bluuebunny/crossref_metadata_2025 huggingface dataset:
A STUDY TO ASSESS THE LEVEL OF RISK OF MENTAL ILLNESS AMONG WOMEN UNDERGONE DOMESTIC VIOLENCE IN SELECTED AREA AT PUDUCHERRY
Authors:   Assistant Professor in Nursing., Vijayan S. , Tamilpulavendran V. ,   Sri ManakulaVinayagar Nursing College., Muthamilselvi G. ,   Kalitheerthalkuppam, Puducherry.
Published: March 2023

Domestic violence (also known as domestic abuse or family violence) is violence or other abuse that occurs in a domestic setting, such as in a marriage or cohabitation. The research approach used for this study was quantitative research approach. A on experimental research design was used to assess the level of risk of mental illness among women undergone domestic violence in selected area at Puducherry. By using convenient sampling technique 30 sample.Majority of the women 25 (83.3%) had low level of risk of mental illness, and 5(16.7%) had high level of risk of mental illness and the mean and standard deviation level of risk of mental illness among women undergone domestic violence is (34.73+7.737) respectively.
AN OVARIAN GRANULOSA CELL TUMOR IN A PATIENT WITH POLYCYSTIC OVARIAN SYNDROME: A CASE REPORT
Authors:   Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda, Morocco., Aouragh A. , Kamal H. ,   Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda, Morocco., Taheri H. ,   Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda, Morocco., Saadi H. ,   Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda, Morocco., Mimouni A. ,   Department of Obstetrics and Gynecology, Mohammed VI University Hospital Center, Oujda, Morocco.
Published: March 2023

Granulosa cell tumors (GCTs) are the second most common ovarian sex cord stromal tumors after fibroma/thecomas, accounting for less than 2% of all ovarian malignancies. GCTs are most common in postmenopausal women between the ages of 50 and 55, are usually diagnosed early, and have a good prognosis. GCTs are typically characterized by hyperestrogenism and have an average size of 10 to 15 cm. A 39-year-old nulligravida with polycystic ovarian syndrome (PCOS) discovered a 50-mm mass in her right ovary on ultrasonography. Pathological examination revealed an adult-type granulosa cell tumor with necrosis and hemorrhage. The tissue was positive for inhibin-, Wilms tumor-1, and CD56 but negative for cytokeratin 7. Finally, we performed a right salpingo-oophorectomy, an endometrial biopsy, a peritoneal biopsy, and a partial omentectomy. Pathology revealed an adult-type granulosa cell tumor. IA stood for International Federation of Gynecology and Obstetrics staging. The patient did not require any additional care. Surprisingly, her normal menstruation returned two weeks later, and she had a normal pregnancy and parturition. Following the surgery, There have been no complications and the patient is disease-free.
MANAGEMENT OF DENTAL FLUOROSIS BASED ON SEVERITY INDEX
Authors: Deepika Kumari , Bansal Kriti , Gupta Rekha , Gill Shubhra
Published: March 2023

Aim and Objective: The purpose of present case series is to illustrate treatment procedure of discoloration due to dental fluorosis based on severity index. Background: Dental fluorosis is the appearance of faint white lines or streaks on the teeth that occurs when younger children consume too much fluoride, from any source, over long periods when teeth are under developing stage. It affects the esthetic and also the confidence of the affected person. The esthetic improvement can have great effect on patient confidence and oral health and may be sought for various reasons like discoloration, shape and size of teeth. Tooth whitening is a major concern among general young population to approach dental surgeon. Various treatment options given in the literature to treat dental fluorosis include bleaching, microabrasion, composite restoration and porcelain veneers. Case description: In this case series, mild to moderate fluorosis was treated by use of minimal invasive procedure of microabrasion and ceramic veneers were used to treat moderate to severe fluorosis. Conclusion: Among different treatment modalities present, the selection of appropriate treatment improves the prognosis of treatment. Clinical significance: The treatment approach in dental fluorosis varies based on its severity therefore, it is essential to analyze the fluorosis index before treating the patient with a complaint of tooth discoloration to achieve best prognosis.
BIOCONTROL OF RUST AND LEAF SPOTS DISEASES OF PEANUT USING CULTURE FILTRATES OF AKANTHOMYCESLECANIIIN NATURALCONDITIONS IN BURKINA FASO
Authors:   EquipePhytopathologie et MycologieTropicale (PM-Prop), Unite de Formation et de Recherche en Sciences de la Vie et de la Terre (UFR/SVT), Universite Joseph KI-ZERBO, 03 BP 7021 Ouagadougou 03, Burkina Faso., Tounwendsida Abel Nana , Alassane Ouattara ,   EquipePhytopathologie et MycologieTropicale (PM-Prop), Unite de Formation et de Recherche en Sciences de la Vie et de la Terre (UFR/SVT), Universite Joseph KI-ZERBO, 03 BP 7021 Ouagadougou 03, Burkina Faso., Kouka Hamidou Sogoba ,   EquipePhytopathologie et MycologieTropicale (PM-Prop), Unite de Formation et de Recherche en Sciences de la Vie et de la Terre (UFR/SVT), Universite Joseph KI-ZERBO, 03 BP 7021 Ouagadougou 03, Burkina Faso., Bepiougnine Bienvenu Somda ,   EquipePhytopathologie et MycologieTropicale (PM-Prop), Unite de Formation et de Recherche en Sciences de la Vie et de la Terre (UFR/SVT), Universite Joseph KI-ZERBO, 03 BP 7021 Ouagadougou 03, Burkina Faso., Adama Sirima ,   EquipePhytopathologie et MycologieTropicale (PM-Prop), Unite de Formation et de Recherche en Sciences de la Vie et de la Terre (UFR/SVT), Universite Joseph KI-ZERBO, 03 BP 7021 Ouagadougou 03, Burkina Faso., Bawomon Fidele Neya ,   Universite Nazi BONI/Centre Universitaire de Gaoua 01, P.O Box 1091, Bobo-Dioulasso 01, Burkina Faso.
Published: March 2023

