Miracle-dz/UniFAR-FTUs huggingface dataset:
Superficial Cryotherapy Versus Intralesional Corticosteroid Injection In Alopecia Areata: A Comparative Clinical And Dermoscopic Study

Background: Alopecia areata (AA) is a common, non-scarring type of hair loss, affecting approximately 2.1% of the population. Many modalities of treatment are recommended like steroid injection, topical Immunotherapy, and several systemic therapies, but none of them can prevent or alter the course of the disease with variable degrees of improvement. Objective: To evaluate efficacy and safety of superficial cryotherapy versus intralesional corticosteroid injection in the treatment of alopecia areata. Patients and Methods: Thirty patients aged 14-58 years, with localized multiple patchy alopecia areata (at least two patches), were enrolled in this study. In each patient, one patch was treated by superficial cryotherapy via liquid nitrogen spray. This involved two treatment cycles/sessions, each lasting 3-5 seconds. The other patch was treated with intralesional steroid injection (triamcinolone acetonide 5 mg/ml, 0.1ml /cm. Sessions were repeated every three weeks up to three months. The target lesions were evaluated clinically using SALT score and by 2 blinded dermatologists and dermoscopically at baseline, every session, and the end of the study (one month after the last session). Results: At the end of the study, the clinical response (number of the patients with hair growth > 20%) to superficial cryotherapy was about 83.3% (25 patients out of 30 patients). While in the steroid group the clinical response was about 80% (24 patients out of 30 patients). There was a statistically significant reduction in SALT score and dermoscopic parameters at the end of the study in both groups with no significant difference between them. There was a significant clinico-dermoscopic relation between hair regrowth and dermoscopic findings. Conclusion: Superficial cryotherapy is an effective and safe therapeutic modality for AA with advantages of simplicity and noninvasiveness.
EFFECT OF FOLIAR SPRAY SOME MICRONUTRIENTS MIXTURE AND BIOFERTILIZERS (EM) ON GROWTH, YIELD AND FRUIT QUALITY ON SULTANI FIG IN NORTH WEST COAST

his work was carried out during the two successful seasons (2018 and 2019) on the “Sultani” fig trees cultivated in a private orchard located in the Burg Al-Arab region (about 70 km to the west Alexandria, Egypt). This work aims to study the impact of application of sprays with a mixture of chalets (iron, zinc, and Mn) at 50, 100 mg.l-1 and ascorbic acid at 500 and 1000 mg.l-1 with EM at 500 and 1000 mg.l-1 alone or combined in growth, productivity and fruit quality of fig trees planted in calcareous soil. The results showed that all the study parameters led to a significant increase in the measurements of vegetative growth, yield, quality and leaf mineral content for both seasons. Furthermore, a gradual increase in the studied growth parameters of “Sultani” fig trees was quite obvious with increasing the concentrations of both mixtures of microelements and ascorbic acid with Effective Microorganisms (EM) in both seasons. On the other hand, the treatment of spraying the “Sultani” fig trees with ascorbic acid at 1000 mg.l-1 or EM at 1000 mg.l-1 gave the highest values of total chlorophyll, leaf area, yield, fruit quality and leaf mineral contents in both seasons, compared to other treatments. However, the interaction between all treatments was given the best effective results in terms of affecting the fig tree studied parameters in the both seasons.
Graduating undergraduate student Internet use: How tech-savvy is the Net Generation?

This study contributes to a growing body of research that calls into question the assumption that all members of the Net Generation are uniformly sophisticated in their use of web-based technologies. Students graduating from an undergraduate business program were surveyed about their use of a range of technologies for academic and personal uses. Findings suggest that the majority of respondents use a limited range of technologies everyday to communicate and to stream audio and video web content. Many fewer students regularly used technologies associated with producing web content. Differences were also found in technology use patterns across gender lines.
EFFECT OF THROMBOPOIETIN RECEPTOR AGONISTS (ROMIPLOSTIM) ON HEPATIC THROMBOCYTOPENIA IN CIRRHOTIC MALE ALBINO RATS

