bluuebunny/crossref_metadata_2025 huggingface dataset:
Commonest location of traumatic ulcers in edentulous patients after denture insertion
Authors: Ghafoor  Chaudhary Muhammad Aamir , Rizvi Syed Hammad Azeem , Zakir Afsheen , Aqeel Rummana , Awais Faiza , Rauf Syeda Mahnoor , Qamar Khezran
Published: October 2022

Aim: To evaluate frequency of commonest location of traumatic oral ulcers after complete denture insertion and find out their association with age, gender and arch type. Study design: Cross sectional observational study Place and duration: Prosthodontic department of Islamic International Dental College, Riphah International University Islamabad, from 11th Feb.,2022 till 11th April 2022. Methodology: A sample of 150 completely edentulous patients were clinically checked for traumatic ulcer development after insertion of complete denture. Frequently involved anatomical sites were noted in both arches. Denture surfaces were assessed to find out the frequently existing denture problems responsible for ulcers. Results: Out of total 150 patients 37.3% with oral ulcers were males and 62.7 % were female. 61-70 years old age group reported with frequent ulcers 48.7%. Frequently observed oral ulcer site in maxilla was sulci 10.0% and in mandible was ridge 24.7%. Frequently observed denture problem responsible for ulcer formation was denture surface roughness 46.7%. Association with age, gender and arch type was significant; p<0.05. Conclusion: Frequent ulcers develop in mandibular arch as compared to maxilla and commonest sites of ulcer developments are the ridges and sulci. Old age and female predisposition have been seen in ulcer development. Keywords: Complete dentures, Mandibular arch, Maxillary arch, oral ulcers, traumatic ulcers, post insertion complains
Comparison of Mean Serum Calcium Levels in Pregnancy with and without Pregnancy Induced Hypertension
Authors: Bano Rakhshanda , Tahseen Shazia , Butt Fatima Imran , Butt Usman Masood , Butt Imran Masood , Butt Ayesha Imran
Published: October 2022

Aim: To compare mean serum calcium levels in pregnancy, with and without pregnancy induced hypertension. Study design: A Cohort study was done. Place and duration of study: Department of Obstetrics and Gynaecology, Sir Ganga Ram Hospital, Lahore Unit III, from 1st January 2021 to 30th June 2021. Methodology: Two hundred patients with gestational age between 28 to 40 weeks, were included in the present study, 100 patients in group A (hypertension) and 100 in group B (normotensive). Results: The mean age of patients in group-A and group-B was 28.87 ± 4.32 years and 27.49±4.80 years respectively. The mean gestational age in group-A was 35.86±1.86 weeks and in group B was 35.90±1.36 weeks. The mean serum calcium level was 7.26±0.80mg in group A and 8.94±0.53mg in group B which is statistically significant (p <0.001). Conclusion: It is concluded that serum calcium levels in women with pregnancy induced hypertension (PIH) are lower than in normal pregnant women. The calcium supplementation appears to reduce the risk of pregnancy induced hypertension. Therefore, calcium consumption in pregnancy should be encouraged, especially during the second and third trimester of pregnancy. Keywords: Hypocalcemia, pregnancy induced hypertension, Normotensive patients.
Covid-19 and Intensive Care Unit: Infection, Contact Time & Procedures Performed
Authors: Aslam Waqas , Salman Fariha , Ali Naqvi Syed Mazhar , Nazir Humaira , Ahmad Anam , Anwar Sohail
Published: October 2022

Background: Safety of front-line health care workers dealing with critically ill patients is of prime importance during COVID-19 pandemic. We have limited skilled workforce and intensive care units (ICU). Aim: To determine the frequency of COVID 19 among ICU staff and find association with contact time and procedure performed. Methods: A comparative cross-sectional study was conducted on 95 subjects working in ICU settings of tertiary care hospitals of Lahore. Data was collected about COVID-19 infection, prevention practices, contact time & procedures performed through google forms. Data was entered & analyzed by SPSS v23 while performing descriptive statistics, T Test, Chi square test & binary logistic regression. Results: Among 95(100%) subjects 25(26.31%) had covid-19 infection whereas 70(73.68%) did not had infection. Age> 30(p=.041), female gender (p=.022), use of re-useable personal protective equipment PPE(p=.009), contact time (p=.020), performing procedures: Nebulization(p=.023) & non-invasive positive pressure ventilation (p=.011) were significantly associated with COVID-19 infection among ICU staff. Conclusion: There was high frequency of COVID-19 infection among ICU staff. Age> 30, female gender, re-useable PPE, contact time, performing procedures: Nebulization & non-invasive positive pressure ventilation were significantly associated with COVID-19 infection among ICU staff. Keywords: COVID-19, Contact time, Intensive care unit, Infection, Procedures
Frequency of Endometriosis in Women Undergoing Diagnostic Laparoscopy for Subfertility at Sheikh Zayed Hospital Rahim Yar Khan
Authors: Jabeen Saleha , Rehman Abida , Sultana Nayyer , Nazir Sadia , Riaz Nouman , Mahmood Zahid
Published: October 2022