Leaf spots and rust are the most destructive diseases of peanut in Tropical Africa, but it has shown that Akanthomyceslecanii isknown ashyperparasiteof rustandleaf spots fungi. Previous studies have investigated on the use of conidia of A.lecaniiin biocontrol of these diseases. However, the conidia are influenced by temperature and relative humidity, which could result in low efficiency of biocontrol agents in natural conditions. The use of secondary metabolites could help to fight against the plant diseases in natural conditions. Thus, we sprayed peanut plants with culture filtrates from 21-day-old cultures of two strains of A. lecanii grown in potato dextrose broth, to assess their efficiency against leaf spots and rust diseases innatural conditions. A susceptible variety SH470P and a moderately susceptible varietyPC79-79 of peanut to rust and leaf spots diseases were used. Our findings revealed that A. lecanii culture filtrates have significantly reduced the severity of rust and leaf spots diseases in SH470P only. In SH470P, the lowest severity of leaf spots in 2020 (59.26%) and 2021 (48.10%) were recorded in plots sprayed with culture filtrates of A. lecanii. The lowestseverity of rust (29.60%) was recorded in the plots sprayed with the A. lecanii culture filtrates in 2021 in SH470P. From our findings, the use of A. lecanii culture filtrates is a promising alternative in the control of peanut rust and leaf spots. But, further studies are required to determine the effective doses and active secondary metabolites against these diseases.
THE RELATIONSHIP BETWEEN INTERCANTHAL WIDTH, INTERALAR WIDTH, COMBINED WIDTH OF FORE FINGER, MIDDLE FINGER, AND RING FINGER OF RIGHT HAND TO THE INTERCANINE WIDTH OF MAXILLARY ANTERIOR TEETH IN SOUTH INDIAN POPULATION- AN IN VIVO STUDY
Authors:   MDS, PhD, Head of Department, Yenepoya Dental College., Kumar Shetty Sanath , K. Amal ,   BDS, Post Graduate Student, Yenepoya Dental College., Md Asaraf K. ,   BDS, Post Graduate Student, Yenepoya Dental College., Mohamed Huzaifa A.H Syed ,   BDS, Post Graduate Student, Yenepoya Dental College.
Published: March 2023

Purpose-The objective is to evaluate the relationship between Intercanthal width, interalar width, combined width of fore finger, middle finger, and ring finger of right hand to the intercanine width of maxillary anterior teeth in south Indian population Materials and Methods- one hundred thirty six patients were evaluated for innercanthal, interalar, combined width of fore finger, middle finger, and ring finger of right hand to the intercanine width of maxillary anterior teeth, the studys statistical test was done by one-way ANOVA test. Result-the values of Mean Â± SD were Intercanine distance 40.510 Â± 1.954, inter alar width 40.672Â± 1.785 eye width 37.969 Â± 2.37 and combined finger width 40.397 Â± 1.969 and df: 2, F: 11.578, p-value : 0.001(p<0.05) were obtained which implies statistical significance. Conclusion-Within the limitation of the study, it was concluded that there is a significant correlation between intercanine width and inter alar and combined width of three fingers. There is statistically significant difference has been noticed between intercanine and inter canthal distance.
LITERATURE AND ECOCRITICISM: A STUDY OF SELECTED NORTH-EAST INDIAN POETRY IN ENGLISH
Authors:   Ph. D. Scholar, Nagaland University., Tsurho Shurhonuo ,   Department of English, Nagaland University.
Published: March 2023

Ecocriticism calls for a universal concern and awakening. While the concern for Nature births ecocentrism with Nature as its priority, the opposite stands for anthropocentrism which stands for a man-centred concept. Through the various writings of Temsula Ao, D. Kuolie and Mamang Dai, it is evident that themes such as ecological depletion and exploitation, cultural shift, grief over Natures eroding state, and the glorification and might of Nature are the most common trends. The aim of the writers in projecting their homeland as their ideal place is justified by their concern for its ecology and their observation of change upon their lands with the change of time.
HYPOGLYCEMIA AND JAUNDICE IN A NEWBORN REVEALING PITUITARY STALK INTERRUPTION SYNDROME
Authors: Elazizi Lamiaa , Akioud Fatima , Moustaghit Imane , Abourazzak Sanaa , Hida Mustapha
Published: March 2023

