bluuebunny/crossref_metadata_2025 huggingface dataset:
Hepatic Erosion as a Complication of a Peripherally Inserted Central Venous Catheter in a Neonate
Authors:   Department of Paediatrics, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malay, Lim Chin Theam , Salleh Salehin ,   University Malaya Paediatric and Child Health Research Group, University Malaya, Kuala Lumpur, Lim Jin Wei ,   Royal Darwin Hospital, Darwin, Northern Territory, Australia
Published: January 2021

Solid Pseudo-papillary neoplasm of the pancreas (SPN) is a rare entity. It represents 0.2-2.7% of all pancreatic cancers. Predominantly occurs in young females in the second to third decades of life. The etiology of SPN involves mutations in the gene that encodes beta-catenin. SPNs are typically indolent tumors, usually confined to the pancreas. We report a case of SPN in a 9-year-old female presented with intermittent abdominal pain for four months. Imaging studies demonstrated a 2.8 cm mass in the tail of the pancreas. The patient underwent a distal pancreatectomy. Pathological evaluation was diagnostic for SPN in the tail of the pancreas. Our case is distinct because of the young age of the patient, peripancreatic soft tissue, perineural, and lymphovascular invasion. The tumor cells exhibited cytoplasmic and nuclear immunoreactivity for beta-catenin and progesterone receptors
Salmonella Enteritidis Septicaemia and Meningitis in an Extremely Preterm and Extremely Low Birthweight Infant
Authors:   Department of Pediatrics Faculty of Medicine University of Malaya Kuala Lumpur, Malaysia, Lim Chin Theam , Lim Jin Wei ,   Royal Darwin Hospital Northern Territories Australia
Published: January 2021

While Salmonella typhi and paratyphi affecting both mother and infant are well documented Salmonella enteritidis infection from transplacental spread is exceedingly rare and often fatal. We report a case of intrauterine infection of a 25-weeks preterm and extremely low birthweight infant (610gm at birth) with Salmonella enteritidis born via spontaneous vaginal delivery to a mother with Hodgkin’s lymphoma. Soon after birth the infant was diagnosed to have severe septicaemia, meningitis and later probable osteomyelitis. After prolonged intensive care and parenteral nutritional support, she recovered fully and was discharged after 5 months of hospital stay having attained sufficient weight.
Inner Prepuce Preserving ‘Bird-Winged Coronal-Collar Skin ReArrangement’ Modification of Tip Urethroplasty
Authors:   Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India, Goel Prabudh , Rawat Jile Dar ,   Departments of Pediatric Surgery, King George’s Medical University, Lucknow, India, All India Institute of Medical Sciences, New Delhi, India, Kumar Piyush ,   Departments of Pediatric Surgery, King George’s Medical University, Lucknow, India, All India Institute of Medical Sciences, New Delhi, India
Published: January 2021

Objective: To describe the ‘Bird-Winged Coronal-Collar Skin re-arrangement modification’ of the Tubularized Incised Plate (TIP) urethroplasty to preserve the inner preputial skin on the ventral surface of the penile shaft. Material and Method: Study Group: Prospective review of the results of a single surgeon with Bird-Winged Coronal-Collar skin re-arrangement modification of TIP urethroplasty (n=111; mean age 4.9 years) of distal (n=76) and mid-penile (n-35) hypospadias (mean follow-up 37 months). Control Group: Retrospective review of a single surgeon’s results of distal and mid-penile hypospadias repair with standard TIP urethroplasty (2007-11). Outcome parameters (to compare non-inferiority of the modified technique): Urethro-cutaneous fistula (UCF) at voiding trial and follow-up at 3 months, wound infection, complete dehiscence, local edema, meatal stenosis and quality of urinary stream. Statistical analysis was done with the Fischer Exact Test. Results: With this technique, the authors could provide an inner preputial cover on the ventral/ ventro-lateral aspects of distal penile shaft in all but one patient (complete dehiscence). The results of ‘bird-winged coronal-collar skin re-arrangement’ modification were not-inferior/ comparable to those of standard TIP urethroplasty. Conclusions: The modification is technically feasible and reproducible and the overall results of urethroplasty were not inferior to the standard TIPS procedure.
Coronavirus Disease of the 2019 (Covid-19): Virology, Epidemiology, Pathogenesis, Clinical Presentation, Diagnosis and Treatment
Authors:   Neurology, Hasiya Bayero Paediatric Hospital, Kano, NGA, Abdullahi Abba Musa , Sarmast Shah Taha ,   Rajib Ghandi University of Health Sciences
Published: January 2021

On December 31, 2019, China alerted WHO to several cases of unusual pneumonia in Wuhan. This is a city with about 11 million people located in the central Hubei province. The virus was unknown when it was reported. Few weeks after the outbreak, the coronavirus pneumonia became an epidemic at the epicenter of the disease. It was discovered those infected during the period were those working at the Wuhan’s Huanan Seafood Wholesale Market. The market was shut down on January 1, 2020. Since the epidemic, The COVID-19 outbreak has reached every continent on Earth becoming a global pandemic. Wuhan City experienced the worst of the initial outbreak but the trend has now shifted to several other countries and major cities are experiencing the massive health, economic, social and political effects of the coronavirus. Americas (United States) and Europe (Russia, Italy, Spain, UK and Germany) are the most hit regions. As of June 2, 2020, the global confirmed cases were reported by the European Centre for Disease Control and Prevention (ECDC) as 6,245,352 cases with global death recorded as 376,427 deaths.
Plasmablastic Multiple Myeloma Masquerading Leukemia in an Immunocompetent Patient
Authors:   Pathology, Lady hardinge medical college, New Delhi, India, Anand Amrita , Singh Smita ,   Pathology, Lady hardinge medical college, New Delhi, India, Agarwal Kiran ,   3 Pathology, Lady Hardinge Medical college, New Delhi, India
Published: January 2021

