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Case ReportView abstract
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Airway management and intubation form the basis of anesthesiologists and paramedical staff training and working as this skill is undoubtedly a life-saving virtue. Patients with multiple comorbidities problems are encountered in emergency and elective operation theatre areas; many eventually require tracheal intubation. Supine position is usually followed, but many times, it may not be possible to secure the airway in this most favored position. We would like to reemphasize the importance of the lateral intubation technique, which can be used as an alternative method of intubation and should become an essential tool in the armory of anesthesiologists and paramedical staff..... ReadMore -
Case ReportView abstract
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The skeletal remains studied in this article come from an area within the ruins of the ancient Roman city of Clunia (Burgos, Spain). The grave goods found near the skeletons are Visigothic and date back to the 5th-7th centuries CE. Twenty complete adult skeletons have been conserved, 15 of which are male, 3 female and 2 of undetermined sex. There are few remains of adolescents or children. Several traumas have been detected in the skeletons, along with a number of major diseases and non-pathological changes to bone plasticity. The site is important in palaeopathological terms because of two lesions that are uncommon in this field of study: a malignant neoplasm of the femur (individual 6) and a possible teratoma (individual 7). Previous studies have only mentioned a few of these conditions [1]...... ReadMore -
Research ArticleView abstract
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Some groups that arrived in Catalonia four millennia ago from Central Europe, metal prospectors in the area of Solsona (Catalonia), present a high frequency of cranial trepanation, associated with brachycrania. In the set of 146 crania of the Bronze Age in Catalonia, Fisher’s exact test showed that the group of brachycranials of Solsona is statistically associated with cranial trepanation. Some cases of the surgical technique used in cranial trepanations are described...... ReadMore -
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Background: Cricothyrotomy is a life-saving emergency procedure used in Cannot Intubate, Cannot Ventilate (CICV) situations. Methods: Anesthesia residents (n = 57) with no previous experience in cricothyrotomy were trained in scalpel-dilator and scalpel-bougie surgical techniques. After the training, residents selected one technique to practice cricothyrotomy in vivo on anesthetized pigs. Time to complete the procedure and complications were recorded. Results: Twenty-eight residents chose to perform the scalpel-dilator technique, and 29 residents chose the scalpel-bougie technique. The average time to complete cricothyrotomy was 128 ± 22.8 seconds (mean ± SD) with the dilator and 122 ± 22.7 (mean ± SD) seconds with the bougie (p-value: 0.33). Only one false passage (4%) occurred during the dilator-assisted technique while 7 (24%) fa..... ReadMore -
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Pain can be considered as one of the commonest manifestations of a good number of diseases. A patient may present with pain of different character like, pinching pain, burning pain, cutting pain, spasmodic pain etc. which suggest a number of underlying conditions. Pain may be the presentation in different conditions like abdominal gas, infection, injury, inflammation etc. Expertness of the medical person is the determinant of appropriate diagnosis of the underlying disease. Indian system of medicine, Ayurveda,as the history reveals, was the only solution of the suffering people during the time assumed to be before 3000 years of the Christ . Shoola (pricking pain), toda (pinching pain), pida (aching pain) etc. are the words used in the Ayurvedic classics to understand different types of pains. As mentioned in the Ayurvedic classics pain is..... ReadMore -
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Pain is considered as the fifth vital sign in modern medical practice. Hence apart from other vital parameters, evaluation of pain has become a primary and necessary requirement for proper patient care and comfort. Septorhinoplasty is an elective and ambulatory surgical procedure which involves massive hard and soft tissue manipulation in the nasal region of the face. The postoperative pain is severe in septorhinoplasty since it necessitates to operate on the nasal cartilage and bone [1]. This postoperative pain is often disturbing, distressing and requires efficient pain control management [2]. Severe postoperative pain can lead to complications such as delayed wound healing, ischemia, thromboembolism, pulmonary complications, immunological changes, increased hospitaliza tion and cost of treatment [3,4]. In this quest to provide effectiv..... ReadMore -
OpinionView abstract
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Throughout my years of boring, formal education that fortunately ended in 1968, I learned that humans are superior. Our brains are better than all other creatures and the world was created for us. Since I started learning for myself, I find most that I was taught to be nonsense. It hid the great weakness in humans – the mind. We have almost unlimited thinking ability. Compared to animals that can live off the land and creatures in the sea, we are helpless without damaging our environment. That we have succeeded in getting to the stage where life on Earth as we know it may be irreparably changed, is proof of our mental skill and stupidity. The greatest harm is inflicted on ourselves. The mind can cause illness. For the last hundred years or more, medicine has by law been restricted to biochemistry. Amongst those who have followed the dev..... ReadMore -
OpinionView abstract
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In my 54 years of observation, I have never heard anyone who was better off having undergone back surgery. In every case I’ve heard about, the surgery made them worse off, in some cases, extremely worse off. Travis was in agony with lower back pain. He went for surgery and was made so much worse that he could barely walk anymore. He had his vertebrae fused together. He wished he had never undergone back surgery. He was suicidally depressed from the back pain. He would visit the Church every morning for prayer to help him get through the day. He had been somewhat athletic. Now he walked like a 100 year old man and doesn’t want to live. In another case, after a minor car accident, the individual would not go even to a chiropractor for the fear of what might happen. She would rather suffer the lower back pain than get anything done. She ..... ReadMore