No abstract

No abstract

most effective antibiotics for treatment of Gram-negative isolates were Imipenem (74.74%), Piperacillin-sulbactam (75%), in addition to Cefotaxime, Ceftriaxone, and Meropenem that showed 100% sensitivity. Among Gram-negative microorganisms, Amoxicillin was highly efficacious (89%) followed by doxycycline (78%). Piperacillinsulbactam, Cefotaxime and sulfamethoxazole/trimethoprim showed 100% sensitivity against Candida albicans. ConClusions: The current study provides evidence that antibiotic prescription policies need to be revised in Pakistan with special focus on the implementation of infection control procedures by respective health authorities after a culture sensitivity test which in turn will help decrease the antibiotic resistance problem.

No abstract

One of the greatest challenges in emergency medicine and in particular for emergency staff are disasters with huge amounts of victims. The development of a panic is a rare, but nonetheless an extreme escalation of an emergency situation. This paper describes the psychological and anthropological background of panic reactions and gives a summary of the current evidence in research. Accordingly, panic may be defined as the conclusive endpoint of an internal assessment that the probability to influence ones own survival in a life-threatening situation is close to zero. The possibilities and limitations of behavioral modifications according to strategies that are derived from cognitive and behavioral psychotherapy are discussed. It is crucial to detect situations at risk early and to correctly assess one's abilities for intervention. This ability can be learned with the help of assessment of behavior and self-programming. These methods may help emergency physicians to better assess the risk for the development of a panic following a disaster and thus may be useful in its prevention.