Background: Thrombocytopenia in patients with chronic liver disease (CLD) can negatively affect the patient’s carein advanced liver disease by interfering with diagnostic and therapeutic procedures. Decrease levels of thrombopoietin hormone in CLD lead to decrease rate of platelet production and maturation. Because of the short half-life of platelets repetitive platelet transfusions are not a practical solution to thrombocytopenia. Objective: To assess the role of thrombopoietin receptor agonists (Romiplostim) in treatment of thrombocytopenia in CLD. Material and Methods: One hundred twenty adult male albino rats were used in this study. They were divided into four groups Results: There were significant increase of platelet count in rat groups receiving Romiplostim (NR, CRA and CRB) when compared to other groups (N, CA and CB) and there were significant increase in platelet count in rats received Romiplostim by time pass (CRB if compared by CRA). On the other hand, Romiplostim has insignificant effect on liver function tests in all rat groups, also showed no effect on histopathological examinations of liver sections in different rat groups (NR, CRA and CRB). Conclusions: Romiplostim administration increase platelet count in cirrhotic albino rats.
Value of Dimeglio Scoring System During Ponseti Correction of Congenital Talipes Equinovarus Deformity

Background: When it comes to assessing the severity of an isolated clubfoot deformity and its response to therapy, the Dimeglio scoring system is universally accepted. Objective: The aim of the current work was to increase the knowledge about application of dimeglio scoring system during Ponseti correction of clubfoot. Patients and Methods: On the basis of a Randomized clinical research, at Zagazig University Hospital Orthopedic Department, and Alhawary general hospital, Benghazi, Libya, we recruited 12 patients aged lower than 1 year having idiopathic clubfoot treated using ponseti technique in duration from January 2021 to October 2021. Results: There was a statistically significant decreases in Demiglio score among cases did not need tenotomy compared to cases needed it at all times of follow up. Also, there was a statistically significant decrease in score when comparing 1st & last read in cases needed tenotomy by 89.03% and in cases did not need by 94.26 percent. The different readings of Demiglio score had accuracy 100%, 100%. 91%, 83.3% & 100% respectively in prediction of not needing tenotomy among the studied cases. Conclusion: It could be concluded that in terms of dependability, the Dimeglio scoring system is clinically relevant and may be simply used in clinical practice. The Dimeglio score is practical, easy to use, and applicable in children also above the age of 1.5 years old.
Assessment of Nurses' Knowledge and Skills Regarding Oxytocin Administration

Background: Oxytocin is the drug more commonly used for mother during labour for induction and progression of labour process but misuse of oxytocin administration results in serious adverse effects to mother and baby. Aim: To assess nurses' knowledge and skills regarding oxytocin administration. Design: A cross-sectional descriptive study design was used. Setting: The study was conducted at labor and delivery Unit in Mansoura University Hospitals, New General Hospital and Old General Hospital. Sample type: A convenient sample was utilized. Sample: Sixty nurses who work in the labor room of selected hospitals. Tools: Tool I: Structured Interview Schedule: It includes general characteristics of nurse and knowledge of nurses about oxytocin administration. Tool II: Oxytocin administration observational checklist Results: All of studied group (100%) had knowledge about time to stop the oxytocin infusion during labor; most of them had knowledge regarding the interval that oxytocin dosage increased. Also, majority of them had knowledge regarding the appropriate action to be performed if the uterine hyper stimulation occurs during oxytocin administration. While three quarters of the studied group had deficiency knowledge about the appropriate duration of oxytocin action. Regard to nurses’ practice in administration of oxytocin; all of studied group (100%) completely connects the woman with fetal monitor and record intake and output. Else, majority of them completely prepare equipment, while around half of studied group not had done wash hands post procedure and no one complete the partogram. Conclusion: More than two third of the studied group had average level of knowledge about administration of oxytocin, more than half of studied group have good practice in administration of oxytocin also, there was a positive moderate significant correlation between knowledge and practice. Recommendation: Conducting periodic in-services training program for nurses who are handling oxytocin drugs to continuous improve knowledge and skills for safe handling measures and reduce the harmful effects of this drug
Effect of Stress level and Burnout on Quality of Care and Patients Satisfaction Among Critical Care Nurses.