Pituitary stalk interruption syndrome (PSIS) is a rare congenital abnormality of the pituitary gland. It is associated with either isolated growth hormone deficiency or combined pituitary hormone deficiency (CPHD). Neonatal PSIS is extremely rare and difficult to diagnose and can be life threatening if diagnosed late. In this manuscript, we descripted a case of neonatal PSIS who is treated at the department ofPediatric Endocrinology atHassan II University Hospital Center of Fez.Sustained hypoglycemia and jaundice in newborns, indicate the presentation of PSIS. Early recognition is of great importance to avoid a life-threatening crisis.
EVALUATION OF ROLE OF HYALURONIC ACID IN MANAGEMENT OF POST OPERATIVE SEQUALE OF MANDIBULAR THIRD MOLAR DISIMPACTION - A SPLIT-MOUTH COMPARATIVE STUDY
Authors:   Post Graduate, Department of Oral & Maxillofacial Surgery, Rajasthan Dental College & Hospital, Jaipur., Sheikh Alfisha , Sharma Amit ,   Professor & Head, Department of Oral &Maxillofacial Surgery, Rajasthan Dental College & Hospital, Jaipur., Kamal Neel ,   Professor, Department of Oral & Maxillofacial Surgery, Rajasthan Dental College & Hospital, Jaipur., Ashwin Vaz ,   Post Graduate, Department of Oral & Maxillofacial Surgery, Rajasthan Dental College & Hospital, Jaipur., Sisodia Alankrita ,   Assistant Professor, Department of Oral & Maxillofacial Surgery, Rajasthan Dental College & Hospital, Jaipur.
Published: March 2023

Aim of the study: To determine the efficacy of Hyaluronic acid gel in management of postoperative complications after impacted mandibular third molar surgery. Materials and Method : This prospective, single-centeredstudy follow a split mouth-design, where the patients were act as their own control. A total of 40 patients were included in study.The study subjects were assigned into two groups: Control Group and Study Group (0.8 % Hyaluronic acid gel). Once selected, each patient will be assigned a serial number. According to their respective serial numbers, patients with odd serial number will be administered 2ml 0.8% hyaluronic acid gel (Gengigel ) in the postextraction socket of impacted mandibular third molar of the left side, and the right side will act as control, an interval of 4 weeks is kept between the 2 surgeries. In even numbered patients, the right side extraction socket will be administered 2 ml 0.8 % hyaluronic acid gel (Gengigel)and the left side acted as the control. . Post-operative pain, trismus, swelling & soft tissue healing were evaluated on 1st, 3rd and 7th postoperative days . Results:0.8 % Hyaluronic acid gel has shown a beneficial results in the reduction of postoperative pain on 7th day and soft tissue healing on 3rd and 7th days , the results were statistically significant, although the results for trismus and swellingwas not statistically significant. Conclusion :The efficacy of Hyaluronic acid gel has proven to be an important therapeutic adjuvant for reducing postoperative pain & improve soft tissue healing following mandibular third molar surgery and thus improving patients quality of life.
FUNGAL KERATITIS - AN UPDATE ON THE GLOBAL THREAT
Authors:   Junior Resident, Department of Ophthalmology, Government Medical College and Hospital, Aurangabad., R. Shaikh Nishat , G. Choudhary Kashinath ,   Head of Department, Department of Ophthalmology, Government Medical College and Hospital, Aurangabad.
Published: March 2023

Fungal keratitis (FK) is a sight-threatening disease caused by infection of the cornea by filamentous fungi or yeasts. FK can be challenging to diagnose and treat. In tropical, low, and middle-income countries, it accounts for the majority of cases of microbial keratitis (MK). Filamentous fungi, in particular, Fusarium spp., the aspergilli, and dematiaceous fungi are responsible for the most significant burden of disease. The predominant risk factor for filamentous fungal keratitis is trauma, typically with organic, plant-based material. In 2020, the incidence of FK was estimated to be over 1 million cases per year, with a significant geographical variation. Diagnosing FK is challenging accurate diagnosis relies on reliable microscopy and culture. Current topical antifungals are not very effective infections can progress despite prompt treatment. Antifungal drops are often unavailable. When available, natamycin is usually the first-line treatment. However, infections may progress to perforation in ~25% of cases. Future work needs to be directed at addressing these challenges and unmet needs. This review discusses the epidemiology, clinical features, diagnosis, management, and etiology of FK.
EVALUATION DES CONNAISSANCES RELATIVES A LA SEXUALITE FEMININE DANS UNE POPULATION DE FEMMES MAROCAINES EDUQUEES
Authors:   Laboratoire des Neurosciences Cliniques et Santementale, Centre PsychiatriqueUniversitaire Casablanca, Maroc., Hamraoui Yousra , Elkabbaj Nisrine ,   Laboratoire des Neurosciences Cliniques et Santementale, Centre PsychiatriqueUniversitaire Casablanca, Maroc., Choujaa Hafsa ,   Laboratoire des Neurosciences Cliniques et Santementale, Centre PsychiatriqueUniversitaire Casablanca, Maroc., Agoub Mohamed ,   Laboratoire des Neurosciences Cliniques et Santementale, Centre PsychiatriqueUniversitaire Casablanca, Maroc.
Published: March 2023

Introduction: A womanssexualityis an essential component of herflourish. Knowledge about womanssexuality isnecessary for a fulfillingsexual life. In Morocco,knowledge about femalesexualityisoftenbased on cultural beliefs. The objective of ourstudyis to evaluate the knowledge of womenssexuality in a population of educatedwomen. Methods: Our studyconsisted of a survey of 168 educatedwomen. The respondentsanswered an anonymous self-questionnaire with items related to the anatomy of the female body, foreplay, the female attitude duringsexual intercourse, femaleorgasm and contraception. Results:The averagenumber of correct answerswas 86% (SD=0.17%).The active role of the woman in sexual intercourse wasendorsed by all participants (100% correct response).The mostfrequenterrorwas the requirement for simultaneousorgasm. Conclusion: Our study gave us an idea of the overallknowledgelevel of educatedwomen, whichwasgenerally good. The education of the womanwould have allowed an acquisition of sexualknowledge as well as a neutralization of the myths and beliefsinheritedfrom theculture.
IMPACT OF VITAMIN D DEFICIENCY ON MENTAL HEALTH OF MAURITIAN POPULATION-A PILOT STUDY
Authors:   General Practitioner, MBBS, MPH Mauritius., Ibrahim T. , Peerally S. ,   General Practitioner, MBBS, MPH Mauritius., Soopal K.R. ,   Medical Student at SSRMC., Jannoo M.N. ,   Medical Student at SSRMC., Gupta A. ,   Medical Student at SSRMC.
Published: March 2023

