Oakley Tyler (oxygengoal28)

0 (IBM Corp., Armonk, NY). A p-value of less than or equal to 0.05 was considered significant. Main results A total of 1308 (52.3%) neonates were males, while 1193 (47.7%) were females. Serum TSH levels were ranged from 0.01-73.9 µU/ml. The mean ± SD was (7.60 ± 6.02 µU/ml); the cutoff point was 25 µU/ml. Conclusion The prevalence of congenital hypothyroidism among Saudi neonates in Bisha Province is 1834, which is the highest in the rejoin. The prevalence of hypothyroidism from the total screened population was (0.12%). We recommended screening with special consideration to those with high TSH in the primary screening. Copyright © 2020, Abbas et al.Background Full-endoscopic spinal surgery is an evolving technique. A laborious learning phase is inevitable due to the complexity of the orientation and instrumentation. The goal of the present study is to evaluate a single surgeon's learning curve and early outcomes in full-endoscopic resection of lumbar disc herniations. Methods This was a prospective non-controlled single-surgeon cohort study. In 54 patients with 57 herniations, 41 interlaminar and 16 transforaminal resections were performed. Surgery time, severity of adhesive process in the spinal canal, complication rates and clinical outcomes (VAS, ODI, custom questionnaire, recurrence and re-operation rate) were assessed. Results In the interlaminar group, operative time has decreased from 60 ± 20 min in the first 20 operations to 45 ± 14 min in the following 17 (p=0.023). In the transforaminal group, operative time has decreased from 60 ± 16 min in the first 7 operations to 41 ± 12 min in following 9 (p=0.023). Severe adhesive process in spinal canal was associated with duration of symptoms greater than 2 years, longer surgery and higher risk of surgical complications. Four recurrent disc herniations were re-operated using full-endoscopic technique. VAS, ODI and pain medications significantly decreased in both groups and in re-operated patients. Conclusion The plateau of the learning curve and good short-term clinical results of full-endoscopic interlaminar and transforaminal surgery may be achieved after twenty operations, given extensive previous experience in microsurgery. Risk of complications at the learning phase may be decreased by excluding the patients with symptoms lasting over two years. Copyright © 2020, Zelenkov et al.INTRODUCTION The Accreditation Council of Graduate Medical Education (ACGME) mandates resident scholarship in all residency programs. Resident scholarship requirement continues to be one of the most common citations by the Residency Review Committee (RRC). This study evaluates the impact of a structured roadmap for resident scholarly activity in a single-family medicine residency program. METHODS This retrospective study compares resident scholarship before and after exposure to a structured roadmap for scholarly activity as well as characteristics associated with higher scholarship productivity. The data was analyzed using Statistical Package for Social Sciences (SPSS Inc., Chicago, IL) version 16.0. Student's t-test was used to calculate the statistically significant difference. RESULTS There were a total of 16 residents who graduated in the first cohort whereas the second cohort consisted of 18 residents. There was a steady increase in resident scholarly activity over time. The number of publications by those who were exposed to a 13-step structured roadmap for scholarly activity was more than twice when compared with the first cohort. Those who pursued a fellowship after residency published three times more than those who did not. CONCLUSION Exposure to a structured roadmap for scholarly activity may be associated with higher production of resident scholarly activity. Larger studies comparing national level data from isolated community hospitals and big academic centers are needed for a conclusive argument. Sulfopin Although the availability of resources may increase the likelihood of mor