Multiple myeloma (MM) is a plasma cell neoplasm accounting for 1% of all malignancies. It is characterized by a monoclonal malignant proliferation of plasma cells accompanied by an increase in M-protein. Plasmablastic myeloma represents 5-15% of the cases of multiple myeloma. This morphology of a MM is an independent predictor of poor survival. Plasmablastic myeloma tends to have worse outcomes than other plasma cell dyscrasias. The median survival of these patients is around 1.9 years. Much of our knowledge on plasmablastic variant of MM is dependent on case reports and case series. Hence, an early identification of this aggressive variant of multiple myeloma and its differentiation from hematological malignancy like plasmablastic lymphoma is necessary for optimal patient management.
Isopropyl Nitrite Induced Hemoglobin Oxidation in Diabetics Blood
Authors:   Associate Professor Department of Mathematics and Natural Sciences, National University Los Angeles, USA, Tarburton John Philip
Published: January 2021

The effect of isopropyl nitrite on human Type 2 Diabetes blood was undertaken using non diabetics blood as the control group. The differences in patient characteristics such as the mean ages and weights of the two groups were not statistically significant (P>0.05), and the ratios of non-smokers to smokers were similar meaning that the two groups were well matched. These studies revealed that diabetics erythrocytes with a mean HbA1C value ± SEM of 11.4 ± 0.27% were oxidized at a significantly greater rate than that of the control blood (P<0.05). The isopropyl nitrite mean oxidation time ± SEM of diabetics blood was 1.5 ± 0.05 min (n = 20). For the nondiabetics blood a mean HbA1C ± SEM value of 5.5 ± 0.08% was obtained with a mean oxidation time ± SEM of the non-diabetics blood of 4.6 ± 0.13 min (n=20). These studies demonstrate that Diabetes blood has an enhanced susceptibility of oxidation into methemoglobin by isopropyl nitrite compared to its respective control group, i.e., the normal blood. This finding could be attributed to the fact that isopropyl nitrite is a nitrite ester which contains a saturated three hydrocarbon chain similar to other analogous nitrite esters (ethyl nitrite, butyl nitrite, pentyl nitrite and hexyl nitrite) which also contain saturated hydrocarbon chains that previously showed a statistically significant increased oxidation time for diabetics blood (P<0.05) [1-6]. Thus this study confirms that the difference in the number of methylene molecules has no impact on the rate of oxidation on either diabetics blood or nondiabetics blood (P>0.05). These findings also imply that the increased susceptibility to isopropyl nitrite induced oxidation reaction in diabetics blood is a direct function of the amount of HbA1C present in the blood, i.e., a clear inverse relation appears to exist between the amount of HbA1C present and the oxidation time
Incidental Large Supra-renal Mass. Adrenal Myelolipoma
Authors:   Consultant Radiologist, Clinical Imaging Department, Hamad Medical Corporation, HGH, Doha, Qatar, Assistant Professor in Clinical Radiology, Weil Cornel Medical College, Qatar (WCMC-Q, B Ladumor Sushila , Kambal Aalaa Salaheldin ,   Associate Consultant in Clinical Imaging Department, Body Imaging, Hamad Medical Corporation, Hamad General Hospital, Qatar
Published: January 2021

Adrenal incidentomas are becoming more due to increase in imaging for other reasons. Adrenal myelolipomas are unusual, mainly non-malignant lesion and usually found incidentally during US or other imaging studies done for other indications. It mainly composed of mature adipocytes. Estimated autopsy prevalence of 0.1-0.2% of this unusual lesions. They are usually seen in adults and may complicated by hemorrhage. There is no gender predilection [1]
Detailed Contribution Analysis of Various Medical Conditions on Risk Probability Percentage of Having Cardiovascular Disease or Stroke Using GH-Method: Math-Physical Medicine (No: 315)
Authors:   eclaireMD Foundation, USA, Hsu Gerald C
Published: January 2021

The author uses his developed GH-Method: math-physical medicine approach to investigate a more detailed contribution analysis of three medical condition sub-categories on his risk probability percentages of having cardiovascular disease (CVD) or stroke for over a period of 10+ years
Depression Associated with Diabetes in Patients in Attended At Katutura Sate Hospital, Windhoek Namibia
Authors:   School of Medicine, Windhoek Khomas, University of Namibia, Namibia, J Sheehama , B Zeko ,   MoHSS Namibia, S Nghoshi ,   FELTP Namibia
Published: January 2021