Aim: To determine the frequency of endometriosis in women undergoing diagnostic laparoscopy for subfertility. Methods: This cross-sectional study was carried out from 25th February 2019 to 23rd June 2019 at the Department of Obstetrics & Gynaecology, Shaikh Zayed Hospital, Rahim Yar Khan. The sample included 136 patients with subfertility. Patients with diabetes mellitus and hypertension, patients with history of heart diseases and malignancies like breast cancer and brain tumor and severely anemic ladies were excluded. Routine investigations were done. Results: Age range in this study was from 20 to 35 years with mean age of 29.522±1.99 years, mean duration of subfertility 5.058±1.58 years, mean duration of marriage 7.058±1.58 years, mean weight 62.463±6.01 Kg, mean height 1.587±0.07 meters and mean BMI was 24.951±3.45 Kg/m2. 14.7% patients belonged to 20-27 years age group while 85.3% to 28-35 years age group. Endometriosis was seen in 15.4% patients. Conclusion: The couple presenting with unexplained subfertility should be offered diagnostic laparoscopy as endometriosis is a common finding in subfertility even in asymptomatic patients and may adversely affect the fertility rate. Keywords: Subfertility, Diagnostic laparoscopy, Endometrioses
Causative Factors of Tooth Wear among Patients Visiting a Tertiary Care Hospital in Lahore
Authors: Iqbal Qudsia , Ullah Khan Muhammad Waseem , Nawaz Muhammad Sohaib , Khawaja Hamna , Akram Momina , Mahmood Hafiz Nasir
Published: October 2022

Background: Tooth wear, or as it is also often referred to as non-carious tooth surface loss (TSL), can be described simply as ‘the pathological non-carious loss of tooth tissue’. Tooth wear is often multifactorial in nature, making clinical diagnosis difficult. Identification of the etiology is essential for the successful management of the pathology. Methods: A total of 120 patients of both male and female with tooth wear were selected from dental OPD. Patients with age group 25-65years with tooth wear in at least two teeth according to basic erosive wear examination (BEWE) were included. Questionnaire covering primary risk factors that might cause tooth wear was used Data was analyzed using SPSS version 24.0. Results: Out of the 120 tooth wear patients, 69(57%) were male and 51(43%) were females. tooth wear presented more in males as compared to females. 42.24% patients reported with habit of tea consumption and 32.5% with cold drinks. 45% males and 43.4% females had gastric reflex disease. 60.9% male patients had problem of bruxism and clenching. Conclusion: This study reported that TSL has a multifactorial etiology. Parafunction, gastro esophageal reflux disease (GORD) and consumption of carbonated drinks were the most commonly observed causative factors. Keywords: Tooth wear, Erosion, Abrasion, Attrition, Causative factor
Anaesthetic Management of Patients for Brachytherapy in Radiation Suite
Authors: Bashir Aamir , Azhar Muhammad Naveed , Azam Muhammad
Published: October 2022

Background: Cervical cancer is one of the leading sites for cancer in female patients and brachytherapy remains one of the treatment modality for it. Anaesthetic services are required in certain cases. Anaesthesia services outside operating room pose challenges for anaesthesiologists due to remote access need for slave monitors etc. Aim: To evaluate the outcome of different anaesthetic techniques in female patients undergoing cervical brachytherapy procedures in radiotherapy department. Methods: This retrospective cross-sectional analysis conducted at a tertiary care cancer centre of Shaukat Khanum Memorial Trust Lahore. Anaesthetic details of all female patients planned for brachytherapy over a time period of three years from 2016 to 2018 was recorded. The subjects were female patients for the given procedure. Their mean age in years, ASA status, anaesthetic technique either General anaesthesia or Spinal anaesthesia in terms of patient number and percentage of total patients for either, any complication related to anaesthetics was recorded. Chi square test was applied to see any correlation between anaesthetic technique and complications. Results: There were 87 female patients in this research having mean age of 51±15 years. Regarding ASA physical status, 27(31%) of ASA status II while 60(69%) patients of ASA status III. General anaesthesia was given to 33(38%) patients, while 54(62%) patients received spinal anaesthesia. Overall, complications rate remained 7% and it was less in spinal anaesthesia (2%) as compared to general anaesthesia (8%) with statistically significant p-value of 0.001 Conclusions: We concluded that cervical brachytherapy can be safely conducted under spinal anaesthesia in radiation suite. Keywords: Brachytherapy, spinal anaesthesia, general anaesthesia, anaesthesia outside OR.
Student’s Perception of Dissecting a Human Cadaver Compared to Usage of 3D Anatomy Virtual Dissection Table to Learn Gross Anatomy
Authors: Naeem Ali Akmal , Chaudhry Safwan Tariq , Yaseen Hira
Published: October 2022

Background: Limited availability of cadaver and modern discoveries has led to alternate channels to gain anatomy knowledge. Aim: To know the perception of these new sources compared to conventional human dissection. Method: Questionnaire was circulated to for the purpose and results were obtained according to the response. This research is explained in detail according to the result. Result: Majority students were of the view that cadaver dissection is by far the best approach to get the most information of gross anatomy rather than relying on the programmed virtual dissection table. Conclusion: The study strengthen the believe that for gross anatomy human dissection should be performed at the dissection hall meanwhile, the knowledge can be supplemented by the usage of Virtual dissection anatomy table and other modes of information like social media platform. Keywords: Cadaver, Learning, Dissection, Human Anatomy
Factors Affecting Platelet Yield in a Single Donor Plateletpheresis
Authors: Fateen Tooba , Farhan Saima , Shafqat Faiza , Saqlain Nazish , Butt Seema , Abid Faryal , Ahsan Muhammad
Published: October 2022

