products collected from different regions of China. Samples were extracted with methanol/water (80 : 20, v/v), and the extracts were cleaned-up through immunoaffinity columns (IAC). ZON was quantified by HPLC ...

Soft skills adoption is a learning experience for every practitioner and every academician. Author has expressed his opinion for success through educational and real values of soft skill. Soft skills behavior of individual and institution help in achieving desirable goals in general and specialty practices. Author also focused on some ...

Trees are a major threat to power line security across forested regions of the world. We developed a decision support system for identifying locations in Connecticut, USA where trees have grown tall enough to make contact with transmission lines during storms. We used the Random Forest algorithm, danger tree presence/absence ...

By creating fertility reserves, women are now able to become pregnant using their own eggs, even after menopause. Multiple arguments already exist against postmenopausal motherhood, most of which stress the potential risk of damage involved due to the mother's advanced age. Consequently, the question arises: Can successful antiaging medicine be ...

In September 2009, the National Heart, Lung, and Blood Institute convened the State-of-the-Science Symposium in Transfusion Medicine to identify Phase II and/or III clinical trials that would provide important information to advance transfusion medicine. Seven multidisciplinary subcommittees developed proposals in the following areas: 1) platelet (PLT) product use, 2) neonatal ...

Local anesthetics are commonly used in both dentistry and medicine. These drugs are also used in some office-based medical practices. Except for minor procedures, most physicians who require complicated nerve blocks rely on anesthesiologists to administer the local anesthesia. Both ester and amide local anesthetics are routinely used in medical ...

Irregular or unusually heavy periods are a common complaint. Most often, the condition is benign and can by managed conservatively. Assess postmenopausal women for cancer by endometrial biopsy, transvaginal ultrasound, or saline infusion sonohysterogram. Treat mild dysfunctional uterine bleeding (DUB) with nonsteroidal anti-inflammatory drugs, levonorgestrel intrauterine device (IUD), or danazol. ...

Current fashion in body art includes low back tattoos of varying designs and colors, a trend that presents unique concerns for anesthesia providers. Does the placement of epidural catheters risk the introduction of tattoo pigment dyes into the epidural space through the process of coring? Are there specific risks associated ...

Shelter medicine presents a unique challenge that is different from veterinary medicine in a hospital setting. The shelter and/or mobile unit environment requires special anesthetic considerations to support high-volume spay-neuter and feral animal programs with high quality of anesthesia/immobilization for surgery and diagnostic procedures. The anesthetic protocols can be tailored ...

OBJECTIVES: To explore the use of patient reported quality of life measures in oral medicine, to highlight the importance of use of these measures in oral medicine practice and to provide guidance for the selection of such measures in the future. METHODS: A detailed literature review was undertaken to investigate ...

A 3-year-old Labrador retriever was presented to the Western College of Veterinary Medicine for a tibial plateau levelling osteotomy. While performing a pre-operative epidural, thiopental was inadvertently administered into the epidural space. Treatment included epidural saline flushing and intravenous methylprednisolone sodium succinate. No neurologic deficits were detected.

A 30-year-old woman developed total spinal anaesthesia during establishment of labour analgesia via an epidural catheter The subsequent respiratory failure was successfully managed with non-invasive ventilation. This report describes the use of non-invasive ventilation in the parturient and the process of managing the parturient safely in an appropriately monitored environment. ...

This article provides an instructive review of the essential functions universal to modern ultrasound machines in use for regional anesthesia practice. An understanding of machine knobology is integral to performing safe and successful ultrasound-guided regional anesthesia.

The British Society for Oral Medicine (www.bsom.org.uk) defines oral medicine as 'the specialty of dentistry concerned with the oral health care of patients with chronic recurrent and medically related disorders of the oral and maxillofacial region, and with their diagnosis and non-surgical management.'

Patients with cleidocranial dysplasia, a rare autosomal dominant genetic syndrome, possess abnormal anatomical features of the head, mouth, neck and spinal column. These features may result in perioperative problems such as difficult airway and complicated regional anesthesia. We report the anesthetic management of a young woman with cleidocranial dysplasia undergoing ...

