Music as an adjunct to combination analgesia for neonatal circumcision: A randomized controlled trial.

Introduction: Neonatal circumcision is one of the most frequently performed procedures in male infants; it is also particularly painful. In a previous trial, we showed that the combination of Eutectic Mixture of Local Anesthetics (EMLA) + Sucrose + Ring Block (RB) was significantly effective in reducing pain during circumcision.

Objective: In this study, we added music as an adjunct aiming to further reduce the pain scores.

Burnout of residents: Overview from various medical institutions - A suggested model for improvement.

Background: Burnout is a common issue among residents across the globe. Although several attempts were made to propose better working hours for residents, burnout is still prevalent as depicted by several studies.

Objectives: The aim of the paper is to review several worldwide studies related to burnout in residents and propose potential suggestions.

Practice patterns in ordering a voiding cystourethrogram for pediatric patients among different specialties in a Middle Eastern tertiary care center.

Introduction: Voiding cystourethrogram (VCUG) is a very popular test performed to evaluate genitourinary tract anomalies. Nevertheless, this test can be overused and can lead to unnecessary patient discomfort, radiation exposure, and cost. We sought to study the practice patterns in ordering a VCUG in a Middle Eastern tertiary care center.

Remote ischemic conditioning in a rat model of testicular torsion: does it offer testicular protection?

Background: Testicular torsion is a surgical emergency mainly affecting adolescent boys, with a relatively high rate of missed torsion and testicular loss secondary to delay in prompt diagnosis and surgical intervention. With ischemic reperfusion injury as its underlying culprit, testicular torsion may respond favorably to remote ischemic conditioning (RIC) where a non-privileged site (e.g.

Combination Analgesia for Neonatal Circumcision: A Randomized Controlled Trial.

Objectives: There is no consensus on the most effective pain management for neonatal circumcision. We sought to compare different modalities.

Methods: This is a double-blinded randomized controlled trial comparing 3 combination analgesics used during circumcision (EMLA + sucrose; EMLA + sucrose + dorsal penile nerve block [DPNB]; EMLA + sucrose + ring block [RB]) with the traditional topical analgesic cream EMLA alone.