Background: This procedure, known as plateletpheresis, involves the removal of platelets from a donor's blood. This method produces eight times as many platelets as would be obtained by using whole blood. Aim: To evaluate the effect of different donor related factors on platelet yield. Method: This research was carried out at the Children's Hospital & Institute of Child Health Science in Lahore, Pakistan, specifically in the Immunohematology & Blood Transfusion Unit. Forty plateletpheresis donors meeting the criteria were enlisted for the study. The COM.TEC cell separator apparatus and the TRIMA automated blood collection system were used to perform the plateletpheresis. Before and after a plateletpheresis, the patient's hematocrit, haemoglobin, platelet count, white blood cell count, processed volume, and processing time were recorded. Results: Platelet yield demonstrated a substantial positive link with the pre-platelet count of the donors, as well as their age, weight, and the volume processed. Platelet production was not correlated in any way with blood group, total leukocyte count, high-content testing, or processing time. Conclusion: A patient's pre-platelet count, age, weight, and processed volume were positively correlated with their platelet production. Keywords: Plateletpheresis, Hemoglobin, Total leukocyte count, Platelet count, Platelet yield
The Generation of Pneumoperitonium by DCI Technique
Authors: Qaiser Rizwan Ali , Gondal Sikandar Hayat , Saeed Tariq , Zaheer Hassan , Sikandar Arsalan
Published: October 2022

Background: The safe and effective insertion of a primary port is the first and most crucial & risky of a laparoscopy. Open laparoscopy, optical trocar insertion, direct trocar insertion (DTI) and direct cannula insertion ot traditional technique of insufflation following Veress needle (VN) insertion via the umbilicus. Aim: To assess the safety of DCI technique to generate the pneumoperitonium in our set up. Methodology: This prospective study was conducted at AIMEC sheikhupura from Feb.2019 to Feb.2020. All the150 patients with symptomatic gall bladder disease were admitted. All consecutive patients who underwent successful LC under the care of a single consultant. GA was used to operate in every case. After painting and draping, a 10 mm infra umbilical incision was made. With the use of towel clips, the anterior abdominal wall was raised, and a direct cannula was inserted into the abdominal cavity. All the LC was performed with four-port technique. Three doses of second-generation cephalosporin were administered in every case. Data was entered and analyzed in SPSS. Result: Total 150 patients were included. There were 30(20%) male and 130(80%) female. The mean age was 42.5±12.2 years. Out of 150(100%) patients 18(12%) were having acute gallbladder disease while rest 132(88%) were chronic cases. Most of the operated patients 81(54%) were discharged at 48 hours, 45(30%) at 24hours while rest of the patients stayed longer, including 15(10%) stayed for 72 hours,9(6%) for 96hours and one of the patients who was converted to open procedure for an accessory duct stayed for 7 days. Conclusion: The conclusion of the study that DCI technique to generate pneumoperitonium for laparoscopic procedures remains safe and rapid technique. Keywords: Laparoscopic surgery, DCI technique, pneumoperitonium, gall bladder disease
To Compare the Mean Postoperative Pain Score between Intravenous Paracetamol Vs Intravenous Ketorolac among patients undergoing Gynecological Abdominal Surgery
Authors: Chaudhary Sidra , Iqbal Shahid , Zia Rifah , Butt Muhammad Muazzam , Ali Khan Muhammad Baqir , Rehman Abaid-Ur-
Published: October 2022

Background: Post-operative pain is one of the common concerns in all the surgical interventions including gynecological surgeries. There is always a need for the agent with better efficacy and minimal side effect profiles. Aim: To compare the mean postoperative pain score between intravenous Paracetamol vs intravenous ketorolac among patients undergoing gynecological abdominal surgery Study design: Randomized Controlled Trial Setting & duration: Department of Anesthesia, Hameed Latif Hospital, Lahore from 12-06-2018 to 12-12-2018 Methodology: In this study, females with age 20 - 50 years with ASA I and II undergoing gynecological abdominal surgery were included. Group A was administered with intravenous paracetamol and group B with ketorolac. Pain was measured in terms of mean of numerical rating scale recorded at 12 hours postoperatively. Results: In the present study there were total 80 cases included, 40 in each group. The mean age in group B was 37.66±12.67 years and in group A was 41.29±11.36 years Mean post operative pain score was 3.05±0.61vs 3.56±0.89 in group B and A with p= 0.04 Mean post operative pain was 3.04±0.61 vs 3.51±0.77 with p= 0.03 in cases with BMI > 25. There was no significant difference in terms of type of procedure and mean pain score in both groups. Conclusion: Ketorolac is significantly better than Paracetamol in gynecological abdominal surgeries and this difference is also significantly better in cases with BMI > 25. Keywords: Pain, ketorolac, paracetamol, BMI
A Comparative Randomized Clinical Study of Arthroscopic Anterior Cruciate Ligament Reconstruction with Patellar Tendon and Hamstring Tendon Autologous Grafts
Authors: Ali Haider , Bashir Azlan , Qamar Adnan
Published: October 2022

Aim: To determine and compare differences in the results following arthroscopic anterior cruciate ligament reconstruction using patellar-tendon-bone (PTB) auto-grafts and hamstrings tendon auto-grafts. Study design: Randomized controlled trial. Place and duration: Department of Orthopedic Surgery, Shaikh Zayed Hospital Lahore from July 2019 to July 2021. Methodology: This prospective study included 72 of total patients with clinical diagnosis of having anterior cruciate ligament (ACL) tear who did not have activities like a healthy person and wished to maintain a level of activity as it was before injury. Institutional ethical committee granted approval and a written informed consent was taken. Two groups of study population (patellar tendon and hamstring tendon) were formed. Lottery method was used for randomization of patients. Arthroscopic ACL reconstruction was done according to their respective groups. Patients of patellar tendon group (n=36) and hamstring tendon group (n=36) were under examination for 4 to 5 days and to grant 0 to 900 movement, knee brace was locked. Patients were questioned about their activities on follow up visits. Results: No significant difference amongst patients of two groups was noted.14 patients (38.9%) with PTB graft were unable to kneel on their knee as compared to 12 patients (33%) with hamstrings graft. Patients with BTB graft had similar difficulty in bending their knee as compared to the patients of the other group. Conclusion: Patients from PTB graft group showed comparable results as compared to the hamstrings group in terms of strenuous activity, highest level of activity, rising from a chair and kneeling and squatting on functional outcomes. Keywords: Anterior Cruciate Ligament, Patellar Auto-graft, Hamstring Auto-graft, Bone Graft
Awareness and Care Giving Attitudes of Medical Undergraduates towards Alzheimer’s Disease - A Cross Sectional Study
Authors: Riaz Hunniya Bint E , Khan Qudsia Umaira , Ahsan Zainab , Arshad Abdurehman , Hassan Lareb
Published: October 2022

