66 research outputs found
Relations between Periodontal Disease and Systemic Disease
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/67891/2/10.1177_00220345620410013701.pd
Effects of Deaeration and Storage Temperature on Quality of Aseptically Packaged Guava Puree
Do Assessment/Development Centres Use Optimum Evaluation Procedures? A Survey of Practice in UK Organizations
Challenges that opioid-dependent women present to the obstetric anaesthetist
A retrospective casenote review was performed to identify anaesthetic challenges relevant to the opioid-dependent obstetric population. Medical records showed that of the 7,449 deliveries during a 24 month period, 85 women (1.1%) were taking regular opioids such as methadone and/or heroin. Of these 67 (79%) received anaesthetic services, ten of whom (11.7%) were referred antenatally. Forty opioid-dependent women (47%) received epidural analgesia in labour compared with the overall hospital rate of 38%. Twenty-three women (27%) delivered by caesarean section: five received general anaesthesia, five combined spinal anaesthesia, five spinal anaesthesia and eight epidural anaesthesia. Twenty opioid-dependent women (23.5%) had documented problems related to labour analgesia and 17 (74%) had problems with analgesia after caesarean section. A variety of postoperative analgesia methods were administered in addition to maintenance methadone. Fourteen patients (16.5%) had difficult intravenous access and seven arrest calls were documented. One anaesthetist was exposed to hepatitis C. This review demonstrates the demands placed on obstetric anaesthetic services by opioid-dependent women. Early antenatal referral for anaesthetic review is recommended.B Cassidy and A M Cyn
A geochemical and lead isotopic record from a small pond in a remote equatorial island, Fernando de Noronha, Brazil
Pricing and managing risks of European-style options in a Markovian regime-switching binomial model
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