This study sought to describe the level of severity of depressive symptoms in adults with diagnosed diabetes. Primary objective was calculating the prevalence of depressive symptoms with secondary objectives of severity and contributing factors to development of depressive symptoms. A cross-sectional study design was used, focussing on the relationships between the outcome of disease (depression) and exposure (factors contributing to development of depression). A three-part questionnaire on demographics, health parameters and depression symptoms was given to adults with diagnosed Diabetes at the Katutura State Hospital Outpatient Department over the course of six weeks, chosen by systemic sampling. Patients on first visit (undiagnosed DM) or with Gestational Diabetes were excluded from the study. Of the 113 individuals who met the inclusion criteria, 101 were included in this study. Only 2 patients (1.98%) had no symptoms of depression whatsoever, the rest categorized into having mild, moderate and severe symptoms. Severe depressive symptoms were present in 19.8% of the total group (20/101), with a male to female ratio of 2:3 (Risk Ratio - 0.98, p-value 0.48), with 40% above the age of 65 (RR - 1.57, p-value 0.14), and 80% had Type 2 Diabetes Mellitus (RR - 1.85, p-value 0.11). Socio-economic factors such as no formal schooling and only having pension as a sole source of income, were most common in the group with severe depression. Health care workers should be able to identify signs of depression and refer accordingly, as psychosocial support is needed in patients with chronic, often incurable conditions
Prevalence and Associated Risk Factors of Peripheral Neuropathy in Diabetic Patients Attending the Primary Health Care Centers in Khartoum locality, Khartoum State, Sudan at 2019
Authors:   Medical Student, Faculty of Medicine, University of Khartoum, Khartoum, Sudan, Elbala Elmagboul Nidal Abdelgadir
Published: January 2021

Aim: assessing the prevalence of diabetic peripheral neuropathy and its associated risk factors in diabetic patients attending primary health care centers in Khartoum locality, Sudan 2019. Materials and Method: Descriptive cross-sectional facility-based study, 288 patients were assessed using a questionnaire consist of two-part: the first part is regarding the sociodemographic data and the second part is a standardized MNSI questionnaire. Results: out of 288 patients 223 were females, the mean age was 53.2 (SD ± 9.9 years), the majority had type 2 DM (98.6%). The overall prevalence of DPN was 42%, males were 31.4% and females were 68.4%. The risk factors for peripheral neuropathy were the female gender, the age of the patient more than 58 years and the duration of diabetes more than 10 years, smoking, being married and divorced, being overweight, being a householder, using oral hypoglycaemic agents, and being on poor glycaemic control with a p-value of 0.002, 0.001, 0.001, 0.012, 0.001, 0.001, 0.001, 0.024 and 0.001 respectively. In the logistic regression model the bad glycaemic control and the marital status (being married) emerged as significant independent predictors for developing DPN. No significant association was found with the educational level of the patients (p-value = 0.127) and type of diabetes mellitus (p-value = 0.178). Conclusion: high prevalence of peripheral neuropathy in diabetic patients attending primary health care center. Higher age, longer duration of diabetes, using oral hypoglycaemic agents, and poor glycaemic control were important risk factors for it
Molecualr Association of Coronavirus with Diabetes Mellitus Type 2 in Pakistan
Authors:   Department of Microbiology and Molecular Genetics, University of the Punjab, Lahore, Pakistan, Riaz Samreen
Published: January 2021

Patients with COVID-19 who have elevated blood sugar levels without a previous diagnosis of diabetes may be at a high risk of death and an increased risk of severe complications from the infectious disease, a new study says. We aimed to briefly review the general characteristics of the novel coronavirus (SARSCoV-2) and provide a better understanding of the coronavirus disease (COVID-19) in people with diabetes, and its management. We searched for articles in PubMed and Google Scholar databases till 02 April 2020, with the following keywords: “SARS-CoV-2”, “COVID-19”, “infection”, “pathogenesis”, “incubation period”, “transmission”, “clinical features”, “diagnosis”, “treatment”, and “diabetes”, with interposition of the Boolean operator “AND”. The clinical spectrum of COVID-19 is heterogeneous, ranging from mild flu-like symptoms to acute respiratory distress syndrome, multiple organ failure and death. Older age, diabetes and other comorbidities are reported as significant predictors of morbidity and mortality. Chronic inflammation, increased coagulation activity, immune response impairment, and potential direct pancreatic damage by SARS-CoV-2 might be among the underlying mechanisms of the association between diabetes and COVID-19. No conclusive evidence exists to support the discontinuation of angiotensin-converting enzyme inhibitors (ACEI), angiotensin receptor blockers or thiazolidinedione’s because of COVID-19 in people with diabetes. Caution should be taken to potential hypoglycemic events with the use of chloroquine in these subjects. Patient tailored therapeutic strategies, rigorous glucose monitoring and careful consideration of drug interactions might reduce adverse outcomes. Suggestions are made on the possible pathophysiological mechanisms of the relationship between diabetes and COVID-19, and its management. No definite conclusions can be made based on current limited evidence. Further research regarding this relationship and its clinical management is warranted
Exploratory Approaches for the Use of Aloe for Covid-19 Treatment: Prevention and Mitigation Effect
Authors:   Vise-Dean of Faculty of Pharmacy, Professor of Pharmacognosy, Department of Tanta University, Egypt, Kabbash A , Yagi A ,   Professor Emeritus of Fukuyama University, Hiroshima Japan; Special Adviser of Japan Aloe Science Association, Yu BP ,   Professor Emeritus of University of Texas, Health Center, Department of Physiology, San Antonio, the United State, Ataka S ,   Department of Neurology, Osaka City University, Medical School, Part time Lecturer; The director of Med Cell Clinic, Osaka, Kita-ku, Umeda, Japan
Published: January 2021