Background: Alzheimer’s disease is a severely debilitating disease that affects the number of elderly across the world. People especially the caregivers are bit reluctant to take care of such patients particularly because of the rapid progression of the disease and very little hopes of them to recover. Aim: To evaluate the awareness, approach and care giving attitude of medical students towards the patient suffering from Alzheimer’s disease. Methods: A cross sectional study was carried out on medical undergraduates in CMH LMC IOD. A questionnaire including demographic profile, 11 awareness and 11 attitude questions was fulfilled by 384 students. Results: Overall,>90% people knew he basic knowledge like primary symptoms, age of onset, genetic predisposition and role of gender in getting disease. About 75% students know about the treatment options, mortality rate and diagnostic techniques. Awareness score revealed that 85% of students had adequate information about Alzheimer’s disease. MBBS students and nursing Students had considerably enhanced understanding in contrast with other undergraduates. As far as attitude is concerned,>70% of students demonstrated positive attitudes amongst which the nursing students were on top. Conclusion: The undergraduates demonstrated better knowledge and positive attitude care giving skills attitudes towards patients of Alzheimer’s disease with a noticeable differentiation as far as various disciplines are concerned. Additional attempts are still needed to remove the stigma and hesitation concerned with such patients. Keywords Alzheimer’s disease, Elderly, Distress, and Stigma Knowledge
Effect of Trunk Training on Dynamic Balance in Chronic Stroke Survivor
Authors: Samad Maria , Afzal Binash , Ali Amna , Altaf Faiza , Aslam Ambreen
Published: October 2022

Stroke leads to muscle paresis, balance and postural control deficits. Balance instability is challenging problem in stroke survivor. Trunk control is prerequisite for balance either static or dynamic. Trunk training encompassed exercises to strengthen trunk muscles on a therapeutic mat (stable surface) and Swiss Ball (unstable surface). The objective was to estimate the effect of trunk training on dynamic balance in chronic stroke patient. The case was of 50 year old female patient with left hemiparesis. She had impaired trunk control and balance and assessed with Trunk Impairment Scale and Berg Balance Scale. The intervention comprised of trunk training of 40-50 minutes 3/week for four week. Trunk impairment scale and Berg balance scale score was improved post intervention which proposed that trunk training is useful to restore dynamic balance. Keywords: Stroke, Trunk Training, Balance
Explaining the principles and basics of social discourse from the perspective of the rebel church in latin America regarding social functions of religion
Authors: Naji Mohammad Amin
Published: October 2022

A theological movement took place in the Latin American region to fight general oppression in the Latin American society, socioeconomic injustice, exploitation and colonization of nations by international imperialism; however, it could not reach the goals of its movement as establishing social justice and eliminating poverty and oppression in society. The study was intended to explain the principles and basics of social discourse from the perspective of the Rebel Church in Latin America (RCLA) regarding the social functions of religion. It was examined from the first-hand sources of the theologists of the rebel church using the descriptive-analytical method. Despite being in line with the final goals and operational strategies, the movement of the rebel priests of Latin America failed to provide the basics for human awakening in Latin American because of the lack of belief in the development of justice in the context of a monotheistic society and the belief in sharing a school with Marxism and nationalist parties. According to the theology of the rebel church, salvation and liberation are the key principles and basics of the church's movement to eliminate oppression.
Assessment and ranking of occupational health and safety risks in the machinery maintenance unit of dam construction projects using the combined approach of methods (Fmea and Fuzzy Topsis)
Authors: Armin Hossein , Nasab Ahmad Yousefi , Dehbaraftab Seyed Maysam Hosseini , Far Hossein Elahi
Published: October 2022

A dam construction project is exposed to various risks due to the amount of investment, duration of implementation, the complexity of design and implementation, etc., and these risks will lead to human and financial losses. Thus, based on three principles, including (i) time, (ii) quality, and (iii) cost, identifying, assessing, ranking risks, and Occupational Safety and Health (OSH) can have a significant impact on project objectives. The machinery maintenance unit has the largest share of the organization's cost model. Manpower, tools, spare parts, and working standards of planning and scheduling are the most important elements of the implementation of the maintenance process in these organizations. Methodology In the present research, first, all the failure modes of the machinery maintenance unit were identified. Then, to assess and rank them, in addition to the three traditional attributes in Failure Modes and Effects Analysis (FMEA) (severity-S, occurrence-O, and detection-D) and calculate the Risk Priority Number (RPN), we used fuzzy numbers corresponding to real-world problems instead of crisp numbers for risk ranking.
Designing the model of men's violence against women based on religious orientation and mental health, considering the mediating role of gendered educational style and cognitive emotion regulation styles
Authors: Aliakbari Fatemeh , Taqvaei Dawood , Pirani Zabih
Published: October 2022

