Implementation of a risk-stratified opioid weaning protocol in a pediatric intensive care unit.

Purpose: Opioids are important in the care of critically ill children. However, their use is associated with complications including delirium, dependence, withdrawal, and bowel dysfunction. Our aim was to implement a risk-stratified opioid weaning protocol to reduce the duration of opioids without increasing the incidence of withdrawal.

Relationship of hamster ovum sperm penetration assay to seminal fluid analyses in the evaluation of infertile couples.

The males of 279 infertile couples were evaluated with hamster ovum sperm penetration assay (SPA) and seminal fluid analysis. The mean SPA score for the total population was 23.0% penetration with a range of 0-97%.