The global coronavirus disease (COVID)-19 pandemic has become a huge threat to humans. Intensive research on the pandemic mechanisms used by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is urgently needed-notably to identify potential drug targets. Clinical studies of patients with COVID-19 have shown that gastrointestinal disorders appear to precede or follow the respiratory symptoms. Here we review exploratory approaches for the use of aloe for COVID treatment, gastrointestinal disorders in patients with COVID-19, suggest hypothetical mechanisms leading to gut symptoms, and discuss the potential consequences of gastrointestinal disorders on the outcome of the disease. Lastly, we discuss the role of the gut microbiota during respiratory viral infections and suggest that targeting food supplement and gut dysbiosis by use of Aloe vera may help to control immunomodulatory effect to the pathogenesis of COVID-19
Capability of Uranium Heap Leaching From Gattar and El Missikat Area, Eastern Desert, Egypt: A Kinetic Approach
Authors:   Nuclear Materials Authority, PO Box 530, El-Maadi, Cairo, Egypt, Nagar S Mohamed
Published: January 2021

Detailed studies of uranium heap leaching from different uranium mineralization resources situated in Eastern Desert of Egypt were investigated using sulfuric acid via batch experiments, followed by using the obtained optimum condition on bench scale leaching tests using small column. The previous optimum parameters were implemented on another large scale column in order to make more condition control and evaluate the time and reagents needed while transferring from small to large scale. The obtained data shows that leaching efficiency of GII mineralization attained about 78.3% with consumed acid amount about 34 kg/ton in a 44 days as leaching time, on the other hand, leaching efficiency of uranium from El-Missikat mineralization higher than GII mineralization and attained about 86.6% and the consumed as lower than G-II about 28kg/ton in a 40 days leaching time. Kinetics reaction models of column tests have been investigated to optimize the column leaching behavior. Based on the leaching results of the two mineralized occurrences, the rate of the uranium dissolution is controlled by both the chemical reaction and the diffusion reaction but diffusion reaction control was more predominate than a chemical reaction.
Technical Progress Reduces the Degree of Competition That Maximizes Investment in Innovation
Authors:   Orange, 78 rue Olivier de Serres, 75505 Paris, France, Jeanjean François
Published: January 2021

The relationship between competition and investment is generally characterized by an inverted-U relationship. The position of these curves and, in particular their maximum, i.e, the degree of competition that maximizes investment, depends on the degree of technical progress that characterizes each industry. Industries experiencing a high degree of technical progress, as information technologies, maximize their investments in innovation for lower degrees of competition than other industries. Sectoral and competition authorities should take this into account for regulation of competition. Information technologies should not be regulated as brick and mortar industries.
Incidence of Endophthalmitis, Then and Now
Authors:   Department of Ophthalmology, Upstate Medical University, Syracuse, New York, Dhanireddy Swetha , Kurochkin Philip ,   Department of Ophthalmology, Upstate Medical University, Syracuse, New York, Dosakayala Neelima ,   Department of Ophthalmology, Upstate Medical University, Syracuse, New York
Published: January 2021

Purpose: Report the frequency of differing etiologies of endophthalmitis at the Upstate Medical University, and compare these results to previously reported data. Methods: A retrospective study was conducted based on the medical records of all patients diagnosed with endophthalmitis at the Upstate Medical University in Syracuse, New York between January 2014 to December 2019. Variables recorded included source of infection, microbial profiles, comorbidities, visual acuity and survival. Results: The study identified 62 patients who were diagnosed with endophthalmitis at the Upstate Medical University from January 2014 to December 2019. The most common etiology was endogenous endophthalmitis with 40 cases (64.5%), of these patients, 13 (32.5%) were culture positive. The remaining 22 cases (35.5%) were due to exogenous endophthalmitis. The mean age of patients with endogenous endophthalmitis was 51.4 years with 65.0% as male. The mean age of patients with exogenous endophthalmitis was 59.5 years with 59.1% as male. The most common identifiable risk factor associated with endogenous endophthalmitis was a history of intravenous drug use seen in 47.5%. Conclusion: Endogenous source was established as the most common etiology in patients diagnosed with endophthalmitis. These results, however, do not parallel with any of the previously reported data where endogenous etiology was identified as one of least common causes. The significance of demonstrating this increase in incidence of endogenous endophthalmitis is to illustrate a shift in paradigm and create awareness among ophthalmologists to avoid overlooking a possible life-threatening condition.
Definition of Different Treatment Response Types In Neovascular Age-Related Macular Degeneration
Authors:   Saglik Bilimleri University Ulucanlar Eye Hospital Ankara – Turkey, Altıntas Ayse Gul Kocak
Published: January 2021

Age-related macular degeneration (AMD) is a common, degenerative disease of the retina presented as neovascular AMD (n-AMD) or non‐neovascular AMD. Several factors risk factors having been found associated with unresponsive to treatment and progression macular scar form, including subtype of the choroidal neovascular membrane (CNM), presence of subretinal drusenoid deposits, Pigment epithelial detachment (PED), decreased central choroidal thickness, preexisting Macular atopy (MA) in the fellow eye. There is no exact consensus about the term described the status of poor or non- response to any treatment regime. In this article definition of different therapeutic responses such as resistance, refractory, recurrence of anti-vascular endothelial growth factors (AntiVEGF), and its relation to retinal features are discussed.
Prevalence of Horizontal Strabismus in Pediatrics Patients at University Eye Hospital
Authors:   Department of Ophthalmology, University Eye Hospital, Kabul University of Medical Sciences, P.O. Box 1006 Postal Code- 25000, kmu, Amirzda Shir Mohammad
Published: January 2021