Background and objectives: Family is a center for affection and an environment for friendship and kindness among family members. However, the occurrence of violence in the family by one of the members towards others disrupts this function. This study investigated the relationship between religious orientation, cognitive styles of emotion regulation, gendered educational style and men's mental health is affected by violence against women. Materials and methods: The statistical population included the married men who referred to medical centers in Qazvin city; among whom, 300 people were selected through convenience sampling method. Data collection tools were Alport's Religious Beliefs Questionnaire, Keys' Mental Health Questionnaire, Mohseni Tabrizi's Domestic Violence Questionnaire, and Garnevsky's cognitive regulation of emotion. For descriptive analysis of data, central tendency and dispersion were used.  The obtained data were analyzed in two descriptive and inferential statistics parts, using SPSS20 and Lisrel 8.80 software. The structural equations technique was used to implement the conceptual model of the research and hypothesis testing. Ethical considerations: Because the questions related to marital relations are private, it was attempted to use Iranian-Islamic questionnaires. Findings: Religious orientation, mental health, gendered educational style, and men’s cognitive emotion regulation styles have a positive relationship with violence against women.
Market orientation, learning orientation, and innovation capabilities in SMEs: Case study from Iran's SMEs
Authors: Rajabbeigi Mojtaba , Moshiri Mostafa , Safarzadeh Hossein
Published: October 2022

Increasing market changes has led to a need for increased innovation and, therefore, programs of innovation in SMEs. The interrelationships among a firm’s market-orientation, learning-orientation, and innovativeness are an important research area for investigators in the literature of management, strategy, and marketing. However, most of the empirical studies were conducted in large-scale firms in developed countries and ignored small and medium-sized business (SMEs) in general, and in developing countries in particular. This paper examine the nomological relations among market-orientation, learning-orientation and innovativeness in medium-sized business (SMEs) of developing countries. The study involves a questionnaire-based survey of managers from small-sized-firms operating in Iran. These were subjected to a structural equation modeling (SEM) analysis. The results show that; firm learning-orientation positively influences firm innovativeness; firm market-orientation positively impacts firm learning orientation; firm learning-orientation mediates the relationship between firm market-orientation and firm innovativeness.
Students' health literacy in the face of the corona crisis
Authors: Samiei Mitra
Published: October 2022

Today, the spread of the corona virus has become a major global crisis and has involved many countries, including Iran. One of the consequences of the spread of coronavirus news is the spread of false information, fake news, and terror among the members of society. The present study was conducted to study the level of health literacy of Allameh Tabatabai University students in the face of the Corona crisis. The current research is of an applied type and it is a survey-analytical type in terms of the method of implementation, data collection, and analysis. The research population is the Allameh Tabatabai University students of all levels (bachelor, master, and doctorate) studying in the academic year 2021-2022. The sample size of 288 people was selected with the formula (8M + 50≤N) suggested by Tabachnick and Fidel (2007). A researcher-made questionnaire was used to collect data. Content validity and reliability were evaluated using Cronbach's alpha with a value of 0.941. To analyze the data, independent t-tests, analysis of variance, and Pearson's correlation coefficient were used using SPSS26 and AMOS26 software.
Evaluation of the relationship between monocyte to HDL ratio with STEMI, STEMI severity, thrombosis, and early repolarization
Authors: Birgani Yassaman Tahmasebi , Ariafar Mostafa , Akiash Nehzat , Sardabi Ebrahim Heidari
Published: October 2022

Introduction Due to the relationship between high maximum heart rate (MHR) values ​​and the severity of coronary atherosclerosis and cardiac events, as well as standard features and clinical outcomes of early repolarization significant and myocardial infarction with ST-segment elevation, this study investigated the relationship between monocyte to HDL ratio and STEMI, STEMI severity, Thrombosis, and early repolarization were performed. Method This cross-sectional prospective observational study was performed on STEMI patients referred to Imam Khomeini Hospital in Ahvaz in 1399. In this study, STEMI patients and individuals with referred early repolarization patterns are evaluated during the first 12 hours after the onset of pain and used for statistical analysis of SPSS software version 22. Results: In this study, 36 patients have studied with a mean age of 61.6±14.4; 23 patients were male, and the rest were female. The ratio of monocytes to HDL in STEMI patients varied based on the age and sex of the patients. The mean MHR in STEMI patients based on PCI need was 16.4±2.9 in patients in need and 20.5±2.1 in patients who were candidates for CABG. The ratio of monocytes to HDL in STEMI patients varied based on the occurrence and severity of thrombosis.
Cost analysis - the desirability of natural delivery and caesarean section with decision tree model
Authors: Mirparsa Fatemeh , Mirzaei Abasat , Alimohammadzadeh Khalil
Published: October 2022

Objective: This article deals with the cost-benefit analysis of natural childbirth and caesarean section with decision tree model.

Methods: This is a practical study in which 644 cases of natural and cesarean births (including 317 natural births and 327 cesarean births) were extracted and included in the relevant list. Then mothers who had been at least 3 months after giving birth were included in the study. The data was collected using the researcher's checklist and EQ-5D-3L structured questionnaire by the researcher. SPSS 26 and R Core Team (2021) software were used to perform the analysis. Results: Natural childbirth was more prevalent for pregnant women compared to cesarean delivery. which had a lower cost (26980930.90±16603206.35 Rials vs. 48883938.59 ± 6126709.15 Rials) and better utility (86.91± 4.353vs. 64.16±7.348) for all evaluated outcomes. Conclusions: It is necessary to control and manage cesarean section in cases without clinical indication. Also, other low-cost and easy-to-access strategies should be carried out for the awareness of mothers and cultural and legal foundation in the field of promoting natural childbirth.
MafA-positive insulin-producing cells derived from rat adipose stem cells are efficient in glucose hemostasis in vitro
Authors: Dayer Dian , Negad Elham  Ghalami , Hosseni Seyed Javad
Published: October 2022