Background: Nurses are exposed to various stressors from physical, psychological, and social working environments; nursing has been considered as a risk profession for burnout due to this stressor. Aim: This study was performed to explore the effect of nurses’ burnout and stress levels on the quality of nursing care and patient satisfaction. Methods & Materials: The study was a descriptive cross-sectional hospital based. A total of 117 nurses and 94 patients from critical care units in three governmental public hospitals in Wad Medani city, Sudan, were enrolled. Results: The level of nurses' stress was low among 97.4 % of respondents and moderate among 2.6 %. Regarding the relationship between nursing stress level and job burnout; the study found a significant effect of stress on emotional exhaustion was moderate, mean (SD) 23.34 (10.6) and low personal accomplishment 37.27 (9.4). Stress has a positive statistical effect on emotional exhaustion and depersonalization; while depersonalization and death / dying stressors have negative statistical effects on the quality of care that perceived by nurses. The overall regression of the negative effect of depersonalization and death / dying stressors on the quality of care that perceived by nurses was F=5.690, p<0.001 (R2=0.13). Conclusion: All nurses in critical care units were experiencing stress and burnout at the workplace, the study found a significant effect of work stress and burnout on quality of care. While no effect on the quality perceived by patients and their satisfaction level.
Versatility of Vertical Distraction Osteogenesis and Sticky Bone in Three-Dimensional Augmentation for Atrophic Alveolar Ridge

Aim. This prospective study was designed to evaluate three-dimensional (3-D) alveolar ridge augmentation through two stages surgical approach, using vertical alveolar distraction osteogenesis (VADO) followed by onlay sticky bone covered by collagen membrane, for augmentation of the atrophic alveolar ridge to facilitate implant installation. Subjects and Methods: Ten patients with atrophic alveolar ridge were treated by VADO. After bone consolidation the distractors were removed, implants were inserted, sticky bone graft was packed at buccal aspect, and covered by guided tissue regeneration (GTR) membrane. The implants were loaded after three months of its placement. Clinical evaluation was done to assess wound healing and implant stability. Also, the following parameters were evaluated on orthopantomography and cone–beam computed tomography; relapse in the distracted bone, crestal bone loss around the implant and bone density around the implant. All data was statistical analysed. Results: Mean vertical bone gain was 6.5 mm (range 5-8 mm), and the mean width gain was 4 mm ( range 3-5mm). There was 100% survival rate of all implants. There was significant decrease in the mean bone height throughout all periods. Also, significant improvement in bone density around the implant was reported along follow up periods. Conclusion: VADO followed by onlay sticky bone graft with GTR can be successfully performed to gain proper 3-D measurements of alveolar ridge that are essential for ideal implant installation in severe atrophic mandibular alveolar ridge.
RESPONSE OF GARLIC TO NITROGEN AND PHOSPHORUS IN THE COMMON FORM AND NANO

Two field experiments were conducted during the winter seasons of 2017/2018 and 2018/2019 at a Private farm in San El. Haggar, Shrkia governorate, Egypt to evaluate the effect of potassium and phosphorus fertilizer and the formula of nano fertilizer with potassium and phosphorus on plant growth characters, chemical composition, productivity and storability of garlic cv. Chinase. The experimental design used in the two growing seasons was randomized completes blocks with three replications. This experiment was included 7 treatments, which were: control, P fertilizer ( P2O5 at 90 kg/fedd, calcium superphosphate ), K fertilizer (K2O at 100 kg /fedd , potassium sulphate ), P2O5 and K2O fertilizer ( 100+90 ), Nano P ( 5ml/l ), Nano K(5 ml/l), and nano P+K (2.5 +2.5 ml/l) The obtained results can be summarized as follows: The treatment of nano potassium + nano phosphorus, followed by the treatment of potassium + phosphorus had a significant effect and recorded the highest values of plant height, fresh and dry weight of whole plant in both growing seasons. While the lowest values of vegetative growth of garlic plants were recorded by the control treatment. There are a significant effect of the treatment of potassium + phosphorus fertilizer application caused a maximum values of average bulb weight, bulb diameter, number of cloves/ bulb and total yield / feddan. This treatment followed by the treatment of foliar application with nano potassium + nano phosphorus compared to the other treatments and control. The treatment of the combined effect between nano potassium and nano phosphorus caused a highest values and significant effect on the 1034 NESSMA ANWAR et al. macro. nutrients, i.e N, P and K of garlic leaves and nutritive values of garlic bulb compared to the other treatments and control. The total weight loss of garlic bulbs stored were reduced gradually by the treatment of potassium + phosphorus fertilizer followed by the treatment of nano potassium + nano phosphorus and recorded the lowest values in weight loss compared the control and other treatments. Conclusively, From these results, it can concluded that nano fertilizer can be compensate the high amounts of mineral fertilizer application which causes environmental pollution.
OUTCOME OF EJACULATION PRESERVING TRANS URETHRAL PROSTATECTOMY (EPTURP)