In this work, we aim to study any relationship between vitamin D deficiency and the prevalence of depression in the population of Mauritius aged between 18 and 40 years. The objectives are to identify the prevalence of depression in vitamin D deficient individuals, and to identify the impact of the level of vitamin D deficiency on the severity of depression. A survey was carried out on 25 individuals who were tested as vitamin D deficient by means of questionnaires. Statistical analysis was performed using SPSS, version 24. The resulting data showed that nineteen, 19 of the participants were suffering from depression and a strong relationship between severity of vitamin D deficiency and the severity of depression was noted (Pearson correlation coefficient, r -0.908 ).The study therefore calls for reinforcing efforts in terms of screening for depression as well as for vitamin D deficiency.
ANATOMICAL AND RADIOLOGICAL STUDY OF CORONARY OSTIA IN ADULT HUMAN HEARTS
Authors:   Bsc.(Biology), MD physician, SHO Trauma & Orthopedics, Croydon University Hospital, UK., Amrutiya A. Pratik , Dabhi D. Jalpa ,   M.S. Anatomy, Senior Resident, P.D.U. Medical College, Rajkot, India., Pandya M. Ashish ,   M.S. Anatomy, PhD, Associate Professor, P.D.U. Medical College, Rajkot, India., Doshi R. Shrenik ,   D.M. Cardiology, Consultant, Synergy Superspeciality Hosptial, Rajkot, India.
Published: March 2023

The annual number of deaths from cardiovascular diseases (CVD) in India jumped from 2.26 million (1990) to 4.77 million (2020). With the uptrend of CVD cases, the procedures related to coronary arteries also have tremendously increased. Accurate knowledge of the diameter of the coronary artery is needed to facilitate the various cardiac interventions for diagnostics and therapeutical purposes. Therefore, this study was aimed to measure and compare the diameter of the coronary artery from cadaveric hearts, and from living persons by quantitative coronary angiography and intravascular ultrasound. The present descriptive cross-sectional study was carried out on 40 embalmed hearts from the department of anatomy, P.D.U. Government medical college Rajkot, Gujarat 131 angiograms by QCA and 131 luminogram by IVUS technique from the department of cardiology, Synergy Superspeciality Hospital, Rajkot, Gujarat, after approval from the institutional ethical committee. The collected data by all three methods were compared and analyzed by standard statistical methods using Epi info software version 7.2. The mean diameter of RCA= 2.73mm, LCA=3.6mm, LAD=2.55mm and LCX=2.57mm measured from cadaveric hearts. The diameter measured by QCA were RCA=3.69Â±0.58mm, LCA=4.12Â±0.56mm, LAD=3.29Â±0.39mm, LCX=3.18Â±0.4mm and by IVUS RCA=4.78Â±0.59mm, LCA=5.72Â±0.59mm, LAD=4.49Â±0.5mm, LCX=4.47Â±0.53mm. The Pertinent finding of our study is that the diameter of LCA is greater than the RCA (p value<0.001) measured by all three methods the diameter of coronary arteries measured by IVUS is considerably larger than those measured by QCA. IVUS is a pivotal adjunct of QCA and has been increasingly used in clinical and research applications.
EXPOSURE, BELIEVABILITY AND COMPLIANCE OF ANAMBRA NORTH FARMERS TO EARLY WARNING MESSAGES ON FLOOD
Authors:   Department of Mass Communication, Nnamdi Azikiwe University, Awka, Nigeria., Iloegbunam Friday Okeke , Ifeoma Vivian Dunu , ,   Lecturer, Department of Mass Communication, Nnamdi Azikiwe University, Awka, Nigeria., Ekene Godfrey Okafor ,   Lecturer, Department of Mass Communication, Nnamdi Azikiwe University, Awka, Nigeria.
Published: March 2023

Using the flood years of 2019, 2020 and 2022 as benchmark, this study examines the exposure, believability and compliance of farmers in Anambra North to early warning messages on flood mitigations. As the government, relevant bodies and agencies have raised concerns by introducing the use of early warning messages as mitigations measures, negative effects of flood are still felt especially among farmers who face multifaceted losses yearly, necessitating the need for this academic inquiry. Anchored on the Protection Motivation Theory, this study employed the survey method as the research design while the questionnaire served as the instrument for data collection. A Sample size of 500 respondents was selected through the multi-stage sampling approach from a total population of the farmers of cooperative societies in Anambra North Senatorial Zone. The study revealed that 98% of the farmers were affected by flood during the years under review. Majority of them (73.2%) were exposed to early warning messages prior to the flood events but most of the farmers do not believe most of the measures advocated by the early warning messages. Findings further revealed that compliance to the flood early warning massages were generally low among the farmers as most of them did not relocate or observe other safety measures. The study concludes that there is still a gap between the level of exposure, believability and compliance to the flood early warning messages. It was recommended among others that efforts should be made to educate the populace on the damages of flood and that flood resistant IDP centres should be sited in the flood vulnerable communities.
RAPUNZEL SYNDROME COMPLICATED BY ACUTE INTUSSUSCEPTION: ABOUT TWO CASES
Authors:   Departement of radiology, Mother and Child Hospital, CHU Ibn-Sina, Bp 6527, Rue LamfadelCherkaoui Rabat Morocco., Zakaria Abide , Hajar Andour ,   Departement of radiology, Mother and Child Hospital, CHU Ibn-Sina, Bp 6527, Rue LamfadelCherkaoui Rabat Morocco., Amine Cherraqi ,   Departement of radiology, Mother and Child Hospital, CHU Ibn-Sina, Bp 6527, Rue LamfadelCherkaoui Rabat Morocco., Ali Nazik ALL ,   Departement of radiology, Mother and Child Hospital, CHU Ibn-Sina, Bp 6527, Rue LamfadelCherkaoui Rabat Morocco., Latifa CHAT ,   Departement of radiology, Mother and Child Hospital, CHU Ibn-Sina, Bp 6527, Rue LamfadelCherkaoui Rabat Morocco., Siham ELHADDAD ,   Departement of radiology, Mother and Child Hospital, CHU Ibn-Sina, Bp 6527, Rue LamfadelCherkaoui Rabat Morocco.
Published: March 2023