PURPOSE OF REVIEW: In this review we focus on recent findings in the anesthetic management of patients undergoing craniotomy while awake, and propose a structured approach to the clinical practice of 'anesthesia' for awake neurosurgery. RECENT FINDINGS: The increasing use of functional neurosurgery and recent evidence favoring resection of tumor ...

BACKGROUND: Intravenous fluids and vasopressors are used for managing spinal-induced hypotension during cesarean delivery, but the choice of vasopressor and the type and timing of fluid administration remain controversial. METHODS: We conducted an electronic survey of all members of the Society for Obstetric Anesthesia and Perinatology between February and March ...

Interventional radiology (IR) encompasses a broad and expanding array of image-guided, minimally invasive therapies that are essential to the practice of modern medicine. The growth and diversity of these non-OR procedures presents unique challenges and opportunities to anesthesiologists and interventional radiologists alike. Collaborative action has led to better patient care ...

There has been recent concern regarding the safety of cervical epidural steroid injections. The decision to proceed with treatment requires balancing the risk and benefits. This article is an in depth review of the efficacy, complications, and technique of both interlaminar and transforaminal cervical epidural steroid injections in the management ...

Degenerative lumbar stenosis is a common source of pain and disability in the elderly. It presents clinically with a variety of symptoms, though neurogenic claudication is the hallmark. There is a multifactorial pathogenesis to lumbar stenosis and its symptoms, and thus, there are multiple management approaches available. Epidural steroid injections ...

Acrochordons are usually small in size and are easily treated with electrofulguration under local anaesthesia. Here is a report of a giant acrochordon which posed problems in management. A technique to manage it under local anaesthesia in an office setting is described.

The use of a midazolam/ketamine combination for induction of anaesthesia in a 2-month-old, hand-raised buffalo calf (Syncerus caffer) is described to allow endotracheal intubation for the maintenance of anaesthesia with isoflurane and oxygen. Intraoperative complications were hypotension and hypothermia. For postoperative analgesia meloxicam and butorphanol was administered intramuscularly.

We present our experience in the anesthetic management of two parturients with pseudoxanthoma elasticum. The first had an epidural catheter inserted for labor analgesia and ultimately had a forceps delivery. The second had a cesarean section under epidural anesthesia and had a complicated postoperative course. There were no untoward effects ...

This paper discusses the management of meat tenderness using a carcass grading scheme which utilizes the concept of total quality management of those factors which impact on beef palatability. The scheme called Meat Standards Australia (MSA) has identified the Critical Control Points (CCPs) from the production, pre-slaughter, processing and value ...

Bacterial meningitis is an important infection of childhood with significant morbidity and mortality, and clinicians are faced with controversies over steroid use and fluid restriction in its initial management because the standard of practice is not clear. A 1999 survey of paediatric infectious diseases specialists demonstrated that only 56% of ...

Oral rinses/gargles and oral sprays are frequently used in the management of oropharyngeal inflammation. This pictorial study, using methylene blue dye as a marker of the distribution of these topical preparations in the oropharynx, suggests that oral sprays are more effective in coating the oropharynx than oral rinses, whilst oral ...

A Dictionary of Ecology, Evolution and Systematics (2nd edn) by R. Lincoln, G. Boxshall and P. Clark Cambridge University Press, 1998. £50.00 hbk, £17.95 pbk (ix+361 pages) ISBN 0 521 59139 2/0 521 43843 X The Encyclopedia of Ecology and Environmental Management edited by P. Calow Blackwell Science, 1998. £125.00 ...

Tropical Environments: The Functioning and Management of Tropical Ecosystems by M. Kellman and R. Tackaberry Routledge, 1997. £60.00 hbk, £18.99 pbk (xix+380 pages) ISBN 0 415 11608 2/0 415 11609 0.

