Pak J Med Sci
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To compare the plasma level of surfactant protein-A in apparently healthy smokers, stable and exacerbation Chronic Obstructive Pulmonary Disease (COPD) patients. ⋯ Current smokers and exacerbated patients had higher values of SP-A protein than stable COPD patients since they had stopped smoking.
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Fournier's gangrene (FG) is a life-threatening, rapidly progressing acute necrotizing fasciitis of perianal, genitourinary and perineal areas. The most common isolated pathogens are E.coli, Streptococcus and Enterococcus in tissue and abscess cultures. However we present the first Rhizobium radiobacter FG in this case. ⋯ Rhizobium radiobacter was isolated from tissue and abscess cultures. After successful treatment patient was discharged posteroperative 18th day. The combination therapy of early and totally surgical debridement of necrotic tissues and appropriate antibiotic use are adequate to control Rhizobium radiobacter infection in FG.
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Patient-physician communication is important for an effective healthcare service and for the patient's development of loyalty to the hospital. In this regard, this study aimed to determine whether there is a relationship between the patient-physician communication, the loyalty of the patient to the physician and to the hospital. Also study aimed to determine whether there is a mediating role of the physician loyalty on the patient-physician communication effect on to the hospital loyalty. ⋯ According to the result of the study, physician-patient communication could be used as an important tool in creating physician loyalty and hospital loyalty. This study helps physicians and health service providers to formulate strategies and tactics that will effectively develop the loyalty of patients.
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To determine the occurrence of traumatic dental injuries (TDIs) among Saudi preschool children with autism spectrum disorder (ASD) and compare it with Saudi preschool children without ASD. ⋯ The occurrence of TDIs was higher in Saudi preschool children with ASD than in non-ASD children.
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To compare the effectiveness of learning procedural skills on patients versus mannequins and models. ⋯ Our findings suggest that simulations using models and mannequins for developing procedural skills can be readily incorporated in training programs with potential benefits for teaching infrequently performed or more difficult procedures. Our data suggest potential benefits of initiation of trainings on simulations and mannequins followed by human subject exposure.