Introduction: Strabismus is a clinical condition in which the eyes are not aligned properly and are pointed in different directions when looking at an object. Strabismus is a type of illness that requires medical and surgical treatment. If left untreated, amblyopia will increase the eyes of patients. Objective: Prevalence of strabismus in children visiting at University Eye Hospital in March 25, and 21 September 2019. Method and Materiel: The research design was cross-sectional study.The ophthalmology research site was university eye hospital. The total included cases were 1862 Strabismus patients the age was sixteen and under who were referred for examination and treatment of ocular diseases within the prescribed period. Age and sex information were collected from patients’ files were analyzed using Microsoft excel. Patients by age were into four groups (0–1) years, (2–5) years, (6–10) years and (11–16) years. Result: This study were examined the numbers of (1862) children in the 25 March to 21 September 2019 at the university eye hospital. Including their number of strabismus patients during the study was 3.59%. The average age is 9 years. The number of boys 37 (55.22%) and the number of girls is 30 (44.77%). The most common type of strabismus is the esotropia form (73.1%), exotropia were (26.9%). Alternate strabismus (55.2%), unilateral strabismus (44.8%). Conclusion: This study shows that the most common type of strabismus was esotropia boys were more affected than girls.
Outcome of Sclera Fixated Intraocular Lens for Complicated Cataract Surgeries in an Eye Institute, Southwestern Nigeria
Authors:   Lily Hospitals Limited, Warri, Nigeria, Egbu Ejike , Igwe Nelson ,   Alex Ekwueme Teaching Hospital, Abakaliki, Nigeria, Olatunji Patrick ,   The Queen Elizabeth Hospital, King’s Lynn, England
Published: January 2021

Background: Fixating an intraocular lens to the sclera is a technique for managing aphakia that results from complications of cataract surgery when there is difficulty in placing the intraocular lens in the bag or sulcus due to loss of capsular support for the posterior chamber intraocular lens. The procedure involves various techniques aimed at securing an intraocular lens to the sclera to restore sight in the aphakic eye. This is a report of the outcome of 19 cases performed at Eleta Eye Institute, Ibadan, Nigeria and St Mary’s Catholic Eye Hospital Ago Iwoye, Nigeria between April 2018 and February 2019, in which posterior chamber intraocular lenses were fixated to the sclera using polypropylene 10/0 sutures and subjects followed up for six months. Blindness and vision impairment was classified according to the international classification of diseases, ICD-10 for distance vision. Relevant data was retrieved from the medical records of the patients and analyzed using SPSS version 22. Results: The age range was 27-88 years. Posterior capsule rupture from initial surgery accounted for 68.42% of the cases while traumatic cataract accounted for 15.79%. Weak zonules and dislocated intraocular lens accounted for 10.53% and 5.26% respectively. At 24 weeks, there was 89.5% reduction in the number of blind eyes (VA less than 3/60), with 68.4% achieving VA of 6/6-6/12 with pin hole. All the eyes had intraocular pressure ranging between 10 and 22mmHg preoperatively. Postoperatively, temporary hypotony and transient corneal oedema occurred in 8(42.11%) and 6 (31.58%) of the cases respectively, while raised intraocular pressure occurred in 1 (5.2%) of cases. The patient with elevated intraocular pressure was further managed by a glaucoma specialist. Conclusion: The anchor suture technique in combination with the L-shaped scleral flap provides satisfactory visual outcome in managing aphakia or pseudoaphakia and ensures that sutures do not irritate the ocular surface thereby reducing postoperative inflammation. When a PCIOL is used, it eliminates the challenges of stocking of SFIOLs in low resource settings.
Clinical Analysis of 757 Cases of Facioplegia
Authors:   Children’s Hospital, Shaanxi Provincial People's Hospital Of Xian JiaotongUniveristy, Shaanxi, China, Jiao Fuyong , Li Xiaohong ,   Children’s Hospital, Shaanxi Provincial People's Hospital Of Xian JiaotongUniveristy, Shaanxi, China, Wang Linna ,   Class 1807 of xi'an medical university Graduate, Shaanxi, China, Gu Tingyuan ,   The Fifth Hospital of Yulin,Shaanxi,China, Zhang Meini ,   Class 1908 of Xi'an Medical University Graduate,Shaanxi,China, Liu Jing ,   Class 1908 of Xi'an Medical University Graduate,Shaanxi,China, Abubakari Alhaji Adam ,   Henan University of Chinese Medicine, Zhenzhou, China & School of Medicine and Health Sciences, University for Development Studies
Published: January 2021

