Smooth taste perforation from Glidescope intubation A case statement

62±11.43 ver. 45.74±11.20, p less then 0.001). A total of 3 (4.0%) parents of hearing impaired children reported rare need for respite and other services, 32(42.7%) reported sometimes and 40(53.3%) reported frequent need. On the other hand 12(13.8%) parents of intellectually disabled children reported sometimes, 66(75.9%) reported quite frequently and 9(10.3%) nearly always a greater need for respite and other services. Conclusion The parents of hearing impaired or intellectually challenged children face significant burden of their disabled child. In addition, due to cognitive deficits that lead to behavioural abnormalities the parents of intellectually challenged children face more burden and stress.Background We aimed to compare the efficacy between clopidogrel and ticagrelor in patients with acute coronary syndrome (ACS) after percutaneous coronary intervention (PCI) and their effects on IL-6. Methods A retrospective analysis and collection of 200 ACS patients diagnosed by the Department of Cardiology, Affiliated Hospital of Qingdao University, Qingdao, China in 2016 were performed. Patients were randomly divided into clopidogrel group and ticagrelor group. Data of left ventricular ejection fraction and ACS clinical classification before PCI, PCI treatment, IL-6, platelet aggregation status, maximum platelet aggregation rate (MPAR), P2Y12 response unit (PRU) and adverse reaction of patients were collected. After PCI, patients were followed up for 1 year to compare the ischemia after treatment between clopidogrel group and tigravilol group. Results MPAR and PRU after PCI of clopidogrel group were significantly higher than those of ticagrelor group (P less then 0.05). The expression of IL-6 in two groups peaked at 1 day after PCI and then decreased. selleck chemical That of ticagrelor group was consistently lower than that of clopidogrel group (P less then 0.05). The incidence of ischemic events after treatment in clopidogrel group was significantly higher than that in ticagrelor group (P less then 0.001). Conclusion Compared with clopidogrel, tigerrilol had more significant inhibition of platelet aggregation after PCI in ACS patients, and tigerrilol had better effect after interventional treatment in ACS patients. In addition, compared with clopidogrel, tegrel can significantly inhibit the expression of IL-6 in patients with ACS and better alleviate the inflammatory response after PCI.Background The level of obesity is related to spatial characteristics around the individual. The objective of this study was to empirically analyze the effect of smoking, drinking, and urban environment on obesity in community residents. Methods This study was conducted for empirical analysis using Ordinary Least Squares (OLS) model not considering time or space-effects, Temporal Autoregressive (TAR) model considering time-effect only, Spatial Autoregressive (SAR) model considering space-model only, and STAR model considering both time and space effects. This study covered 25 autonomous districts in Seoul City, South Korea in terms of space and from 2009 to 2014 in terms of time. Results The STAR model yielded an adjusted R square higher than that from OLS, TAR, or SAR model. Empirical results from the STAR model showed significantly positive (+) effects of the ratio of dependent elders, ratio of smokers, ratio of drinkers, and areas of retail floor space on obesity. In contrast, effects of length of bicycle road and the amount of collected local tax on obesity were negative (-) with statistical significance. Conclusion Smoking and drinking rate and the length of bicycle road can contribute to personal obesity.Recently convergence science was proposed and promoted in a large report from US National Science Foundation and Department of Commerce (NSF/DOC). The report was entitled "converging technologies for improving human performance. "It was dealing with converging of four technologies as Nanotechnology, Biotechnology, Information technology and Cognitive science (NBIC). The report has gained tremendous popularity throughout the academia and scientific world. On Dec 2015 in a monthly meeting of the department of basic science of Iran Academy of Medical Science, the report of NSF/DOC on NBIC has been discussed. A working group has been established for more discussion and application in Iran. Several seminars in this regard have been performed, and presently this technology has been started as pilot in some technical universities in Iran. After US National Research Council (NCR) in the year 2014 and Massachusetts Institute of Technology (MIT) on convergence in biomedicine, the concept opened a new gate to approach solving medical and health care problems; the convergence technology in biomedical sciences has become interested and gained great popularity among the working group of convergence science in academy of medical science. This technology can lead to advances in fighting chronic diseases such as cancer, dementia, psychiatric disorders, disease of aging and others. The following is summary of proposed discussions in several gathered groups of scientists in this field.Background Road accident statistics has been seen increasing over the years despite numerous efforts made by the authorities. Human factors have contributed 90% of accident occurrence with risky driving behavior being one of the significant human factors that can be further explained through norms. This review paper aimed to investigate the relationship between norms and drivers' risky driving behavior. Methods A systematic review process was conducted through four academic databases namely Scopus, Wiley Online Library, Emerald and Web of Science of no limitation for date. Overall, 3443 titles were identified and after several screening and reviewing processes, only 27 studies were included. Results The results of the review demonstrated mixed findings between subjective norm and risky driving behavior, whereas the relationship between group norm, moral norm, injunctive norm, descriptive norm and risky driving behavior were observed significant. Conclusion Appropriate educational awareness is required to educate the society in practicing good norms for mutual benefit of the society.