Rapunzel syndrome is a rare form of gastric Trichobezoar extended to the intestine. There is little literature describing the complications associated with this condition. The diagnosis can be guided by the results of conventional radiography and ultrasound, but computed tomography (CT) is the gold standard, as it confirms the diagnosis and provides crucial information on its severity.
FLOW-BASED LIVE-STREAMING SHOPPING
Authors:   Rattanakosin International College of Creative Entrepreneurship, Rajamangala University of Technology Rattanakosin, Thailand., Min Ye , Ching Tan Chai ,   Lecturer, Rattanakosin International College of Creative Entrepreneurship, Rajamangala University of Technology Rattanakosin, Thailand.
Published: March 2023

The current study aims to construct a model describing consumer behaviors of live-streaming e-commerce based on flow theory, on top of socio-technical system theory, as a part of the theoretical contribution to the extant literature, including examining the moderating function of consumer cognitive styles represented by innovativeness and compulsive buying tendency in shaping the relationship between the flow experience of consumers and loyalty. Using social media for frequent live-streaming e-commerce activities in China, this study collected data from 517 sampleswho are customers of the live-streaming e-commerce shopping platforms. Structural Equation Modeling (SEM) was used to analyze the collected data. The result discovers the loyalty and addiction base of compulsive buying, implying both planned and unplanned characteristics and rational versus impulsiveness in purchasing. Numerous insights that help deepen our understanding of customer behaviors in live-streaming e-commerce are offered by both theoretical and practical implications. On the theoretical aspect, the study supports the practical value and validity of flow and socio-technical systems theory for live-streaming e-commerce shopping applications, with social value as a significant predictor of flow and loyalty.
A COMPREHENSIVE STUDY OF BILIOUS DISEASES: AN OVERVIEW
Authors:   Assistant Professor, Department of Mahiyatul Amraz, Eram Unani Medical College, Lucknow., Kausar Sana , Zulkifle Mohammad ,   HoD, Prof. Department of Kulliyate Tib, National Institute of Unani Medicine, Bangalore., Ali Waris ,   Associate Professor, Department of Ilmul Saidla, Eram Unani Medical College, Lucknow., Subhan Nabila ,   Assistant Professor, Department of Mahiyatul Amraz, Aligarh Unani Medical College, Aligarh.
Published: March 2023

Human being has always been suffering from diseases. Before the beginning of á¹¬ibb (medicine) (300Bc), superstitions were considered as the cause of disease. Therefore, Gods and Goddesses were worshipped to cure disease and regain health. Since the existence of medicine, the material is considered a cause of disease. Accordingly, treatment shifted towards the material. In 500 BC Buqrat (Hippocrates) started the discussion of health. He established the views of structure, composition, properties and functions, health and disease in respect of the human body. So, the goal of Greek medicine is to protect health to the possible extent and cure disease. Hippocrates proposed the concept of AkhlÄá¹­Arbaa (four humours/four fluid) these are Khilá¹­-i- Dam (sanguineous humour), Khilá¹­-i-Balgham (phlegmatic humour), Khilá¹­-i-á¹¢afrÄ (choleric humour) and Khilá¹­-i-SawdÄÊ¼ (melancholic humour). He also proposed that the harmonious state of four humours is responsible for health. And, disharmony results in disease. Every humour is attributed to specific qualities, characteristics and some specific and general functions. But the main function of these AkhlÄá¹­ (humours) is to provide nutrition and replenishment of every organ of the body according to their temperament. Choleric humour is synonymously called yellow bile or bilious humour. Yellow bile is one of the four humours, responsible for health and disease. In abnormal state yellow bile can produce a number of diseases called bilious diseases. In U.S.M. (Unani System of Medicine) bilious diseases are discussed under the heading of SÅ«-i-MizÄjMÄddá¿‘ (morbid temperament associated with substance). In this paper, a brief explanation of yellow bile along with it relates is given. Pathophysiology of bilious diseases is given in detail.
TO STUDY CORRELATION OF INSULIN RESISTANCE WITH PHYSICAL ACTIVITY IN CHILDREN / ADOLESCENTS
Authors:   Resident, Dept of Biochemistry, Pt. B. D. Sharma PGIMS, Rohtak., a Ankanksha , Sachdeva Ashuma ,   Professor, Dept of Biochemistry, Pt. B. D. Sharma PGIMS, Rohtak., Bhalla Kapil ,   Professor, Dept of Paediatrics, Pt. B. D. Sharma PGIMS, Rohtak.
Published: March 2023