Objective: To explore the etiology, age, diagnosis, treatment and prognosis of facioplegia. Methods: A retrospective etiology and epidemiological survey of 757 patients with facioplegiaadmitted to the People's Hospital of Shaanxi Province from January 2015 to October 2017 was conducted to analyze their clinical features. Results: The primary incidence was the highest, accounting for 40% of the total incidencerate, the highest incidence of 19-60 years old, accounting for 48% of the total morbidity,the highest incidence of retirees, accounting for 43% of the total incidence rate,11% of patients cured at discharge, 83% improved. Conclusion: The etiology of facial paralysis is complicated, the incidence rate of adults is higher than that of children. The incidence rate of 41-60 years old is the highest, and the hospitalization days are mostly 8-14 days. For patients with facioplegia, early diagnosis, timely and reasonable treatment, most of the prognosis is good.Facioplegia, also known as facial paralysis, is mainly characterized by facial expression muscle group dyskinesia,clinical manifestations include oblique mouth and eye, mouth angle drooping of the affected side after shutting up, closing eyes, raising eyebrows, bulging gills, baring teeth cannot be completed, is a common clinical disease can occur all year round and in any age group. It is most common in adults and more male than female. Its etiology is complex,also still unknown, and this disease often due to buccal facial feelings of cold or wind and heat after the attack. The onset is rapid, mostly are delayed paralysis of one side muscle.Taking effective treatment measures in time is very beneficial to the recovery and prognosis of the disease. Since January 2015 to October 2017, 757 patients with facioplegia have been hospitalized in our hospital.The overall rate of complete recovery was 97.6% with significantly faster recovery in younger children and in patients with NB as compared to idiopathic facial palsy. Both patients with incomplete recovery were at least 14 years old and presented late in the course of the disease [Andreas ChristophJenkeet’al 3 May,2011]. The analysis is as follows:
Assessment of knowledge, Attitude and Practices of Colostrum Feeding among Postnatal Mothers in Harar Town Governmental Hospital Harar, Ethiopia 2019
Authors:   (Rmw, Bsc Nurse, Msc in Maternity and Neonatal Nursing) Department of Midwifery, Harar Health Science College, Harar, Ethiopia, Zewde Gosaye Teklehaymanot
Published: January 2021

Background: Colostrum is yellow to orange color, thick and sticky first milk produced by the mammary glands which was universally recommend to feeding for every newborn. It has Laxative effect and contains bioactive immune factors which protect a neonate against a variety of infections and allergic diseases. Globally, around 5.6 million children died before reaching their fifth birthday, of those, 2.6 million (46%) died in the first 30 days of life. Approximately 7000 newborns died every day, most of which occurred within first 7 days after birth, with about 1 million dying on the first day and close to 1 million dying within the next 6 days in 2016. Various factors can effectively reduce neonatal mortality to greater levels early initiation of Colostrum feeding and exclusive breastfeeding for the first 6 months of life is one of them which prevent around 20% newborn deaths and 13% under-five deaths. Even those few studies conducted on Colostrum feeding in Ethiopia there is no sufficient information in our study area. There for this study will try to fill the information gaps and serve as implementation guide and reference for stake holder and other researchers. Objective: To assess knowledge, attitude and practices of colostrum feeding among postnatal mothers in Harar Town governmental Hospital Harar, Eastern Ethiopia 2019. Methods and Material: Health facility based cross sectional study was condcted on 306 women attending delivery service in Harar Town Jugal and Hiwot Fana Specialized university Hospitals. Sample was allocated proportionately and study participant was selected by systematic random sampling. Collected and checked data were entered in to Epi Data software version 3.02 and exported and analyzed using SPSS version 21. Mean value were used to classify as good or Poor knowledge, altitude and practice on hand hygiene. Finding was summarized and presented in different forms of diagrams and tables and statement. Result: The overall prevalence of good knowledge, altitude and practice on this study was 96 %, 89 % and 70 % respectively. Majority 65.5 % and 94 % of the mother replied that colostrum feeding is important for growth and development of baby and it protect disease from their new born. Few 8% provide other than colostrum after birth due to different reasons. Conclusion and Recommendation: Even if the overall prevalence of good knowledge. Altitude and practice was higher on this study few clients does not now initiation time of breast and also provide other substance instead of colostrum and discard it due to fear of abdominal cramp and their believed that it was not clear. Therefore responsible bodies and stake holders need to work for alleviating such misconception and information gaps
Delayed Speech and Language in Bardet - Biedl Syndrome
Authors:   Lecturer in Audiology, JSS Institute of Speech and Hearing, Dharwad, H R Aravinda , Bopaiah Mohitha ,   Student, JSS Institute of Speech and Hearing, Dharwad
Published: January 2021

Bardet-Biedl Syndrome (BBS) is a human genetic disorder that produces many effects and affects many body systems. The wide clinical spectrum observed in BBS is associated with significant genetic heterogeneity. This article includes a case of Bardet- Biedl syndrome in a 2 years 11 months old girl from Hubli, a town in north Karnataka region of India. A detailed speech, language and hearing profile based on systematic evaluation have been highlighted in the present study
A Study Some Physical and Chemical Properties of Khuweisah Valley Basin East Of Misaan Governorateby Using Rs&Gis
Authors:   Assistant Lecturer LiqaaJabbarKakkiUniversity of Baghdad-Education Collage IBN RUSHED, Al-Waeli Ali A Kazem , K Alsharifiy Osamah ,   Assistant Lecturer LiqaaJabbarKakkiUniversity of Baghdad-Education Collage IBN RUSHED
Published: January 2021

The study dealt with some physical and chemical properties of khuweisah I order to Clearfy andhighlight contrast in those properties between two seasons, summerwho represented by (July) andwho represented by winter (January). Also high light contrast on differences among the sites during the same season for the period from (1987–2018).Three samples were chosen for each season in order to explain the differences. By analyzing the results of the properties temperature values are gradually increasing during the summer season due to atmospheric and solar radiation effects. Also showed the results that the values of turbidity had increased during summer seasondue to total suspended materials in the water.The dissolved oxygen concentrations in summer season were high due to increased concentrations of salts in this season, value of (PH) more salty in summer season, moderate during winter. Concentrations of other elements were variable among sites in the same season
The Maxwell-Cassano Equations of an ElectromagneticNuclear Field Yields the Fermion Masse
Authors:   Santa Clara, California, USA, Cassano Claude Michael
Published: January 2021

