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Abstract
Background  Intraoperative parathyroid hormone assay (IOPTH) has been suggested to have value in predicting the development of postoperative
hypoparathyroidism after thyroid surgery. IOPTH has been validated in identification of patients at risk of postoperative
hypocalcemia requiring early onset of calcium supplementation therapy and in improving selection of patients eligible for
a safe early discharge. However, the value of IOPTH has not been assessed in a randomized study as a guide for the surgeon

Abstract  Despite implementation of practical guidelines, continuing education programs in our hospital, the percentage of inappropriate
prophylactic antibiotic usage remains high. The aim of this study was to investigate whether information technology can reduce
the misuse of surgical prophylactic antibiotic. We started physician continuing education programs in January 2005 and initiated
feedback system in July 2005. The computerized reminder system was implemented in April 2006. Relevant data about the surgical