Objective: IR is a pathological condition strongly associated with obesity and involved in the pathogenesis of T2D. The treatment of insulin resistant children is firstly targeted to lifestyle interventions. Homeostasis model assessment of insulin resistance (HOMA-IR) may be useful for early evaluation of insulin resistance in children and teenagers and could have a long-term benefit of preventive and diagnostic therapeutic intervention. Method: A cross-sectional study was performed on 80 children and adolescents age 5 to 14 years, 40 of them were apparently healthy with Body mass index (BMI) < 85th percentile 16 were overweight with BMI>85th percentile and below 95th percentile 24 were obese with > 95th percentile. Physical activity was classified on basis of WHO guidelines. Out of 80 children 33 were active and 47 were less active. After overnight fasting for 8 hr, blood samples were taken serum insulin and fasting blood glucose were analysed. Insulin resistance was assessed by homeostasis model of assessment. Result and Conclusion: Our results revealed altered values of HOMA-IR in children with high BMI and mean values were high in children with decrease physical activity. We concluded that more studies should be conducted to focus on preventing and identifying risk factors in children.
LE GANGLION SENTINELLE DANS LE CANCER DE LA VULVE
Authors:   Service de chirurgie gynecologique et endoscopique, Maternite Suissi, CHU de Rabat, S. Mouiman , A. Etber ,   Service de chirurgie gynecologique et endoscopique, Maternite Suissi, CHU de Rabat, N. Zerraidi ,   Service de chirurgie gynecologique et endoscopique, Maternite Suissi, CHU de Rabat, A. Lakhder ,   Service de chirurgie gynecologique et endoscopique, Maternite Suissi, CHU de Rabat, A. Baidada ,   Service de chirurgie gynecologique et endoscopique, Maternite Suissi, CHU de Rabat
Published: March 2023

Le cancer de la vulve represente moins de 5% des cancers genitaux de la femme, il est dans 90% uncancer malpighien, survenant le plus souvent chez la femme agee. Le diagnostic repose sur la biopsie.Le traitement repose sur une exerÃƒÂ¨se et un curage ganglionnaire ou un mapping du ganglionsentinelle. Le statut ganglionnaire inguinal constitue un facteur pronostique majeur dans le cancer de la vulve.Actuellement,la techniquede referencedans lexplorationganglionnairerestelecurage inguinal, responsable dune importante morbidite. Alors que le prelÃƒÂ¨vement du ganglion sentinelle est devenuunstandard, cettetechnique estetudieedepuis unequinzaine dannees dans lecancer de lavulve. Cet article constitue une mise au point sur la technique du ganglion sentinelle appliquee au cancer dela vulve enevaluant sa faisabilite, ses benefices parrapport a uncurageinguinalcomplet.
KNOWLEDGE, PRACTICE, AND ATTITUDE TOWARDS DEEP VEIN THROMBOSIS PROPHYLAXIS AMONG RESIDENTS AND INTERNS IN KING SAUD MEDICAL CITY
Authors: Mohammed Alanazi Aljouharah , Assad Ali Raes Abdullah , Ali Ali Mahnashi Fahd , Farooq Abdul Sattar Muhammad , Suliman Al Anazi Muhammad
Published: March 2023

This study aimed to assess the knowledge, attitude, and practice regarding DVT prophylaxis among residents and interns in King Saud Medical City in Saudi Arabia. A cross-sectional study was conducted using an online questionnaire distributed to 108 participants. The results showed that while the overall knowledge score was 71Â±19, the attitude score was 91Â±12, and the practice score was 65Â±31. There were no significant differences in the scores based on the participants age, gender, nationality, level of qualification, clinical specialty, or years of clinical experience. However, there were significant differences in the knowledge and attitude scores based on the hospitals formal DVT prophylaxis program and in the practice score based on the hospitals attention to DVT prophylaxis. The study highlights the importance of implementing structured awareness programs and promoting adherence to DVT prophylaxis guidelines in hospitals.
CONQUERING NEWER HORIZONS OF RESTORATIVE DENTISTRY WITH BIOMIMETIC MATERIALS: A COMPREHENSIVE REVIEW
Authors: Priya Saharia Nancy , a Priyanka , Mathur Shivani , Singh Meha
Published: March 2023

With the arrival of advanced technology, numerous changes have been made in the field of restorative dentistry in the last few decades. Biomimetic materials, with their biocompatible nature and excellent physicochemical properties, have demonstrated the ability to prevail over some of the significant limitations of previous generation materials. They can function as long-lasting esthetic and restorative materials, cements, root repair materials, root canal sealers, filling and regenerative materials which have superior biocompatibility, high strength, sealing ability and antibacterial properties when compared to other parallel materials. Hence, their application has become indispensable. This essay reviews the various biomimetic materials available from the past to the future and their biological properties in the field of paediatric restorative dentistry and endodontics.
THE MODEL OF HUMAN RESOURCE MANAGEMENT FOR ORGANIZATIONAL EFFICIENCY IN THE NEW NORMAL AGE
Authors:   The Association of Researchers of Thailand, Bangkok, Thailand., Katangchol Suchart , Channuwong Sukhumpong ,   Lecturer, Ph.D. Program in Modern Organizational Management, Krirk University, Thailnad., Snongtaweeporn Teeradej ,   Faculty of Business Administration, North Bangkok University, Bangkok, Thailand., Pleansamai Keskamol ,   Keskamol Clinic Inter Group Company Limited., Bangkok, Thailand., Thongyenburit Wanlada ,   Faculty of Business Administration, Phitsanulok University., Pupapassiri Pusit ,   International Logistics and Trading Company Limited., Dummanee Pitisook ,   Ph.D. Program in Modern Organizational Management, Krirk University, Thailnad., Lertpongprasert Sutham ,   South-east Asia University, Bangkok, Thailand., Kongsong Waranon ,   Faculty of Engineering, Ramkhamhaeng University., Siriwat Suphawadee ,   Faculty of Business Administration, North Bangkok University, Bangkok, Thailand.
Published: March 2023