The Maxwell-Cassano equations yield a fermion architecture table equivalent to that of the fermion Standard Model. Given a pair of constants defined by an affine transformation relating them to two rational fractions, a set of two equations determine all fermion masses
The Crystal in the Ether VII
Authors:   BScE, DULE, 23 Park Ave, Saint John, NB E2J 1R2, Canada, Cusack Paul T E
Published: January 2021

In this paper, we base our work on Wall’s work on Fluorocarbons, particularly polytetrafluoroethylene – better known as Teflon. Previous papers by this author have established that the ether is made up of crystals of PTFE. This paper provides further support to this thesis. A lot is known about PTFE already. Experiments will have to be devised to prove the ether is Teflon
Herbal Medicine for the Treatment of Rheumatoid Arthritis
Authors:   Department of pharmaceutics, RBVRR Women’s college of pharmacy, Osmania University, Hyderabad, Sailaja A Krishna , Rani E Veena ,   Department of pharmaceutics, RBVRR Women’s college of pharmacy, Osmania University, Hyderabad, Swetha Swetha ,   Department of pharmaceutics, RBVRR Women’s college of pharmacy, Osmania University, Hyderabad
Published: January 2021

The main aim of this article is to reduce the adverse effects associated with synthetic drugs which are used to reduce the inflammation in rheumatoid arthritis. Rheumatoid arthritis is defined as a chronic inflammatory disorders affecting many joints, including those in the hands and feet. It is an autoimmune disease in which the body’s immune system (which normally protects the health from foreign substances like bacteria and viruses will mistakenly attacks the joints). The greatest disadvantage of the presently available potent synthetic drugs lies in their toxic reactions and reappearance of symptoms after discontinuation.To overcome this effects herbs/herbal based preparation are used to treat rheumatoid arthritis. Herbal medicines will act as parcels to human inorder to combat disease from the dawn of civilization. Some of the natural herbs which shows anti-rheumatic action are-vatariguggul, terpenes, stem bark of ficusbengalensis, punarnava etc
Electromagnetoelastic Actuator for Nano Physics and Optics Sciences
Authors:   National Research University of Electronic Technology, MIET, Moscow, Russia, SM Afonin
Published: January 2021

The regulation and mechanical characteristics of the electromagnetoelastic actuator are obtained for control systems in nano physics and optics sciences for scanning microscopy, adaptive optics and nano biomedicine. The piezo actuator is used for nano manipulators. The matrix transfer function of the electromagnetoelastic actuator is received for nano physics and optics sciences
Non - Accelerator Observation of the Long - Range Strong Nuclear Interaction
Authors:   Fonoriton Sci. Lab., Garon Ltd, Tallinn, 11413, Estonia, Plekhanov V G
Published: January 2021

The non - accelerator observation of the long - range strong nuclear interaction is presented. We have studied the low - temperature spectra (reflection and luminescence) of the LiH (without strong interaction in hydrogen nucleus) and LiD (with strong interaction in deuterium nucleus) crystals which are different by term of one neutron from each other. The experimental observation of isotopic shift (103 meV) of the phononless free excitons emission line in LiD crystals is a direct manifestation of the long - range strong nuclear interaction. Such conclusion is made to the fact that the gravitation, electromagnetic and weak interactions are the same in both kind crystals, it only emerges the strong interaction in deuterium nucleus. As far as Born - Oppenheimer approximation does not work in isotope effect, we tentative connect our experimental observation with long - range hadron - lepton interaction. Most important study of the LiHx D1-x mixed crystals is the first measurement of the long - range force dependence of strong nuclear interaction on the distance between nucleons in deuterium nucleus
A Return to the Inception of Physics
Authors:   Department of Physics, Eindhoven University of Technology 5600-MB Eindhoven, The Netherlands, Vegt Wim
Published: January 2021

A Return to the Beginning (Inception|) of Physics. The time of Isaac Newton who published in 1687 in the “Philosophiae Naturalis Principia Mathematica” a Universal Fundamental Principle in Physics which was in Harmony with Science and Religion. The Universal Path, the Leitmotiv, the Universal Concept in Physics. Newton found the concept of “Universal Equilibrium” which he formulated in his famous third equation Action = - Reaction. This article presents a New Kind of Physics based on this Universal Fundamental Concept in Physics which results in a New Approach in Quantum Physics and General Relativity. The physical concept of quantum mechanical probability waves has been created during the famous 1927 5th Solvay Conference. During that period there were several circumstances which came together and made it possible to create an unique idea of material waves being complex (partly real and partly imaginary) and describing the probability of the appearance of a physical object (elementary particle). The idea of complex probability waves was new in the beginning of the 20th century. Since then the New Concept has been protected carefully within the Copenhagen Interpretation. When Schrödinger published his famous material wave equation in 1926, he found spherical and elliptical solutions for the presence of the electron within the atom. The first idea of the material waves in Schrödinger’s wave equation was the concept of confined Electromagnetic Waves. But according to Maxwell this was impossible. According to Maxwell’s equations Electromagnetic Waves can only propagate along straight lines and it is impossible that Light (Electromagnetic Waves) could confine with the surface of a sphere or an ellipse. For that reason these material waves in Schrödinger’s wave equation could only be of a different origin than Electromagnetic Waves. Niels Bohr introduced the concept of “Probability Waves” as the origin of the material waves in Schrödinger’s wave equation. And defined the New Concept that the electron was still a particle but the physical presence of the electron in the Atom was equally divided by a spherical probability function. In the New Theory it will be demonstrated that because of a mistake in the Maxwell Equations, in 1927 Confined Electromagnetic waves could not be considered to be the material waves expressed in Schrödinger’s wave equation. The New Theory presents a new equation describing electromagnetic field configurations which are also solutions of the Schrodinger’s wave equation and the relativistic quantum mechanical Dirac Equation and carry mass, electric charge and magnetic spin at discrete values
Inverse Problems in Turbulent Dynamics of Light
Authors:   University of California, Berkeley, USA, Shanker Aamod , Nivarti Girish ,   University of Cambridge,Cambridgshire, England
Published: January 2021

