Conclusion: Although the experiences of endocrinologists who provided H1N1 vaccine were generally positive, many did not offer the vaccine and indicated
that they are hesitant about providing vaccine during a future influenza pandemic. Approaches to increase their participation in future pandemics in an effort to reach persons at high risk for influenza and its complications, such as those with diabetes, should be further explored. (Endocr Pract. 2012;18:464-471)”
“OBJECTIVE: To compare the immediate results of patients undergoing either two-channel single-port laparoscopic-assisted vaginal hysterectomy or conventional multiport laparoscopic-assisted vaginal hysterectomy.
METHODS:
Patients were randomly assigned to undergo selleck chemicals laparoscopic-assisted vaginal hysterectomy using the single-port (n=50) or conventional (n=50) approach. The outcome measures included blood loss, operative time, intraoperative and immediate postoperative complications, time to flatus passage after operation, and postoperative pain (assessed by the visual analog scale score and postoperative analgesics use).
RESULTS: The general CP-456773 manufacturer characteristics of the patients were similar in both groups. There were no statistically significant differences in operative time, estimated blood loss, time to first flatus, intraoperative and immediate postoperative complications, shoulder tip pain, or length of hospital stay between the two groups. However, postoperative pain was significantly less in the single-port group compared with the conventional group, as evidenced by lower mean scores on the visual analog scale (3.64 +/- 2.75 compared with 5.08
+/- 2.76 at 24 hours, P=.011 and 1.94 +/- 2.31 compared with 2.84 +/- 2.07 at 48 hours, P=.043) and less mean accumulated dose of postoperative analgesics (74.40 +/- 24.25 mg compared with 104.80 +/- 57.08 mg of meperidine, P=.001; 16 +/- 13.40 mg compared with 33.6 find more +/- 28.7 mg of tenoxicam, P <.001).
CONCLUSION: Transumbilical two-channel single-port laparoscopic-assisted vaginal hysterectomy significantly decreases postoperative pain and analgesic use.”
“Intermolecular coordination effects on the P-31 NMR spectra of molecular complexes of N-vinylimidazole and 1-allyl-3,5-dimethylpyrazole with phosphorus pentachloride were studied by theoretical and experimental methods. The formation of intermolecular dative N -> P bond was shown to be accompanied by upfield shift of the phosphorus resonance signal by more than 200 ppm. Appreciable contribution of relativistic effects to P-31 NMR chemical shifts was revealed; the spin-orbital contribution to P-31 shielding constant was estimated at >210 ppm.