Background: Bladder outlet obstructions (BOO) are one of the major disorders in the aging male. The most common etiology of BOO in elderly men above the age of 60 years is benign prostatic hyperplasia, but younger men (< 50 years old) can also experience subvesical obstruction from a small but obstructive prostate. Surgical intervention (TURP) after failure of first-line treatment can achieve highly satisfying symptomatic and functional outcomes in patients with BOO. Retrograde ejaculation is one of the most common complications in benign prostatic hyperplasia (BPH) surgery. Surgeons are concerned about this complication when patients are sexually active. Objective: To evaluate the efficacy of ejaculation preserving TURP (epTURP) in relation to functional results. Patients and Methods: Thirty one patients with bladder outlet obstruction due to clinically diagnosed BPH were enrolled in our prospective study which was carried out at the Urology Department, Al-Azhar University, during the period from January 2017 to September 2019, undergoing (epTURP). They were evaluated for preservation of ante grade ejaculation along with the functional outcome of this technique after 1, 3, and 6 months of post-operative follow up. Results: The complications such as stress incontinence, urethral stricture and bladder-neck contracture were not recorded in our studied patients. Three patients (9.7%) did not ejaculate on follow up after epTURP at 1, 3, 6 months. We considered the cause of insufficient preservation of the safety area of the ejaculatory ducts. In our cases, there was a failed case did not void after removal of catheter, and needed reintervention by traditional TURP. The decision of retreatment of the failed patient by traditional TURP was done by AlHussein Department after failure of epTURP to relieve BPH obstruction. We considered the cause as imperfect resection of the supra montanal tissue. Conclusion: The epTURP technique developed with the aim of preserving ante grade ejaculation for patients with obstruction manifestations due to benign prostatic enlargement, with failure of medical treatment to relieve that obstruction, and those patients who hope of preserving ejaculation for sexual pleasure, psychological satisfaction, or to gain pregnancy. The results from this study may underline the necessity of reviewing the old concept of ejaculation physiology.
Anxiety and Depression among Egyptian Working Physicians During COVID-19 Pandemic

Marwa M. Mohasseb, Asmaa A. Elsheikh 1 Family Medicine Department, Menoufia Faculty of Medicine, Egypt. 2 Community and Occupational Medicine Department, Al-Azhar UniversityCairo, Egypt Abstract Background: COVID-19 has been declared as a pandemic that has compelled health systems to operate around the clock. The increased workload has developed psychiatric problems among frontline physicians where they reached burnout due to the high stress they face. Hence, their ability to work effectively decreased. Objectives: Assess the prevalence of anxiety and depression among working physicians during the pandemic, analyze their influencing factors, and evaluate their effect on the productivity of physicians` work. Method: A cross-sectional study was carried out among working physicians in Egypt inquiring about their socioeconomic status, anxiety, depression, expected influencing factors, and work productivity. The questionnaire was administered to 400 physicians in contact with the disease. Results: A total of 40% of the participating physicians suffered from anxiety and about 35% suffer from depression. Lack of support at work, fear of depletion of certain drugs and PPE during work in hospitals, having higher qualifications, increased workload, and being married were the most influencing factors for developing anxiety. Lack of support at work followed by increased workload, fear of PPE depletion, and working in hospitals were the most influencing factors for developing depression. A significant positive correlation was found between the impaired work productivity, anxiety, and depression. Conclusion: Anxiety and depression are prevalent among physicians during COVID-19 pandemic. Socioeconomic and work-related factors significantly affect the development of these diseases which evidently affect their work productivity.
A longitudinal investigation of information and support seeking processes that alter the uncertainty experiences of mental illness

