Pak J Med Sci
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To evaluate the clinical effectiveness of laparoscopic surgery in the treatment of children with choledochal cyst. ⋯ Compared with the traditional laparotomy, laparoscopic surgery conforms more to the concept of modern medical minimally invasive treatment and has a significant clinical effect in the treatment of congenital choledochal cyst in children. It can effectively promote the disappearance of clinical symptoms and signs, reduce the incidence of postoperative complications and disease recurrence, and improve the surgical efficacy, suggesting high clinical significance and application values.
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This study was aimed to compare the early and late complications of tracheotomy in pediatric patient, with respect to surgical techniques. ⋯ In pediatric tracheotomy the preferred skin incision and tracheal incision, surgeon's experience, tracheotomoy time and intubation time are important as regards development of early or late complications.
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We investigated the geriatric patients diagnosed as urinary tract infection and evaluated the effects of white blood cell (WBC), neutrophil count, platelet, mean platelet volume (MPV), red cell distribution width (RDW), total bilirubin, direct bilirubin, creatine, albumin, erythrocyte sedimentation rate, C-reactive protein, and neutrophil/lymphocyte ratio parameters on estimating the need for bacteremia and intensive care (IC) for the patients with pyelonephritis. ⋯ Patients, whose biochemical parameters have changed, especially during admission or follow-up, should be evaluated carefully in terms of urosepsis, multiple organ failure and IC need. A number of diagnostic tests have been described to predict the need for sepsis and IC. However, many of them cannot be performed in emergency conditions. It is a great advantage that the parameters we use in our work are easily accessible and can be performed in emergency conditions.
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The most important desideratum of a provisional crown is an adequate marginal fit that is essential for maintaining optimal periodontal health, reducing the sensitivity of freshly prepared dentin and protection of the pulp. The purpose of this in vitro study was to compare the vertical marginal accuracy of provisional crown materials using three different material systems (chemically activated PMMA powder-liquid system, light activated UDMA single paste system, and chemically activated Bis-GMA two paste auto mix system) and two different techniques (direct and indirect). ⋯ This study has shown that provisional crowns fabricated with Bis-GMA composite resin material (two paste auto mix system) registered the best marginal accuracy. Provisional crowns fabricated with indirect technique recorded less marginal opening than with direct technique.
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Improving the compliance to hand hygiene in healthcare providers is important to reduce healthcare-associated infections. This study aimed to compare the compliance rate before and after the improvement of compliance to hand hygiene. ⋯ The promotion of hand hygiene requires the cooperation of the hospital administrators, infection control committee, and quality departments for better hand hygiene practices among the healthcare providers.