Objective: MafA has been recognized as a specific pancreatic β-cells activator for Insulin expression. This study investigated the changes in glucose transport and consumption by MafA-positive Insulin-producing cells resulting from the differentiation of rat adipose tissue-derived mesenchymal stem cells. Methods: Adipose tissue-derived mesenchymal stem cells were differentiated into Insulin-producing cells in a 14-day protocol using nicotinamide and ITS. The ability to produce Insulin was confirmed by adipogenesis differentiation capacity and expression of Oct4, Nanog, and Sox2. Insulin and Glucagon concentrations in Insulin-producing cells were determined by ELISA. The ability of Insulin-producing cells for the presence of MafA, Glut2, ENO1, and IGF-I receptor genes was determined by Western blotting analysis. The amounts of Glucokinase and Pyruvate Carboxylase activities were measured by Fluorometric and Colorimetric methods, respectively. Results: The un-differentiated cells showed a promising capacity to differentiate toward adipocytes. The adipose tissue mesenchymal stem cells revealed significantly elevated levels of Oct4, Nanog, and Sox2 compared to differentiated adipocytes. The cells that differentiated into Insulin-producing cells secreted considerably more Insulin and Glucagon than undifferentiated cells.
Analysis of waiting and service cost for a multi-server queuing model in a tertiary care hospital
Authors: Yadav Chandramani , Sharma Ratnesh Chandra
Published: October 2022

A common situation that occurs in everyday life is that of queuing or waiting in line. The problem of queuing in relation to the time spent by patients to access clinical services is increasingly becoming a major source of concern to most health –care providers. As the patients wait too long for service could result to cost to them which is called as waiting cost. Providing good service capacity to operate a system involves excessive cost. But not providing enough service capacity results in excessive waiting time and cost. In this study, the queuing characteristics at the tertiary care hospital of the Autonomous State medical College, Firozabad was analyzed using a multi-Server queuing Model and the Waiting and service Costs determined with a view to determining the optimal service level. Data for this study was collected at the tertiary care hospital for four weeks through observations, interviews and by administering questionnaire. The data was analyzed using TORA optimization Software as well as using descriptive analysis.
comparative study between preauricular retromandibular anteroparotid approach and retromandibular transparotid approach in open reduction and internal fixation of subcondylar fracture on facial nerve injury and parotid fistula
Authors: Ali Hani Taher Hibatullah , Elmorsy Khairy , Ghareeb Tarek Al , Ali Sherif
Published: October 2022

Background: Condyle fractures account for 17.5 percent to 50 percent of all mandibular fractures, although there are still many debates on whether to treat them close or open. There are several techniques of managing the mandibular condyle, each with its own set of benefits and drawbacks. Aim: compare the innovative preauricular transmasseteric anteroparotid approach (P-TMAP) to the usual retromandibular transparotid technique. Patients and methods: 20 cases, patients with an odd number (1,3,5,7,9,11,13,15,17,19) received a preauricular transmasseteric anteroparotid approach (study group), while patients with a double number (2,4,6,8,10,12,14,16,18,20) had a retromandibular transparotid approach (control group) (control group). Patients were closely monitored for six months. Results: Fractures were caused by a road traffic accident (RTA) in 6(60%) of the cases, interpersonal violence in 3(30%) of the cases and falling in 1(10%) of the cases in both groups. Immediate postoperative facial nerve affection was higher in the transparotid approach group (30%) than in the anteroparotid approach group (10%), but both groups exhibited no statistically significant difference three months after surgery. There were no parotid injuries in any of the cases in either group.
REU dental students’ knowledge about protection methods and the COVID-19 infected patients' treatment protocols in prosthodontics
Authors: Allaboon Aljowhara , Shukri Lina , Alzareei Sara
Published: October 2022

Introduction: Corona Virus Disease 2019 (COVID-19) became a global pandemic disaster in early 2020, and it is currently wreaking havoc in many parts of the planet. Prosthodontics units have been forced to halt their clinical operations due to the pandemic. As a result, in the aftermath of the pandemic, several clinics and private practices substantially reduced the number of non-deferrable urgent care prosthodontics patients they treated during the initial wave of the epidemic. Method: This is cross-sectional research that was done via an online survey among REU dentistry students. This research involved 500 students from clinical levels 8 through 12. An online questionnaire was created that included demographic information, as well as questions about knowledge, attitude, and practice regarding the management of COVID-19 suspected patients in prosthodontic clinics. Results: Revealed that a significant proportion of the study was based on females comprising 56.9% and 6th level of dentistry. The majority of them thought that corona patients could be asymptomatic, and according to them, airborne is the main route of transmission. Using the rubber increases the airborne particles. Packets should be disposed of with hygiene and medical waste protocols. Dentists agree that gypsum must be treated as infectious clinical waste.
IMPACTO DA PANDEMIA DA COVID-19 NA SAÚDE MENTAL: AUMENTO DOS TRANSTORNOS DE HUMOR E ANSIEDADE EM PACIENTES DE UM SERVIÇO PÚBLICO NO MUNICÍPIO DE MINEIROS – GO
Authors: Fraga Ana Laísa , Moura Bruder Gustavo , Cecylia Correia dos Reis Hanna , Ferreira Nunes Ricardo
Published: October 2022