Laparoscopic surgery has been at the forefront of gynecologic surgical innovation in the past decade. Significant benefits which have been realized by the utilization of laparoscopy include: 1) a reduced size of surgical incisions 2) reduced length of hospital stays 3) increased utilization of outpatient surgery 4) a more rapid ...

Some of the topics which have generated particular interest in obstetric anesthesia recently include the effects of epidural anesthesia on the progress of labor, the efficacy of volume preloading prior to spinal anesthesia for cesarean section, and the use of intraspinal opioids and of alpha-2 adrenergic agonists for labor analgesia.

Nine new cytotoxic steroidal glycosides 1-9 have been isolated from the starfish Fromia monilis collected off New Caledonia. Structures of these compounds, which include four mono-(1-4), two di-(5,6), and three glycosides (7-9), were elucidated through spectral interpretation. Monilosides G [7], H [8], and I [9] are the first tri-glycosides to ...

A new endolaser probe with aspiration capability can be used as a flute needle for drainage of subretinal fluid and for endolaser treatment of a retinotomy site after vitrectomy. This instrument allows removal of vitreous and subretinal fluid during air-fluid exchange and immediate endolaser photocoagulation without exchange of instruments.

A 30-gauge spinal needle was evaluated for Caesarean section, using a combined epidural/spinal technique, in 50 mothers. Spinal anaesthesia failed in six mothers and was inadequate in another six. General anaesthesia was required on one occasion. A 25% overall failure rate suggests that a 30-gauge needle is not a practical ...

A clinical assessment of two hundred and fifty patients undergoing light general anesthesia for conservation and/or minor oral surgery were given nalbuphine 5 mg as a supplement in order to assess its analgesic qualities. 18% of those patients needing extractions, and 20% of those needing conservation, required local anesthesia to ...

Recently there have been major advances in the field of retrobulbar anesthesia. New agents which allow prolonged anesthesia and akinesia have been introduced. Several new techniques to administer retrobulbar anesthesia have been developed. The toxicity of local anesthetics and the complications arising from such injections have been studied, and ways ...

Two cases of long-standing alopecia totalis treated with topical minoxidil are described. The mechanism of minoxidil hypertrichosis is discussed.

Constipation pervades our society. It is associated with emotional stress, lack of dietary fiber, and ignorance. Laxative stimulants, bulk forming agents, stool softeners, and osmotic cathartics may all be needed to treat endstage constipation initially, but "weaning" should be possible in most cases. Endstage constipation, in rare cases, can be ...

Studies on 1,476 intravenous urographic examinations done in a 15-month period showed that the proportion of abnormal results varied widely-from 20% in patients with abdominal pain other than renal colic to 92% of those in prostatism. Patients with the strongest clinical evidence of haematuria were the most likely to have ...

A follow-up study of oral-contraceptive and intrauterine-device acceptors in the early years of the Ceylon family planning programme was undertaken to determine the effect of a 1968 policy decision to cut the per cycle price of oral contraceptives by half and to allow nonclinical prescription and distribution of the pills ...

One hundred and sixty children with enuresis were treated by the use of an improved waking apparatus which combines a buzzer and a battery-energized electrical stimulus. The over-all cure rate was 72%. Ninety-five patients were followed up for one year or more after treatment. When patients with organic, psychological and ...

The system for naming and classifying herpesviruses proposed in this memorandum is intended for consideration by other workers before a final proposal is made to the International Commission for Nomenclature of Viruses. The proposal is to classify the herpesviruses in species and subspecies. The virus species should carry the name ...

Six patients with persistent phenothiazine dyskinesia were treated in a double-blind controlled trial with tetrabenazine 100 mg in divided dosage. In three patients the abnormal movements were abolished and in two others there was some improvement, but this was no greater than that achieved with the diazepam control. Tetrabenazine may ...

Work in pigs has shown that malignant hyperpyrexia during anaesthesia may occur without suxamethonium having been given. A virtually constant feature in reported cases and in our own observations is that all subjects developing hyperpyrexia had received nitrous oxide and halothane.