Objective: Surgical stress stimulates the release of catecholamine and cortisol. Both of which have anti-insulin action resulting in an increase of plasma glucose concentration. The most common regional block in pediatric age group is caudal epidural analgesia. The aim of this study was to compare the stress response following pre and post surgical caudal block. Methodology: After approval by o...

the distally based sural fasciocutaneous flap has become a main part of the reconstruction of the lower leg, heel and foot. however, perfusion problems and venous congestion have been reported. over the past decade, several flap modifications have been reported to improve flap viability and to solve a myriad of reconstructive needs. the purpose of this paper is to describe our experience in har...

closure of fascia after transverse rectus abdominis musculocutaneous (tram) flap has usually been performed with direct closure or synthetic material. the dermal autograft was removed from zone iv of flap was an alternative to reinforce fascial closure. the dermal autograft was used in 34 patients after tram harvest for breast, head and neck reconstruction and prolene mesh was used in 42 other ...

BACKGROUND The importance of the hidden curriculum is recognised as a practical training ground for the absorption of medical ethics by healthcare professionals. Pakistan's healthcare sector is hampered by the exclusion of ethics from medical and nursing education curricula and the absence of monitoring of ethical violations in the clinical setting. Nurses have significant knowledge of the hidd...

background and purpose: professional ethics is one of the foremost components of every occupation. the ethical standards are essential to the improvement of quality of care. on the other hand, job satisfaction is a critical challenge for healthcare organizations. this study aimed to evaluate the relationship between compliance with professional ethics and job satisfaction among nurses. methods:...

background: surgery is one of the important palliative methods for patients with esophageal cancer. in addition to concerns related to clinical decision making, various moral challenges are encountered in palliative surgery. some of them are related to patients and their illness, others to surgeons, their attitudes, skills and knowledge base. methods: pertinent moral challenges are addressed an...

In discussing bioethics and the formulation of neuroethics, the question has arisen as to whether secular humanism should be the sole philosophical guiding light, to the exclusion of any discussion (or even mention) of religious morality, in professional medical ethics. In addition, the question has arisen as to whether freedom or censorship should be part of medical (and neuroscience) journali...

normal 0 false false false en-us x-none ar-sa pharmacists as one of health-care providers face ethical issues in terms of pharmaceutical care, relationship with patients and cooperation with the health-care team. other than pharmacy, there are pharmaceutical companies in various fields of manufacturing, importing or distributing that have their own ethical issues. therefore, pharmacy practice i...

Why an Ethics Program?; How to Organize Ethics as a Program; Principles of Ethics; Strategies for Fostering an Ethical Organization; Adopt the Goal of Implementing an Ethics Program; Establish an Ethics Committee and Assign Operational Responsibility to an Ethics Officer; Adopt a Code of Ethics; Make the Ethics Program Visible; Establish a Reporting Mechanism; Conduct an Ethical Analysis; Consi...