Este estudo avaliou se houve aumento do número de consultas psiquiátricas no Centro de Atenção Psicossocial (CAPS), da cidade de Mineiros, interior do estado de Goiás, durante o ano de 2020 em comparação ao ano de 2019. Foi realizado um levantamento do banco de dados físico e eletrônico do CAPS, onde coletou-se informações como idade, sexo e hipótese diagnostica (CID10). Foram excluídos os prontuários com dados inconclusivos, que estavam fora do período de 2019 e 2020 e com hipóteses diagnósticas que não incluíam transtornos de humor e/ou de ansiedade. Verificou-se um total de 2147 consultas, sendo 707 no ano de 2019 e 1440 em 2020. Em todos os meses de 2020, o número de consultas foi superior em relação aos de 2019, onde a maior quantidade de consultas por mês se concentrou no segundo semestre do ano de 2020. O sexo feminino foi predominante nas consultas (85% em 2019 e 81% em 2020). Em 2020 observou-se um aumento do número de consultas em todos os grupos de idade, com maior número entre 30 a 59 anos de idade, sendo a de 40 a 49 (380; 26,38%) a população mais acometida, seguida de 50 a 59 (267; 18,54%) e 30 a 39 anos (262; 18,19%). Esses resultados mostram um aumento substancial na procura por atendimento psiquiátrico durante 2020, principalmente no segundo semestre, demonstrando os reflexos negativos da pandemia sob a saúde mental da população. O sexo feminino e idade entre 30 e 59 anos foram predominantes nas consultas em ambos os períodos, corroborando com o tipo de pacientes normalmente mais acometidos por Transtornos de Humor e de Ansiedade, revelando que o surto da COVID-19 não modificou este perfil. E ainda se observou o crescimento de quase todas as categorias de CID analisadas em 2020 em relação a 2019, mostrando que houve um aumento superior da prevalência de Transtornos Ansiosos quando comparados aos de Humor (134% e 41%, respectivamente).
ANÁLISE DO PERFIL EPIDEMIOLÓGICO DOS USUÁRIOS DO CENTRO DE TESTAGEM E ACONSELHAMENTO (CTA) DE MINEIROS-GO COM SOROLOGIA POSITIVA PARA HIV DE 2017 A 2020.
Authors: Rojo BRITO Bruna , Gomes OLIVEIRA Pâmela , Cunha BATISTA Victor , Lopes de OLIVEIRA Camila , Rodrigues Danziger Leila , Garbim JUNIOR Emílio Ernesto
Published: October 2022

Este estudo teve como objetivo traçar o perfil epidemiológico dos usuários do Centro de Testagem e Aconselhamento (CTA) com diagnóstico positivo para HIV, durante os anos de 2017 a 2020. Para isso, foram coletadas fichas com perguntas referentes ao motivo da procura pelo CTA, uso de drogas, quantidade e tipos de parceiros sexuais, uso de preservativo e recorte populacional. Os resultados encontrados foram bastante similares aos constatados em diferentes regiões do Brasil. Mostraram que, no município de Mineiros-GO, a droga mais utilizada por pessoas com diagnóstico de HIV continua sendo o álcool; a maioria dos indivíduos infectados praticou sexo com homem; o maior número não utilizou preservativos com parceiro (a) fixo (a) e possuíam apenas um parceiro sexual nos últimos 12 meses. O recorte populacional com maior número de diagnósticos de HIV foi o da população geral, seguido de homens que fazem sexo com homens. Além disso, foi percebido que os dados disponibilizados pelo DATASUS encontram-se desatualizados, não demonstrando o real número de infectados no município de Mineiros-GO entre os anos de 2017 e 2020, dificultando o planejamento de políticas públicas direcionadas ao real cenário mineirense e nacional.

Palavras-chave: CTA; HIV; perfil epidemiológico; AIDS.
TRABALHO VOLUNTÁRIO DE ESTUDANTE DE MEDICINA NA AMAZÔNIA LEGAL: RELATO DE ATIVIDADE EXTRACURRICULAR MULTIDISCIPLINAR DE GRANDE INFLUÊNCIA SOBRE A FORMAÇÃO CIDADÃ DE FUTURO MÉDICO EM SUA MISSÃO PROFISSIONAL
Authors: Macedo Rayhume Karylle Alves , Silveira Xavier Déborah Suzane , Barbosa Flávia Leão
Published: October 2022

Durante a graduação de Medicina, ser um voluntário é colaborar diretamente com as pessoas mais necessitadas, promovendo envolvimento, humanização, ações de generosidade e práticas que beneficiem o outro. Neste relato, os objetivos foram descrever os benefícios das atividades extracurriculares; motivar os acadêmicos; conscientizar os estudantes da relevância da construção do currículo durante a graduação e conhecer a população atendida afim de orientá-los sobre os cuidados pessoais e alimentares. Trata-se de um trabalho descritivo por meio de um relato de experiência de uma acadêmica do Curso de Medicina, Faculdade Morgana Potrich – FAMP, em uma missão nas comunidades ribeirinhas do Estado do Amazonas em janeiro de 2019. Experiência como essa realizada, aproximam o acadêmico de medicina da comunidade e da atenção básica indiscriminadamente. Além de criar um vínculo maior quando o trabalho é multiprofissional, sendo importante na construção de valores pois vivencia-se os hábitos dos moradores e o modo de viver daquela região.
PNEUMONIA ADQUIRIDA POR PACIENTES EM VENTILAÇÃO MECÂNICA DEVIDO À FALTA DO PROFISSIONAL ODONTÓLOGO NAS UTIs: REVISÃO NARRATIVA
Authors: Silva Bruno Queiroz da , Cintra Igor Santana Darelli , Danziger Leila Rodrigues , Gouveia Léa Cristina , Guimarães Paulo Ricardo Gonçalves
Published: October 2022