This article aimed at analyzing the principles of human resource management and form the model of human resource management for organizational efficiency of business companies in the new normal age. The results of the study showed that finding and retaining human talent has become a competitive battleground. The principles of human resource management consisting of human resource planning, recruitment and selection, training and development, compensation and benefit, appraising employee performance and employee retention are the functions that can be performed in organization to facilitate the most effective use of human talents, skills and knowledge of employees to work for achieving organizational goals and objectives. Attracting, developing, and retaining employees with special talents, skills, knowledge, creative thinking, and experiences become the key strategies for increasing organizational efficiency in the new normal age. As human resources play a key role in the success of organization, effective management of human resources in business companies becomes the greatest challenge of managers today, especially in the new normal age.
PHENOTYPIC DETECTION OF INDUCIBLE CLINDAMYCIN RESISTANCE IN STAPHYLOCOCCUS SPECIES ISOLATED FROM CLINICAL SAMPLES IN A TERTIARY CARE HOSPITAL
Authors: Janardhan KVB , Venkata Ramana P. , Suryamani Ch
Published: March 2023

Introduction: Clindamycin is an effective drug used as an alternative to Vancomycin to treat skin and soft tissue infections caused by Staphylococcus spp. Reporting Staphylococcus as susceptible to Clindamycin without checking for inducible Clindamycin resistance may lead to therapeutic failure. Aim: To detect inducible Clindamycin resistance (MLSBi) among clinical isolates of Staphylococci by using a simple double-disc diffusion test (D-test). Methods: It was a prospective study conducted for 6 months from June 2022 to November 2022. All the Staphylococcal isolates from various samples were taken . Inducible clindamycin resistance (MLSBi) was detected by Erythromycin and Clindamycin disc approximation test (D-test) following CLSI guidelines. Results: A total of 216 Staphylococcus species were isolated from different samples. Out of the total samples Staphylococcus aureus were 42% and Coagulase negative Staphylococcus (CoNS) were 58%. Sensitivity to vancomycin, linezolid and teicoplanin were 100%. Methicillin resistance is seen in 21% of Staphylococcus aureus and 23% of CoNS. The different susceptibility patterns to clindamycin in both Staphylococcus aureus and CoNS were noted. Constitutive (MLSBc) phenotype was most prevalent (48%) followed by MS phenotype (43%) and inducible (MLSBi) phenotype (9%) among Erythromycin resistant Staphylococcus isolates. Sensitive phenotype (S) is detected in 27%. MLSBi was more frequent in Methicillin Resistant Staphylococcus aureus (MRSA) (28%) and MRCoNS (10%) than in MSSA (4%) and MSCoNS (2%). Conclusion: D-test should be included as a mandatory method in routine disc diffusion antimicrobial testing to detect inducible Clindamycin resistance in Staphylococci for the optimum treatment of patients.
Case Report : Challenges in the Management of Pneumothorax for COVID-19 Patient
Authors: Permatasari Adinda Pramitra , Rakhma Sastia , Putra Ngakan Putu Parsama
Published: March 2023

INTRODUCTION : Pneumothorax has been reported in minority of COVID-19 cases. Spontaneus Pneumothorax is an uncommon complication of COVID-19. The incidence and risk factors are still unknown. Here we will review where there are challenges with case of Pneumothorax in COVID-19 patients.

CASE ILLUSTRATION : We report one case at Dr. Saiful Anwar hospital, a 42 years old man was diagnosed with Spontaneous Pneumothorax and tested positive for COVID-19 via nasopharyngeal swab. Management in this case requires consideration from emergency treatment, risk of virus transmission and the aerolization of the procedure. Invasive procedure such as insertion chest tube and pharmacologic therapy be the treatment in this case. After 2 weeks of treatment, there was improvement on clinical and radiological imaging.

DISCUSSION : Various strategies to reduce the risk of exposure to COVID-19 infection on Spontaneus Pneumothorax. This literature discusses about the risk factor that lead to Pneumothorax with COVID-19 and the management of Pneumothorax cases in COVID-19 patients.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          

CONCLUSION: Spontaneous Pneumothorax is a rare complication of COVID-19. Management in this case requires consideration from emergency treatment, risk of virus transmission and the aerolization of the procedure.

Key words : Pneumothorax; COVID-19; Chest Tube
Case Report : Bronchopleural Fistula Dextra with Pyopneumothorax Dextra as Complication of Lung Tuberculosis
Authors: Wahyudy Prasetyo Kevin , Jani Jane R Sugiri , Dini Rachma Erawati , Wardhana Kurnia
Published: March 2023

Background: Bronchopleural fistula is a rare case that might be caused by trauma, post lung resection surgery, and non traumatic cause such as lung Tuberculosis infection. Bronchopleural fistula is a serious complication of lung TB which almostly related to pleural cavity infection. This fistula condition may be accompanied with empyema that can cause secondary spontaneous pneumothorax. The diagnosis of fistula is established by combination of clinical symptoms regarding lung TB infection, radiology, laboratory, microbiology, dan histopathologi examinations. Management of bronchopleural fistula includes chest tube insertion to treat pyopneumothorax problem, fistula repair surgery, and underlying disease and its comorbid.

