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Juniper Publishers: The Effects of Real Exchange Rate on the Export Co...

Juniper Publishers: The Effects of Real Exchange Rate on the Export Co... : Journal of Dairy & Veterinary Sciences   Juniper Publishers Abstract In 2017, the fruit industry was ranked the 7th largest ...

Pediatric Versus Adult Papillary Thyroid Carcinoma: Different Diseases Requiring Different Surgical Approaches-Juniper publishers

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Juniper publishers - Journal of Head Neck Introduction Differentiated thyroid carcinoma is rare in young age and represents 0.5% to 3.0% of childhood carcinomas: the incidence increases with age, and peak incidence is observed between 15 and 19 years of age [1]. Even at large referral centers, only few pediatric thyroid cancers are treated every year; it may take ≥30 years for a major center to collect a series of 100 children and adolescents with thyroid cancer [2]. Papillary thyroid cancer (PTC), the most common type of differentiated thyroid cancer, spreads predominantly via the lymphatics to the local draining lymph nodes: cervical lymph node involvement in 60% to 80% of cases and lung metastases at diagnosis in 20% of cases [3]. Since pediatric thyroid cancer is such a rare disease, treatment recommendations have been based on expert opinion and retrospective data collected from different practices over decades [4-6]. Given the paucity of evidence-based pediat...

Juniper Publishers: The Effects of Real Exchange Rate on the Export Co...

Juniper Publishers: The Effects of Real Exchange Rate on the Export Co... : Journal of Dairy & Veterinary Sciences   Juniper Publishers Abstract In 2017, the fruit industry was ranked the 7th largest ...

Simulation in ENT- Is There a Place For It?-Juniper publishers

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Juniper publishers - Journal of Head Neck Introduction Airway emergencies are a common presentation in the emergency department, with the incidence reported to range between 2% and 14.8% Kovacs et al. [1]. In the vast majority of cases, ‘difficult airway’ presentations are managed successfully by emergency medicine doctors Wong et al. [2]. While anaesthetic staff on the whole manage the remainder, surgical doctors (especially those working within ENT surgery) are often involved in cases that require invasive interventions such as tracheostomy or surgical cricothyroidotomy Awad et al. [3]. Furthermore, it is often the most junior member of the ENT team is first to attend to those patients requiring emergency on-call airway services; frequently without immediate senior supervision or support. Despite this, there is currently no formal curriculum in airway management for core surgical trainees (ISCP, 2013) and as such, training is highly variable. Awad et al. [3] con...

Juniper Publishers: Total Quality Management Practices from Unit Nurse...

Juniper Publishers: Total Quality Management Practices from Unit Nurse... : Peer Reviewed Nursing and Health Care Journal     Juniper Publishers Abstract Background:  Unit nursing managers act as a quality m...

Latex Allergy: Overview and Recommendations for the Perioperative Management of High-Risk Patients-Juniper Publishers

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Juniper publishers - Journal of Head Neck Introduction Latex is a natural substance that comes from the sap of the rubber tree. It is a material widely used in the manufacture of domestic, industrial and especially medical products [1]. The prevalence of latex allergy in the general population is estimated between 0.8 and 6.5% [2], and the repeated exposure to this material is the most significant risk factor for its development [3]. Among the main risk groups are health personnel, where the incidence reaches 17%, and patients with spina bifida where 73% incidence has been described [4] (Table 1). Factors as age, race or sex are not associated with an increase in risk. Worldwide, it is estimated that in one of every 3.500 to 20.000 surgeries an anaphylactic reaction occurs, which represents about 9% to 19% of all surgical complications, with a mortality varying between 3% and 9% [5]. About 50% of the medical devices contain latex [6], so it is not a surprise ...

Juniper Publishers: Incidental Finding of Phlebolith in a Patient with...

Juniper Publishers: Incidental Finding of Phlebolith in a Patient with... : Advances in Dentistry & OralHealth       Juniper Publishers Abstract The aim of this case report is to alert clinicians to t...