introduction: satisfaction evaluation is a good way to assess hospital conditions and try to upgrade hospital care. in health care system, parents considered as children's main supporters, thus they may act as the patient's viewpoints' representatives. assessment on patients' satisfaction can, and must, improve the care quality, yet it presents essential information appropriately used for impro...

trauma is the most common cause of mortality and morbidity in pediatric population. caring for the injured child requires special knowledge, precise management, and scrupulous attention to details. all clinicians who are responsible for the care of a pediatric trauma patient, including pediatricians, pediatric emergency room clinicians, and trauma surgeons, must be familiar with every tenet of ...

Hypoglycemia caused by treatment with a sulfonylurea, a glinide, or insulin coupled with compromised defenses against the resulting falling plasma glucose concentrations is a problem for many people with diabetes. It is often recurrent, causes significant morbidity and occasional mortality, limits maintenance of euglycemia, and impairs physiological and behavioral defenses against subsequent hy...

Two patients had wound botulism with longer duration of respiratory paralysis than previously described. Each sustained extensive trauma to soft tissues and grossly contaminated wounds when thrown from a vehicle in a rural area. Progressive muscular weakness and respiratory distress occurred 8 and 13 days after injury, in the presence of infected wounds and clinical and laboratory findings char...

communication with the peritoneal cavity, and acute peritonitis. Such accidents should be impossible. Safety can be ensured by scrupulous antiseptic precautions. As a second line of defence I am in the habit of not only ligaturing the neck of the sac but also suturing the edges. Care too is of course required to avoid operating on cases which are physically unfit. 2. Efficiency. This depends mo...