RESUMO

Introdução: Pneumonia é uma infecção aguda dos pulmões, causada por uma grande variedade de agentes infecciosos, incluindo bactérias, micoplasmas, fungos, parasitas e vírus, sendo a pneumonia bacteriana a forma mais comum da doença. A Odontologia Hospitalar é uma especialidade odontológica que visa a realização de cuidados e procedimentos bucais em âmbito hospitalar. Objetivo: Abordar a importância da contribuição do cirurgião-dentista na equipe multidisciplinar de uma unidade de terapia intensiva (UTI) em pacientes diagnosticados com Pneumonia. Metodologia: Trata-se de uma revisão narrativa, com artigos publicados no período de 2001 a 2021, em português, inglês ou espanhol. Utilizou-se as seguintes palavras-chave: “Pneumonia And UTI; Pneumonia And Cirurgião Dentista; Cirurgião Dentista And UTI”. Revisão: A partir dos artigos encontrados e por meio da confecção desse estudo, concluímos que o mesmo pode agregar e contribuir para o entendimento, no meio hospitalar e científico, que é imprescindível a atuação do profissional odontólogo na limpeza bucal dos pacientes que estão internados nos leitos de UTI, uma vez que a boca é uma grande porta de entrada para bactérias causarem pneumonia. Com todas as informações coletadas e dispostas, discorremos fatos discutidos entre autores e estudiosos da área, que a higiene bucal deve ser feita pelo profissional odontólogo para que assim possa diminuir os casos de pneumonia provenientes da má higienização bucal dos pacientes que se encontram em leitos de UTI. Conclusão: Conclui-se que é necessária uma melhor atenção à saúde do paciente que necessita de internamento hospitalar e em especial da importância da higiene bucal dentro das unidades de terapia intensiva (UTIs), pois esta representa uma forma de prevenção da pneumonia associada à ventilação mecânica (PAV).

 

 

Palavras-chaves: Odontologia hospitalar. Unidade de terapia intensiva. PAVM. Higienização bucal.
TÉCNICAS QUE ALIVIAM A DOR DURANTE O TRABALHO DE PARTO
Authors: FERREIRA MONTEIRO ANA CECÍLIA , Vitalino dos Santos Joyce Kelly , Schafer Dahlke Lucas , Campos de Sousa Luiza , De Melo Silva Matheus Cristiano , Romeiro da Silva Sávio Eustáquio , Macedo La Ruina Doering Aline , Lopes de Oliveira Camila , Rocha Machado Rosa Raquel
Published: October 2022

O parto é o momento do nascimento da criança, que pode trazer vários benefícios para a mãe e o bebê se for por via vaginal. Entre os efeitos positivos do parto normal, podemos destacar a diminuição do risco de prematuridade, melhor desenvolvimento dos órgãos do recém-nascido e um sistema imunológico mais eficaz. Algumas gestantes preferem a cesárea devido ao medo do parto normal, mas existem técnicas específicas e não farmacológicas que ajudam a diminuir a dor e ansiedade durante esse processo. Este estudo tem como objetivo investigar o efeito da hidroterapia com chuveiro quente e exercícios perineais com bola sobre os parâmetros de dor, ansiedade e estresse neuroendócrino durante o parto. Os métodos empregados são de revisão da literatura, com base nos achados em outros artigos e livros de assistência ao parto, sendo eles: Pubmed, Scielo e Rotinas em Obstetrícia. A essência Five Flower obteve regulação do equilíbrio físico e emocional, redução da tensão e controle da dor no parto, pode ser utilizada como método não farmacológico: hidroterapia com água quente, exercícios perineais com bola durante o parto, acupuntura, musicoterapia, aromaterapia e técnicas de respiração que diminuem a ansiedade da mãe no parto e funcionam como uma forma de analgesia, podendo resultar em um parto mais tranquilo para a mãe e o bebê. Portanto, o uso de táticas não farmacológicas como banhos quentes e exercícios perineais precisam ser analisados como opções terapêuticas adjuvantes para dor, ansiedade e estresse durante o parto devido os benefícios comprovados nos estudos.
CONTRAINDICAÇÕES AOS MÉTODOS CONTRACEPTIVOS COMBINADOS
Authors: Leite Bueno Ana Beatriz , Galadinovic Bachiega André José , Rodrigues Parreira Braga Lyvia , Santos Borges Renata , Macedo La Ruina Doering Aline , FERREIRA MONTEIRO Ana Cecília , Lopes de Oliveira Camila , Rocha Machado Raquel
Published: October 2022

Atualmente, cerca de 60% da população feminina em idade reprodutiva utilizam algum método contraceptivo, sendo os mais comuns os anticoncepcionais orais combinados. Estes possuem dois hormônios sintéticos, o estrogênio e a progesterona, que são semelhantes aos produzidos pelo ovário feminino, contudo, há contraindicações para algumas pacientes o uso destes métodos. Este estudo tem como objetivo exemplificar e mostrar de forma geral a atuação destes métodos contraceptivos combinados e suas contraindicações. Os métodos empregados foram revisão de literatura, baseados nos artigos pesquisados no Pubmed e Scielo. Os níveis hormonais de progesterona e estrogênio elevados devido ao uso contínuo de contraceptivos orais combinados impede a ovulação e provoca alterações físico-químicas no endométrio e no muco cervical. Os efeitos adversos destes medicamentos consistem no aumento do risco de complicações vasculares como a trombose venosa profunda, embolia pulmonar, infarto do miocárdio e acidente vascular cerebral. Sendo assim, estes contraceptivos orais combinados devem ser prescritos por um profissional especializado para que haja uma avaliação individual visando obter uma melhor indicação destes para cada paciente. As contraindicações mais comuns são pacientes HIV positivo, lactantes entre 6 semanas e 6 meses pós-parto, tabagistas com mais de 35 anos de idade, mulheres com 40 anos ou mais, hipertensas, diabéticas, as submetidas a cirurgia de grande porte, com quadro de tromboflebite superficial, dislipidêmicas, cardiopatas, portadoras de câncer de colo uterino, doença falciforme e com hepatopatia.