ABSTRACT Individuals living with mental illness commonly experience higher- or lower-than-desired uncertainty (i.e., uncertainty discrepancy) related to their medical conditions, personal identities, and social relationships. An uncertainty discrepancy can trigger negative emotions and motivate communication behaviors such as information seeking and social support seeking, which, in turn, may alter the initially perceived uncertainty discrepancy. Three-wave longitudinal data collected from 223 adults with clinically diagnosed mental illness suggested uncertainty discrepancy was associated with direct support seeking from family and best friends via mechanisms proposed by the theory of motivated information management. Indirect support seeking led to an increase in uncertainty discrepancy over time. Theoretical and practical implications regarding support seeking as an emotion-driven communicative response to uncertainty discrepancy are discussed.
Using the Otolith Mass in Growth Determining of Glossogobius giuris in the Mekong Delta

1,2 Gieo H. Phan, 3 Quang M. Dinh, 1 Ngon T. Truong, 4 Nam S. Tran, 3 Ton H. D. Nguyen 1 Department of Molecular Biology, Biotechnology Research and Development Institute, Can Tho University, Xuan Khanh Ward, Can Tho, Vietnam; 2 Faculty of Agriculture and Rural Development, Kien Giang University, Minh Luong Town, Chau Thanh District, Kien Giang 920000, Vietnam; 3 Department of Biology, School of Education, Can Tho University, Can Tho, Vietnam; 4 Department of Environmental Sciences, College of Environment and Natural Resources, Can Tho University, Can Tho, Vietnam * Corresponding Author: Q. M. Dinh, dmquang@ctu.edu. vn
Only the Good Die Old? Ontogenetic Determinants of Locomotor Performance in Eastern Cottontail Rabbits (Sylvilagus floridanus)

Synopsis For many animals, the juvenile stage of life can be particularly perilous. Once independent, immature animals must often complete the same basic survival functions as adults despite smaller body size and other growth-related limits on performance. Because, by definition, juveniles have yet to reproduce, we should expect strong selection for mechanisms to offset these ontogenetic limitations, allowing individuals to reach reproductive adulthood and maintain Darwinian fitness. We use an integrated ontogenetic dataset on morphology, locomotor performance, and longevity in wild cottontail rabbits (Sylvilagus floridanus, Allen 1848) to test the hypothesis that prey animals are under selective pressure to maximize juvenile performance. We predicted that (1) juveniles would accelerate more quickly than adults, allowing them to reach adult-like escape speeds, and (2) juveniles with greater levels of performance should survive for longer durations in the wild, thus increasing their reproductive potential. Using high-speed video and force platform measurements, we quantified burst acceleration, escape speed, and mechanical power production in 38 wild-caught S. floridanus (26 juveniles, 12 adults; all rabbits >1 kg in body mass were designated to be adults, based on published growth curves and evidence of epiphyseal fusion). A subsample of 22 rabbits (15 juveniles, 7 adults) was fitted with radio-telemetry collars for documenting survivorship in the wild. We found that acceleration and escape speed peaked in the late juvenile period in S. floridanus, at an age range that coincides with a period of pronounced demographic attrition in wild populations. Differences in mass-specific mechanical power production explained ∼75% of the variation in acceleration across the dataset, indicating that juvenile rabbits outpace adults by producing more power per unit body mass. We found a positive, though non-significant, association between peak escape speed and survivorship duration in the wild, suggesting a complex relationship between locomotor performance and fitness in growing S. floridanus.