The differential equations underlying the non-linear dynamics of turbulent fluid flow are extended to the transport of optical energy and optical phase in coherent lasers in a new theoretical framework. Since light acts like a pure, incompressible, inviscid fluid, the momentum and mass transport of the NavierStokes equations translate directly to the intensity and phase transport equations in scalar diffraction theory, respectively. The non-linear term in the phase transport equation describes the emergence of turbulent dynamics near cusps and singularities in the optical field, enabling insights into the topology and dynamics of turbulence/speckle in 6D phase space. A better understanding of the mathematical forms of turbulent wave dynamics allows for reformulating the inverse computational problem for the perennial and current problems in the physics and engineering - imaging through turbulent media, understanding stochastic effects in sub 20nm extreme ultraviolet lithography for extending Moore’s law, holographic reconstruction of chaotic diffusion in image processing - but in context of latest computational and sensing capabilities. Turbulence in visible laser light can be easily measured with inexpensive table-top laser sources, scientific cameras, and simple imaging optics, enabling volumetric energy measurements. Combined with the most current mathematical understanding and computational tools for hydrodynamics modeling, we hope to usher in a new understanding of super-linear dynamics in natural flow processes
Interpretation of Aeromagnetic Data over the Nigerian Sector of the Mamfe Basin
Authors:   Department of Physics, Federal College of Education (Technical) Umunze, Nigeria, Okechukwu Okeke Sunday , Anthony Azunna Onwuegbuche ,   Department of Physics, Abia State University Uturu, Nigeria, Ifeanyi Chinwuko Augustine ,   Department of Geological Sciences, Nnamdi Azikiwe University Awka, Nigeria, Chukwunonso Okonkwo Churchill ,   Department of Physics, Federal College of Education (Technical) Umunze, Nigeria
Published: January 2021

Four Aeromagnetic data over a part of the Nigerian Sector of the Mamfa Basin have been analyzed using qualitative approach and spectral analysis. The aeromagnetic maps, its analytic signal amplitude and geological modelling sketch helped in identifying the nature and depth of the magnetic sources in the study region. The qualitative interpretation reveals that the study area is characterized by magnetic lineament trend in NE-SW direction and subordinate E-W direction. The results obtained are in line with the trend of the Benue Trough. The aeromagnetic maps reveal that the sedimentary thickness increases towards the northern parts of the study area. The results also reveal that the total magnetic field intensity range from 7800 to 8290 nanotesla (nT) in the study area. The residual anomaly map reveals that the maximum anomaly value is 160nT which is found around Bansara and Ugep environs while the minimum magnetic value is -140nT towards the Abakiliki and Ikom areas. Results from spectral analysis indicated two magnetic source depths, which account for deeper and shallower sources. The deeper magnetic sources vary from 2.76 km near Abakiliki to 5.37 km near Bansara, whereas the shallow magnetic sources vary from 0.58 km near Ikom to 1.76 km near Ugep. The depth to basement map reveals that the sediment thickness increases towards the northern parts of the study area. The depths to basement are deeper in the northern and central parts trending northwest-southeast direction and shallower in the eastern and southern parts of the study area. The result also shows a linear depression with sedimentary accumulation trending northwest-southeast. The temperatures at depth for each anomaly block were estimated to range between 48.46 and 225.69°C with an average of 117.04°C. Based on the computed sedimentary thickness (2.76-5.37km) and temperature at depth (62-220°C), the possibility of hydrocarbon generation in the northern and central parts of the study area is realistic
Generalized 2N Color Theorem
Authors:   US Army TACOM Readiness ILS Function, Warren, Michigan 48397-5000, Brierly Joseph Edward
Published: January 2021

2N-Color Theorem This article gives a standard proof of the famous Four-Color theorem and generalizes it be the 2N-Color problem. The article gives a number of possible applications of the 2N-Color problem that is the essence of orientation. Orientation is fundamental to many fields of scientific knowledge. The Fourcolor theorem applies to map making by the knowledge that only four colors are necessary to color a planar map. The Six-color theorem applies to three dimensional space implying that a space station could be ideally designed to have six compartments adjacent to one another allowing a door from any one of the compartments to the other five. The 2N-color generalization applies to the physical reality of quantum physics. Bubble chamber investigations suggest that the universe is four or more dimensions. Thus the 2N-color theorem applies to the N dimensional universe. At this time string theorists have suggested that the universe could be greater than four dimensions. Physics has not as of yet proven the exact dimension of the universe that could even be infinite as a possibility