Case: We report one case located at Dr. Saiful Anwar hospital, a 36 year old woman with symptoms of dyspneu and chronic cough with purulent sputum. Based on the clinical data, laboratory results, radiological imaging, sputum examination, and plerual fluid analysis and cytology, diagnosis of bronchopleural fistula together with pyopneumothorax as complication of lung TB was made. Management of this patient comprises of chest tube insertion, fistula repair surgery, antibiotic, and OAT.

Conclusion: Bronchopleural fistula is a rare case found. Proper surgical management and treating underlying disease such as lung TB might improve clinical outcome and reduce mortality rate.

Keywords: Bronchopleural fistula, Pyopneumothorax, Lung TB
The Quality, Readability, and Accuracy of the Information on Google About Cannabis and Driving: Quantitative Content Analysis
Authors: Josey Maria , Gaid Dina , Bishop Lisa D , Blackwood Michael , Najafizada Maisam , Donnan Jennifer R
Published: March 2023

Background

The public perception of driving under the influence of cannabis (DUIC) is not consistent with current evidence. The internet is an influential source of information available for people to find information about cannabis.

Objective

The purpose of this study was to assess the quality, readability, and accuracy of the information about DUIC found on the internet using the Google Canada search engine.

Methods

A quantitative content analysis of the top Google search web pages was conducted to analyze the information available to the public about DUIC. Google searches were performed using keywords, and the first 20 pages were selected. Web pages or web-based resources were eligible if they had text on cannabis and driving in English. We assessed (1) the quality of information using the Quality Evaluation Scoring Tool (QUEST) and the presence of the Health on the Net (HON) code; (2) the readability of information using the Gunning Fox Index (GFI), Flesch Reading Ease Scale (FRES), Flesch-Kincaid Grade Level (FKGL), and Simple Measure of Gobbledygook (SMOG) scores; and (3) the accuracy of information pertaining to the effects of cannabis consumption, prevalence of DUIC, DUIC effects on driving ability, risk of collision, and detection by law enforcement using an adapted version of the 5Cs website evaluation tool.

Results

A total of 82 web pages were included in the data analysis. The average QUEST score was 17.4 (SD 5.6) out of 28. The average readability scores were 9.7 (SD 2.3) for FKGL, 11.4 (SD 2.9) for GFI, 12.2 (SD 1.9) for SMOG index, and 49.9 (SD 12.3) for FRES. The readability scores demonstrated that 8 (9.8%) to 16 (19.5%) web pages were considered readable by the public. The accuracy results showed that of the web pages that presented information on each key topic, 96% (22/23) of them were accurate about the effects of cannabis consumption; 97% (30/31) were accurate about the prevalence of DUIC; 92% (49/53) were accurate about the DUIC effects on driving ability; 80% (41/51) were accurate about the risk of collision; and 71% (35/49) were accurate about detection by law enforcement.

Conclusions

Health organizations should consider health literacy of the public when creating content to help prevent misinterpretation and perpetuate prevailing misperceptions surrounding DUIC. Delivering high quality, readable, and accurate information in a way that is comprehensible to the public is needed to support informed decision-making.
Study of the impact of atopic dermatitis in children on the quality of life of families
Authors: Mozyrska O.
Published: March 2023

Background. Atopic dermatitis is a chronic, relapsing eczema. Although atopic dermatitis occurs mainly in children, it greatly affects the life of the whole family. The purpose was to assess the quality of life of the families of children with atopic dermatitis and to study the correlation between the severity of atopic dermatitis and the quality of life of family members according to the Family Dermatology Life Quality Index (FDLQI) questionnaire. Materials and methods. The study included 104 patients with atopic dermatitis aged 6 months to 17 years (median of 6 [3; 9] years) who were treated at the Allergy Department of the Kyiv City Children’s Clinical Hospital 2. Clinical parameters included age, sex of the patients, disease duration and severity of atopic dermatitis. The latter was assessed by the SCORing for Atopic Dermatitis (SCORAD) tool. Spearman’s rank correlation index was used for analysis of correlation between FDLQI and SCORAD indicators. Р < 0.05 was considered statistically significant. Results. The quality of life of the family of 104 children with atopic dermatitis was assessed using the FDLQI questionnaire. Four parents (3.8 %) reported no impact of the disease on the family’s quality of life, 65 (62.5 %) — a mild effect, 34 (32.7 %) — a moderate impact, parents of 1 patient (1.0 %) noted a very large effect. The average FDLQI was 6.4 ± 2.8. There was a correlation between the FDLQI and the SCORAD severity index (Ro = 0.714, p < 0.01). In the subgroup of children under 4 years of age, a strong correlation between the FDLQI and the SCORAD was found (Ro = 0.789, p < 0.01). Child’s age and disease duration were not associated with the quality of life score (Ro = –0.011, p > 0.05 and Ro = 0.076, p > 0.05, respectively). In the subgroup of children aged 4–17 years, a strong positive correlation of FDLQI and the SCORAD was also determined (Ro = 0.714, p < 0.01). The age of the children and the duration of the disease were not related to the quality of life score (Ro = –0.011, p > 0.05 and Ro = –0.027, p > 0.05, respectively), although in the subgroup of younger children (4–7 years) we noted a tendency towards a greater influence of the disease on the family’s quality of life. Conclusion. In this study, most parents of children with atopic dermatitis reported a mild to moderate impact of the disease on their quality of life. The FDLQI of family members correlated with the severity of atopic dermatitis.